Healthy Route Implementation Guide, published by Savannah Informatics. 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/savannahghi/healthy-route-ig/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: Healthy Route Investigation Request

A request for a laboratory investigation arising from the screening visit.

Records that an investigation was asked for, by whom and when. A result with no request behind it cannot be distinguished from a result belonging to another episode of the participant's care, and the protocols draw study samples during a routine clinical visit where both are present.

Usages:

• Refer to this Profile: Healthy Route Laboratory Report
• Examples for this Profile: ServiceRequest/ExampleLabRequest

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed Constraints: bdystr-1, prr-1
ServiceRequest.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
ServiceRequest.contained		0..*	Resource	Contained, inline Resources
ServiceRequest.Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
ServiceRequest.Slices for extension.extension:tenant	S This element must be supported.	1..1	Identifier	Owning site tenant URL: https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-tenant
ServiceRequest.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
ServiceRequest.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
ServiceRequest.intent	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	proposal | plan | directive | order + Binding: RequestIntent (required): The kind of service request. Required Pattern: order
ServiceRequest.category	S This element must be supported. Σ This element is included in summaries.	0..*	CodeableConcept	Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
ServiceRequest.doNotPerform	?! This element is a modifier element. Σ This element is included in summaries.	0..1	boolean	True if service/procedure should not be performed
ServiceRequest.code	S This element must be supported. Σ This element is included in summaries. C	1..1	CodeableReference(ActivityDefinition | PlanDefinition)	​Investigation requested Binding: ProcedureCodesSNOMEDCT (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred and a valueset using LOINC Order codes is available here.
ServiceRequest.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(Healthy Route Patient)	Individual or Entity the service is ordered for
ServiceRequest.encounter	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(Healthy Route Screening Visit)	Encounter in which the request was created
ServiceRequest.authoredOn	S This element must be supported. Σ This element is included in summaries.	1..1	dateTime	Date request signed
ServiceRequest.requester	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(Healthy Route Practitioner)	Who/what is requesting service
ServiceRequest.performer	S This element must be supported. Σ This element is included in summaries.	0..*	Reference(Healthy Route Organization | Healthy Route Practitioner)	Laboratory or team member who will do it
ServiceRequest.reason	S This element must be supported. Σ This element is included in summaries.	0..*	CodeableReference(Healthy Route Measurement | Healthy Route Blood Pressure | Healthy Route Laboratory Report | Healthy Route Document)	Why the investigation was requested Binding: ProcedureReasonCodes (example): SNOMED CT Condition/Problem/Diagnosis Codes
ServiceRequest.specimen	S This element must be supported. Σ This element is included in summaries.	0..*	Reference(Healthy Route Sample)	Procedure Samples
ServiceRequest.note	S This element must be supported.	0..*	Annotation	Comments
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
ServiceRequest.status	Base	required	RequestStatus	📍5.0.0	FHIR Std.
ServiceRequest.intent	Base	required	RequestIntent	📍5.0.0	FHIR Std.
ServiceRequest.category	Base	example	Service Request Category Codes	📍5.0.0	FHIR Std.
ServiceRequest.code	Base	example	Procedure Codes (SNOMED CT)	📍5.0.0	FHIR Std.
ServiceRequest.reason	Base	example	Procedure Reason Codes	📍5.0.0	FHIR Std.

Constraints

Id

Grade

Path(s)

