This page is part of the CH LAB-Order (R4) (v2.0.0-ballot: STU 2 Ballot 1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

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

Resource Profile: CH LAB-Order-SR Container

Definition for ServiceRequest Container in the context of CH LAB-Order

Usage:

• Refer to this Resource Profile: CH LAB-Order-SR Container
• Examples for this Resource Profile: ServiceRequest/CreaClearance, ServiceRequest/LabOrder-container-example, ServiceRequest/LabOrder-electrolytes, ServiceRequest/SR-Container and ServiceRequest/SR-Electrolytes

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 ChOrfServiceRequest

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest		0..*	ChOrfServiceRequest	CH LAB-Order ServiceRequest Container
instantiatesCanonical	S	0..*	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition
basedOn	S	1..*	Reference(CH LAB-Order-SR Labtest | CH LAB-Order-SR Container)	What request fulfills
requisition	S	1..1	Identifier	Composite Request ID
code		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.
reasonCode	S	0..*	CodeableConcept	Clinical Question in free text
text	S	1..1	string	Plain text representation of the concept
reasonReference	S	0..*	Reference(CH LAB-Order Diagnosis Condition)	Reason for the referral (primary diagnosis)
specimen		0..*	Reference(Specimen)	Must be present, if order category is #RequestForLabExam or #RequestForHistopathExam
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
ServiceRequest.code	example	ProcedureCodes(SNOMEDCT)

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ChOrfServiceRequest	CH LAB-Order ServiceRequest Container
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
locationAndTime	S	0..*	Reference(CH ORF Appointment)	CH ORF Location and Time URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-locationandtime
requestedEncounterDetails	S	0..1	Reference(CH ORF Requested Encounter)	CH ORF Requested Encounter Details URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-requestedencounterdetails
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	Identifiers assigned to this order Slice: Unordered, Open by pattern:$this
identifier:placerOrderIdentifier	SΣ	1..1	Identifier	Placer Order Identifier Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PLAC
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
identifier:fillerOrderIdentifier	SΣ	0..1	Identifier	Filler Order Identifier Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: FILL
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
instantiatesCanonical	SΣ	0..*	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition
basedOn	SΣ	1..*	Reference(CH LAB-Order-SR Labtest | CH LAB-Order-SR Container)	What request fulfills
requisition	SΣ	1..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	?!SΣ	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request.
priority	SΣ	0..1	code	Order priority 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: 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.
subject	SΣ	1..1	Reference(CH Core Patient)	Patient
requester	SΣ	0..1	Reference(CH Core PractitionerRole)	The person/organization responsible for the form content
reasonCode	SΣ	0..*	CodeableConcept	Clinical Question in free text Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
text	SΣ	1..1	string	Plain text representation of the concept
reasonReference	SΣ	0..*	Reference(CH LAB-Order Diagnosis Condition)	Reason for the referral (primary diagnosis)
insurance	S	0..*	Reference(CH ORF Coverage)	Associated insurance coverage
specimen	Σ	0..*	Reference(Specimen)	Must be present, if order category is #RequestForLabExam or #RequestForHistopathExam
note	S	0..*	Annotation	Comments
text	SΣ	1..1	markdown	The annotation - text content (as markdown)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
ServiceRequest.identifier:placerOrderIdentifier.use	required	IdentifierUse
ServiceRequest.identifier:fillerOrderIdentifier.use	required	IdentifierUse
ServiceRequest.status	required	RequestStatus
ServiceRequest.intent	required	RequestIntent
ServiceRequest.priority	required	RequestPriority
ServiceRequest.code	example	ProcedureCodes(SNOMEDCT)
ServiceRequest.reasonCode	example	ProcedureReasonCodes

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
ServiceRequest	C	0..*	ChOrfServiceRequest	CH LAB-Order ServiceRequest Container
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
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
locationAndTime	S	0..*	Reference(CH ORF Appointment)	CH ORF Location and Time URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-locationandtime
requestedEncounterDetails	S	0..1	Reference(CH ORF Requested Encounter)	CH ORF Requested Encounter Details URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-requestedencounterdetails
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	Identifiers assigned to this order Slice: Unordered, Open by pattern:$this
identifier:placerOrderIdentifier	SΣ	1..1	Identifier	Placer Order Identifier Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PLAC
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system		0..1	uri	The namespace for the identifier value
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
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	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
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)
identifier:fillerOrderIdentifier	SΣ	0..1	Identifier	Filler Order Identifier Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: FILL
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system		0..1	uri	The namespace for the identifier value
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
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	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
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	SΣ	0..*	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	SΣ	1..*	Reference(CH LAB-Order-SR Labtest | CH LAB-Order-SR Container)	What request fulfills
replaces	Σ	0..*	Reference(ServiceRequest)	What request replaces
requisition	SΣ	1..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	?!SΣ	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	SΣ	0..1	code	Order priority 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: 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.
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	SΣ	1..1	Reference(CH Core Patient)	Patient
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	SΣ	0..1	Reference(CH Core PractitionerRole)	The person/organization responsible for the form content
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	SΣ	0..*	CodeableConcept	Clinical Question in free text 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	Σ	0..*	Coding	Code defined by a terminology system
text	SΣ	1..1	string	Plain text representation of the concept
reasonReference	SΣ	0..*	Reference(CH LAB-Order Diagnosis Condition)	Reason for the referral (primary diagnosis)
insurance	S	0..*	Reference(CH ORF Coverage)	Associated insurance coverage
supportingInfo		0..*	Reference(Resource)	Additional clinical information
specimen	Σ	0..*	Reference(Specimen)	Must be present, if order category is #RequestForLabExam or #RequestForHistopathExam
bodySite	Σ	0..*	CodeableConcept	Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
note	S	0..*	Annotation	Comments
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	SΣ	1..1	markdown	The annotation - text content (as markdown)
patientInstruction	Σ	0..1	string	Use Appointment.patientInstruction (referenced via ServiceRequest.extension) for patient-oriented instructions
relevantHistory		0..*	Reference(Provenance)	Request provenance
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
ServiceRequest.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
ServiceRequest.identifier:placerOrderIdentifier.use	required	IdentifierUse
ServiceRequest.identifier:placerOrderIdentifier.type	extensible	Identifier Type Codes
ServiceRequest.identifier:fillerOrderIdentifier.use	required	IdentifierUse
ServiceRequest.identifier:fillerOrderIdentifier.type	extensible	Identifier Type Codes
ServiceRequest.status	required	RequestStatus
ServiceRequest.intent	required	RequestIntent
ServiceRequest.category	example	ServiceRequestCategoryCodes
ServiceRequest.priority	required	RequestPriority
ServiceRequest.code	example	ProcedureCodes(SNOMEDCT)
ServiceRequest.orderDetail	example	ServiceRequestOrderDetailsCodes
ServiceRequest.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes
ServiceRequest.performerType	example	ParticipantRoles
ServiceRequest.locationCode	example	ServiceDeliveryLocationRoleType
ServiceRequest.reasonCode	example	ProcedureReasonCodes
ServiceRequest.bodySite	example	SNOMEDCTBodyStructures

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

This structure is derived from ChOrfServiceRequest

Summary

Mandatory: 2 elements (1 nested mandatory element)
Must-Support: 6 elements

Structures

This structure refers to these other structures:

• CH LAB-Order-SR Labtest (http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-SR-singletest)
• CH LAB-Order-SR Container (http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-SR-container)
• CH LAB-Order Diagnosis Condition (http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-diagnosis-condition)

Differential View

This structure is derived from ChOrfServiceRequest

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest		0..*	ChOrfServiceRequest	CH LAB-Order ServiceRequest Container
instantiatesCanonical	S	0..*	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition
basedOn	S	1..*	Reference(CH LAB-Order-SR Labtest | CH LAB-Order-SR Container)	What request fulfills
requisition	S	1..1	Identifier	Composite Request ID
code		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.
reasonCode	S	0..*	CodeableConcept	Clinical Question in free text
text	S	1..1	string	Plain text representation of the concept
reasonReference	S	0..*	Reference(CH LAB-Order Diagnosis Condition)	Reason for the referral (primary diagnosis)
specimen		0..*	Reference(Specimen)	Must be present, if order category is #RequestForLabExam or #RequestForHistopathExam
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
ServiceRequest.code	example	ProcedureCodes(SNOMEDCT)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ChOrfServiceRequest	CH LAB-Order ServiceRequest Container
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
locationAndTime	S	0..*	Reference(CH ORF Appointment)	CH ORF Location and Time URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-locationandtime
requestedEncounterDetails	S	0..1	Reference(CH ORF Requested Encounter)	CH ORF Requested Encounter Details URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-requestedencounterdetails
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	Identifiers assigned to this order Slice: Unordered, Open by pattern:$this
identifier:placerOrderIdentifier	SΣ	1..1	Identifier	Placer Order Identifier Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PLAC
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
identifier:fillerOrderIdentifier	SΣ	0..1	Identifier	Filler Order Identifier Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: FILL
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
instantiatesCanonical	SΣ	0..*	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition
basedOn	SΣ	1..*	Reference(CH LAB-Order-SR Labtest | CH LAB-Order-SR Container)	What request fulfills
requisition	SΣ	1..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	?!SΣ	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request.
priority	SΣ	0..1	code	Order priority 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: 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.
subject	SΣ	1..1	Reference(CH Core Patient)	Patient
requester	SΣ	0..1	Reference(CH Core PractitionerRole)	The person/organization responsible for the form content
reasonCode	SΣ	0..*	CodeableConcept	Clinical Question in free text Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
text	SΣ	1..1	string	Plain text representation of the concept
reasonReference	SΣ	0..*	Reference(CH LAB-Order Diagnosis Condition)	Reason for the referral (primary diagnosis)
insurance	S	0..*	Reference(CH ORF Coverage)	Associated insurance coverage
specimen	Σ	0..*	Reference(Specimen)	Must be present, if order category is #RequestForLabExam or #RequestForHistopathExam
note	S	0..*	Annotation	Comments
text	SΣ	1..1	markdown	The annotation - text content (as markdown)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
ServiceRequest.identifier:placerOrderIdentifier.use	required	IdentifierUse
ServiceRequest.identifier:fillerOrderIdentifier.use	required	IdentifierUse
ServiceRequest.status	required	RequestStatus
ServiceRequest.intent	required	RequestIntent
ServiceRequest.priority	required	RequestPriority
ServiceRequest.code	example	ProcedureCodes(SNOMEDCT)
ServiceRequest.reasonCode	example	ProcedureReasonCodes

