## Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest vs http://hl7.org/fhir/us/dental-data-exchange/dental-servicerequest

Left: | US Core ServiceRequest Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest)
Right: | Dental Service Request (http://hl7.org/fhir/us/dental-data-exchange/dental-servicerequest)

### Messages

Error | StructureDefinition.url | Values for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest' vs 'http://hl7.org/fhir/us/dental-data-exchange/dental-servicerequest'
Error | StructureDefinition.version | Values for version differ: '8.0.0-ballot' vs '2.0.0-ballot'
Information | StructureDefinition.name | Values for name differ: 'USCoreServiceRequestProfile' vs 'DentalServiceRequest'
Information | StructureDefinition.title | Values for title differ: 'US Core ServiceRequest Profile' vs 'Dental Service Request'
Information | StructureDefinition.date | Values for date differ: '2023-10-17' vs '2025-04-07T18:38:23+00:00'
Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International / Cross-Group Projects' vs 'Payer/Provider Information Exchange Work Group'
Warning | ServiceRequest.identifier | Elements differ in definition for mustSupport: 'false' vs 'true'
Warning | ServiceRequest.status | Elements differ in definition for mustSupport: 'true' vs 'false'
Warning | ServiceRequest.intent | Elements differ in definition for mustSupport: 'true' vs 'false'
Warning | ServiceRequest.category | Elements differ in definition for mustSupport: 'true' vs 'false'
Warning | ServiceRequest.priority | Elements differ in definition for mustSupport: 'false' vs 'true'
Information | ServiceRequest.code | Element minimum cardinalities differ: '1' vs '0'
Warning | ServiceRequest.subject | Elements differ in definition for mustSupport: 'true' vs 'false'
Warning | ServiceRequest.encounter | Elements differ in definition for mustSupport: 'true' vs 'false'
Warning | ServiceRequest.authoredOn | Elements differ in definition for mustSupport: 'true' vs 'false'
Warning | ServiceRequest.requester | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | StructureDefinition.short | Values for short differ: '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Explanation/Justification for procedure or service' vs 'Explanation/Justification for procedure or service'
Warning | ServiceRequest.reasonCode | Elements differ in definition for mustSupport: 'false' vs 'true'
Information | StructureDefinition.short | Values for short differ: '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Profile that supports the requested service' vs 'Explanation/Justification for service or service'
Warning | ServiceRequest.insurance | Elements differ in definition for mustSupport: 'false' vs 'true'
Error | ServiceRequest.insurance | Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Coverage], CanonicalType[http://hl7.org/fhir/StructureDefinition/ClaimResponse]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage]])
Warning | ServiceRequest.supportingInfo | Elements differ in definition for mustSupport: 'false' vs 'true'

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org/fhir/StructureDefinition/ServiceRequest |
copyright | Used by permission of HL7 International, all rights reserved Creative Commons License |  | Removed the item 'Used by permission of HL7 International, all rights reserved Creative Commons License'
date | 2023-10-17 | 2025-04-07T18:38:23+00:00 | Values Differ
description | The US Core ServiceRequest Profile inherits from the FHIR [ServiceRequest](https://hl7.org/fhir/R4/servicerequest.html) resource; refer to it for scope and usage definitions. This profile sets minimum expectations for recording, searching, and fetching the ServiceRequest information. It specifies which core elements, extensions, vocabularies, and value sets **SHALL** be present and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption. | 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. | Values Differ
experimental |  |
fhirVersion | 4.0.1 |
jurisdiction |  |
jurisdiction[0] | urn:iso:std:iso:3166#US |
kind | resource |
name | USCoreServiceRequestProfile | DentalServiceRequest | Values Differ
publisher | HL7 International / Cross-Group Projects | Payer/Provider Information Exchange Work Group | Values Differ
purpose |  |
status | active |
title | US Core ServiceRequest Profile | Dental Service Request | Values Differ
type | ServiceRequest |
url | http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest | http://hl7.org/fhir/us/dental-data-exchange/dental-servicerequest | Values Differ
version | 8.0.0-ballot | 2.0.0-ballot | Values Differ

### Structure

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