SIL HIE Implementation Guide, published by Kathurima Kimathi. 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/hie-fhir-ig-profile/ and changes regularly. See the Directory of published versions

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

Resource Profile: HIE ServiceRequest

R4B ServiceRequest constrained for HIE ordering and referral. Emphasizes status, intent, code, subject, reasons, timing, requester, performers, and context.

Usages:

• Refer to this Profile: HIE MedicationRequest and HIE ServiceRequest
• Examples for this Profile: ServiceRequest/HIEServiceRequest-example

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: 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.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
ServiceRequest.identifier	Σ This element is included in summaries.	0..*	Identifier	Identifiers assigned to this order
ServiceRequest.identifier.use	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
ServiceRequest.identifier.type	Σ This element is included in summaries. C	1..1	HIECodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible) Constraints: cc-text-or-code
ServiceRequest.identifier.system	Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
ServiceRequest.identifier.value	S This element must be supported. Σ This element is included in summaries.	1..1	string	The value that is unique Example General: 123456
ServiceRequest.identifier.assigner	S This element must be supported. Σ This element is included in summaries.	0..1	HIEReference(HIE Organization)	Organization that issued id (may be just text)
ServiceRequest.replaces	Σ This element is included in summaries.	0..*	HIEReference(HIE ServiceRequest)	What request replaces
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 | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request.
ServiceRequest.category	S This element must be supported. Σ This element is included in summaries. C	1..1	HIECodeableConcept	Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. Constraints: cc-text-or-code
ServiceRequest.priority	S This element must be supported. Σ This element is included in summaries.	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required)
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	0..1	HIECodeableConcept	What is being requested/ordered Binding: ProcedureCodes(SNOMEDCT) (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. Constraints: cc-text-or-code
ServiceRequest.orderDetail	S This element must be supported. Σ This element is included in summaries. C	0..*	HIECodeableConcept	Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context. Constraints: cc-text-or-code
ServiceRequest.subject	S This element must be supported. Σ This element is included in summaries.	1..1	HIEReference(HIE Patient)	Individual or Entity the service is ordered for
ServiceRequest.encounter	Σ This element is included in summaries.	1..1	HIEReference(HIE Encounter)	Encounter in which the request was created
ServiceRequest.occurrence[x]	S This element must be supported. 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.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	HIEReference(HIE Practitioner | HIE PractitionerRole | HIE Organization | HIE Patient | RelatedPerson | Device)	Who/what is requesting service
ServiceRequest.performerType	Σ This element is included in summaries. C	0..1	HIECodeableConcept	Performer role Binding: Action Participant Role (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. Constraints: cc-text-or-code
ServiceRequest.performer	S This element must be supported. Σ This element is included in summaries.	1..*	HIEReference(HIE Practitioner | HIE PractitionerRole | HIE Organization | CareTeam | HealthcareService | HIE Patient | Device | RelatedPerson)	Requested performer
ServiceRequest.locationCode	Σ This element is included in summaries. C	0..*	HIECodeableConcept	Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered. Constraints: cc-text-or-code
ServiceRequest.locationReference	Σ This element is included in summaries.	0..*	HIEReference(Location)	Requested location
ServiceRequest.reasonCode	Σ This element is included in summaries. C	0..*	HIECodeableConcept	Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): SNOMED CT Condition/Problem/Diagnosis Codes Constraints: cc-text-or-code
ServiceRequest.reasonReference	S This element must be supported. Σ This element is included in summaries.	0..*	HIEReference(HIE Condition | HIE Observation | HIE DiagnosticReport | HIE DocumentReference)	Explanation/Justification for service or service
ServiceRequest.supportingInfo		0..*	HIEReference(Resource)	Additional clinical information
ServiceRequest.specimen	Σ This element is included in summaries.	0..*	HIEReference(Specimen)	Procedure Samples
ServiceRequest.bodySite	Σ This element is included in summaries. C	0..*	HIECodeableConcept	Location on Body Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts Constraints: cc-text-or-code
ServiceRequest.note		0..*	HIEAnnotation	Comments
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
ServiceRequest.identifier.​use	Base	required	IdentifierUse	📦4.3.0	FHIR Std.
ServiceRequest.identifier.​type	Base	extensible	IdentifierType	📦4.3.0	FHIR Std.
ServiceRequest.status	Base	required	RequestStatus	📍4.3.0	FHIR Std.
ServiceRequest.intent	Base	required	RequestIntent	📍4.3.0	FHIR Std.
ServiceRequest.category	Base	example	Service Request Category Codes	📍4.3.0	FHIR Std.
ServiceRequest.priority	Base	required	RequestPriority	📦4.3.0	FHIR Std.
ServiceRequest.code	Base	example	Procedure Codes (SNOMED CT)	📍4.3.0	FHIR Std.
ServiceRequest.orderDetail	Base	example	Service Request Order Details Codes	📍4.3.0	FHIR Std.
ServiceRequest.performerType	Base	example	Action Participant Role	📦2.0.0	THO v7.4
ServiceRequest.locationCode	Base	example	ServiceDeliveryLocationRoleType	📦3.0.0	THO v7.4
ServiceRequest.reasonCode	Base	example	Procedure Reason Codes	📍4.3.0	FHIR Std.
ServiceRequest.bodySite	Base	example	SNOMED CT Body Structures	📍4.3.0	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
cc-text-or-code	warning	ServiceRequest.identifier.type, ServiceRequest.category, ServiceRequest.code, ServiceRequest.orderDetail, ServiceRequest.performerType, ServiceRequest.locationCode, ServiceRequest.reasonCode, ServiceRequest.bodySite	Text is optional, coding is required	coding.exists()
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.exists() and ('#'+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(uri) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	ServiceRequest	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
prr-1	error	ServiceRequest	orderDetail SHALL only be present if code is present	orderDetail.empty() or code.exists()