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
ServiceRequest	C	0..*	ChOrfServiceRequest	CH LAB-Order ServiceRequest Container
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
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
locationAndTime	S	0..*	Reference(CH ORF Appointment)	CH ORF Location and Time URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-locationandtime
requestedEncounterDetails	S	0..1	Reference(CH ORF Requested Encounter)	CH ORF Requested Encounter Details URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-requestedencounterdetails
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	Identifiers assigned to this order Slice: Unordered, Open by pattern:$this
identifier:placerOrderIdentifier	SΣ	1..1	Identifier	Placer Order Identifier Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PLAC
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system		0..1	uri	The namespace for the identifier value
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
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	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
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)
identifier:fillerOrderIdentifier	SΣ	0..1	Identifier	Filler Order Identifier Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: FILL
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system		0..1	uri	The namespace for the identifier value
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
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	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
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	SΣ	0..*	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	SΣ	1..*	Reference(CH LAB-Order-SR Labtest | CH LAB-Order-SR Container)	What request fulfills
replaces	Σ	0..*	Reference(ServiceRequest)	What request replaces
requisition	SΣ	1..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	?!SΣ	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	SΣ	0..1	code	Order priority 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: 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.
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	SΣ	1..1	Reference(CH Core Patient)	Patient
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	SΣ	0..1	Reference(CH Core PractitionerRole)	The person/organization responsible for the form content
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	SΣ	0..*	CodeableConcept	Clinical Question in free text 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	Σ	0..*	Coding	Code defined by a terminology system
text	SΣ	1..1	string	Plain text representation of the concept
reasonReference	SΣ	0..*	Reference(CH LAB-Order Diagnosis Condition)	Reason for the referral (primary diagnosis)
insurance	S	0..*	Reference(CH ORF Coverage)	Associated insurance coverage
supportingInfo		0..*	Reference(Resource)	Additional clinical information
specimen	Σ	0..*	Reference(Specimen)	Must be present, if order category is #RequestForLabExam or #RequestForHistopathExam
bodySite	Σ	0..*	CodeableConcept	Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
note	S	0..*	Annotation	Comments
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	SΣ	1..1	markdown	The annotation - text content (as markdown)
patientInstruction	Σ	0..1	string	Use Appointment.patientInstruction (referenced via ServiceRequest.extension) for patient-oriented instructions
relevantHistory		0..*	Reference(Provenance)	Request provenance
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
ServiceRequest.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
ServiceRequest.identifier:placerOrderIdentifier.use	required	IdentifierUse
ServiceRequest.identifier:placerOrderIdentifier.type	extensible	Identifier Type Codes
ServiceRequest.identifier:fillerOrderIdentifier.use	required	IdentifierUse
ServiceRequest.identifier:fillerOrderIdentifier.type	extensible	Identifier Type Codes
ServiceRequest.status	required	RequestStatus
ServiceRequest.intent	required	RequestIntent
ServiceRequest.category	example	ServiceRequestCategoryCodes
ServiceRequest.priority	required	RequestPriority
ServiceRequest.code	example	ProcedureCodes(SNOMEDCT)
ServiceRequest.orderDetail	example	ServiceRequestOrderDetailsCodes
ServiceRequest.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes
ServiceRequest.performerType	example	ParticipantRoles
ServiceRequest.locationCode	example	ServiceDeliveryLocationRoleType
ServiceRequest.reasonCode	example	ProcedureReasonCodes
ServiceRequest.bodySite	example	SNOMEDCTBodyStructures

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

This structure is derived from ChOrfServiceRequest

Summary

Mandatory: 2 elements (1 nested mandatory element)
Must-Support: 6 elements

Structures

This structure refers to these other structures:

• CH LAB-Order-SR Labtest (http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-SR-singletest)
• CH LAB-Order-SR Container (http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-SR-container)
• CH LAB-Order Diagnosis Condition (http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-diagnosis-condition)

Other representations of profile: CSV, Excel, Schematron