HL7 FHIR Implementation Guide Laboratory Report
0.2.0 - trial-use

HL7 FHIR Implementation Guide Laboratory Report, published by HL7 Italia. This guide is not an authorized publication; it is the continuous build for version 0.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-it/lab-report/ and changes regularly. See the Directory of published versions

## Resource Profile: ServiceRequest - Lab Report

Official URL: http://hl7.it/fhir/lab-report/StructureDefinition/servicerequest-it-lab | Version: 0.2.0
Standards status: Trial-use | Maturity Level: 1 | Computable Name: ServiceRequestRefertoLabIt

Descrizione delle informazioni della prescrizione tramite il profilo della risorsa ServiceRequest per il referto di laboratorio.

Usages:

- Use this Profile: Bundle - Lab Report
- Refer to this Profile: DiagnosticReport - Lab Report and Encounter - Lab Report
- Examples for this Profile: ServiceRequest/463ae6fe-60d4-4b38-84b3-1008e0925678

You can also check for usages in the FHIR IG Statistics

### 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..* | ServiceRequestLabEu | ServiceRequest Referto di Laboratorio Constraints: prr-1
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 1..* | Identifier | Identificativo assegnato all'ordine.
requisition | Σ | 0..1 | Identifier | Idenificativo comune a più ServiceRequest autorizzate simultaneamente. Rappresenta l'identificativo univoco della richiesta.
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 | Descrizione attributo: Indica lo scopo associato ad una richiesta. Possibili valori: proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required)
priority | Σ | 0..1 | code | Descrizione attributo: Priorità della richiesta. Possibili valori: routine | urgent | asap | stat Binding: RequestPriority (required)
doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed
code | Σ | 1..1 | CodeableConcept | What is being requested/ordered Binding: Codice Richiesta esame di Laboratorio [LOINC] (preferred)
quantity[x] | Σ | 0..1 |  | Molteplicità della prestazione.
quantityQuantity |  |  | Quantity |
quantityRatio |  |  | Ratio |
quantityRange |  |  | Range |
subject | Σ | 1..1 | Reference(Patient - Lab Report) | Soggetto cui si riferisce la richiesta.
authoredOn | Σ | 0..1 | dateTime | Data di invio della richiesta.
reasonCode | Σ | 0..* | CodeableConcept | Quesito diagnostico associato alla richiesta. Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
specimen | Σ | 0..* | Reference(Specimen - Lab Report) | Reference usata solo se il campione cui punta la richiesta è già stato prelevato ed esiste.
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.priority | Base | required | Request priority | 📦4.0.1 | FHIR Std.
ServiceRequest.code | Base | preferred | Codice Richiesta esame di Laboratorio [LOINC] | 📦0.2.0 | This IG
ServiceRequest.reasonCode | Base | example | Procedure Reason Codes | 📦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()`

This structure is derived from ServiceRequestLabEu

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest |  | 0..* | ServiceRequestLabEu | ServiceRequest Referto di Laboratorio
identifier |  | 1..* | Identifier | Identificativo assegnato all'ordine.
requisition |  | 0..1 | Identifier | Idenificativo comune a più ServiceRequest autorizzate simultaneamente. Rappresenta l'identificativo univoco della richiesta.
intent |  | 1..1 | code | Descrizione attributo: Indica lo scopo associato ad una richiesta. Possibili valori: proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required)
priority |  | 0..1 | code | Descrizione attributo: Priorità della richiesta. Possibili valori: routine | urgent | asap | stat Binding: RequestPriority (required)
code |  | 1..1 | CodeableConcept | What is being requested/ordered Binding: Codice Richiesta esame di Laboratorio [LOINC] (preferred)
quantity[x] |  | 0..1 | Quantity, Ratio, Range | Molteplicità della prestazione.
subject |  | 1..1 | Reference(Patient - Lab Report) | Soggetto cui si riferisce la richiesta.
authoredOn |  | 0..1 | dateTime | Data di invio della richiesta.
reasonCode |  | 0..* | CodeableConcept | Quesito diagnostico associato alla richiesta.
specimen |  | 0..* | Reference(Specimen - Lab Report) | Reference usata solo se il campione cui punta la richiesta è già stato prelevato ed esiste.
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
ServiceRequest.intent | Base | required | RequestIntent | 📦4.0.1 | FHIR Std.
ServiceRequest.priority | Base | required | Request priority | 📦4.0.1 | FHIR Std.
ServiceRequest.code | Base | preferred | Codice Richiesta esame di Laboratorio [LOINC] | 📦0.2.0 | This IG

