Da Vinci - Coverage Requirements Discovery
2.2.0-ballot -
Da Vinci - Coverage Requirements Discovery, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.2.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-crd/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-servicerequest | Version: 2.2.0-ballot | |||
| Standards status: Trial-use Active as of 2025-10-30 | Maturity Level: 4 | Computable Name: CRDServiceRequest | ||
| Other Identifiers: OID:2.16.840.1.113883.4.642.40.18.42.16 | ||||
This profile specifies constraints on the ServiceRequest resource to support coverage requirements discovery.
CRD Clients SHALL use this profile to resolve references to ServiceRequest resources passed to CRD Servers (e.g. selections context references) and to populate draftOrders context objects when invoking the when invoking the following CDS Hooks:
Information provided in Must Support elements will commonly be required for CRD Servers to perform coverage requirements discovery.
Usages:
You can also check for usages in the FHIR IG Statistics
Description Differentials, Snapshots, and other representations.
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
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C | 0..* | USCoreServiceRequestProfile(7.0.0) | A request for a service to be performed This profile also complies with the profile US Core ServiceRequest Profile (6.1.0) Constraints: prr-1 |
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?!Σ | 0..1 | uri | A set of rules under which this content was created |
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S | 0..* | Resource | Contained, inline Resources |
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |
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SC | 0..* | (Complex) | Coverage Info URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information Constraints: crd-ci-q1, crd-ci-q2, crd-ci-q3, crd-ci-q4, crd-ci-q5, crd-ci-q6, crd-ci-q7, crd-ci-q8 |
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?! | 0..* | Extension | Extensions that cannot be ignored |
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SΣ | 0..* | Identifier | Identifiers assigned to this order |
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SΣ | 0..* | Reference(CRD Service Request | CRD Medication Request) | What request fulfills |
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?!SΣ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. Example General: draft |
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?!SΣ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. |
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SΣ | 0..* | CodeableConcept | Classification of service Slice: Unordered, Open by pattern:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. |
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SΣ | 0..* | CodeableConcept | Classification of service Binding: USCoreServiceRequestCategoryCodes (7.0.0) (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets |
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?!SΣ | 0..1 | boolean | True if service/procedure should not be performed |
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SΣ | 1..1 | CodeableConcept | Codes to identify requested services. (CPT, SNOMED CT or LOINC) Binding: CRD Service Request Codes Value Set (extensible): Codes describing the type of Service |
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Content/Rules for all slices | |||
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S | 0..* | CodeableConcept | Expected Billing Code(s) URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options Binding: CRD Billing Codes Value Set (extensible) |
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SΣ | 0..1 | Service amount | |
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Quantity | |||
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Ratio | |||
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Range | |||
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SΣ | 1..1 | Reference(CRD Patient) | Individual or Entity the service is ordered for |
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SΣ | 0..1 | Reference(CRD Encounter) | Encounter in which the request was created |
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SΣ | 0..1 | When service should occur | |
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Period S | |||
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dateTime | |||
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Timing | |||
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SΣ | 1..1 | dateTime | Date request signed |
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SΣ | 1..1 | Reference(US Core Practitioner Profile(7.0.0) S | HRex PractitionerRole Profile S) | Who/what is requesting service |
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SΣ | 0..1 | CodeableConcept | Performer role Binding: HealthcareProviderTaxonomy (20240606) (extensible) |
