AU Base Implementation Guide
6.0.0-draft - Draft

Publication Build: This will be filled in by the publication tooling

## Resource Profile: AU Base ServiceRequest

Official URL: http://hl7.org.au/fhir/StructureDefinition/au-servicerequest | Version: 6.0.0-draft
Standards status: Trial-use | Maturity Level: 1 | Computable Name: AUBaseServiceRequest
Copyright/Legal: HL7 Australia© 2018+; Licensed Under Creative Commons No Rights Reserved.

This profile defines a service request structure that localises core concepts, including terminology, for use in an Australian context. The purpose of this profile is to provide national level agreement on core localised concepts. This profile does not force conformance to core localised concepts. It enables implementers and modellers to make their own rules, i.e. profiling, about how to support these concepts for specific implementation needs.

### Usage Notes

Profile specific implementation guidance:

- The procedure-targetBodyStructure extension may be suitable for use where
  - body site is not implicit in the code found in `ServiceRequest.code` and
  - body site information is to be handled as a separate resource (e.g. to identify and track separately) instead of an inline coded element in `ServiceRequest.bodySite`.
- See each Identifier profile page for guidance related to that identifier type.

Extensions under consideration:

- ServiceRequest: Result Copies To

Usages:

- Refer to this Profile: AU Base DiagnosticReport, AU Base Diagnostic Imaging Report and AU Base Pathology Report
- Examples for this Profile: ServiceRequest/hepatitis-b-antibody and ServiceRequest/path-example0

Changes since version 5.0.0:

- New Content

### Formal Views of Profile Content

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

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

This structure is derived from ServiceRequest

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest |  | 0..* | ServiceRequest | A service request in an Australian healthcare context
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:targetBodyStructure |  | 0..* | Reference(BodyStructure) | The target point for this procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure
identifier |  | 0..* | Identifier, AULocalOrderIdentifier | Identifiers assigned to this order
requisition |  | 0..1 | Identifier, AULocalOrderIdentifier | Composite Request ID
code |  | 0..1 | CodeableConcept | What is being requested/ordered Binding: Procedure (example)
reasonCode |  | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: Reason for Request (preferred)
bodySite |  | 0..* | CodeableConcept | Location on Body Binding: Body Site (preferred)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
ServiceRequest.code | example | Procedure `https://healthterminologies.gov.au/fhir/ValueSet/procedure-1` From https://tx.ontoserver.csiro.au/fhir
ServiceRequest.reasonCode | preferred | ReasonForRequest `https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1` From https://tx.ontoserver.csiro.au/fhir
ServiceRequest.bodySite | preferred | BodySite `https://healthterminologies.gov.au/fhir/ValueSet/body-site-1` From https://tx.ontoserver.csiro.au/fhir

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | ServiceRequest | A service request in an Australian healthcare context Constraints: prr-1
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:targetBodyStructure |  | 0..* | Reference(BodyStructure) | The target point for this procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier, AULocalOrderIdentifier | Identifiers assigned to this order
requisition | Σ | 0..1 | Identifier, AULocalOrderIdentifier | Composite Request ID
status | ?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent | ?!Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request.
doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed
code | Σ | 0..1 | CodeableConcept | What is being requested/ordered Binding: Procedure (example)
subject | Σ | 1..1 | Reference(Patient | Group | Location | Device) | Individual or Entity the service is ordered for
reasonCode | Σ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: Reason for Request (preferred)
bodySite | Σ | 0..* | CodeableConcept | Location on Body Binding: Body Site (preferred)
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
ServiceRequest.status | required | RequestStatus `http://hl7.org/fhir/ValueSet/request-status|4.0.1` From the FHIR Standard
ServiceRequest.intent | required | RequestIntent `http://hl7.org/fhir/ValueSet/request-intent|4.0.1` From the FHIR Standard
ServiceRequest.code | example | Procedure `https://healthterminologies.gov.au/fhir/ValueSet/procedure-1` From https://tx.ontoserver.csiro.au/fhir
ServiceRequest.reasonCode | preferred | ReasonForRequest `https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1` From https://tx.ontoserver.csiro.au/fhir
ServiceRequest.bodySite | preferred | BodySite `https://healthterminologies.gov.au/fhir/ValueSet/body-site-1` From https://tx.ontoserver.csiro.au/fhir

