CH LAB-Order (R4), published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 3.0.0-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-lab-order/ and changes regularly. See the Directory of published versions

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Resource Profile: CH LAB-Order-SR

Definition of a ServiceRequests of a single LabTest in the context of CH LAB-Order

Usages:

• Refer to this Profile: CH LAB-Order-SR and CH LAB-Order Composition with Service Request
• Examples for this Profile: ServiceRequest/0-best-practice-ServiceRequest-0, ServiceRequest/0-best-practice-ServiceRequest-1, ServiceRequest/0-best-practice-ServiceRequest-2, ServiceRequest/0-best-practice-ServiceRequest-3-Hb... Show 46 more, ServiceRequest/0-best-practice-ServiceRequest-3-Ht, ServiceRequest/0-best-practice-ServiceRequest-3, ServiceRequest/1-tvt-ServiceRequest-0, ServiceRequest/1-tvt-ServiceRequest-1, ServiceRequest/1-tvt-ServiceRequest-2, ServiceRequest/1-tvt-ServiceRequest-3, ServiceRequest/1-tvt-ServiceRequest-4, ServiceRequest/1-tvt-ServiceRequest-5, ServiceRequest/2-pertussis-ServiceRequest, ServiceRequest/2-pertussis-ServiceRequestAddTest, ServiceRequest/2-pertussis-ServiceRequestCBC, ServiceRequest/2-pertussis-ServiceRequestCRP, ServiceRequest/3-gyn-service-request-hpv, ServiceRequest/3-gyn-service-request-obstetric-panel, ServiceRequest/3-gyn-service-request-smear-test, ServiceRequest/3-gyn-service-request-urine-panel, ServiceRequest/4-sepsis-ServiceRequest, ServiceRequest/4-sepsis-ServiceRequestCBCDiff, ServiceRequest/4-sepsis-ServiceRequestCRP, ServiceRequest/4-sepsis-ServiceRequestFollowUp, ServiceRequest/4-sepsis-ServiceRequestGrowth, ServiceRequest/4-sepsis-ServiceRequestHbHt, ServiceRequest/4-sepsis-ServiceRequestMALDi-TOF, ServiceRequest/5-biol-monit-ServiceRequest, ServiceRequest/5-biol-monit-ServiceRequestHeavyMetalsUrine, ServiceRequest/5-biol-monit-ServiceRequestToxPanelBlood, ServiceRequest/6-histopath-service-request, ServiceRequest/ServiceRequest-eGFR, ServiceRequest/ServiceRequest-uACR, ServiceRequest/ServiceRequestAlbuminUrine, ServiceRequest/ServiceRequestCreatinineSerum-eGFR, ServiceRequest/ServiceRequestCreatinineUrine, ServiceRequest/ServiceRequestRenalInsufficiencyPanel, ServiceRequest/lab-order-creatinine-clearance, ServiceRequest/lab-order-eGFR, ServiceRequest/lab-order-uACR, ServiceRequest/lab-order-urine-albumin, ServiceRequest/lab-order-urine-creatinine, ServiceRequest/panel-renal-insufficiency-order, ServiceRequest/service-request-chloride-serum, ServiceRequest/service-request-creatinine-serum, ServiceRequest/service-request-creatinine-urine-24h, ServiceRequest/service-request-electrolytes-serum, ServiceRequest/service-request-generic, ServiceRequest/service-request-panel-example and ServiceRequest/service-request-potassium-serum

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
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Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	ChOrfServiceRequest	CH LAB-Order ServiceRequest for a labtest Constraints: prr-1, sr-1
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:locationAndTime	S	0..*	Reference(CH ORF Appointment)	CH ORF Location and Time URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-locationandtime
extension: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)
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
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
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)
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
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
instantiatesCanonical	SΣ	0..1	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition
replaces	Σ	0..*	Reference(CH LAB-Order-SR)	references the previous ServiceRequest in the situation of ordering supplemental laboratory tests
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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 108252007
display		1..1	string	Representation defined by the system Fixed Value: Laboratory procedure (procedure)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
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	Σ	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.
orderDetail	ΣC	0..*	CodeableConcept	Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
coding	SΣ	0..1	Coding	Code defined by a terminology system
code	Σ	0..1	code	Symbol in syntax defined by the system Binding: hl7VS-orderControl (required)
subject	SΣ	1..1	Reference(CH Core Patient)	Patient
requester	SΣ	0..1	Reference(CH Core PractitionerRole)	The person/organization responsible for the form content
reasonCode	SΣ	0..*	CodeableConcept	Clinical Question in free text Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
text	SΣ	1..1	string	Plain text representation of the concept
reasonReference	SΣ	0..*	Reference(CH LAB-Order Diagnosis Condition | CH LAB-Order Diagnosic Report | Observation)	Reason for the referral (primary diagnosis)
insurance	S	0..1	Reference(CH ORF Coverage)	Insurance information
supportingInfo	S	0..*	Reference(CH LAB-Order Diagnosis Condition | CH LAB-Order Medication | MedicationStatement | CH ORF DocumentReference | CH LAB-Order-SR | CH ORF ServiceRequest)	Supporting information
note	S	0..*	Annotation	Comments
text	SΣ	1..1	markdown	The annotation - text content (as markdown)
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
ServiceRequest.identifier:placerOrderIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
ServiceRequest.identifier:fillerOrderIdentifier.​use	Base	required	IdentifierUse	📍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	ServiceRequest Category	📦3.3.0-ci-build	CH Term v3.3
ServiceRequest.priority	Base	required	Request priority	📍4.0.1	FHIR Std.
ServiceRequest.code	Base	example	Procedure Codes (SNOMED CT)	📍4.0.1	FHIR Std.
ServiceRequest.orderDetail	Base	example	Service Request Order Details Codes	📍4.0.1	FHIR Std.
ServiceRequest.orderDetail.​coding.code	Base	required	hl7VS-orderControl	📦2.0.0	THO v6.5
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()
sr-1	error	ServiceRequest	If serviceRequest.orderDetail = RP (Order/service replace request), then the element 'replaces' must be present	orderDetail.exists() and orderDetail.where($this.memberOf('http://fhir.ch/ig/ch-lab-order/ValueSet/ch-lab-vs-order-control')).exists() implies replaces.exists()

This structure is derived from ChOrfServiceRequest

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	ChOrfServiceRequest	CH LAB-Order ServiceRequest for a labtest Constraints: sr-1
instantiatesCanonical	S	0..1	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition
replaces		0..*	Reference(CH LAB-Order-SR)	references the previous ServiceRequest in the situation of ordering supplemental laboratory tests
category		0..*	CodeableConcept	Classification of service Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 108252007
display		1..1	string	Representation defined by the system Fixed Value: Laboratory procedure (procedure)
code		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.
orderDetail
coding	S	0..1	Coding	Code defined by a terminology system
code		0..1	code	Symbol in syntax defined by the system Binding: hl7VS-orderControl (required)
reasonCode	S	0..*	CodeableConcept	Clinical Question in free text
text	S	1..1	string	Plain text representation of the concept
reasonReference	S	0..*	Reference(CH LAB-Order Diagnosis Condition | CH LAB-Order Diagnosic Report | Observation)	Reason for the referral (primary diagnosis)
insurance		0..1	Reference(CH ORF Coverage)	Insurance information
supportingInfo	S	0..*	Reference(CH LAB-Order Diagnosis Condition | CH LAB-Order Medication | MedicationStatement | CH ORF DocumentReference | CH LAB-Order-SR | CH ORF ServiceRequest)	Supporting information
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
ServiceRequest.code	Base	example	Procedure Codes (SNOMED CT)	📍4.0.1	FHIR Std.
ServiceRequest.orderDetail.​coding.code	Base	required	hl7VS-orderControl	📦2.0.0	THO v6.5

Constraints

Id	Grade	Path(s)	Description	Expression
sr-1	error	ServiceRequest	If serviceRequest.orderDetail = RP (Order/service replace request), then the element 'replaces' must be present	orderDetail.exists() and orderDetail.where($this.memberOf('http://fhir.ch/ig/ch-lab-order/ValueSet/ch-lab-vs-order-control')).exists() implies replaces.exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	ChOrfServiceRequest	CH LAB-Order ServiceRequest for a labtest Constraints: prr-1, sr-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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:locationAndTime	S	0..*	Reference(CH ORF Appointment)	CH ORF Location and Time URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-locationandtime
extension: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	SΣ	0..1	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(CH LAB-Order-SR)	references the previous ServiceRequest in the situation of ordering supplemental laboratory tests
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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 108252007
display		1..1	string	Representation defined by the system Fixed Value: Laboratory procedure (procedure)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
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	Σ	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.
orderDetail	ΣC	0..*	CodeableConcept	Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
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	SΣ	0..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Binding: hl7VS-orderControl (required)
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
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 | CH Core 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	Clinical Question in free text 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	1..1	string	Plain text representation of the concept
reasonReference	SΣ	0..*	Reference(CH LAB-Order Diagnosis Condition | CH LAB-Order Diagnosic Report | Observation)	Reason for the referral (primary diagnosis)
insurance	S	0..1	Reference(CH ORF Coverage)	Insurance information
supportingInfo	S	0..*	Reference(CH LAB-Order Diagnosis Condition | CH LAB-Order Medication | MedicationStatement | CH ORF DocumentReference | CH LAB-Order-SR | CH ORF ServiceRequest)	Supporting 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	Status	Usage	ValueSet	Version	Source
ServiceRequest.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
ServiceRequest.identifier:placerOrderIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
ServiceRequest.identifier:placerOrderIdentifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
ServiceRequest.identifier:fillerOrderIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
ServiceRequest.identifier:fillerOrderIdentifier.​type	Base	extensible	IdentifierType	📍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	ServiceRequest Category	📦3.3.0-ci-build	CH Term v3.3
ServiceRequest.priority	Base	required	Request priority	📍4.0.1	FHIR Std.
ServiceRequest.code	Base	example	Procedure Codes (SNOMED CT)	📍4.0.1	FHIR Std.
ServiceRequest.orderDetail	Base	example	Service Request Order Details Codes	📍4.0.1	FHIR Std.
ServiceRequest.orderDetail.​coding.code	Base	required	hl7VS-orderControl	📦2.0.0	THO v6.5
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 v6.5
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()
sr-1	error	ServiceRequest	If serviceRequest.orderDetail = RP (Order/service replace request), then the element 'replaces' must be present	orderDetail.exists() and orderDetail.where($this.memberOf('http://fhir.ch/ig/ch-lab-order/ValueSet/ch-lab-vs-order-control')).exists() implies replaces.exists()

This structure is derived from ChOrfServiceRequest

Summary

Mandatory: 0 element(1 nested mandatory element)
Must-Support: 6 elements

Structures

This structure refers to these other structures:

• CH LAB-Order-SR (http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-SR)
• CH LAB-Order Diagnosis Condition (http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-diagnosis-condition)
• CH LAB-Order Diagnosic Report (http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-diagnostic-report)
• CH LAB-Order Medication (http://fhir.ch/ig/ch-lab-order/StructureDefinition/ChLabOrderMedication)
• CH ORF DocumentReference (http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-documentreference)
• CH ORF ServiceRequest (http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	ChOrfServiceRequest	CH LAB-Order ServiceRequest for a labtest Constraints: prr-1, sr-1
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:locationAndTime	S	0..*	Reference(CH ORF Appointment)	CH ORF Location and Time URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-locationandtime
extension: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)
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
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
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)
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
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
instantiatesCanonical	SΣ	0..1	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition
replaces	Σ	0..*	Reference(CH LAB-Order-SR)	references the previous ServiceRequest in the situation of ordering supplemental laboratory tests
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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 108252007
display		1..1	string	Representation defined by the system Fixed Value: Laboratory procedure (procedure)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
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	Σ	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.
orderDetail	ΣC	0..*	CodeableConcept	Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
coding	SΣ	0..1	Coding	Code defined by a terminology system
code	Σ	0..1	code	Symbol in syntax defined by the system Binding: hl7VS-orderControl (required)
subject	SΣ	1..1	Reference(CH Core Patient)	Patient
requester	SΣ	0..1	Reference(CH Core PractitionerRole)	The person/organization responsible for the form content
reasonCode	SΣ	0..*	CodeableConcept	Clinical Question in free text Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
text	SΣ	1..1	string	Plain text representation of the concept
reasonReference	SΣ	0..*	Reference(CH LAB-Order Diagnosis Condition | CH LAB-Order Diagnosic Report | Observation)	Reason for the referral (primary diagnosis)
insurance	S	0..1	Reference(CH ORF Coverage)	Insurance information
supportingInfo	S	0..*	Reference(CH LAB-Order Diagnosis Condition | CH LAB-Order Medication | MedicationStatement | CH ORF DocumentReference | CH LAB-Order-SR | CH ORF ServiceRequest)	Supporting information
note	S	0..*	Annotation	Comments
text	SΣ	1..1	markdown	The annotation - text content (as markdown)
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
ServiceRequest.identifier:placerOrderIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
ServiceRequest.identifier:fillerOrderIdentifier.​use	Base	required	IdentifierUse	📍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	ServiceRequest Category	📦3.3.0-ci-build	CH Term v3.3
ServiceRequest.priority	Base	required	Request priority	📍4.0.1	FHIR Std.
ServiceRequest.code	Base	example	Procedure Codes (SNOMED CT)	📍4.0.1	FHIR Std.
ServiceRequest.orderDetail	Base	example	Service Request Order Details Codes	📍4.0.1	FHIR Std.
ServiceRequest.orderDetail.​coding.code	Base	required	hl7VS-orderControl	📦2.0.0	THO v6.5
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()
sr-1	error	ServiceRequest	If serviceRequest.orderDetail = RP (Order/service replace request), then the element 'replaces' must be present	orderDetail.exists() and orderDetail.where($this.memberOf('http://fhir.ch/ig/ch-lab-order/ValueSet/ch-lab-vs-order-control')).exists() implies replaces.exists()

Differential View

This structure is derived from ChOrfServiceRequest

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	ChOrfServiceRequest	CH LAB-Order ServiceRequest for a labtest Constraints: sr-1
instantiatesCanonical	S	0..1	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition
replaces		0..*	Reference(CH LAB-Order-SR)	references the previous ServiceRequest in the situation of ordering supplemental laboratory tests
category		0..*	CodeableConcept	Classification of service Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 108252007
display		1..1	string	Representation defined by the system Fixed Value: Laboratory procedure (procedure)
code		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.
orderDetail
coding	S	0..1	Coding	Code defined by a terminology system
code		0..1	code	Symbol in syntax defined by the system Binding: hl7VS-orderControl (required)
reasonCode	S	0..*	CodeableConcept	Clinical Question in free text
text	S	1..1	string	Plain text representation of the concept
reasonReference	S	0..*	Reference(CH LAB-Order Diagnosis Condition | CH LAB-Order Diagnosic Report | Observation)	Reason for the referral (primary diagnosis)
insurance		0..1	Reference(CH ORF Coverage)	Insurance information
supportingInfo	S	0..*	Reference(CH LAB-Order Diagnosis Condition | CH LAB-Order Medication | MedicationStatement | CH ORF DocumentReference | CH LAB-Order-SR | CH ORF ServiceRequest)	Supporting information
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
ServiceRequest.code	Base	example	Procedure Codes (SNOMED CT)	📍4.0.1	FHIR Std.
ServiceRequest.orderDetail.​coding.code	Base	required	hl7VS-orderControl	📦2.0.0	THO v6.5

