CH eTOC (R4), published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 4.0.0-ballot-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7ch/ch-etoc/ and changes regularly. See the Directory of published versions

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Resource Profile: CH eTOC Service Request

Definition for the ServiceRequest resource in the context of electronic transition of care.

Usage:

• Refer to this Resource Profile: CH eTOC Composition
• Examples for this Resource Profile: ServiceRequest/ServiceRequestEtoc

Formal Views of Profile Content

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

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

This structure is derived from ChOrfServiceRequest

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest		0..*	ChOrfServiceRequest	CH eTOC Service Request
code	S	0..1	CodeableConcept	What is being requested/ordered Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred.
text	S	0..1	string	Plain text representation of the concept
reasonCode	S	0..*	CodeableConcept	Explanation/Justification for procedure or service
text	S	0..1	string	Plain text representation of the concept
reasonReference	S	0..*	Reference(CH eTOC Primary Diagnosis Condition)	Explanation/Justification for service or service (primary diagnosis)
Slices for supportingInfo	S	0..*	Reference(Resource)	Additional clinical information Slice: Unordered, Open by profile:resolve()
supportingInfo:secondarydiagnosis	S	0..*	Reference(CH eTOC Secondary Diagnosis Condition)	Additional problem / secondary diagnosis
supportingInfo:bodyHeight	S	0..1	Reference(CH eTOC Body Height Observation)	Additional clinical information
supportingInfo:bodyWeight	S	0..1	Reference(CH eTOC Body Weight Observation)	Additional clinical information
supportingInfo:pregnancy	S	0..1	Reference(CH eTOC Pregnancy Status Observation)	Additional clinical information
supportingInfo:historyofIllnesses	S	0..*	Reference(CH eTOC Past History of Illnesses Condition)	Additional clinical information
supportingInfo:historyofProcedures	S	0..*	Reference(CH eTOC Procedure)	Additional clinical information
supportingInfo:devices	S	0..*	Reference(CH eTOC Device)	Additional clinical information
supportingInfo:socialHistory	S	0..1	Reference(CH eTOC Social History Condition)	Additional clinical information
supportingInfo:functionalStatus	S	0..*	Reference(CH eTOC Functional Status Condition)	Additional clinical information
supportingInfo:medicationstatement	S	0..*	Reference(CH Core MedicationStatement)	MedicationStatement contains one medication with dosage
supportingInfo:allergiesIntolerances	S	0..*	Reference(CH eTOC Allergy Intolerance)	Additional clinical information
supportingInfo:immunizations	S	0..*	Reference(CH eTOC immunizationstatus)	Additional clinical information
supportingInfo:labresults	S	0..*	Reference(CH eTOC Lab Observation)	Additional clinical information
supportingInfo:pathologyresults	S	0..*	Reference(CH eTOC Pathology Observation)	Additional clinical information
supportingInfo:imagingresults	S	0..*	Reference(CH eTOC Radiology Observation)	Additional clinical information
supportingInfo:cardiologyresults	S	0..*	Reference(CH eTOC Cardiology Observation)	Additional clinical information
supportingInfo:attachment		0..*	Reference(Resource)	Additional clinical information
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ServiceRequest.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ChOrfServiceRequest	CH eTOC Service Request 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				Content/Rules for all slices
locationAndTime	S	0..*	Reference(CH ORF Appointment)	CH ORF Location and Time URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-locationandtime ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
requestedEncounterDetails	S	0..1	Reference(CH ORF Requested Encounter)	CH ORF Requested Encounter Details URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-requestedencounterdetails 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
Slices for identifier	SΣ	1..*	Identifier	Identifiers assigned to this order Slice: Unordered, Open by value:$this ele-1: All FHIR elements must have a @value or children
identifier:placerOrderIdentifier	SΣ	1..1	Identifier	Placer Order Identifier ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
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: PLAC
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456
identifier:fillerOrderIdentifier	SΣ	0..1	Identifier	Filler Order Identifier ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
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: FILL
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456
status	?!SΣ	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	?!SΣ	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
priority	SΣ	0..1	code	Order priority Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the 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	SΣ	0..1	CodeableConcept	What is being requested/ordered Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred. ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	Plain text representation of the concept ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(CH Core Patient)	Patient ele-1: All FHIR elements must have a @value or children
