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

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

Resource Profile: SEMD ServiceRequest (Запрос/направление на оказание услуги СЭМД)

Профиль ServiceRequest для структурированных электронных медицинских документов

Usages:

• Refer to this Profile: SEMD DiagnosticReport (Диагностический отчет СЭМД)
• Examples for this Profile: ServiceRequest/servicerequest-pli

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	Core_ServiceRequest	A request for a service to be performed Constraints: bdystr-1, prr-1
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	Identifiers assigned to this order Slice: Unordered, Open by value:system
identifier:misReferralId	Σ	0..1	Identifier	Номер документа направления в МИС
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.ru/ig/semd/systems/mis-referral
status	?!Σ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent	?!Σ	1..1	code	proposal | plan | directive | order + Binding: RequestIntent (required): The kind of service request.
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
subject	SΣ	1..1	Reference(Пациент)	Пациент
encounter	SΣ	0..1	Reference(SEMD Encounter (Случай оказания медицинской помощи СЭМД))	Случай оказания медицинской помощи
requester	SΣ	0..1	Reference(SEMD PractitionerRole (Роль медицинского работника СЭМД))	Запрашивающий
performer	SΣ	0..*	Reference(SEMD PractitionerRole (Роль медицинского работника СЭМД))	Исполнитель
insurance	S	0..*	Reference(SEMD Coverage (Страховое покрытие СЭМД))	Страховое покрытие
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ServiceRequest.identifier:misReferralId.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
ServiceRequest.identifier:misReferralId.type	extensible	Pattern Value: MR http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|5.0.0 From the FHIR Standard
ServiceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent|5.0.0 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
bdystr-1	error	ServiceRequest	bodyStructure SHALL only be present if bodySite is not present : bodySite.exists() implies bodyStructure.empty()
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ServiceRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
prr-1	error	ServiceRequest	orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists()

