Dental Data Exchange
2.0.0-ballot - CI Build

Dental Data Exchange, published by Payer/Provider Information Exchange Work Group. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/dental-data-exchange/ and changes regularly. See the Directory of published versions

## Resource Profile: Dental Service Request

Official URL: http://hl7.org/fhir/us/dental-data-exchange/dental-servicerequest | Version: 2.0.0-ballot
Active as of 2025-04-07 | Computable Name: DentalServiceRequest

This profile contains information regarding the dental referral request including an identifier and a reference to the reason for the referral, if possible. It also includes basic information such as the patient, referring provider, and encounter information that resulted in the referral.

Usage:

- Examples for this Resource Profile: ServiceRequest/Dental-extraction-example, ServiceRequest/Radiograph-survey, ServiceRequest/Resin-restore-example, ServiceRequest/example-dental-referral-1 and ServiceRequest/prophylaxis-example
- CapabilityStatements using this Resource Profile: Dental Data Exchange Client and Dental Data Exchange Server

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | ServiceRequest | A request for a service to be performed dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management prr-1: orderDetail SHALL only be present if code is present
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier | S Σ | 0..* | Identifier | Identifiers assigned to this order ele-1: All FHIR elements must have a @value or children
status | ?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. ele-1: All FHIR elements must have a @value or children
intent | ?!Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. ele-1: All FHIR elements must have a @value or children
priority | S Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. ele-1: All FHIR elements must have a @value or children
doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed ele-1: All FHIR elements must have a @value or children
code | S Σ | 0..1 | CodeableConcept | What is being requested/ordered Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred. ele-1: All FHIR elements must have a @value or children
subject | Σ | 1..1 | Reference(US Core Patient Profile) | Individual or Entity the service is ordered for ele-1: All FHIR elements must have a @value or children
encounter | Σ | 0..1 | Reference(US Core Encounter Profile) | Encounter in which the request was created ele-1: All FHIR elements must have a @value or children
occurrence[x] | S Σ | 0..1 |  | When service should occur ele-1: All FHIR elements must have a @value or children
occurrenceDateTime |  |  | dateTime |
occurrencePeriod |  |  | Period |
occurrenceTiming |  |  | Timing |
reasonCode | S Σ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: DentalReasonForReferral (preferred) ele-1: All FHIR elements must have a @value or children
insurance | S | 0..* | Reference(http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage) | Associated insurance coverage ele-1: All FHIR elements must have a @value or children
supportingInfo | S | 0..* | Reference(Resource) | Additional clinical information ele-1: All FHIR elements must have a @value or children
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
ServiceRequest.status | required | RequestStatus `http://hl7.org/fhir/ValueSet/request-status|4.0.1` from the FHIR Standard
ServiceRequest.intent | required | RequestIntent `http://hl7.org/fhir/ValueSet/request-intent|4.0.1` from the FHIR Standard
ServiceRequest.priority | required | RequestPriority `http://hl7.org/fhir/ValueSet/request-priority|4.0.1` from the FHIR Standard
ServiceRequest.code | example | ProcedureCodes(SNOMEDCT) `http://hl7.org/fhir/ValueSet/procedure-code` from the FHIR Standard
ServiceRequest.reasonCode | preferred | DentalReasonForReferral `http://hl7.org/fhir/us/dental-data-exchange/ValueSet/dental-reason-for-referral` from this IG

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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() |

This structure is derived from ServiceRequest

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
ServiceRequest |  | 0..* | ServiceRequest | A request for a service to be performed
identifier | S | 0..* | Identifier | Identifiers assigned to this order
priority | S | 0..1 | code | routine | urgent | asap | stat
code | S | 0..1 | CodeableConcept | What is being requested/ordered
subject |  | 1..1 | Reference(US Core Patient Profile) | Individual or Entity the service is ordered for
encounter |  | 0..1 | Reference(US Core Encounter Profile) | Encounter in which the request was created
occurrence[x] | S | 0..1 | dateTime, Period, Timing | When service should occur
reasonCode | S | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: DentalReasonForReferral (preferred)
insurance | S | 0..* | Reference(http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage) | Associated insurance coverage
supportingInfo | S | 0..* | Reference(Resource) | Additional clinical information
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
ServiceRequest.reasonCode | preferred | DentalReasonForReferral `http://hl7.org/fhir/us/dental-data-exchange/ValueSet/dental-reason-for-referral` from this IG

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | ServiceRequest | A request for a service to be performed prr-1: orderDetail SHALL only be present if code is present
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 0..* | Identifier | Identifiers assigned to this order
instantiatesCanonical | Σ | 0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition
basedOn | Σ | 0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills
replaces | Σ | 0..* | Reference(ServiceRequest) | What request replaces
requisition | Σ | 0..1 | Identifier | Composite Request ID
status | ?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent | ?!Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request.
category | Σ | 0..* | CodeableConcept | Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
priority | S Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed
code | S Σ | 0..1 | CodeableConcept | What is being requested/ordered Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred.
orderDetail | Σ C | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
quantity[x] | Σ | 0..1 |  | Service amount
quantityQuantity |  |  | Quantity |
quantityRatio |  |  | Ratio |
quantityRange |  |  | Range |
subject | Σ | 1..1 | Reference(US Core Patient Profile) | Individual or Entity the service is ordered for
encounter | Σ | 0..1 | Reference(US Core Encounter Profile) | Encounter in which the request was created
occurrence[x] | S Σ | 0..1 |  | When service should occur
occurrenceDateTime |  |  | dateTime |
occurrencePeriod |  |  | Period |
occurrenceTiming |  |  | Timing |
asNeeded[x] | 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.
asNeededBoolean |  |  | boolean |
asNeededCodeableConcept |  |  | CodeableConcept |
authoredOn | Σ | 0..1 | dateTime | Date request signed
requester | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/what is requesting service
performerType | Σ | 0..1 | CodeableConcept | Performer role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | Requested performer
locationCode | Σ | 0..* | CodeableConcept | Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
locationReference | Σ | 0..* | Reference(Location) | Requested location
reasonCode | S Σ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: DentalReasonForReferral (preferred)
reasonReference | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service
insurance | S | 0..* | Reference(http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage) | Associated insurance coverage
supportingInfo | S | 0..* | Reference(Resource) | Additional clinical information
specimen | Σ | 0..* | Reference(Specimen) | Procedure Samples
bodySite | Σ | 0..* | CodeableConcept | Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
note |  | 0..* | Annotation | Comments
patientInstruction | Σ | 0..1 | string | Patient or consumer-oriented instructions
relevantHistory |  | 0..* | Reference(Provenance) | Request provenance
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
ServiceRequest.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
ServiceRequest.status | required | RequestStatus `http://hl7.org/fhir/ValueSet/request-status|4.0.1` from the FHIR Standard
ServiceRequest.intent | required | RequestIntent `http://hl7.org/fhir/ValueSet/request-intent|4.0.1` from the FHIR Standard
ServiceRequest.category | example | ServiceRequestCategoryCodes `http://hl7.org/fhir/ValueSet/servicerequest-category` from the FHIR Standard
ServiceRequest.priority | required | RequestPriority `http://hl7.org/fhir/ValueSet/request-priority|4.0.1` from the FHIR Standard
ServiceRequest.code | example | ProcedureCodes(SNOMEDCT) `http://hl7.org/fhir/ValueSet/procedure-code` from the FHIR Standard
ServiceRequest.orderDetail | example | ServiceRequestOrderDetailsCodes `http://hl7.org/fhir/ValueSet/servicerequest-orderdetail` from the FHIR Standard
ServiceRequest.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodes `http://hl7.org/fhir/ValueSet/medication-as-needed-reason` from the FHIR Standard
ServiceRequest.performerType | example | ParticipantRoles `http://hl7.org/fhir/ValueSet/participant-role` from the FHIR Standard
ServiceRequest.locationCode | example | ServiceDeliveryLocationRoleType `http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType`
ServiceRequest.reasonCode | preferred | DentalReasonForReferral `http://hl7.org/fhir/us/dental-data-exchange/ValueSet/dental-reason-for-referral` from this IG
ServiceRequest.bodySite | example | SNOMEDCTBodyStructures `http://hl7.org/fhir/ValueSet/body-site` from the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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() |

This structure is derived from ServiceRequest

Summary

Must-Support: 7 elements

Structures

This structure refers to these other structures:

- US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)
- US Core Encounter Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter)
- Unable to summarise profile http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage (no profile found)

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | ServiceRequest | A request for a service to be performed dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management prr-1: orderDetail SHALL only be present if code is present
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier | S Σ | 0..* | Identifier | Identifiers assigned to this order ele-1: All FHIR elements must have a @value or children
status | ?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. ele-1: All FHIR elements must have a @value or children
intent | ?!Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. ele-1: All FHIR elements must have a @value or children
priority | S Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. ele-1: All FHIR elements must have a @value or children
doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed ele-1: All FHIR elements must have a @value or children
code | S Σ | 0..1 | CodeableConcept | What is being requested/ordered Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred. ele-1: All FHIR elements must have a @value or children
subject | Σ | 1..1 | Reference(US Core Patient Profile) | Individual or Entity the service is ordered for ele-1: All FHIR elements must have a @value or children
encounter | Σ | 0..1 | Reference(US Core Encounter Profile) | Encounter in which the request was created ele-1: All FHIR elements must have a @value or children
occurrence[x] | S Σ | 0..1 |  | When service should occur ele-1: All FHIR elements must have a @value or children
occurrenceDateTime |  |  | dateTime |
occurrencePeriod |  |  | Period |
occurrenceTiming |  |  | Timing |
reasonCode | S Σ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: DentalReasonForReferral (preferred) ele-1: All FHIR elements must have a @value or children
insurance | S | 0..* | Reference(http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage) | Associated insurance coverage ele-1: All FHIR elements must have a @value or children
supportingInfo | S | 0..* | Reference(Resource) | Additional clinical information ele-1: All FHIR elements must have a @value or children
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
ServiceRequest.status | required | RequestStatus `http://hl7.org/fhir/ValueSet/request-status|4.0.1` from the FHIR Standard
ServiceRequest.intent | required | RequestIntent `http://hl7.org/fhir/ValueSet/request-intent|4.0.1` from the FHIR Standard
ServiceRequest.priority | required | RequestPriority `http://hl7.org/fhir/ValueSet/request-priority|4.0.1` from the FHIR Standard
ServiceRequest.code | example | ProcedureCodes(SNOMEDCT) `http://hl7.org/fhir/ValueSet/procedure-code` from the FHIR Standard
ServiceRequest.reasonCode | preferred | DentalReasonForReferral `http://hl7.org/fhir/us/dental-data-exchange/ValueSet/dental-reason-for-referral` from this IG

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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

This structure is derived from ServiceRequest

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
ServiceRequest |  | 0..* | ServiceRequest | A request for a service to be performed
identifier | S | 0..* | Identifier | Identifiers assigned to this order
priority | S | 0..1 | code | routine | urgent | asap | stat
code | S | 0..1 | CodeableConcept | What is being requested/ordered
subject |  | 1..1 | Reference(US Core Patient Profile) | Individual or Entity the service is ordered for
encounter |  | 0..1 | Reference(US Core Encounter Profile) | Encounter in which the request was created
occurrence[x] | S | 0..1 | dateTime, Period, Timing | When service should occur
reasonCode | S | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: DentalReasonForReferral (preferred)
insurance | S | 0..* | Reference(http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage) | Associated insurance coverage
supportingInfo | S | 0..* | Reference(Resource) | Additional clinical information
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
ServiceRequest.reasonCode | preferred | DentalReasonForReferral `http://hl7.org/fhir/us/dental-data-exchange/ValueSet/dental-reason-for-referral` from this IG

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | ServiceRequest | A request for a service to be performed prr-1: orderDetail SHALL only be present if code is present
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 0..* | Identifier | Identifiers assigned to this order
instantiatesCanonical | Σ | 0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition
basedOn | Σ | 0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills
replaces | Σ | 0..* | Reference(ServiceRequest) | What request replaces
requisition | Σ | 0..1 | Identifier | Composite Request ID
status | ?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent | ?!Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request.
category | Σ | 0..* | CodeableConcept | Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
priority | S Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed
code | S Σ | 0..1 | CodeableConcept | What is being requested/ordered Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred.
orderDetail | Σ C | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
quantity[x] | Σ | 0..1 |  | Service amount
quantityQuantity |  |  | Quantity |
quantityRatio |  |  | Ratio |
quantityRange |  |  | Range |
subject | Σ | 1..1 | Reference(US Core Patient Profile) | Individual or Entity the service is ordered for
encounter | Σ | 0..1 | Reference(US Core Encounter Profile) | Encounter in which the request was created
occurrence[x] | S Σ | 0..1 |  | When service should occur
occurrenceDateTime |  |  | dateTime |
occurrencePeriod |  |  | Period |
occurrenceTiming |  |  | Timing |
asNeeded[x] | 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.
asNeededBoolean |  |  | boolean |
asNeededCodeableConcept |  |  | CodeableConcept |
authoredOn | Σ | 0..1 | dateTime | Date request signed
requester | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/what is requesting service
performerType | Σ | 0..1 | CodeableConcept | Performer role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | Requested performer
locationCode | Σ | 0..* | CodeableConcept | Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
locationReference | Σ | 0..* | Reference(Location) | Requested location
reasonCode | S Σ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: DentalReasonForReferral (preferred)
reasonReference | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service
insurance | S | 0..* | Reference(http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage) | Associated insurance coverage
supportingInfo | S | 0..* | Reference(Resource) | Additional clinical information
specimen | Σ | 0..* | Reference(Specimen) | Procedure Samples
bodySite | Σ | 0..* | CodeableConcept | Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
note |  | 0..* | Annotation | Comments
patientInstruction | Σ | 0..1 | string | Patient or consumer-oriented instructions
relevantHistory |  | 0..* | Reference(Provenance) | Request provenance
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
ServiceRequest.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
ServiceRequest.status | required | RequestStatus `http://hl7.org/fhir/ValueSet/request-status|4.0.1` from the FHIR Standard
ServiceRequest.intent | required | RequestIntent `http://hl7.org/fhir/ValueSet/request-intent|4.0.1` from the FHIR Standard
ServiceRequest.category | example | ServiceRequestCategoryCodes `http://hl7.org/fhir/ValueSet/servicerequest-category` from the FHIR Standard
ServiceRequest.priority | required | RequestPriority `http://hl7.org/fhir/ValueSet/request-priority|4.0.1` from the FHIR Standard
ServiceRequest.code | example | ProcedureCodes(SNOMEDCT) `http://hl7.org/fhir/ValueSet/procedure-code` from the FHIR Standard
ServiceRequest.orderDetail | example | ServiceRequestOrderDetailsCodes `http://hl7.org/fhir/ValueSet/servicerequest-orderdetail` from the FHIR Standard
ServiceRequest.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodes `http://hl7.org/fhir/ValueSet/medication-as-needed-reason` from the FHIR Standard
ServiceRequest.performerType | example | ParticipantRoles `http://hl7.org/fhir/ValueSet/participant-role` from the FHIR Standard
ServiceRequest.locationCode | example | ServiceDeliveryLocationRoleType `http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType`
ServiceRequest.reasonCode | preferred | DentalReasonForReferral `http://hl7.org/fhir/us/dental-data-exchange/ValueSet/dental-reason-for-referral` from this IG
ServiceRequest.bodySite | example | SNOMEDCTBodyStructures `http://hl7.org/fhir/ValueSet/body-site` from the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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() |

This structure is derived from ServiceRequest

Summary

Must-Support: 7 elements

Structures

This structure refers to these other structures:

- US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)
- US Core Encounter Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter)
- Unable to summarise profile http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage (no profile found)

Other representations of profile: CSV, Excel, Schematron