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | ServiceRequestLabEu | ServiceRequest Referto di Laboratorio Constraints: 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: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
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 | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 1..* | Identifier | Identificativo assegnato all'ordine.
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 | Idenificativo comune a più ServiceRequest autorizzate simultaneamente. Rappresenta l'identificativo univoco della richiesta.
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 | Descrizione attributo: Indica lo scopo associato ad una richiesta. Possibili valori: proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required)
category | Σ | 0..* | CodeableConcept | Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
priority | Σ | 0..1 | code | Descrizione attributo: Priorità della richiesta. Possibili valori: routine | urgent | asap | stat Binding: RequestPriority (required)
doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed
code | Σ | 1..1 | CodeableConcept | What is being requested/ordered Binding: Codice Richiesta esame di Laboratorio [LOINC] (preferred)
orderDetail | Σ C | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
quantity[x] | Σ | 0..1 |  | Molteplicità della prestazione.
quantityQuantity |  |  | Quantity |
quantityRatio |  |  | Ratio |
quantityRange |  |  | Range |
subject | Σ | 1..1 | Reference(Patient - Lab Report) | Soggetto cui si riferisce la richiesta.
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 | Data di invio della richiesta.
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(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | 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 | Quesito diagnostico associato alla richiesta. Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
reasonReference | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service
insurance |  | 0..* | Reference(Coverage) | Associated insurance coverage
supportingInfo |  | 0..* | Reference(Resource) | Additional information: e.g AOEs and prior results
specimen | Σ | 0..* | Reference(Specimen - Lab Report) | Reference usata solo se il campione cui punta la richiesta è già stato prelevato ed esiste.
bodySite | Σ | 0..* | CodeableConcept | Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
note |  | 0..* | Annotation | Comments
patientInstruction | Σ | 0..1 | string | Patient or consumer-oriented instructions
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 | preferred | Codice Richiesta esame di Laboratorio [LOINC] | 📦0.2.0 | This IG
ServiceRequest.orderDetail | Base | example | Service Request Order Details Codes | 📦4.0.1 | FHIR Std.
ServiceRequest.asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📦4.0.1 | FHIR Std.
ServiceRequest.performerType | Base | example | Participant Roles | 📦4.0.1 | FHIR Std.
ServiceRequest.locationCode | Base | example | ServiceDeliveryLocationRoleType | 📦3.0.0 | THO v7.0
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()`

This structure is derived from ServiceRequestLabEu

Summary

Mandatory: 1 element

Structures

This structure refers to these other structures:

- Patient - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/patient-it-lab)
- Specimen - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/specimen-it-lab)

Maturity: 1

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | ServiceRequestLabEu | ServiceRequest Referto di Laboratorio Constraints: prr-1
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 1..* | Identifier | Identificativo assegnato all'ordine.
requisition | Σ | 0..1 | Identifier | Idenificativo comune a più ServiceRequest autorizzate simultaneamente. Rappresenta l'identificativo univoco della richiesta.
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 | Descrizione attributo: Indica lo scopo associato ad una richiesta. Possibili valori: proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required)
priority | Σ | 0..1 | code | Descrizione attributo: Priorità della richiesta. Possibili valori: routine | urgent | asap | stat Binding: RequestPriority (required)
doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed
code | Σ | 1..1 | CodeableConcept | What is being requested/ordered Binding: Codice Richiesta esame di Laboratorio [LOINC] (preferred)
quantity[x] | Σ | 0..1 |  | Molteplicità della prestazione.
quantityQuantity |  |  | Quantity |
quantityRatio |  |  | Ratio |
quantityRange |  |  | Range |
subject | Σ | 1..1 | Reference(Patient - Lab Report) | Soggetto cui si riferisce la richiesta.
authoredOn | Σ | 0..1 | dateTime | Data di invio della richiesta.
reasonCode | Σ | 0..* | CodeableConcept | Quesito diagnostico associato alla richiesta. Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
specimen | Σ | 0..* | Reference(Specimen - Lab Report) | Reference usata solo se il campione cui punta la richiesta è già stato prelevato ed esiste.
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.priority | Base | required | Request priority | 📦4.0.1 | FHIR Std.
ServiceRequest.code | Base | preferred | Codice Richiesta esame di Laboratorio [LOINC] | 📦0.2.0 | This IG
ServiceRequest.reasonCode | Base | example | Procedure Reason Codes | 📦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()`