This structure is derived from Core_ServiceRequest

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest			Core_ServiceRequest
Slices for identifier		0..*	Identifier	Identifiers assigned to this order Slice: Unordered, Open by value:system
identifier:misReferralId		0..1	Identifier	Номер документа направления в МИС
type		1..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
system		1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.ru/ig/semd/systems/mis-referral
subject	S	1..1	Reference(Пациент)	Пациент
encounter	S	0..1	Reference(SEMD Encounter (Случай оказания медицинской помощи СЭМД))	Случай оказания медицинской помощи
requester	S	0..1	Reference(SEMD PractitionerRole (Роль медицинского работника СЭМД))	Запрашивающий
performer	S	0..*	Reference(SEMD PractitionerRole (Роль медицинского работника СЭМД))	Исполнитель
insurance	S	0..*	Reference(SEMD Coverage (Страховое покрытие СЭМД))	Страховое покрытие
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	Core_ServiceRequest	A request for a service to be performed Constraints: bdystr-1, prr-1
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	Identifiers assigned to this order Slice: Unordered, Open by value:system
identifier:misReferralId	Σ	0..1	Identifier	Номер документа направления в МИС
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.ru/ig/semd/systems/mis-referral
value	ΣC	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
instantiatesCanonical	Σ	0..*	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest | MedicationRequest)	What request fulfills
replaces	Σ	0..*	Reference(ServiceRequest)	What request replaces
requisition	Σ	0..1	Identifier	Composite Request ID
status	?!Σ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent	?!Σ	1..1	code	proposal | plan | directive | order + Binding: RequestIntent (required): The kind of service request.
category	Σ	0..*	CodeableConcept	Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	ΣC	0..1	CodeableReference(ActivityDefinition | PlanDefinition)	​What is being requested/ordered Binding: ProcedureCodesSNOMEDCT (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred and a valueset using LOINC Order codes is available here.
orderDetail	ΣC	0..*	BackboneElement	Additional order information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
parameterFocus		0..1	CodeableReference(Device | DeviceDefinition | DeviceRequest | SupplyRequest | Medication | MedicationRequest | BiologicallyDerivedProduct | Substance)	The context of the order details by reference
parameter	Σ	1..*	BackboneElement	The parameter details for the service being requested
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	The detail of the order being requested Binding: ServiceRequestOrderDetailParameterCode (example): Codes for order detail parameters.
value[x]	Σ	1..1		The value for the order detail
valueQuantity			Quantity
valueRatio			Ratio
valueRange			Range
valueBoolean			boolean
valueCodeableConcept			CodeableConcept
valueString			string
valuePeriod			Period
quantity[x]	Σ	0..1		Service amount
quantityQuantity			Quantity
quantityRatio			Ratio
quantityRange			Range
subject	SΣ	1..1	Reference(Пациент)	Пациент
focus	Σ	0..*	Reference(Resource)	What the service request is about, when it is not about the subject of record
encounter	SΣ	0..1	Reference(SEMD Encounter (Случай оказания медицинской помощи СЭМД))	Случай оказания медицинской помощи
occurrence[x]	Σ	0..1		When service should occur
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
asNeeded[x]	Σ	0..1		Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
authoredOn	Σ	0..1	dateTime	Date request signed
requester	SΣ	0..1	Reference(SEMD PractitionerRole (Роль медицинского работника СЭМД))	Запрашивающий
performerType	Σ	0..1	CodeableConcept	Performer role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
performer	SΣ	0..*	Reference(SEMD PractitionerRole (Роль медицинского работника СЭМД))	Исполнитель
location	Σ	0..*	CodeableReference(Location)	Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
reason	Σ	0..*	CodeableReference(Condition | Observation | DiagnosticReport | DocumentReference | DetectedIssue)	Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): SNOMED CT Condition/Problem/Diagnosis Codes
insurance	S	0..*	Reference(SEMD Coverage (Страховое покрытие СЭМД))	Страховое покрытие
supportingInfo		0..*	CodeableReference(Resource)	Additional clinical information
specimen	Σ	0..*	Reference(Specimen)	Procedure Samples
bodySite	ΣC	0..*	CodeableConcept	Coded location on Body Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
bodyStructure	ΣC	0..1	Reference(BodyStructure)	BodyStructure-based location on the body
note		0..*	Annotation	Comments
patientInstruction		0..*	BackboneElement	Patient or consumer-oriented instructions
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
instruction[x]	Σ	0..1		Patient or consumer-oriented instructions
instructionMarkdown			markdown
instructionReference			Reference(DocumentReference)
relevantHistory		0..*	Reference(Provenance)	Request provenance
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ServiceRequest.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 From the FHIR Standard
ServiceRequest.identifier:misReferralId.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
ServiceRequest.identifier:misReferralId.type	extensible	Pattern Value: MR http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|5.0.0 From the FHIR Standard
ServiceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent|5.0.0 From the FHIR Standard
ServiceRequest.category	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category From the FHIR Standard
ServiceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|5.0.0 From the FHIR Standard
ServiceRequest.code	example	ProcedureCodesSNOMEDCT http://hl7.org/fhir/ValueSet/procedure-code From the FHIR Standard
ServiceRequest.orderDetail.parameter.code	example	ServiceRequestOrderDetailParameterCode http://hl7.org/fhir/ValueSet/servicerequest-orderdetail-parameter-code From the FHIR Standard
ServiceRequest.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason From the FHIR Standard
ServiceRequest.performerType	example	ParticipantRoles http://hl7.org/fhir/ValueSet/participant-role From the FHIR Standard
ServiceRequest.location	example	ServiceDeliveryLocationRoleType http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reason	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason From the FHIR Standard
ServiceRequest.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
bdystr-1	error	ServiceRequest	bodyStructure SHALL only be present if bodySite is not present : bodySite.exists() implies bodyStructure.empty()
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ServiceRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
prr-1	error	ServiceRequest	orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists()

This structure is derived from Core_ServiceRequest

Summary

Mandatory: 0 element(2 nested mandatory elements)
Must-Support: 5 elements

Structures

This structure refers to these other structures:

• Пациент (https://fhir.ru/ig/semd/StructureDefinition/semd-patient)
• SEMD Encounter (Случай оказания медицинской помощи СЭМД) (https://fhir.ru/ig/semd/StructureDefinition/semd-encounter)
• SEMD PractitionerRole (Роль медицинского работника СЭМД) (https://fhir.ru/ig/semd/StructureDefinition/semd-practitionerrole)
• SEMD Coverage (Страховое покрытие СЭМД) (https://fhir.ru/ig/semd/StructureDefinition/semd-coverage)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of ServiceRequest.identifier