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Content/Rules for all slices | |||
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S | 0..1 | canonical(ValueSet) | Url of a value set of activities URL: http://hl7.org/fhir/StructureDefinition/codeOptions |
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SΣ | 0..* | Reference(US Core Practitioner Profile(7.0.0) S | HRex PractitionerRole Profile S) | Requested performer |
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SΣ | 0..1 | Reference(CRD Location) | Requested location |
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SΣ | 0..* | CodeableConcept | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Explanation/Justification for procedure or service Binding: USCoreConditionCodes (7.0.0) (extensible) |
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SΣ | 0..* | Reference(US Core Condition Problems and Health Concerns Profile(7.0.0) | US Core Condition Encounter Diagnosis Profile(7.0.0) | US Core DiagnosticReport Profile for Laboratory Results Reporting(7.0.0) | US Core DiagnosticReport Profile for Report and Note Exchange(7.0.0) | US Core DocumentReference Profile(7.0.0) | Observation) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Profile that supports the requested service |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| ServiceRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std. |
| ServiceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std. |
| ServiceRequest.category | Base | example | Service Request Category Codes | 📦4.0.1 | FHIR Std. |
| ServiceRequest.category:us-core | Base | required | US Core ServiceRequest Category Codes | 📍7.0.0 | US Core v7.0 |
| ServiceRequest.code | Base | extensible | CRD Service Request Codes Value Set | 📦2.2.0-ballot | This IG |
| ServiceRequest.performerType | Base | extensible |
Healthcare Provider Taxonomy
|
📍20240606 | VSAC v0.19 |
| ServiceRequest.reasonCode | Base | extensible | US Core Condition Codes | 📍7.0.0 | US Core v7.0 |
| Id | Grade | Path(s) | Description | Expression |
| crd-ci-q1 | error | ServiceRequest.extension:Coverage-Information | Questionnaire is only allowed when doc-needed exists |
extension.where(url='questionnaire').exists() implies extension.where(url = 'doc-needed').exists()
|
| crd-ci-q2 | error | ServiceRequest.extension:Coverage-Information | If covered is set to 'not-covered', then 'pa-needed' must not exist. |
extension.where(url = 'covered' and value = 'not-covered').exists() implies extension.where(url = 'pa-needed').exists().not()
|
| crd-ci-q3 | error | ServiceRequest.extension:Coverage-Information | 'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. |
extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1 implies extension.where(url = 'info-needed').exists()
|
| crd-ci-q4 | error | ServiceRequest.extension:Coverage-Information | If 'pa-needed' is 'satisfied', 'noauth', or 'not-covered', then 'Doc-purpose' can't be 'withpa'. |
extension.where(url = 'pa-needed' and (value = 'satisfied' or value = 'noauth' or value = 'not-covered')) and extension.where(url = 'doc-purpose').exists() implies extension.where(url = 'doc-purpose').all(value != 'withpa')
|
| crd-ci-q5 | error | ServiceRequest.extension:Coverage-Information | 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. |
extension.where(url = 'pa-needed' and value = 'satisfied').exists() = extension.where(url = 'satisfied-pa-id').exists()
|
| crd-ci-q6 | error | ServiceRequest.extension:Coverage-Information | If 'info-needed' is OTH, then reason must be specified |
extension.where(url = 'info-needed' and value = 'OTH').exists() implies extension.where(url = 'reason').exists()
|
| crd-ci-q7 | error | ServiceRequest.extension:Coverage-Information | If reason.coding is present and is not from the extensible value set, then reason.text must be present |
extension.where(url = 'reason').empty() or extension.where(url = 'reason').value.text.exists() or extension.where(url = 'reason').value.memberOf('http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageAssertionReasons')
|
| crd-ci-q8 | error | ServiceRequest.extension:Coverage-Information | If doc-purpose is present with a value other than 'conditional', then reason must be present |
extension.where(url = 'doc-purpose' and value != 'conditional').exists() implies extension.where(url = 'reason').exists()
|
| dom-2 | error | ServiceRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | ServiceRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | ServiceRequest | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| prr-1 | error | ServiceRequest | orderDetail SHALL only be present if code is present |
orderDetail.empty() or code.exists()
|
| Path | Status | Usage | ValueSet | Version | Source |
| ServiceRequest.code | Base | extensible | CRD Service Request Codes Value Set | 📦2.2.0-ballot | This IG |
| ServiceRequest.performerType | Base | extensible |
Healthcare Provider Taxonomy
|
📍20240606 | VSAC v0.19 |
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
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C | 0..* | USCoreServiceRequestProfile(7.0.0) | A request for a service to be performed This profile also complies with the profile US Core ServiceRequest Profile (6.1.0) Constraints: prr-1 | ||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
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0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
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S | 0..* | Resource | Contained, inline Resources | ||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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SC | 0..* | (Complex) | Coverage Info URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information Constraints: crd-ci-q1, crd-ci-q2, crd-ci-q3, crd-ci-q4, crd-ci-q5, crd-ci-q6, crd-ci-q7, crd-ci-q8 | ||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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SΣ | 0..* | Identifier | Identifiers assigned to this order | ||||
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Σ | 0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition | ||||
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Σ | 0..* | uri | Instantiates external protocol or definition | ||||
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SΣ | 0..* | Reference(CRD Service Request | CRD Medication Request) | What request fulfills | ||||
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Σ | 0..* | Reference(ServiceRequest) | What request replaces | ||||
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Σ | 0..1 | Identifier | Composite Request ID | ||||
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?!SΣ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. Example General: draft | ||||
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?!SΣ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. | ||||
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SΣ | 0..* | CodeableConcept | Classification of service Slice: Unordered, Open by pattern:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. | ||||
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SΣ | 0..* | CodeableConcept | Classification of service Binding: USCoreServiceRequestCategoryCodes (7.0.0) (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets | ||||
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Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | ||||
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?!SΣ | 0..1 | boolean | True if service/procedure should not be performed | ||||
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SΣ | 1..1 | CodeableConcept | Codes to identify requested services. (CPT, SNOMED CT or LOINC) Binding: CRD Service Request Codes Value Set (extensible): Codes describing the type of Service | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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S | 0..* | CodeableConcept | Expected Billing Code(s) URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options Binding: CRD Billing Codes Value Set (extensible) | ||||
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Σ | 0..* | Coding | Code defined by a terminology system | ||||
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Σ | 0..1 | string | Plain text representation of the concept | ||||
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ΣC | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context. | ||||
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SΣ | 0..1 | Service amount | |||||
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Quantity | |||||||
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Ratio | |||||||
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Range | |||||||
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SΣ | 1..1 | Reference(CRD Patient) | Individual or Entity the service is ordered for | ||||
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SΣ | 0..1 | Reference(CRD Encounter) | Encounter in which the request was created | ||||
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SΣ | 0..1 | When service should occur | |||||
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Period S | |||||||
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dateTime | |||||||
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Timing | |||||||
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Σ | 0..1 | Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc. | |||||
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boolean | |||||||
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CodeableConcept | |||||||
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SΣ | 1..1 | dateTime | Date request signed | ||||
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SΣ | 1..1 | Reference(US Core Practitioner Profile(7.0.0) S | HRex PractitionerRole Profile S) | Who/what is requesting service | ||||