requester	SΣ	0..1	Reference(CH Core PractitionerRole)	The person/organization responsible for the form content ele-1: All FHIR elements must have a @value or children
reasonCode	SΣ	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation. ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	Plain text representation of the concept ele-1: All FHIR elements must have a @value or children
reasonReference	SΣ	0..*	Reference(CH eTOC Primary Diagnosis Condition)	Explanation/Justification for service or service (primary diagnosis) ele-1: All FHIR elements must have a @value or children
insurance	S	0..*	Reference(CH ORF Coverage)	Associated insurance coverage ele-1: All FHIR elements must have a @value or children
Slices for supportingInfo	S	0..*	Reference(Resource)	Additional clinical information Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children
supportingInfo:secondarydiagnosis	S	0..*	Reference(CH eTOC Secondary Diagnosis Condition)	Additional problem / secondary diagnosis ele-1: All FHIR elements must have a @value or children
supportingInfo:bodyHeight	S	0..1	Reference(CH eTOC Body Height Observation)	Additional clinical information ele-1: All FHIR elements must have a @value or children
supportingInfo:bodyWeight	S	0..1	Reference(CH eTOC Body Weight Observation)	Additional clinical information ele-1: All FHIR elements must have a @value or children
supportingInfo:pregnancy	S	0..1	Reference(CH eTOC Pregnancy Status Observation)	Additional clinical information ele-1: All FHIR elements must have a @value or children
supportingInfo:historyofIllnesses	S	0..*	Reference(CH eTOC Past History of Illnesses Condition)	Additional clinical information ele-1: All FHIR elements must have a @value or children
supportingInfo:historyofProcedures	S	0..*	Reference(CH eTOC Procedure)	Additional clinical information ele-1: All FHIR elements must have a @value or children
supportingInfo:devices	S	0..*	Reference(CH eTOC Device)	Additional clinical information ele-1: All FHIR elements must have a @value or children
supportingInfo:socialHistory	S	0..1	Reference(CH eTOC Social History Condition)	Additional clinical information ele-1: All FHIR elements must have a @value or children
supportingInfo:functionalStatus	S	0..*	Reference(CH eTOC Functional Status Condition)	Additional clinical information ele-1: All FHIR elements must have a @value or children
supportingInfo:medicationstatement	S	0..*	Reference(CH Core MedicationStatement)	MedicationStatement contains one medication with dosage ele-1: All FHIR elements must have a @value or children
supportingInfo:allergiesIntolerances	S	0..*	Reference(CH eTOC Allergy Intolerance)	Additional clinical information ele-1: All FHIR elements must have a @value or children
supportingInfo:immunizations	S	0..*	Reference(CH eTOC immunizationstatus)	Additional clinical information ele-1: All FHIR elements must have a @value or children
supportingInfo:labresults	S	0..*	Reference(CH eTOC Lab Observation)	Additional clinical information ele-1: All FHIR elements must have a @value or children
supportingInfo:pathologyresults	S	0..*	Reference(CH eTOC Pathology Observation)	Additional clinical information ele-1: All FHIR elements must have a @value or children
supportingInfo:imagingresults	S	0..*	Reference(CH eTOC Radiology Observation)	Additional clinical information ele-1: All FHIR elements must have a @value or children
supportingInfo:cardiologyresults	S	0..*	Reference(CH eTOC Cardiology Observation)	Additional clinical information ele-1: All FHIR elements must have a @value or children
supportingInfo:attachment		0..*	Reference(Resource)	Additional clinical information ele-1: All FHIR elements must have a @value or children
note	S	0..*	Annotation	Comments ele-1: All FHIR elements must have a @value or children
text	SΣ	1..1	markdown	The annotation - text content (as markdown) ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ServiceRequest.identifier:placerOrderIdentifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
ServiceRequest.identifier:fillerOrderIdentifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
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.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
ServiceRequest.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
ServiceRequest.reasonCode	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ChOrfServiceRequest	CH eTOC Service Request 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		0..*	Extension	Extension Slice: Unordered, Open by value:url
locationAndTime	S	0..*	Reference(CH ORF Appointment)	CH ORF Location and Time URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-locationandtime
requestedEncounterDetails	S	0..1	Reference(CH ORF Requested Encounter)	CH ORF Requested Encounter Details URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-requestedencounterdetails
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	Identifiers assigned to this order Slice: Unordered, Open by value:$this
identifier:placerOrderIdentifier	SΣ	1..1	Identifier	Placer Order Identifier Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
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: PLAC
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		0..1	uri	The namespace for the identifier value
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..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)
identifier:fillerOrderIdentifier	SΣ	0..1	Identifier	Filler Order Identifier Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
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: FILL
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		0..1	uri	The namespace for the identifier value
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..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 | CH Core ServiceRequest | CH Core MedicationRequest)	What request fulfills
replaces	Σ	0..*	Reference(ServiceRequest)	What request replaces
requisition	Σ	0..1	Identifier	Composite Request ID
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent	?!SΣ	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: ServiceRequest Category (example)
priority	SΣ	0..1	code	Order priority 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	SΣ	0..1	CodeableConcept	What is being requested/ordered Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	SΣ	0..1	string	Plain text representation of the concept
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	SΣ	1..1	Reference(CH Core Patient)	Patient
encounter	Σ	0..1	Reference(CH Core 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	SΣ	0..1	Reference(CH Core PractitionerRole)	The person/organization responsible for the form content
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(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization | CareTeam | HealthcareService | CH Core 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	SΣ	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	SΣ	0..1	string	Plain text representation of the concept
reasonReference	SΣ	0..*	Reference(CH eTOC Primary Diagnosis Condition)	Explanation/Justification for service or service (primary diagnosis)
insurance	S	0..*	Reference(CH ORF Coverage)	Associated insurance coverage
Slices for supportingInfo	S	0..*	Reference(Resource)	Additional clinical information Slice: Unordered, Open by profile:resolve()
supportingInfo:secondarydiagnosis	S	0..*	Reference(CH eTOC Secondary Diagnosis Condition)	Additional problem / secondary diagnosis
supportingInfo:bodyHeight	S	0..1	Reference(CH eTOC Body Height Observation)	Additional clinical information
supportingInfo:bodyWeight	S	0..1	Reference(CH eTOC Body Weight Observation)	Additional clinical information
supportingInfo:pregnancy	S	0..1	Reference(CH eTOC Pregnancy Status Observation)	Additional clinical information
supportingInfo:historyofIllnesses	S	0..*	Reference(CH eTOC Past History of Illnesses Condition)	Additional clinical information
supportingInfo:historyofProcedures	S	0..*	Reference(CH eTOC Procedure)	Additional clinical information
supportingInfo:devices	S	0..*	Reference(CH eTOC Device)	Additional clinical information
supportingInfo:socialHistory	S	0..1	Reference(CH eTOC Social History Condition)	Additional clinical information
supportingInfo:functionalStatus	S	0..*	Reference(CH eTOC Functional Status Condition)	Additional clinical information
supportingInfo:medicationstatement	S	0..*	Reference(CH Core MedicationStatement)	MedicationStatement contains one medication with dosage
supportingInfo:allergiesIntolerances	S	0..*	Reference(CH eTOC Allergy Intolerance)	Additional clinical information
supportingInfo:immunizations	S	0..*	Reference(CH eTOC immunizationstatus)	Additional clinical information
supportingInfo:labresults	S	0..*	Reference(CH eTOC Lab Observation)	Additional clinical information
supportingInfo:pathologyresults	S	0..*	Reference(CH eTOC Pathology Observation)	Additional clinical information
supportingInfo:imagingresults	S	0..*	Reference(CH eTOC Radiology Observation)	Additional clinical information
supportingInfo:cardiologyresults	S	0..*	Reference(CH eTOC Cardiology Observation)	Additional clinical information
supportingInfo:attachment		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	S	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
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	SΣ	1..1	markdown	The annotation - text content (as markdown)
patientInstruction	Σ	0..1	string	Use Appointment.patientInstruction (referenced via ServiceRequest.extension) for patient-oriented instructions
relevantHistory		0..*	Reference(Provenance)	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.identifier:placerOrderIdentifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
ServiceRequest.identifier:placerOrderIdentifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
ServiceRequest.identifier:fillerOrderIdentifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
ServiceRequest.identifier:fillerOrderIdentifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
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	ServiceRequestCategory http://fhir.ch/ig/ch-term/ValueSet/servicerequest-category
ServiceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
ServiceRequest.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
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

Constraints

Id	Grade	Path(s)	Details	Requirements
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 ChOrfServiceRequest

Summary

Must-Support: 22 elements

Structures

This structure refers to these other structures:

• CH eTOC Primary Diagnosis Condition (http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-primary-diagnosis)
• CH eTOC Secondary Diagnosis Condition (http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-secondary-diagnosis)
• CH eTOC Body Height Observation (http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-bodyheight-observation)
• CH eTOC Body Weight Observation (http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-bodyweight-observation)
• CH eTOC Pregnancy Status Observation (http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-pregnancystatus)
• CH eTOC Past History of Illnesses Condition (http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-illness)
• CH eTOC Procedure (http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-procedure)
• CH eTOC Device (http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-device)
• CH eTOC Social History Condition (http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-socialhistory)
• CH eTOC Functional Status Condition (http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-functionalstatus)
• CH Core MedicationStatement (http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-medicationstatement)
• CH eTOC Allergy Intolerance (http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-allergyintolerance)
• CH eTOC immunizationstatus (http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-immunization)
• CH eTOC Lab Observation (http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-lab-observation)
• CH eTOC Pathology Observation (http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-pathology-observation)
• CH eTOC Radiology Observation (http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-radiology-observation)
• CH eTOC Cardiology Observation (http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-cardiology-observation)

Slices

This structure defines the following Slices:

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

Differential View

This structure is derived from ChOrfServiceRequest

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest		0..*	ChOrfServiceRequest	CH eTOC Service Request
code	S	0..1	CodeableConcept	What is being requested/ordered Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred.
text	S	0..1	string	Plain text representation of the concept
reasonCode	S	0..*	CodeableConcept	Explanation/Justification for procedure or service
text	S	0..1	string	Plain text representation of the concept
reasonReference	S	0..*	Reference(CH eTOC Primary Diagnosis Condition)	Explanation/Justification for service or service (primary diagnosis)
Slices for supportingInfo	S	0..*	Reference(Resource)	Additional clinical information Slice: Unordered, Open by profile:resolve()
supportingInfo:secondarydiagnosis	S	0..*	Reference(CH eTOC Secondary Diagnosis Condition)	Additional problem / secondary diagnosis
supportingInfo:bodyHeight	S	0..1	Reference(CH eTOC Body Height Observation)	Additional clinical information
supportingInfo:bodyWeight	S	0..1	Reference(CH eTOC Body Weight Observation)	Additional clinical information
supportingInfo:pregnancy	S	0..1	Reference(CH eTOC Pregnancy Status Observation)	Additional clinical information
supportingInfo:historyofIllnesses	S	0..*	Reference(CH eTOC Past History of Illnesses Condition)	Additional clinical information
supportingInfo:historyofProcedures	S	0..*	Reference(CH eTOC Procedure)	Additional clinical information
supportingInfo:devices	S	0..*	Reference(CH eTOC Device)	Additional clinical information
supportingInfo:socialHistory	S	0..1	Reference(CH eTOC Social History Condition)	Additional clinical information
supportingInfo:functionalStatus	S	0..*	Reference(CH eTOC Functional Status Condition)	Additional clinical information
supportingInfo:medicationstatement	S	0..*	Reference(CH Core MedicationStatement)	MedicationStatement contains one medication with dosage
supportingInfo:allergiesIntolerances	S	0..*	Reference(CH eTOC Allergy Intolerance)	Additional clinical information
supportingInfo:immunizations	S	0..*	Reference(CH eTOC immunizationstatus)	Additional clinical information
supportingInfo:labresults	S	0..*	Reference(CH eTOC Lab Observation)	Additional clinical information
supportingInfo:pathologyresults	S	0..*	Reference(CH eTOC Pathology Observation)	Additional clinical information
supportingInfo:imagingresults	S	0..*	Reference(CH eTOC Radiology Observation)	Additional clinical information
supportingInfo:cardiologyresults	S	0..*	Reference(CH eTOC Cardiology Observation)	Additional clinical information
supportingInfo:attachment		0..*	Reference(Resource)	Additional clinical information
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ServiceRequest.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ChOrfServiceRequest	CH eTOC Service Request 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				Content/Rules for all slices
locationAndTime	S	0..*	Reference(CH ORF Appointment)	CH ORF Location and Time URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-locationandtime ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
requestedEncounterDetails	S	0..1	Reference(CH ORF Requested Encounter)	CH ORF Requested Encounter Details URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-requestedencounterdetails 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
Slices for identifier	SΣ	1..*	Identifier	Identifiers assigned to this order Slice: Unordered, Open by value:$this ele-1: All FHIR elements must have a @value or children
identifier:placerOrderIdentifier	SΣ	1..1	Identifier	Placer Order Identifier ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
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: PLAC
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456
identifier:fillerOrderIdentifier	SΣ	0..1	Identifier	Filler Order Identifier ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
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: FILL
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456
status	?!SΣ	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	?!SΣ	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
priority	SΣ	0..1	code	Order priority Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the 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	SΣ	0..1	CodeableConcept	What is being requested/ordered Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred. ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	Plain text representation of the concept ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(CH Core Patient)	Patient ele-1: All FHIR elements must have a @value or children
requester	SΣ	0..1	Reference(CH Core PractitionerRole)	The person/organization responsible for the form content ele-1: All FHIR elements must have a @value or children
reasonCode	SΣ	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation. ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	Plain text representation of the concept ele-1: All FHIR elements must have a @value or children
reasonReference	SΣ	0..*	Reference(CH eTOC Primary Diagnosis Condition)	Explanation/Justification for service or service (primary diagnosis) ele-1: All FHIR elements must have a @value or children
insurance	S	0..*	Reference(CH ORF Coverage)	Associated insurance coverage ele-1: All FHIR elements must have a @value or children
Slices for supportingInfo	S	0..*	Reference(Resource)	Additional clinical information Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children
supportingInfo:secondarydiagnosis	S	0..*	Reference(CH eTOC Secondary Diagnosis Condition)	Additional problem / secondary diagnosis ele-1: All FHIR elements must have a @value or children
supportingInfo:bodyHeight	S	0..1	Reference(CH eTOC Body Height Observation)	Additional clinical information ele-1: All FHIR elements must have a @value or children
supportingInfo:bodyWeight	S	0..1	Reference(CH eTOC Body Weight Observation)	Additional clinical information ele-1: All FHIR elements must have a @value or children
supportingInfo:pregnancy	S	0..1	Reference(CH eTOC Pregnancy Status Observation)	Additional clinical information ele-1: All FHIR elements must have a @value or children
supportingInfo:historyofIllnesses	S	0..*	Reference(CH eTOC Past History of Illnesses Condition)	Additional clinical information ele-1: All FHIR elements must have a @value or children
supportingInfo:historyofProcedures	S	0..*	Reference(CH eTOC Procedure)	Additional clinical information ele-1: All FHIR elements must have a @value or children
supportingInfo:devices	S	0..*	Reference(CH eTOC Device)	Additional clinical information ele-1: All FHIR elements must have a @value or children
supportingInfo:socialHistory	S	0..1	Reference(CH eTOC Social History Condition)	Additional clinical information ele-1: All FHIR elements must have a @value or children
supportingInfo:functionalStatus	S	0..*	Reference(CH eTOC Functional Status Condition)	Additional clinical information ele-1: All FHIR elements must have a @value or children
supportingInfo:medicationstatement	S	0..*	Reference(CH Core MedicationStatement)	MedicationStatement contains one medication with dosage ele-1: All FHIR elements must have a @value or children
supportingInfo:allergiesIntolerances	S	0..*	Reference(CH eTOC Allergy Intolerance)	Additional clinical information ele-1: All FHIR elements must have a @value or children
supportingInfo:immunizations	S	0..*	Reference(CH eTOC immunizationstatus)	Additional clinical information ele-1: All FHIR elements must have a @value or children
supportingInfo:labresults	S	0..*	Reference(CH eTOC Lab Observation)	Additional clinical information ele-1: All FHIR elements must have a @value or children
supportingInfo:pathologyresults	S	0..*	Reference(CH eTOC Pathology Observation)	Additional clinical information ele-1: All FHIR elements must have a @value or children
supportingInfo:imagingresults	S	0..*	Reference(CH eTOC Radiology Observation)	Additional clinical information ele-1: All FHIR elements must have a @value or children
supportingInfo:cardiologyresults	S	0..*	Reference(CH eTOC Cardiology Observation)	Additional clinical information ele-1: All FHIR elements must have a @value or children
supportingInfo:attachment		0..*	Reference(Resource)	Additional clinical information ele-1: All FHIR elements must have a @value or children
note	S	0..*	Annotation	Comments ele-1: All FHIR elements must have a @value or children
text	SΣ	1..1	markdown	The annotation - text content (as markdown) ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ServiceRequest.identifier:placerOrderIdentifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
ServiceRequest.identifier:fillerOrderIdentifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
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.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
ServiceRequest.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
ServiceRequest.reasonCode	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ChOrfServiceRequest	CH eTOC Service Request 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		0..*	Extension	Extension Slice: Unordered, Open by value:url
locationAndTime	S	0..*	Reference(CH ORF Appointment)	CH ORF Location and Time URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-locationandtime
requestedEncounterDetails	S	0..1	Reference(CH ORF Requested Encounter)	CH ORF Requested Encounter Details URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-requestedencounterdetails
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	Identifiers assigned to this order Slice: Unordered, Open by value:$this
identifier:placerOrderIdentifier	SΣ	1..1	Identifier	Placer Order Identifier Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
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: PLAC
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		0..1	uri	The namespace for the identifier value
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..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)
identifier:fillerOrderIdentifier	SΣ	0..1	Identifier	Filler Order Identifier Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
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: FILL
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		0..1	uri	The namespace for the identifier value
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..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 | CH Core ServiceRequest | CH Core MedicationRequest)	What request fulfills
replaces	Σ	0..*	Reference(ServiceRequest)	What request replaces
requisition	Σ	0..1	Identifier	Composite Request ID
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent	?!SΣ	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: ServiceRequest Category (example)
priority	SΣ	0..1	code	Order priority 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	SΣ	0..1	CodeableConcept	What is being requested/ordered Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	SΣ	0..1	string	Plain text representation of the concept
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	SΣ	1..1	Reference(CH Core Patient)	Patient
encounter	Σ	0..1	Reference(CH Core 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	SΣ	0..1	Reference(CH Core PractitionerRole)	The person/organization responsible for the form content
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(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization | CareTeam | HealthcareService | CH Core 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	SΣ	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	SΣ	0..1	string	Plain text representation of the concept
reasonReference	SΣ	0..*	Reference(CH eTOC Primary Diagnosis Condition)	Explanation/Justification for service or service (primary diagnosis)
insurance	S	0..*	Reference(CH ORF Coverage)	Associated insurance coverage
Slices for supportingInfo	S	0..*	Reference(Resource)	Additional clinical information Slice: Unordered, Open by profile:resolve()
supportingInfo:secondarydiagnosis	S	0..*	Reference(CH eTOC Secondary Diagnosis Condition)	Additional problem / secondary diagnosis
supportingInfo:bodyHeight	S	0..1	Reference(CH eTOC Body Height Observation)	Additional clinical information
supportingInfo:bodyWeight	S	0..1	Reference(CH eTOC Body Weight Observation)	Additional clinical information
supportingInfo:pregnancy	S	0..1	Reference(CH eTOC Pregnancy Status Observation)	Additional clinical information
supportingInfo:historyofIllnesses	S	0..*	Reference(CH eTOC Past History of Illnesses Condition)	Additional clinical information
supportingInfo:historyofProcedures	S	0..*	Reference(CH eTOC Procedure)	Additional clinical information
supportingInfo:devices	S	0..*	Reference(CH eTOC Device)	Additional clinical information
supportingInfo:socialHistory	S	0..1	Reference(CH eTOC Social History Condition)	Additional clinical information
supportingInfo:functionalStatus	S	0..*	Reference(CH eTOC Functional Status Condition)	Additional clinical information
supportingInfo:medicationstatement	S	0..*	Reference(CH Core MedicationStatement)	MedicationStatement contains one medication with dosage
supportingInfo:allergiesIntolerances	S	0..*	Reference(CH eTOC Allergy Intolerance)	Additional clinical information
supportingInfo:immunizations	S	0..*	Reference(CH eTOC immunizationstatus)	Additional clinical information
supportingInfo:labresults	S	0..*	Reference(CH eTOC Lab Observation)	Additional clinical information
supportingInfo:pathologyresults	S	0..*	Reference(CH eTOC Pathology Observation)	Additional clinical information
supportingInfo:imagingresults	S	0..*	Reference(CH eTOC Radiology Observation)	Additional clinical information
supportingInfo:cardiologyresults	S	0..*	Reference(CH eTOC Cardiology Observation)	Additional clinical information
supportingInfo:attachment		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	S	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
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	SΣ	1..1	markdown	The annotation - text content (as markdown)
patientInstruction	Σ	0..1	string	Use Appointment.patientInstruction (referenced via ServiceRequest.extension) for patient-oriented instructions
relevantHistory		0..*	Reference(Provenance)	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.identifier:placerOrderIdentifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
ServiceRequest.identifier:placerOrderIdentifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
ServiceRequest.identifier:fillerOrderIdentifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
ServiceRequest.identifier:fillerOrderIdentifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
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	ServiceRequestCategory http://fhir.ch/ig/ch-term/ValueSet/servicerequest-category
ServiceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
ServiceRequest.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
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