#### Constraints

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | ServiceRequest | A service request in an Australian healthcare context Constraints: prr-1
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:targetBodyStructure |  | 0..* | Reference(BodyStructure) | The target point for this procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier, AULocalOrderIdentifier | Identifiers assigned to this order
instantiatesCanonical | Σ | 0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition
basedOn | Σ | 0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills
replaces | Σ | 0..* | Reference(ServiceRequest) | What request replaces
requisition | Σ | 0..1 | Identifier, AULocalOrderIdentifier | Composite Request ID
status | ?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent | ?!Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request.
category | Σ | 0..* | CodeableConcept | Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed
code | Σ | 0..1 | CodeableConcept | What is being requested/ordered Binding: Procedure (example)
orderDetail | Σ C | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
quantity[x] | Σ | 0..1 |  | Service amount
quantityQuantity |  |  | Quantity |
quantityRatio |  |  | Ratio |
quantityRange |  |  | Range |
subject | Σ | 1..1 | Reference(Patient | Group | Location | Device) | Individual or Entity the service is ordered for
encounter | Σ | 0..1 | Reference(Encounter) | Encounter in which the request was created
occurrence[x] | Σ | 0..1 |  | When service should occur
occurrenceDateTime |  |  | dateTime |
occurrencePeriod |  |  | Period |
occurrenceTiming |  |  | Timing |
asNeeded[x] | Σ | 0..1 |  | Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
asNeededBoolean |  |  | boolean |
asNeededCodeableConcept |  |  | CodeableConcept |
authoredOn | Σ | 0..1 | dateTime | Date request signed
requester | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/what is requesting service
performerType | Σ | 0..1 | CodeableConcept | Performer role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | Requested performer
locationCode | Σ | 0..* | CodeableConcept | Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
locationReference | Σ | 0..* | Reference(Location) | Requested location
reasonCode | Σ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: Reason for Request (preferred)
reasonReference | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service
insurance |  | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage
supportingInfo |  | 0..* | Reference(Resource) | Additional clinical information
specimen | Σ | 0..* | Reference(Specimen) | Procedure Samples
bodySite | Σ | 0..* | CodeableConcept | Location on Body Binding: Body Site (preferred)
note |  | 0..* | Annotation | Comments
patientInstruction | Σ | 0..1 | string | Patient or consumer-oriented instructions
relevantHistory |  | 0..* | Reference(Provenance) | Request provenance
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
ServiceRequest.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
ServiceRequest.status | required | RequestStatus `http://hl7.org/fhir/ValueSet/request-status|4.0.1` From the FHIR Standard
ServiceRequest.intent | required | RequestIntent `http://hl7.org/fhir/ValueSet/request-intent|4.0.1` From the FHIR Standard
ServiceRequest.category | example | ServiceRequestCategoryCodes `http://hl7.org/fhir/ValueSet/servicerequest-category` From the FHIR Standard
ServiceRequest.priority | required | RequestPriority `http://hl7.org/fhir/ValueSet/request-priority|4.0.1` From the FHIR Standard
ServiceRequest.code | example | Procedure `https://healthterminologies.gov.au/fhir/ValueSet/procedure-1` From https://tx.ontoserver.csiro.au/fhir
ServiceRequest.orderDetail | example | ServiceRequestOrderDetailsCodes `http://hl7.org/fhir/ValueSet/servicerequest-orderdetail` From the FHIR Standard
ServiceRequest.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodes `http://hl7.org/fhir/ValueSet/medication-as-needed-reason` From the FHIR Standard
ServiceRequest.performerType | example | ParticipantRoles `http://hl7.org/fhir/ValueSet/participant-role` From the FHIR Standard
ServiceRequest.locationCode | example | ServiceDeliveryLocationRoleType `http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType`
ServiceRequest.reasonCode | preferred | ReasonForRequest `https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1` From https://tx.ontoserver.csiro.au/fhir
ServiceRequest.bodySite | preferred | BodySite `https://healthterminologies.gov.au/fhir/ValueSet/body-site-1` From https://tx.ontoserver.csiro.au/fhir

#### Constraints

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

This structure is derived from ServiceRequest

Summary

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure

Maturity: 1

Differential View

This structure is derived from ServiceRequest

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest |  | 0..* | ServiceRequest | A service request in an Australian healthcare context
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:targetBodyStructure |  | 0..* | Reference(BodyStructure) | The target point for this procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure
identifier |  | 0..* | Identifier, AULocalOrderIdentifier | Identifiers assigned to this order
requisition |  | 0..1 | Identifier, AULocalOrderIdentifier | Composite Request ID
code |  | 0..1 | CodeableConcept | What is being requested/ordered Binding: Procedure (example)
reasonCode |  | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: Reason for Request (preferred)
bodySite |  | 0..* | CodeableConcept | Location on Body Binding: Body Site (preferred)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
ServiceRequest.code | example | Procedure `https://healthterminologies.gov.au/fhir/ValueSet/procedure-1` From https://tx.ontoserver.csiro.au/fhir
ServiceRequest.reasonCode | preferred | ReasonForRequest `https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1` From https://tx.ontoserver.csiro.au/fhir
ServiceRequest.bodySite | preferred | BodySite `https://healthterminologies.gov.au/fhir/ValueSet/body-site-1` From https://tx.ontoserver.csiro.au/fhir

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | ServiceRequest | A service request in an Australian healthcare context Constraints: prr-1
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:targetBodyStructure |  | 0..* | Reference(BodyStructure) | The target point for this procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier, AULocalOrderIdentifier | Identifiers assigned to this order
requisition | Σ | 0..1 | Identifier, AULocalOrderIdentifier | Composite Request ID
status | ?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent | ?!Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request.
doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed
code | Σ | 0..1 | CodeableConcept | What is being requested/ordered Binding: Procedure (example)
subject | Σ | 1..1 | Reference(Patient | Group | Location | Device) | Individual or Entity the service is ordered for
reasonCode | Σ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: Reason for Request (preferred)
bodySite | Σ | 0..* | CodeableConcept | Location on Body Binding: Body Site (preferred)
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
ServiceRequest.status | required | RequestStatus `http://hl7.org/fhir/ValueSet/request-status|4.0.1` From the FHIR Standard
ServiceRequest.intent | required | RequestIntent `http://hl7.org/fhir/ValueSet/request-intent|4.0.1` From the FHIR Standard
ServiceRequest.code | example | Procedure `https://healthterminologies.gov.au/fhir/ValueSet/procedure-1` From https://tx.ontoserver.csiro.au/fhir
ServiceRequest.reasonCode | preferred | ReasonForRequest `https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1` From https://tx.ontoserver.csiro.au/fhir
ServiceRequest.bodySite | preferred | BodySite `https://healthterminologies.gov.au/fhir/ValueSet/body-site-1` From https://tx.ontoserver.csiro.au/fhir

#### Constraints

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

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | ServiceRequest | A service request in an Australian healthcare context Constraints: prr-1
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:targetBodyStructure |  | 0..* | Reference(BodyStructure) | The target point for this procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier, AULocalOrderIdentifier | Identifiers assigned to this order
instantiatesCanonical | Σ | 0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition
basedOn | Σ | 0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills
replaces | Σ | 0..* | Reference(ServiceRequest) | What request replaces
requisition | Σ | 0..1 | Identifier, AULocalOrderIdentifier | Composite Request ID
status | ?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent | ?!Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request.
category | Σ | 0..* | CodeableConcept | Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed
code | Σ | 0..1 | CodeableConcept | What is being requested/ordered Binding: Procedure (example)
orderDetail | Σ C | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
quantity[x] | Σ | 0..1 |  | Service amount
quantityQuantity |  |  | Quantity |
quantityRatio |  |  | Ratio |
quantityRange |  |  | Range |
subject | Σ | 1..1 | Reference(Patient | Group | Location | Device) | Individual or Entity the service is ordered for
encounter | Σ | 0..1 | Reference(Encounter) | Encounter in which the request was created
occurrence[x] | Σ | 0..1 |  | When service should occur
occurrenceDateTime |  |  | dateTime |
occurrencePeriod |  |  | Period |
occurrenceTiming |  |  | Timing |
asNeeded[x] | Σ | 0..1 |  | Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
asNeededBoolean |  |  | boolean |
asNeededCodeableConcept |  |  | CodeableConcept |
authoredOn | Σ | 0..1 | dateTime | Date request signed
requester | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/what is requesting service
performerType | Σ | 0..1 | CodeableConcept | Performer role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | Requested performer
locationCode | Σ | 0..* | CodeableConcept | Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
locationReference | Σ | 0..* | Reference(Location) | Requested location
reasonCode | Σ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: Reason for Request (preferred)
reasonReference | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service
insurance |  | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage
supportingInfo |  | 0..* | Reference(Resource) | Additional clinical information
specimen | Σ | 0..* | Reference(Specimen) | Procedure Samples
bodySite | Σ | 0..* | CodeableConcept | Location on Body Binding: Body Site (preferred)
note |  | 0..* | Annotation | Comments
patientInstruction | Σ | 0..1 | string | Patient or consumer-oriented instructions
relevantHistory |  | 0..* | Reference(Provenance) | Request provenance
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
ServiceRequest.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
ServiceRequest.status | required | RequestStatus `http://hl7.org/fhir/ValueSet/request-status|4.0.1` From the FHIR Standard
ServiceRequest.intent | required | RequestIntent `http://hl7.org/fhir/ValueSet/request-intent|4.0.1` From the FHIR Standard
ServiceRequest.category | example | ServiceRequestCategoryCodes `http://hl7.org/fhir/ValueSet/servicerequest-category` From the FHIR Standard
ServiceRequest.priority | required | RequestPriority `http://hl7.org/fhir/ValueSet/request-priority|4.0.1` From the FHIR Standard
ServiceRequest.code | example | Procedure `https://healthterminologies.gov.au/fhir/ValueSet/procedure-1` From https://tx.ontoserver.csiro.au/fhir
ServiceRequest.orderDetail | example | ServiceRequestOrderDetailsCodes `http://hl7.org/fhir/ValueSet/servicerequest-orderdetail` From the FHIR Standard
ServiceRequest.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodes `http://hl7.org/fhir/ValueSet/medication-as-needed-reason` From the FHIR Standard
ServiceRequest.performerType | example | ParticipantRoles `http://hl7.org/fhir/ValueSet/participant-role` From the FHIR Standard
ServiceRequest.locationCode | example | ServiceDeliveryLocationRoleType `http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType`
ServiceRequest.reasonCode | preferred | ReasonForRequest `https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1` From https://tx.ontoserver.csiro.au/fhir
ServiceRequest.bodySite | preferred | BodySite `https://healthterminologies.gov.au/fhir/ValueSet/body-site-1` From https://tx.ontoserver.csiro.au/fhir

#### Constraints

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

This structure is derived from ServiceRequest

Summary

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure

Maturity: 1

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