Differential View

This structure is derived from ServiceRequestLabEu

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest |  | 0..* | ServiceRequestLabEu | ServiceRequest Referto di Laboratorio
identifier |  | 1..* | Identifier | Identificativo assegnato all'ordine.
requisition |  | 0..1 | Identifier | Idenificativo comune a più ServiceRequest autorizzate simultaneamente. Rappresenta l'identificativo univoco della richiesta.
intent |  | 1..1 | code | Descrizione attributo: Indica lo scopo associato ad una richiesta. Possibili valori: proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required)
priority |  | 0..1 | code | Descrizione attributo: Priorità della richiesta. Possibili valori: routine | urgent | asap | stat Binding: RequestPriority (required)
code |  | 1..1 | CodeableConcept | What is being requested/ordered Binding: Codice Richiesta esame di Laboratorio [LOINC] (preferred)
quantity[x] |  | 0..1 | Quantity, Ratio, Range | Molteplicità della prestazione.
subject |  | 1..1 | Reference(Patient - Lab Report) | Soggetto cui si riferisce la richiesta.
authoredOn |  | 0..1 | dateTime | Data di invio della richiesta.
reasonCode |  | 0..* | CodeableConcept | Quesito diagnostico associato alla richiesta.
specimen |  | 0..* | Reference(Specimen - Lab Report) | Reference usata solo se il campione cui punta la richiesta è già stato prelevato ed esiste.
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
ServiceRequest.intent | Base | required | RequestIntent | 📦4.0.1 | FHIR Std.
ServiceRequest.priority | Base | required | Request priority | 📦4.0.1 | FHIR Std.
ServiceRequest.code | Base | preferred | Codice Richiesta esame di Laboratorio [LOINC] | 📦0.2.0 | This IG

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | ServiceRequestLabEu | ServiceRequest Referto di Laboratorio Constraints: 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: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
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 | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 1..* | Identifier | Identificativo assegnato all'ordine.
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 | Idenificativo comune a più ServiceRequest autorizzate simultaneamente. Rappresenta l'identificativo univoco della richiesta.
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 | Descrizione attributo: Indica lo scopo associato ad una richiesta. Possibili valori: proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required)
category | Σ | 0..* | CodeableConcept | Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
priority | Σ | 0..1 | code | Descrizione attributo: Priorità della richiesta. Possibili valori: routine | urgent | asap | stat Binding: RequestPriority (required)
doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed
code | Σ | 1..1 | CodeableConcept | What is being requested/ordered Binding: Codice Richiesta esame di Laboratorio [LOINC] (preferred)
orderDetail | Σ C | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
quantity[x] | Σ | 0..1 |  | Molteplicità della prestazione.
quantityQuantity |  |  | Quantity |
quantityRatio |  |  | Ratio |
quantityRange |  |  | Range |
subject | Σ | 1..1 | Reference(Patient - Lab Report) | Soggetto cui si riferisce la richiesta.
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 | Data di invio della richiesta.
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(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | 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 | Quesito diagnostico associato alla richiesta. Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
reasonReference | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service
insurance |  | 0..* | Reference(Coverage) | Associated insurance coverage
supportingInfo |  | 0..* | Reference(Resource) | Additional information: e.g AOEs and prior results
specimen | Σ | 0..* | Reference(Specimen - Lab Report) | Reference usata solo se il campione cui punta la richiesta è già stato prelevato ed esiste.
bodySite | Σ | 0..* | CodeableConcept | Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
note |  | 0..* | Annotation | Comments
patientInstruction | Σ | 0..1 | string | Patient or consumer-oriented instructions
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 | preferred | Codice Richiesta esame di Laboratorio [LOINC] | 📦0.2.0 | This IG
ServiceRequest.orderDetail | Base | example | Service Request Order Details Codes | 📦4.0.1 | FHIR Std.
ServiceRequest.asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📦4.0.1 | FHIR Std.
ServiceRequest.performerType | Base | example | Participant Roles | 📦4.0.1 | FHIR Std.
ServiceRequest.locationCode | Base | example | ServiceDeliveryLocationRoleType | 📦3.0.0 | THO v7.0
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()`

This structure is derived from ServiceRequestLabEu

Summary

Mandatory: 1 element

Structures

This structure refers to these other structures:

- Patient - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/patient-it-lab)
- Specimen - Lab Report (http://hl7.it/fhir/lab-report/StructureDefinition/specimen-it-lab)

Maturity: 1

Other representations of profile: CSV, Excel, Schematron