LK NEHR Sri Lanka Patient Summary (IPS based) Implementation Guide, published by Ministry of Health, Sri Lanka. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/lk-gov-health-hiu/lk-nehr-fhir-ips/ and changes regularly. See the Directory of published versions

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Resource Profile: Referral Request For Follow-up Plan

Used to initiate a referral request for a Follow-up Plan.

Usages:

• Use this Profile: HIMS IPS Bundle and HIMS Transactional Bundle
• Refer to this Profile: Follow-up at HLC and HIMS Composition
• Examples for this Profile: ServiceRequest/FollowUpPlanServiceRequestExample

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..*	GenericServiceRequest	A request for a service to be performed Constraints: prr-1
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
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 | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request.
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	Σ	1..1	CodeableConcept	What is being requested/ordered Binding: Follow-up plan (extensible)
subject	Σ	1..1	Reference(Patient)	Individual or Entity the service is ordered for
encounter	Σ	1..1	Reference(Target Facility Encounter)	Encounter in which the request was created
Slices for occurrence[x]	Σ	1..1	Timing	When service should occur Slice: Unordered, Closed by type:$this
occurrence[x]:occurrenceTiming	Σ	1..1	Timing	When service should occur
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
requester	Σ	1..1	Reference(Practitioner | Organization | Device Information)	Who/what is requesting service
locationReference	SΣ	0..*	Reference(Location)	Requested location
reasonCode	SΣ	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: Follow up at HLC (extensible)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 From the FHIR Standard
ServiceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent|4.0.1 From the FHIR Standard
ServiceRequest.code	extensible	VSFollowUpPlan http://fhir.health.gov.lk/ips/ValueSet/vs-follow-up-plan From this IG
ServiceRequest.reasonCode	extensible	VSFollowUpReasons(a valid code from Follow up at HLC) http://fhir.health.gov.lk/ips/ValueSet/vs-follow-up-reasons From this IG

Constraints

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

This structure is derived from GenericServiceRequest

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest			GenericServiceRequest
code		1..1	CodeableConcept	What is being requested/ordered Binding: Follow-up plan (extensible)
Slices for occurrence[x]		1..1	Timing	When service should occur Slice: Unordered, Open by type:$this
occurrence[x]:occurrenceTiming		1..1	Timing	When service should occur
repeat
count		1..1	positiveInt	Number of times to repeat Required Pattern: 1
duration		1..1	decimal	How long when it happens
durationUnit		1..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM)
reasonCode		0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: Follow up at HLC (extensible)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ServiceRequest.code	extensible	VSFollowUpPlan http://fhir.health.gov.lk/ips/ValueSet/vs-follow-up-plan From this IG
ServiceRequest.reasonCode	extensible	VSFollowUpReasons(a valid code from Follow up at HLC) http://fhir.health.gov.lk/ips/ValueSet/vs-follow-up-reasons From this IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	GenericServiceRequest	A request for a service to be performed Constraints: prr-1
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifiers assigned to this order
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 | 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: 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	Σ	1..1	CodeableConcept	What is being requested/ordered Binding: Follow-up plan (extensible)
orderDetail	ΣC	0..*	CodeableConcept	Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
quantity[x]	Σ	0..1		Service amount
quantityQuantity			Quantity
quantityRatio			Ratio
quantityRange			Range
subject	Σ	1..1	Reference(Patient)	Individual or Entity the service is ordered for
encounter	Σ	1..1	Reference(Target Facility Encounter)	Encounter in which the request was created
Slices for occurrence[x]	Σ	1..1	Timing	When service should occur Slice: Unordered, Closed by type:$this
occurrence[x]:occurrenceTiming	Σ	1..1	Timing	When service should occur
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
event	Σ	0..*	dateTime	When the event occurs
repeat	ΣC	0..1	Element	When the event is to occur Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
bounds[x]	Σ	0..1		Length/Range of lengths, or (Start and/or end) limits
boundsDuration			Duration
boundsRange			Range
boundsPeriod			Period
count	Σ	1..1	positiveInt	Number of times to repeat Required Pattern: 1
countMax	Σ	0..1	positiveInt	Maximum number of times to repeat
duration	Σ	1..1	decimal	How long when it happens
durationMax	Σ	0..1	decimal	How long when it happens (Max)
durationUnit	Σ	1..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency	Σ	0..1	positiveInt	Event occurs frequency times per period
frequencyMax	Σ	0..1	positiveInt	Event occurs up to frequencyMax times per period
period	Σ	0..1	decimal	Event occurs frequency times per period
periodMax	Σ	0..1	decimal	Upper limit of period (3-4 hours)
periodUnit	Σ	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
dayOfWeek	Σ	0..*	code	mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required)
timeOfDay	Σ	0..*	time	Time of day for action
when	Σ	0..*	code	Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule.
offset	Σ	0..1	unsignedInt	Minutes from event (before or after)
code	Σ	0..1	CodeableConcept	BID | TID | QID | AM | PM | QD | QOD | + Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
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 | Organization | Device Information)	Who/what is requesting service
performerType	Σ	0..1	CodeableConcept	Performer role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)	Requested performer
locationCode	Σ	0..*	CodeableConcept	Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
locationReference	SΣ	0..*	Reference(Location)	Requested location
reasonCode	SΣ	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: Follow up at HLC (extensible)
reasonReference	Σ	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Explanation/Justification for service or service
insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
supportingInfo		0..*	Reference(Resource)	Additional clinical information
specimen	Σ	0..*	Reference(Specimen)	Procedure Samples
bodySite	Σ	0..*	CodeableConcept	Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
note		0..*	Annotation	Comments
patientInstruction	Σ	0..1	string	Patient or consumer-oriented instructions
relevantHistory		0..*	Reference(Provenance)	Request provenance
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ServiceRequest.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 From the FHIR Standard
ServiceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent|4.0.1 From the FHIR Standard
ServiceRequest.category	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category From the FHIR Standard
ServiceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 From the FHIR Standard
ServiceRequest.code	extensible	VSFollowUpPlan http://fhir.health.gov.lk/ips/ValueSet/vs-follow-up-plan From this IG
ServiceRequest.orderDetail	example	ServiceRequestOrderDetailsCodes http://hl7.org/fhir/ValueSet/servicerequest-orderdetail From the FHIR Standard
ServiceRequest.occurrence[x]:occurrenceTiming.repeat.durationUnit	required	UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 From the FHIR Standard
ServiceRequest.occurrence[x]:occurrenceTiming.repeat.periodUnit	required	UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 From the FHIR Standard
ServiceRequest.occurrence[x]:occurrenceTiming.repeat.dayOfWeek	required	DaysOfWeek http://hl7.org/fhir/ValueSet/days-of-week|4.0.1 From the FHIR Standard
ServiceRequest.occurrence[x]:occurrenceTiming.repeat.when	required	EventTiming http://hl7.org/fhir/ValueSet/event-timing|4.0.1 From the FHIR Standard
ServiceRequest.occurrence[x]:occurrenceTiming.code	preferred	TimingAbbreviation http://hl7.org/fhir/ValueSet/timing-abbreviation From the FHIR Standard
ServiceRequest.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason From the FHIR Standard
ServiceRequest.performerType	example	ParticipantRoles http://hl7.org/fhir/ValueSet/participant-role From the FHIR Standard
ServiceRequest.locationCode	example	ServiceDeliveryLocationRoleType http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reasonCode	extensible	VSFollowUpReasons(a valid code from Follow up at HLC) http://fhir.health.gov.lk/ips/ValueSet/vs-follow-up-reasons From this IG
ServiceRequest.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ServiceRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ServiceRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ServiceRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
prr-1	error	ServiceRequest	orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists()
tim-1	error	ServiceRequest.occurrence[x]:occurrenceTiming.repeat	if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists()
tim-2	error	ServiceRequest.occurrence[x]:occurrenceTiming.repeat	if there's a period, there needs to be period units : period.empty() or periodUnit.exists()
tim-4	error	ServiceRequest.occurrence[x]:occurrenceTiming.repeat	duration SHALL be a non-negative value : duration.exists() implies duration >= 0
tim-5	error	ServiceRequest.occurrence[x]:occurrenceTiming.repeat	period SHALL be a non-negative value : period.exists() implies period >= 0
tim-6	error	ServiceRequest.occurrence[x]:occurrenceTiming.repeat	If there's a periodMax, there must be a period : periodMax.empty() or period.exists()
tim-7	error	ServiceRequest.occurrence[x]:occurrenceTiming.repeat	If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists()
tim-8	error	ServiceRequest.occurrence[x]:occurrenceTiming.repeat	If there's a countMax, there must be a count : countMax.empty() or count.exists()
tim-9	error	ServiceRequest.occurrence[x]:occurrenceTiming.repeat	If there's an offset, there must be a when (and not C, CM, CD, CV) : offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10	error	ServiceRequest.occurrence[x]:occurrenceTiming.repeat	If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty()

This structure is derived from GenericServiceRequest

Summary

Mandatory: 2 elements(3 nested mandatory elements)

Slices

This structure defines the following Slices:

• 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..*	GenericServiceRequest	A request for a service to be performed Constraints: prr-1
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
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 | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request.
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	Σ	1..1	CodeableConcept	What is being requested/ordered Binding: Follow-up plan (extensible)
subject	Σ	1..1	Reference(Patient)	Individual or Entity the service is ordered for
encounter	Σ	1..1	Reference(Target Facility Encounter)	Encounter in which the request was created
Slices for occurrence[x]	Σ	1..1	Timing	When service should occur Slice: Unordered, Closed by type:$this
occurrence[x]:occurrenceTiming	Σ	1..1	Timing	When service should occur
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
requester	Σ	1..1	Reference(Practitioner | Organization | Device Information)	Who/what is requesting service
locationReference	SΣ	0..*	Reference(Location)	Requested location
reasonCode	SΣ	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: Follow up at HLC (extensible)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 From the FHIR Standard
ServiceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent|4.0.1 From the FHIR Standard
ServiceRequest.code	extensible	VSFollowUpPlan http://fhir.health.gov.lk/ips/ValueSet/vs-follow-up-plan From this IG
ServiceRequest.reasonCode	extensible	VSFollowUpReasons(a valid code from Follow up at HLC) http://fhir.health.gov.lk/ips/ValueSet/vs-follow-up-reasons From this IG