Constraints

Id	Grade	Path(s)	Details	Requirements
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 ChOrfServiceRequest

Summary

Must-Support: 22 elements

Structures

This structure refers to these other structures:

• CH eTOC Primary Diagnosis Condition (http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-primary-diagnosis)
• CH eTOC Secondary Diagnosis Condition (http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-secondary-diagnosis)
• CH eTOC Body Height Observation (http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-bodyheight-observation)
• CH eTOC Body Weight Observation (http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-bodyweight-observation)
• CH eTOC Pregnancy Status Observation (http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-pregnancystatus)
• CH eTOC Past History of Illnesses Condition (http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-illness)
• CH eTOC Procedure (http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-procedure)
• CH eTOC Device (http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-device)
• CH eTOC Social History Condition (http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-socialhistory)
• CH eTOC Functional Status Condition (http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-functionalstatus)
• CH Core MedicationStatement (http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-medicationstatement)
• CH eTOC Allergy Intolerance (http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-allergyintolerance)
• CH eTOC immunizationstatus (http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-immunization)
• CH eTOC Lab Observation (http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-lab-observation)
• CH eTOC Pathology Observation (http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-pathology-observation)
• CH eTOC Radiology Observation (http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-radiology-observation)
• CH eTOC Cardiology Observation (http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-cardiology-observation)

Slices

This structure defines the following Slices:

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