This structure is derived from ServiceRequest

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest		0..*	ServiceRequest	A request for a service to be performed
ServiceRequest.identifier
ServiceRequest.identifier.use		1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
ServiceRequest.identifier.type		1..1	HIECodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible)
ServiceRequest.identifier.system		1..1	uri	The namespace for the identifier value
ServiceRequest.identifier.value	S This element must be supported.	1..1	string	The value that is unique
ServiceRequest.identifier.assigner	S This element must be supported.	0..1	HIEReference(HIE Organization)	Organization that issued id (may be just text)
ServiceRequest.replaces		0..*	HIEReference(HIE ServiceRequest)	What request replaces
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 | original-order | reflex-order | filler-order | instance-order | option
ServiceRequest.category	S This element must be supported.	1..1	HIECodeableConcept	Classification of service
ServiceRequest.priority	S This element must be supported.	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required)
ServiceRequest.code	S This element must be supported.	0..1	HIECodeableConcept	What is being requested/ordered
ServiceRequest.orderDetail	S This element must be supported.	0..*	HIECodeableConcept	Additional order information
ServiceRequest.subject	S This element must be supported.	1..1	HIEReference(HIE Patient)	Individual or Entity the service is ordered for
ServiceRequest.encounter		1..1	HIEReference(HIE Encounter)	Encounter in which the request was created
ServiceRequest.occurrence[x]	S This element must be supported.	0..1	dateTime, Period, Timing	When service should occur
ServiceRequest.authoredOn	S This element must be supported.	1..1	dateTime	Date request signed
ServiceRequest.requester	S This element must be supported.	1..1	HIEReference(HIE Practitioner | HIE PractitionerRole | HIE Organization | HIE Patient | RelatedPerson | Device)	Who/what is requesting service
ServiceRequest.performerType		0..1	HIECodeableConcept	Performer role
ServiceRequest.performer	S This element must be supported.	1..*	HIEReference(HIE Practitioner | HIE PractitionerRole | HIE Organization | CareTeam | HealthcareService | HIE Patient | Device | RelatedPerson)	Requested performer
ServiceRequest.locationCode		0..*	HIECodeableConcept	Requested location
ServiceRequest.locationReference		0..*	HIEReference(Location)	Requested location
ServiceRequest.reasonCode		0..*	HIECodeableConcept	Explanation/Justification for procedure or service
ServiceRequest.reasonReference	S This element must be supported.	0..*	HIEReference(HIE Condition | HIE Observation | HIE DiagnosticReport | HIE DocumentReference)	Explanation/Justification for service or service
ServiceRequest.supportingInfo		0..*	HIEReference(Resource)	Additional clinical information
ServiceRequest.specimen		0..*	HIEReference(Specimen)	Procedure Samples
ServiceRequest.bodySite		0..*	HIECodeableConcept	Location on Body
ServiceRequest.note		0..*	HIEAnnotation	Comments
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
ServiceRequest.identifier.​use	Base	required	IdentifierUse	📦4.3.0	FHIR Std.
ServiceRequest.identifier.​type	Base	extensible	IdentifierType	📦4.3.0	FHIR Std.
ServiceRequest.priority	Base	required	RequestPriority	📦4.3.0	FHIR Std.

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed Constraints: 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: CommonLanguages (preferred): IETF language tag Additional Bindings Purpose AllLanguages Max Binding
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 Constraints: dom-r4b
ServiceRequest.extension		0..*	Extension	Additional content defined by implementations
ServiceRequest.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
ServiceRequest.identifier	Σ This element is included in summaries.	0..*	Identifier	Identifiers assigned to this order
ServiceRequest.identifier.id		0..1	id	Unique id for inter-element referencing
ServiceRequest.identifier.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
ServiceRequest.identifier.use	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
ServiceRequest.identifier.type	Σ This element is included in summaries. C	1..1	HIECodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible) Constraints: cc-text-or-code
ServiceRequest.identifier.system	Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
ServiceRequest.identifier.value	S This element must be supported. Σ This element is included in summaries.	1..1	string	The value that is unique Example General: 123456
ServiceRequest.identifier.period	Σ This element is included in summaries.	0..1	Period	Time period when id is/was valid for use
ServiceRequest.identifier.assigner	S This element must be supported. Σ This element is included in summaries.	0..1	HIEReference(HIE Organization)	Organization that issued id (may be just text)
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..*	HIEReference(HIE 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 | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request.
ServiceRequest.category	S This element must be supported. Σ This element is included in summaries. C	1..1	HIECodeableConcept	Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. Constraints: cc-text-or-code
ServiceRequest.priority	S This element must be supported. Σ This element is included in summaries.	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required)
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	0..1	HIECodeableConcept	What is being requested/ordered Binding: ProcedureCodes(SNOMEDCT) (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. Constraints: cc-text-or-code
ServiceRequest.orderDetail	S This element must be supported. Σ This element is included in summaries. C	0..*	HIECodeableConcept	Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context. Constraints: cc-text-or-code
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	HIEReference(HIE Patient)	Individual or Entity the service is ordered for
ServiceRequest.encounter	Σ This element is included in summaries.	1..1	HIEReference(HIE Encounter)	Encounter in which the request was created
ServiceRequest.occurrence[x]	S This element must be supported. 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	HIEReference(HIE Practitioner | HIE PractitionerRole | HIE Organization | HIE Patient | RelatedPerson | Device)	Who/what is requesting service
ServiceRequest.performerType	Σ This element is included in summaries. C	0..1	HIECodeableConcept	Performer role Binding: Action Participant Role (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. Constraints: cc-text-or-code
ServiceRequest.performer	S This element must be supported. Σ This element is included in summaries.	1..*	HIEReference(HIE Practitioner | HIE PractitionerRole | HIE Organization | CareTeam | HealthcareService | HIE Patient | Device | RelatedPerson)	Requested performer
ServiceRequest.locationCode	Σ This element is included in summaries. C	0..*	HIECodeableConcept	Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered. Constraints: cc-text-or-code
ServiceRequest.locationReference	Σ This element is included in summaries.	0..*	HIEReference(Location)	Requested location
ServiceRequest.reasonCode	Σ This element is included in summaries. C	0..*	HIECodeableConcept	Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): SNOMED CT Condition/Problem/Diagnosis Codes Constraints: cc-text-or-code
ServiceRequest.reasonReference	S This element must be supported. Σ This element is included in summaries.	0..*	HIEReference(HIE Condition | HIE Observation | HIE DiagnosticReport | HIE DocumentReference)	Explanation/Justification for service or service
ServiceRequest.insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
ServiceRequest.supportingInfo		0..*	HIEReference(Resource)	Additional clinical information
ServiceRequest.specimen	Σ This element is included in summaries.	0..*	HIEReference(Specimen)	Procedure Samples
ServiceRequest.bodySite	Σ This element is included in summaries. C	0..*	HIECodeableConcept	Location on Body Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts Constraints: cc-text-or-code
ServiceRequest.note		0..*	HIEAnnotation	Comments
ServiceRequest.patientInstruction	Σ This element is included in summaries.	0..1	string	Patient or consumer-oriented instructions
ServiceRequest.relevantHistory		0..*	Reference(Provenance)	Request provenance
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
ServiceRequest.language	Base	preferred	Common Languages	📍4.3.0	FHIR Std.
ServiceRequest.identifier.​use	Base	required	IdentifierUse	📦4.3.0	FHIR Std.
ServiceRequest.identifier.​type	Base	extensible	IdentifierType	📦4.3.0	FHIR Std.
ServiceRequest.status	Base	required	RequestStatus	📍4.3.0	FHIR Std.
ServiceRequest.intent	Base	required	RequestIntent	📍4.3.0	FHIR Std.
ServiceRequest.category	Base	example	Service Request Category Codes	📍4.3.0	FHIR Std.
ServiceRequest.priority	Base	required	RequestPriority	📦4.3.0	FHIR Std.
ServiceRequest.code	Base	example	Procedure Codes (SNOMED CT)	📍4.3.0	FHIR Std.
ServiceRequest.orderDetail	Base	example	Service Request Order Details Codes	📍4.3.0	FHIR Std.
ServiceRequest.asNeeded[x]	Base	example	SNOMED CT Medication As Needed Reason Codes	📍4.3.0	FHIR Std.
ServiceRequest.performerType	Base	example	Action Participant Role	📦2.0.0	THO v7.4
ServiceRequest.locationCode	Base	example	ServiceDeliveryLocationRoleType	📦3.0.0	THO v7.4
ServiceRequest.reasonCode	Base	example	Procedure Reason Codes	📍4.3.0	FHIR Std.
ServiceRequest.bodySite	Base	example	SNOMED CT Body Structures	📍4.3.0	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
cc-text-or-code	warning	ServiceRequest.identifier.type, ServiceRequest.category, ServiceRequest.code, ServiceRequest.orderDetail, ServiceRequest.performerType, ServiceRequest.locationCode, ServiceRequest.reasonCode, ServiceRequest.bodySite	Text is optional, coding is required	coding.exists()
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.exists() and ('#'+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(uri) = '#').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()
dom-r4b	warning	ServiceRequest.contained	Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems	($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
prr-1	error	ServiceRequest	orderDetail SHALL only be present if code is present	orderDetail.empty() or code.exists()

