CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG
1.0.0 - Release 1 United States of America flag

This page is part of the CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG (v1.0.0: Release) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions

Resource Profile: ACH Monthly Event ServiceRequest

Official URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-servicerequest Version: 1.0.0
Standards status: Trial-use Maturity Level: 1 Computable Name: AcuteCareHospitalMonthlyReportingServiceRequest

This profile contains Required and Must Support data elements for reporting order information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile is based on the HL7 FHIR® R4 ServiceRequest Profile v4.0.1.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

Name Flags Card. Type Description & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* ServiceRequest A request for a service to be performed
Constraints: prr-1
... id Σ 1..1 id Logical id of this artifact
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... intent ?!Σ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.
... category SΣ 0..* CodeableConcept Classification of service
Binding: ServiceRequestCategoryCodes (extensible)
... priority SΣ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
... doNotPerform ?!SΣ 0..1 boolean True if service/procedure should not be performed
... code SΣ 0..1 CodeableConcept What is being requested/ordered
Binding: ProcedureCodes(SNOMEDCT) (extensible)
... subject Σ 1..1 Reference(Patient | Group | Location | Device) Individual or Entity the service is ordered for
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... encounter SΣ 0..1 Reference(Encounter) Encounter in which the request was created
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... occurrence[x] SΣ 0..1 When service should occur
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
... asNeeded[x] SΣ 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 1..1 dateTime Date request signed
... reasonReference SΣ 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Explanation/Justification for service or service
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... specimen SΣ 0..* Reference(Specimen) Procedure Samples
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL

doco Documentation for this format

Terminology Bindings

Path Conformance ValueSet URI
ServiceRequest.status required RequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
From the FHIR Standard
ServiceRequest.intent required RequestIntent
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
From the FHIR Standard
ServiceRequest.category extensible ServiceRequestCategoryCodes
http://hl7.org/fhir/ValueSet/servicerequest-category
From the FHIR Standard
ServiceRequest.priority required RequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
From the FHIR Standard
ServiceRequest.code extensible ProcedureCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-code
From the FHIR Standard
ServiceRequest.asNeeded[x] example SNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason|4.0.1
From the FHIR Standard

Constraints

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

This structure is derived from ServiceRequest

Name Flags Card. Type Description & Constraints    Filter: Filtersdoco
.. ServiceRequest 0..* ServiceRequest A request for a service to be performed
... id 1..1 id Logical id of this artifact
... meta
.... Slices for extension Content/Rules for all slices
..... extension:link-received-date-extension 0..1 dateTime Received Date
URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
... category S 0..* CodeableConcept Classification of service
Binding: ServiceRequestCategoryCodes (extensible)
... doNotPerform S 0..1 boolean True if service/procedure should not be performed
... code S 0..1 CodeableConcept What is being requested/ordered
Binding: ProcedureCodes(SNOMEDCT) (extensible)
... subject
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
... encounter S 0..1 Reference(Encounter) Encounter in which the request was created
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
... occurrence[x] S 0..1 dateTime, Period, Timing When service should occur
... asNeeded[x] S 0..1 boolean, CodeableConcept Preconditions for service
... authoredOn 1..1 dateTime Date request signed
... reasonReference S 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Explanation/Justification for service or service
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
... specimen S 0..* Reference(Specimen) Procedure Samples
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL

doco Documentation for this format

Terminology Bindings (Differential)

Path Conformance ValueSet URI
ServiceRequest.category extensible ServiceRequestCategoryCodes
http://hl7.org/fhir/ValueSet/servicerequest-category
From the FHIR Standard
ServiceRequest.code extensible ProcedureCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-code
From the FHIR Standard
Name Flags Card. Type Description & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* ServiceRequest A request for a service to be performed
Constraints: prr-1
... id Σ 1..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:link-received-date-extension 0..1 dateTime Received Date
URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional Bindings Purpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Identifiers assigned to this order
... instantiatesCanonical Σ 0..* canonical(ActivityDefinition | PlanDefinition) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(CarePlan | ServiceRequest | MedicationRequest) What request fulfills
... replaces Σ 0..* Reference(ServiceRequest) What request replaces
... requisition Σ 0..1 Identifier Composite Request ID
... status ?!Σ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.
... intent ?!Σ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.
... category SΣ 0..* CodeableConcept Classification of service
Binding: ServiceRequestCategoryCodes (extensible)
... priority SΣ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
... doNotPerform ?!SΣ 0..1 boolean True if service/procedure should not be performed
... code SΣ 0..1 CodeableConcept What is being requested/ordered
Binding: ProcedureCodes(SNOMEDCT) (extensible)
... 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(Patient | Group | Location | Device) Individual or Entity the service is ordered for
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter SΣ 0..1 Reference(Encounter) Encounter in which the request was created
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... occurrence[x] SΣ 0..1 When service should occur
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
... asNeeded[x] SΣ 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 1..1 dateTime Date request signed
... requester Σ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/what is requesting service
... performerType Σ 0..1 CodeableConcept Performer role
Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Requested performer
... locationCode Σ 0..* CodeableConcept Requested location
Binding: ServiceDeliveryLocationRoleType (3.0.0) (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 SΣ 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Explanation/Justification for service or service
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... supportingInfo 0..* Reference(Resource) Additional clinical information
... specimen SΣ 0..* Reference(Specimen) Procedure Samples
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... 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

Path Conformance ValueSet URI
ServiceRequest.meta.security extensible All Security Labels
http://hl7.org/fhir/ValueSet/security-labels|4.0.1
From the FHIR Standard
ServiceRequest.meta.tag example CommonTags
http://hl7.org/fhir/ValueSet/common-tags|4.0.1
From the FHIR Standard
ServiceRequest.language preferred CommonLanguages
http://hl7.org/fhir/ValueSet/languages|4.0.1
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
ServiceRequest.status required RequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
From the FHIR Standard
ServiceRequest.intent required RequestIntent
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
From the FHIR Standard
ServiceRequest.category extensible ServiceRequestCategoryCodes
http://hl7.org/fhir/ValueSet/servicerequest-category
From the FHIR Standard
ServiceRequest.priority required RequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
From the FHIR Standard
ServiceRequest.code extensible ProcedureCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-code
From the FHIR Standard
ServiceRequest.orderDetail example ServiceRequestOrderDetailsCodes
http://hl7.org/fhir/ValueSet/servicerequest-orderdetail|4.0.1
From the FHIR Standard
ServiceRequest.subject.type extensible ResourceType
http://hl7.org/fhir/ValueSet/resource-types|4.0.1
From the FHIR Standard
ServiceRequest.encounter.type extensible ResourceType
http://hl7.org/fhir/ValueSet/resource-types|4.0.1
From the FHIR Standard
ServiceRequest.asNeeded[x] example SNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason|4.0.1
From the FHIR Standard
ServiceRequest.performerType example ParticipantRoles
http://hl7.org/fhir/ValueSet/participant-role|4.0.1
From the FHIR Standard
ServiceRequest.locationCode example ServiceDeliveryLocationRoleType
http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType|3.0.0
ServiceRequest.reasonCode example ProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason|4.0.1
From the FHIR Standard
ServiceRequest.reasonReference.type extensible ResourceType
http://hl7.org/fhir/ValueSet/resource-types|4.0.1
From the FHIR Standard
ServiceRequest.specimen.type extensible ResourceType
http://hl7.org/fhir/ValueSet/resource-types|4.0.1
From the FHIR Standard
ServiceRequest.bodySite example SNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site|4.0.1
From the FHIR Standard

Constraints

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

This structure is derived from ServiceRequest

Summary

Mandatory: 3 elements(3 nested mandatory elements)
Must-Support: 13 elements

Extensions

This structure refers to these extensions:

Maturity: 1

Key Elements View

Name Flags Card. Type Description & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* ServiceRequest A request for a service to be performed
Constraints: prr-1
... id Σ 1..1 id Logical id of this artifact
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... intent ?!Σ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.
... category SΣ 0..* CodeableConcept Classification of service
Binding: ServiceRequestCategoryCodes (extensible)
... priority SΣ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
... doNotPerform ?!SΣ 0..1 boolean True if service/procedure should not be performed
... code SΣ 0..1 CodeableConcept What is being requested/ordered
Binding: ProcedureCodes(SNOMEDCT) (extensible)
... subject Σ 1..1 Reference(Patient | Group | Location | Device) Individual or Entity the service is ordered for
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... encounter SΣ 0..1 Reference(Encounter) Encounter in which the request was created
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... occurrence[x] SΣ 0..1 When service should occur
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
... asNeeded[x] SΣ 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 1..1 dateTime Date request signed
... reasonReference SΣ 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Explanation/Justification for service or service
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... specimen SΣ 0..* Reference(Specimen) Procedure Samples
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL

doco Documentation for this format

Terminology Bindings

Path Conformance ValueSet URI
ServiceRequest.status required RequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
From the FHIR Standard
ServiceRequest.intent required RequestIntent
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
From the FHIR Standard
ServiceRequest.category extensible ServiceRequestCategoryCodes
http://hl7.org/fhir/ValueSet/servicerequest-category
From the FHIR Standard
ServiceRequest.priority required RequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
From the FHIR Standard
ServiceRequest.code extensible ProcedureCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-code
From the FHIR Standard
ServiceRequest.asNeeded[x] example SNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason|4.0.1
From the FHIR Standard

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()

Differential View

This structure is derived from ServiceRequest

Name Flags Card. Type Description & Constraints    Filter: Filtersdoco
.. ServiceRequest 0..* ServiceRequest A request for a service to be performed
... id 1..1 id Logical id of this artifact
... meta
.... Slices for extension Content/Rules for all slices
..... extension:link-received-date-extension 0..1 dateTime Received Date
URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
... category S 0..* CodeableConcept Classification of service
Binding: ServiceRequestCategoryCodes (extensible)
... doNotPerform S 0..1 boolean True if service/procedure should not be performed
... code S 0..1 CodeableConcept What is being requested/ordered
Binding: ProcedureCodes(SNOMEDCT) (extensible)
... subject
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
... encounter S 0..1 Reference(Encounter) Encounter in which the request was created
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
... occurrence[x] S 0..1 dateTime, Period, Timing When service should occur
... asNeeded[x] S 0..1 boolean, CodeableConcept Preconditions for service
... authoredOn 1..1 dateTime Date request signed
... reasonReference S 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Explanation/Justification for service or service
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
... specimen S 0..* Reference(Specimen) Procedure Samples
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL

doco Documentation for this format

Terminology Bindings (Differential)

