Draft PH Core Implementation Guide
0.2.0 - ci-build
Draft PH Core Implementation Guide
0.2.0 - ci-build
Draft PH Core Implementation Guide - Local Development build (v0.2.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: http://doh.gov.ph/fhir/ph-core/StructureDefinition/ph-core-serviceRequest | Version: 0.2.0 | |||
| Draft as of 2026-04-10 | Computable Name: PHCoreServiceRequest | |||
The PH Core ServiceRequest Profile is a Philippine-specific FHIR profile that represents a record of a request for services such as diagnostic investigations, treatments, or operations to be performed within the Philippine health system. It constrains the base FHIR ServiceRequest resource by defining minimum expectations on core elements, extensions, vocabularies, and value sets relevant to local clinical and administrative workflows. It serves as a nationally consistent baseline for recording, searching, and fetching service request information to support interoperable health information exchange across Philippine health facilities and programs.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
  ServiceRequest |
C | 0..* | ServiceRequest | A request for a service to be performed Constraints: prr-1 | ||||||||
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
| status |
?!SΣ | 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 |
SΣ | 0..* | CodeableConcept | Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. | ||||||||
| doNotPerform |
?!Σ | 0..1 | boolean | True if service/procedure should not be performed | ||||||||
 code |
SOΣ | 0..1 | CodeableConcept | 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.
| ||||||||
 coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
 text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| orderDetail |
SOΣC | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
| ||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
 subject |
SΣ | 1..1 | Reference(PH Core Patient | Group | PH Core Location | Device) | Individual or Entity the service is ordered for | ||||||||
| encounter |
SΣ | 0..1 | Reference(PH Core Encounter) | Encounter in which the request was created | ||||||||
 Slices for occurrence[x] |
SΣ | 0..1 | When service should occur Slice: Unordered, Open by type:$this | |||||||||
 occurrenceDateTime |
dateTime | |||||||||||
| occurrencePeriod |
Period | |||||||||||
| occurrenceTiming |
Timing | |||||||||||
  occurrence[x]:occurrenceDateTime |
SΣ | 0..1 | dateTime | When service should occur | ||||||||
| Slices for asNeeded[x] |
Σ | 0..1 | Preconditions for service Slice: Unordered, Open by type:$this 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 | |||||||||||
 asNeeded[x]:asNeededCodeableConcept |
SOΣ | 0..1 | CodeableConcept | 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.
| ||||||||
  coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
 text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| authoredOn |
SΣ | 0..1 | dateTime | Date request signed | ||||||||
| requester |
SΣ | 0..1 | Reference(PH Core Practitioner | PH Core PractitionerRole | PH Core Organization | PH Core Patient | PH Core RelatedPerson | Device) | Who/what is requesting service | ||||||||
| performerType |
SOΣ | 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.
| ||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| locationCode |
SOΣ | 0..* | CodeableConcept | Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
| ||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| reasonCode |
SOΣ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
| ||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| supportingInfo |
S | 0..* | Reference(Resource) | Additional clinical information | ||||||||
 bodySite |
SOΣ | 0..* | CodeableConcept | Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
| ||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| Documentation for this format | ||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| ServiceRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std. |
| ServiceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std. |
| ServiceRequest.category | Base | example | Service Request Category Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.code | Base | example | Procedure Codes (SNOMED CT) | 📍4.0.1 | FHIR Std. |
| ServiceRequest.orderDetail | Base | example | Service Request Order Details Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.asNeeded[x]:asNeededCodeableConcept | Base | example | SNOMED CT Medication As Needed Reason Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.performerType | Base | example | Participant Roles | 📍4.0.1 | FHIR Std. |
| ServiceRequest.locationCode | Base | example | ServiceDeliveryLocationRoleType | 📦3.0.0 | THO v7.0 |
| ServiceRequest.reasonCode | Base | example | Procedure Reason Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | ServiceRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | ServiceRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | ServiceRequest | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| prr-1 | error | ServiceRequest | orderDetail SHALL only be present if code is present |
orderDetail.empty() or code.exists()
|
This structure is derived from ServiceRequest
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ServiceRequest |
C | 0..* | ServiceRequest | A request for a service to be performed 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.
| |||||||||
| 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 | |||||||||
 extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
| identifier |
Σ | 0..* | Identifier | 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 | Composite Request ID | ||||||||
| status |
?!SΣ | 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 |
SΣ | 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 |
SOΣ | 0..1 | CodeableConcept | 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.
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| orderDetail |
SOΣC | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
 quantity[x] |
Σ | 0..1 | Service amount | |||||||||
| quantityQuantity |
Quantity | |||||||||||
| quantityRatio |
Ratio | |||||||||||
| quantityRange |
Range | |||||||||||
| subject |
SΣ | 1..1 | Reference(PH Core Patient | Group | PH Core Location | Device) | Individual or Entity the service is ordered for | ||||||||
| encounter |
SΣ | 0..1 | Reference(PH Core Encounter) | Encounter in which the request was created | ||||||||
| Slices for occurrence[x] |
SΣ | 0..1 | When service should occur Slice: Unordered, Open by type:$this | |||||||||
| occurrenceDateTime |
dateTime | |||||||||||
| occurrencePeriod |
Period | |||||||||||
| occurrenceTiming |
Timing | |||||||||||
| occurrence[x]:occurrenceDateTime |
SΣ | 0..1 | dateTime | When service should occur | ||||||||
| Slices for asNeeded[x] |
Σ | 0..1 | Preconditions for service Slice: Unordered, Open by type:$this 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 | |||||||||||
| asNeeded[x]:asNeededCodeableConcept |
SOΣ | 0..1 | CodeableConcept | 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.
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| authoredOn |
SΣ | 0..1 | dateTime | Date request signed | ||||||||
| requester |
SΣ | 0..1 | Reference(PH Core Practitioner | PH Core PractitionerRole | PH Core Organization | PH Core Patient | PH Core RelatedPerson | Device) | Who/what is requesting service | ||||||||
| performerType |
SOΣ | 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.
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| performer |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | Requested performer | ||||||||
| locationCode |
SOΣ | 0..* | CodeableConcept | Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| locationReference |
Σ | 0..* | Reference(Location) | Requested location | ||||||||
| reasonCode |
SOΣ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| reasonReference |
Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service | ||||||||
| insurance |
0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||||||
| supportingInfo |
S | 0..* | Reference(Resource) | Additional clinical information | ||||||||
| specimen |
Σ | 0..* | Reference(Specimen) | Procedure Samples | ||||||||
| bodySite |
SOΣ | 0..* | CodeableConcept | Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| note |
0..* | Annotation | Comments | |||||||||
| patientInstruction |
Σ | 0..1 | string | Patient or consumer-oriented instructions | ||||||||
| relevantHistory |
0..* | Reference(Provenance) | Request provenance | |||||||||
| Documentation for this format | ||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| ServiceRequest.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| ServiceRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std. |
| ServiceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std. |
| ServiceRequest.category | Base | example | Service Request Category Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std. |
| ServiceRequest.code | Base | example | Procedure Codes (SNOMED CT) | 📍4.0.1 | FHIR Std. |
| ServiceRequest.orderDetail | Base | example | Service Request Order Details Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.asNeeded[x]:asNeededCodeableConcept | Base | example | SNOMED CT Medication As Needed Reason Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.performerType | Base | example | Participant Roles | 📍4.0.1 | FHIR Std. |
| ServiceRequest.locationCode | Base | example | ServiceDeliveryLocationRoleType | 📦3.0.0 | THO v7.0 |
| ServiceRequest.reasonCode | Base | example | Procedure Reason Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | ServiceRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | ServiceRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | ServiceRequest | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| prr-1 | error | ServiceRequest | orderDetail SHALL only be present if code is present |
orderDetail.empty() or code.exists()
|
This structure is derived from ServiceRequest
Summary
Must-Support: 30 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ServiceRequest |
C | 0..* | ServiceRequest | A request for a service to be performed Constraints: prr-1 | ||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
| status |
?!SΣ | 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 |
SΣ | 0..* | CodeableConcept | Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. | ||||||||
| doNotPerform |
?!Σ | 0..1 | boolean | True if service/procedure should not be performed | ||||||||
| code |
SOΣ | 0..1 | CodeableConcept | 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.