This structure is derived from ServiceRequest

Summary

Mandatory: 5 elements(4 nested mandatory elements)
Must-Support: 14 elements

Structures

This structure refers to these other structures:

• HIE CodeableConcept (https://nshr.dha.go.ke/fhir/StructureDefinition/codeable-concept)
• HIE Reference (https://nshr.dha.go.ke/fhir/StructureDefinition/reference)
• HIE Organization (https://nshr.dha.go.ke/fhir/StructureDefinition/organization)
• HIE ServiceRequest (https://nshr.dha.go.ke/fhir/StructureDefinition/servicerequest)
• HIE Patient (https://nshr.dha.go.ke/fhir/StructureDefinition/patient)
• HIE Encounter (https://nshr.dha.go.ke/fhir/StructureDefinition/encounter)
• HIE Practitioner (https://nshr.dha.go.ke/fhir/StructureDefinition/practitioner)
• HIE PractitionerRole (https://nshr.dha.go.ke/fhir/StructureDefinition/practitionerrole)
• HIE Condition (https://nshr.dha.go.ke/fhir/StructureDefinition/condition)
• HIE Observation (https://nshr.dha.go.ke/fhir/StructureDefinition/observation)
• HIE DiagnosticReport (https://nshr.dha.go.ke/fhir/StructureDefinition/diagnosticreport)
• HIE DocumentReference (https://nshr.dha.go.ke/fhir/StructureDefinition/documentreference)
• HIE Annotation (https://nshr.dha.go.ke/fhir/StructureDefinition/annotation)

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: 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.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
ServiceRequest.identifier	Σ This element is included in summaries.	0..*	Identifier	Identifiers assigned to this order
ServiceRequest.identifier.use	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
ServiceRequest.identifier.type	Σ This element is included in summaries. C	1..1	HIECodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible) Constraints: cc-text-or-code
ServiceRequest.identifier.system	Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
ServiceRequest.identifier.value	S This element must be supported. Σ This element is included in summaries.	1..1	string	The value that is unique Example General: 123456
ServiceRequest.identifier.assigner	S This element must be supported. Σ This element is included in summaries.	0..1	HIEReference(HIE Organization)	Organization that issued id (may be just text)
ServiceRequest.replaces	Σ This element is included in summaries.	0..*	HIEReference(HIE ServiceRequest)	What request replaces
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 | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request.
ServiceRequest.category	S This element must be supported. Σ This element is included in summaries. C	1..1	HIECodeableConcept	Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. Constraints: cc-text-or-code
ServiceRequest.priority	S This element must be supported. Σ This element is included in summaries.	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required)
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	0..1	HIECodeableConcept	What is being requested/ordered Binding: ProcedureCodes(SNOMEDCT) (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. Constraints: cc-text-or-code
ServiceRequest.orderDetail	S This element must be supported. Σ This element is included in summaries. C	0..*	HIECodeableConcept	Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context. Constraints: cc-text-or-code
ServiceRequest.subject	S This element must be supported. Σ This element is included in summaries.	1..1	HIEReference(HIE Patient)	Individual or Entity the service is ordered for
ServiceRequest.encounter	Σ This element is included in summaries.	1..1	HIEReference(HIE Encounter)	Encounter in which the request was created
ServiceRequest.occurrence[x]	S This element must be supported. 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.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	HIEReference(HIE Practitioner | HIE PractitionerRole | HIE Organization | HIE Patient | RelatedPerson | Device)	Who/what is requesting service
ServiceRequest.performerType	Σ This element is included in summaries. C	0..1	HIECodeableConcept	Performer role Binding: Action Participant Role (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. Constraints: cc-text-or-code
ServiceRequest.performer	S This element must be supported. Σ This element is included in summaries.	1..*	HIEReference(HIE Practitioner | HIE PractitionerRole | HIE Organization | CareTeam | HealthcareService | HIE Patient | Device | RelatedPerson)	Requested performer
ServiceRequest.locationCode	Σ This element is included in summaries. C	0..*	HIECodeableConcept	Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered. Constraints: cc-text-or-code
ServiceRequest.locationReference	Σ This element is included in summaries.	0..*	HIEReference(Location)	Requested location
ServiceRequest.reasonCode	Σ This element is included in summaries. C	0..*	HIECodeableConcept	Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): SNOMED CT Condition/Problem/Diagnosis Codes Constraints: cc-text-or-code
ServiceRequest.reasonReference	S This element must be supported. Σ This element is included in summaries.	0..*	HIEReference(HIE Condition | HIE Observation | HIE DiagnosticReport | HIE DocumentReference)	Explanation/Justification for service or service
ServiceRequest.supportingInfo		0..*	HIEReference(Resource)	Additional clinical information
ServiceRequest.specimen	Σ This element is included in summaries.	0..*	HIEReference(Specimen)	Procedure Samples
ServiceRequest.bodySite	Σ This element is included in summaries. C	0..*	HIECodeableConcept	Location on Body Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts Constraints: cc-text-or-code
ServiceRequest.note		0..*	HIEAnnotation	Comments
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
ServiceRequest.identifier.​use	Base	required	IdentifierUse	📦4.3.0	FHIR Std.
ServiceRequest.identifier.​type	Base	extensible	IdentifierType	📦4.3.0	FHIR Std.
ServiceRequest.status	Base	required	RequestStatus	📍4.3.0	FHIR Std.
ServiceRequest.intent	Base	required	RequestIntent	📍4.3.0	FHIR Std.
ServiceRequest.category	Base	example	Service Request Category Codes	📍4.3.0	FHIR Std.
ServiceRequest.priority	Base	required	RequestPriority	📦4.3.0	FHIR Std.
ServiceRequest.code	Base	example	Procedure Codes (SNOMED CT)	📍4.3.0	FHIR Std.
ServiceRequest.orderDetail	Base	example	Service Request Order Details Codes	📍4.3.0	FHIR Std.
ServiceRequest.performerType	Base	example	Action Participant Role	📦2.0.0	THO v7.4
ServiceRequest.locationCode	Base	example	ServiceDeliveryLocationRoleType	📦3.0.0	THO v7.4
ServiceRequest.reasonCode	Base	example	Procedure Reason Codes	📍4.3.0	FHIR Std.
ServiceRequest.bodySite	Base	example	SNOMED CT Body Structures	📍4.3.0	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
cc-text-or-code	warning	ServiceRequest.identifier.type, ServiceRequest.category, ServiceRequest.code, ServiceRequest.orderDetail, ServiceRequest.performerType, ServiceRequest.locationCode, ServiceRequest.reasonCode, ServiceRequest.bodySite	Text is optional, coding is required	coding.exists()
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.exists() and ('#'+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(uri) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	ServiceRequest	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
prr-1	error	ServiceRequest	orderDetail SHALL only be present if code is present	orderDetail.empty() or code.exists()