Description

Expression

This structure is derived from ServiceRequest

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest		0..*	ServiceRequest	A request for a service to be performed
ServiceRequest.Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
ServiceRequest.Slices for extension.extension:tenant	S This element must be supported.	1..1	Identifier	Owning site tenant URL: https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-tenant
ServiceRequest.status	S This element must be supported.	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown
ServiceRequest.intent	S This element must be supported.	1..1	code	proposal | plan | directive | order + Required Pattern: order
ServiceRequest.category	S This element must be supported.	0..*	CodeableConcept	Classification of service
ServiceRequest.code	S This element must be supported.	1..1	CodeableReference(ActivityDefinition | PlanDefinition)	Investigation requested
ServiceRequest.subject	S This element must be supported.	1..1	Reference(Healthy Route Patient)	Individual or Entity the service is ordered for
ServiceRequest.encounter	S This element must be supported.	1..1	Reference(Healthy Route Screening Visit)	Encounter in which the request was created
ServiceRequest.authoredOn	S This element must be supported.	1..1	dateTime	Date request signed
ServiceRequest.requester	S This element must be supported.	1..1	Reference(Healthy Route Practitioner)	Who/what is requesting service
ServiceRequest.performer	S This element must be supported.	0..*	Reference(Healthy Route Organization | Healthy Route Practitioner)	Laboratory or team member who will do it
ServiceRequest.reason	S This element must be supported.	0..*	CodeableReference(Healthy Route Measurement | Healthy Route Blood Pressure | Healthy Route Laboratory Report | Healthy Route Document)	Why the investigation was requested
ServiceRequest.specimen	S This element must be supported.	0..*	Reference(Healthy Route Sample)	Procedure Samples
ServiceRequest.note	S This element must be supported.	0..*	Annotation	Comments
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed Constraints: bdystr-1, prr-1
ServiceRequest.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
ServiceRequest.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
ServiceRequest.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
ServiceRequest.language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
ServiceRequest.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
ServiceRequest.contained		0..*	Resource	Contained, inline Resources
ServiceRequest.Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
ServiceRequest.Slices for extension.extension:tenant	S This element must be supported.	1..1	Identifier	Owning site tenant URL: https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-tenant
ServiceRequest.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
ServiceRequest.identifier	Σ This element is included in summaries.	0..*	Identifier	Identifiers assigned to this order
ServiceRequest.instantiatesCanonical	Σ This element is included in summaries.	0..*	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition
ServiceRequest.instantiatesUri	Σ This element is included in summaries.	0..*	uri	Instantiates external protocol or definition
ServiceRequest.basedOn	Σ This element is included in summaries.	0..*	Reference(CarePlan | ServiceRequest | MedicationRequest)	What request fulfills
ServiceRequest.replaces	Σ This element is included in summaries.	0..*	Reference(ServiceRequest)	What request replaces
ServiceRequest.requisition	Σ This element is included in summaries.	0..1	Identifier	Composite Request ID
ServiceRequest.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
ServiceRequest.intent	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	proposal | plan | directive | order + Binding: RequestIntent (required): The kind of service request. Required Pattern: order
ServiceRequest.category	S This element must be supported. Σ This element is included in summaries.	0..*	CodeableConcept	Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
ServiceRequest.priority	Σ This element is included in summaries.	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
ServiceRequest.doNotPerform	?! This element is a modifier element. Σ This element is included in summaries.	0..1	boolean	True if service/procedure should not be performed
ServiceRequest.code	S This element must be supported. Σ This element is included in summaries. C	1..1	CodeableReference(ActivityDefinition | PlanDefinition)	​Investigation requested Binding: ProcedureCodesSNOMEDCT (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred and a valueset using LOINC Order codes is available here.
ServiceRequest.orderDetail	Σ This element is included in summaries. C	0..*	BackboneElement	Additional order information
ServiceRequest.orderDetail.id		0..1	string	Unique id for inter-element referencing
ServiceRequest.orderDetail.extension		0..*	Extension	Additional content defined by implementations
ServiceRequest.orderDetail.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
ServiceRequest.orderDetail.parameterFocus		0..1	CodeableReference(Device | DeviceDefinition | DeviceRequest | SupplyRequest | Medication | MedicationRequest | BiologicallyDerivedProduct | Substance)	The context of the order details by reference
ServiceRequest.orderDetail.parameter	Σ This element is included in summaries.	1..*	BackboneElement	The parameter details for the service being requested
ServiceRequest.orderDetail.parameter.id		0..1	string	Unique id for inter-element referencing
ServiceRequest.orderDetail.parameter.extension		0..*	Extension	Additional content defined by implementations
ServiceRequest.orderDetail.parameter.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
