WHO Antenatal Care Guideline Implementation Guide
0.3.0 - CI Build
WHO Antenatal Care Guideline Implementation Guide
0.3.0 - CI Build
WHO Antenatal Care Guideline Implementation Guide, published by World Health Organization (WHO). This guide is not an authorized publication; it is the continuous build for version 0.3.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/WorldHealthOrganization/smart-anc/ and changes regularly. See the Directory of published versions
| Official URL: http://smart.who.int/anc/StructureDefinition/anc-b10-de257 | Version: 0.3.0 | |||
| Draft as of 2026-10-16 | Computable Name: Reasonreferralnotdone | |||
Usage:Workflow Task: Urgent referral needed? |
||||
The reason why the health worker did not refer the woman to a hospital or higher-level facility
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:  |
|---|---|---|---|---|
  ServiceRequest |
C | 0..* | ANCServiceNotRequested | A request for a service to be performed Constraints: prr-1, snr-1 |
  implicitRules |
0..1 | uri | A set of rules under which this content was created | |
  Slices for extension |
1..1 | Extension | Reason referral not done Slice: Unordered, Open by value:url Binding: Reason referral not done Choices (extensible) Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
   extension:rationale |
0..1 | markdown | Explanation URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale | |
 extension:reasonRefused |
1..1 | CodeableConcept | Extension URL: http://smart.who.int/anc/StructureDefinition/who-doNotPerformReason profiled by http://fhir.org/guides/who/core/StructureDefinition/who-doNotPerformReason | |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
 identifier |
1..* | Identifier | Identifiers assigned to this order | |
| use |
1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |
| system |
1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | |
 value |
1..1 | string | The value that is unique Example General: 123456 | |
| instantiatesCanonical |
0..* | canonical(ActivityDefinition | PlanDefinition) | Source | |
| status |
1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. Fixed Value: completed (no extensions allowed) | |
| intent |
1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. | |
| category |
0..* | CodeableConcept | Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. | |
| priority |
0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | |
| doNotPerform |
1..1 | boolean | True if service/procedure should not be performed Fixed Value: true (no extensions allowed) | |
| code |
C | 1..1 | CodeableConcept | Reason referral not done Binding: Referral to Hospital (extensible) |
  Slices for extension |
Content/Rules for all slices | |||
 extension:notDoneValueSet |
C | 0..1 | uri | What was not requested URL: http://hl7.org/fhir/StructureDefinition/valueset-reference |
 subject |
1..1 | Reference(ANC Base Patient) | Individual or Entity the service is ordered for | |
| encounter |
0..1 | Reference(ANC Base Encounter) | Encounter in which the request was created | |
 occurrence[x] |
0..1 | When service should occur | ||
| occurrenceDateTime |
dateTime | |||
| occurrencePeriod |
Period | |||
| occurrenceTiming |
Timing | |||
| asNeeded[x] |
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 |
1..1 | dateTime | Date request signed | |
| supportingInfo |
0..* | Reference(Resource) | Pertinent information | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| ServiceRequest.extension<br/>[] | Base | extensible | Reason referral not done Choices | 📦0.3.0 | This IG |
| ServiceRequest.identifier.use | Base | required | IdentifierUse | 📍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.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std. |
| ServiceRequest.code | Base | extensible | Referral to Hospital | 📦0.3.0 | This IG |
| ServiceRequest.asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📦4.0.1 | FHIR Std. |
| 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()
|
| snr-1 | error | ServiceRequest | To indicate what service was not requested, either at least one coding in the codeableconcept or a valueset-reference extension shall be provided |
code.extension('http://hl7.org/fhir/StructureDefinition/valueset-reference').exists() xor code.coding.exists()
|
This structure is derived from ANCServiceNotRequested
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| ServiceRequest |
0..* | ANCServiceNotRequested | A request for a service to be performed | |
| extension |
1..1 | Extension | Reason referral not done Binding: Reason referral not done Choices (extensible) | |
 code |
1..1 | CodeableConcept | Reason referral not done Binding: Referral to Hospital (extensible) | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| ServiceRequest.extension | Base | extensible | Reason referral not done Choices | 📦0.3.0 | This IG |
| ServiceRequest.code | Base | extensible | Referral to Hospital | 📦0.3.0 | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| ServiceRequest |
C | 0..* | ANCServiceNotRequested | A request for a service to be performed Constraints: prr-1, snr-1 | ||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
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.
| |||||
| 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 | |||||
| Slices for extension |
1..1 | Extension | Reason referral not done Slice: Unordered, Open by value:url Binding: Reason referral not done Choices (extensible) Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| extension:rationale |
0..1 | markdown | Explanation URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale | |||||
| extension:reasonRefused |
1..1 | CodeableConcept | Extension URL: http://smart.who.int/anc/StructureDefinition/who-doNotPerformReason profiled by http://fhir.org/guides/who/core/StructureDefinition/who-doNotPerformReason | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
1..* | Identifier | Identifiers assigned to this order | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use |
1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |||||
| type |
0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | |||||
| system |
1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | |||||
| value |
1..1 | string | The value that is unique Example General: 123456 | |||||
| period |
0..1 | Period | Time period when id is/was valid for use | |||||
| assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
| instantiatesCanonical |
0..* | canonical(ActivityDefinition | PlanDefinition) | Source | |||||
| instantiatesUri |
0..* | uri | Instantiates external protocol or definition | |||||
| basedOn |
0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills | |||||
| replaces |
0..* | Reference(ServiceRequest) | What request replaces | |||||
| requisition |
0..1 | Identifier | Composite Request ID | |||||
| status |
1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. Fixed Value: completed (no extensions allowed) | |||||
| intent |
1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. | |||||
| category |
0..* | CodeableConcept | Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. | |||||
| priority |
0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | |||||
| doNotPerform |
1..1 | boolean | True if service/procedure should not be performed Fixed Value: true (no extensions allowed) | |||||
| code |
C | 1..1 | CodeableConcept | Reason referral not done Binding: Referral to Hospital (extensible) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| extension:notDoneValueSet |
C | 0..1 | uri | What was not requested URL: http://hl7.org/fhir/StructureDefinition/valueset-reference | ||||
| coding |
0..* | Coding | Code defined by a terminology system | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| orderDetail |
C | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context. | ||||
| quantity[x] |
0..1 | Service amount | ||||||
| quantityQuantity |
Quantity | |||||||
| quantityRatio |
Ratio | |||||||
| quantityRange |
Range | |||||||
| subject |
1..1 | Reference(ANC Base Patient) | Individual or Entity the service is ordered for | |||||
| encounter |
0..1 | Reference(ANC Base Encounter) | Encounter in which the request was created | |||||
| occurrence[x] |
0..1 | When service should occur | ||||||
| occurrenceDateTime |
dateTime | |||||||
| occurrencePeriod |
Period | |||||||
| occurrenceTiming |
Timing | |||||||
| asNeeded[x] |
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 |
1..1 | dateTime | Date request signed | |||||
| requester |
0..1 | Reference(ANC Base Patient | ANC Practitioner | ANC PractitionerRole | ANC RelatedPerson) | Who/what is requesting service | |||||
| performerType |
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 |
0..* | Reference(ANC Base Patient | ANC Practitioner | ANC PractitionerRole | ANC RelatedPerson) | Requested performer | |||||
| locationCode |
0..* | CodeableConcept | Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered. | |||||
| locationReference |
0..* | Reference(Location) | Requested location | |||||
| reasonCode |
0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation. | |||||
| reasonReference |
0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service | |||||
| insurance |
0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
| supportingInfo |
0..* | Reference(Resource) | Pertinent information | |||||
| specimen |
0..* | Reference(Specimen) | Procedure Samples | |||||
| bodySite |
0..* | CodeableConcept | Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
| note |
0..* | Annotation | Comments | |||||
| patientInstruction |
0..1 | string | Patient or consumer-oriented instructions | |||||
| relevantHistory |
0..* | Reference(Provenance) | Request provenance | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| ServiceRequest.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| ServiceRequest.extension<br/>[] | Base | extensible | Reason referral not done Choices | 📦0.3.0 | This IG |
| ServiceRequest.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| ServiceRequest.identifier.type | Base | extensible | IdentifierType | 📍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.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std. |
| ServiceRequest.code | Base | extensible | Referral to Hospital | 📦0.3.0 | This IG |