Differential View

This structure is derived from ServiceRequest

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest		0..*	ServiceRequest	A request for a service to be performed
ServiceRequest.identifier
ServiceRequest.identifier.use		1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
ServiceRequest.identifier.type		1..1	HIECodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible)
ServiceRequest.identifier.system		1..1	uri	The namespace for the identifier value
ServiceRequest.identifier.value	S This element must be supported.	1..1	string	The value that is unique
ServiceRequest.identifier.assigner	S This element must be supported.	0..1	HIEReference(HIE Organization)	Organization that issued id (may be just text)
ServiceRequest.replaces		0..*	HIEReference(HIE ServiceRequest)	What request replaces
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 | original-order | reflex-order | filler-order | instance-order | option
ServiceRequest.category	S This element must be supported.	1..1	HIECodeableConcept	Classification of service
ServiceRequest.priority	S This element must be supported.	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required)
ServiceRequest.code	S This element must be supported.	0..1	HIECodeableConcept	What is being requested/ordered
ServiceRequest.orderDetail	S This element must be supported.	0..*	HIECodeableConcept	Additional order information
ServiceRequest.subject	S This element must be supported.	1..1	HIEReference(HIE Patient)	Individual or Entity the service is ordered for
ServiceRequest.encounter		1..1	HIEReference(HIE Encounter)	Encounter in which the request was created
ServiceRequest.occurrence[x]	S This element must be supported.	0..1	dateTime, Period, Timing	When service should occur
ServiceRequest.authoredOn	S This element must be supported.	1..1	dateTime	Date request signed
ServiceRequest.requester	S This element must be supported.	1..1	HIEReference(HIE Practitioner | HIE PractitionerRole | HIE Organization | HIE Patient | RelatedPerson | Device)	Who/what is requesting service
ServiceRequest.performerType		0..1	HIECodeableConcept	Performer role
ServiceRequest.performer	S This element must be supported.	1..*	HIEReference(HIE Practitioner | HIE PractitionerRole | HIE Organization | CareTeam | HealthcareService | HIE Patient | Device | RelatedPerson)	Requested performer
ServiceRequest.locationCode		0..*	HIECodeableConcept	Requested location
ServiceRequest.locationReference		0..*	HIEReference(Location)	Requested location
ServiceRequest.reasonCode		0..*	HIECodeableConcept	Explanation/Justification for procedure or service
ServiceRequest.reasonReference	S This element must be supported.	0..*	HIEReference(HIE Condition | HIE Observation | HIE DiagnosticReport | HIE DocumentReference)	Explanation/Justification for service or service
ServiceRequest.supportingInfo		0..*	HIEReference(Resource)	Additional clinical information
ServiceRequest.specimen		0..*	HIEReference(Specimen)	Procedure Samples
ServiceRequest.bodySite		0..*	HIECodeableConcept	Location on Body
ServiceRequest.note		0..*	HIEAnnotation	Comments
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
ServiceRequest.identifier.​use	Base	required	IdentifierUse	📦4.3.0	FHIR Std.
ServiceRequest.identifier.​type	Base	extensible	IdentifierType	📦4.3.0	FHIR Std.
ServiceRequest.priority	Base	required	RequestPriority	📦4.3.0	FHIR Std.

