Introduction

ServiceRequest is a record of a request for a procedure to be planned, proposed, or performed with or on a patient. Examples of procedures include diagnostic tests/studies, endoscopic procedures, counseling, biopsies, therapies (e.g., physio-, social-, psychological-), (exploratory) surgeries or procedures, exercises, and other clinical interventions. Procedures may be performed by a healthcare professional, a friend or relative or in some cases by the patient themselves.

Scope and Usage

In scope of the eHealth infrastructure ServiceRequests are used with CarePlans to express actual measurement activities to be performed by a Patient in the context of a CarePlan.

The eHealth profile of ServiceRequest has the following extensions:

• ehealth-reuseCriteria which defines whether resource(s) resulting from conducting the activity, typically measurements or answering of Questionnaire may be reused and if so with which criteria. These are copied from the ActivityDefinition referenced in definition and can subsequently be adjusted to suit the particular Patient context
• ehealth-referenceRange can contain one or more reference ranges against which values in measurements (resource(s) resulting from conducting the activity) can be compared. These are copied from the ActivityDefinition referenced in definition and can subsequently be adjusted to suit the particular Patient context
• ehealth-sharingPolicy sets a stance on whether publication to national document sharing of the measurements (resource(s) resulting from conducting the activity) shall be allowed or not. The value is copied from the ActivityDefinition referenced in definition and can subsequently be adjusted to suit the particular Patient context.
• ehealth-sharingApprovalPolicy Selects whether the approval of publication to national document sharing of measurements (resource(s) resulting from conducting the activity) must be done manually or if it is done automatically. The initial value will be inherited from the ActivityDefinition referenced in definition, but can subsequently be adapted for the particular Patient by adjusting the ServiceRequest.
• ehealth-servicerequest-statusHistory contains history of changes in status, and is automatically maintained by the infrastructure.
• ehealth-servicerequest-statusSchedule contains a list of scheduled changes in status. The infrastructure applies these changes automatically, and will remove the entry for the change once it has been applied.

Occurrence validity

The occurrence[x] field becomes both mandatory and must be valid when a ServiceRequest is marked as active, on-hold, or completed, as specified by status or ehealth-servicerequest-statusSchedule. This validation applies when updating either the CarePlan (if status or ehealth-careplan-statusSchedule is active) or the ServiceRequest.

The validity depends on the variant of occurrence[x] as follows:

• occurrenceDateTime: Shall contain a date-time with at least hours and minutes (and hence timezone).
• occurrencePeriod: Shall contain at least a Period.start containing a date-time with at least hours and minutes (and hence timezone).
• occurrenceTiming: Shall either be ad-hoc or recurring as follows:
  • occurrenceTiming ad-hoc: the elements of Timing.repeat shall adhere to:
    • boundsPeriod: shall be specified and shall contain at least start containing a date-time with at least hours and minutes (and hence timezone). If present, end shall contain a date-time with at least hours and minutes (and hence timezone) which shall be equal to or after start.
    • frequency: optional
    • count: is optional, required when countMax is not empty
    • countMax: is optional
    • duration: optional, required when durationUnit is specified, and it must be pos-integer
    • durationUnit: required when duration is specified. Shall be one of s, min, h, d, wk, a.
  • occurrenceTiming recurring: the elements of Timing.repeat shall adhere to:
    • boundsPeriod: shall be specified and shall contain at least start containing a date-time with at least hours and minutes (and hence timezone). If present, end shall contain a date-time with at least hours and minutes (and hence timezone) which shall be equal to or after start.
    • frequency: shall be specified
    • dayOfWeek: optional. When one or more values specified, period and periodUnit shall specify either no value (being empty), 1 d (one day), pos-integer wk (week).
    • timeOfDay: optional. When one or more values specified, period and periodUnit shall specify either no value (being empty), pos-integer d (day), pos-integer wk (week), pos-integer mo (month), or pos-integer a (year).
    • duration: optional, required when durationUnit is specified, and it must be pos-integer
    • durationUnit: required when duration is specified. Shall be one of s, min, h, d, wk, a.
    • period: optional, required when dayOfWeek is missing, and it must be pos-integer. When empty, it corresponds to occurrence every one day (every day).
    • periodUnit: required when period is not empty. Shall be one of min, h, d, wk, mo, a.
    • Note: For recurring occurrenceTiming, either dayOfWeek or period must be assigned to clearly differentiate it from ad-hoc timing.