| ServiceRequest.orderDetail | Base | example | Service Request Order Details Codes | 📦4.0.1 | FHIR Std. |
| 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 | example | Procedure Reason Codes | 📦4.0.1 | FHIR Std. |
| ServiceRequest.bodySite | Base | example | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std. |
| 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()
|
| snr-1 | error | ServiceRequest | To indicate what service was not requested, either at least one coding in the codeableconcept or a valueset-reference extension shall be provided |
code.extension('http://hl7.org/fhir/StructureDefinition/valueset-reference').exists() xor code.coding.exists()
|
This structure is derived from ANCServiceNotRequested
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| ServiceRequest |
C | 0..* | ANCServiceNotRequested | A request for a service to be performed Constraints: prr-1, snr-1 |
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |
| Slices for extension |
1..1 | Extension | Reason referral not done Slice: Unordered, Open by value:url Binding: Reason referral not done Choices (extensible) Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| extension:rationale |
0..1 | markdown | Explanation URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale | |
| extension:reasonRefused |
1..1 | CodeableConcept | Extension URL: http://smart.who.int/anc/StructureDefinition/who-doNotPerformReason profiled by http://fhir.org/guides/who/core/StructureDefinition/who-doNotPerformReason | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| identifier |
1..* | Identifier | Identifiers assigned to this order | |
| use |
1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |
| system |
1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | |
| value |
1..1 | string | The value that is unique Example General: 123456 | |
| instantiatesCanonical |
0..* | canonical(ActivityDefinition | PlanDefinition) | Source | |
| status |
1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. Fixed Value: completed (no extensions allowed) | |
| intent |
1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. | |
| category |
0..* | CodeableConcept | Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. | |
| priority |
0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | |
| doNotPerform |
1..1 | boolean | True if service/procedure should not be performed Fixed Value: true (no extensions allowed) | |
| code |
C | 1..1 | CodeableConcept | Reason referral not done Binding: Referral to Hospital (extensible) |
| Slices for extension |
Content/Rules for all slices | |||
| extension:notDoneValueSet |
C | 0..1 | uri | What was not requested URL: http://hl7.org/fhir/StructureDefinition/valueset-reference |
| subject |
1..1 | Reference(ANC Base Patient) | Individual or Entity the service is ordered for | |
| encounter |
0..1 | Reference(ANC Base Encounter) | Encounter in which the request was created | |
| occurrence[x] |
0..1 | When service should occur | ||
| occurrenceDateTime |
dateTime | |||
| occurrencePeriod |
Period | |||
| occurrenceTiming |
Timing | |||
| asNeeded[x] |
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 |
1..1 | dateTime | Date request signed | |
| supportingInfo |
0..* | Reference(Resource) | Pertinent information | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| ServiceRequest.extension<br/>[] | Base | extensible | Reason referral not done Choices | 📦0.3.0 | This IG |
| ServiceRequest.identifier.use | Base | required | IdentifierUse | 📍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.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std. |
| ServiceRequest.code | Base | extensible | Referral to Hospital | 📦0.3.0 | This IG |
| ServiceRequest.asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📦4.0.1 | FHIR Std. |
| 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()
|
| snr-1 | error | ServiceRequest | To indicate what service was not requested, either at least one coding in the codeableconcept or a valueset-reference extension shall be provided |
code.extension('http://hl7.org/fhir/StructureDefinition/valueset-reference').exists() xor code.coding.exists()
|
Differential View
This structure is derived from ANCServiceNotRequested
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| ServiceRequest |
0..* | ANCServiceNotRequested | A request for a service to be performed | |
| extension |
1..1 | Extension | Reason referral not done Binding: Reason referral not done Choices (extensible) | |
| code |
1..1 | CodeableConcept | Reason referral not done Binding: Referral to Hospital (extensible) | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| ServiceRequest.extension | Base | extensible | Reason referral not done Choices | 📦0.3.0 | This IG |
| ServiceRequest.code | Base | extensible | Referral to Hospital | 📦0.3.0 | This IG |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| ServiceRequest |
C | 0..* | ANCServiceNotRequested | A request for a service to be performed Constraints: prr-1, snr-1 | ||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
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.
