Name	Flags	Card.	Type	Description & Constraints
ServiceRequest		0..*	ServiceRequest	A request for a service to be performed
Slices for identifier		1..*	Identifier	Identifiers assigned to this order Slice: Unordered, Open by value:system
identifier:PLAC		0..1	Identifier	Identifiers assigned to this order
type
coding
system		0..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
code		0..1	code	Symbol in syntax defined by the system Required Pattern: PLAC
display		0..1	string	Representation defined by the system Required Pattern: Placer Identifier
text		0..1	string	Plain text representation of the concept Required Pattern: HIV lab service request identifier
system		1..1	uri	The namespace for the identifier value Required Pattern: http://moh.gov.rw/fhir/identifier/lab-order-identifier
value	S	0..1	string	The value that is unique
intent		1..1	code	proposal | plan | directive | order + Required Pattern: order
code		1..1	CodeableReference(ActivityDefinition | PlanDefinition)	What is being requested/ordered Binding: HIV Test Types (required)
concept
text		0..1	string	Plain text representation of the concept Required Pattern: Test Type
encounter		1..1	Reference(Encounter)	Encounter in which the request was created
Slices for occurrence[x]		0..1	dateTime, Period, Timing	When service should occur Slice: Unordered, Open by type:$this
occurrence[x]:occurrenceDateTime	S	0..1	dateTime	When service should occur
requester		1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Who/what is requesting service
performer		1..1	Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)	Requested performer
reason		1..*	CodeableReference(Condition | Observation | DiagnosticReport | DocumentReference | DetectedIssue)	Explanation/Justification for procedure or service
specimen		1..1	Reference(Specimen)	Procedure Samples
note	S	0..*	Annotation	Comments
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ServiceRequest.code	required	VSTestTypes http://moh.gov.rw/fhir/ValueSet/vs-test-types from this IG

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed bdystr-1: bodyStructure SHALL only be present if bodySite is not present 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
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	Identifiers assigned to this order Slice: Unordered, Open by value:system
identifier:PLAC	Σ	0..1	Identifier	Identifiers assigned to this order
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: http://moh.gov.rw/fhir/identifier/lab-order-identifier
value	SΣC	0..1	string	The value that is unique Example General: 123456
status	?!Σ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent	?!Σ	1..1	code	proposal | plan | directive | order + Binding: RequestIntent (required): The kind of service request. Required Pattern: order
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	ΣC	1..1	CodeableReference(ActivityDefinition | PlanDefinition)	What is being requested/ordered Binding: HIV Test Types (required)
subject	Σ	1..1	Reference(Patient | Group | Location | Device)	Individual or Entity the service is ordered for
encounter	Σ	1..1	Reference(Encounter)	Encounter in which the request was created
Slices for occurrence[x]	Σ	0..1		When service should occur Slice: Unordered, Open by type:$this
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
occurrence[x]:occurrenceDateTime	SΣ	0..1	dateTime	When service should occur
requester	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Who/what is requesting service
performer	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)	Requested performer
reason	Σ	1..*	CodeableReference(Condition | Observation | DiagnosticReport | DocumentReference | DetectedIssue)	Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): SNOMED CT Condition/Problem/Diagnosis Codes
specimen	Σ	1..1	Reference(Specimen)	Procedure Samples
note	S	0..*	Annotation	Comments
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ServiceRequest.identifier:PLAC.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|5.0.0 from the FHIR Standard
ServiceRequest.intent	required	Pattern: order http://hl7.org/fhir/ValueSet/request-intent|5.0.0 from the FHIR Standard
ServiceRequest.code	required	VSTestTypes http://moh.gov.rw/fhir/ValueSet/vs-test-types from this IG
ServiceRequest.reason	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
bdystr-1	error	ServiceRequest	bodyStructure SHALL only be present if bodySite is not present : bodySite.exists() implies bodyStructure.empty()
dom-2	error	ServiceRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ServiceRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ServiceRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
prr-1	error	ServiceRequest	orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists()

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed bdystr-1: bodyStructure SHALL only be present if bodySite is not present 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: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	Identifiers assigned to this order Slice: Unordered, Open by value:system
identifier:PLAC	Σ	0..1	Identifier	Identifiers assigned to this order
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	id	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
id		0..1	id	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 Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Symbol in syntax defined by the system Required Pattern: PLAC
display	ΣC	0..1	string	Representation defined by the system Required Pattern: Placer Identifier
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 Required Pattern: HIV lab service request identifier
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: http://moh.gov.rw/fhir/identifier/lab-order-identifier
value	SΣC	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
instantiatesCanonical	Σ	0..*	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest | MedicationRequest)	What request fulfills
replaces	Σ	0..*	Reference(ServiceRequest)	What request replaces
requisition	Σ	0..1	Identifier	Composite Request ID
status	?!Σ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent	?!Σ	1..1	code	proposal | plan | directive | order + Binding: RequestIntent (required): The kind of service request. Required Pattern: order
category	Σ	0..*	CodeableConcept	Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	ΣC	1..1	CodeableReference(ActivityDefinition | PlanDefinition)	What is being requested/ordered Binding: HIV Test Types (required)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
concept	Σ	0..1	CodeableConcept	Reference to a concept (by class)
id		0..1	id	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	Σ	0..1	string	Plain text representation of the concept Required Pattern: Test Type
reference	Σ	0..1	Reference()	Reference to a resource (by instance)
orderDetail	ΣC	0..*	BackboneElement	Additional order information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
parameterFocus		0..1	CodeableReference(Device | DeviceDefinition | DeviceRequest | SupplyRequest | Medication | MedicationRequest | BiologicallyDerivedProduct | Substance)	The context of the order details by reference
parameter	Σ	1..*	BackboneElement	The parameter details for the service being requested
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	The detail of the order being requested Binding: ServiceRequestOrderDetailParameterCode (example): Codes for order detail parameters.
value[x]	Σ	1..1		The value for the order detail
valueQuantity			Quantity
valueRatio			Ratio
valueRange			Range
valueBoolean			boolean
valueCodeableConcept			CodeableConcept
valueString			string
valuePeriod			Period
quantity[x]	Σ	0..1		Service amount
quantityQuantity			Quantity
quantityRatio			Ratio
quantityRange			Range
subject	Σ	1..1	Reference(Patient | Group | Location | Device)	Individual or Entity the service is ordered for
focus	Σ	0..*	Reference(Resource)	What the service request is about, when it is not about the subject of record
encounter	Σ	1..1	Reference(Encounter)	Encounter in which the request was created
Slices for occurrence[x]	Σ	0..1		When service should occur Slice: Unordered, Open by type:$this
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
occurrence[x]:occurrenceDateTime	SΣ	0..1	dateTime	When service should occur
asNeeded[x]	Σ	0..1		Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
authoredOn	Σ	0..1	dateTime	Date request signed
requester	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Who/what is requesting service
performerType	Σ	0..1	CodeableConcept	Performer role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
performer	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)	Requested performer
location	Σ	0..*	CodeableReference(Location)	Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
reason	Σ	1..*	CodeableReference(Condition | Observation | DiagnosticReport | DocumentReference | DetectedIssue)	Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): SNOMED CT Condition/Problem/Diagnosis Codes
insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
supportingInfo		0..*	CodeableReference(Resource)	Additional clinical information
specimen	Σ	1..1	Reference(Specimen)	Procedure Samples
bodySite	ΣC	0..*	CodeableConcept	Coded location on Body Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
bodyStructure	ΣC	0..1	Reference(BodyStructure)	BodyStructure-based location on the body
note	S	0..*	Annotation	Comments
patientInstruction		0..*	BackboneElement	Patient or consumer-oriented instructions
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
instruction[x]	Σ	0..1		Patient or consumer-oriented instructions
instructionMarkdown			markdown
instructionReference			Reference(DocumentReference)
relevantHistory		0..*	Reference(Provenance)	Request provenance
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ServiceRequest.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
ServiceRequest.identifier:PLAC.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
ServiceRequest.identifier:PLAC.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|5.0.0 from the FHIR Standard
ServiceRequest.intent	required	Pattern: order http://hl7.org/fhir/ValueSet/request-intent|5.0.0 from the FHIR Standard
ServiceRequest.category	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category from the FHIR Standard
ServiceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|5.0.0 from the FHIR Standard
ServiceRequest.code	required	VSTestTypes http://moh.gov.rw/fhir/ValueSet/vs-test-types from this IG
ServiceRequest.orderDetail.parameter.code	example	ServiceRequestOrderDetailParameterCode http://hl7.org/fhir/ValueSet/servicerequest-orderdetail-parameter-code from the FHIR Standard
ServiceRequest.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
ServiceRequest.performerType	example	ParticipantRoles http://hl7.org/fhir/ValueSet/participant-role from the FHIR Standard
ServiceRequest.location	example	ServiceDeliveryLocationRoleType http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reason	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
ServiceRequest.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
bdystr-1	error	ServiceRequest	bodyStructure SHALL only be present if bodySite is not present : bodySite.exists() implies bodyStructure.empty()
dom-2	error	ServiceRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ServiceRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ServiceRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
prr-1	error	ServiceRequest	orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists()

Summary

Mandatory: 7 elements(1 nested mandatory element)
Must-Support: 3 elements

Slices

This structure defines the following Slices:

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

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest		0..*	ServiceRequest	A request for a service to be performed
Slices for identifier		1..*	Identifier	Identifiers assigned to this order Slice: Unordered, Open by value:system
identifier:PLAC		0..1	Identifier	Identifiers assigned to this order
type
coding
system		0..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
code		0..1	code	Symbol in syntax defined by the system Required Pattern: PLAC
display		0..1	string	Representation defined by the system Required Pattern: Placer Identifier
text		0..1	string	Plain text representation of the concept Required Pattern: HIV lab service request identifier
system		1..1	uri	The namespace for the identifier value Required Pattern: http://moh.gov.rw/fhir/identifier/lab-order-identifier
value	S	0..1	string	The value that is unique
intent		1..1	code	proposal | plan | directive | order + Required Pattern: order
code		1..1	CodeableReference(ActivityDefinition | PlanDefinition)	What is being requested/ordered Binding: HIV Test Types (required)
concept
text		0..1	string	Plain text representation of the concept Required Pattern: Test Type
encounter		1..1	Reference(Encounter)	Encounter in which the request was created
Slices for occurrence[x]		0..1	dateTime, Period, Timing	When service should occur Slice: Unordered, Open by type:$this
occurrence[x]:occurrenceDateTime	S	0..1	dateTime	When service should occur
requester		1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Who/what is requesting service
performer		1..1	Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)	Requested performer
reason		1..*	CodeableReference(Condition | Observation | DiagnosticReport | DocumentReference | DetectedIssue)	Explanation/Justification for procedure or service
specimen		1..1	Reference(Specimen)	Procedure Samples
note	S	0..*	Annotation	Comments
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ServiceRequest.code	required	VSTestTypes http://moh.gov.rw/fhir/ValueSet/vs-test-types from this IG

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed bdystr-1: bodyStructure SHALL only be present if bodySite is not present 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
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	Identifiers assigned to this order Slice: Unordered, Open by value:system
identifier:PLAC	Σ	0..1	Identifier	Identifiers assigned to this order
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: http://moh.gov.rw/fhir/identifier/lab-order-identifier
value	SΣC	0..1	string	The value that is unique Example General: 123456
status	?!Σ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent	?!Σ	1..1	code	proposal | plan | directive | order + Binding: RequestIntent (required): The kind of service request. Required Pattern: order
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	ΣC	1..1	CodeableReference(ActivityDefinition | PlanDefinition)	What is being requested/ordered Binding: HIV Test Types (required)
subject	Σ	1..1	Reference(Patient | Group | Location | Device)	Individual or Entity the service is ordered for
encounter	Σ	1..1	Reference(Encounter)	Encounter in which the request was created
Slices for occurrence[x]	Σ	0..1		When service should occur Slice: Unordered, Open by type:$this
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
occurrence[x]:occurrenceDateTime	SΣ	0..1	dateTime	When service should occur
requester	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Who/what is requesting service
performer	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)	Requested performer
reason	Σ	1..*	CodeableReference(Condition | Observation | DiagnosticReport | DocumentReference | DetectedIssue)	Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): SNOMED CT Condition/Problem/Diagnosis Codes
specimen	Σ	1..1	Reference(Specimen)	Procedure Samples
note	S	0..*	Annotation	Comments
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ServiceRequest.identifier:PLAC.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|5.0.0 from the FHIR Standard
ServiceRequest.intent	required	Pattern: order http://hl7.org/fhir/ValueSet/request-intent|5.0.0 from the FHIR Standard
ServiceRequest.code	required	VSTestTypes http://moh.gov.rw/fhir/ValueSet/vs-test-types from this IG
ServiceRequest.reason	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
bdystr-1	error	ServiceRequest	bodyStructure SHALL only be present if bodySite is not present : bodySite.exists() implies bodyStructure.empty()
dom-2	error	ServiceRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ServiceRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ServiceRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
prr-1	error	ServiceRequest	orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists()

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed bdystr-1: bodyStructure SHALL only be present if bodySite is not present 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: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	Identifiers assigned to this order Slice: Unordered, Open by value:system
identifier:PLAC	Σ	0..1	Identifier	Identifiers assigned to this order
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	id	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
id		0..1	id	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 Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Symbol in syntax defined by the system Required Pattern: PLAC
display	ΣC	0..1	string	Representation defined by the system Required Pattern: Placer Identifier
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 Required Pattern: HIV lab service request identifier
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: http://moh.gov.rw/fhir/identifier/lab-order-identifier
value	SΣC	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
instantiatesCanonical	Σ	0..*	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest | MedicationRequest)	What request fulfills
replaces	Σ	0..*	Reference(ServiceRequest)	What request replaces
requisition	Σ	0..1	Identifier	Composite Request ID
status	?!Σ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent	?!Σ	1..1	code	proposal | plan | directive | order + Binding: RequestIntent (required): The kind of service request. Required Pattern: order
category	Σ	0..*	CodeableConcept	Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	ΣC	1..1	CodeableReference(ActivityDefinition | PlanDefinition)	What is being requested/ordered Binding: HIV Test Types (required)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
concept	Σ	0..1	CodeableConcept	Reference to a concept (by class)
id		0..1	id	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	Σ	0..1	string	Plain text representation of the concept Required Pattern: Test Type
reference	Σ	0..1	Reference()	Reference to a resource (by instance)
orderDetail	ΣC	0..*	BackboneElement	Additional order information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
parameterFocus		0..1	CodeableReference(Device | DeviceDefinition | DeviceRequest | SupplyRequest | Medication | MedicationRequest | BiologicallyDerivedProduct | Substance)	The context of the order details by reference
parameter	Σ	1..*	BackboneElement	The parameter details for the service being requested
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	The detail of the order being requested Binding: ServiceRequestOrderDetailParameterCode (example): Codes for order detail parameters.
value[x]	Σ	1..1		The value for the order detail
valueQuantity			Quantity
valueRatio			Ratio
valueRange			Range
valueBoolean			boolean
valueCodeableConcept			CodeableConcept
valueString			string
valuePeriod			Period
quantity[x]	Σ	0..1		Service amount
quantityQuantity			Quantity
quantityRatio			Ratio
quantityRange			Range
subject	Σ	1..1	Reference(Patient | Group | Location | Device)	Individual or Entity the service is ordered for
focus	Σ	0..*	Reference(Resource)	What the service request is about, when it is not about the subject of record
encounter	Σ	1..1	Reference(Encounter)	Encounter in which the request was created
Slices for occurrence[x]	Σ	0..1		When service should occur Slice: Unordered, Open by type:$this
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
occurrence[x]:occurrenceDateTime	SΣ	0..1	dateTime	When service should occur
asNeeded[x]	Σ	0..1		Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
authoredOn	Σ	0..1	dateTime	Date request signed
requester	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Who/what is requesting service
performerType	Σ	0..1	CodeableConcept	Performer role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
performer	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)	Requested performer
location	Σ	0..*	CodeableReference(Location)	Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
reason	Σ	1..*	CodeableReference(Condition | Observation | DiagnosticReport | DocumentReference | DetectedIssue)	Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): SNOMED CT Condition/Problem/Diagnosis Codes
insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
supportingInfo		0..*	CodeableReference(Resource)	Additional clinical information
specimen	Σ	1..1	Reference(Specimen)	Procedure Samples
bodySite	ΣC	0..*	CodeableConcept	Coded location on Body Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
bodyStructure	ΣC	0..1	Reference(BodyStructure)	BodyStructure-based location on the body
note	S	0..*	Annotation	Comments
patientInstruction		0..*	BackboneElement	Patient or consumer-oriented instructions
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
instruction[x]	Σ	0..1		Patient or consumer-oriented instructions
instructionMarkdown			markdown
instructionReference			Reference(DocumentReference)
relevantHistory		0..*	Reference(Provenance)	Request provenance
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ServiceRequest.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
ServiceRequest.identifier:PLAC.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
ServiceRequest.identifier:PLAC.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|5.0.0 from the FHIR Standard
ServiceRequest.intent	required	Pattern: order http://hl7.org/fhir/ValueSet/request-intent|5.0.0 from the FHIR Standard
ServiceRequest.category	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category from the FHIR Standard
ServiceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|5.0.0 from the FHIR Standard
ServiceRequest.code	required	VSTestTypes http://moh.gov.rw/fhir/ValueSet/vs-test-types from this IG
ServiceRequest.orderDetail.parameter.code	example	ServiceRequestOrderDetailParameterCode http://hl7.org/fhir/ValueSet/servicerequest-orderdetail-parameter-code from the FHIR Standard
ServiceRequest.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
ServiceRequest.performerType	example	ParticipantRoles http://hl7.org/fhir/ValueSet/participant-role from the FHIR Standard
ServiceRequest.location	example	ServiceDeliveryLocationRoleType http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reason	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
ServiceRequest.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
bdystr-1	error	ServiceRequest	bodyStructure SHALL only be present if bodySite is not present : bodySite.exists() implies bodyStructure.empty()
dom-2	error	ServiceRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ServiceRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ServiceRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
prr-1	error	ServiceRequest	orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists()

Summary

Mandatory: 7 elements(1 nested mandatory element)
Must-Support: 3 elements

Slices

This structure defines the following Slices:

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