ServiceRequest.orderDetail.parameter.code	Σ This element is included in summaries.	1..1	CodeableConcept	The detail of the order being requested Binding: ServiceRequestOrderDetailParameterCode (example): Codes for order detail parameters.
ServiceRequest.orderDetail.parameter.value[x]	Σ This element is included in summaries.	1..1		The value for the order detail
ServiceRequest.orderDetail.parameter.value[x].valueQuantity			Quantity
ServiceRequest.orderDetail.parameter.value[x].valueRatio			Ratio
ServiceRequest.orderDetail.parameter.value[x].valueRange			Range
ServiceRequest.orderDetail.parameter.value[x].valueBoolean			boolean
ServiceRequest.orderDetail.parameter.value[x].valueCodeableConcept			CodeableConcept
ServiceRequest.orderDetail.parameter.value[x].valueString			string
ServiceRequest.orderDetail.parameter.value[x].valuePeriod			Period
ServiceRequest.quantity[x]	Σ This element is included in summaries.	0..1		Service amount
ServiceRequest.quantity[x].quantityQuantity			Quantity
ServiceRequest.quantity[x].quantityRatio			Ratio
ServiceRequest.quantity[x].quantityRange			Range
ServiceRequest.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(Healthy Route Patient)	Individual or Entity the service is ordered for
ServiceRequest.focus	Σ This element is included in summaries.	0..*	Reference(Resource)	What the service request is about, when it is not about the subject of record
ServiceRequest.encounter	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(Healthy Route Screening Visit)	Encounter in which the request was created
ServiceRequest.occurrence[x]	Σ This element is included in summaries.	0..1		When service should occur
ServiceRequest.occurrence[x].occurrenceDateTime			dateTime
ServiceRequest.occurrence[x].occurrencePeriod			Period
ServiceRequest.occurrence[x].occurrenceTiming			Timing
ServiceRequest.asNeeded[x]	Σ This element is included in summaries.	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.
ServiceRequest.asNeeded[x].asNeededBoolean			boolean
ServiceRequest.asNeeded[x].asNeededCodeableConcept			CodeableConcept
ServiceRequest.authoredOn	S This element must be supported. Σ This element is included in summaries.	1..1	dateTime	Date request signed
ServiceRequest.requester	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(Healthy Route Practitioner)	Who/what is requesting service
ServiceRequest.performerType	Σ This element is included in summaries.	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.
ServiceRequest.performer	S This element must be supported. Σ This element is included in summaries.	0..*	Reference(Healthy Route Organization | Healthy Route Practitioner)	Laboratory or team member who will do it
ServiceRequest.location	Σ This element is included in summaries.	0..*	CodeableReference(Location)	Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
ServiceRequest.reason	S This element must be supported. Σ This element is included in summaries.	0..*	CodeableReference(Healthy Route Measurement | Healthy Route Blood Pressure | Healthy Route Laboratory Report | Healthy Route Document)	Why the investigation was requested Binding: ProcedureReasonCodes (example): SNOMED CT Condition/Problem/Diagnosis Codes
ServiceRequest.insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
ServiceRequest.supportingInfo		0..*	CodeableReference(Resource)	Additional clinical information
ServiceRequest.specimen	S This element must be supported. Σ This element is included in summaries.	0..*	Reference(Healthy Route Sample)	Procedure Samples
ServiceRequest.bodySite	Σ This element is included in summaries. C	0..*	CodeableConcept	Coded location on Body Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
ServiceRequest.bodyStructure	Σ This element is included in summaries. C	0..1	Reference(BodyStructure)	BodyStructure-based location on the body
ServiceRequest.note	S This element must be supported.	0..*	Annotation	Comments
ServiceRequest.patientInstruction		0..*	BackboneElement	Patient or consumer-oriented instructions
ServiceRequest.patientInstruction.id		0..1	string	Unique id for inter-element referencing
ServiceRequest.patientInstruction.extension		0..*	Extension	Additional content defined by implementations
ServiceRequest.patientInstruction.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
ServiceRequest.patientInstruction.instruction[x]	Σ This element is included in summaries.	0..1		Patient or consumer-oriented instructions
ServiceRequest.patientInstruction.instruction[x].instructionMarkdown			markdown
ServiceRequest.patientInstruction.instruction[x].instructionReference			Reference(DocumentReference)
ServiceRequest.relevantHistory		0..*	Reference(Provenance)	Request provenance
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
ServiceRequest.language	Base	required	All Languages	📍5.0.0	FHIR Std.
ServiceRequest.status	Base	required	RequestStatus	📍5.0.0	FHIR Std.
ServiceRequest.intent	Base	required	RequestIntent	📍5.0.0	FHIR Std.
ServiceRequest.category	Base	example	Service Request Category Codes	📍5.0.0	FHIR Std.
ServiceRequest.priority	Base	required	RequestPriority	📍5.0.0	FHIR Std.
ServiceRequest.code	Base	example	Procedure Codes (SNOMED CT)	📍5.0.0	FHIR Std.
ServiceRequest.orderDetail.​parameter.code	Base	example	Servicerequest OrderDetail Parameter Code	📍5.0.0	FHIR Std.
ServiceRequest.asNeeded[x]	Base	example	SNOMED CT Medication As Needed Reason Codes	📍5.0.0	FHIR Std.
ServiceRequest.performerType	Base	example	Participant Roles	📍5.0.0	FHIR Std.
ServiceRequest.location	Base	example	ServiceDeliveryLocationRoleType	📦3.0.0	THO v7.4
ServiceRequest.reason	Base	example	Procedure Reason Codes	📍5.0.0	FHIR Std.
ServiceRequest.bodySite	Base	example	SNOMED CT Body Structures	📍5.0.0	FHIR Std.

Constraints

Id

Grade

Path(s)

Description

Expression

This structure is derived from ServiceRequest

Summary

Mandatory: 6 elements
Must-Support: 13 elements

Structures

This structure refers to these other structures:

• Healthy Route Patient (https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-patient)
• Healthy Route Screening Visit (https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-encounter)
• Healthy Route Practitioner (https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-practitioner)
• Healthy Route Organization (https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-organization)
• Healthy Route Measurement (https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-observation)
• Healthy Route Blood Pressure (https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-blood-pressure)
• Healthy Route Laboratory Report (https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-diagnostic-report)
• Healthy Route Document (https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-document-reference)
• Healthy Route Sample (https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-specimen)

Extensions

This structure refers to these extensions:

• https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-tenant

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed Constraints: bdystr-1, prr-1
ServiceRequest.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
ServiceRequest.contained		0..*	Resource	Contained, inline Resources
ServiceRequest.Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
ServiceRequest.Slices for extension.extension:tenant	S This element must be supported.	1..1	Identifier	Owning site tenant URL: https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-tenant
ServiceRequest.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
ServiceRequest.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
ServiceRequest.intent	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	proposal | plan | directive | order + Binding: RequestIntent (required): The kind of service request. Required Pattern: order
ServiceRequest.category	S This element must be supported. Σ This element is included in summaries.	0..*	CodeableConcept	Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
ServiceRequest.doNotPerform	?! This element is a modifier element. Σ This element is included in summaries.	0..1	boolean	True if service/procedure should not be performed
ServiceRequest.code	S This element must be supported. Σ This element is included in summaries. C	1..1	CodeableReference(ActivityDefinition | PlanDefinition)	​Investigation requested Binding: ProcedureCodesSNOMEDCT (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred and a valueset using LOINC Order codes is available here.
ServiceRequest.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(Healthy Route Patient)	Individual or Entity the service is ordered for
ServiceRequest.encounter	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(Healthy Route Screening Visit)	Encounter in which the request was created
ServiceRequest.authoredOn	S This element must be supported. Σ This element is included in summaries.	1..1	dateTime	Date request signed
ServiceRequest.requester	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(Healthy Route Practitioner)	Who/what is requesting service
ServiceRequest.performer	S This element must be supported. Σ This element is included in summaries.	0..*	Reference(Healthy Route Organization | Healthy Route Practitioner)	Laboratory or team member who will do it
ServiceRequest.reason	S This element must be supported. Σ This element is included in summaries.	0..*	CodeableReference(Healthy Route Measurement | Healthy Route Blood Pressure | Healthy Route Laboratory Report | Healthy Route Document)	Why the investigation was requested Binding: ProcedureReasonCodes (example): SNOMED CT Condition/Problem/Diagnosis Codes
ServiceRequest.specimen	S This element must be supported. Σ This element is included in summaries.	0..*	Reference(Healthy Route Sample)	Procedure Samples
ServiceRequest.note	S This element must be supported.	0..*	Annotation	Comments
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
ServiceRequest.status	Base	required	RequestStatus	📍5.0.0	FHIR Std.
ServiceRequest.intent	Base	required	RequestIntent	📍5.0.0	FHIR Std.
ServiceRequest.category	Base	example	Service Request Category Codes	📍5.0.0	FHIR Std.
ServiceRequest.code	Base	example	Procedure Codes (SNOMED CT)	📍5.0.0	FHIR Std.
ServiceRequest.reason	Base	example	Procedure Reason Codes	📍5.0.0	FHIR Std.

Constraints

Id

Grade

Path(s)

Description

Expression

Differential View

This structure is derived from ServiceRequest

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest		0..*	ServiceRequest	A request for a service to be performed
ServiceRequest.Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
ServiceRequest.Slices for extension.extension:tenant	S This element must be supported.	1..1	Identifier	Owning site tenant URL: https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-tenant
ServiceRequest.status	S This element must be supported.	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown
ServiceRequest.intent	S This element must be supported.	1..1	code	proposal | plan | directive | order + Required Pattern: order
ServiceRequest.category	S This element must be supported.	0..*	CodeableConcept	Classification of service
ServiceRequest.code	S This element must be supported.	1..1	CodeableReference(ActivityDefinition | PlanDefinition)	Investigation requested
ServiceRequest.subject	S This element must be supported.	1..1	Reference(Healthy Route Patient)	Individual or Entity the service is ordered for
ServiceRequest.encounter	S This element must be supported.	1..1	Reference(Healthy Route Screening Visit)	Encounter in which the request was created
ServiceRequest.authoredOn	S This element must be supported.	1..1	dateTime	Date request signed
ServiceRequest.requester	S This element must be supported.	1..1	Reference(Healthy Route Practitioner)	Who/what is requesting service
ServiceRequest.performer	S This element must be supported.	0..*	Reference(Healthy Route Organization | Healthy Route Practitioner)	Laboratory or team member who will do it
ServiceRequest.reason	S This element must be supported.	0..*	CodeableReference(Healthy Route Measurement | Healthy Route Blood Pressure | Healthy Route Laboratory Report | Healthy Route Document)	Why the investigation was requested
ServiceRequest.specimen	S This element must be supported.	0..*	Reference(Healthy Route Sample)	Procedure Samples
ServiceRequest.note	S This element must be supported.	0..*	Annotation	Comments
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed Constraints: bdystr-1, prr-1
ServiceRequest.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
ServiceRequest.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
ServiceRequest.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
ServiceRequest.language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
ServiceRequest.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
ServiceRequest.contained		0..*	Resource	Contained, inline Resources
ServiceRequest.Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
ServiceRequest.Slices for extension.extension:tenant	S This element must be supported.	1..1	Identifier	Owning site tenant URL: https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-tenant
ServiceRequest.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
ServiceRequest.identifier	Σ This element is included in summaries.	0..*	Identifier	Identifiers assigned to this order
ServiceRequest.instantiatesCanonical	Σ This element is included in summaries.	0..*	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition
ServiceRequest.instantiatesUri	Σ This element is included in summaries.	0..*	uri	Instantiates external protocol or definition
ServiceRequest.basedOn	Σ This element is included in summaries.	0..*	Reference(CarePlan | ServiceRequest | MedicationRequest)	What request fulfills
ServiceRequest.replaces	Σ This element is included in summaries.	0..*	Reference(ServiceRequest)	What request replaces
ServiceRequest.requisition	Σ This element is included in summaries.	0..1	Identifier	Composite Request ID
ServiceRequest.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
ServiceRequest.intent	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	proposal | plan | directive | order + Binding: RequestIntent (required): The kind of service request. Required Pattern: order
ServiceRequest.category	S This element must be supported. Σ This element is included in summaries.	0..*	CodeableConcept	Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
ServiceRequest.priority	Σ This element is included in summaries.	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
ServiceRequest.doNotPerform	?! This element is a modifier element. Σ This element is included in summaries.	0..1	boolean	True if service/procedure should not be performed
ServiceRequest.code	S This element must be supported. Σ This element is included in summaries. C	1..1	CodeableReference(ActivityDefinition | PlanDefinition)	​Investigation requested Binding: ProcedureCodesSNOMEDCT (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred and a valueset using LOINC Order codes is available here.
ServiceRequest.orderDetail	Σ This element is included in summaries. C	0..*	BackboneElement	Additional order information
ServiceRequest.orderDetail.id		0..1	string	Unique id for inter-element referencing
ServiceRequest.orderDetail.extension		0..*	Extension	Additional content defined by implementations
ServiceRequest.orderDetail.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
ServiceRequest.orderDetail.parameterFocus		0..1	CodeableReference(Device | DeviceDefinition | DeviceRequest | SupplyRequest | Medication | MedicationRequest | BiologicallyDerivedProduct | Substance)	The context of the order details by reference
ServiceRequest.orderDetail.parameter	Σ This element is included in summaries.	1..*	BackboneElement	The parameter details for the service being requested
ServiceRequest.orderDetail.parameter.id		0..1	string	Unique id for inter-element referencing
ServiceRequest.orderDetail.parameter.extension		0..*	Extension	Additional content defined by implementations
ServiceRequest.orderDetail.parameter.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
ServiceRequest.orderDetail.parameter.code	Σ This element is included in summaries.	1..1	CodeableConcept	The detail of the order being requested Binding: ServiceRequestOrderDetailParameterCode (example): Codes for order detail parameters.
ServiceRequest.orderDetail.parameter.value[x]	Σ This element is included in summaries.	1..1		The value for the order detail
ServiceRequest.orderDetail.parameter.value[x].valueQuantity			Quantity
ServiceRequest.orderDetail.parameter.value[x].valueRatio			Ratio
ServiceRequest.orderDetail.parameter.value[x].valueRange			Range
ServiceRequest.orderDetail.parameter.value[x].valueBoolean			boolean
ServiceRequest.orderDetail.parameter.value[x].valueCodeableConcept			CodeableConcept
ServiceRequest.orderDetail.parameter.value[x].valueString			string
ServiceRequest.orderDetail.parameter.value[x].valuePeriod			Period
ServiceRequest.quantity[x]	Σ This element is included in summaries.	0..1		Service amount
ServiceRequest.quantity[x].quantityQuantity			Quantity
ServiceRequest.quantity[x].quantityRatio			Ratio
ServiceRequest.quantity[x].quantityRange			Range
ServiceRequest.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(Healthy Route Patient)	Individual or Entity the service is ordered for
ServiceRequest.focus	Σ This element is included in summaries.	0..*	Reference(Resource)	What the service request is about, when it is not about the subject of record
ServiceRequest.encounter	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(Healthy Route Screening Visit)	Encounter in which the request was created
ServiceRequest.occurrence[x]	Σ This element is included in summaries.	0..1		When service should occur
ServiceRequest.occurrence[x].occurrenceDateTime			dateTime
ServiceRequest.occurrence[x].occurrencePeriod			Period
ServiceRequest.occurrence[x].occurrenceTiming			Timing
ServiceRequest.asNeeded[x]	Σ This element is included in summaries.	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.
ServiceRequest.asNeeded[x].asNeededBoolean			boolean
ServiceRequest.asNeeded[x].asNeededCodeableConcept			CodeableConcept
ServiceRequest.authoredOn	S This element must be supported. Σ This element is included in summaries.	1..1	dateTime	Date request signed
ServiceRequest.requester	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(Healthy Route Practitioner)	Who/what is requesting service
ServiceRequest.performerType	Σ This element is included in summaries.	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.
ServiceRequest.performer	S This element must be supported. Σ This element is included in summaries.	0..*	Reference(Healthy Route Organization | Healthy Route Practitioner)	Laboratory or team member who will do it
ServiceRequest.location	Σ This element is included in summaries.	0..*	CodeableReference(Location)	Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
ServiceRequest.reason	S This element must be supported. Σ This element is included in summaries.	0..*	CodeableReference(Healthy Route Measurement | Healthy Route Blood Pressure | Healthy Route Laboratory Report | Healthy Route Document)	Why the investigation was requested Binding: ProcedureReasonCodes (example): SNOMED CT Condition/Problem/Diagnosis Codes
ServiceRequest.insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
ServiceRequest.supportingInfo		0..*	CodeableReference(Resource)	Additional clinical information
ServiceRequest.specimen	S This element must be supported. Σ This element is included in summaries.	0..*	Reference(Healthy Route Sample)	Procedure Samples
ServiceRequest.bodySite	Σ This element is included in summaries. C	0..*	CodeableConcept	Coded location on Body Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
ServiceRequest.bodyStructure	Σ This element is included in summaries. C	0..1	Reference(BodyStructure)	BodyStructure-based location on the body
ServiceRequest.note	S This element must be supported.	0..*	Annotation	Comments
ServiceRequest.patientInstruction		0..*	BackboneElement	Patient or consumer-oriented instructions
ServiceRequest.patientInstruction.id		0..1	string	Unique id for inter-element referencing
ServiceRequest.patientInstruction.extension		0..*	Extension	Additional content defined by implementations
ServiceRequest.patientInstruction.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
ServiceRequest.patientInstruction.instruction[x]	Σ This element is included in summaries.	0..1		Patient or consumer-oriented instructions
ServiceRequest.patientInstruction.instruction[x].instructionMarkdown			markdown
ServiceRequest.patientInstruction.instruction[x].instructionReference			Reference(DocumentReference)
ServiceRequest.relevantHistory		0..*	Reference(Provenance)	Request provenance
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
ServiceRequest.language	Base	required	All Languages	📍5.0.0	FHIR Std.
ServiceRequest.status	Base	required	RequestStatus	📍5.0.0	FHIR Std.
ServiceRequest.intent	Base	required	RequestIntent	📍5.0.0	FHIR Std.
ServiceRequest.category	Base	example	Service Request Category Codes	📍5.0.0	FHIR Std.
ServiceRequest.priority	Base	required	RequestPriority	📍5.0.0	FHIR Std.
ServiceRequest.code	Base	example	Procedure Codes (SNOMED CT)	📍5.0.0	FHIR Std.
ServiceRequest.orderDetail.​parameter.code	Base	example	Servicerequest OrderDetail Parameter Code	📍5.0.0	FHIR Std.
ServiceRequest.asNeeded[x]	Base	example	SNOMED CT Medication As Needed Reason Codes	📍5.0.0	FHIR Std.
ServiceRequest.performerType	Base	example	Participant Roles	📍5.0.0	FHIR Std.
ServiceRequest.location	Base	example	ServiceDeliveryLocationRoleType	📦3.0.0	THO v7.4
ServiceRequest.reason	Base	example	Procedure Reason Codes	📍5.0.0	FHIR Std.
ServiceRequest.bodySite	Base	example	SNOMED CT Body Structures	📍5.0.0	FHIR Std.

Constraints

Id

Grade

Path(s)

Description

Expression

This structure is derived from ServiceRequest

Summary

Mandatory: 6 elements
Must-Support: 13 elements

Structures

This structure refers to these other structures:

• Healthy Route Patient (https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-patient)
• Healthy Route Screening Visit (https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-encounter)
• Healthy Route Practitioner (https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-practitioner)
• Healthy Route Organization (https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-organization)
• Healthy Route Measurement (https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-observation)
• Healthy Route Blood Pressure (https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-blood-pressure)
• Healthy Route Laboratory Report (https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-diagnostic-report)
• Healthy Route Document (https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-document-reference)
• Healthy Route Sample (https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-specimen)

Extensions

This structure refers to these extensions:

• https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-tenant

Other representations of profile: CSV, Excel, Schematron