CH ORF (R4)
2.0.0 - trial-use
CH ORF (R4)
2.0.0 - trial-use
This page is part of the CH ORF (R4) (v2.0.0: STU 2) 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
| Official URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest | Version: 2.0.0 | |||
| Active as of 2023-12-20 | Computable Name: ChOrfServiceRequest | |||
Copyright/Legal: CC0-1.0 |
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Profile to define how the record of a request for service to be performed is represented in the context of an order. This resource is used to share relevant information required to support an CH ORF request from the order placer to the order filler.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from ServiceRequest
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  ServiceRequest | 0..* | ServiceRequest | CH ORF ServiceRequest | |
  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 |
  Slices for identifier | S | 1..* | Identifier | Identifiers assigned to this order Slice: Unordered, Open by pattern:$this |
  identifier:placerOrderIdentifier | S | 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 | |
  system | S | 0..1 | uri | The namespace for the identifier value |
 value | S | 1..1 | string | The value that is unique |
 identifier:fillerOrderIdentifier | S | 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 | |
| system | S | 0..1 | uri | The namespace for the identifier value |
| value | S | 1..1 | string | The value that is unique |
| status | S | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown |
| intent | S | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option |
| priority | S | 0..1 | code | Order priority |
 subject | S | 1..1 | Reference(CH Core Patient) | Patient |
| requester | S | 0..1 | Reference(CH Core PractitionerRole) | The person/organization responsible for the form content |
| insurance | S | 0..* | Reference(CH ORF Coverage) | Associated insurance coverage |
| note | S | 0..* | Annotation | Comments |
| text | S | 1..1 | markdown | The annotation - text content (as markdown) |
| patientInstruction | 0..1 | string | Use Appointment.patientInstruction (referenced via ServiceRequest.extension) for patient-oriented instructions | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| ServiceRequest | C | 0..* | ServiceRequest | CH ORF ServiceRequest |
 implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| 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 |
| 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 |
| 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 |
| insurance | S | 0..* | Reference(CH ORF Coverage) | Associated insurance coverage |
 note | S | 0..* | Annotation | Comments |
| 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 |
| Documentation for this format | ||||
| 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 |
| 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..* | ServiceRequest | CH ORF ServiceRequest | ||||
| 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 | |||||
| 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 | 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 | ?!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)[http://build.fhir.org/terminologies.html#preferred] and a valueset using LOINC Order codes is available here. | ||||
| 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 | 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 | S | 0..* | Reference(CH ORF Coverage) | Associated insurance coverage | ||||
| supportingInfo | 0..* | Reference(Resource) | Additional clinical information | |||||
| specimen | Σ | 0..* | Reference(Specimen) | Procedure Samples | ||||
| bodySite | Σ | 0..* | CodeableConcept | Location on Body Binding: 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 | ||||||||
| Path | Conformance | ValueSet | ||||
| ServiceRequest.language | preferred | CommonLanguages
| ||||
| 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 |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | ServiceRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | ServiceRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | ServiceRequest | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| prr-1 | error | ServiceRequest | orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists() |
This structure is derived from ServiceRequest
Summary
Mandatory: 3 elements (1 nested mandatory element)
Must-Support: 17 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from ServiceRequest
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| ServiceRequest | 0..* | ServiceRequest | CH ORF ServiceRequest | |
| 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 |
| Slices for identifier | S | 1..* | Identifier | Identifiers assigned to this order Slice: Unordered, Open by pattern:$this |
| identifier:placerOrderIdentifier | S | 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 | |
| system | S | 0..1 | uri | The namespace for the identifier value |
| value | S | 1..1 | string | The value that is unique |
| identifier:fillerOrderIdentifier | S | 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 | |
| system | S | 0..1 | uri | The namespace for the identifier value |
| value | S | 1..1 | string | The value that is unique |
| status | S | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown |
| intent | S | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option |
| priority | S | 0..1 | code | Order priority |
| subject | S | 1..1 | Reference(CH Core Patient) | Patient |
| requester | S | 0..1 | Reference(CH Core PractitionerRole) | The person/organization responsible for the form content |
| insurance | S | 0..* | Reference(CH ORF Coverage) | Associated insurance coverage |
| note | S | 0..* | Annotation | Comments |
| text | S | 1..1 | markdown | The annotation - text content (as markdown) |
| patientInstruction | 0..1 | string | Use Appointment.patientInstruction (referenced via ServiceRequest.extension) for patient-oriented instructions | |
| Documentation for this format | ||||
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| ServiceRequest | C | 0..* | ServiceRequest | CH ORF ServiceRequest |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| 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 |
| 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 |
| 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 |
| insurance | S | 0..* | Reference(CH ORF Coverage) | Associated insurance coverage |
| note | S | 0..* | Annotation | Comments |
| 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 |
| Documentation for this format | ||||
| 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 |
| 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..* | ServiceRequest | CH ORF ServiceRequest | ||||
| 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 | |||||
| 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 | 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 | ?!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)[http://build.fhir.org/terminologies.html#preferred] and a valueset using LOINC Order codes is available here. | ||||
| 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 | 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 | S | 0..* | Reference(CH ORF Coverage) | Associated insurance coverage | ||||
| supportingInfo | 0..* | Reference(Resource) | Additional clinical information | |||||
| specimen | Σ | 0..* | Reference(Specimen) | Procedure Samples | ||||
| bodySite | Σ | 0..* | CodeableConcept | Location on Body Binding: 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 | ||||||||
| Path | Conformance | ValueSet | ||||
| ServiceRequest.language | preferred | CommonLanguages
| ||||
| 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 |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | ServiceRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | ServiceRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | ServiceRequest | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| prr-1 | error | ServiceRequest | orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists() |
This structure is derived from ServiceRequest
Summary
Mandatory: 3 elements (1 nested mandatory element)
Must-Support: 17 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron