Virtually Healthcare HL7 FHIR R4 Implementation Guide, published by Virtually Healthcare. This guide is not an authorized publication; it is the continuous build for version 0.1.0-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Virtually-Healthcare/HL7-FHIR-Implementation-Guide/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• XML
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Resource Profile: ServiceRequest

Extension of UKCore-ServiceRequest

Usage:

• Derived from this Resource Profile: ServiceRequestReferral

Formal Views of Profile Content

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

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

This structure is derived from UKCoreServiceRequest

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest		0..*	UKCoreServiceRequest	A request for a service to be performed
identifier	S	1..*	CommonResourceIdentifiers	An identifier intended for computation
subject
reference	S	0..1	string	Literal reference, Relative, internal or absolute URL
identifier		0..1	NHSNumbers	An identifier intended for computation
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	UKCoreServiceRequest	A request for a service to be performed 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
Slices for extension				Content/Rules for all slices
sourceOfServiceRequest	N	0..1	CodeableConcept	Describes the source of the Service Request. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-SourceOfServiceRequest Binding: UK Core Source Of Service Request (preferred): A set of codes that describe the source of the service request.
additionalContact	N	0..*	Reference(Organization | Practitioner | PractitionerRole)	Supports recording of additional contacts, who should be contacted regarding questions arising from the service request. This differs from the requester and responsibleClinician. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AdditionalContact
coverage	N	0..1	CodeableConcept	Supports the exchange of information describing the method of funding for the Service Request. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage Binding: UK Core Funding Category (extensible): A set of codes that define the funding category for a service request.
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	S	1..*	CommonResourceIdentifiers	An identifier intended for computation
basedOn	SΣC	0..*	Reference(CarePlan | ServiceRequest | MedicationRequest)	What the service request fulfils. ref-1: SHALL have a contained resource if a local reference is provided
status	?!SΣ	1..1	code	The status of the order. Binding: RequestStatus (required): The status of a service order.
intent	?!SΣ	1..1	code	Whether the request is a proposal, plan, an original order or a reflex order. Binding: RequestIntent (required): The kind of service request.
Slices for category	SΣN	0..*	CodeableConcept	A code that classifies the service for searching, sorting and display purposes. Slice: Unordered, Open by value:coding.system Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:genomicsWholeCaseSequencing	ΣN	0..*	CodeableConcept	Classification of Genomics service Binding: UK Core Genome Sequencing Category (extensible): Classification of the requested service.
priority	SΣ	0..1	code	Indicates how quickly the ServiceRequest should be addressed with respect to other requests. Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
Slices for extension				Content/Rules for all slices
priorityReason	N	0..*	CodeableConcept	Supports the underlying reason why a Service Request is urgent. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-PriorityReason Binding: UK Core Service Request Reason Code (preferred): A set of codes that define the reason why a service request is urgent.
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	SΣ	0..1	CodeableConcept	What is being requested/ordered. Binding: UK Core Procedure Code (preferred): A set of codes that define a procedure or a procedure with explicit context. Selected from the SNOMED CT UK coding system.
orderDetail	ΣC	0..*	CodeableConcept	Additional order information Binding: UK Core Procedure Code (preferred): Codified order entry details which are based on order context.
subject	SΣC	1..1	Reference(Patient | Group | Location | Device)	The individual or entity the service is ordered for. ref-1: SHALL have a contained resource if a local reference is provided
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier		0..1	NHSNumbers	An identifier intended for computation
authoredOn	SΣ	0..1	dateTime	The date the request was signed.
requester	SΣC	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Who / what is requesting the service ref-1: SHALL have a contained resource if a local reference is provided
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.category	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category from the FHIR Standard
ServiceRequest.category:genomicsWholeCaseSequencing	extensible	UKCoreGenomeSequencingCategory https://fhir.hl7.org.uk/ValueSet/UKCore-GenomeSequencingCategory
ServiceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
ServiceRequest.code	preferred	UKCoreProcedureCode https://fhir.hl7.org.uk/ValueSet/UKCore-ProcedureCode
ServiceRequest.orderDetail	preferred	UKCoreProcedureCode https://fhir.hl7.org.uk/ValueSet/UKCore-ProcedureCode

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	UKCoreServiceRequest	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
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
sourceOfServiceRequest	N	0..1	CodeableConcept	Describes the source of the Service Request. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-SourceOfServiceRequest Binding: UK Core Source Of Service Request (preferred): A set of codes that describe the source of the service request.
additionalContact	N	0..*	Reference(Organization | Practitioner | PractitionerRole)	Supports recording of additional contacts, who should be contacted regarding questions arising from the service request. This differs from the requester and responsibleClinician. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AdditionalContact
coverage	N	0..1	CodeableConcept	Supports the exchange of information describing the method of funding for the Service Request. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage Binding: UK Core Funding Category (extensible): A set of codes that define the funding category for a service request.
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	S	1..*	CommonResourceIdentifiers	An identifier intended for computation
instantiatesCanonical	Σ	0..*	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	SΣC	0..*	Reference(CarePlan | ServiceRequest | MedicationRequest)	What the service request fulfils. ref-1: SHALL have a contained resource if a local reference is provided
replaces	ΣC	0..*	Reference(ServiceRequest)	What request replaces ref-1: SHALL have a contained resource if a local reference is provided
requisition	Σ	0..1	Identifier	Composite Request ID
status	?!SΣ	1..1	code	The status of the order. Binding: RequestStatus (required): The status of a service order.
intent	?!SΣ	1..1	code	Whether the request is a proposal, plan, an original order or a reflex order. Binding: RequestIntent (required): The kind of service request.
Slices for category	SΣN	0..*	CodeableConcept	A code that classifies the service for searching, sorting and display purposes. Slice: Unordered, Open by value:coding.system Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:genomicsWholeCaseSequencing	ΣN	0..*	CodeableConcept	Classification of Genomics service Binding: UK Core Genome Sequencing Category (extensible): Classification of the requested service.
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	ΣN	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: https://fhir.hl7.org.uk/CodeSystem/UKCore-GenomeSequencingCategory
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
priority	SΣ	0..1	code	Indicates how quickly the ServiceRequest should be addressed with respect to other requests. Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
priorityReason	N	0..*	CodeableConcept	Supports the underlying reason why a Service Request is urgent. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-PriorityReason Binding: UK Core Service Request Reason Code (preferred): A set of codes that define the reason why a service request is urgent.
value		0..1	code	Primitive value for code Max Length:1048576
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	SΣ	0..1	CodeableConcept	What is being requested/ordered. Binding: UK Core Procedure Code (preferred): A set of codes that define a procedure or a procedure with explicit context. Selected from the SNOMED CT UK coding system.
orderDetail	ΣC	0..*	CodeableConcept	Additional order information Binding: UK Core Procedure Code (preferred): Codified order entry details which are based on order context.
quantity[x]	Σ	0..1		Service amount
quantityQuantity			Quantity
quantityRatio			Ratio
quantityRange			Range
subject	SΣC	1..1	Reference(Patient | Group | Location | Device)	The individual or entity the service is ordered for. ref-1: SHALL have a contained resource if a local reference is provided
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier		0..1	NHSNumbers	An identifier intended for computation
display	Σ	0..1	string	Text alternative for the resource
encounter	ΣC	0..1	Reference(Encounter)	Encounter in which the request was created ref-1: SHALL have a contained resource if a local reference is provided
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	SΣ	0..1	dateTime	The date the request was signed.
requester	SΣC	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Who / what is requesting the service ref-1: SHALL have a contained resource if a local reference is provided
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	ΣC	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)	Requested performer ref-1: SHALL have a contained resource if a local reference is provided
locationCode	Σ	0..*	CodeableConcept	Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
locationReference	ΣC	0..*	Reference(Location)	Requested location ref-1: SHALL have a contained resource if a local reference is provided
reasonCode	Σ	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: UK Core Service Request Reason Code (preferred): A set of codes that define a reason for a service request.
reasonReference	ΣC	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Explanation/Justification for service or service ref-1: SHALL have a contained resource if a local reference is provided
insurance	C	0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage ref-1: SHALL have a contained resource if a local reference is provided
supportingInfo	C	0..*	Reference(Resource)	Additional clinical information ref-1: SHALL have a contained resource if a local reference is provided
specimen	ΣC	0..*	Reference(Specimen)	Procedure Samples ref-1: SHALL have a contained resource if a local reference is provided
bodySite	Σ	0..*	CodeableConcept	Location on Body Binding: SNOMEDCTBodyStructures (preferred): Codes describing anatomical locations. May include laterality.
note		0..*	Annotation	Comments
patientInstruction	Σ	0..1	string	Patient or consumer-oriented instructions
relevantHistory	C	0..*	Reference(Provenance)	Request provenance ref-1: SHALL have a contained resource if a local reference is provided
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ServiceRequest.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
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.category:genomicsWholeCaseSequencing	extensible	UKCoreGenomeSequencingCategory https://fhir.hl7.org.uk/ValueSet/UKCore-GenomeSequencingCategory
ServiceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
ServiceRequest.code	preferred	UKCoreProcedureCode https://fhir.hl7.org.uk/ValueSet/UKCore-ProcedureCode
ServiceRequest.orderDetail	preferred	UKCoreProcedureCode https://fhir.hl7.org.uk/ValueSet/UKCore-ProcedureCode
ServiceRequest.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types 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	UKCoreServiceRequestReasonCode https://fhir.hl7.org.uk/ValueSet/UKCore-ServiceRequestReasonCode
ServiceRequest.bodySite	preferred	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard

This structure is derived from UKCoreServiceRequest

Summary

Mandatory: 1 element
Must-Support: 2 elements

Structures

This structure refers to these other structures:

• Common Resource Identifiers (https://fhir.virtually.healthcare/StructureDefinition/CommonResourceIdentifiers)
• NHS, HCSN and CHI Numbers (https://fhir.virtually.healthcare/StructureDefinition/nhs-numbers)

Differential View

This structure is derived from UKCoreServiceRequest

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest		0..*	UKCoreServiceRequest	A request for a service to be performed
identifier	S	1..*	CommonResourceIdentifiers	An identifier intended for computation
subject
reference	S	0..1	string	Literal reference, Relative, internal or absolute URL
identifier		0..1	NHSNumbers	An identifier intended for computation
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	UKCoreServiceRequest	A request for a service to be performed 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
Slices for extension				Content/Rules for all slices
sourceOfServiceRequest	N	0..1	CodeableConcept	Describes the source of the Service Request. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-SourceOfServiceRequest Binding: UK Core Source Of Service Request (preferred): A set of codes that describe the source of the service request.
additionalContact	N	0..*	Reference(Organization | Practitioner | PractitionerRole)	Supports recording of additional contacts, who should be contacted regarding questions arising from the service request. This differs from the requester and responsibleClinician. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AdditionalContact
coverage	N	0..1	CodeableConcept	Supports the exchange of information describing the method of funding for the Service Request. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage Binding: UK Core Funding Category (extensible): A set of codes that define the funding category for a service request.
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	S	1..*	CommonResourceIdentifiers	An identifier intended for computation
basedOn	SΣC	0..*	Reference(CarePlan | ServiceRequest | MedicationRequest)	What the service request fulfils. ref-1: SHALL have a contained resource if a local reference is provided
status	?!SΣ	1..1	code	The status of the order. Binding: RequestStatus (required): The status of a service order.
intent	?!SΣ	1..1	code	Whether the request is a proposal, plan, an original order or a reflex order. Binding: RequestIntent (required): The kind of service request.
Slices for category	SΣN	0..*	CodeableConcept	A code that classifies the service for searching, sorting and display purposes. Slice: Unordered, Open by value:coding.system Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:genomicsWholeCaseSequencing	ΣN	0..*	CodeableConcept	Classification of Genomics service Binding: UK Core Genome Sequencing Category (extensible): Classification of the requested service.
priority	SΣ	0..1	code	Indicates how quickly the ServiceRequest should be addressed with respect to other requests. Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
Slices for extension				Content/Rules for all slices
priorityReason	N	0..*	CodeableConcept	Supports the underlying reason why a Service Request is urgent. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-PriorityReason Binding: UK Core Service Request Reason Code (preferred): A set of codes that define the reason why a service request is urgent.
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	SΣ	0..1	CodeableConcept	What is being requested/ordered. Binding: UK Core Procedure Code (preferred): A set of codes that define a procedure or a procedure with explicit context. Selected from the SNOMED CT UK coding system.
orderDetail	ΣC	0..*	CodeableConcept	Additional order information Binding: UK Core Procedure Code (preferred): Codified order entry details which are based on order context.
subject	SΣC	1..1	Reference(Patient | Group | Location | Device)	The individual or entity the service is ordered for. ref-1: SHALL have a contained resource if a local reference is provided
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier		0..1	NHSNumbers	An identifier intended for computation
authoredOn	SΣ	0..1	dateTime	The date the request was signed.
requester	SΣC	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Who / what is requesting the service ref-1: SHALL have a contained resource if a local reference is provided
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.category	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category from the FHIR Standard
ServiceRequest.category:genomicsWholeCaseSequencing	extensible	UKCoreGenomeSequencingCategory https://fhir.hl7.org.uk/ValueSet/UKCore-GenomeSequencingCategory
ServiceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
ServiceRequest.code	preferred	UKCoreProcedureCode https://fhir.hl7.org.uk/ValueSet/UKCore-ProcedureCode
ServiceRequest.orderDetail	preferred	UKCoreProcedureCode https://fhir.hl7.org.uk/ValueSet/UKCore-ProcedureCode

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	UKCoreServiceRequest	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
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
sourceOfServiceRequest	N	0..1	CodeableConcept	Describes the source of the Service Request. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-SourceOfServiceRequest Binding: UK Core Source Of Service Request (preferred): A set of codes that describe the source of the service request.
additionalContact	N	0..*	Reference(Organization | Practitioner | PractitionerRole)	Supports recording of additional contacts, who should be contacted regarding questions arising from the service request. This differs from the requester and responsibleClinician. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AdditionalContact
coverage	N	0..1	CodeableConcept	Supports the exchange of information describing the method of funding for the Service Request. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage Binding: UK Core Funding Category (extensible): A set of codes that define the funding category for a service request.
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	S	1..*	CommonResourceIdentifiers	An identifier intended for computation
instantiatesCanonical	Σ	0..*	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	SΣC	0..*	Reference(CarePlan | ServiceRequest | MedicationRequest)	What the service request fulfils. ref-1: SHALL have a contained resource if a local reference is provided
replaces	ΣC	0..*	Reference(ServiceRequest)	What request replaces ref-1: SHALL have a contained resource if a local reference is provided
requisition	Σ	0..1	Identifier	Composite Request ID
status	?!SΣ	1..1	code	The status of the order. Binding: RequestStatus (required): The status of a service order.
intent	?!SΣ	1..1	code	Whether the request is a proposal, plan, an original order or a reflex order. Binding: RequestIntent (required): The kind of service request.
Slices for category	SΣN	0..*	CodeableConcept	A code that classifies the service for searching, sorting and display purposes. Slice: Unordered, Open by value:coding.system Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:genomicsWholeCaseSequencing	ΣN	0..*	CodeableConcept	Classification of Genomics service Binding: UK Core Genome Sequencing Category (extensible): Classification of the requested service.
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	ΣN	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: https://fhir.hl7.org.uk/CodeSystem/UKCore-GenomeSequencingCategory
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
priority	SΣ	0..1	code	Indicates how quickly the ServiceRequest should be addressed with respect to other requests. Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
priorityReason	N	0..*	CodeableConcept	Supports the underlying reason why a Service Request is urgent. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-PriorityReason Binding: UK Core Service Request Reason Code (preferred): A set of codes that define the reason why a service request is urgent.
value		0..1	code	Primitive value for code Max Length:1048576
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	SΣ	0..1	CodeableConcept	What is being requested/ordered. Binding: UK Core Procedure Code (preferred): A set of codes that define a procedure or a procedure with explicit context. Selected from the SNOMED CT UK coding system.
orderDetail	ΣC	0..*	CodeableConcept	Additional order information Binding: UK Core Procedure Code (preferred): Codified order entry details which are based on order context.
quantity[x]	Σ	0..1		Service amount
quantityQuantity			Quantity
quantityRatio			Ratio
quantityRange			Range
subject	SΣC	1..1	Reference(Patient | Group | Location | Device)	The individual or entity the service is ordered for. ref-1: SHALL have a contained resource if a local reference is provided
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier		0..1	NHSNumbers	An identifier intended for computation
display	Σ	0..1	string	Text alternative for the resource
encounter	ΣC	0..1	Reference(Encounter)	Encounter in which the request was created ref-1: SHALL have a contained resource if a local reference is provided
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	SΣ	0..1	dateTime	The date the request was signed.
requester	SΣC	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Who / what is requesting the service ref-1: SHALL have a contained resource if a local reference is provided
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	ΣC	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)	Requested performer ref-1: SHALL have a contained resource if a local reference is provided
locationCode	Σ	0..*	CodeableConcept	Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
locationReference	ΣC	0..*	Reference(Location)	Requested location ref-1: SHALL have a contained resource if a local reference is provided
reasonCode	Σ	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: UK Core Service Request Reason Code (preferred): A set of codes that define a reason for a service request.
reasonReference	ΣC	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Explanation/Justification for service or service ref-1: SHALL have a contained resource if a local reference is provided
insurance	C	0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage ref-1: SHALL have a contained resource if a local reference is provided
supportingInfo	C	0..*	Reference(Resource)	Additional clinical information ref-1: SHALL have a contained resource if a local reference is provided
specimen	ΣC	0..*	Reference(Specimen)	Procedure Samples ref-1: SHALL have a contained resource if a local reference is provided
bodySite	Σ	0..*	CodeableConcept	Location on Body Binding: SNOMEDCTBodyStructures (preferred): Codes describing anatomical locations. May include laterality.
note		0..*	Annotation	Comments
patientInstruction	Σ	0..1	string	Patient or consumer-oriented instructions
relevantHistory	C	0..*	Reference(Provenance)	Request provenance ref-1: SHALL have a contained resource if a local reference is provided
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ServiceRequest.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
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.category:genomicsWholeCaseSequencing	extensible	UKCoreGenomeSequencingCategory https://fhir.hl7.org.uk/ValueSet/UKCore-GenomeSequencingCategory
ServiceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
ServiceRequest.code	preferred	UKCoreProcedureCode https://fhir.hl7.org.uk/ValueSet/UKCore-ProcedureCode
ServiceRequest.orderDetail	preferred	UKCoreProcedureCode https://fhir.hl7.org.uk/ValueSet/UKCore-ProcedureCode
ServiceRequest.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types 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	UKCoreServiceRequestReasonCode https://fhir.hl7.org.uk/ValueSet/UKCore-ServiceRequestReasonCode
ServiceRequest.bodySite	preferred	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard

This structure is derived from UKCoreServiceRequest

Summary

Mandatory: 1 element
Must-Support: 2 elements

Structures

This structure refers to these other structures:

• Common Resource Identifiers (https://fhir.virtually.healthcare/StructureDefinition/CommonResourceIdentifiers)
• NHS, HCSN and CHI Numbers (https://fhir.virtually.healthcare/StructureDefinition/nhs-numbers)

Other representations of profile: CSV, Excel, Schematron