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SΣ | 0..1 | CodeableConcept | Performer role Binding: HealthcareProviderTaxonomy (20240606) (extensible) | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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S | 0..1 | canonical(ValueSet) | Url of a value set of activities URL: http://hl7.org/fhir/StructureDefinition/codeOptions | ||||
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Σ | 0..* | Coding | Code defined by a terminology system | ||||
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Σ | 0..1 | string | Plain text representation of the concept | ||||
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SΣ | 0..* | Reference(US Core Practitioner Profile(7.0.0) S | HRex PractitionerRole Profile S) | Requested performer | ||||
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Σ | 0..* | CodeableConcept | Requested location Binding: ServiceDeliveryLocationRoleType (3.0.0) (example): A location type where services are delivered. | ||||
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SΣ | 0..1 | Reference(CRD Location) | Requested location | ||||
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SΣ | 0..* | CodeableConcept | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Explanation/Justification for procedure or service Binding: USCoreConditionCodes (7.0.0) (extensible) | ||||
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SΣ | 0..* | Reference(US Core Condition Problems and Health Concerns Profile(7.0.0) | US Core Condition Encounter Diagnosis Profile(7.0.0) | US Core DiagnosticReport Profile for Laboratory Results Reporting(7.0.0) | US Core DiagnosticReport Profile for Report and Note Exchange(7.0.0) | US Core DocumentReference Profile(7.0.0) | Observation) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Profile that supports the requested service | ||||
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0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
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0..* | Reference(Resource) | Additional clinical information | |||||
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Σ | 0..* | Reference(Specimen) | Procedure Samples | ||||
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Σ | 0..* | CodeableConcept | Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
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0..* | Annotation | Comments | |||||
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Σ | 0..1 | string | Patient or consumer-oriented instructions | ||||
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0..* | Reference(Provenance) | Request provenance | |||||
Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| ServiceRequest.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| ServiceRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std. |
| ServiceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std. |
| ServiceRequest.category | Base | example | Service Request Category Codes | 📦4.0.1 | FHIR Std. |
| ServiceRequest.category:us-core | Base | required | US Core ServiceRequest Category Codes | 📍7.0.0 | US Core v7.0 |
| ServiceRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std. |
| ServiceRequest.code | Base | extensible | CRD Service Request Codes Value Set | 📦2.2.0-ballot | This IG |
| ServiceRequest.orderDetail | Base | example | Service Request Order Details Codes | 📦4.0.1 | FHIR Std. |
| ServiceRequest.asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📦4.0.1 | FHIR Std. |
| ServiceRequest.performerType | Base | extensible |
Healthcare Provider Taxonomy
|
📍20240606 | VSAC v0.19 |
| ServiceRequest.locationCode | Base | example | ServiceDeliveryLocationRoleType | 📍3.0.0 | THO v6.5 |
| ServiceRequest.reasonCode | Base | extensible | US Core Condition Codes | 📍7.0.0 | US Core v7.0 |
| ServiceRequest.bodySite | Base | example | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| crd-ci-q1 | error | ServiceRequest.extension:Coverage-Information | Questionnaire is only allowed when doc-needed exists |
extension.where(url='questionnaire').exists() implies extension.where(url = 'doc-needed').exists()
|
| crd-ci-q2 | error | ServiceRequest.extension:Coverage-Information | If covered is set to 'not-covered', then 'pa-needed' must not exist. |
extension.where(url = 'covered' and value = 'not-covered').exists() implies extension.where(url = 'pa-needed').exists().not()
|
| crd-ci-q3 | error | ServiceRequest.extension:Coverage-Information | 'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. |
extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1 implies extension.where(url = 'info-needed').exists()
|
| crd-ci-q4 | error | ServiceRequest.extension:Coverage-Information | If 'pa-needed' is 'satisfied', 'noauth', or 'not-covered', then 'Doc-purpose' can't be 'withpa'. |
extension.where(url = 'pa-needed' and (value = 'satisfied' or value = 'noauth' or value = 'not-covered')) and extension.where(url = 'doc-purpose').exists() implies extension.where(url = 'doc-purpose').all(value != 'withpa')
|
| crd-ci-q5 | error | ServiceRequest.extension:Coverage-Information | 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. |