Constraints

Id	Grade	Path(s)	Description	Expression
sr-1	error	ServiceRequest	If serviceRequest.orderDetail = RP (Order/service replace request), then the element 'replaces' must be present	orderDetail.exists() and orderDetail.where($this.memberOf('http://fhir.ch/ig/ch-lab-order/ValueSet/ch-lab-vs-order-control')).exists() implies replaces.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	ChOrfServiceRequest	CH LAB-Order ServiceRequest for a labtest Constraints: prr-1, sr-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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:locationAndTime	S	0..*	Reference(CH ORF Appointment)	CH ORF Location and Time URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-locationandtime
extension: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	SΣ	0..1	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(CH LAB-Order-SR)	references the previous ServiceRequest in the situation of ordering supplemental laboratory tests
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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 108252007
display		1..1	string	Representation defined by the system Fixed Value: Laboratory procedure (procedure)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
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	Σ	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.
orderDetail	ΣC	0..*	CodeableConcept	Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
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	SΣ	0..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Binding: hl7VS-orderControl (required)
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
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 | CH Core 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	Clinical Question in free text 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	1..1	string	Plain text representation of the concept
reasonReference	SΣ	0..*	Reference(CH LAB-Order Diagnosis Condition | CH LAB-Order Diagnosic Report | Observation)	Reason for the referral (primary diagnosis)
insurance	S	0..1	Reference(CH ORF Coverage)	Insurance information
supportingInfo	S	0..*	Reference(CH LAB-Order Diagnosis Condition | CH LAB-Order Medication | MedicationStatement | CH ORF DocumentReference | CH LAB-Order-SR | CH ORF ServiceRequest)	Supporting 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	Status	Usage	ValueSet	Version	Source
ServiceRequest.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
ServiceRequest.identifier:placerOrderIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
ServiceRequest.identifier:placerOrderIdentifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
ServiceRequest.identifier:fillerOrderIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
ServiceRequest.identifier:fillerOrderIdentifier.​type	Base	extensible	IdentifierType	📍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	ServiceRequest Category	📦3.3.0-ci-build	CH Term v3.3
ServiceRequest.priority	Base	required	Request priority	📍4.0.1	FHIR Std.
ServiceRequest.code	Base	example	Procedure Codes (SNOMED CT)	📍4.0.1	FHIR Std.
ServiceRequest.orderDetail	Base	example	Service Request Order Details Codes	📍4.0.1	FHIR Std.
ServiceRequest.orderDetail.​coding.code	Base	required	hl7VS-orderControl	📦2.0.0	THO v6.5
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 v6.5
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()
sr-1	error	ServiceRequest	If serviceRequest.orderDetail = RP (Order/service replace request), then the element 'replaces' must be present	orderDetail.exists() and orderDetail.where($this.memberOf('http://fhir.ch/ig/ch-lab-order/ValueSet/ch-lab-vs-order-control')).exists() implies replaces.exists()

This structure is derived from ChOrfServiceRequest

Summary

Mandatory: 0 element(1 nested mandatory element)
Must-Support: 6 elements

Structures

This structure refers to these other structures:

• CH LAB-Order-SR (http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-SR)
• CH LAB-Order Diagnosis Condition (http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-diagnosis-condition)
• CH LAB-Order Diagnosic Report (http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-diagnostic-report)
• CH LAB-Order Medication (http://fhir.ch/ig/ch-lab-order/StructureDefinition/ChLabOrderMedication)
• CH ORF DocumentReference (http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-documentreference)
• CH ORF ServiceRequest (http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest)