CH ELM (R4)
1.3.0 - release Switzerland flag

This page is part of the Observations of notifiable communicable infectious diseases (v1.3.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: CH ELM ServiceRequest: Laboratory Order

Official URL: http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-servicerequest-laboratory-order Version: 1.3.0
Active as of 2024-05-17 Computable Name: ChElmServiceRequestLaboratoryOrder

Copyright/Legal: CC0-1.0

This CH ELM base profile constrains the ServiceRequest resource for the purpose of laboratory orders.

Usage:

Formal Views of Profile Content

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

This structure is derived from ChLabReportServiceRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest 0..* ChLabReportServiceRequest CH ELM ServiceRequest: Laboratory Order
... identifier 1..1 Identifier Identifiers assigned to this order
.... system 1..1 uri The namespace for the identifier value
.... value 1..1 string The value that is unique
Max Length: 100
... status 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Required Pattern: completed
... intent 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Required Pattern: order
... subject 1..1 Reference(CH ELM Patient) Individual or Entity the service is ordered for
... requester 1..1 Reference(CH ELM PractitionerRole: Orderer) Who/what is requesting service
... specimen 1..1 Reference(CH ELM Specimen: Laboratory) Procedure Samples

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
ServiceRequest.codepreferredChElmResultsLaboratoryObservation
http://fhir.ch/ig/ch-elm/ValueSet/ch-elm-results-laboratory-observation
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C 0..* ChLabReportServiceRequest CH ELM ServiceRequest: Laboratory Order
prr-1: orderDetail SHALL only be present if code is present
ch-lab-sr1: The resource should be conform to the corresponding EU LAB profile
code-or-basedOn-required: must have a code for what is beeing requested, or a basedOn element
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... basedOn-order-or-requisition 0..* Identifier, Reference(ServiceRequest) Document Based On Order
URL: http://fhir.ch/ig/ch-lab-report/StructureDefinition/composition-basedOn-order-or-requisition
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value Σ 1..1 string The value that is unique
Example General: 123456
Max Length: 100
... status ?!Σ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.


Required Pattern: completed
... 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.


Required Pattern: order
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code 1..1 ChElmCodeableConcept Concept - reference to a terminology or just text
Binding: CH ELM Results Laboratory Observation (preferred)
... subject Σ 1..1 Reference(CH ELM Patient) Individual or Entity the service is ordered for
... requester Σ 1..1 Reference(CH ELM PractitionerRole: Orderer) Who/what is requesting service
... specimen Σ 1..1 Reference(CH ELM Specimen: Laboratory) Procedure Samples

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
ServiceRequest.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.statusrequiredPattern: completed
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
ServiceRequest.intentrequiredPattern: order
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
from the FHIR Standard
ServiceRequest.codepreferredChElmResultsLaboratoryObservation
http://fhir.ch/ig/ch-elm/ValueSet/ch-elm-results-laboratory-observation
from this IG

Constraints

IdGradePath(s)DetailsRequirements
ch-lab-sr1warningServiceRequestThe resource should be conform to the corresponding EU LAB profile
: conformsTo('http://hl7.eu/fhir/laboratory/StructureDefinition/ServiceRequest-eu-lab')
code-or-basedOn-requirederrorServiceRequestmust have a code for what is beeing requested, or a basedOn element
: code.exists() or basedOn.exists()
dom-2errorServiceRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorServiceRequestIf 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-4errorServiceRequestIf 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-5errorServiceRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceServiceRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
prr-1errorServiceRequestorderDetail SHALL only be present if code is present
: orderDetail.empty() or code.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C 0..* ChLabReportServiceRequest CH ELM ServiceRequest: Laboratory Order
prr-1: orderDetail SHALL only be present if code is present
ch-lab-sr1: The resource should be conform to the corresponding EU LAB profile
code-or-basedOn-required: must have a code for what is beeing requested, or a basedOn element
... 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 BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... basedOn-order-or-requisition 0..* Identifier, Reference(ServiceRequest) Document Based On Order
URL: http://fhir.ch/ig/ch-lab-report/StructureDefinition/composition-basedOn-order-or-requisition
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..1 Identifier Identifiers assigned to this order
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value Σ 1..1 string The value that is unique
Example General: 123456
Max Length: 100
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... 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 ?!Σ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.


Required Pattern: completed
... 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.


Required Pattern: order
... 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 1..1 ChElmCodeableConcept Concept - reference to a terminology or just text
Binding: CH ELM Results Laboratory Observation (preferred)
... orderDetail ΣC 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(CH ELM Patient) 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 1..1 Reference(CH ELM PractitionerRole: Orderer) 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: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.


... 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 1..1 Reference(CH ELM Specimen: Laboratory) Procedure Samples
... bodySite Σ 0..* CodeableConcept Location on Body
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


... note 0..* Annotation Comments
... patientInstruction Σ 0..1 string Patient or consumer-oriented instructions
... relevantHistory 0..* Reference(Provenance) Request provenance

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
ServiceRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
ServiceRequest.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ServiceRequest.statusrequiredPattern: completed
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
ServiceRequest.intentrequiredPattern: order
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
from the FHIR Standard
ServiceRequest.categoryexampleServiceRequestCategoryCodes
http://hl7.org/fhir/ValueSet/servicerequest-category
from the FHIR Standard
ServiceRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
ServiceRequest.codepreferredChElmResultsLaboratoryObservation
http://fhir.ch/ig/ch-elm/ValueSet/ch-elm-results-laboratory-observation
from this IG
ServiceRequest.orderDetailexampleServiceRequestOrderDetailsCodes
http://hl7.org/fhir/ValueSet/servicerequest-orderdetail
from the FHIR Standard
ServiceRequest.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
ServiceRequest.performerTypeexampleParticipantRoles
http://hl7.org/fhir/ValueSet/participant-role
from the FHIR Standard
ServiceRequest.locationCodeexampleServiceDeliveryLocationRoleType
http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reasonCodeexampleProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason
from the FHIR Standard
ServiceRequest.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ch-lab-sr1warningServiceRequestThe resource should be conform to the corresponding EU LAB profile
: conformsTo('http://hl7.eu/fhir/laboratory/StructureDefinition/ServiceRequest-eu-lab')
code-or-basedOn-requirederrorServiceRequestmust have a code for what is beeing requested, or a basedOn element
: code.exists() or basedOn.exists()
dom-2errorServiceRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorServiceRequestIf 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-4errorServiceRequestIf 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-5errorServiceRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceServiceRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
prr-1errorServiceRequestorderDetail SHALL only be present if code is present
: orderDetail.empty() or code.exists()

Differential View

This structure is derived from ChLabReportServiceRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest 0..* ChLabReportServiceRequest CH ELM ServiceRequest: Laboratory Order
... identifier 1..1 Identifier Identifiers assigned to this order
.... system 1..1 uri The namespace for the identifier value
.... value 1..1 string The value that is unique
Max Length: 100
... status 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Required Pattern: completed
... intent 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Required Pattern: order
... subject 1..1 Reference(CH ELM Patient) Individual or Entity the service is ordered for
... requester 1..1 Reference(CH ELM PractitionerRole: Orderer) Who/what is requesting service
... specimen 1..1 Reference(CH ELM Specimen: Laboratory) Procedure Samples

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
ServiceRequest.codepreferredChElmResultsLaboratoryObservation
http://fhir.ch/ig/ch-elm/ValueSet/ch-elm-results-laboratory-observation
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C 0..* ChLabReportServiceRequest CH ELM ServiceRequest: Laboratory Order
prr-1: orderDetail SHALL only be present if code is present
ch-lab-sr1: The resource should be conform to the corresponding EU LAB profile
code-or-basedOn-required: must have a code for what is beeing requested, or a basedOn element
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... basedOn-order-or-requisition 0..* Identifier, Reference(ServiceRequest) Document Based On Order
URL: http://fhir.ch/ig/ch-lab-report/StructureDefinition/composition-basedOn-order-or-requisition
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value Σ 1..1 string The value that is unique
Example General: 123456
Max Length: 100
... status ?!Σ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.


Required Pattern: completed
... 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.


