NHS North West Genomics
0.2.2 - ci-build GB

NHS North West Genomics, published by NHS North West Genomics. This guide is not an authorized publication; it is the continuous build for version 0.2.2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/nw-gmsa/nw-gmsa.github.com/ and changes regularly. See the Directory of published versions

Resource Profile: ServiceRequest

Official URL: https://fhir.nwgenomics.nhs.uk/StructureDefinition/ServiceRequest Version: 0.2.2
Draft as of 2026-05-12 Computable Name: ServiceRequest
Keywords: Core, Diagnostics, Genomics

Diagnostic

Reference

Usages:

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.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* ServiceRequestLabEu Laboratory Order
Constraints: prr-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... extension:accreditedLab 0..1 boolean Accredited laboratory requested
URL: http://hl7.eu/fhir/StructureDefinition/laboratory-accredited
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier SΣ 1..* CorrelationIdentifier Identifiers assigned to this order
Slice: Unordered, Open by value:type
.... identifier:OrderIdentifier SOΣ 0..1 OrderIdentifier Identifier assigned by the Order Placer. (HL7 v2 ORC-2/OBR-2 Placer Order Number and GS1 )
ObligationsActor
SHALL:populate Order Placer
SHALL:populate Requestor (ILW)
SHOULD:populate-if-known Order Filler
SHOULD:populate-if-known Subcontractor (ILW)
SHOULD:populate-if-known Automation Manager
... basedOn SΣ 0..* Reference(ServiceRequest) SHALL reference a parent request where this ServiceRequest is based on a previous request, e.g. in the case of reanalysis and cascade testing, or Germline Late tests in the Tumour First/Germline Late scenario
.... identifier Σ 0..1 OrderIdentifier Logical reference, when literal reference is not known
... requisition OΣ 0..1 OrderGroupNumber Identifier assigned by the Order Placer. (HL7 v2 ORC-4 Placer Group Number)
ObligationsActor
SHALL:populate Order Placer
SHALL:populate Requestor (ILW)
SHOULD:populate-if-known Order Filler
SHOULD:populate-if-known Subcontractor (ILW)
SHOULD:populate-if-known Automation Manager
... 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.
... Slices for category Σ 1..* CodeableConcept Classification of service
Slice: Unordered, Open by value:coding.system
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
.... category:GenomicProcedure Σ 0..1 CodeableConcept Classification of service
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
.... category:GenomicsWholeCaseSequencing SΣ 0..1 CodeableConcept Classification of service
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
... priority Σ 0..1 code routine | urgent | asap | stat
Binding: Request Priority (required)
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code SΣ 1..1 CodeableConcept See [National Genomic Test Directory](https://www.england.nhs.uk/wp-content/uploads/2018/08/rare-and-inherited-disease-eligibility-criteria-v2.pdf).
Binding: Laboratory Order (preferred)
.... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:GenomicTestDirectory SΣ 1..1 Coding Genomic Test Directory
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
... orderDetail SΣC 0..* CodeableConcept Additional order codes
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
.... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:GenomicTestDirectory SΣ 1..1 Coding Genomic Test Directory
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
... subject SΣ 1..1 Reference(Patient) Individual or Entity the service is ordered for
.... identifier Σ 0..1 NHSIdentifier Logical reference, when literal reference is not known
... encounter SΣ 0..1 Reference(Hospital Spell) A reference identifier to the episode/stay/visit number in which the request was created. (HL7 v2 PV1-19)
.... identifier SOΣ 0..1 HospitalProviderSpellIdentifier Logical reference, when literal reference is not known
ObligationsActor
SHALL:populate-if-known Order Filler
SHALL:populate-if-known Order Placer
SHALL:populate-if-known Automation Manager
... authoredOn SΣ 1..1 dateTime When the order was placed
... requester SΣ 1..1 Reference(PractitionerRole | Organization) Who/what is requesting service
.... identifier Σ 0..1 OrganisationCode Logical reference, when literal reference is not known
... performer Σ 0..* Reference(Organization) Requested performer
.... identifier Σ 0..1 OrganisationCode Logical reference, when literal reference is not known
... reasonCode Σ 0..* CodeableConcept Explanation/Justification for procedure or service
Binding: Genomic Clinical Indication Codes (preferred)
... Slices for supportingInfo 0..* Reference(Observation | DocumentReference) Additional information: e.g AOEs and prior results
Slice: Unordered, Open by profile:$this.resolve()
.... supportingInfo:OrderEntryQuestions 0..1 Reference(Observation) Additional information: e.g AOEs and prior results
.... supportingInfo:clinicalContext 0..1 Reference(DocumentReference) Additional information: e.g AOEs and prior results
... specimen SΣ 0..* Reference(Specimen: Laboratory) Specimens to be used by the laboratory procedure

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ServiceRequest.status Base required RequestStatus 📍4.0.1 FHIR Std.
ServiceRequest.intent Base required RequestIntent 📍4.0.1 FHIR Std.
ServiceRequest.category Base example Service Request Category Codes 📍4.0.1 FHIR Std.
ServiceRequest.category:GenomicProcedure Base example Service Request Category Codes 📍4.0.1 FHIR Std.
ServiceRequest.category:GenomicsWholeCaseSequencing Base example Service Request Category Codes 📍4.0.1 FHIR Std.
ServiceRequest.priority Base required Request Priority 📦0.2.2 This IG
ServiceRequest.code Base preferred Laboratory Order 📦2.0.0 HL7 Europe Laboratory Report v2.0
ServiceRequest.orderDetail Base example Service Request Order Details Codes 📍4.0.1 FHIR Std.
ServiceRequest.reasonCode Base preferred Genomic Clinical Indication Codes 📦0.2.2 This IG

Constraints

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

This structure is derived from ServiceRequestLabEu

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest 0..* ServiceRequestLabEu Laboratory Order
... Slices for identifier S 1..* CorrelationIdentifier Identifiers assigned to this order
Slice: Unordered, Open by value:type
.... identifier:OrderIdentifier SO 0..1 OrderIdentifier Identifier assigned by the Order Placer. (HL7 v2 ORC-2/OBR-2 Placer Order Number and GS1 )
ObligationsActor
SHALL:populate Order Placer
SHALL:populate Requestor (ILW)
SHOULD:populate-if-known Order Filler
SHOULD:populate-if-known Subcontractor (ILW)
SHOULD:populate-if-known Automation Manager
... basedOn S 0..* Reference(ServiceRequest) SHALL reference a parent request where this ServiceRequest is based on a previous request, e.g. in the case of reanalysis and cascade testing, or Germline Late tests in the Tumour First/Germline Late scenario
.... identifier 0..1 OrderIdentifier Logical reference, when literal reference is not known
... requisition O 0..1 OrderGroupNumber Identifier assigned by the Order Placer. (HL7 v2 ORC-4 Placer Group Number)
ObligationsActor
SHALL:populate Order Placer
SHALL:populate Requestor (ILW)
SHOULD:populate-if-known Order Filler
SHOULD:populate-if-known Subcontractor (ILW)
SHOULD:populate-if-known Automation Manager
... Slices for category 1..* CodeableConcept Classification of service
Slice: Unordered, Open by value:coding.system
.... category:GenomicProcedure 0..1 CodeableConcept Classification of service
..... coding
...... system 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
...... code 0..1 code Symbol in syntax defined by the system
Required Pattern: 116148004
.... category:GenomicsWholeCaseSequencing S 0..1 CodeableConcept Classification of service
..... coding
...... system 1..1 uri Identity of the terminology system
Required Pattern: https://fhir.hl7.org.uk/CodeSystem/UKCore-GenomeSequencingCategory
... priority 0..1 code routine | urgent | asap | stat
Binding: Request Priority (required)
... code S 1..1 CodeableConcept See [National Genomic Test Directory](https://www.england.nhs.uk/wp-content/uploads/2018/08/rare-and-inherited-disease-eligibility-criteria-v2.pdf).
.... Slices for coding S 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:GenomicTestDirectory S 1..1 Coding Genomic Test Directory
...... system 1..1 uri Identity of the terminology system
Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
... orderDetail S 0..* CodeableConcept Additional order codes
.... Slices for coding S 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:GenomicTestDirectory S 1..1 Coding Genomic Test Directory
...... system 1..1 uri Identity of the terminology system
Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
... subject S 1..1 Reference(Patient) Individual or Entity the service is ordered for
.... identifier 0..1 NHSIdentifier Logical reference, when literal reference is not known
... encounter S 0..1 Reference(Hospital Spell) A reference identifier to the episode/stay/visit number in which the request was created. (HL7 v2 PV1-19)
.... identifier SO 0..1 HospitalProviderSpellIdentifier Logical reference, when literal reference is not known
ObligationsActor
SHALL:populate-if-known Order Filler
SHALL:populate-if-known Order Placer
SHALL:populate-if-known Automation Manager
... authoredOn S 1..1 dateTime When the order was placed
... requester S 1..1 Reference(PractitionerRole | Organization) Who/what is requesting service
.... identifier 0..1 OrganisationCode Logical reference, when literal reference is not known
... performer 0..* Reference(Organization) Requested performer
.... identifier 0..1 OrganisationCode Logical reference, when literal reference is not known
... reasonCode 0..* CodeableConcept Explanation/Justification for procedure or service
Binding: Genomic Clinical Indication Codes (preferred)
... Slices for supportingInfo 0..* Reference(Observation | DocumentReference) Additional information: e.g AOEs and prior results
Slice: Unordered, Open by profile:$this.resolve()
.... supportingInfo:OrderEntryQuestions 0..1 Reference(Observation) Additional information: e.g AOEs and prior results
.... supportingInfo:clinicalContext 0..1 Reference(DocumentReference) Additional information: e.g AOEs and prior results
... specimen S 0..* Reference(Specimen: Laboratory) Specimens to be used by the laboratory procedure

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
ServiceRequest.priority Base required Request Priority 📦0.2.2 This IG
ServiceRequest.reasonCode Base preferred Genomic Clinical Indication Codes 📦0.2.2 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* ServiceRequestLabEu Laboratory Order
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 BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:accreditedLab 0..1 boolean Accredited laboratory requested
URL: http://hl7.eu/fhir/StructureDefinition/laboratory-accredited
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier SΣ 1..* CorrelationIdentifier Identifiers assigned to this order
Slice: Unordered, Open by value:type
.... identifier:OrderIdentifier SOΣ 0..1 OrderIdentifier Identifier assigned by the Order Placer. (HL7 v2 ORC-2/OBR-2 Placer Order Number and GS1 )
ObligationsActor
SHALL:populate Order Placer
SHALL:populate Requestor (ILW)
SHOULD:populate-if-known Order Filler
SHOULD:populate-if-known Subcontractor (ILW)
SHOULD:populate-if-known Automation Manager
... instantiatesCanonical Σ 0..* canonical(ActivityDefinition | PlanDefinition) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn SΣ 0..* Reference(ServiceRequest) SHALL reference a parent request where this ServiceRequest is based on a previous request, e.g. in the case of reanalysis and cascade testing, or Germline Late tests in the Tumour First/Germline Late scenario
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 OrderIdentifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... replaces Σ 0..* Reference(ServiceRequest) What request replaces
... requisition OΣ 0..1 OrderGroupNumber Identifier assigned by the Order Placer. (HL7 v2 ORC-4 Placer Group Number)
ObligationsActor
SHALL:populate Order Placer
SHALL:populate Requestor (ILW)
SHOULD:populate-if-known Order Filler
SHOULD:populate-if-known Subcontractor (ILW)
SHOULD:populate-if-known Automation Manager
... 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.
... Slices for category Σ 1..* CodeableConcept Classification of service
Slice: Unordered, Open by value:coding.system
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
.... category:GenomicProcedure Σ 0..1 CodeableConcept Classification of service
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 0..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
Required Pattern: 116148004
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... category:GenomicsWholeCaseSequencing SΣ 0..1 CodeableConcept Classification of service
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 0..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: https://fhir.hl7.org.uk/CodeSystem/UKCore-GenomeSequencingCategory
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
... priority Σ 0..1 code routine | urgent | asap | stat
Binding: Request Priority (required)
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code SΣ 1..1 CodeableConcept See [National Genomic Test Directory](https://www.england.nhs.uk/wp-content/uploads/2018/08/rare-and-inherited-disease-eligibility-criteria-v2.pdf).
Binding: Laboratory Order (preferred)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:GenomicTestDirectory SΣ 1..1 Coding Genomic Test Directory
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... orderDetail SΣC 0..* CodeableConcept Additional order codes
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:GenomicTestDirectory SΣ 1..1 Coding Genomic Test Directory
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... quantity[x] Σ 0..1 Service amount
.... quantityQuantity Quantity
.... quantityRatio Ratio
.... quantityRange Range
... subject SΣ 1..1 Reference(Patient) Individual or Entity the service is ordered for
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 NHSIdentifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter SΣ 0..1 Reference(Hospital Spell) A reference identifier to the episode/stay/visit number in which the request was created. (HL7 v2 PV1-19)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier SOΣ 0..1 HospitalProviderSpellIdentifier Logical reference, when literal reference is not known
ObligationsActor
SHALL:populate-if-known Order Filler
SHALL:populate-if-known Order Placer
SHALL:populate-if-known Automation Manager
.... display Σ 0..1 string Text alternative for the resource
... occurrence[x] Σ 0..1 When service should occur
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
... asNeeded[x] Σ 0..1 Preconditions for service
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
.... asNeededBoolean boolean
.... asNeededCodeableConcept CodeableConcept
... authoredOn SΣ 1..1 dateTime When the order was placed
... requester SΣ 1..1 Reference(PractitionerRole | Organization) Who/what is requesting service
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 OrganisationCode Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... 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(Organization) Requested performer
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 OrganisationCode Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... locationCode Σ 0..* CodeableConcept Requested location
Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
... locationReference Σ 0..* Reference(Location) Requested location
... reasonCode Σ 0..* CodeableConcept Explanation/Justification for procedure or service
Binding: Genomic Clinical Indication Codes (preferred)
... reasonReference Σ 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Explanation/Justification for service or service
... insurance 0..* Reference(Coverage) Associated insurance coverage
... Slices for supportingInfo 0..* Reference(Observation | DocumentReference) Additional information: e.g AOEs and prior results
Slice: Unordered, Open by profile:$this.resolve()
.... supportingInfo:OrderEntryQuestions 0..1 Reference(Observation) Additional information: e.g AOEs and prior results
.... supportingInfo:clinicalContext 0..1 Reference(DocumentReference) Additional information: e.g AOEs and prior results
... specimen SΣ 0..* Reference(Specimen: Laboratory) Specimens to be used by the laboratory procedure
... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ServiceRequest.language Base preferred Common Languages 📍4.0.1 FHIR Std.
ServiceRequest.basedOn.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
ServiceRequest.status Base required RequestStatus 📍4.0.1 FHIR Std.
ServiceRequest.intent Base required RequestIntent 📍4.0.1 FHIR Std.
ServiceRequest.category Base example Service Request Category Codes 📍4.0.1 FHIR Std.
ServiceRequest.category:GenomicProcedure Base example Service Request Category Codes 📍4.0.1 FHIR Std.
ServiceRequest.category:GenomicsWholeCaseSequencing Base example Service Request Category Codes 📍4.0.1 FHIR Std.
ServiceRequest.priority Base required Request Priority 📦0.2.2 This IG
ServiceRequest.code Base preferred Laboratory Order 📦2.0.0 HL7 Europe Laboratory Report v2.0
ServiceRequest.orderDetail Base example Service Request Order Details Codes 📍4.0.1 FHIR Std.
ServiceRequest.subject.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
ServiceRequest.encounter.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
ServiceRequest.asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
ServiceRequest.requester.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
ServiceRequest.performerType Base example Participant Roles 📍4.0.1 FHIR Std.
ServiceRequest.performer.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
ServiceRequest.locationCode Base example ServiceDeliveryLocationRoleType 📦3.0.0 THO v7.1
ServiceRequest.reasonCode Base preferred Genomic Clinical Indication Codes 📦0.2.2 This IG
ServiceRequest.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.

Constraints

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

This structure is derived from ServiceRequestLabEu

Summary

Mandatory: 7 elements(5 nested mandatory elements)
Must-Support: 16 elements

Structures

This structure refers to these other structures:

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.category
  • The element 1 is sliced based on the value of ServiceRequest.code.coding
  • The element 1 is sliced based on the value of ServiceRequest.orderDetail.coding
  • The element 1 is sliced based on the value of ServiceRequest.supportingInfo

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* ServiceRequestLabEu Laboratory Order
Constraints: prr-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... extension:accreditedLab 0..1 boolean Accredited laboratory requested
URL: http://hl7.eu/fhir/StructureDefinition/laboratory-accredited
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier SΣ 1..* CorrelationIdentifier Identifiers assigned to this order
Slice: Unordered, Open by value:type
.... identifier:OrderIdentifier SOΣ 0..1 OrderIdentifier Identifier assigned by the Order Placer. (HL7 v2 ORC-2/OBR-2 Placer Order Number and GS1 )
ObligationsActor
SHALL:populate Order Placer
SHALL:populate Requestor (ILW)
SHOULD:populate-if-known Order Filler
SHOULD:populate-if-known Subcontractor (ILW)
SHOULD:populate-if-known Automation Manager
... basedOn SΣ 0..* Reference(ServiceRequest) SHALL reference a parent request where this ServiceRequest is based on a previous request, e.g. in the case of reanalysis and cascade testing, or Germline Late tests in the Tumour First/Germline Late scenario
.... identifier Σ 0..1 OrderIdentifier Logical reference, when literal reference is not known
... requisition OΣ 0..1 OrderGroupNumber Identifier assigned by the Order Placer. (HL7 v2 ORC-4 Placer Group Number)
ObligationsActor
SHALL:populate Order Placer
SHALL:populate Requestor (ILW)
SHOULD:populate-if-known Order Filler
SHOULD:populate-if-known Subcontractor (ILW)
SHOULD:populate-if-known Automation Manager
... 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.
... Slices for category Σ 1..* CodeableConcept Classification of service
Slice: Unordered, Open by value:coding.system
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
.... category:GenomicProcedure Σ 0..1 CodeableConcept Classification of service
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
.... category:GenomicsWholeCaseSequencing SΣ 0..1 CodeableConcept Classification of service
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
... priority Σ 0..1 code routine | urgent | asap | stat
Binding: Request Priority (required)
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code SΣ 1..1 CodeableConcept See [National Genomic Test Directory](https://www.england.nhs.uk/wp-content/uploads/2018/08/rare-and-inherited-disease-eligibility-criteria-v2.pdf).
Binding: Laboratory Order (preferred)
.... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:GenomicTestDirectory SΣ 1..1 Coding Genomic Test Directory
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
... orderDetail SΣC 0..* CodeableConcept Additional order codes
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
.... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:GenomicTestDirectory SΣ 1..1 Coding Genomic Test Directory
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
... subject SΣ 1..1 Reference(Patient) Individual or Entity the service is ordered for
.... identifier Σ 0..1 NHSIdentifier Logical reference, when literal reference is not known
... encounter SΣ 0..1 Reference(Hospital Spell) A reference identifier to the episode/stay/visit number in which the request was created. (HL7 v2 PV1-19)
.... identifier SOΣ 0..1 HospitalProviderSpellIdentifier Logical reference, when literal reference is not known
ObligationsActor
SHALL:populate-if-known Order Filler
SHALL:populate-if-known Order Placer
SHALL:populate-if-known Automation Manager
... authoredOn SΣ 1..1 dateTime When the order was placed
... requester SΣ 1..1 Reference(PractitionerRole | Organization) Who/what is requesting service
.... identifier Σ 0..1 OrganisationCode Logical reference, when literal reference is not known
... performer Σ 0..* Reference(Organization) Requested performer
.... identifier Σ 0..1 OrganisationCode Logical reference, when literal reference is not known
... reasonCode Σ 0..* CodeableConcept Explanation/Justification for procedure or service
Binding: Genomic Clinical Indication Codes (preferred)
... Slices for supportingInfo 0..* Reference(Observation | DocumentReference) Additional information: e.g AOEs and prior results
Slice: Unordered, Open by profile:$this.resolve()
.... supportingInfo:OrderEntryQuestions 0..1 Reference(Observation) Additional information: e.g AOEs and prior results
.... supportingInfo:clinicalContext 0..1 Reference(DocumentReference) Additional information: e.g AOEs and prior results
... specimen SΣ 0..* Reference(Specimen: Laboratory) Specimens to be used by the laboratory procedure

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ServiceRequest.status Base required RequestStatus 📍4.0.1 FHIR Std.
ServiceRequest.intent Base required RequestIntent 📍4.0.1 FHIR Std.
ServiceRequest.category Base example Service Request Category Codes 📍4.0.1 FHIR Std.
ServiceRequest.category:GenomicProcedure Base example Service Request Category Codes 📍4.0.1 FHIR Std.
ServiceRequest.category:GenomicsWholeCaseSequencing Base example Service Request Category Codes 📍4.0.1 FHIR Std.
ServiceRequest.priority Base required Request Priority 📦0.2.2 This IG
ServiceRequest.code Base preferred Laboratory Order 📦2.0.0 HL7 Europe Laboratory Report v2.0
ServiceRequest.orderDetail Base example Service Request Order Details Codes 📍4.0.1 FHIR Std.
ServiceRequest.reasonCode Base preferred Genomic Clinical Indication Codes 📦0.2.2 This IG

Constraints

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

Differential View

This structure is derived from ServiceRequestLabEu

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest 0..* ServiceRequestLabEu Laboratory Order
... Slices for identifier S 1..* CorrelationIdentifier Identifiers assigned to this order
Slice: Unordered, Open by value:type
.... identifier:OrderIdentifier SO 0..1 OrderIdentifier Identifier assigned by the Order Placer. (HL7 v2 ORC-2/OBR-2 Placer Order Number and GS1 )
ObligationsActor
SHALL:populate Order Placer
SHALL:populate Requestor (ILW)
SHOULD:populate-if-known Order Filler
SHOULD:populate-if-known Subcontractor (ILW)
SHOULD:populate-if-known Automation Manager
... basedOn S 0..* Reference(ServiceRequest) SHALL reference a parent request where this ServiceRequest is based on a previous request, e.g. in the case of reanalysis and cascade testing, or Germline Late tests in the Tumour First/Germline Late scenario
.... identifier 0..1 OrderIdentifier Logical reference, when literal reference is not known
... requisition O 0..1 OrderGroupNumber Identifier assigned by the Order Placer. (HL7 v2 ORC-4 Placer Group Number)
ObligationsActor
SHALL:populate Order Placer
SHALL:populate Requestor (ILW)
SHOULD:populate-if-known Order Filler
SHOULD:populate-if-known Subcontractor (ILW)
SHOULD:populate-if-known Automation Manager
... Slices for category 1..* CodeableConcept Classification of service
Slice: Unordered, Open by value:coding.system
.... category:GenomicProcedure 0..1 CodeableConcept Classification of service
..... coding
...... system 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
...... code 0..1 code Symbol in syntax defined by the system
Required Pattern: 116148004
.... category:GenomicsWholeCaseSequencing S 0..1 CodeableConcept Classification of service
..... coding
...... system 1..1 uri Identity of the terminology system
Required Pattern: https://fhir.hl7.org.uk/CodeSystem/UKCore-GenomeSequencingCategory
... priority 0..1 code routine | urgent | asap | stat
Binding: Request Priority (required)
... code S 1..1 CodeableConcept See [National Genomic Test Directory](https://www.england.nhs.uk/wp-content/uploads/2018/08/rare-and-inherited-disease-eligibility-criteria-v2.pdf).
.... Slices for coding S 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:GenomicTestDirectory S 1..1 Coding Genomic Test Directory
...... system 1..1 uri Identity of the terminology system
Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
... orderDetail S 0..* CodeableConcept Additional order codes
.... Slices for coding S 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:GenomicTestDirectory S 1..1 Coding Genomic Test Directory
...... system 1..1 uri Identity of the terminology system
Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
... subject S 1..1 Reference(Patient) Individual or Entity the service is ordered for
.... identifier 0..1 NHSIdentifier Logical reference, when literal reference is not known
... encounter S 0..1 Reference(Hospital Spell) A reference identifier to the episode/stay/visit number in which the request was created. (HL7 v2 PV1-19)
.... identifier SO 0..1 HospitalProviderSpellIdentifier Logical reference, when literal reference is not known
ObligationsActor
SHALL:populate-if-known Order Filler
SHALL:populate-if-known Order Placer
SHALL:populate-if-known Automation Manager
... authoredOn S 1..1 dateTime When the order was placed
... requester S 1..1 Reference(PractitionerRole | Organization) Who/what is requesting service
.... identifier 0..1 OrganisationCode Logical reference, when literal reference is not known
... performer 0..* Reference(Organization) Requested performer
.... identifier 0..1 OrganisationCode Logical reference, when literal reference is not known
... reasonCode 0..* CodeableConcept Explanation/Justification for procedure or service
Binding: Genomic Clinical Indication Codes (preferred)
... Slices for supportingInfo 0..* Reference(Observation | DocumentReference) Additional information: e.g AOEs and prior results
Slice: Unordered, Open by profile:$this.resolve()
.... supportingInfo:OrderEntryQuestions 0..1 Reference(Observation) Additional information: e.g AOEs and prior results
.... supportingInfo:clinicalContext 0..1 Reference(DocumentReference) Additional information: e.g AOEs and prior results
... specimen S 0..* Reference(Specimen: Laboratory) Specimens to be used by the laboratory procedure

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
ServiceRequest.priority Base required Request Priority 📦0.2.2 This IG
ServiceRequest.reasonCode Base preferred Genomic Clinical Indication Codes 📦0.2.2 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* ServiceRequestLabEu Laboratory Order
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 BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:accreditedLab 0..1 boolean Accredited laboratory requested
URL: http://hl7.eu/fhir/StructureDefinition/laboratory-accredited
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier SΣ 1..* CorrelationIdentifier Identifiers assigned to this order
Slice: Unordered, Open by value:type
.... identifier:OrderIdentifier SOΣ 0..1 OrderIdentifier Identifier assigned by the Order Placer. (HL7 v2 ORC-2/OBR-2 Placer Order Number and GS1 )
ObligationsActor
SHALL:populate Order Placer
SHALL:populate Requestor (ILW)
SHOULD:populate-if-known Order Filler
SHOULD:populate-if-known Subcontractor (ILW)
SHOULD:populate-if-known Automation Manager
... instantiatesCanonical Σ 0..* canonical(ActivityDefinition | PlanDefinition) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn SΣ 0..* Reference(ServiceRequest) SHALL reference a parent request where this ServiceRequest is based on a previous request, e.g. in the case of reanalysis and cascade testing, or Germline Late tests in the Tumour First/Germline Late scenario
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 OrderIdentifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... replaces Σ 0..* Reference(ServiceRequest) What request replaces
... requisition OΣ 0..1 OrderGroupNumber Identifier assigned by the Order Placer. (HL7 v2 ORC-4 Placer Group Number)
ObligationsActor
SHALL:populate Order Placer
SHALL:populate Requestor (ILW)
SHOULD:populate-if-known Order Filler
SHOULD:populate-if-known Subcontractor (ILW)
SHOULD:populate-if-known Automation Manager
... 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.
... Slices for category Σ 1..* CodeableConcept Classification of service
Slice: Unordered, Open by value:coding.system
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
.... category:GenomicProcedure Σ 0..1 CodeableConcept Classification of service
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 0..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
Required Pattern: 116148004
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... category:GenomicsWholeCaseSequencing SΣ 0..1 CodeableConcept Classification of service
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 0..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: https://fhir.hl7.org.uk/CodeSystem/UKCore-GenomeSequencingCategory
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
... priority Σ 0..1 code routine | urgent | asap | stat
Binding: Request Priority (required)
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code SΣ 1..1 CodeableConcept See [National Genomic Test Directory](https://www.england.nhs.uk/wp-content/uploads/2018/08/rare-and-inherited-disease-eligibility-criteria-v2.pdf).
Binding: Laboratory Order (preferred)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:GenomicTestDirectory SΣ 1..1 Coding Genomic Test Directory
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... orderDetail SΣC 0..* CodeableConcept Additional order codes
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:GenomicTestDirectory SΣ 1..1 Coding Genomic Test Directory
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... quantity[x] Σ 0..1 Service amount
.... quantityQuantity Quantity
.... quantityRatio Ratio
.... quantityRange Range
... subject SΣ 1..1 Reference(Patient) Individual or Entity the service is ordered for
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 NHSIdentifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter SΣ 0..1 Reference(Hospital Spell) A reference identifier to the episode/stay/visit number in which the request was created. (HL7 v2 PV1-19)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier SOΣ 0..1 HospitalProviderSpellIdentifier Logical reference, when literal reference is not known
ObligationsActor
SHALL:populate-if-known Order Filler
SHALL:populate-if-known Order Placer
SHALL:populate-if-known Automation Manager
.... display Σ 0..1 string Text alternative for the resource
... occurrence[x] Σ 0..1 When service should occur
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
... asNeeded[x] Σ 0..1 Preconditions for service
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
.... asNeededBoolean boolean
.... asNeededCodeableConcept CodeableConcept
... authoredOn SΣ 1..1 dateTime When the order was placed
... requester SΣ 1..1 Reference(PractitionerRole | Organization) Who/what is requesting service
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 OrganisationCode Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... 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(Organization) Requested performer
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 OrganisationCode Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... locationCode Σ 0..* CodeableConcept Requested location
Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
... locationReference Σ 0..* Reference(Location) Requested location
... reasonCode Σ 0..* CodeableConcept Explanation/Justification for procedure or service
Binding: Genomic Clinical Indication Codes (preferred)
... reasonReference Σ 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Explanation/Justification for service or service
... insurance 0..* Reference(Coverage) Associated insurance coverage
... Slices for supportingInfo 0..* Reference(Observation | DocumentReference) Additional information: e.g AOEs and prior results
Slice: Unordered, Open by profile:$this.resolve()
.... supportingInfo:OrderEntryQuestions 0..1 Reference(Observation) Additional information: e.g AOEs and prior results
.... supportingInfo:clinicalContext 0..1 Reference(DocumentReference) Additional information: e.g AOEs and prior results
... specimen SΣ 0..* Reference(Specimen: Laboratory) Specimens to be used by the laboratory procedure
... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ServiceRequest.language Base preferred Common Languages 📍4.0.1 FHIR Std.
ServiceRequest.basedOn.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
ServiceRequest.status Base required RequestStatus 📍4.0.1 FHIR Std.
ServiceRequest.intent Base required RequestIntent 📍4.0.1 FHIR Std.
ServiceRequest.category Base example Service Request Category Codes 📍4.0.1 FHIR Std.
ServiceRequest.category:GenomicProcedure Base example Service Request Category Codes 📍4.0.1 FHIR Std.
ServiceRequest.category:GenomicsWholeCaseSequencing Base example Service Request Category Codes 📍4.0.1 FHIR Std.
ServiceRequest.priority Base required Request Priority 📦0.2.2 This IG
ServiceRequest.code Base preferred Laboratory Order 📦2.0.0 HL7 Europe Laboratory Report v2.0
ServiceRequest.orderDetail Base example Service Request Order Details Codes 📍4.0.1 FHIR Std.
ServiceRequest.subject.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
ServiceRequest.encounter.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
ServiceRequest.asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
ServiceRequest.requester.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
ServiceRequest.performerType Base example Participant Roles 📍4.0.1 FHIR Std.
ServiceRequest.performer.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
ServiceRequest.locationCode Base example ServiceDeliveryLocationRoleType 📦3.0.0 THO v7.1
ServiceRequest.reasonCode Base preferred Genomic Clinical Indication Codes 📦0.2.2 This IG
ServiceRequest.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.

Constraints

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

This structure is derived from ServiceRequestLabEu

Summary

Mandatory: 7 elements(5 nested mandatory elements)
Must-Support: 16 elements

Structures

This structure refers to these other structures:

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.category
  • The element 1 is sliced based on the value of ServiceRequest.code.coding
  • The element 1 is sliced based on the value of ServiceRequest.orderDetail.coding
  • The element 1 is sliced based on the value of ServiceRequest.supportingInfo

 

Other representations of profile: CSV, Excel, Schematron