Australian Base Implementation Guide (AU Base 2)
This page is part of the Australian Base IG (v2.1.0: AU Base 2 on R4) based on FHIR R4. For a full list of available versions, see the Directory of published versions 
DRAFT
ONLY
AU Diagnostic Service Request [FMM Level 0]
This profile defines a service request structure that includes core localisation concepts for use as a diagnostic service request in an Australian context.
Note: The procedure-targetBodyStructure extension should only used if not implicit in the code found in ServiceRequest.code. If the use case requires BodySite to be handled as a separate resource instead of an inline coded element (e.g. to identify and track separately) then use the standard extension procedure-targetBodyStructure.
There are three preferred value sets when coding ServiceRequest.code:
These definitions represent common data held in the ServiceRequest.identifier element:
Extensions used in this profile:
The official URL for this profile is:
http://hl7.org.au/fhir/StructureDefinition/au-diagnostic-servicerequest
This profile defines a service request structure that includes core localisation concepts for use as a diagnostic service request in an Australian context.
This profile builds on ServiceRequest.
This profile was published on Thu Feb 13 00:00:00 AEDT 2020 as a draft by Health Level Seven Australia (Orders and Observations WG).
Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  ServiceRequest | 0..* | ServiceRequest | A diagnostic service request in an Australian healthcare context | |
  extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
 procedure-targetBodyStructure | 0..* | Reference(BodyStructure) | The target point for this procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure | |
 identifier | 0..* | (Slice Definition) | Identifiers assigned to this order Slice: Unordered, Open by pattern:type | |
  identifier:placerIdentifier | 0..* | Identifier | Placer identifier | |
   type | 1..1 | CodeableConcept | Description of identifier Binding: V2 Identifier Type - AU Extended (required) | |
  coding | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | |
 system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: PLAC | |
| system | 1..1 | uri | Placer identifier system namespace | |
 value | 1..1 | string | Placer identifier | |
| performerType | ||||
| coding | 0..* | (Slice Definition) | Code defined by a terminology system Slice: Unordered, Open by value:system | |
 coding:anzscoPerformerType | 0..1 | Coding | Australian and New Zealand Standard Classification of Occupations Binding: https://healthterminologies.gov.au/fhir/ValueSet/anzsco-1 (required) | |
 system | 1..1 | uri | Identity of the terminology system Fixed Value: http://www.abs.gov.au/ausstats/abs@.nsf/mf/1220.0 | |
| coding:snomedPerformerType | 0..1 | Coding | Practitioner Role (SNOMED CT) Binding: https://healthterminologies.gov.au/fhir/ValueSet/practitioner-role-1 (required) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
 specimen | 0..* | Reference(AU Base Specimen) | Procedure Samples | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| ServiceRequest | I | 0..* | ServiceRequest | A diagnostic service request in an Australian healthcare context |
 id | Σ | 0..1 | string | Logical id of this artifact |
 meta | ΣI | 0..1 | Meta | Metadata about the resource |
| implicitRules | ?!ΣI | 0..1 | uri | A set of rules under which this content was created |
| language | I | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages |
| text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
| contained | 0..* | Resource | Contained, inline Resources | |
| extension | I | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
| procedure-targetBodyStructure | I | 0..* | Reference(BodyStructure) | The target point for this procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure |
 modifierExtension | ?!I | 0..* | Extension | Extensions that cannot be ignored |
| identifier | ΣI | 0..* | (Slice Definition) | Identifiers assigned to this order Slice: Unordered, Open by pattern:type |
| identifier:placerIdentifier | ΣI | 0..* | Identifier | Placer identifier |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| use | ?!ΣI | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required) |
| type | ΣI | 1..1 | CodeableConcept | Description of identifier Binding: V2 Identifier Type - AU Extended (required) |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| coding | ΣI | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |
| version | 0..1 | string | Version of the system - if relevant | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: PLAC | |
| display | 0..1 | string | Representation defined by the system | |
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
| text | ΣI | 0..1 | string | Plain text representation of the concept |
| system | ΣI | 1..1 | uri | Placer identifier system namespace Example General: http://www.acme.com/identifiers/patient |
| value | ΣI | 1..1 | string | Placer identifier Example General: 123456 |
| period | ΣI | 0..1 | Period | Time period when id is/was valid for use |
| assigner | ΣI | 0..1 | Reference(Organization) | Organization that issued id (may be just text) |
| instantiatesCanonical | ΣI | 0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition |
| instantiatesUri | ΣI | 0..* | uri | Instantiates external protocol or definition |
| basedOn | ΣI | 0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills |
| replaces | ΣI | 0..* | Reference(ServiceRequest) | What request replaces |
| requisition | ΣI | 0..1 | Identifier | Composite Request ID |
| status | ?!ΣI | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required) |
| intent | ?!ΣI | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required) |
| category | ΣI | 0..* | CodeableConcept | Classification of service Binding: ServiceRequestCategoryCodes (example) |
| priority | ΣI | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required) |
| doNotPerform | ?!ΣI | 0..1 | boolean | True if service/procedure should not be performed |
| code | ΣI | 0..1 | CodeableConcept | What is being requested/ordered Binding: ProcedureCodes(SNOMEDCT) (example) |
| orderDetail | ΣI | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example) |
 quantity[x] | ΣI | 0..1 | Service amount | |
| quantityQuantity | Quantity | |||
| quantityRatio | Ratio | |||
| quantityRange | Range | |||
| subject | ΣI | 1..1 | Reference(Patient | Group | Location | Device) | Individual or Entity the service is ordered for |
| encounter | ΣI | 0..1 | Reference(Encounter) | Encounter in which the request was created |
| occurrence[x] | ΣI | 0..1 | When service should occur | |
| occurrenceDateTime | dateTime | |||
| occurrencePeriod | Period | |||
| occurrenceTiming | Timing | |||
| asNeeded[x] | ΣI | 0..1 | Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example) | |
| asNeededBoolean | boolean | |||
| asNeededCodeableConcept | CodeableConcept | |||
| authoredOn | ΣI | 0..1 | dateTime | Date request signed |
| requester | ΣI | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/what is requesting service |
| performerType | ΣI | 0..1 | CodeableConcept | Performer role Binding: ParticipantRoles (example) |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| coding | ΣI | 0..* | (Slice Definition) | Code defined by a terminology system Slice: Unordered, Open by value:system |
| coding:anzscoPerformerType | ΣI | 0..1 | Coding | Australian and New Zealand Standard Classification of Occupations Binding: https://healthterminologies.gov.au/fhir/ValueSet/anzsco-1 (required) |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| system | ΣI | 1..1 | uri | Identity of the terminology system Fixed Value: http://www.abs.gov.au/ausstats/abs@.nsf/mf/1220.0 |
| version | ΣI | 0..1 | string | Version of the system - if relevant |
| code | ΣI | 0..1 | code | Symbol in syntax defined by the system |
| display | ΣI | 0..1 | string | Representation defined by the system |
| userSelected | ΣI | 0..1 | boolean | If this coding was chosen directly by the user |
| coding:snomedPerformerType | ΣI | 0..1 | Coding | Practitioner Role (SNOMED CT) Binding: https://healthterminologies.gov.au/fhir/ValueSet/practitioner-role-1 (required) |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| system | ΣI | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
| version | ΣI | 0..1 | string | Version of the system - if relevant |
| code | ΣI | 0..1 | code | Symbol in syntax defined by the system |
| display | ΣI | 0..1 | string | Representation defined by the system |
| userSelected | ΣI | 0..1 | boolean | If this coding was chosen directly by the user |
| text | ΣI | 0..1 | string | Plain text representation of the concept |
| performer | ΣI | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | Requested performer |
| locationCode | ΣI | 0..* | CodeableConcept | Requested location Binding: V3 Value SetServiceDeliveryLocationRoleType (example) |
| locationReference | ΣI | 0..* | Reference(Location) | Requested location |
| reasonCode | ΣI | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example) |
| reasonReference | ΣI | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service |