Required Pattern: order
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code 1..1 ChElmCodeableConcept Concept - reference to a terminology or just text
Binding: CH ELM Results Laboratory Observation (preferred)
... subject Σ 1..1 Reference(CH ELM Patient) Individual or Entity the service is ordered for
... requester Σ 1..1 Reference(CH ELM PractitionerRole: Orderer) Who/what is requesting service
... specimen Σ 1..1 Reference(CH ELM Specimen: Laboratory) Procedure Samples

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
ServiceRequest.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.statusrequiredPattern: completed
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
ServiceRequest.intentrequiredPattern: order
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
from the FHIR Standard
ServiceRequest.codepreferredChElmResultsLaboratoryObservation
http://fhir.ch/ig/ch-elm/ValueSet/ch-elm-results-laboratory-observation
from this IG

Constraints

IdGradePath(s)DetailsRequirements
ch-lab-sr1warningServiceRequestThe resource should be conform to the corresponding EU LAB profile
: conformsTo('http://hl7.eu/fhir/laboratory/StructureDefinition/ServiceRequest-eu-lab')
code-or-basedOn-requirederrorServiceRequestmust have a code for what is beeing requested, or a basedOn element
: code.exists() or basedOn.exists()
dom-2errorServiceRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorServiceRequestIf 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-4errorServiceRequestIf 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-5errorServiceRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceServiceRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
prr-1errorServiceRequestorderDetail SHALL only be present if code is present
: orderDetail.empty() or code.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C 0..* ChLabReportServiceRequest CH ELM ServiceRequest: Laboratory Order
prr-1: orderDetail SHALL only be present if code is present
ch-lab-sr1: The resource should be conform to the corresponding EU LAB profile
code-or-basedOn-required: must have a code for what is beeing requested, or a basedOn element
... 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 BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... basedOn-order-or-requisition 0..* Identifier, Reference(ServiceRequest) Document Based On Order
URL: http://fhir.ch/ig/ch-lab-report/StructureDefinition/composition-basedOn-order-or-requisition
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..1 Identifier Identifiers assigned to this order
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value Σ 1..1 string The value that is unique
Example General: 123456
Max Length: 100
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... 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 ?!Σ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.


Required Pattern: completed
... 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.


Required Pattern: order
... 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 1..1 ChElmCodeableConcept Concept - reference to a terminology or just text
Binding: CH ELM Results Laboratory Observation (preferred)
... orderDetail ΣC 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(CH ELM Patient) 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 1..1 Reference(CH ELM PractitionerRole: Orderer) 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: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.


... 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 1..1 Reference(CH ELM Specimen: Laboratory) Procedure Samples
... bodySite Σ 0..* CodeableConcept Location on Body
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


... note 0..* Annotation Comments
... patientInstruction Σ 0..1 string Patient or consumer-oriented instructions
... relevantHistory 0..* Reference(Provenance) Request provenance

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
ServiceRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
ServiceRequest.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ServiceRequest.statusrequiredPattern: completed
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
ServiceRequest.intentrequiredPattern: order
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
from the FHIR Standard
ServiceRequest.categoryexampleServiceRequestCategoryCodes
http://hl7.org/fhir/ValueSet/servicerequest-category
from the FHIR Standard
ServiceRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
ServiceRequest.codepreferredChElmResultsLaboratoryObservation
http://fhir.ch/ig/ch-elm/ValueSet/ch-elm-results-laboratory-observation
from this IG
ServiceRequest.orderDetailexampleServiceRequestOrderDetailsCodes
http://hl7.org/fhir/ValueSet/servicerequest-orderdetail
from the FHIR Standard
ServiceRequest.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
ServiceRequest.performerTypeexampleParticipantRoles
http://hl7.org/fhir/ValueSet/participant-role
from the FHIR Standard
ServiceRequest.locationCodeexampleServiceDeliveryLocationRoleType
http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reasonCodeexampleProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason
from the FHIR Standard
ServiceRequest.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ch-lab-sr1warningServiceRequestThe resource should be conform to the corresponding EU LAB profile
: conformsTo('http://hl7.eu/fhir/laboratory/StructureDefinition/ServiceRequest-eu-lab')
code-or-basedOn-requirederrorServiceRequestmust have a code for what is beeing requested, or a basedOn element
: code.exists() or basedOn.exists()
dom-2errorServiceRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorServiceRequestIf 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-4errorServiceRequestIf 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-5errorServiceRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceServiceRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
prr-1errorServiceRequestorderDetail SHALL only be present if code is present
: orderDetail.empty() or code.exists()

 

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