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	Core_ServiceRequest	A request for a service to be performed Constraints: bdystr-1, prr-1
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	Identifiers assigned to this order Slice: Unordered, Open by value:system
identifier:misReferralId	Σ	0..1	Identifier	Номер документа направления в МИС
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.ru/ig/semd/systems/mis-referral
status	?!Σ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent	?!Σ	1..1	code	proposal | plan | directive | order + Binding: RequestIntent (required): The kind of service request.
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
subject	SΣ	1..1	Reference(Пациент)	Пациент
encounter	SΣ	0..1	Reference(SEMD Encounter (Случай оказания медицинской помощи СЭМД))	Случай оказания медицинской помощи
requester	SΣ	0..1	Reference(SEMD PractitionerRole (Роль медицинского работника СЭМД))	Запрашивающий
performer	SΣ	0..*	Reference(SEMD PractitionerRole (Роль медицинского работника СЭМД))	Исполнитель
insurance	S	0..*	Reference(SEMD Coverage (Страховое покрытие СЭМД))	Страховое покрытие
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ServiceRequest.identifier:misReferralId.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
ServiceRequest.identifier:misReferralId.type	extensible	Pattern Value: MR http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|5.0.0 From the FHIR Standard
ServiceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent|5.0.0 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
bdystr-1	error	ServiceRequest	bodyStructure SHALL only be present if bodySite is not present : bodySite.exists() implies bodyStructure.empty()
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ServiceRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
prr-1	error	ServiceRequest	orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists()

