Botswana FHIR Implementation Guide, published by Jembi Health Systems. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/jembi/botswana-hie-fhir-ig/ and changes regularly. See the Directory of published versions

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Resource Profile: ServiceRequest - Lab Orders

Represents the service request for lab orders.

Usages:

• Use this Profile: Bundle - Lab Orders
• Refer to this Profile: DiagnosticReport - Lab Order, Specimen and Task - Lab Orders
• Examples for this Profile: ServiceRequest/LabOrderActiveServiceRequestExample, ServiceRequest/LabOrderCompletedServiceRequestExample, ServiceRequest/LabOrderRevokedServiceRequestOrderCancelledExample and ServiceRequest/LabOrderRevokedServiceRequestPoorSpecimenExample
• CapabilityStatements using this Profile: Botswana HIE Server Capability Statement

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed Constraints: bdystr-1, prr-1
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	1..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.bw.org/identifier/service-request-id
value	ΣC	1..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: Lab Order Codes (extensible)
subject	Σ	1..1	Reference(Patient - Botswana Patient)	Individual or Entity the service is ordered for
encounter	SΣ	0..1	Reference(Encounter)	Encounter in which the request was created
Slices for occurrence[x]	Σ	1..1	dateTime	When service should occur Slice: Unordered, Closed by type:$this
occurrence[x]:occurrenceDateTime	Σ	1..1	dateTime	When service should occur
requester	Σ	1..1	Reference(Practitioner | Service Provider)	Who/what is requesting service
performer	Σ	1..*	Reference(Practitioner | Service Provider)	Requested performer
specimen	Σ	1..*	Reference(Specimen)	Procedure Samples
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 Value: order http://hl7.org/fhir/ValueSet/request-intent|5.0.0 From the FHIR Standard
ServiceRequest.code	extensible	VSLabOrderCodes http://moh.bw.org/ValueSet/vs-lab-order-codes From this IG

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()

This structure is derived from ServiceRequest

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest			ServiceRequest
Slices for identifier		1..*	Identifier	Identifiers assigned to this order Slice: Unordered, Open by value:system
identifier:PLAC		1..1	Identifier	Identifiers assigned to this order
system		1..1	uri	The namespace for the identifier value Required Pattern: http://moh.bw.org/identifier/service-request-id
value		1..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: Lab Order Codes (extensible)
subject		1..1	Reference(Patient - Botswana Patient)	Individual or Entity the service is ordered for
encounter	S	0..1	Reference(Encounter)	Encounter in which the request was created
Slices for occurrence[x]		1..1	dateTime	When service should occur Slice: Unordered, Open by type:$this
occurrence[x]:occurrenceDateTime		1..1	dateTime	When service should occur
requester		1..1	Reference(Practitioner | Service Provider)	Who/what is requesting service
performer		1..*	Reference(Practitioner | Service Provider)	Requested performer
specimen		1..*	Reference(Specimen)	Procedure Samples
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ServiceRequest.code	extensible	VSLabOrderCodes http://moh.bw.org/ValueSet/vs-lab-order-codes From this IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed Constraints: bdystr-1, prr-1
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!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	1..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.
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: http://moh.bw.org/identifier/service-request-id
value	ΣC	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
instantiatesCanonical	Σ	0..*	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | 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: Lab Order Codes (extensible)
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 - Botswana Patient)	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	SΣ	0..1	Reference(Encounter)	Encounter in which the request was created
Slices for occurrence[x]	Σ	1..1	dateTime	When service should occur Slice: Unordered, Closed by type:$this
occurrence[x]:occurrenceDateTime	Σ	1..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 | Service Provider)	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..*	Reference(Practitioner | Service Provider)	Requested performer
location	Σ	0..*	CodeableReference(Location)	Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
reason	Σ	0..*	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..*	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		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 Value: 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	extensible	VSLabOrderCodes http://moh.bw.org/ValueSet/vs-lab-order-codes 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()

This structure is derived from ServiceRequest

Summary

Mandatory: 10 elements
Must-Support: 1 element

Structures

This structure refers to these other structures:

• Patient - Botswana Patient (http://moh.bw.org/StructureDefinition/bw-patient)
• Practitioner (http://moh.bw.org/StructureDefinition/practitioner)
• Service Provider (http://moh.bw.org/StructureDefinition/service-organization)
• Specimen (http://moh.bw.org/StructureDefinition/lab-order-specimen)

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]

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed Constraints: bdystr-1, prr-1
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	1..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.bw.org/identifier/service-request-id
value	ΣC	1..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: Lab Order Codes (extensible)
subject	Σ	1..1	Reference(Patient - Botswana Patient)	Individual or Entity the service is ordered for
encounter	SΣ	0..1	Reference(Encounter)	Encounter in which the request was created
Slices for occurrence[x]	Σ	1..1	dateTime	When service should occur Slice: Unordered, Closed by type:$this
occurrence[x]:occurrenceDateTime	Σ	1..1	dateTime	When service should occur
requester	Σ	1..1	Reference(Practitioner | Service Provider)	Who/what is requesting service
performer	Σ	1..*	Reference(Practitioner | Service Provider)	Requested performer
specimen	Σ	1..*	Reference(Specimen)	Procedure Samples
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 Value: order http://hl7.org/fhir/ValueSet/request-intent|5.0.0 From the FHIR Standard
ServiceRequest.code	extensible	VSLabOrderCodes http://moh.bw.org/ValueSet/vs-lab-order-codes From this IG

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()

Differential View

This structure is derived from ServiceRequest

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest			ServiceRequest
Slices for identifier		1..*	Identifier	Identifiers assigned to this order Slice: Unordered, Open by value:system
identifier:PLAC		1..1	Identifier	Identifiers assigned to this order
system		1..1	uri	The namespace for the identifier value Required Pattern: http://moh.bw.org/identifier/service-request-id
value		1..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: Lab Order Codes (extensible)
subject		1..1	Reference(Patient - Botswana Patient)	Individual or Entity the service is ordered for
encounter	S	0..1	Reference(Encounter)	Encounter in which the request was created
Slices for occurrence[x]		1..1	dateTime	When service should occur Slice: Unordered, Open by type:$this
occurrence[x]:occurrenceDateTime		1..1	dateTime	When service should occur
requester		1..1	Reference(Practitioner | Service Provider)	Who/what is requesting service
performer		1..*	Reference(Practitioner | Service Provider)	Requested performer
specimen		1..*	Reference(Specimen)	Procedure Samples
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ServiceRequest.code	extensible	VSLabOrderCodes http://moh.bw.org/ValueSet/vs-lab-order-codes From this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed Constraints: bdystr-1, prr-1
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!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	1..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.
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: http://moh.bw.org/identifier/service-request-id
value	ΣC	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
instantiatesCanonical	Σ	0..*	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | 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: Lab Order Codes (extensible)
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 - Botswana Patient)	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	SΣ	0..1	Reference(Encounter)	Encounter in which the request was created
Slices for occurrence[x]	Σ	1..1	dateTime	When service should occur Slice: Unordered, Closed by type:$this
occurrence[x]:occurrenceDateTime	Σ	1..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 | Service Provider)	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..*	Reference(Practitioner | Service Provider)	Requested performer
location	Σ	0..*	CodeableReference(Location)	Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
reason	Σ	0..*	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..*	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		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 Value: 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	extensible	VSLabOrderCodes http://moh.bw.org/ValueSet/vs-lab-order-codes 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()

This structure is derived from ServiceRequest

Summary

Mandatory: 10 elements
Must-Support: 1 element

Structures

This structure refers to these other structures:

• Patient - Botswana Patient (http://moh.bw.org/StructureDefinition/bw-patient)
• Practitioner (http://moh.bw.org/StructureDefinition/practitioner)
• Service Provider (http://moh.bw.org/StructureDefinition/service-organization)
• Specimen (http://moh.bw.org/StructureDefinition/lab-order-specimen)

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]

Other representations of profile: CSV, Excel, Schematron