Constraints

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

Differential View

This structure is derived from GenericServiceRequest

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest			GenericServiceRequest
code		1..1	CodeableConcept	What is being requested/ordered Binding: Follow-up plan (extensible)
Slices for occurrence[x]		1..1	Timing	When service should occur Slice: Unordered, Open by type:$this
occurrence[x]:occurrenceTiming		1..1	Timing	When service should occur
repeat
count		1..1	positiveInt	Number of times to repeat Required Pattern: 1
duration		1..1	decimal	How long when it happens
durationUnit		1..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM)
reasonCode		0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: Follow up at HLC (extensible)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ServiceRequest.code	extensible	VSFollowUpPlan http://fhir.health.gov.lk/ips/ValueSet/vs-follow-up-plan From this IG
ServiceRequest.reasonCode	extensible	VSFollowUpReasons(a valid code from Follow up at HLC) http://fhir.health.gov.lk/ips/ValueSet/vs-follow-up-reasons From this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	GenericServiceRequest	A request for a service to be performed Constraints: prr-1
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifiers assigned to this order
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 | 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: 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	Σ	1..1	CodeableConcept	What is being requested/ordered Binding: Follow-up plan (extensible)
orderDetail	ΣC	0..*	CodeableConcept	Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
quantity[x]	Σ	0..1		Service amount
quantityQuantity			Quantity
quantityRatio			Ratio
quantityRange			Range
subject	Σ	1..1	Reference(Patient)	Individual or Entity the service is ordered for
encounter	Σ	1..1	Reference(Target Facility Encounter)	Encounter in which the request was created
Slices for occurrence[x]	Σ	1..1	Timing	When service should occur Slice: Unordered, Closed by type:$this
occurrence[x]:occurrenceTiming	Σ	1..1	Timing	When service should occur
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
event	Σ	0..*	dateTime	When the event occurs
repeat	ΣC	0..1	Element	When the event is to occur Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
bounds[x]	Σ	0..1		Length/Range of lengths, or (Start and/or end) limits
boundsDuration			Duration
boundsRange			Range
boundsPeriod			Period
count	Σ	1..1	positiveInt	Number of times to repeat Required Pattern: 1
countMax	Σ	0..1	positiveInt	Maximum number of times to repeat
duration	Σ	1..1	decimal	How long when it happens
durationMax	Σ	0..1	decimal	How long when it happens (Max)
durationUnit	Σ	1..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency	Σ	0..1	positiveInt	Event occurs frequency times per period
frequencyMax	Σ	0..1	positiveInt	Event occurs up to frequencyMax times per period
period	Σ	0..1	decimal	Event occurs frequency times per period
periodMax	Σ	0..1	decimal	Upper limit of period (3-4 hours)
periodUnit	Σ	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
dayOfWeek	Σ	0..*	code	mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required)
timeOfDay	Σ	0..*	time	Time of day for action
when	Σ	0..*	code	Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule.
offset	Σ	0..1	unsignedInt	Minutes from event (before or after)
code	Σ	0..1	CodeableConcept	BID | TID | QID | AM | PM | QD | QOD | + Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
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 | Organization | Device Information)	Who/what is requesting service
performerType	Σ	0..1	CodeableConcept	Performer role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)	Requested performer
locationCode	Σ	0..*	CodeableConcept	Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
locationReference	SΣ	0..*	Reference(Location)	Requested location
reasonCode	SΣ	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: Follow up at HLC (extensible)
reasonReference	Σ	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Explanation/Justification for service or service
insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
supportingInfo		0..*	Reference(Resource)	Additional clinical information
specimen	Σ	0..*	Reference(Specimen)	Procedure Samples
bodySite	Σ	0..*	CodeableConcept	Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
note		0..*	Annotation	Comments
patientInstruction	Σ	0..1	string	Patient or consumer-oriented instructions
relevantHistory		0..*	Reference(Provenance)	Request provenance
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ServiceRequest.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 From the FHIR Standard
ServiceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent|4.0.1 From the FHIR Standard
ServiceRequest.category	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category From the FHIR Standard
ServiceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 From the FHIR Standard
ServiceRequest.code	extensible	VSFollowUpPlan http://fhir.health.gov.lk/ips/ValueSet/vs-follow-up-plan From this IG
ServiceRequest.orderDetail	example	ServiceRequestOrderDetailsCodes http://hl7.org/fhir/ValueSet/servicerequest-orderdetail From the FHIR Standard
ServiceRequest.occurrence[x]:occurrenceTiming.repeat.durationUnit	required	UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 From the FHIR Standard
ServiceRequest.occurrence[x]:occurrenceTiming.repeat.periodUnit	required	UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 From the FHIR Standard
ServiceRequest.occurrence[x]:occurrenceTiming.repeat.dayOfWeek	required	DaysOfWeek http://hl7.org/fhir/ValueSet/days-of-week|4.0.1 From the FHIR Standard
ServiceRequest.occurrence[x]:occurrenceTiming.repeat.when	required	EventTiming http://hl7.org/fhir/ValueSet/event-timing|4.0.1 From the FHIR Standard
ServiceRequest.occurrence[x]:occurrenceTiming.code	preferred	TimingAbbreviation http://hl7.org/fhir/ValueSet/timing-abbreviation From the FHIR Standard
ServiceRequest.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason From the FHIR Standard
ServiceRequest.performerType	example	ParticipantRoles http://hl7.org/fhir/ValueSet/participant-role From the FHIR Standard
ServiceRequest.locationCode	example	ServiceDeliveryLocationRoleType http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reasonCode	extensible	VSFollowUpReasons(a valid code from Follow up at HLC) http://fhir.health.gov.lk/ips/ValueSet/vs-follow-up-reasons From this IG
ServiceRequest.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ServiceRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ServiceRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ServiceRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
prr-1	error	ServiceRequest	orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists()
tim-1	error	ServiceRequest.occurrence[x]:occurrenceTiming.repeat	if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists()
tim-2	error	ServiceRequest.occurrence[x]:occurrenceTiming.repeat	if there's a period, there needs to be period units : period.empty() or periodUnit.exists()
tim-4	error	ServiceRequest.occurrence[x]:occurrenceTiming.repeat	duration SHALL be a non-negative value : duration.exists() implies duration >= 0
tim-5	error	ServiceRequest.occurrence[x]:occurrenceTiming.repeat	period SHALL be a non-negative value : period.exists() implies period >= 0
tim-6	error	ServiceRequest.occurrence[x]:occurrenceTiming.repeat	If there's a periodMax, there must be a period : periodMax.empty() or period.exists()
tim-7	error	ServiceRequest.occurrence[x]:occurrenceTiming.repeat	If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists()
tim-8	error	ServiceRequest.occurrence[x]:occurrenceTiming.repeat	If there's a countMax, there must be a count : countMax.empty() or count.exists()
tim-9	error	ServiceRequest.occurrence[x]:occurrenceTiming.repeat	If there's an offset, there must be a when (and not C, CM, CD, CV) : offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10	error	ServiceRequest.occurrence[x]:occurrenceTiming.repeat	If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty()

This structure is derived from GenericServiceRequest

Summary

Mandatory: 2 elements(3 nested mandatory elements)

Slices

This structure defines the following Slices:

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

Other representations of profile: CSV, Excel, Schematron