Guía de Implementación para la gestión de citas médicas enfocado en la APS, published by Unidad de Interoperabilidad - MINSAL. This guide is not an authorized publication; it is the continuous build for version 0.4.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Minsal-CL/agenda/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: Perfil de la Solicitud del Servicio

Este es el perfil de la Solicitud del Servicio

Usages:

• Use this Profile: Bundle Transacción para indicar la solicitud de una hora médica ambulatoria
• Refer to this Profile: Perfil Cita
• Examples for this Profile: ServiceRequest/EjemploSolicitudServicio1 and ServiceRequest/EjemploSolicitudServicio2

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    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed Constraints: prr-1
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	Estado de la solicitud de servicio. Binding: RequestStatus (required)
intent	?!Σ	1..1	code	Intención de la solicitud del servicio. Binding: RequestIntent (required)
category	SΣ	0..1	CodeableConcept	Modalidad de atención Binding: VS Prestaciones (required)
priority	Σ	1..1	code	Indica con qué rapidez se debe atender la ServiceRequest con respecto a otras solicitudes. Binding: RequestPriority (required)
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	Σ	0..1	CodeableConcept	What is being requested/ordered Binding: ProcedureCodes(SNOMEDCT) (example)
subject	Σ	1..1	Reference(Paciente)	La persona que inició la solicitud.
authoredOn	Σ	1..1	dateTime	Fecha y hora de la solicitud.
reasonCode	Σ	0..1	CodeableConcept	Prestación que solicita el paciente. Binding: VS Prestaciones (required)
reasonReference	SΣ	1..*	Reference(CL Observación | CL Condición-Diagnóstico)	Datos que justifican la solicitud
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status From the FHIR Standard
ServiceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent From the FHIR Standard
ServiceRequest.category	required	VSCategorias(a valid code from CS Prestaciones) https://interoperabilidad.minsal.cl/fhir/ig/agenda/ValueSet/VSCategorias From this IG
ServiceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority From the FHIR Standard
ServiceRequest.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code From the FHIR Standard
ServiceRequest.reasonCode	required	VSPrestaciones(a valid code from CS Prestaciones) https://interoperabilidad.minsal.cl/fhir/ig/agenda/ValueSet/VSPrestaciones 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    Filter: Bindings Constraints Obligations
ServiceRequest			ServiceRequest
status		1..1	code	Estado de la solicitud de servicio. Binding: RequestStatus (required)
intent		1..1	code	Intención de la solicitud del servicio. Binding: RequestIntent (required)
category	S	0..1	CodeableConcept	Modalidad de atención Binding: VS Prestaciones (required)
priority		1..1	code	Indica con qué rapidez se debe atender la ServiceRequest con respecto a otras solicitudes. Binding: RequestPriority (required)
code		0..1	CodeableConcept	What is being requested/ordered Binding: ProcedureCodes(SNOMEDCT) (example)
subject		1..1	Reference(Paciente)	La persona que inició la solicitud.
authoredOn		1..1	dateTime	Fecha y hora de la solicitud.
reasonCode		0..1	CodeableConcept	Prestación que solicita el paciente. Binding: VS Prestaciones (required)
reasonReference	S	1..*	Reference(CL Observación | CL Condición-Diagnóstico)	Datos que justifican la solicitud
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status From the FHIR Standard
ServiceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent From the FHIR Standard
ServiceRequest.category	required	VSCategorias(a valid code from CS Prestaciones) https://interoperabilidad.minsal.cl/fhir/ig/agenda/ValueSet/VSCategorias From this IG
ServiceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority From the FHIR Standard
ServiceRequest.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code From the FHIR Standard
ServiceRequest.reasonCode	required	VSPrestaciones(a valid code from CS Prestaciones) https://interoperabilidad.minsal.cl/fhir/ig/agenda/ValueSet/VSPrestaciones From this IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed Constraints: prr-1
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	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	Estado de la solicitud de servicio. Binding: RequestStatus (required)
intent	?!Σ	1..1	code	Intención de la solicitud del servicio. Binding: RequestIntent (required)
category	SΣ	0..1	CodeableConcept	Modalidad de atención Binding: VS Prestaciones (required)
priority	Σ	1..1	code	Indica con qué rapidez se debe atender la ServiceRequest con respecto a otras solicitudes. Binding: RequestPriority (required)
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	Σ	0..1	CodeableConcept	What is being requested/ordered Binding: ProcedureCodes(SNOMEDCT) (example)
orderDetail	ΣC	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(Paciente)	La persona que inició la solicitud.
encounter	Σ	0..1	Reference(Encounter)	Encounter in which the request was created
occurrence[x]	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	1..1	dateTime	Fecha y hora de la solicitud.
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	Σ	0..1	CodeableConcept	Prestación que solicita el paciente. Binding: VS Prestaciones (required)
reasonReference	SΣ	1..*	Reference(CL Observación | CL Condición-Diagnóstico)	Datos que justifican la solicitud
insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
supportingInfo		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 From the FHIR Standard
ServiceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent From the FHIR Standard
ServiceRequest.category	required	VSCategorias(a valid code from CS Prestaciones) https://interoperabilidad.minsal.cl/fhir/ig/agenda/ValueSet/VSCategorias From this IG
ServiceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority 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	required	VSPrestaciones(a valid code from CS Prestaciones) https://interoperabilidad.minsal.cl/fhir/ig/agenda/ValueSet/VSPrestaciones 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

Mandatory: 3 elements
Must-Support: 2 elements

Structures

This structure refers to these other structures:

• Paciente (https://interoperabilidad.minsal.cl/fhir/ig/agenda/StructureDefinition/PacienteAgenda)
• CL Observación (https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CoreObservacionCL)
• CL Condición-Diagnóstico (https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CoreDiagnosticoCl)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed Constraints: prr-1
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	Estado de la solicitud de servicio. Binding: RequestStatus (required)
intent	?!Σ	1..1	code	Intención de la solicitud del servicio. Binding: RequestIntent (required)
category	SΣ	0..1	CodeableConcept	Modalidad de atención Binding: VS Prestaciones (required)
priority	Σ	1..1	code	Indica con qué rapidez se debe atender la ServiceRequest con respecto a otras solicitudes. Binding: RequestPriority (required)
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	Σ	0..1	CodeableConcept	What is being requested/ordered Binding: ProcedureCodes(SNOMEDCT) (example)
subject	Σ	1..1	Reference(Paciente)	La persona que inició la solicitud.
authoredOn	Σ	1..1	dateTime	Fecha y hora de la solicitud.
reasonCode	Σ	0..1	CodeableConcept	Prestación que solicita el paciente. Binding: VS Prestaciones (required)
reasonReference	SΣ	1..*	Reference(CL Observación | CL Condición-Diagnóstico)	Datos que justifican la solicitud
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status From the FHIR Standard
ServiceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent From the FHIR Standard
ServiceRequest.category	required	VSCategorias(a valid code from CS Prestaciones) https://interoperabilidad.minsal.cl/fhir/ig/agenda/ValueSet/VSCategorias From this IG
ServiceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority From the FHIR Standard
ServiceRequest.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code From the FHIR Standard
ServiceRequest.reasonCode	required	VSPrestaciones(a valid code from CS Prestaciones) https://interoperabilidad.minsal.cl/fhir/ig/agenda/ValueSet/VSPrestaciones 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    Filter: Bindings Constraints Obligations
ServiceRequest			ServiceRequest
status		1..1	code	Estado de la solicitud de servicio. Binding: RequestStatus (required)
intent		1..1	code	Intención de la solicitud del servicio. Binding: RequestIntent (required)
category	S	0..1	CodeableConcept	Modalidad de atención Binding: VS Prestaciones (required)
priority		1..1	code	Indica con qué rapidez se debe atender la ServiceRequest con respecto a otras solicitudes. Binding: RequestPriority (required)
code		0..1	CodeableConcept	What is being requested/ordered Binding: ProcedureCodes(SNOMEDCT) (example)
subject		1..1	Reference(Paciente)	La persona que inició la solicitud.
authoredOn		1..1	dateTime	Fecha y hora de la solicitud.
reasonCode		0..1	CodeableConcept	Prestación que solicita el paciente. Binding: VS Prestaciones (required)
reasonReference	S	1..*	Reference(CL Observación | CL Condición-Diagnóstico)	Datos que justifican la solicitud
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status From the FHIR Standard
ServiceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent From the FHIR Standard
ServiceRequest.category	required	VSCategorias(a valid code from CS Prestaciones) https://interoperabilidad.minsal.cl/fhir/ig/agenda/ValueSet/VSCategorias From this IG
ServiceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority From the FHIR Standard
ServiceRequest.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code From the FHIR Standard
ServiceRequest.reasonCode	required	VSPrestaciones(a valid code from CS Prestaciones) https://interoperabilidad.minsal.cl/fhir/ig/agenda/ValueSet/VSPrestaciones From this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed Constraints: prr-1
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	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	Estado de la solicitud de servicio. Binding: RequestStatus (required)
intent	?!Σ	1..1	code	Intención de la solicitud del servicio. Binding: RequestIntent (required)
category	SΣ	0..1	CodeableConcept	Modalidad de atención Binding: VS Prestaciones (required)
priority	Σ	1..1	code	Indica con qué rapidez se debe atender la ServiceRequest con respecto a otras solicitudes. Binding: RequestPriority (required)
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	Σ	0..1	CodeableConcept	What is being requested/ordered Binding: ProcedureCodes(SNOMEDCT) (example)
orderDetail	ΣC	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(Paciente)	La persona que inició la solicitud.
encounter	Σ	0..1	Reference(Encounter)	Encounter in which the request was created
occurrence[x]	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	1..1	dateTime	Fecha y hora de la solicitud.
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	Σ	0..1	CodeableConcept	Prestación que solicita el paciente. Binding: VS Prestaciones (required)
reasonReference	SΣ	1..*	Reference(CL Observación | CL Condición-Diagnóstico)	Datos que justifican la solicitud
insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
supportingInfo		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 From the FHIR Standard
ServiceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent From the FHIR Standard
ServiceRequest.category	required	VSCategorias(a valid code from CS Prestaciones) https://interoperabilidad.minsal.cl/fhir/ig/agenda/ValueSet/VSCategorias From this IG
ServiceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority 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	required	VSPrestaciones(a valid code from CS Prestaciones) https://interoperabilidad.minsal.cl/fhir/ig/agenda/ValueSet/VSPrestaciones 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

Mandatory: 3 elements
Must-Support: 2 elements

Structures

This structure refers to these other structures:

• Paciente (https://interoperabilidad.minsal.cl/fhir/ig/agenda/StructureDefinition/PacienteAgenda)
• CL Observación (https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CoreObservacionCL)
• CL Condición-Diagnóstico (https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CoreDiagnosticoCl)

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