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: 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: CommonLanguages (preferred): IETF language tag Additional Bindings Purpose AllLanguages Max Binding
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 Constraints: dom-r4b
ServiceRequest.extension		0..*	Extension	Additional content defined by implementations
ServiceRequest.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
ServiceRequest.identifier	Σ This element is included in summaries.	0..*	Identifier	Identifiers assigned to this order
ServiceRequest.identifier.id		0..1	id	Unique id for inter-element referencing
ServiceRequest.identifier.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
ServiceRequest.identifier.use	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
ServiceRequest.identifier.type	Σ This element is included in summaries. C	1..1	HIECodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible) Constraints: cc-text-or-code
ServiceRequest.identifier.system	Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
ServiceRequest.identifier.value	S This element must be supported. Σ This element is included in summaries.	1..1	string	The value that is unique Example General: 123456
ServiceRequest.identifier.period	Σ This element is included in summaries.	0..1	Period	Time period when id is/was valid for use
ServiceRequest.identifier.assigner	S This element must be supported. Σ This element is included in summaries.	0..1	HIEReference(HIE Organization)	Organization that issued id (may be just text)
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..*	HIEReference(HIE 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 | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request.
ServiceRequest.category	S This element must be supported. Σ This element is included in summaries. C	1..1	HIECodeableConcept	Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. Constraints: cc-text-or-code
ServiceRequest.priority	S This element must be supported. Σ This element is included in summaries.	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required)
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	0..1	HIECodeableConcept	What is being requested/ordered Binding: ProcedureCodes(SNOMEDCT) (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. Constraints: cc-text-or-code
ServiceRequest.orderDetail	S This element must be supported. Σ This element is included in summaries. C	0..*	HIECodeableConcept	Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context. Constraints: cc-text-or-code
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	HIEReference(HIE Patient)	Individual or Entity the service is ordered for
ServiceRequest.encounter	Σ This element is included in summaries.	1..1	HIEReference(HIE Encounter)	Encounter in which the request was created
ServiceRequest.occurrence[x]	S This element must be supported. 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	HIEReference(HIE Practitioner | HIE PractitionerRole | HIE Organization | HIE Patient | RelatedPerson | Device)	Who/what is requesting service
ServiceRequest.performerType	Σ This element is included in summaries. C	0..1	HIECodeableConcept	Performer role Binding: Action Participant Role (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. Constraints: cc-text-or-code
ServiceRequest.performer	S This element must be supported. Σ This element is included in summaries.	1..*	HIEReference(HIE Practitioner | HIE PractitionerRole | HIE Organization | CareTeam | HealthcareService | HIE Patient | Device | RelatedPerson)	Requested performer
ServiceRequest.locationCode	Σ This element is included in summaries. C	0..*	HIECodeableConcept	Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered. Constraints: cc-text-or-code
ServiceRequest.locationReference	Σ This element is included in summaries.	0..*	HIEReference(Location)	Requested location
ServiceRequest.reasonCode	Σ This element is included in summaries. C	0..*	HIECodeableConcept	Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): SNOMED CT Condition/Problem/Diagnosis Codes Constraints: cc-text-or-code
ServiceRequest.reasonReference	S This element must be supported. Σ This element is included in summaries.	0..*	HIEReference(HIE Condition | HIE Observation | HIE DiagnosticReport | HIE DocumentReference)	Explanation/Justification for service or service
ServiceRequest.insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
ServiceRequest.supportingInfo		0..*	HIEReference(Resource)	Additional clinical information
ServiceRequest.specimen	Σ This element is included in summaries.	0..*	HIEReference(Specimen)	Procedure Samples
ServiceRequest.bodySite	Σ This element is included in summaries. C	0..*	HIECodeableConcept	Location on Body Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts Constraints: cc-text-or-code
ServiceRequest.note		0..*	HIEAnnotation	Comments
ServiceRequest.patientInstruction	Σ This element is included in summaries.	0..1	string	Patient or consumer-oriented instructions
ServiceRequest.relevantHistory		0..*	Reference(Provenance)	Request provenance
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
ServiceRequest.language	Base	preferred	Common Languages	📍4.3.0	FHIR Std.
ServiceRequest.identifier.​use	Base	required	IdentifierUse	📦4.3.0	FHIR Std.
ServiceRequest.identifier.​type	Base	extensible	IdentifierType	📦4.3.0	FHIR Std.
ServiceRequest.status	Base	required	RequestStatus	📍4.3.0	FHIR Std.
ServiceRequest.intent	Base	required	RequestIntent	📍4.3.0	FHIR Std.
ServiceRequest.category	Base	example	Service Request Category Codes	📍4.3.0	FHIR Std.
ServiceRequest.priority	Base	required	RequestPriority	📦4.3.0	FHIR Std.
ServiceRequest.code	Base	example	Procedure Codes (SNOMED CT)	📍4.3.0	FHIR Std.
ServiceRequest.orderDetail	Base	example	Service Request Order Details Codes	📍4.3.0	FHIR Std.
ServiceRequest.asNeeded[x]	Base	example	SNOMED CT Medication As Needed Reason Codes	📍4.3.0	FHIR Std.
ServiceRequest.performerType	Base	example	Action Participant Role	📦2.0.0	THO v7.4
ServiceRequest.locationCode	Base	example	ServiceDeliveryLocationRoleType	📦3.0.0	THO v7.4
ServiceRequest.reasonCode	Base	example	Procedure Reason Codes	📍4.3.0	FHIR Std.
ServiceRequest.bodySite	Base	example	SNOMED CT Body Structures	📍4.3.0	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
cc-text-or-code	warning	ServiceRequest.identifier.type, ServiceRequest.category, ServiceRequest.code, ServiceRequest.orderDetail, ServiceRequest.performerType, ServiceRequest.locationCode, ServiceRequest.reasonCode, ServiceRequest.bodySite	Text is optional, coding is required	coding.exists()
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.exists() and ('#'+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(uri) = '#').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()
dom-r4b	warning	ServiceRequest.contained	Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems	($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
prr-1	error	ServiceRequest	orderDetail SHALL only be present if code is present	orderDetail.empty() or code.exists()