extension.where(url = 'pa-needed' and value = 'satisfied').exists() = extension.where(url = 'satisfied-pa-id').exists()
|
| crd-ci-q6 | error | ServiceRequest.extension:Coverage-Information | If 'info-needed' is OTH, then reason must be specified |
extension.where(url = 'info-needed' and value = 'OTH').exists() implies extension.where(url = 'reason').exists()
|
| crd-ci-q7 | error | ServiceRequest.extension:Coverage-Information | If reason.coding is present and is not from the extensible value set, then reason.text must be present |
extension.where(url = 'reason').empty() or extension.where(url = 'reason').value.text.exists() or extension.where(url = 'reason').value.memberOf('http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageAssertionReasons')
|
| crd-ci-q8 | error | ServiceRequest.extension:Coverage-Information | If doc-purpose is present with a value other than 'conditional', then reason must be present |
extension.where(url = 'doc-purpose' and value != 'conditional').exists() implies extension.where(url = 'reason').exists()
|
| dom-2 | error | ServiceRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | ServiceRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | ServiceRequest | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| prr-1 | error | ServiceRequest | orderDetail SHALL only be present if code is present |
orderDetail.empty() or code.exists()
|
Summary
Mandatory: 2 elements
Must-Support: 13 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Maturity: 4
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
C | 0..* | USCoreServiceRequestProfile(7.0.0) | A request for a service to be performed This profile also complies with the profile US Core ServiceRequest Profile (6.1.0) Constraints: prr-1 |
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() |
S | 0..* | Resource | Contained, inline Resources |
![]() ![]() |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
![]() ![]() ![]() |
SC | 0..* | (Complex) | Coverage Info URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information Constraints: crd-ci-q1, crd-ci-q2, crd-ci-q3, crd-ci-q4, crd-ci-q5, crd-ci-q6, crd-ci-q7, crd-ci-q8 |
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() |
SΣ | 0..* | Identifier | Identifiers assigned to this order |
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SΣ | 0..* | Reference(CRD Service Request | CRD Medication Request) | What request fulfills |
![]() ![]() |
?!SΣ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. Example General: draft |
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?!SΣ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. |
![]() ![]() |
SΣ | 0..* | CodeableConcept | Classification of service Slice: Unordered, Open by pattern:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. |
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SΣ | 0..* | CodeableConcept | Classification of service Binding: USCoreServiceRequestCategoryCodes (7.0.0) (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets |
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?!SΣ | 0..1 | boolean | True if service/procedure should not be performed |
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SΣ | 1..1 | CodeableConcept | Codes to identify requested services. (CPT, SNOMED CT or LOINC) Binding: CRD Service Request Codes Value Set (extensible): Codes describing the type of Service |
![]() ![]() ![]() |
Content/Rules for all slices | |||
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S | 0..* | CodeableConcept | Expected Billing Code(s) URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options Binding: CRD Billing Codes Value Set (extensible) |
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SΣ | 0..1 | Service amount | |
![]() ![]() ![]() |
Quantity | |||
![]() ![]() ![]() |
Ratio | |||
![]() ![]() ![]() |
Range | |||
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SΣ | 1..1 | Reference(CRD Patient) | Individual or Entity the service is ordered for |
![]() ![]() |
SΣ | 0..1 | Reference(CRD Encounter) | Encounter in which the request was created |
![]() ![]() |
SΣ | 0..1 | When service should occur | |
![]() ![]() ![]() |
Period S | |||
![]() ![]() ![]() |
dateTime | |||
![]() ![]() ![]() |
Timing | |||
![]() ![]() |
SΣ | 1..1 | dateTime | Date request signed |
![]() ![]() |
SΣ | 1..1 | Reference(US Core Practitioner Profile(7.0.0) S | HRex PractitionerRole Profile S) | Who/what is requesting service |
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SΣ | 0..1 | CodeableConcept | Performer role Binding: HealthcareProviderTaxonomy (20240606) (extensible) |
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Content/Rules for all slices | |||
![]() ![]() ![]() ![]() |
S | 0..1 | canonical(ValueSet) | Url of a value set of activities URL: http://hl7.org/fhir/StructureDefinition/codeOptions |
![]() ![]() |
SΣ | 0..* | Reference(US Core Practitioner Profile(7.0.0) S | HRex PractitionerRole Profile S) | Requested performer |