Differential View

This structure is derived from Core_ServiceRequest

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest			Core_ServiceRequest
Slices for identifier		0..*	Identifier	Identifiers assigned to this order Slice: Unordered, Open by value:system
identifier:misReferralId		0..1	Identifier	Номер документа направления в МИС
type		1..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
system		1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.ru/ig/semd/systems/mis-referral
subject	S	1..1	Reference(Пациент)	Пациент
encounter	S	0..1	Reference(SEMD Encounter (Случай оказания медицинской помощи СЭМД))	Случай оказания медицинской помощи
requester	S	0..1	Reference(SEMD PractitionerRole (Роль медицинского работника СЭМД))	Запрашивающий
performer	S	0..*	Reference(SEMD PractitionerRole (Роль медицинского работника СЭМД))	Исполнитель
insurance	S	0..*	Reference(SEMD Coverage (Страховое покрытие СЭМД))	Страховое покрытие
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	Core_ServiceRequest	A request for a service to be performed Constraints: bdystr-1, prr-1
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	Identifiers assigned to this order Slice: Unordered, Open by value:system
identifier:misReferralId	Σ	0..1	Identifier	Номер документа направления в МИС
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.ru/ig/semd/systems/mis-referral
value	ΣC	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
instantiatesCanonical	Σ	0..*	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest | MedicationRequest)	What request fulfills
replaces	Σ	0..*	Reference(ServiceRequest)	What request replaces
requisition	Σ	0..1	Identifier	Composite Request ID
status	?!Σ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent	?!Σ	1..1	code	proposal | plan | directive | order + Binding: RequestIntent (required): The kind of service request.
category	Σ	0..*	CodeableConcept	Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	ΣC	0..1	CodeableReference(ActivityDefinition | PlanDefinition)	​What is being requested/ordered Binding: ProcedureCodesSNOMEDCT (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred and a valueset using LOINC Order codes is available here.
orderDetail	ΣC	0..*	BackboneElement	Additional order information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
parameterFocus		0..1	CodeableReference(Device | DeviceDefinition | DeviceRequest | SupplyRequest | Medication | MedicationRequest | BiologicallyDerivedProduct | Substance)	The context of the order details by reference
parameter	Σ	1..*	BackboneElement	The parameter details for the service being requested
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	The detail of the order being requested Binding: ServiceRequestOrderDetailParameterCode (example): Codes for order detail parameters.
value[x]	Σ	1..1		The value for the order detail
valueQuantity			Quantity
valueRatio			Ratio
valueRange			Range
valueBoolean			boolean
valueCodeableConcept			CodeableConcept
valueString			string
valuePeriod			Period
quantity[x]	Σ	0..1		Service amount
quantityQuantity			Quantity
quantityRatio			Ratio
quantityRange			Range
subject	SΣ	1..1	Reference(Пациент)	Пациент
focus	Σ	0..*	Reference(Resource)	What the service request is about, when it is not about the subject of record
encounter	SΣ	0..1	Reference(SEMD Encounter (Случай оказания медицинской помощи СЭМД))	Случай оказания медицинской помощи
occurrence[x]	Σ	0..1		When service should occur
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
asNeeded[x]	Σ	0..1		Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
authoredOn	Σ	0..1	dateTime	Date request signed
requester	SΣ	0..1	Reference(SEMD PractitionerRole (Роль медицинского работника СЭМД))	Запрашивающий
performerType	Σ	0..1	CodeableConcept	Performer role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
performer	SΣ	0..*	Reference(SEMD PractitionerRole (Роль медицинского работника СЭМД))	Исполнитель
location	Σ	0..*	CodeableReference(Location)	Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
reason	Σ	0..*	CodeableReference(Condition | Observation | DiagnosticReport | DocumentReference | DetectedIssue)	Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): SNOMED CT Condition/Problem/Diagnosis Codes
insurance	S	0..*	Reference(SEMD Coverage (Страховое покрытие СЭМД))	Страховое покрытие
supportingInfo		0..*	CodeableReference(Resource)	Additional clinical information
specimen	Σ	0..*	Reference(Specimen)	Procedure Samples
bodySite	ΣC	0..*	CodeableConcept	Coded location on Body Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
bodyStructure	ΣC	0..1	Reference(BodyStructure)	BodyStructure-based location on the body
note		0..*	Annotation	Comments
patientInstruction		0..*	BackboneElement	Patient or consumer-oriented instructions
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
instruction[x]	Σ	0..1		Patient or consumer-oriented instructions
instructionMarkdown			markdown
instructionReference			Reference(DocumentReference)
relevantHistory		0..*	Reference(Provenance)	Request provenance
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ServiceRequest.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 From the FHIR Standard
ServiceRequest.identifier:misReferralId.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
ServiceRequest.identifier:misReferralId.type	extensible	Pattern Value: MR http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|5.0.0 From the FHIR Standard
ServiceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent|5.0.0 From the FHIR Standard
ServiceRequest.category	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category From the FHIR Standard
ServiceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|5.0.0 From the FHIR Standard
ServiceRequest.code	example	ProcedureCodesSNOMEDCT http://hl7.org/fhir/ValueSet/procedure-code From the FHIR Standard
ServiceRequest.orderDetail.parameter.code	example	ServiceRequestOrderDetailParameterCode http://hl7.org/fhir/ValueSet/servicerequest-orderdetail-parameter-code From the FHIR Standard
ServiceRequest.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason From the FHIR Standard
ServiceRequest.performerType	example	ParticipantRoles http://hl7.org/fhir/ValueSet/participant-role From the FHIR Standard
ServiceRequest.location	example	ServiceDeliveryLocationRoleType http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reason	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason From the FHIR Standard
ServiceRequest.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
bdystr-1	error	ServiceRequest	bodyStructure SHALL only be present if bodySite is not present : bodySite.exists() implies bodyStructure.empty()
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ServiceRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
prr-1	error	ServiceRequest	orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists()

This structure is derived from Core_ServiceRequest

Summary

Mandatory: 0 element(2 nested mandatory elements)
Must-Support: 5 elements

Structures

This structure refers to these other structures:

• Пациент (https://fhir.ru/ig/semd/StructureDefinition/semd-patient)
• SEMD Encounter (Случай оказания медицинской помощи СЭМД) (https://fhir.ru/ig/semd/StructureDefinition/semd-encounter)
• SEMD PractitionerRole (Роль медицинского работника СЭМД) (https://fhir.ru/ig/semd/StructureDefinition/semd-practitionerrole)
• SEMD Coverage (Страховое покрытие СЭМД) (https://fhir.ru/ig/semd/StructureDefinition/semd-coverage)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of ServiceRequest.identifier

Other representations of profile: CSV, Excel, Schematron