| insurance | I | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage |
| supportingInfo | I | 0..* | Reference(Resource) | Additional clinical information |
| specimen | ΣI | 0..* | Reference(AU Base Specimen) | Procedure Samples |
| bodySite | ΣI | 0..* | CodeableConcept | Location on Body Binding: SNOMEDCTBodyStructures (example) |
| note | I | 0..* | Annotation | Comments |
| patientInstruction | ΣI | 0..1 | string | Patient or consumer-oriented instructions |
| relevantHistory | I | 0..* | Reference(Provenance) | Request provenance |
| Documentation for this format | ||||
Differential View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| ServiceRequest | 0..* | ServiceRequest | A diagnostic service request in an Australian healthcare context | |
| extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| procedure-targetBodyStructure | 0..* | Reference(BodyStructure) | The target point for this procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure | |
| identifier | 0..* | (Slice Definition) | Identifiers assigned to this order Slice: Unordered, Open by pattern:type | |
| identifier:placerIdentifier | 0..* | Identifier | Placer identifier | |
| type | 1..1 | CodeableConcept | Description of identifier Binding: V2 Identifier Type - AU Extended (required) | |
| coding | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: PLAC | |
| system | 1..1 | uri | Placer identifier system namespace | |
| value | 1..1 | string | Placer identifier | |
| performerType | ||||
| coding | 0..* | (Slice Definition) | Code defined by a terminology system Slice: Unordered, Open by value:system | |
| coding:anzscoPerformerType | 0..1 | Coding | Australian and New Zealand Standard Classification of Occupations Binding: https://healthterminologies.gov.au/fhir/ValueSet/anzsco-1 (required) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://www.abs.gov.au/ausstats/abs@.nsf/mf/1220.0 | |
| coding:snomedPerformerType | 0..1 | Coding | Practitioner Role (SNOMED CT) Binding: https://healthterminologies.gov.au/fhir/ValueSet/practitioner-role-1 (required) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| specimen | 0..* | Reference(AU Base Specimen) | Procedure Samples | |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| ServiceRequest | I | 0..* | ServiceRequest | A diagnostic service request in an Australian healthcare context |
| id | Σ | 0..1 | string | Logical id of this artifact |
| meta | ΣI | 0..1 | Meta | Metadata about the resource |
| implicitRules | ?!ΣI | 0..1 | uri | A set of rules under which this content was created |
| language | I | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages |
| text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
| contained | 0..* | Resource | Contained, inline Resources | |
| extension | I | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
| procedure-targetBodyStructure | I | 0..* | Reference(BodyStructure) | The target point for this procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure |
| modifierExtension | ?!I | 0..* | Extension | Extensions that cannot be ignored |
| identifier | ΣI | 0..* | (Slice Definition) | Identifiers assigned to this order Slice: Unordered, Open by pattern:type |
| identifier:placerIdentifier | ΣI | 0..* | Identifier | Placer identifier |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| use | ?!ΣI | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required) |
| type | ΣI | 1..1 | CodeableConcept | Description of identifier Binding: V2 Identifier Type - AU Extended (required) |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| coding | ΣI | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |
| version | 0..1 | string | Version of the system - if relevant | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: PLAC | |
| display | 0..1 | string | Representation defined by the system | |
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
| text | ΣI | 0..1 | string | Plain text representation of the concept |
| system | ΣI | 1..1 | uri | Placer identifier system namespace Example General: http://www.acme.com/identifiers/patient |
| value | ΣI | 1..1 | string | Placer identifier Example General: 123456 |
| period | ΣI | 0..1 | Period | Time period when id is/was valid for use |
| assigner | ΣI | 0..1 | Reference(Organization) | Organization that issued id (may be just text) |
| instantiatesCanonical | ΣI | 0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition |
| instantiatesUri | ΣI | 0..* | uri | Instantiates external protocol or definition |
| basedOn | ΣI | 0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills |
| replaces | ΣI | 0..* | Reference(ServiceRequest) | What request replaces |
| requisition | ΣI | 0..1 | Identifier | Composite Request ID |
| status | ?!ΣI | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required) |
| intent | ?!ΣI | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required) |
| category | ΣI | 0..* | CodeableConcept | Classification of service Binding: ServiceRequestCategoryCodes (example) |
| priority | ΣI | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required) |
| doNotPerform | ?!ΣI | 0..1 | boolean | True if service/procedure should not be performed |
| code | ΣI | 0..1 | CodeableConcept | What is being requested/ordered Binding: ProcedureCodes(SNOMEDCT) (example) |
| orderDetail | ΣI | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example) |
| quantity[x] | ΣI | 0..1 | Service amount | |
| quantityQuantity | Quantity | |||
| quantityRatio | Ratio | |||
| quantityRange | Range | |||
| subject | ΣI | 1..1 | Reference(Patient | Group | Location | Device) | Individual or Entity the service is ordered for |
| encounter | ΣI | 0..1 | Reference(Encounter) | Encounter in which the request was created |
| occurrence[x] | ΣI | 0..1 | When service should occur | |
| occurrenceDateTime | dateTime | |||
| occurrencePeriod | Period | |||
| occurrenceTiming | Timing | |||
| asNeeded[x] | ΣI | 0..1 | Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example) | |
| asNeededBoolean | boolean | |||
| asNeededCodeableConcept | CodeableConcept | |||
| authoredOn | ΣI | 0..1 | dateTime | Date request signed |
| requester | ΣI | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/what is requesting service |
| performerType | ΣI | 0..1 | CodeableConcept | Performer role Binding: ParticipantRoles (example) |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| coding | ΣI | 0..* | (Slice Definition) | Code defined by a terminology system Slice: Unordered, Open by value:system |
| coding:anzscoPerformerType | ΣI | 0..1 | Coding | Australian and New Zealand Standard Classification of Occupations Binding: https://healthterminologies.gov.au/fhir/ValueSet/anzsco-1 (required) |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| system | ΣI | 1..1 | uri | Identity of the terminology system Fixed Value: http://www.abs.gov.au/ausstats/abs@.nsf/mf/1220.0 |
| version | ΣI | 0..1 | string | Version of the system - if relevant |
| code | ΣI | 0..1 | code | Symbol in syntax defined by the system |
| display | ΣI | 0..1 | string | Representation defined by the system |
| userSelected | ΣI | 0..1 | boolean | If this coding was chosen directly by the user |
| coding:snomedPerformerType | ΣI | 0..1 | Coding | Practitioner Role (SNOMED CT) Binding: https://healthterminologies.gov.au/fhir/ValueSet/practitioner-role-1 (required) |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| system | ΣI | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
| version | ΣI | 0..1 | string | Version of the system - if relevant |
| code | ΣI | 0..1 | code | Symbol in syntax defined by the system |
| display | ΣI | 0..1 | string | Representation defined by the system |
| userSelected | ΣI | 0..1 | boolean | If this coding was chosen directly by the user |
| text | ΣI | 0..1 | string | Plain text representation of the concept |
| performer | ΣI | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | Requested performer |
| locationCode | ΣI | 0..* | CodeableConcept | Requested location Binding: V3 Value SetServiceDeliveryLocationRoleType (example) |
| locationReference | ΣI | 0..* | Reference(Location) | Requested location |
| reasonCode | ΣI | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example) |
| reasonReference | ΣI | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service |
| insurance | I | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage |
| supportingInfo | I | 0..* | Reference(Resource) | Additional clinical information |
| specimen | ΣI | 0..* | Reference(AU Base Specimen) | Procedure Samples |
| bodySite | ΣI | 0..* | CodeableConcept | Location on Body Binding: SNOMEDCTBodyStructures (example) |
| note | I | 0..* | Annotation | Comments |
| patientInstruction | ΣI | 0..1 | string | Patient or consumer-oriented instructions |
| relevantHistory | I | 0..* | Reference(Provenance) | Request provenance |
| Documentation for this format | ||||
Downloads: StructureDefinition: (XML, JSON), Schema: XML Schematron
Below is an overview of the required search and read operations.
Summary of Search Criteria for StructureDefinition-au-diagnostic-servicerequest
none defined
© AU Base 2 on FHIR R4 (IG Publisher v4.0.1-a53ec6ee1b) generated on Thu, Jul 30, 2020 13:57+1000. |
