Introduction

This profile is used to represent de-identified ServiceRequest information. The de-identification process has to remove all data elements not explicitly identified as "SUPPORTED" in the profile.

The HHS De-identification Guidance is to be followed to ensure appropriate level of de-identification is performed.

According to the HHS guidance, dates should not have a precision of more than the year. This means month and day cannot be included. This includes ServiceRequest.occurenceDateTime.

In FHIR Resources, text elements and reference.display elements which provide human readable information to the providers may be generated using programs and tools from the data present within the resource. For e.g a ServiceRequest resource text element may contain information such as the ServiceRequest date, patient information. This type of information will enable identification of the individuals. In order to avoid inadvertent revealing of PII/PHI, text elements cannot be included in the De-identified FHIR resource and the submission will be rejected when text elements are present by the validation process.

Ids and References

The original ServiceRequest resource id should not be included in the De-identified ServiceRequest instance. Instead a new id should be created and provided as part of the FHIR resource. The Data Submitter should be capable of using the generated id to relink the data to the original ServiceRequest. All resource references to the ServiceRequest submitted as part of the UDS+ report should refer to newly generated id.

Resource references cannot contain text element as it may contain PHI/PII. The text element for following references are not allowed

• subject
• encounter

Date Truncation

The Data Submitter has to truncate the following dates to only have a precision of year

• authoredOn

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	ServiceRequest	De-Identified UDS Plus ServiceRequest Constraints: prr-1
ServiceRequest.id	S This element must be supported. Σ This element is included in summaries.	0..1	id	The de-identified ServiceRequest identifier created by the health center to send data to UDS+ Data Receiver
ServiceRequest.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
ServiceRequest.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
ServiceRequest.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
ServiceRequest.intent	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request.
ServiceRequest.doNotPerform	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	boolean	True if service/procedure should not be performed
ServiceRequest.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	What is being requested/ordered Binding: US Core Procedure Codes (extensible): The set of codes indicating the ServiceRequests
ServiceRequest.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(De-Identified UDS Plus Patient)	Individual or Entity the service is ordered for
ServiceRequest.encounter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(De-Identified UDS Plus Encounter)	Encounter in which the request was created
ServiceRequest.occurrence[x]	S This element must be supported. Σ This element is included in summaries. C	0..1		When service should occur Constraints: uds-plus-svr-1, uds-plus-svr-1a, uds-plus-svr-1b, uds-plus-svr-2, uds-plus-svr-2a, uds-plus-svr-2b, uds-plus-svr-3, uds-plus-svr-3a, uds-plus-svr-3b, uds-plus-svr-4, uds-plus-svr-5, uds-plus-svr-5a, uds-plus-svr-5b
ServiceRequest.occurrence[x].occurrenceDateTime			dateTime S This target must be supported.
ServiceRequest.occurrence[x].occurrencePeriod			Period
ServiceRequest.occurrence[x].occurrenceTiming			Timing
ServiceRequest.authoredOn	S This element must be supported. Σ This element is included in summaries. C	0..1	dateTime	Date request signed Constraints: uds-plus-svr-6, uds-plus-svr-6a, uds-plus-svr-6b
ServiceRequest.requester	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Who/what is requesting service
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
ServiceRequest.status	Base	required	RequestStatus	📍4.0.1	FHIR Std.
ServiceRequest.intent	Base	required	RequestIntent	📍4.0.1	FHIR Std.
ServiceRequest.code	Base	extensible	US Core Procedure Codes	📦6.1.0	US Core v6.1

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	ServiceRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	ServiceRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	ServiceRequest	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
prr-1	error	ServiceRequest	orderDetail SHALL only be present if code is present	orderDetail.empty() or code.exists()
uds-plus-svr-1	error	ServiceRequest.occurrence[x]	All dateTime data elements should be truncated to a year only for de-identified resources.	$this is DateTime implies $this.toString().length() = 4
uds-plus-svr-1a	error	ServiceRequest.occurrence[x]	All dateTime data elements should have valid year > 1900	$this is DateTime implies $this.toString() >= '1900'
uds-plus-svr-1b	error	ServiceRequest.occurrence[x]	All dateTime data elements should have valid year < 2030	$this is DateTime implies $this.toString() <= '2030'
uds-plus-svr-2	error	ServiceRequest.occurrence[x]	All Period.start data elements should be truncated to a year only for de-identified resources.	$this is Period and Period.start.exists() implies $this.start.toString().length() = 4
uds-plus-svr-2a	error	ServiceRequest.occurrence[x]	All Period.start data elements should have valid year > 1900	$this is Period and Period.start.exists() implies $this.start.toString() >= '1900'
uds-plus-svr-2b	error	ServiceRequest.occurrence[x]	All Period.start data elements should have valid year < 2030	$this is Period and Period.start.exists() implies $this.start.toString() <= '2030'
uds-plus-svr-3	error	ServiceRequest.occurrence[x]	All Period.emd data elements should be truncated to a year only for de-identified resources.	$this is Period and Period.end.exists() implies $this.end.toString().length() = 4
uds-plus-svr-3a	error	ServiceRequest.occurrence[x]	All Period.end data elements should have valid year > 1900	$this is Period and Period.end.exists() implies $this.end.toString() >= '1900'
uds-plus-svr-3b	error	ServiceRequest.occurrence[x]	All Period.end data elements should have valid year < 2030	$this is Period and Period.end.exists() implies $this.end.toString() <= '2030'
uds-plus-svr-4	error	ServiceRequest.occurrence[x]	All Timing.event data elements should be truncated to a year only for de-identified resources.	$this is Timing and Timing.event.exists() implies $this.event.count() = 1
uds-plus-svr-5	error	ServiceRequest.occurrence[x]	All Timing.event data elements should be truncated to a year only for de-identified resources.	$this is Timing and Timing.event.exists() implies $this.event.first().toString().length() = 4
uds-plus-svr-5a	error	ServiceRequest.occurrence[x]	All Timing data elements should have valid year > 1900	$this is Timing and Timing.event.exists() implies $this.event.first().toString() >= '1900'
uds-plus-svr-5b	error	ServiceRequest.occurrence[x]	All Timing data elements should have valid year < 2030	$this is Timing and Timing.event.exists() implies $this.event.first().toString() <= '2030'
uds-plus-svr-6	error	ServiceRequest.authoredOn	All dateTime data elements should be truncated to a year only for de-identified resources.	$this is DateTime implies $this.toString().length() = 4
uds-plus-svr-6a	error	ServiceRequest.authoredOn	All dateTime data elements should have valid year > 1900	$this is DateTime implies $this.toString() >= '1900'
uds-plus-svr-6b	error	ServiceRequest.authoredOn	All dateTime data elements should have valid year < 2030	$this is DateTime implies $this.toString() <= '2030'