| ||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| orderDetail |
SOΣC | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
| ||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| subject |
SΣ | 1..1 | Reference(PH Core Patient | Group | PH Core Location | Device) | Individual or Entity the service is ordered for | ||||||||
| encounter |
SΣ | 0..1 | Reference(PH Core Encounter) | Encounter in which the request was created | ||||||||
| Slices for occurrence[x] |
SΣ | 0..1 | When service should occur Slice: Unordered, Open by type:$this | |||||||||
| occurrenceDateTime |
dateTime | |||||||||||
| occurrencePeriod |
Period | |||||||||||
| occurrenceTiming |
Timing | |||||||||||
| occurrence[x]:occurrenceDateTime |
SΣ | 0..1 | dateTime | When service should occur | ||||||||
| Slices for asNeeded[x] |
Σ | 0..1 | Preconditions for service Slice: Unordered, Open by type:$this 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 | |||||||||||
| asNeeded[x]:asNeededCodeableConcept |
SOΣ | 0..1 | CodeableConcept | 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.
| ||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| authoredOn |
SΣ | 0..1 | dateTime | Date request signed | ||||||||
| requester |
SΣ | 0..1 | Reference(PH Core Practitioner | PH Core PractitionerRole | PH Core Organization | PH Core Patient | PH Core RelatedPerson | Device) | Who/what is requesting service | ||||||||
| performerType |
SOΣ | 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.
| ||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| locationCode |
SOΣ | 0..* | CodeableConcept | Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
| ||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| reasonCode |
SOΣ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
| ||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| supportingInfo |
S | 0..* | Reference(Resource) | Additional clinical information | ||||||||
| bodySite |
SOΣ | 0..* | CodeableConcept | Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
| ||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| Documentation for this format | ||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| ServiceRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std. |
| ServiceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std. |
| ServiceRequest.category | Base | example | Service Request Category Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.code | Base | example | Procedure Codes (SNOMED CT) | 📍4.0.1 | FHIR Std. |
| ServiceRequest.orderDetail | Base | example | Service Request Order Details Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.asNeeded[x]:asNeededCodeableConcept | Base | example | SNOMED CT Medication As Needed Reason Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.performerType | Base | example | Participant Roles | 📍4.0.1 | FHIR Std. |
| ServiceRequest.locationCode | Base | example | ServiceDeliveryLocationRoleType | 📦3.0.0 | THO v7.0 |
| ServiceRequest.reasonCode | Base | example | Procedure Reason Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | ServiceRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | ServiceRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | ServiceRequest | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| prr-1 | error | ServiceRequest | orderDetail SHALL only be present if code is present |
orderDetail.empty() or code.exists()
|
Differential View
This structure is derived from ServiceRequest
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ServiceRequest |
0..* | ServiceRequest | A request for a service to be performed | |||||||||
 status |
S | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown | ||||||||
| category |
S | 0..* | CodeableConcept | Classification of service | ||||||||
| code |
SO | 0..1 | CodeableConcept | What is being requested/ordered
| ||||||||
| coding |
SO | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SO | 0..1 | string | Plain text representation of the concept
| ||||||||
| orderDetail |
SO | 0..* | CodeableConcept | Additional order information
| ||||||||
| coding |
SO | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SO | 0..1 | string | Plain text representation of the concept
| ||||||||
| subject |
S | 1..1 | Reference(PH Core Patient | Group | PH Core Location | Device) | Individual or Entity the service is ordered for | ||||||||
| encounter |
S | 0..1 | Reference(PH Core Encounter) | Encounter in which the request was created | ||||||||
| Slices for occurrence[x] |
S | 0..1 | dateTime, Period, Timing | When service should occur Slice: Unordered, Open by type:$this | ||||||||
| occurrence[x]:occurrenceDateTime |
S | 0..1 | dateTime | When service should occur | ||||||||
| Slices for asNeeded[x] |
0..1 | boolean, CodeableConcept | Preconditions for service Slice: Unordered, Open by type:$this | |||||||||
| asNeeded[x]:asNeededCodeableConcept |
SO | 0..1 | CodeableConcept | Preconditions for service
| ||||||||
| coding |
SO | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SO | 0..1 | string | Plain text representation of the concept
| ||||||||
| authoredOn |
S | 0..1 | dateTime | Date request signed | ||||||||
| requester |
S | 0..1 | Reference(PH Core Practitioner | PH Core PractitionerRole | PH Core Organization | PH Core Patient | PH Core RelatedPerson | Device) | Who/what is requesting service | ||||||||
| performerType |
SO | 0..1 | CodeableConcept | Performer role
| ||||||||
| coding |
SO | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SO | 0..1 | string | Plain text representation of the concept
| ||||||||
| locationCode |
SO | 0..* | CodeableConcept | Requested location
| ||||||||
| coding |
SO | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SO | 0..1 | string | Plain text representation of the concept
| ||||||||
| reasonCode |
SO | 0..* | CodeableConcept | Explanation/Justification for procedure or service
| ||||||||
| coding |
SO | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SO | 0..1 | string | Plain text representation of the concept
| ||||||||
| supportingInfo |
S | 0..* | Reference(Resource) | Additional clinical information | ||||||||
| bodySite |
SO | 0..* | CodeableConcept | Location on Body
| ||||||||
| coding |
SO | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SO | 0..1 | string | Plain text representation of the concept
| ||||||||
| Documentation for this format | ||||||||||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ServiceRequest |
C | 0..* | ServiceRequest | A request for a service to be performed 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.