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SΣ | 0..1 | Reference(CRD Location) | Requested location |
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SΣ | 0..* | CodeableConcept | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Explanation/Justification for procedure or service Binding: USCoreConditionCodes (7.0.0) (extensible) |
![]() ![]() |
SΣ | 0..* | Reference(US Core Condition Problems and Health Concerns Profile(7.0.0) | US Core Condition Encounter Diagnosis Profile(7.0.0) | US Core DiagnosticReport Profile for Laboratory Results Reporting(7.0.0) | US Core DiagnosticReport Profile for Report and Note Exchange(7.0.0) | US Core DocumentReference Profile(7.0.0) | Observation) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Profile that supports the requested service |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| ServiceRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std. |
| ServiceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std. |
| ServiceRequest.category | Base | example | Service Request Category Codes | 📦4.0.1 | FHIR Std. |
| ServiceRequest.category:us-core | Base | required | US Core ServiceRequest Category Codes | 📍7.0.0 | US Core v7.0 |
| ServiceRequest.code | Base | extensible | CRD Service Request Codes Value Set | 📦2.2.0-ballot | This IG |
| ServiceRequest.performerType | Base | extensible |
Healthcare Provider Taxonomy
|
📍20240606 | VSAC v0.19 |
| ServiceRequest.reasonCode | Base | extensible | US Core Condition Codes | 📍7.0.0 | US Core v7.0 |
| Id | Grade | Path(s) | Description | Expression |
| crd-ci-q1 | error | ServiceRequest.extension:Coverage-Information | Questionnaire is only allowed when doc-needed exists |
extension.where(url='questionnaire').exists() implies extension.where(url = 'doc-needed').exists()
|
| crd-ci-q2 | error | ServiceRequest.extension:Coverage-Information | If covered is set to 'not-covered', then 'pa-needed' must not exist. |
extension.where(url = 'covered' and value = 'not-covered').exists() implies extension.where(url = 'pa-needed').exists().not()
|
| crd-ci-q3 | error | ServiceRequest.extension:Coverage-Information | 'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. |
extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1 implies extension.where(url = 'info-needed').exists()
|
| crd-ci-q4 | error | ServiceRequest.extension:Coverage-Information | If 'pa-needed' is 'satisfied', 'noauth', or 'not-covered', then 'Doc-purpose' can't be 'withpa'. |
extension.where(url = 'pa-needed' and (value = 'satisfied' or value = 'noauth' or value = 'not-covered')) and extension.where(url = 'doc-purpose').exists() implies extension.where(url = 'doc-purpose').all(value != 'withpa')
|
| crd-ci-q5 | error | ServiceRequest.extension:Coverage-Information | 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. |
extension.where(url = 'pa-needed' and value = 'satisfied').exists() = extension.where(url = 'satisfied-pa-id').exists()
|
| crd-ci-q6 | error | ServiceRequest.extension:Coverage-Information | If 'info-needed' is OTH, then reason must be specified |
extension.where(url = 'info-needed' and value = 'OTH').exists() implies extension.where(url = 'reason').exists()
|
| crd-ci-q7 | error | ServiceRequest.extension:Coverage-Information | If reason.coding is present and is not from the extensible value set, then reason.text must be present |
extension.where(url = 'reason').empty() or extension.where(url = 'reason').value.text.exists() or extension.where(url = 'reason').value.memberOf('http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageAssertionReasons')
|
| crd-ci-q8 | error | ServiceRequest.extension:Coverage-Information | If doc-purpose is present with a value other than 'conditional', then reason must be present |
extension.where(url = 'doc-purpose' and value != 'conditional').exists() implies extension.where(url = 'reason').exists()
|
| dom-2 | error | ServiceRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | ServiceRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | ServiceRequest | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| prr-1 | error | ServiceRequest | orderDetail SHALL only be present if code is present |
orderDetail.empty() or code.exists()
|
Differential View
| Path | Status | Usage | ValueSet | Version | Source |
| ServiceRequest.code | Base | extensible | CRD Service Request Codes Value Set | 📦2.2.0-ballot | This IG |
| ServiceRequest.performerType | Base | extensible |
Healthcare Provider Taxonomy
|
📍20240606 | VSAC v0.19 |
Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
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C | 0..* | USCoreServiceRequestProfile(7.0.0) | A request for a service to be performed This profile also complies with the profile US Core ServiceRequest Profile (6.1.0) Constraints: prr-1 | ||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
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0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
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S | 0..* | Resource | Contained, inline Resources | ||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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SC | 0..* | (Complex) | Coverage Info URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information Constraints: crd-ci-q1, crd-ci-q2, crd-ci-q3, crd-ci-q4, crd-ci-q5, crd-ci-q6, crd-ci-q7, crd-ci-q8 | ||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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SΣ | 0..* | Identifier | Identifiers assigned to this order | ||||
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Σ | 0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition | ||||
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Σ | 0..* | uri | Instantiates external protocol or definition | ||||
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SΣ | 0..* | Reference(CRD Service Request | CRD Medication Request) | What request fulfills | ||||
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Σ | 0..* | Reference(ServiceRequest) | What request replaces | ||||
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Σ | 0..1 | Identifier | Composite Request ID | ||||
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?!SΣ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. Example General: draft | ||||
![]() ![]() |
?!SΣ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. | ||||
![]() ![]() |
SΣ | 0..* | CodeableConcept | Classification of service Slice: Unordered, Open by pattern:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. | ||||
![]() ![]() ![]() |
SΣ | 0..* | CodeableConcept | Classification of service Binding: USCoreServiceRequestCategoryCodes (7.0.0) (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets | ||||
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Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | ||||
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?!SΣ | 0..1 | boolean | True if service/procedure should not be performed | ||||
![]() ![]() |
SΣ | 1..1 | CodeableConcept | Codes to identify requested services. (CPT, SNOMED CT or LOINC) Binding: CRD Service Request Codes Value Set (extensible): Codes describing the type of Service | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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S | 0..* | CodeableConcept | Expected Billing Code(s) URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options Binding: CRD Billing Codes Value Set (extensible) | ||||
![]() ![]() ![]() |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
![]() ![]() ![]() |
Σ | 0..1 | string | Plain text representation of the concept | ||||
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ΣC | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context. | ||||
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SΣ | 0..1 | Service amount | |||||
![]() ![]() ![]() |
Quantity | |||||||
![]() ![]() ![]() |
Ratio | |||||||
![]() ![]() ![]() |
Range | |||||||
![]() ![]() |
SΣ | 1..1 | Reference(CRD Patient) | Individual or Entity the service is ordered for | ||||
![]() ![]() |
SΣ | 0..1 | Reference(CRD Encounter) | Encounter in which the request was created | ||||
![]() ![]() |
SΣ | 0..1 | When service should occur | |||||
![]() ![]() ![]() |
Period S | |||||||
![]() ![]() ![]() |
dateTime | |||||||
![]() ![]() ![]() |
Timing | |||||||
![]() ![]() |
Σ | 0..1 | Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc. | |||||
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boolean | |||||||
![]() ![]() ![]() |
CodeableConcept | |||||||
![]() ![]() |
SΣ | 1..1 | dateTime | Date request signed | ||||
![]() ![]() |
SΣ | 1..1 | Reference(US Core Practitioner Profile(7.0.0) S | HRex PractitionerRole Profile S) | Who/what is requesting service | ||||
![]() ![]() |
SΣ | 0..1 | CodeableConcept | Performer role Binding: HealthcareProviderTaxonomy (20240606) (extensible) | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() |
S | 0..1 | canonical(ValueSet) | Url of a value set of activities URL: http://hl7.org/fhir/StructureDefinition/codeOptions | ||||
![]() ![]() ![]() |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
![]() ![]() ![]() |
Σ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() |
SΣ | 0..* | Reference(US Core Practitioner Profile(7.0.0) S | HRex PractitionerRole Profile S) | Requested performer | ||||
![]() ![]() |
Σ | 0..* | CodeableConcept | Requested location Binding: ServiceDeliveryLocationRoleType (3.0.0) (example): A location type where services are delivered. | ||||
![]() ![]() |
SΣ | 0..1 | Reference(CRD Location) | Requested location | ||||
![]() ![]() |
SΣ | 0..* | CodeableConcept | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Explanation/Justification for procedure or service Binding: USCoreConditionCodes (7.0.0) (extensible) | ||||
![]() ![]() |