| |||||
| 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 | |||||
| Slices for extension |
1..1 | Extension | Reason referral not done Slice: Unordered, Open by value:url Binding: Reason referral not done Choices (extensible) Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| extension:rationale |
0..1 | markdown | Explanation URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale | |||||
| extension:reasonRefused |
1..1 | CodeableConcept | Extension URL: http://smart.who.int/anc/StructureDefinition/who-doNotPerformReason profiled by http://fhir.org/guides/who/core/StructureDefinition/who-doNotPerformReason | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
1..* | Identifier | Identifiers assigned to this order | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use |
1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |||||
| type |
0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | |||||
| system |
1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | |||||
| value |
1..1 | string | The value that is unique Example General: 123456 | |||||
| period |
0..1 | Period | Time period when id is/was valid for use | |||||
| assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
| instantiatesCanonical |
0..* | canonical(ActivityDefinition | PlanDefinition) | Source | |||||
| instantiatesUri |
0..* | uri | Instantiates external protocol or definition | |||||
| basedOn |
0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills | |||||
| replaces |
0..* | Reference(ServiceRequest) | What request replaces | |||||
| requisition |
0..1 | Identifier | Composite Request ID | |||||
| status |
1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. Fixed Value: completed (no extensions allowed) | |||||
| intent |
1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. | |||||
| category |
0..* | CodeableConcept | Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. | |||||
| priority |
0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | |||||
| doNotPerform |
1..1 | boolean | True if service/procedure should not be performed Fixed Value: true (no extensions allowed) | |||||
| code |
C | 1..1 | CodeableConcept | Reason referral not done Binding: Referral to Hospital (extensible) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| extension:notDoneValueSet |
C | 0..1 | uri | What was not requested URL: http://hl7.org/fhir/StructureDefinition/valueset-reference | ||||
| coding |
0..* | Coding | Code defined by a terminology system | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| orderDetail |
C | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context. | ||||
| quantity[x] |
0..1 | Service amount | ||||||
| quantityQuantity |
Quantity | |||||||
| quantityRatio |
Ratio | |||||||
| quantityRange |
Range | |||||||
| subject |
1..1 | Reference(ANC Base Patient) | Individual or Entity the service is ordered for | |||||
| encounter |
0..1 | Reference(ANC Base Encounter) | Encounter in which the request was created | |||||
| occurrence[x] |
0..1 | When service should occur | ||||||
| occurrenceDateTime |
dateTime | |||||||
| occurrencePeriod |
Period | |||||||
| occurrenceTiming |
Timing | |||||||
| asNeeded[x] |
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 |
1..1 | dateTime | Date request signed | |||||
| requester |
0..1 | Reference(ANC Base Patient | ANC Practitioner | ANC PractitionerRole | ANC RelatedPerson) | Who/what is requesting service | |||||
| performerType |
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 |
0..* | Reference(ANC Base Patient | ANC Practitioner | ANC PractitionerRole | ANC RelatedPerson) | Requested performer | |||||
| locationCode |
0..* | CodeableConcept | Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered. | |||||
| locationReference |
0..* | Reference(Location) | Requested location | |||||
| reasonCode |
0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation. | |||||
| reasonReference |
0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service | |||||
| insurance |
0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
| supportingInfo |
0..* | Reference(Resource) | Pertinent information | |||||
| specimen |
0..* | Reference(Specimen) | Procedure Samples | |||||
| bodySite |
0..* | CodeableConcept | Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
| note |
0..* | Annotation | Comments | |||||
| patientInstruction |
0..1 | string | Patient or consumer-oriented instructions | |||||
| relevantHistory |
0..* | Reference(Provenance) | Request provenance | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| ServiceRequest.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| ServiceRequest.extension<br/>[] | Base | extensible | Reason referral not done Choices | 📦0.3.0 | This IG |
| ServiceRequest.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| ServiceRequest.identifier.type | Base | extensible | IdentifierType | 📍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.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std. |
| ServiceRequest.code | Base | extensible | Referral to Hospital | 📦0.3.0 | This IG |
| ServiceRequest.orderDetail | Base | example | Service Request Order Details Codes | 📦4.0.1 | FHIR Std. |
| 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 | example | Procedure Reason Codes | 📦4.0.1 | FHIR Std. |
| ServiceRequest.bodySite | Base | example | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std. |
| 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()
|
| snr-1 | error | ServiceRequest | To indicate what service was not requested, either at least one coding in the codeableconcept or a valueset-reference extension shall be provided |
code.extension('http://hl7.org/fhir/StructureDefinition/valueset-reference').exists() xor code.coding.exists()
|
This structure is derived from ANCServiceNotRequested
Other representations of profile: CSV, Excel, Schematron