  See the wiki for examples.

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

This structure is derived from ServiceRequest

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest			ServiceRequest
Slices for extension		3..*	Extension	Extension Slice: Unordered, Open by value:url
episodeOfCare		1..1	Reference(EpisodeOfCare)	Associated Encounter episode of care URL: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare
referenceRange		0..*	(Complex)	Provides guide for interpretation. URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-referenceRange
sharingPolicy		1..1	CodeableConcept	Policy for sharing a resource with national data banks URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-sharingPolicy Binding: Measurement Sharing Policies (required)
sharingApprovalPolicy		0..1	CodeableConcept	Policy for approval of sharing a resource with national data banks URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-sharingApprovalPolicy Binding: Sharing Approval Policies (required)
reuseCriteria		0..1	(Complex)	Criteria to be met for reuse of responses to be allowed URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-reuseCriteria
triggerEnablementCode		0..1	code	Enablement of reaction to triggering conditions being met. URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-trigger-enablement-code Binding: Trigger Enablement Code (required)
statusHistory		0..*	(Complex)	ServiceRequest status history URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-servicerequest-statusHistory
statusSchedule		0..*	(Complex)	ServiceRequest status schedule URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-servicerequest-statusSchedule
includeAsExtra		1..1	boolean	Used to mark that the action/service request may be performed as extra, meaning the action/service request may also be performed outside the resolved timing slots. URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-include-as-extra
instantiatesCanonical		1..1	canonical(ehealth-activitydefinition)	Instantiates FHIR protocol or definition
basedOn		0..0
replaces		0..0
code		0..1	CodeableConcept	What is being requested/ordered Binding: Activity Definition Code (required)
subject		1..1	Reference(ehealth-patient) {r}	Individual or Entity the service is ordered for
performer		0..*	Reference(ehealth-practitioner | ehealth-organization | ehealth-patient | ehealth-device | ehealth-relatedperson | ehealth-careteam | HealthcareService) {r}	Requested performer
reasonReference		0..*	Reference(ehealth-condition | ehealth-observation) {r}	Explanation/Justification for service or service
note
Slices for author[x]		0..1	Reference(Practitioner | Patient | RelatedPerson | Organization), string	Individual responsible for the annotation Slice: Unordered, Open by type:$this
author[x]:authorReference		0..1	Reference(ehealth-practitioner | ehealth-patient | ehealth-relatedperson)	Individual responsible for the annotation
author[x]:authorString		0..1	string	Individual responsible for the annotation
relevantHistory		0..*	Reference(ehealth-provenance) {r}	Request provenance
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ServiceRequest.code	required	ActivityDefinitionCode http://ehealth.sundhed.dk/vs/activitydefinition-code from this IG

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management prr-1: orderDetail SHALL only be present if code is present
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension		3..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
episodeOfCare		1..1	Reference(EpisodeOfCare)	Associated Encounter episode of care URL: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
referenceRange		0..*	(Complex)	Provides guide for interpretation. URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-referenceRange ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
sharingPolicy		1..1	CodeableConcept	Policy for sharing a resource with national data banks URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-sharingPolicy Binding: Measurement Sharing Policies (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
sharingApprovalPolicy		0..1	CodeableConcept	Policy for approval of sharing a resource with national data banks URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-sharingApprovalPolicy Binding: Sharing Approval Policies (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
reuseCriteria		0..1	(Complex)	Criteria to be met for reuse of responses to be allowed URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-reuseCriteria ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
triggerEnablementCode		0..1	code	Enablement of reaction to triggering conditions being met. URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-trigger-enablement-code Binding: Trigger Enablement Code (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
statusHistory		0..*	(Complex)	ServiceRequest status history URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-servicerequest-statusHistory ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
statusSchedule		0..*	(Complex)	ServiceRequest status schedule URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-servicerequest-statusSchedule ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
includeAsExtra		1..1	boolean	Used to mark that the action/service request may be performed as extra, meaning the action/service request may also be performed outside the resolved timing slots. URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-include-as-extra ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
instantiatesCanonical	Σ	1..1	canonical(ehealth-activitydefinition)	Instantiates FHIR protocol or definition ele-1: All FHIR elements must have a @value or children
status	?!Σ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. ele-1: All FHIR elements must have a @value or children
intent	?!Σ	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. ele-1: All FHIR elements must have a @value or children
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed ele-1: All FHIR elements must have a @value or children
code	Σ	0..1	CodeableConcept	What is being requested/ordered Binding: Activity Definition Code (required) ele-1: All FHIR elements must have a @value or children
subject	Σ	1..1	Reference(ehealth-patient) {r}	Individual or Entity the service is ordered for ele-1: All FHIR elements must have a @value or children
performer	Σ	0..*	Reference(ehealth-practitioner | ehealth-organization | ehealth-patient | ehealth-device | ehealth-relatedperson | ehealth-careteam | HealthcareService) {r}	Requested performer ele-1: All FHIR elements must have a @value or children
reasonReference	Σ	0..*	Reference(ehealth-condition | ehealth-observation) {r}	Explanation/Justification for service or service ele-1: All FHIR elements must have a @value or children
relevantHistory		0..*	Reference(ehealth-provenance) {r}	Request provenance ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
ServiceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent|4.0.1 from the FHIR Standard
ServiceRequest.code	required	ActivityDefinitionCode http://ehealth.sundhed.dk/vs/activitydefinition-code from this IG

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed prr-1: orderDetail SHALL only be present if code is present
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		3..*	Extension	Extension Slice: Unordered, Open by value:url
episodeOfCare		1..1	Reference(EpisodeOfCare)	Associated Encounter episode of care URL: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare
referenceRange		0..*	(Complex)	Provides guide for interpretation. URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-referenceRange
sharingPolicy		1..1	CodeableConcept	Policy for sharing a resource with national data banks URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-sharingPolicy Binding: Measurement Sharing Policies (required)
sharingApprovalPolicy		0..1	CodeableConcept	Policy for approval of sharing a resource with national data banks URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-sharingApprovalPolicy Binding: Sharing Approval Policies (required)
reuseCriteria		0..1	(Complex)	Criteria to be met for reuse of responses to be allowed URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-reuseCriteria
triggerEnablementCode		0..1	code	Enablement of reaction to triggering conditions being met. URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-trigger-enablement-code Binding: Trigger Enablement Code (required)
statusHistory		0..*	(Complex)	ServiceRequest status history URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-servicerequest-statusHistory
statusSchedule		0..*	(Complex)	ServiceRequest status schedule URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-servicerequest-statusSchedule
includeAsExtra		1..1	boolean	Used to mark that the action/service request may be performed as extra, meaning the action/service request may also be performed outside the resolved timing slots. URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-include-as-extra
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifiers assigned to this order
instantiatesCanonical	Σ	1..1	canonical(ehealth-activitydefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
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 | original-order | reflex-order | filler-order | instance-order | option 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	Σ	0..1	CodeableConcept	What is being requested/ordered Binding: Activity Definition Code (required)
orderDetail	ΣC	0..*	CodeableConcept	Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
quantity[x]	Σ	0..1		Service amount
quantityQuantity			Quantity
quantityRatio			Ratio
quantityRange			Range
subject	Σ	1..1	Reference(ehealth-patient) {r}	Individual or Entity the service is ordered for
encounter	Σ	0..1	Reference(Encounter)	Encounter in which the request was created
occurrence[x]	Σ	0..1		When service should occur
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
asNeeded[x]	Σ	0..1		Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
authoredOn	Σ	0..1	dateTime	Date request signed
requester	Σ	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Who/what is requesting service
performerType	Σ	0..1	CodeableConcept	Performer role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
performer	Σ	0..*	Reference(ehealth-practitioner | ehealth-organization | ehealth-patient | ehealth-device | ehealth-relatedperson | ehealth-careteam | HealthcareService) {r}	Requested performer
locationCode	Σ	0..*	CodeableConcept	Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
locationReference	Σ	0..*	Reference(Location)	Requested location
reasonCode	Σ	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
reasonReference	Σ	0..*	Reference(ehealth-condition | ehealth-observation) {r}	Explanation/Justification for service or service
insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
supportingInfo		0..*	Reference(Resource)	Additional clinical information
specimen	Σ	0..*	Reference(Specimen)	Procedure Samples
bodySite	Σ	0..*	CodeableConcept	Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
note		0..*	Annotation	Comments
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for author[x]	Σ	0..1		Individual responsible for the annotation Slice: Unordered, Closed by type:$this
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
author[x]:authorReference	Σ	0..1	Reference(ehealth-practitioner | ehealth-patient | ehealth-relatedperson)	Individual responsible for the annotation
author[x]:authorString	Σ	0..1	string	Individual responsible for the annotation
time	Σ	0..1	dateTime	When the annotation was made
text	Σ	1..1	markdown	The annotation - text content (as markdown)
patientInstruction	Σ	0..1	string	Patient or consumer-oriented instructions
relevantHistory		0..*	Reference(ehealth-provenance) {r}	Request provenance
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ServiceRequest.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
ServiceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent|4.0.1 from the FHIR Standard
ServiceRequest.category	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category from the FHIR Standard
ServiceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
ServiceRequest.code	required	ActivityDefinitionCode http://ehealth.sundhed.dk/vs/activitydefinition-code from this IG
ServiceRequest.orderDetail	example	ServiceRequestOrderDetailsCodes http://hl7.org/fhir/ValueSet/servicerequest-orderdetail from the FHIR Standard
ServiceRequest.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
ServiceRequest.performerType	example	ParticipantRoles http://hl7.org/fhir/ValueSet/participant-role from the FHIR Standard
ServiceRequest.locationCode	example	ServiceDeliveryLocationRoleType http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reasonCode	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

Differential View

This structure is derived from ServiceRequest

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest			ServiceRequest
Slices for extension		3..*	Extension	Extension Slice: Unordered, Open by value:url
episodeOfCare		1..1	Reference(EpisodeOfCare)	Associated Encounter episode of care URL: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare
referenceRange		0..*	(Complex)	Provides guide for interpretation. URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-referenceRange
sharingPolicy		1..1	CodeableConcept	Policy for sharing a resource with national data banks URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-sharingPolicy Binding: Measurement Sharing Policies (required)
sharingApprovalPolicy		0..1	CodeableConcept	Policy for approval of sharing a resource with national data banks URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-sharingApprovalPolicy Binding: Sharing Approval Policies (required)
reuseCriteria		0..1	(Complex)	Criteria to be met for reuse of responses to be allowed URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-reuseCriteria
triggerEnablementCode		0..1	code	Enablement of reaction to triggering conditions being met. URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-trigger-enablement-code Binding: Trigger Enablement Code (required)
statusHistory		0..*	(Complex)	ServiceRequest status history URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-servicerequest-statusHistory
statusSchedule		0..*	(Complex)	ServiceRequest status schedule URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-servicerequest-statusSchedule
includeAsExtra		1..1	boolean	Used to mark that the action/service request may be performed as extra, meaning the action/service request may also be performed outside the resolved timing slots. URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-include-as-extra
instantiatesCanonical		1..1	canonical(ehealth-activitydefinition)	Instantiates FHIR protocol or definition
basedOn		0..0
replaces		0..0
code		0..1	CodeableConcept	What is being requested/ordered Binding: Activity Definition Code (required)
subject		1..1	Reference(ehealth-patient) {r}	Individual or Entity the service is ordered for
performer		0..*	Reference(ehealth-practitioner | ehealth-organization | ehealth-patient | ehealth-device | ehealth-relatedperson | ehealth-careteam | HealthcareService) {r}	Requested performer
reasonReference		0..*	Reference(ehealth-condition | ehealth-observation) {r}	Explanation/Justification for service or service
note
Slices for author[x]		0..1	Reference(Practitioner | Patient | RelatedPerson | Organization), string	Individual responsible for the annotation Slice: Unordered, Open by type:$this
author[x]:authorReference		0..1	Reference(ehealth-practitioner | ehealth-patient | ehealth-relatedperson)	Individual responsible for the annotation
author[x]:authorString		0..1	string	Individual responsible for the annotation
relevantHistory		0..*	Reference(ehealth-provenance) {r}	Request provenance
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ServiceRequest.code	required	ActivityDefinitionCode http://ehealth.sundhed.dk/vs/activitydefinition-code from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management prr-1: orderDetail SHALL only be present if code is present
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension		3..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
episodeOfCare		1..1	Reference(EpisodeOfCare)	Associated Encounter episode of care URL: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
referenceRange		0..*	(Complex)	Provides guide for interpretation. URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-referenceRange ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
sharingPolicy		1..1	CodeableConcept	Policy for sharing a resource with national data banks URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-sharingPolicy Binding: Measurement Sharing Policies (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
sharingApprovalPolicy		0..1	CodeableConcept	Policy for approval of sharing a resource with national data banks URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-sharingApprovalPolicy Binding: Sharing Approval Policies (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
reuseCriteria		0..1	(Complex)	Criteria to be met for reuse of responses to be allowed URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-reuseCriteria ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
triggerEnablementCode		0..1	code	Enablement of reaction to triggering conditions being met. URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-trigger-enablement-code Binding: Trigger Enablement Code (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
statusHistory		0..*	(Complex)	ServiceRequest status history URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-servicerequest-statusHistory ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
statusSchedule		0..*	(Complex)	ServiceRequest status schedule URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-servicerequest-statusSchedule ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
includeAsExtra		1..1	boolean	Used to mark that the action/service request may be performed as extra, meaning the action/service request may also be performed outside the resolved timing slots. URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-include-as-extra ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
instantiatesCanonical	Σ	1..1	canonical(ehealth-activitydefinition)	Instantiates FHIR protocol or definition ele-1: All FHIR elements must have a @value or children
status	?!Σ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. ele-1: All FHIR elements must have a @value or children
intent	?!Σ	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. ele-1: All FHIR elements must have a @value or children
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed ele-1: All FHIR elements must have a @value or children
code	Σ	0..1	CodeableConcept	What is being requested/ordered Binding: Activity Definition Code (required) ele-1: All FHIR elements must have a @value or children
subject	Σ	1..1	Reference(ehealth-patient) {r}	Individual or Entity the service is ordered for ele-1: All FHIR elements must have a @value or children
performer	Σ	0..*	Reference(ehealth-practitioner | ehealth-organization | ehealth-patient | ehealth-device | ehealth-relatedperson | ehealth-careteam | HealthcareService) {r}	Requested performer ele-1: All FHIR elements must have a @value or children
reasonReference	Σ	0..*	Reference(ehealth-condition | ehealth-observation) {r}	Explanation/Justification for service or service ele-1: All FHIR elements must have a @value or children
relevantHistory		0..*	Reference(ehealth-provenance) {r}	Request provenance ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
ServiceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent|4.0.1 from the FHIR Standard
ServiceRequest.code	required	ActivityDefinitionCode http://ehealth.sundhed.dk/vs/activitydefinition-code from this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed prr-1: orderDetail SHALL only be present if code is present
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		3..*	Extension	Extension Slice: Unordered, Open by value:url
episodeOfCare		1..1	Reference(EpisodeOfCare)	Associated Encounter episode of care URL: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare
referenceRange		0..*	(Complex)	Provides guide for interpretation. URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-referenceRange
sharingPolicy		1..1	CodeableConcept	Policy for sharing a resource with national data banks URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-sharingPolicy Binding: Measurement Sharing Policies (required)
sharingApprovalPolicy		0..1	CodeableConcept	Policy for approval of sharing a resource with national data banks URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-sharingApprovalPolicy Binding: Sharing Approval Policies (required)
reuseCriteria		0..1	(Complex)	Criteria to be met for reuse of responses to be allowed URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-reuseCriteria
triggerEnablementCode		0..1	code	Enablement of reaction to triggering conditions being met. URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-trigger-enablement-code Binding: Trigger Enablement Code (required)
statusHistory		0..*	(Complex)	ServiceRequest status history URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-servicerequest-statusHistory
statusSchedule		0..*	(Complex)	ServiceRequest status schedule URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-servicerequest-statusSchedule
includeAsExtra		1..1	boolean	Used to mark that the action/service request may be performed as extra, meaning the action/service request may also be performed outside the resolved timing slots. URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-include-as-extra
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifiers assigned to this order
instantiatesCanonical	Σ	1..1	canonical(ehealth-activitydefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
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 | original-order | reflex-order | filler-order | instance-order | option 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	Σ	0..1	CodeableConcept	What is being requested/ordered Binding: Activity Definition Code (required)
orderDetail	ΣC	0..*	CodeableConcept	Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
quantity[x]	Σ	0..1		Service amount
quantityQuantity			Quantity
quantityRatio			Ratio
quantityRange			Range
subject	Σ	1..1	Reference(ehealth-patient) {r}	Individual or Entity the service is ordered for
encounter	Σ	0..1	Reference(Encounter)	Encounter in which the request was created
occurrence[x]	Σ	0..1		When service should occur
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
asNeeded[x]	Σ	0..1		Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
authoredOn	Σ	0..1	dateTime	Date request signed
requester	Σ	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Who/what is requesting service
performerType	Σ	0..1	CodeableConcept	Performer role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
performer	Σ	0..*	Reference(ehealth-practitioner | ehealth-organization | ehealth-patient | ehealth-device | ehealth-relatedperson | ehealth-careteam | HealthcareService) {r}	Requested performer
locationCode	Σ	0..*	CodeableConcept	Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
locationReference	Σ	0..*	Reference(Location)	Requested location
reasonCode	Σ	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
reasonReference	Σ	0..*	Reference(ehealth-condition | ehealth-observation) {r}	Explanation/Justification for service or service
insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
supportingInfo		0..*	Reference(Resource)	Additional clinical information
specimen	Σ	0..*	Reference(Specimen)	Procedure Samples
bodySite	Σ	0..*	CodeableConcept	Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
note		0..*	Annotation	Comments
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for author[x]	Σ	0..1		Individual responsible for the annotation Slice: Unordered, Closed by type:$this
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
author[x]:authorReference	Σ	0..1	Reference(ehealth-practitioner | ehealth-patient | ehealth-relatedperson)	Individual responsible for the annotation
author[x]:authorString	Σ	0..1	string	Individual responsible for the annotation
time	Σ	0..1	dateTime	When the annotation was made
text	Σ	1..1	markdown	The annotation - text content (as markdown)
patientInstruction	Σ	0..1	string	Patient or consumer-oriented instructions
relevantHistory		0..*	Reference(ehealth-provenance) {r}	Request provenance
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ServiceRequest.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
ServiceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent|4.0.1 from the FHIR Standard
ServiceRequest.category	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category from the FHIR Standard
ServiceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
ServiceRequest.code	required	ActivityDefinitionCode http://ehealth.sundhed.dk/vs/activitydefinition-code from this IG
ServiceRequest.orderDetail	example	ServiceRequestOrderDetailsCodes http://hl7.org/fhir/ValueSet/servicerequest-orderdetail from the FHIR Standard
ServiceRequest.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
ServiceRequest.performerType	example	ParticipantRoles http://hl7.org/fhir/ValueSet/participant-role from the FHIR Standard
ServiceRequest.locationCode	example	ServiceDeliveryLocationRoleType http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reasonCode	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

This structure is derived from ServiceRequest

Summary

Mandatory: 4 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

• ehealth-activitydefinition (http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-activitydefinition)
• ehealth-patient (http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-patient)
• ehealth-practitioner (http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-practitioner)
• ehealth-organization (http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-organization)
• ehealth-device (http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-device)
• ehealth-relatedperson (http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-relatedperson)
• ehealth-careteam (http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-careteam)
• ehealth-condition (http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-condition)
• ehealth-observation (http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-observation)
• ehealth-provenance (http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-provenance)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-referenceRange
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-sharingPolicy
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-sharingApprovalPolicy
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-reuseCriteria
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-trigger-enablement-code
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-servicerequest-statusHistory
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-servicerequest-statusSchedule
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-include-as-extra

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of ServiceRequest.note.author[x]