SΣ | 0..* | Reference(US Core Condition Problems and Health Concerns Profile(7.0.0) | US Core Condition Encounter Diagnosis Profile(7.0.0) | US Core DiagnosticReport Profile for Laboratory Results Reporting(7.0.0) | US Core DiagnosticReport Profile for Report and Note Exchange(7.0.0) | US Core DocumentReference Profile(7.0.0) | Observation) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Profile that supports the requested service | ||||
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0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
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0..* | Reference(Resource) | Additional clinical information | |||||
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Σ | 0..* | Reference(Specimen) | Procedure Samples | ||||
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Σ | 0..* | CodeableConcept | Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
![]() ![]() |
0..* | Annotation | Comments | |||||
![]() ![]() |
Σ | 0..1 | string | Patient or consumer-oriented instructions | ||||
![]() ![]() |
0..* | Reference(Provenance) | Request provenance | |||||
Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| ServiceRequest.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| ServiceRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std. |
| ServiceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std. |
| ServiceRequest.category | Base | example | Service Request Category Codes | 📦4.0.1 | FHIR Std. |
| ServiceRequest.category:us-core | Base | required | US Core ServiceRequest Category Codes | 📍7.0.0 | US Core v7.0 |
| ServiceRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std. |
| ServiceRequest.code | Base | extensible | CRD Service Request Codes Value Set | 📦2.2.0-ballot | This IG |
| ServiceRequest.orderDetail | Base | example | Service Request Order Details Codes | 📦4.0.1 | FHIR Std. |
| ServiceRequest.asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📦4.0.1 | FHIR Std. |
| ServiceRequest.performerType | Base | extensible |
Healthcare Provider Taxonomy
|
📍20240606 | VSAC v0.19 |
| ServiceRequest.locationCode | Base | example | ServiceDeliveryLocationRoleType | 📍3.0.0 | THO v6.5 |
| ServiceRequest.reasonCode | Base | extensible | US Core Condition Codes | 📍7.0.0 | US Core v7.0 |
| ServiceRequest.bodySite | Base | example | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| crd-ci-q1 | error | ServiceRequest.extension:Coverage-Information | Questionnaire is only allowed when doc-needed exists |
extension.where(url='questionnaire').exists() implies extension.where(url = 'doc-needed').exists()
|
| crd-ci-q2 | error | ServiceRequest.extension:Coverage-Information | If covered is set to 'not-covered', then 'pa-needed' must not exist. |
extension.where(url = 'covered' and value = 'not-covered').exists() implies extension.where(url = 'pa-needed').exists().not()
|
| crd-ci-q3 | error | ServiceRequest.extension:Coverage-Information | 'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. |
extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1 implies extension.where(url = 'info-needed').exists()
|
| crd-ci-q4 | error | ServiceRequest.extension:Coverage-Information | If 'pa-needed' is 'satisfied', 'noauth', or 'not-covered', then 'Doc-purpose' can't be 'withpa'. |
extension.where(url = 'pa-needed' and (value = 'satisfied' or value = 'noauth' or value = 'not-covered')) and extension.where(url = 'doc-purpose').exists() implies extension.where(url = 'doc-purpose').all(value != 'withpa')
|
| crd-ci-q5 | error | ServiceRequest.extension:Coverage-Information | 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. |
extension.where(url = 'pa-needed' and value = 'satisfied').exists() = extension.where(url = 'satisfied-pa-id').exists()
|
| crd-ci-q6 | error | ServiceRequest.extension:Coverage-Information | If 'info-needed' is OTH, then reason must be specified |
extension.where(url = 'info-needed' and value = 'OTH').exists() implies extension.where(url = 'reason').exists()
|
| crd-ci-q7 | error | ServiceRequest.extension:Coverage-Information | If reason.coding is present and is not from the extensible value set, then reason.text must be present |
extension.where(url = 'reason').empty() or extension.where(url = 'reason').value.text.exists() or extension.where(url = 'reason').value.memberOf('http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageAssertionReasons')
|
| crd-ci-q8 | error | ServiceRequest.extension:Coverage-Information | If doc-purpose is present with a value other than 'conditional', then reason must be present |
extension.where(url = 'doc-purpose' and value != 'conditional').exists() implies extension.where(url = 'reason').exists()
|
| dom-2 | error | ServiceRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | ServiceRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | ServiceRequest | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| prr-1 | error | ServiceRequest | orderDetail SHALL only be present if code is present |
orderDetail.empty() or code.exists()
|
Summary
Mandatory: 2 elements
Must-Support: 13 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Maturity: 4
Other representations of profile: CSV, Excel, Schematron