CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG
1.0.0 - Release 1
CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG
1.0.0 - Release 1
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. This is the current published version. For a full list of available versions, see the Directory of published versions
| Official URL: http://www.cy118119.com/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
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  ServiceRequest |
C | 0..* | ServiceRequest | A request for a service to be performed Constraints: prr-1 |
  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 |
| 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) |
  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 |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| ServiceRequest.status | required | RequestStatushttp://hl7.org/fhir/ValueSet/request-status|4.0.1From the FHIR Standard | |
| ServiceRequest.intent | required | RequestIntenthttp://hl7.org/fhir/ValueSet/request-intent|4.0.1From the FHIR Standard | |
| ServiceRequest.category | extensible | ServiceRequestCategoryCodeshttp://hl7.org/fhir/ValueSet/servicerequest-categoryFrom the FHIR Standard | |
| ServiceRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1From the FHIR Standard | |
| ServiceRequest.code | extensible | ProcedureCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-codeFrom the FHIR Standard | |
| ServiceRequest.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reason|4.0.1From the FHIR Standard |
| 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: |
|---|---|---|---|---|
| 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.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension | |
| category |
S | 0..* | CodeableConcept | Classification of service Binding: ServiceRequestCategoryCodes (extensible) |
| priority |
S | 0..1 | code | routine | urgent | asap | stat |
| 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 |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| ServiceRequest.category | extensible | ServiceRequestCategoryCodeshttp://hl7.org/fhir/ValueSet/servicerequest-categoryFrom the FHIR Standard | |
| ServiceRequest.code | extensible | ProcedureCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-codeFrom the FHIR Standard |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| 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.cy118119.com/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.
| |||||
| 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 | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| ServiceRequest.meta.security | extensible | All Security Labelshttp://hl7.org/fhir/ValueSet/security-labels|4.0.1From the FHIR Standard | ||||
| ServiceRequest.meta.tag | example | CommonTagshttp://hl7.org/fhir/ValueSet/common-tags|4.0.1From the FHIR Standard | ||||
| ServiceRequest.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages|4.0.1From the FHIR Standard
| ||||
| ServiceRequest.status | required | RequestStatushttp://hl7.org/fhir/ValueSet/request-status|4.0.1From the FHIR Standard | ||||
| ServiceRequest.intent | required | RequestIntenthttp://hl7.org/fhir/ValueSet/request-intent|4.0.1From the FHIR Standard | ||||
| ServiceRequest.category | extensible | ServiceRequestCategoryCodeshttp://hl7.org/fhir/ValueSet/servicerequest-categoryFrom the FHIR Standard | ||||
| ServiceRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1From the FHIR Standard | ||||
| ServiceRequest.code | extensible | ProcedureCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-codeFrom the FHIR Standard | ||||
| ServiceRequest.orderDetail | example | ServiceRequestOrderDetailsCodeshttp://hl7.org/fhir/ValueSet/servicerequest-orderdetail|4.0.1From the FHIR Standard | ||||
| ServiceRequest.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1From the FHIR Standard | ||||
| ServiceRequest.encounter.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1From the FHIR Standard | ||||
| ServiceRequest.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reason|4.0.1From the FHIR Standard | ||||
| ServiceRequest.performerType | example | ParticipantRoleshttp://hl7.org/fhir/ValueSet/participant-role|4.0.1From the FHIR Standard | ||||
| ServiceRequest.locationCode | example | ServiceDeliveryLocationRoleTypehttp://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType|3.0.0 | ||||
| ServiceRequest.reasonCode | example | ProcedureReasonCodeshttp://hl7.org/fhir/ValueSet/procedure-reason|4.0.1From the FHIR Standard | ||||
| ServiceRequest.reasonReference.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1From the FHIR Standard | ||||
| ServiceRequest.specimen.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1From the FHIR Standard | ||||
| ServiceRequest.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site|4.0.1From the FHIR Standard |
| 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: |
|---|---|---|---|---|
| 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 |
| 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) |
| 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 |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| ServiceRequest.status | required | RequestStatushttp://hl7.org/fhir/ValueSet/request-status|4.0.1From the FHIR Standard | |
| ServiceRequest.intent | required | RequestIntenthttp://hl7.org/fhir/ValueSet/request-intent|4.0.1From the FHIR Standard | |
| ServiceRequest.category | extensible | ServiceRequestCategoryCodeshttp://hl7.org/fhir/ValueSet/servicerequest-categoryFrom the FHIR Standard | |
| ServiceRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1From the FHIR Standard | |
| ServiceRequest.code | extensible | ProcedureCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-codeFrom the FHIR Standard | |
| ServiceRequest.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reason|4.0.1From the FHIR Standard |
| 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: |
|---|---|---|---|---|
| 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.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension | |
| category |
S | 0..* | CodeableConcept | Classification of service Binding: ServiceRequestCategoryCodes (extensible) |
| priority |
S | 0..1 | code | routine | urgent | asap | stat |
| 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 |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| ServiceRequest.category | extensible | ServiceRequestCategoryCodeshttp://hl7.org/fhir/ValueSet/servicerequest-categoryFrom the FHIR Standard | |
| ServiceRequest.code | extensible | ProcedureCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-codeFrom the FHIR Standard |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| ServiceRequest |
C | 0..* | ServiceRequest | A request for a service to be performed Constraints: prr-1 | ||||
| id |
Σ | 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.cy118119.com/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.
| |||||
| 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 | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| ServiceRequest.meta.security | extensible | All Security Labelshttp://hl7.org/fhir/ValueSet/security-labels|4.0.1From the FHIR Standard | ||||
| ServiceRequest.meta.tag | example | CommonTagshttp://hl7.org/fhir/ValueSet/common-tags|4.0.1From the FHIR Standard | ||||
| ServiceRequest.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages|4.0.1From the FHIR Standard
| ||||
| ServiceRequest.status | required | RequestStatushttp://hl7.org/fhir/ValueSet/request-status|4.0.1From the FHIR Standard | ||||
| ServiceRequest.intent | required | RequestIntenthttp://hl7.org/fhir/ValueSet/request-intent|4.0.1From the FHIR Standard | ||||
| ServiceRequest.category | extensible | ServiceRequestCategoryCodeshttp://hl7.org/fhir/ValueSet/servicerequest-categoryFrom the FHIR Standard | ||||
| ServiceRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1From the FHIR Standard | ||||
| ServiceRequest.code | extensible | ProcedureCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-codeFrom the FHIR Standard | ||||
| ServiceRequest.orderDetail | example | ServiceRequestOrderDetailsCodeshttp://hl7.org/fhir/ValueSet/servicerequest-orderdetail|4.0.1From the FHIR Standard | ||||
| ServiceRequest.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1From the FHIR Standard | ||||
| ServiceRequest.encounter.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1From the FHIR Standard | ||||
| ServiceRequest.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reason|4.0.1From the FHIR Standard | ||||
| ServiceRequest.performerType | example | ParticipantRoleshttp://hl7.org/fhir/ValueSet/participant-role|4.0.1From the FHIR Standard | ||||
| ServiceRequest.locationCode | example | ServiceDeliveryLocationRoleTypehttp://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType|3.0.0 | ||||
| ServiceRequest.reasonCode | example | ProcedureReasonCodeshttp://hl7.org/fhir/ValueSet/procedure-reason|4.0.1From the FHIR Standard | ||||
| ServiceRequest.reasonReference.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1From the FHIR Standard | ||||
| ServiceRequest.specimen.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1From the FHIR Standard | ||||
| ServiceRequest.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site|4.0.1From the FHIR Standard |
| 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
Other representations of profile: CSV, Excel, Schematron