Path Conformance ValueSet URI
ServiceRequest.category extensible ServiceRequestCategoryCodes
http://hl7.org/fhir/ValueSet/servicerequest-category
From the FHIR Standard
ServiceRequest.code extensible ProcedureCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-code
From the FHIR Standard

Snapshot View

Name Flags Card. Type Description & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* ServiceRequest A request for a service to be performed
Constraints: prr-1
... id Σ 1..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:link-received-date-extension 0..1 dateTime Received Date
URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional Bindings Purpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Identifiers assigned to this order
... instantiatesCanonical Σ 0..* canonical(ActivityDefinition | PlanDefinition) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(CarePlan | ServiceRequest | MedicationRequest) What request fulfills
... replaces Σ 0..* Reference(ServiceRequest) What request replaces
... requisition Σ 0..1 Identifier Composite Request ID
... status ?!Σ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.
... intent ?!Σ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.
... category SΣ 0..* CodeableConcept Classification of service
Binding: ServiceRequestCategoryCodes (extensible)
... priority SΣ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
... doNotPerform ?!SΣ 0..1 boolean True if service/procedure should not be performed
... code SΣ 0..1 CodeableConcept What is being requested/ordered
Binding: ProcedureCodes(SNOMEDCT) (extensible)
... 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(Patient | Group | Location | Device) Individual or Entity the service is ordered for
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter SΣ 0..1 Reference(Encounter) Encounter in which the request was created
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... occurrence[x] SΣ 0..1 When service should occur
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
... asNeeded[x] SΣ 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 1..1 dateTime Date request signed
... requester Σ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/what is requesting service
... performerType Σ 0..1 CodeableConcept Performer role
Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Requested performer
... locationCode Σ 0..* CodeableConcept Requested location
Binding: ServiceDeliveryLocationRoleType (3.0.0) (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 SΣ 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Explanation/Justification for service or service
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... supportingInfo 0..* Reference(Resource) Additional clinical information
... specimen SΣ 0..* Reference(Specimen) Procedure Samples
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... 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

Path Conformance ValueSet URI
ServiceRequest.meta.security extensible All Security Labels
http://hl7.org/fhir/ValueSet/security-labels|4.0.1
From the FHIR Standard
ServiceRequest.meta.tag example CommonTags
http://hl7.org/fhir/ValueSet/common-tags|4.0.1
From the FHIR Standard
ServiceRequest.language preferred CommonLanguages
http://hl7.org/fhir/ValueSet/languages|4.0.1
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
ServiceRequest.status required RequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
From the FHIR Standard
ServiceRequest.intent required RequestIntent
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
From the FHIR Standard
ServiceRequest.category extensible ServiceRequestCategoryCodes
http://hl7.org/fhir/ValueSet/servicerequest-category
From the FHIR Standard
ServiceRequest.priority required RequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
From the FHIR Standard
ServiceRequest.code extensible ProcedureCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-code
From the FHIR Standard
ServiceRequest.orderDetail example ServiceRequestOrderDetailsCodes
http://hl7.org/fhir/ValueSet/servicerequest-orderdetail|4.0.1
From the FHIR Standard
ServiceRequest.subject.type extensible ResourceType
http://hl7.org/fhir/ValueSet/resource-types|4.0.1
From the FHIR Standard
ServiceRequest.encounter.type extensible ResourceType
http://hl7.org/fhir/ValueSet/resource-types|4.0.1
From the FHIR Standard
ServiceRequest.asNeeded[x] example SNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason|4.0.1
From the FHIR Standard
ServiceRequest.performerType example ParticipantRoles
http://hl7.org/fhir/ValueSet/participant-role|4.0.1
From the FHIR Standard
ServiceRequest.locationCode example ServiceDeliveryLocationRoleType
http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType|3.0.0
ServiceRequest.reasonCode example ProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason|4.0.1
From the FHIR Standard
ServiceRequest.reasonReference.type extensible ResourceType
http://hl7.org/fhir/ValueSet/resource-types|4.0.1
From the FHIR Standard
ServiceRequest.specimen.type extensible ResourceType
http://hl7.org/fhir/ValueSet/resource-types|4.0.1
From the FHIR Standard
ServiceRequest.bodySite example SNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site|4.0.1
From the FHIR Standard

Constraints

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

This structure is derived from ServiceRequest

Summary

Mandatory: 3 elements(3 nested mandatory elements)
Must-Support: 13 elements

Extensions

This structure refers to these extensions:

Maturity: 1

 

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