This structure is derived from ServiceRequest

Summary

Mandatory: 5 elements(4 nested mandatory elements)
Must-Support: 14 elements

Structures

This structure refers to these other structures:

• HIE CodeableConcept (https://nshr.dha.go.ke/fhir/StructureDefinition/codeable-concept)
• HIE Reference (https://nshr.dha.go.ke/fhir/StructureDefinition/reference)
• HIE Organization (https://nshr.dha.go.ke/fhir/StructureDefinition/organization)
• HIE ServiceRequest (https://nshr.dha.go.ke/fhir/StructureDefinition/servicerequest)
• HIE Patient (https://nshr.dha.go.ke/fhir/StructureDefinition/patient)
• HIE Encounter (https://nshr.dha.go.ke/fhir/StructureDefinition/encounter)
• HIE Practitioner (https://nshr.dha.go.ke/fhir/StructureDefinition/practitioner)
• HIE PractitionerRole (https://nshr.dha.go.ke/fhir/StructureDefinition/practitionerrole)
• HIE Condition (https://nshr.dha.go.ke/fhir/StructureDefinition/condition)
• HIE Observation (https://nshr.dha.go.ke/fhir/StructureDefinition/observation)
• HIE DiagnosticReport (https://nshr.dha.go.ke/fhir/StructureDefinition/diagnosticreport)
• HIE DocumentReference (https://nshr.dha.go.ke/fhir/StructureDefinition/documentreference)
• HIE Annotation (https://nshr.dha.go.ke/fhir/StructureDefinition/annotation)

Other representations of profile: CSV, Excel, Schematron