PACIO Advance Healthcare Directive Interoperability Implementation Guide
2.0.0 - STU 2 – Ballot United States of America flag

PACIO Advance Healthcare Directive Interoperability Implementation Guide, published by HL7 International / Patient Empowerment. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-pacio-adi/ and changes regularly. See the Directory of published versions

Resource Profile: ADI PMO Medically Assisted Nutrition Service Request

Official URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-PMOMedicallyAssistedNutritionServiceRequest Version: 2.0.0
Standards status: Trial-use Computable Name: ADIPMOMedicallyAssistedNutritionServiceRequest
Other Identifiers: OID:2.16.840.1.113883.4.642.40.68.42.23

This profile is used to represent a practitioner authored portable medical order for medically assisted nutrition.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: doco
ServiceRequest C 0..* ADIPMOServiceRequest A request for a service to be performed
Constraints: prr-1
ServiceRequest.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
ServiceRequest.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
ServiceRequest.Slices for extension.extension:ADITrialPeriodExtension 0..1 Period Trial Period
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-trialperiod-extension
ServiceRequest.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
ServiceRequest.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.
Required Pattern: active (extensions allowed)
ServiceRequest.intent This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.
Required Pattern: directive (extensions allowed)
ServiceRequest.Slices for category This element must be supported. This element is included in summaries. 1..* CodeableConcept Classification of service
Slice: Unordered, Open by value:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.

Required Pattern:
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "100825-9",
      "display" : "Medically assisted nutrition orders"
    }
  ]
}

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
ServiceRequest.Slices for category.category:us-core This element must be supported. This element is included in summaries. 0..* CodeableConcept Classification of service
Binding: US Core ServiceRequest Category Codes (required): Note that other codes are permitted in other slices, see Required Bindings When Slicing by Value Sets
ServiceRequest.doNotPerform This element is a modifier element. This element is included in summaries. 0..1 boolean True if service/procedure should not be performed
ServiceRequest.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept What is being requested/ordered
Binding: Medically Assisted Nutrition Order Options (extensible)
ServiceRequest.orderDetail This element is included in summaries. C 0..* CodeableConcept Additional order information
Binding: Medically Assisted Nutrition Portable Medical Order Procedures Grouping (extensible)
ServiceRequest.subject This element must be supported. This element is included in summaries. 1..1 Reference(US Core Patient Profile This type must be supported. ) Individual or Entity the service is ordered for
ServiceRequest.occurrence[x] This element must be supported. This element is included in summaries. 0..1 When service should occur
ServiceRequest.occurrence[x].occurrencePeriod Period This type must be supported.
ServiceRequest.occurrence[x].occurrenceDateTime dateTime
ServiceRequest.occurrence[x].occurrenceTiming Timing
ServiceRequest.authoredOn This element must be supported. This element is included in summaries. 0..1 dateTime Date request signed
ServiceRequest.requester This element must be supported. This element is included in summaries. 1..1 Reference(US Core Practitioner Profile This type must be supported. | US Core PractitionerRole Profile) Who/what is requesting service

doco Documentation for this format

Terminology Bindings

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 📦9.0.0 US Core v9.0
ServiceRequest.code Base extensible Medically Assisted Nutrition Order Options ⏿20240905 tx.fhir.org
ServiceRequest.orderDetail Base extensible Medically Assisted Nutrition Portable Medical Order Procedures Grouping ⏿20240905 tx.fhir.org

Constraints

Id Grade Path(s) Description Expression
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 ADIPMOServiceRequest

NameFlagsCard.TypeDescription & Constraints    Filter: doco
ServiceRequest 0..* ADIPMOServiceRequest A request for a service to be performed
ServiceRequest.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
ServiceRequest.Slices for extension.extension:ADITrialPeriodExtension 0..1 Period Trial Period
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-trialperiod-extension
ServiceRequest.category 1..* CodeableConcept Classification of service
Required Pattern:
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "100825-9",
      "display" : "Medically assisted nutrition orders"
    }
  ]
}
ServiceRequest.code 1..1 CodeableConcept What is being requested/ordered
Binding: Medically Assisted Nutrition Order Options (extensible)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
ServiceRequest.code Base extensible Medically Assisted Nutrition Order Options ⏿20240905 tx.fhir.org
ServiceRequest.orderDetail Base extensible Medically Assisted Nutrition Portable Medical Order Procedures Grouping ⏿20240905 tx.fhir.org
NameFlagsCard.TypeDescription & Constraints    Filter: doco
ServiceRequest C 0..* ADIPMOServiceRequest A request for a service to be performed
Constraints: prr-1
ServiceRequest.id This element is included in summaries. 0..1 id Logical id of this artifact
ServiceRequest.meta This element is included in summaries. 0..1 Meta Metadata about the resource
ServiceRequest.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
ServiceRequest.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
ServiceRequest.text 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
ServiceRequest.contained 0..* Resource Contained, inline Resources
ServiceRequest.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
ServiceRequest.Slices for extension.extension:ADITrialPeriodExtension 0..1 Period Trial Period
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-trialperiod-extension
ServiceRequest.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
ServiceRequest.identifier This element is included in summaries. 0..* Identifier Identifiers assigned to this order
ServiceRequest.instantiatesCanonical This element is included in summaries. 0..* canonical(ActivityDefinition | PlanDefinition) Instantiates FHIR protocol or definition
ServiceRequest.instantiatesUri This element is included in summaries. 0..* uri Instantiates external protocol or definition
ServiceRequest.basedOn This element is included in summaries. 0..* Reference(CarePlan | ServiceRequest | MedicationRequest) What request fulfills
ServiceRequest.replaces This element is included in summaries. 0..* Reference(ServiceRequest) What request replaces
ServiceRequest.requisition This element is included in summaries. 0..1 Identifier Composite Request ID
ServiceRequest.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.
Required Pattern: active (extensions allowed)
ServiceRequest.intent This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.
Required Pattern: directive (extensions allowed)
ServiceRequest.Slices for category This element must be supported. This element is included in summaries. 1..* CodeableConcept Classification of service
Slice: Unordered, Open by value:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.

Required Pattern:
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "100825-9",
      "display" : "Medically assisted nutrition orders"
    }
  ]
}

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
ServiceRequest.Slices for category.category:us-core This element must be supported. This element is included in summaries. 0..* CodeableConcept Classification of service
Binding: US Core ServiceRequest Category Codes (required): Note that other codes are permitted in other slices, see Required Bindings When Slicing by Value Sets
ServiceRequest.priority This element is included in summaries. 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
ServiceRequest.doNotPerform This element is a modifier element. This element is included in summaries. 0..1 boolean True if service/procedure should not be performed
ServiceRequest.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept What is being requested/ordered
Binding: Medically Assisted Nutrition Order Options (extensible)
ServiceRequest.code.id 0..1 string Unique id for inter-element referencing
ServiceRequest.code.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
ServiceRequest.code.coding This element is included in summaries. 0..* Coding Code defined by a terminology system
ServiceRequest.code.text This element is included in summaries. 0..1 string 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: The name of the test, procedure, or service to be performed.
ServiceRequest.orderDetail This element is included in summaries. C 0..* CodeableConcept Additional order information
Binding: Medically Assisted Nutrition Portable Medical Order Procedures Grouping (extensible)
ServiceRequest.quantity[x] This element is included in summaries. 0..1 Service amount
ServiceRequest.quantity[x].quantityQuantity Quantity
ServiceRequest.quantity[x].quantityRatio Ratio
ServiceRequest.quantity[x].quantityRange Range
ServiceRequest.subject This element must be supported. This element is included in summaries. 1..1 Reference(US Core Patient Profile This type must be supported. ) Individual or Entity the service is ordered for
ServiceRequest.occurrence[x] This element must be supported. This element is included in summaries. 0..1 When service should occur
ServiceRequest.occurrence[x].occurrencePeriod Period This type must be supported.
ServiceRequest.occurrence[x].occurrenceDateTime dateTime
ServiceRequest.occurrence[x].occurrenceTiming Timing
ServiceRequest.asNeeded[x] This element is included in summaries. 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.
ServiceRequest.asNeeded[x].asNeededBoolean boolean
ServiceRequest.asNeeded[x].asNeededCodeableConcept CodeableConcept
ServiceRequest.authoredOn This element must be supported. This element is included in summaries. 0..1 dateTime Date request signed
ServiceRequest.requester This element must be supported. This element is included in summaries. 1..1 Reference(US Core Practitioner Profile This type must be supported. | US Core PractitionerRole Profile) Who/what is requesting service
ServiceRequest.performerType This element is included in summaries. 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.
ServiceRequest.performer This element is included in summaries. 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Requested performer
ServiceRequest.locationCode This element is included in summaries. 0..* CodeableConcept Requested location
Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
ServiceRequest.locationReference This element is included in summaries. 0..* Reference(Location) Requested location
ServiceRequest.reasonCode This element is included in summaries. 0..* CodeableConcept 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Explanation/Justification for procedure or service
Binding: US Core Condition Codes (extensible)
ServiceRequest.reasonReference This element is included in summaries. 0..* Reference(ADI Document Reference) 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Profile that supports the requested service
ServiceRequest.insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
ServiceRequest.supportingInfo 0..* Reference(Resource) Additional clinical information
ServiceRequest.specimen This element is included in summaries. 0..* Reference(Specimen) Procedure Samples
ServiceRequest.bodySite This element is included in summaries. 0..* CodeableConcept Location on Body
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
ServiceRequest.note 0..* Annotation Comments
ServiceRequest.patientInstruction This element is included in summaries. 0..1 string Patient or consumer-oriented instructions
ServiceRequest.relevantHistory 0..* Reference(Provenance) Request provenance

doco Documentation for this format

Terminology Bindings

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 📦9.0.0 US Core v9.0
ServiceRequest.priority Base required Request priority 📍4.0.1 FHIR Std.
ServiceRequest.code Base extensible Medically Assisted Nutrition Order Options ⏿20240905 tx.fhir.org
ServiceRequest.orderDetail Base extensible Medically Assisted Nutrition Portable Medical Order Procedures Grouping ⏿20240905 tx.fhir.org
ServiceRequest.asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
ServiceRequest.performerType Base example Participant Roles 📍4.0.1 FHIR Std.
ServiceRequest.locationCode Base example ServiceDeliveryLocationRoleType 📦3.0.0 THO v7.4
ServiceRequest.reasonCode Base extensible US Core Condition Codes 📦9.0.0 US Core v9.0
ServiceRequest.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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 ADIPMOServiceRequest

Summary

Extensions

This structure refers to these extensions:

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
ServiceRequest C 0..* ADIPMOServiceRequest A request for a service to be performed
Constraints: prr-1
ServiceRequest.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
ServiceRequest.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
ServiceRequest.Slices for extension.extension:ADITrialPeriodExtension 0..1 Period Trial Period
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-trialperiod-extension
ServiceRequest.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
ServiceRequest.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.
Required Pattern: active (extensions allowed)
ServiceRequest.intent This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.
Required Pattern: directive (extensions allowed)
ServiceRequest.Slices for category This element must be supported. This element is included in summaries. 1..* CodeableConcept Classification of service
Slice: Unordered, Open by value:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.

Required Pattern:
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "100825-9",
      "display" : "Medically assisted nutrition orders"
    }
  ]
}

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
ServiceRequest.Slices for category.category:us-core This element must be supported. This element is included in summaries. 0..* CodeableConcept Classification of service
Binding: US Core ServiceRequest Category Codes (required): Note that other codes are permitted in other slices, see Required Bindings When Slicing by Value Sets
ServiceRequest.doNotPerform This element is a modifier element. This element is included in summaries. 0..1 boolean True if service/procedure should not be performed
ServiceRequest.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept What is being requested/ordered
Binding: Medically Assisted Nutrition Order Options (extensible)
ServiceRequest.orderDetail This element is included in summaries. C 0..* CodeableConcept Additional order information
Binding: Medically Assisted Nutrition Portable Medical Order Procedures Grouping (extensible)
ServiceRequest.subject This element must be supported. This element is included in summaries. 1..1 Reference(US Core Patient Profile This type must be supported. ) Individual or Entity the service is ordered for
ServiceRequest.occurrence[x] This element must be supported. This element is included in summaries. 0..1 When service should occur
ServiceRequest.occurrence[x].occurrencePeriod Period This type must be supported.
ServiceRequest.occurrence[x].occurrenceDateTime dateTime
ServiceRequest.occurrence[x].occurrenceTiming Timing
ServiceRequest.authoredOn This element must be supported. This element is included in summaries. 0..1 dateTime Date request signed
ServiceRequest.requester This element must be supported. This element is included in summaries. 1..1 Reference(US Core Practitioner Profile This type must be supported. | US Core PractitionerRole Profile) Who/what is requesting service

doco Documentation for this format

Terminology Bindings

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 📦9.0.0 US Core v9.0
ServiceRequest.code Base extensible Medically Assisted Nutrition Order Options ⏿20240905 tx.fhir.org
ServiceRequest.orderDetail Base extensible Medically Assisted Nutrition Portable Medical Order Procedures Grouping ⏿20240905 tx.fhir.org

Constraints

Id Grade Path(s) Description Expression
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 ADIPMOServiceRequest

NameFlagsCard.TypeDescription & Constraints    Filter: doco
ServiceRequest 0..* ADIPMOServiceRequest A request for a service to be performed
ServiceRequest.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
ServiceRequest.Slices for extension.extension:ADITrialPeriodExtension 0..1 Period Trial Period
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-trialperiod-extension
ServiceRequest.category 1..* CodeableConcept Classification of service
Required Pattern:
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "100825-9",
      "display" : "Medically assisted nutrition orders"
    }
  ]
}
ServiceRequest.code 1..1 CodeableConcept What is being requested/ordered
Binding: Medically Assisted Nutrition Order Options (extensible)
ServiceRequest.orderDetail 0..* CodeableConcept Additional order information
Binding: Medically Assisted Nutrition Portable Medical Order Procedures Grouping (extensible)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
ServiceRequest.code Base extensible Medically Assisted Nutrition Order Options ⏿20240905 tx.fhir.org
ServiceRequest.orderDetail Base extensible Medically Assisted Nutrition Portable Medical Order Procedures Grouping ⏿20240905 tx.fhir.org

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
ServiceRequest C 0..* ADIPMOServiceRequest A request for a service to be performed
Constraints: prr-1
ServiceRequest.id This element is included in summaries. 0..1 id Logical id of this artifact
ServiceRequest.meta This element is included in summaries. 0..1 Meta Metadata about the resource
ServiceRequest.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
ServiceRequest.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
ServiceRequest.text 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
ServiceRequest.contained 0..* Resource Contained, inline Resources
ServiceRequest.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
ServiceRequest.Slices for extension.extension:ADITrialPeriodExtension 0..1 Period Trial Period
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-trialperiod-extension
ServiceRequest.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
ServiceRequest.identifier This element is included in summaries. 0..* Identifier Identifiers assigned to this order
ServiceRequest.instantiatesCanonical This element is included in summaries. 0..* canonical(ActivityDefinition | PlanDefinition) Instantiates FHIR protocol or definition
ServiceRequest.instantiatesUri This element is included in summaries. 0..* uri Instantiates external protocol or definition
ServiceRequest.basedOn This element is included in summaries. 0..* Reference(CarePlan | ServiceRequest | MedicationRequest) What request fulfills
ServiceRequest.replaces This element is included in summaries. 0..* Reference(ServiceRequest) What request replaces
ServiceRequest.requisition This element is included in summaries. 0..1 Identifier Composite Request ID
ServiceRequest.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.
Required Pattern: active (extensions allowed)
ServiceRequest.intent This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.
Required Pattern: directive (extensions allowed)
ServiceRequest.Slices for category This element must be supported. This element is included in summaries. 1..* CodeableConcept Classification of service
Slice: Unordered, Open by value:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.

Required Pattern:
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "100825-9",
      "display" : "Medically assisted nutrition orders"
    }
  ]
}

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
ServiceRequest.Slices for category.category:us-core This element must be supported. This element is included in summaries. 0..* CodeableConcept Classification of service
Binding: US Core ServiceRequest Category Codes (required): Note that other codes are permitted in other slices, see Required Bindings When Slicing by Value Sets
ServiceRequest.priority This element is included in summaries. 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
ServiceRequest.doNotPerform This element is a modifier element. This element is included in summaries. 0..1 boolean True if service/procedure should not be performed
ServiceRequest.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept What is being requested/ordered
Binding: Medically Assisted Nutrition Order Options (extensible)
ServiceRequest.code.id 0..1 string Unique id for inter-element referencing
ServiceRequest.code.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
ServiceRequest.code.coding This element is included in summaries. 0..* Coding Code defined by a terminology system
ServiceRequest.code.text This element is included in summaries. 0..1 string 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: The name of the test, procedure, or service to be performed.
ServiceRequest.orderDetail This element is included in summaries. C 0..* CodeableConcept Additional order information
Binding: Medically Assisted Nutrition Portable Medical Order Procedures Grouping (extensible)
ServiceRequest.quantity[x] This element is included in summaries. 0..1 Service amount
ServiceRequest.quantity[x].quantityQuantity Quantity
ServiceRequest.quantity[x].quantityRatio Ratio
ServiceRequest.quantity[x].quantityRange Range
ServiceRequest.subject This element must be supported. This element is included in summaries. 1..1 Reference(US Core Patient Profile This type must be supported. ) Individual or Entity the service is ordered for
ServiceRequest.occurrence[x] This element must be supported. This element is included in summaries. 0..1 When service should occur
ServiceRequest.occurrence[x].occurrencePeriod Period This type must be supported.
ServiceRequest.occurrence[x].occurrenceDateTime dateTime
ServiceRequest.occurrence[x].occurrenceTiming Timing
ServiceRequest.asNeeded[x] This element is included in summaries. 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.
ServiceRequest.asNeeded[x].asNeededBoolean boolean
ServiceRequest.asNeeded[x].asNeededCodeableConcept CodeableConcept
ServiceRequest.authoredOn This element must be supported. This element is included in summaries. 0..1 dateTime Date request signed
ServiceRequest.requester This element must be supported. This element is included in summaries. 1..1 Reference(US Core Practitioner Profile This type must be supported. | US Core PractitionerRole Profile) Who/what is requesting service
ServiceRequest.performerType This element is included in summaries. 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.
ServiceRequest.performer This element is included in summaries. 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Requested performer
ServiceRequest.locationCode This element is included in summaries. 0..* CodeableConcept Requested location
Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
ServiceRequest.locationReference This element is included in summaries. 0..* Reference(Location) Requested location
ServiceRequest.reasonCode This element is included in summaries. 0..* CodeableConcept 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Explanation/Justification for procedure or service
Binding: US Core Condition Codes (extensible)
ServiceRequest.reasonReference This element is included in summaries. 0..* Reference(ADI Document Reference) 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Profile that supports the requested service
ServiceRequest.insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
ServiceRequest.supportingInfo 0..* Reference(Resource) Additional clinical information
ServiceRequest.specimen This element is included in summaries. 0..* Reference(Specimen) Procedure Samples
ServiceRequest.bodySite This element is included in summaries. 0..* CodeableConcept Location on Body
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
ServiceRequest.note 0..* Annotation Comments
ServiceRequest.patientInstruction This element is included in summaries. 0..1 string Patient or consumer-oriented instructions
ServiceRequest.relevantHistory 0..* Reference(Provenance) Request provenance

doco Documentation for this format

Terminology Bindings

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 📦9.0.0 US Core v9.0
ServiceRequest.priority Base required Request priority 📍4.0.1 FHIR Std.
ServiceRequest.code Base extensible Medically Assisted Nutrition Order Options ⏿20240905 tx.fhir.org
ServiceRequest.orderDetail Base extensible Medically Assisted Nutrition Portable Medical Order Procedures Grouping ⏿20240905 tx.fhir.org
ServiceRequest.asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
ServiceRequest.performerType Base example Participant Roles 📍4.0.1 FHIR Std.
ServiceRequest.locationCode Base example ServiceDeliveryLocationRoleType 📦3.0.0 THO v7.4
ServiceRequest.reasonCode Base extensible US Core Condition Codes 📦9.0.0 US Core v9.0
ServiceRequest.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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 ADIPMOServiceRequest

Summary

Extensions

This structure refers to these extensions:

 

Other representations of profile: CSV, Excel, Schematron