MED - Local Development build (v0.1.3) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: ServiceRequestMED

ServiceRequest Profile, for Medicaia interoperability scenarios, based on the national CORE ServiceRequest Profile defined by HL7 MED.

Usage:

• Use this Resource Profile: BundleOutpatientEncounterMED
• Examples for this Resource Profile: ServiceRequest/ServiceRequestExample001

Formal Views of Profile Content

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

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from ServiceRequest

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest			ServiceRequest
identifier		1..1	Identifier	Identifiers assigned to this order
use		1..1	code	The purpose of this identifier. [ES: Valor por defecto "official"] Required Pattern: official
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
assigner		1..1	Reference(OrganizationMED)	Organization that issued id (may be just text)
status		1..1	code	The status of the order. [ES: Ej: Cuando el profesional crea la orden: "active". Cuando llega el resultado: "completed". ]
intent		1..1	code	Whether the request is a proposal, plan, an original order or a reflex order. [ES: Valor por defecto "order"] Required Pattern: order
category		0..*	CodeableConcept	Classification of service Binding: Service Request Category Codes (required)
coding
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
code		1..1	CodeableConcept	What is being requested/ordered Binding: Procedure Codes (SNOMED CT) (required)
coding
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
quantity[x]		0..1	Quantity	Service amount
subject		1..1	Reference(PatientMED)	Individual or Entity the service is ordered for
encounter		0..1	Reference(EncounterMED)	Encounter in which the request was created
occurrence[x]		0..1	dateTime	When service should occur
authoredOn		1..1	dateTime	Date request signed
requester		1..1	Reference(PractitionerRoleMED)	Who/what is requesting service
reasonCode		0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: Procedure Reason Codes (required)
coding
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
reasonReference		0..*	Reference(ConditionEncounterDiagnosisMED | ConditionProblemListItemMED)	Explanation/Justification for service or service
insurance		0..*	Reference(CoverageMED)	Associated insurance coverage
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ServiceRequest.category	required	ServiceRequestCategoryVS https://fhir.medicaia.ar/ValueSet/ServiceRequestCategoryVS from this IG
ServiceRequest.code	required	ProcedureCodes https://fhir.medicaia.ar/ValueSet/procedure-code from this IG
ServiceRequest.reasonCode	required	ProcedureReasonCodes https://fhir.medicaia.ar/ValueSet/procedure-reason from this IG

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed prr-1: orderDetail SHALL only be present if code is present
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..1	Identifier	Identifiers assigned to this order
use	?!Σ	1..1	code	The purpose of this identifier. [ES: Valor por defecto "official"] Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
assigner	Σ	1..1	Reference(OrganizationMED)	Organization that issued id (may be just text)
status	?!Σ	1..1	code	The status of the order. [ES: Ej: Cuando el profesional crea la orden: "active". Cuando llega el resultado: "completed". ] Binding: RequestStatus (required): The status of a service order.
intent	?!Σ	1..1	code	Whether the request is a proposal, plan, an original order or a reflex order. [ES: Valor por defecto "order"] Binding: RequestIntent (required): The kind of service request. Required Pattern: order
category	Σ	0..*	CodeableConcept	Classification of service Binding: Service Request Category Codes (required)
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	Σ	1..1	CodeableConcept	What is being requested/ordered Binding: Procedure Codes (SNOMED CT) (required)
quantity[x]	Σ	0..1	Quantity	Service amount
subject	Σ	1..1	Reference(PatientMED)	Individual or Entity the service is ordered for
encounter	Σ	0..1	Reference(EncounterMED)	Encounter in which the request was created
occurrence[x]	Σ	0..1	dateTime	When service should occur
authoredOn	Σ	1..1	dateTime	Date request signed
requester	Σ	1..1	Reference(PractitionerRoleMED)	Who/what is requesting service
reasonCode	Σ	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: Procedure Reason Codes (required)
reasonReference	Σ	0..*	Reference(ConditionEncounterDiagnosisMED | ConditionProblemListItemMED)	Explanation/Justification for service or service
insurance		0..*	Reference(CoverageMED)	Associated insurance coverage
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ServiceRequest.identifier.use	required	Pattern: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
ServiceRequest.intent	required	Pattern: order http://hl7.org/fhir/ValueSet/request-intent|4.0.1 from the FHIR Standard
ServiceRequest.category	required	ServiceRequestCategoryVS https://fhir.medicaia.ar/ValueSet/ServiceRequestCategoryVS from this IG
ServiceRequest.code	required	ProcedureCodes https://fhir.medicaia.ar/ValueSet/procedure-code from this IG
ServiceRequest.reasonCode	required	ProcedureReasonCodes https://fhir.medicaia.ar/ValueSet/procedure-reason from this IG

Constraints

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

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed prr-1: orderDetail SHALL only be present if code is present
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..1	Identifier	Identifiers assigned to this order
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	1..1	code	The purpose of this identifier. [ES: Valor por defecto "official"] Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	1..1	Reference(OrganizationMED)	Organization that issued id (may be just text)
instantiatesCanonical	Σ	0..*	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest | MedicationRequest)	What request fulfills
replaces	Σ	0..*	Reference(ServiceRequest)	What request replaces
requisition	Σ	0..1	Identifier	Composite Request ID
status	?!Σ	1..1	code	The status of the order. [ES: Ej: Cuando el profesional crea la orden: "active". Cuando llega el resultado: "completed". ] Binding: RequestStatus (required): The status of a service order.
intent	?!Σ	1..1	code	Whether the request is a proposal, plan, an original order or a reflex order. [ES: Valor por defecto "order"] Binding: RequestIntent (required): The kind of service request. Required Pattern: order
category	Σ	0..*	CodeableConcept	Classification of service Binding: Service Request Category Codes (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	Σ	1..1	CodeableConcept	What is being requested/ordered Binding: Procedure Codes (SNOMED CT) (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
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	Quantity	Service amount
subject	Σ	1..1	Reference(PatientMED)	Individual or Entity the service is ordered for
encounter	Σ	0..1	Reference(EncounterMED)	Encounter in which the request was created
occurrence[x]	Σ	0..1	dateTime	When service should occur
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	1..1	dateTime	Date request signed
requester	Σ	1..1	Reference(PractitionerRoleMED)	Who/what is requesting service
performerType	Σ	0..1	CodeableConcept	Performer role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)	Requested performer
locationCode	Σ	0..*	CodeableConcept	Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
locationReference	Σ	0..*	Reference(Location)	Requested location
reasonCode	Σ	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: Procedure Reason Codes (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
reasonReference	Σ	0..*	Reference(ConditionEncounterDiagnosisMED | ConditionProblemListItemMED)	Explanation/Justification for service or service
insurance		0..*	Reference(CoverageMED)	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		0..*	Annotation	Comments
patientInstruction	Σ	0..1	string	Patient or consumer-oriented instructions
relevantHistory		0..*	Reference(Provenance)	Request provenance
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ServiceRequest.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
ServiceRequest.identifier.use	required	Pattern: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
ServiceRequest.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
ServiceRequest.intent	required	Pattern: order http://hl7.org/fhir/ValueSet/request-intent|4.0.1 from the FHIR Standard
ServiceRequest.category	required	ServiceRequestCategoryVS https://fhir.medicaia.ar/ValueSet/ServiceRequestCategoryVS from this IG
ServiceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
ServiceRequest.code	required	ProcedureCodes https://fhir.medicaia.ar/ValueSet/procedure-code from this IG
ServiceRequest.orderDetail	example	ServiceRequestOrderDetailsCodes http://hl7.org/fhir/ValueSet/servicerequest-orderdetail from the FHIR Standard
ServiceRequest.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
ServiceRequest.performerType	example	ParticipantRoles http://hl7.org/fhir/ValueSet/participant-role from the FHIR Standard
ServiceRequest.locationCode	example	ServiceDeliveryLocationRoleType http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reasonCode	required	ProcedureReasonCodes https://fhir.medicaia.ar/ValueSet/procedure-reason from this IG
ServiceRequest.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site 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: 8 elements(9 nested mandatory elements)
Fixed: 1 element

Structures

This structure refers to these other structures:

• OrganizationMED (https://fhir.medicaia.ar/StructureDefinition/OrganizationMED)
• PatientMED (https://fhir.medicaia.ar/StructureDefinition/PatientMED)
• EncounterMED (https://fhir.medicaia.ar/StructureDefinition/EncounterMED)
• PractitionerRoleMED (https://fhir.medicaia.ar/StructureDefinition/PractitionerRoleMED)
• ConditionEncounterDiagnosisMED (https://fhir.medicaia.ar/StructureDefinition/ConditionEncounterDiagnosisMED)
• ConditionProblemListItemMED (https://fhir.medicaia.ar/StructureDefinition/ConditionProblemListItemMED)
• CoverageMED (https://fhir.medicaia.ar/StructureDefinition/CoverageMED)

Differential View

This structure is derived from ServiceRequest

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest			ServiceRequest
identifier		1..1	Identifier	Identifiers assigned to this order
use		1..1	code	The purpose of this identifier. [ES: Valor por defecto "official"] Required Pattern: official
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
assigner		1..1	Reference(OrganizationMED)	Organization that issued id (may be just text)
status		1..1	code	The status of the order. [ES: Ej: Cuando el profesional crea la orden: "active". Cuando llega el resultado: "completed". ]
intent		1..1	code	Whether the request is a proposal, plan, an original order or a reflex order. [ES: Valor por defecto "order"] Required Pattern: order
category		0..*	CodeableConcept	Classification of service Binding: Service Request Category Codes (required)
coding
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
code		1..1	CodeableConcept	What is being requested/ordered Binding: Procedure Codes (SNOMED CT) (required)
coding
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
quantity[x]		0..1	Quantity	Service amount
subject		1..1	Reference(PatientMED)	Individual or Entity the service is ordered for
encounter		0..1	Reference(EncounterMED)	Encounter in which the request was created
occurrence[x]		0..1	dateTime	When service should occur
authoredOn		1..1	dateTime	Date request signed
requester		1..1	Reference(PractitionerRoleMED)	Who/what is requesting service
reasonCode		0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: Procedure Reason Codes (required)
coding
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
reasonReference		0..*	Reference(ConditionEncounterDiagnosisMED | ConditionProblemListItemMED)	Explanation/Justification for service or service
insurance		0..*	Reference(CoverageMED)	Associated insurance coverage
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ServiceRequest.category	required	ServiceRequestCategoryVS https://fhir.medicaia.ar/ValueSet/ServiceRequestCategoryVS from this IG
ServiceRequest.code	required	ProcedureCodes https://fhir.medicaia.ar/ValueSet/procedure-code from this IG
ServiceRequest.reasonCode	required	ProcedureReasonCodes https://fhir.medicaia.ar/ValueSet/procedure-reason from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed prr-1: orderDetail SHALL only be present if code is present
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..1	Identifier	Identifiers assigned to this order
use	?!Σ	1..1	code	The purpose of this identifier. [ES: Valor por defecto "official"] Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
assigner	Σ	1..1	Reference(OrganizationMED)	Organization that issued id (may be just text)
status	?!Σ	1..1	code	The status of the order. [ES: Ej: Cuando el profesional crea la orden: "active". Cuando llega el resultado: "completed". ] Binding: RequestStatus (required): The status of a service order.
intent	?!Σ	1..1	code	Whether the request is a proposal, plan, an original order or a reflex order. [ES: Valor por defecto "order"] Binding: RequestIntent (required): The kind of service request. Required Pattern: order
category	Σ	0..*	CodeableConcept	Classification of service Binding: Service Request Category Codes (required)
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	Σ	1..1	CodeableConcept	What is being requested/ordered Binding: Procedure Codes (SNOMED CT) (required)
quantity[x]	Σ	0..1	Quantity	Service amount
subject	Σ	1..1	Reference(PatientMED)	Individual or Entity the service is ordered for
encounter	Σ	0..1	Reference(EncounterMED)	Encounter in which the request was created
occurrence[x]	Σ	0..1	dateTime	When service should occur
authoredOn	Σ	1..1	dateTime	Date request signed
requester	Σ	1..1	Reference(PractitionerRoleMED)	Who/what is requesting service
reasonCode	Σ	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: Procedure Reason Codes (required)
reasonReference	Σ	0..*	Reference(ConditionEncounterDiagnosisMED | ConditionProblemListItemMED)	Explanation/Justification for service or service
insurance		0..*	Reference(CoverageMED)	Associated insurance coverage
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ServiceRequest.identifier.use	required	Pattern: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
ServiceRequest.intent	required	Pattern: order http://hl7.org/fhir/ValueSet/request-intent|4.0.1 from the FHIR Standard
ServiceRequest.category	required	ServiceRequestCategoryVS https://fhir.medicaia.ar/ValueSet/ServiceRequestCategoryVS from this IG
ServiceRequest.code	required	ProcedureCodes https://fhir.medicaia.ar/ValueSet/procedure-code from this IG
ServiceRequest.reasonCode	required	ProcedureReasonCodes https://fhir.medicaia.ar/ValueSet/procedure-reason from this IG

Constraints

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

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed prr-1: orderDetail SHALL only be present if code is present
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..1	Identifier	Identifiers assigned to this order
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	1..1	code	The purpose of this identifier. [ES: Valor por defecto "official"] Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	1..1	Reference(OrganizationMED)	Organization that issued id (may be just text)
instantiatesCanonical	Σ	0..*	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest | MedicationRequest)	What request fulfills
replaces	Σ	0..*	Reference(ServiceRequest)	What request replaces
requisition	Σ	0..1	Identifier	Composite Request ID
status	?!Σ	1..1	code	The status of the order. [ES: Ej: Cuando el profesional crea la orden: "active". Cuando llega el resultado: "completed". ] Binding: RequestStatus (required): The status of a service order.
intent	?!Σ	1..1	code	Whether the request is a proposal, plan, an original order or a reflex order. [ES: Valor por defecto "order"] Binding: RequestIntent (required): The kind of service request. Required Pattern: order
category	Σ	0..*	CodeableConcept	Classification of service Binding: Service Request Category Codes (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	Σ	1..1	CodeableConcept	What is being requested/ordered Binding: Procedure Codes (SNOMED CT) (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
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	Quantity	Service amount
subject	Σ	1..1	Reference(PatientMED)	Individual or Entity the service is ordered for
encounter	Σ	0..1	Reference(EncounterMED)	Encounter in which the request was created
occurrence[x]	Σ	0..1	dateTime	When service should occur
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	1..1	dateTime	Date request signed
requester	Σ	1..1	Reference(PractitionerRoleMED)	Who/what is requesting service
performerType	Σ	0..1	CodeableConcept	Performer role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)	Requested performer
locationCode	Σ	0..*	CodeableConcept	Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
locationReference	Σ	0..*	Reference(Location)	Requested location
reasonCode	Σ	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: Procedure Reason Codes (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
reasonReference	Σ	0..*	Reference(ConditionEncounterDiagnosisMED | ConditionProblemListItemMED)	Explanation/Justification for service or service
insurance		0..*	Reference(CoverageMED)	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		0..*	Annotation	Comments
patientInstruction	Σ	0..1	string	Patient or consumer-oriented instructions
relevantHistory		0..*	Reference(Provenance)	Request provenance
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ServiceRequest.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
ServiceRequest.identifier.use	required	Pattern: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
ServiceRequest.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
ServiceRequest.intent	required	Pattern: order http://hl7.org/fhir/ValueSet/request-intent|4.0.1 from the FHIR Standard
ServiceRequest.category	required	ServiceRequestCategoryVS https://fhir.medicaia.ar/ValueSet/ServiceRequestCategoryVS from this IG
ServiceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
ServiceRequest.code	required	ProcedureCodes https://fhir.medicaia.ar/ValueSet/procedure-code from this IG
ServiceRequest.orderDetail	example	ServiceRequestOrderDetailsCodes http://hl7.org/fhir/ValueSet/servicerequest-orderdetail from the FHIR Standard
ServiceRequest.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
ServiceRequest.performerType	example	ParticipantRoles http://hl7.org/fhir/ValueSet/participant-role from the FHIR Standard
ServiceRequest.locationCode	example	ServiceDeliveryLocationRoleType http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reasonCode	required	ProcedureReasonCodes https://fhir.medicaia.ar/ValueSet/procedure-reason from this IG
ServiceRequest.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site 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: 8 elements(9 nested mandatory elements)
Fixed: 1 element

Structures

This structure refers to these other structures:

• OrganizationMED (https://fhir.medicaia.ar/StructureDefinition/OrganizationMED)
• PatientMED (https://fhir.medicaia.ar/StructureDefinition/PatientMED)
• EncounterMED (https://fhir.medicaia.ar/StructureDefinition/EncounterMED)
• PractitionerRoleMED (https://fhir.medicaia.ar/StructureDefinition/PractitionerRoleMED)
• ConditionEncounterDiagnosisMED (https://fhir.medicaia.ar/StructureDefinition/ConditionEncounterDiagnosisMED)
• ConditionProblemListItemMED (https://fhir.medicaia.ar/StructureDefinition/ConditionProblemListItemMED)
• CoverageMED (https://fhir.medicaia.ar/StructureDefinition/CoverageMED)

Other representations of profile: CSV, Excel, Schematron