This structure is derived from ServiceRequest

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest		0..*	ServiceRequest	De-Identified UDS Plus ServiceRequest
ServiceRequest.id	S This element must be supported.	0..1	id	The de-identified ServiceRequest identifier created by the health center to send data to UDS+ Data Receiver
ServiceRequest.text		0..0		Cannot include any text in the resource as part of the de-identified data.
ServiceRequest.contained		0..0		Cannot include any contained resources in the resource as part of the de-identified data.
ServiceRequest.status	S This element must be supported.	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown
ServiceRequest.intent	S This element must be supported.	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
ServiceRequest.doNotPerform	S This element must be supported.	1..1	boolean	True if service/procedure should not be performed
ServiceRequest.code	S This element must be supported.	1..1	CodeableConcept	What is being requested/ordered Binding: US Core Procedure Codes (extensible): The set of codes indicating the ServiceRequests
ServiceRequest.subject	S This element must be supported.	1..1	Reference(De-Identified UDS Plus Patient)	Individual or Entity the service is ordered for
ServiceRequest.subject.display		0..0		Text alternative for the resource
ServiceRequest.encounter	S This element must be supported.	0..1	Reference(De-Identified UDS Plus Encounter)	Encounter in which the request was created
ServiceRequest.encounter.display		0..0		Text alternative for the resource
ServiceRequest.occurrence[x]	S This element must be supported. C	0..1		When service should occur Constraints: uds-plus-svr-1, uds-plus-svr-1a, uds-plus-svr-1b, uds-plus-svr-2, uds-plus-svr-2a, uds-plus-svr-2b, uds-plus-svr-3, uds-plus-svr-3a, uds-plus-svr-3b, uds-plus-svr-4, uds-plus-svr-5, uds-plus-svr-5a, uds-plus-svr-5b
ServiceRequest.occurrence[x].occurrenceDateTime			dateTime S This target must be supported.
ServiceRequest.occurrence[x].occurrencePeriod			Period
ServiceRequest.occurrence[x].occurrenceTiming			Timing
ServiceRequest.authoredOn	S This element must be supported. C	0..1	dateTime	Date request signed Constraints: uds-plus-svr-6, uds-plus-svr-6a, uds-plus-svr-6b
ServiceRequest.requester	S This element must be supported.	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Who/what is requesting service
ServiceRequest.requester.display		0..0		Text alternative for the resource
ServiceRequest.performer
ServiceRequest.performer.display		0..0		Text alternative for the resource
ServiceRequest.note		0..0		Comments
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
ServiceRequest.code	Base	extensible	US Core Procedure Codes	📦6.1.0	US Core v6.1

Constraints

Id	Grade	Path(s)	Description	Expression
uds-plus-svr-1	error	ServiceRequest.occurrence[x]	All dateTime data elements should be truncated to a year only for de-identified resources.	$this is DateTime implies $this.toString().length() = 4
uds-plus-svr-1a	error	ServiceRequest.occurrence[x]	All dateTime data elements should have valid year > 1900	$this is DateTime implies $this.toString() >= '1900'
uds-plus-svr-1b	error	ServiceRequest.occurrence[x]	All dateTime data elements should have valid year < 2030	$this is DateTime implies $this.toString() <= '2030'
uds-plus-svr-2	error	ServiceRequest.occurrence[x]	All Period.start data elements should be truncated to a year only for de-identified resources.	$this is Period and Period.start.exists() implies $this.start.toString().length() = 4
uds-plus-svr-2a	error	ServiceRequest.occurrence[x]	All Period.start data elements should have valid year > 1900	$this is Period and Period.start.exists() implies $this.start.toString() >= '1900'
uds-plus-svr-2b	error	ServiceRequest.occurrence[x]	All Period.start data elements should have valid year < 2030	$this is Period and Period.start.exists() implies $this.start.toString() <= '2030'
uds-plus-svr-3	error	ServiceRequest.occurrence[x]	All Period.emd data elements should be truncated to a year only for de-identified resources.	$this is Period and Period.end.exists() implies $this.end.toString().length() = 4
uds-plus-svr-3a	error	ServiceRequest.occurrence[x]	All Period.end data elements should have valid year > 1900	$this is Period and Period.end.exists() implies $this.end.toString() >= '1900'
uds-plus-svr-3b	error	ServiceRequest.occurrence[x]	All Period.end data elements should have valid year < 2030	$this is Period and Period.end.exists() implies $this.end.toString() <= '2030'
uds-plus-svr-4	error	ServiceRequest.occurrence[x]	All Timing.event data elements should be truncated to a year only for de-identified resources.	$this is Timing and Timing.event.exists() implies $this.event.count() = 1
uds-plus-svr-5	error	ServiceRequest.occurrence[x]	All Timing.event data elements should be truncated to a year only for de-identified resources.	$this is Timing and Timing.event.exists() implies $this.event.first().toString().length() = 4
uds-plus-svr-5a	error	ServiceRequest.occurrence[x]	All Timing data elements should have valid year > 1900	$this is Timing and Timing.event.exists() implies $this.event.first().toString() >= '1900'
uds-plus-svr-5b	error	ServiceRequest.occurrence[x]	All Timing data elements should have valid year < 2030	$this is Timing and Timing.event.exists() implies $this.event.first().toString() <= '2030'
uds-plus-svr-6	error	ServiceRequest.authoredOn	All dateTime data elements should be truncated to a year only for de-identified resources.	$this is DateTime implies $this.toString().length() = 4
uds-plus-svr-6a	error	ServiceRequest.authoredOn	All dateTime data elements should have valid year > 1900	$this is DateTime implies $this.toString() >= '1900'
uds-plus-svr-6b	error	ServiceRequest.authoredOn	All dateTime data elements should have valid year < 2030	$this is DateTime implies $this.toString() <= '2030'

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	ServiceRequest	De-Identified UDS Plus ServiceRequest Constraints: prr-1
ServiceRequest.id	S This element must be supported. Σ This element is included in summaries.	0..1	id	The de-identified ServiceRequest identifier created by the health center to send data to UDS+ Data Receiver
ServiceRequest.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
ServiceRequest.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
ServiceRequest.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
ServiceRequest.extension		0..*	Extension	Additional content defined by implementations
ServiceRequest.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
ServiceRequest.identifier	Σ This element is included in summaries.	0..*	Identifier	Identifiers assigned to this order
ServiceRequest.instantiatesCanonical	Σ This element is included in summaries.	0..*	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition
ServiceRequest.instantiatesUri	Σ This element is included in summaries.	0..*	uri	Instantiates external protocol or definition
ServiceRequest.basedOn	Σ This element is included in summaries.	0..*	Reference(CarePlan | ServiceRequest | MedicationRequest)	What request fulfills
ServiceRequest.replaces	Σ This element is included in summaries.	0..*	Reference(ServiceRequest)	What request replaces
ServiceRequest.requisition	Σ This element is included in summaries.	0..1	Identifier	Composite Request ID
ServiceRequest.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
ServiceRequest.intent	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request.
ServiceRequest.category	Σ This element is included in summaries.	0..*	CodeableConcept	Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
ServiceRequest.priority	Σ This element is included in summaries.	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
ServiceRequest.doNotPerform	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	boolean	True if service/procedure should not be performed
ServiceRequest.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	What is being requested/ordered Binding: US Core Procedure Codes (extensible): The set of codes indicating the ServiceRequests
ServiceRequest.orderDetail	Σ This element is included in summaries. C	0..*	CodeableConcept	Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
ServiceRequest.quantity[x]	Σ This element is included in summaries.	0..1		Service amount
ServiceRequest.quantity[x].quantityQuantity			Quantity
ServiceRequest.quantity[x].quantityRatio			Ratio
ServiceRequest.quantity[x].quantityRange			Range
ServiceRequest.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(De-Identified UDS Plus Patient)	Individual or Entity the service is ordered for
ServiceRequest.subject.id		0..1	string	Unique id for inter-element referencing
ServiceRequest.subject.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
ServiceRequest.subject.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
ServiceRequest.subject.type	Σ This element is included in summaries.	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).
ServiceRequest.subject.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
ServiceRequest.encounter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(De-Identified UDS Plus Encounter)	Encounter in which the request was created
ServiceRequest.encounter.id		0..1	string	Unique id for inter-element referencing
ServiceRequest.encounter.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
ServiceRequest.encounter.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
ServiceRequest.encounter.type	Σ This element is included in summaries.	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).
ServiceRequest.encounter.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
ServiceRequest.occurrence[x]	S This element must be supported. Σ This element is included in summaries. C	0..1		When service should occur Constraints: uds-plus-svr-1, uds-plus-svr-1a, uds-plus-svr-1b, uds-plus-svr-2, uds-plus-svr-2a, uds-plus-svr-2b, uds-plus-svr-3, uds-plus-svr-3a, uds-plus-svr-3b, uds-plus-svr-4, uds-plus-svr-5, uds-plus-svr-5a, uds-plus-svr-5b
ServiceRequest.occurrence[x].occurrenceDateTime			dateTime S This target must be supported.
ServiceRequest.occurrence[x].occurrencePeriod			Period
ServiceRequest.occurrence[x].occurrenceTiming			Timing
ServiceRequest.asNeeded[x]	Σ This element is included in summaries.	0..1		Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
ServiceRequest.asNeeded[x].asNeededBoolean			boolean
ServiceRequest.asNeeded[x].asNeededCodeableConcept			CodeableConcept
ServiceRequest.authoredOn	S This element must be supported. Σ This element is included in summaries. C	0..1	dateTime	Date request signed Constraints: uds-plus-svr-6, uds-plus-svr-6a, uds-plus-svr-6b
ServiceRequest.requester	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Who/what is requesting service
ServiceRequest.requester.id		0..1	string	Unique id for inter-element referencing
ServiceRequest.requester.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
ServiceRequest.requester.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
ServiceRequest.requester.type	Σ This element is included in summaries.	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).
ServiceRequest.requester.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
ServiceRequest.performerType	Σ This element is included in summaries.	0..1	CodeableConcept	Performer role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
ServiceRequest.performer	Σ This element is included in summaries.	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)	Requested performer
ServiceRequest.performer.id		0..1	string	Unique id for inter-element referencing
ServiceRequest.performer.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
ServiceRequest.performer.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
ServiceRequest.performer.type	Σ This element is included in summaries.	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).
ServiceRequest.performer.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
ServiceRequest.locationCode	Σ This element is included in summaries.	0..*	CodeableConcept	Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
ServiceRequest.locationReference	Σ This element is included in summaries.	0..*	Reference(Location)	Requested location
ServiceRequest.reasonCode	Σ This element is included in summaries.	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
ServiceRequest.reasonReference	Σ This element is included in summaries.	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Explanation/Justification for service or service
ServiceRequest.insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
ServiceRequest.supportingInfo		0..*	Reference(Resource)	Additional clinical information
ServiceRequest.specimen	Σ This element is included in summaries.	0..*	Reference(Specimen)	Procedure Samples
ServiceRequest.bodySite	Σ This element is included in summaries.	0..*	CodeableConcept	Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
ServiceRequest.patientInstruction	Σ This element is included in summaries.	0..1	string	Patient or consumer-oriented instructions
ServiceRequest.relevantHistory		0..*	Reference(Provenance)	Request provenance
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
ServiceRequest.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
ServiceRequest.status	Base	required	RequestStatus	📍4.0.1	FHIR Std.
ServiceRequest.intent	Base	required	RequestIntent	📍4.0.1	FHIR Std.
ServiceRequest.category	Base	example	Service Request Category Codes	📍4.0.1	FHIR Std.
ServiceRequest.priority	Base	required	Request priority	📍4.0.1	FHIR Std.
ServiceRequest.code	Base	extensible	US Core Procedure Codes	📦6.1.0	US Core v6.1
ServiceRequest.orderDetail	Base	example	Service Request Order Details Codes	📍4.0.1	FHIR Std.
ServiceRequest.subject.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
ServiceRequest.encounter.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
ServiceRequest.asNeeded[x]	Base	example	SNOMED CT Medication As Needed Reason Codes	📍4.0.1	FHIR Std.
ServiceRequest.requester.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
ServiceRequest.performerType	Base	example	Participant Roles	📍4.0.1	FHIR Std.
ServiceRequest.performer.​type	Base	extensible	ResourceType	📍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.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	ServiceRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	ServiceRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	ServiceRequest	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
prr-1	error	ServiceRequest	orderDetail SHALL only be present if code is present	orderDetail.empty() or code.exists()
uds-plus-svr-1	error	ServiceRequest.occurrence[x]	All dateTime data elements should be truncated to a year only for de-identified resources.	$this is DateTime implies $this.toString().length() = 4
uds-plus-svr-1a	error	ServiceRequest.occurrence[x]	All dateTime data elements should have valid year > 1900	$this is DateTime implies $this.toString() >= '1900'
uds-plus-svr-1b	error	ServiceRequest.occurrence[x]	All dateTime data elements should have valid year < 2030	$this is DateTime implies $this.toString() <= '2030'
uds-plus-svr-2	error	ServiceRequest.occurrence[x]	All Period.start data elements should be truncated to a year only for de-identified resources.	$this is Period and Period.start.exists() implies $this.start.toString().length() = 4
uds-plus-svr-2a	error	ServiceRequest.occurrence[x]	All Period.start data elements should have valid year > 1900	$this is Period and Period.start.exists() implies $this.start.toString() >= '1900'
uds-plus-svr-2b	error	ServiceRequest.occurrence[x]	All Period.start data elements should have valid year < 2030	$this is Period and Period.start.exists() implies $this.start.toString() <= '2030'
uds-plus-svr-3	error	ServiceRequest.occurrence[x]	All Period.emd data elements should be truncated to a year only for de-identified resources.	$this is Period and Period.end.exists() implies $this.end.toString().length() = 4
uds-plus-svr-3a	error	ServiceRequest.occurrence[x]	All Period.end data elements should have valid year > 1900	$this is Period and Period.end.exists() implies $this.end.toString() >= '1900'
uds-plus-svr-3b	error	ServiceRequest.occurrence[x]	All Period.end data elements should have valid year < 2030	$this is Period and Period.end.exists() implies $this.end.toString() <= '2030'
uds-plus-svr-4	error	ServiceRequest.occurrence[x]	All Timing.event data elements should be truncated to a year only for de-identified resources.	$this is Timing and Timing.event.exists() implies $this.event.count() = 1
uds-plus-svr-5	error	ServiceRequest.occurrence[x]	All Timing.event data elements should be truncated to a year only for de-identified resources.	$this is Timing and Timing.event.exists() implies $this.event.first().toString().length() = 4
uds-plus-svr-5a	error	ServiceRequest.occurrence[x]	All Timing data elements should have valid year > 1900	$this is Timing and Timing.event.exists() implies $this.event.first().toString() >= '1900'
uds-plus-svr-5b	error	ServiceRequest.occurrence[x]	All Timing data elements should have valid year < 2030	$this is Timing and Timing.event.exists() implies $this.event.first().toString() <= '2030'
uds-plus-svr-6	error	ServiceRequest.authoredOn	All dateTime data elements should be truncated to a year only for de-identified resources.	$this is DateTime implies $this.toString().length() = 4
uds-plus-svr-6a	error	ServiceRequest.authoredOn	All dateTime data elements should have valid year > 1900	$this is DateTime implies $this.toString() >= '1900'
uds-plus-svr-6b	error	ServiceRequest.authoredOn	All dateTime data elements should have valid year < 2030	$this is DateTime implies $this.toString() <= '2030'

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	ServiceRequest	De-Identified UDS Plus ServiceRequest Constraints: prr-1
ServiceRequest.id	S This element must be supported. Σ This element is included in summaries.	0..1	id	The de-identified ServiceRequest identifier created by the health center to send data to UDS+ Data Receiver
ServiceRequest.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
ServiceRequest.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
ServiceRequest.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
ServiceRequest.intent	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request.
ServiceRequest.doNotPerform	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	boolean	True if service/procedure should not be performed
ServiceRequest.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	What is being requested/ordered Binding: US Core Procedure Codes (extensible): The set of codes indicating the ServiceRequests
ServiceRequest.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(De-Identified UDS Plus Patient)	Individual or Entity the service is ordered for
ServiceRequest.encounter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(De-Identified UDS Plus Encounter)	Encounter in which the request was created
ServiceRequest.occurrence[x]	S This element must be supported. Σ This element is included in summaries. C	0..1		When service should occur Constraints: uds-plus-svr-1, uds-plus-svr-1a, uds-plus-svr-1b, uds-plus-svr-2, uds-plus-svr-2a, uds-plus-svr-2b, uds-plus-svr-3, uds-plus-svr-3a, uds-plus-svr-3b, uds-plus-svr-4, uds-plus-svr-5, uds-plus-svr-5a, uds-plus-svr-5b
ServiceRequest.occurrence[x].occurrenceDateTime			dateTime S This target must be supported.
ServiceRequest.occurrence[x].occurrencePeriod			Period
ServiceRequest.occurrence[x].occurrenceTiming			Timing
ServiceRequest.authoredOn	S This element must be supported. Σ This element is included in summaries. C	0..1	dateTime	Date request signed Constraints: uds-plus-svr-6, uds-plus-svr-6a, uds-plus-svr-6b
ServiceRequest.requester	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Who/what is requesting service
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
ServiceRequest.status	Base	required	RequestStatus	📍4.0.1	FHIR Std.
ServiceRequest.intent	Base	required	RequestIntent	📍4.0.1	FHIR Std.
ServiceRequest.code	Base	extensible	US Core Procedure Codes	📦6.1.0	US Core v6.1

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	ServiceRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	ServiceRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	ServiceRequest	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
prr-1	error	ServiceRequest	orderDetail SHALL only be present if code is present	orderDetail.empty() or code.exists()
uds-plus-svr-1	error	ServiceRequest.occurrence[x]	All dateTime data elements should be truncated to a year only for de-identified resources.	$this is DateTime implies $this.toString().length() = 4
uds-plus-svr-1a	error	ServiceRequest.occurrence[x]	All dateTime data elements should have valid year > 1900	$this is DateTime implies $this.toString() >= '1900'
uds-plus-svr-1b	error	ServiceRequest.occurrence[x]	All dateTime data elements should have valid year < 2030	$this is DateTime implies $this.toString() <= '2030'
uds-plus-svr-2	error	ServiceRequest.occurrence[x]	All Period.start data elements should be truncated to a year only for de-identified resources.	$this is Period and Period.start.exists() implies $this.start.toString().length() = 4
uds-plus-svr-2a	error	ServiceRequest.occurrence[x]	All Period.start data elements should have valid year > 1900	$this is Period and Period.start.exists() implies $this.start.toString() >= '1900'
uds-plus-svr-2b	error	ServiceRequest.occurrence[x]	All Period.start data elements should have valid year < 2030	$this is Period and Period.start.exists() implies $this.start.toString() <= '2030'
uds-plus-svr-3	error	ServiceRequest.occurrence[x]	All Period.emd data elements should be truncated to a year only for de-identified resources.	$this is Period and Period.end.exists() implies $this.end.toString().length() = 4
uds-plus-svr-3a	error	ServiceRequest.occurrence[x]	All Period.end data elements should have valid year > 1900	$this is Period and Period.end.exists() implies $this.end.toString() >= '1900'
uds-plus-svr-3b	error	ServiceRequest.occurrence[x]	All Period.end data elements should have valid year < 2030	$this is Period and Period.end.exists() implies $this.end.toString() <= '2030'
uds-plus-svr-4	error	ServiceRequest.occurrence[x]	All Timing.event data elements should be truncated to a year only for de-identified resources.	$this is Timing and Timing.event.exists() implies $this.event.count() = 1
uds-plus-svr-5	error	ServiceRequest.occurrence[x]	All Timing.event data elements should be truncated to a year only for de-identified resources.	$this is Timing and Timing.event.exists() implies $this.event.first().toString().length() = 4
uds-plus-svr-5a	error	ServiceRequest.occurrence[x]	All Timing data elements should have valid year > 1900	$this is Timing and Timing.event.exists() implies $this.event.first().toString() >= '1900'
uds-plus-svr-5b	error	ServiceRequest.occurrence[x]	All Timing data elements should have valid year < 2030	$this is Timing and Timing.event.exists() implies $this.event.first().toString() <= '2030'
uds-plus-svr-6	error	ServiceRequest.authoredOn	All dateTime data elements should be truncated to a year only for de-identified resources.	$this is DateTime implies $this.toString().length() = 4
uds-plus-svr-6a	error	ServiceRequest.authoredOn	All dateTime data elements should have valid year > 1900	$this is DateTime implies $this.toString() >= '1900'
uds-plus-svr-6b	error	ServiceRequest.authoredOn	All dateTime data elements should have valid year < 2030	$this is DateTime implies $this.toString() <= '2030'

Differential View

This structure is derived from ServiceRequest

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest		0..*	ServiceRequest	De-Identified UDS Plus ServiceRequest
ServiceRequest.id	S This element must be supported.	0..1	id	The de-identified ServiceRequest identifier created by the health center to send data to UDS+ Data Receiver
ServiceRequest.text		0..0		Cannot include any text in the resource as part of the de-identified data.
ServiceRequest.contained		0..0		Cannot include any contained resources in the resource as part of the de-identified data.
ServiceRequest.status	S This element must be supported.	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown
ServiceRequest.intent	S This element must be supported.	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
ServiceRequest.doNotPerform	S This element must be supported.	1..1	boolean	True if service/procedure should not be performed
ServiceRequest.code	S This element must be supported.	1..1	CodeableConcept	What is being requested/ordered Binding: US Core Procedure Codes (extensible): The set of codes indicating the ServiceRequests
ServiceRequest.subject	S This element must be supported.	1..1	Reference(De-Identified UDS Plus Patient)	Individual or Entity the service is ordered for
ServiceRequest.subject.display		0..0		Text alternative for the resource
ServiceRequest.encounter	S This element must be supported.	0..1	Reference(De-Identified UDS Plus Encounter)	Encounter in which the request was created
ServiceRequest.encounter.display		0..0		Text alternative for the resource
ServiceRequest.occurrence[x]	S This element must be supported. C	0..1		When service should occur Constraints: uds-plus-svr-1, uds-plus-svr-1a, uds-plus-svr-1b, uds-plus-svr-2, uds-plus-svr-2a, uds-plus-svr-2b, uds-plus-svr-3, uds-plus-svr-3a, uds-plus-svr-3b, uds-plus-svr-4, uds-plus-svr-5, uds-plus-svr-5a, uds-plus-svr-5b
ServiceRequest.occurrence[x].occurrenceDateTime			dateTime S This target must be supported.
ServiceRequest.occurrence[x].occurrencePeriod			Period
ServiceRequest.occurrence[x].occurrenceTiming			Timing
ServiceRequest.authoredOn	S This element must be supported. C	0..1	dateTime	Date request signed Constraints: uds-plus-svr-6, uds-plus-svr-6a, uds-plus-svr-6b
ServiceRequest.requester	S This element must be supported.	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Who/what is requesting service
ServiceRequest.requester.display		0..0		Text alternative for the resource
ServiceRequest.performer
ServiceRequest.performer.display		0..0		Text alternative for the resource
ServiceRequest.note		0..0		Comments
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
ServiceRequest.code	Base	extensible	US Core Procedure Codes	📦6.1.0	US Core v6.1

Constraints

Id	Grade	Path(s)	Description	Expression
uds-plus-svr-1	error	ServiceRequest.occurrence[x]	All dateTime data elements should be truncated to a year only for de-identified resources.	$this is DateTime implies $this.toString().length() = 4
uds-plus-svr-1a	error	ServiceRequest.occurrence[x]	All dateTime data elements should have valid year > 1900	$this is DateTime implies $this.toString() >= '1900'
uds-plus-svr-1b	error	ServiceRequest.occurrence[x]	All dateTime data elements should have valid year < 2030	$this is DateTime implies $this.toString() <= '2030'
uds-plus-svr-2	error	ServiceRequest.occurrence[x]	All Period.start data elements should be truncated to a year only for de-identified resources.	$this is Period and Period.start.exists() implies $this.start.toString().length() = 4
uds-plus-svr-2a	error	ServiceRequest.occurrence[x]	All Period.start data elements should have valid year > 1900	$this is Period and Period.start.exists() implies $this.start.toString() >= '1900'
uds-plus-svr-2b	error	ServiceRequest.occurrence[x]	All Period.start data elements should have valid year < 2030	$this is Period and Period.start.exists() implies $this.start.toString() <= '2030'
uds-plus-svr-3	error	ServiceRequest.occurrence[x]	All Period.emd data elements should be truncated to a year only for de-identified resources.	$this is Period and Period.end.exists() implies $this.end.toString().length() = 4
uds-plus-svr-3a	error	ServiceRequest.occurrence[x]	All Period.end data elements should have valid year > 1900	$this is Period and Period.end.exists() implies $this.end.toString() >= '1900'
uds-plus-svr-3b	error	ServiceRequest.occurrence[x]	All Period.end data elements should have valid year < 2030	$this is Period and Period.end.exists() implies $this.end.toString() <= '2030'
uds-plus-svr-4	error	ServiceRequest.occurrence[x]	All Timing.event data elements should be truncated to a year only for de-identified resources.	$this is Timing and Timing.event.exists() implies $this.event.count() = 1
uds-plus-svr-5	error	ServiceRequest.occurrence[x]	All Timing.event data elements should be truncated to a year only for de-identified resources.	$this is Timing and Timing.event.exists() implies $this.event.first().toString().length() = 4
uds-plus-svr-5a	error	ServiceRequest.occurrence[x]	All Timing data elements should have valid year > 1900	$this is Timing and Timing.event.exists() implies $this.event.first().toString() >= '1900'
uds-plus-svr-5b	error	ServiceRequest.occurrence[x]	All Timing data elements should have valid year < 2030	$this is Timing and Timing.event.exists() implies $this.event.first().toString() <= '2030'
uds-plus-svr-6	error	ServiceRequest.authoredOn	All dateTime data elements should be truncated to a year only for de-identified resources.	$this is DateTime implies $this.toString().length() = 4
uds-plus-svr-6a	error	ServiceRequest.authoredOn	All dateTime data elements should have valid year > 1900	$this is DateTime implies $this.toString() >= '1900'
uds-plus-svr-6b	error	ServiceRequest.authoredOn	All dateTime data elements should have valid year < 2030	$this is DateTime implies $this.toString() <= '2030'

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	ServiceRequest	De-Identified UDS Plus ServiceRequest Constraints: prr-1
ServiceRequest.id	S This element must be supported. Σ This element is included in summaries.	0..1	id	The de-identified ServiceRequest identifier created by the health center to send data to UDS+ Data Receiver
ServiceRequest.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
ServiceRequest.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
ServiceRequest.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
ServiceRequest.extension		0..*	Extension	Additional content defined by implementations
ServiceRequest.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
ServiceRequest.identifier	Σ This element is included in summaries.	0..*	Identifier	Identifiers assigned to this order
ServiceRequest.instantiatesCanonical	Σ This element is included in summaries.	0..*	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition
ServiceRequest.instantiatesUri	Σ This element is included in summaries.	0..*	uri	Instantiates external protocol or definition
ServiceRequest.basedOn	Σ This element is included in summaries.	0..*	Reference(CarePlan | ServiceRequest | MedicationRequest)	What request fulfills
ServiceRequest.replaces	Σ This element is included in summaries.	0..*	Reference(ServiceRequest)	What request replaces
ServiceRequest.requisition	Σ This element is included in summaries.	0..1	Identifier	Composite Request ID
ServiceRequest.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
ServiceRequest.intent	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request.
ServiceRequest.category	Σ This element is included in summaries.	0..*	CodeableConcept	Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
ServiceRequest.priority	Σ This element is included in summaries.	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
ServiceRequest.doNotPerform	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	boolean	True if service/procedure should not be performed
ServiceRequest.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	What is being requested/ordered Binding: US Core Procedure Codes (extensible): The set of codes indicating the ServiceRequests
ServiceRequest.orderDetail	Σ This element is included in summaries. C	0..*	CodeableConcept	Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
ServiceRequest.quantity[x]	Σ This element is included in summaries.	0..1		Service amount
ServiceRequest.quantity[x].quantityQuantity			Quantity
ServiceRequest.quantity[x].quantityRatio			Ratio
ServiceRequest.quantity[x].quantityRange			Range
ServiceRequest.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(De-Identified UDS Plus Patient)	Individual or Entity the service is ordered for
ServiceRequest.subject.id		0..1	string	Unique id for inter-element referencing
ServiceRequest.subject.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
ServiceRequest.subject.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
ServiceRequest.subject.type	Σ This element is included in summaries.	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).
ServiceRequest.subject.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
ServiceRequest.encounter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(De-Identified UDS Plus Encounter)	Encounter in which the request was created
ServiceRequest.encounter.id		0..1	string	Unique id for inter-element referencing
ServiceRequest.encounter.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
ServiceRequest.encounter.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
ServiceRequest.encounter.type	Σ This element is included in summaries.	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).
ServiceRequest.encounter.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
ServiceRequest.occurrence[x]	S This element must be supported. Σ This element is included in summaries. C	0..1		When service should occur Constraints: uds-plus-svr-1, uds-plus-svr-1a, uds-plus-svr-1b, uds-plus-svr-2, uds-plus-svr-2a, uds-plus-svr-2b, uds-plus-svr-3, uds-plus-svr-3a, uds-plus-svr-3b, uds-plus-svr-4, uds-plus-svr-5, uds-plus-svr-5a, uds-plus-svr-5b
ServiceRequest.occurrence[x].occurrenceDateTime			dateTime S This target must be supported.
ServiceRequest.occurrence[x].occurrencePeriod			Period
ServiceRequest.occurrence[x].occurrenceTiming			Timing
ServiceRequest.asNeeded[x]	Σ This element is included in summaries.	0..1		Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
ServiceRequest.asNeeded[x].asNeededBoolean			boolean
ServiceRequest.asNeeded[x].asNeededCodeableConcept			CodeableConcept
ServiceRequest.authoredOn	S This element must be supported. Σ This element is included in summaries. C	0..1	dateTime	Date request signed Constraints: uds-plus-svr-6, uds-plus-svr-6a, uds-plus-svr-6b
ServiceRequest.requester	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Who/what is requesting service
ServiceRequest.requester.id		0..1	string	Unique id for inter-element referencing
ServiceRequest.requester.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
ServiceRequest.requester.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
ServiceRequest.requester.type	Σ This element is included in summaries.	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).
ServiceRequest.requester.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
ServiceRequest.performerType	Σ This element is included in summaries.	0..1	CodeableConcept	Performer role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
ServiceRequest.performer	Σ This element is included in summaries.	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)	Requested performer
ServiceRequest.performer.id		0..1	string	Unique id for inter-element referencing
ServiceRequest.performer.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
ServiceRequest.performer.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
ServiceRequest.performer.type	Σ This element is included in summaries.	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).
ServiceRequest.performer.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
ServiceRequest.locationCode	Σ This element is included in summaries.	0..*	CodeableConcept	Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
ServiceRequest.locationReference	Σ This element is included in summaries.	0..*	Reference(Location)	Requested location
ServiceRequest.reasonCode	Σ This element is included in summaries.	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
ServiceRequest.reasonReference	Σ This element is included in summaries.	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Explanation/Justification for service or service
ServiceRequest.insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
ServiceRequest.supportingInfo		0..*	Reference(Resource)	Additional clinical information
ServiceRequest.specimen	Σ This element is included in summaries.	0..*	Reference(Specimen)	Procedure Samples
ServiceRequest.bodySite	Σ This element is included in summaries.	0..*	CodeableConcept	Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
ServiceRequest.patientInstruction	Σ This element is included in summaries.	0..1	string	Patient or consumer-oriented instructions
ServiceRequest.relevantHistory		0..*	Reference(Provenance)	Request provenance
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
ServiceRequest.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
ServiceRequest.status	Base	required	RequestStatus	📍4.0.1	FHIR Std.
ServiceRequest.intent	Base	required	RequestIntent	📍4.0.1	FHIR Std.
ServiceRequest.category	Base	example	Service Request Category Codes	📍4.0.1	FHIR Std.
ServiceRequest.priority	Base	required	Request priority	📍4.0.1	FHIR Std.
ServiceRequest.code	Base	extensible	US Core Procedure Codes	📦6.1.0	US Core v6.1
ServiceRequest.orderDetail	Base	example	Service Request Order Details Codes	📍4.0.1	FHIR Std.
ServiceRequest.subject.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
ServiceRequest.encounter.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
ServiceRequest.asNeeded[x]	Base	example	SNOMED CT Medication As Needed Reason Codes	📍4.0.1	FHIR Std.
ServiceRequest.requester.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
ServiceRequest.performerType	Base	example	Participant Roles	📍4.0.1	FHIR Std.
ServiceRequest.performer.​type	Base	extensible	ResourceType	📍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.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	ServiceRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	ServiceRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	ServiceRequest	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
prr-1	error	ServiceRequest	orderDetail SHALL only be present if code is present	orderDetail.empty() or code.exists()
uds-plus-svr-1	error	ServiceRequest.occurrence[x]	All dateTime data elements should be truncated to a year only for de-identified resources.	$this is DateTime implies $this.toString().length() = 4
uds-plus-svr-1a	error	ServiceRequest.occurrence[x]	All dateTime data elements should have valid year > 1900	$this is DateTime implies $this.toString() >= '1900'
uds-plus-svr-1b	error	ServiceRequest.occurrence[x]	All dateTime data elements should have valid year < 2030	$this is DateTime implies $this.toString() <= '2030'
uds-plus-svr-2	error	ServiceRequest.occurrence[x]	All Period.start data elements should be truncated to a year only for de-identified resources.	$this is Period and Period.start.exists() implies $this.start.toString().length() = 4
uds-plus-svr-2a	error	ServiceRequest.occurrence[x]	All Period.start data elements should have valid year > 1900	$this is Period and Period.start.exists() implies $this.start.toString() >= '1900'
uds-plus-svr-2b	error	ServiceRequest.occurrence[x]	All Period.start data elements should have valid year < 2030	$this is Period and Period.start.exists() implies $this.start.toString() <= '2030'
uds-plus-svr-3	error	ServiceRequest.occurrence[x]	All Period.emd data elements should be truncated to a year only for de-identified resources.	$this is Period and Period.end.exists() implies $this.end.toString().length() = 4
uds-plus-svr-3a	error	ServiceRequest.occurrence[x]	All Period.end data elements should have valid year > 1900	$this is Period and Period.end.exists() implies $this.end.toString() >= '1900'
uds-plus-svr-3b	error	ServiceRequest.occurrence[x]	All Period.end data elements should have valid year < 2030	$this is Period and Period.end.exists() implies $this.end.toString() <= '2030'
uds-plus-svr-4	error	ServiceRequest.occurrence[x]	All Timing.event data elements should be truncated to a year only for de-identified resources.	$this is Timing and Timing.event.exists() implies $this.event.count() = 1
uds-plus-svr-5	error	ServiceRequest.occurrence[x]	All Timing.event data elements should be truncated to a year only for de-identified resources.	$this is Timing and Timing.event.exists() implies $this.event.first().toString().length() = 4
uds-plus-svr-5a	error	ServiceRequest.occurrence[x]	All Timing data elements should have valid year > 1900	$this is Timing and Timing.event.exists() implies $this.event.first().toString() >= '1900'
uds-plus-svr-5b	error	ServiceRequest.occurrence[x]	All Timing data elements should have valid year < 2030	$this is Timing and Timing.event.exists() implies $this.event.first().toString() <= '2030'
uds-plus-svr-6	error	ServiceRequest.authoredOn	All dateTime data elements should be truncated to a year only for de-identified resources.	$this is DateTime implies $this.toString().length() = 4
uds-plus-svr-6a	error	ServiceRequest.authoredOn	All dateTime data elements should have valid year > 1900	$this is DateTime implies $this.toString() >= '1900'
uds-plus-svr-6b	error	ServiceRequest.authoredOn	All dateTime data elements should have valid year < 2030	$this is DateTime implies $this.toString() <= '2030'

This structure is derived from ServiceRequest

Summary

Mandatory: 5 elements
Must-Support: 10 elements
Prohibited: 7 elements

Structures

This structure refers to these other structures:

• De-Identified UDS Plus Patient (http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/de-identified-uds-plus-patient)
• De-Identified UDS Plus Encounter (http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-encounter)

Maturity: 2