| |||||||||
| 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 | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
| identifier |
Σ | 0..* | Identifier | 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 | Composite Request ID | ||||||||
| status |
?!SΣ | 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 |
SΣ | 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 |
SOΣ | 0..1 | CodeableConcept | 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.
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| orderDetail |
SOΣC | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| quantity[x] |
Σ | 0..1 | Service amount | |||||||||
| quantityQuantity |
Quantity | |||||||||||
| quantityRatio |
Ratio | |||||||||||
| quantityRange |
Range | |||||||||||
| subject |
SΣ | 1..1 | Reference(PH Core Patient | Group | PH Core Location | Device) | Individual or Entity the service is ordered for | ||||||||
| encounter |
SΣ | 0..1 | Reference(PH Core Encounter) | Encounter in which the request was created | ||||||||
| Slices for occurrence[x] |
SΣ | 0..1 | When service should occur Slice: Unordered, Open by type:$this | |||||||||
| occurrenceDateTime |
dateTime | |||||||||||
| occurrencePeriod |
Period | |||||||||||
| occurrenceTiming |
Timing | |||||||||||
| occurrence[x]:occurrenceDateTime |
SΣ | 0..1 | dateTime | When service should occur | ||||||||
| Slices for asNeeded[x] |
Σ | 0..1 | Preconditions for service Slice: Unordered, Open by type:$this 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 | |||||||||||
| asNeeded[x]:asNeededCodeableConcept |
SOΣ | 0..1 | CodeableConcept | 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.
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| authoredOn |
SΣ | 0..1 | dateTime | Date request signed | ||||||||
| requester |
SΣ | 0..1 | Reference(PH Core Practitioner | PH Core PractitionerRole | PH Core Organization | PH Core Patient | PH Core RelatedPerson | Device) | Who/what is requesting service | ||||||||
| performerType |
SOΣ | 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.
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| performer |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | Requested performer | ||||||||
| locationCode |
SOΣ | 0..* | CodeableConcept | Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| locationReference |
Σ | 0..* | Reference(Location) | Requested location | ||||||||
| reasonCode |
SOΣ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| reasonReference |
Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service | ||||||||
| insurance |
0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||||||
| supportingInfo |
S | 0..* | Reference(Resource) | Additional clinical information | ||||||||
| specimen |
Σ | 0..* | Reference(Specimen) | Procedure Samples | ||||||||
| bodySite |
SOΣ | 0..* | CodeableConcept | Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| note |
0..* | Annotation | Comments | |||||||||
| patientInstruction |
Σ | 0..1 | string | Patient or consumer-oriented instructions | ||||||||
| relevantHistory |
0..* | Reference(Provenance) | Request provenance | |||||||||
| Documentation for this format | ||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| ServiceRequest.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| ServiceRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std. |
| ServiceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std. |
| ServiceRequest.category | Base | example | Service Request Category Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std. |
| ServiceRequest.code | Base | example | Procedure Codes (SNOMED CT) | 📍4.0.1 | FHIR Std. |
| ServiceRequest.orderDetail | Base | example | Service Request Order Details Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.asNeeded[x]:asNeededCodeableConcept | Base | example | SNOMED CT Medication As Needed Reason Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.performerType | Base | example | Participant Roles | 📍4.0.1 | FHIR Std. |
| ServiceRequest.locationCode | Base | example | ServiceDeliveryLocationRoleType | 📦3.0.0 | THO v7.0 |
| ServiceRequest.reasonCode | Base | example | Procedure Reason Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | ServiceRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | ServiceRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | ServiceRequest | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| prr-1 | error | ServiceRequest | orderDetail SHALL only be present if code is present |
orderDetail.empty() or code.exists()
|
This structure is derived from ServiceRequest
Summary
Must-Support: 30 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron