oncologyfhirigkenya - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Resource Profile: Oncology Service Request Kenya
| Official URL: http://example.org/StructureDefinition/oncology-kenya-service-request | Version: 0.1.0 | |||
| Draft as of 2026-06-23 | Computable Name: OncologyKenyaServiceRequest | |||
A specialized ServiceRequest profile for oncology-related referrals, diagnostics, and procedures in Kenya. Informed by the Kenya National Cancer Control Strategy (2023–2027), Kenya Cancer Policy (2020–2030), and data practices from KEMRI and county cancer registries. Supports service ordering for biopsies, imaging, oncology specialist reviews, palliative care referrals, and tracking within a multidisciplinary care model.
Usages:
- Examples for this Profile: ServiceRequest/example-oncology-service-request
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:   |
|---|---|---|---|---|
  ServiceRequest |
C | 0..* | ServiceRequest | A request for a service to be performed Constraints: prr-1 |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
  Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
   extension:county |
0..1 | CodeableConcept | County Where Request Originated URL: http://example.org/StructureDefinition/service-request-context-county Binding: https://www.kenyacode.com/fhir/ValueSet/kenya-county-codes (required) | |
| extension:reportToRegistry |
0..1 | boolean | Flag for National Cancer Registry Reporting URL: http://example.org/StructureDefinition/service-request-registry-flag | |
 extension:referralType |
0..1 | CodeableConcept | Referral Type (Internal or External) URL: http://example.org/StructureDefinition/service-request-referral-type Binding: https://www.sha.go.ke/fhir/ValueSet/kenya-referral-types (extensible) | |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| status |
?!SΣ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. |
| intent |
?!SΣ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. |
| priority |
SΣ | 0..1 | code | 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 |
SΣ | 1..1 | CodeableConcept | What is being requested/ordered Binding: http://id.who.int/icd10 (required) |
 subject |
SΣ | 1..1 | Reference(Patient | Group | Location | Device) | Individual or Entity the service is ordered for |
| encounter |
SΣ | 0..1 | Reference(Encounter) | Encounter in which the request was created |
| authoredOn |
SΣ | 0..1 | dateTime | Date request signed |
| requester |
SΣ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/what is requesting service |
| performer |
SΣ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | Requested performer |
| reasonCode |
SΣ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: http://id.who.int/icd10 (extensible) |
 supportingInfo |
S | 0..* | Reference(Resource) | Additional clinical information |
| Documentation for this format | ||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| ServiceRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std. |
| ServiceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std. |
| ServiceRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std. |
| ServiceRequest.code | Base | required | http://id.who.int/icd10 | Not State | Unknown |
| ServiceRequest.reasonCode | Base | extensible | http://id.who.int/icd10 | Not State | Unknown |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| 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
Terminology Bindings (Differential)
| Path | Status | Usage | ValueSet | Version | Source |
| ServiceRequest.code | Base | required | http://id.who.int/icd10 | Not State | Unknown |
| ServiceRequest.reasonCode | Base | extensible | http://id.who.int/icd10 | Not State | Unknown |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| ServiceRequest |
C | 0..* | ServiceRequest | A request for a service to be performed Constraints: prr-1 | ||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:county |
0..1 | CodeableConcept | County Where Request Originated URL: http://example.org/StructureDefinition/service-request-context-county Binding: https://www.kenyacode.com/fhir/ValueSet/kenya-county-codes (required) | |||||
| extension:reportToRegistry |
0..1 | boolean | Flag for National Cancer Registry Reporting URL: http://example.org/StructureDefinition/service-request-registry-flag | |||||
| extension:referralType |
0..1 | CodeableConcept | Referral Type (Internal or External) URL: http://example.org/StructureDefinition/service-request-referral-type Binding: https://www.sha.go.ke/fhir/ValueSet/kenya-referral-types (extensible) | |||||
| 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 |
?!SΣ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. | ||||
| intent |
?!SΣ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. | ||||
| category |
Σ | 0..* | CodeableConcept | Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. | ||||
| priority |
SΣ | 0..1 | code | 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 |
SΣ | 1..1 | CodeableConcept | What is being requested/ordered Binding: http://id.who.int/icd10 (required) | ||||
| orderDetail |
ΣC | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context. | ||||
 quantity[x] |
Σ | 0..1 | Service amount | |||||
| quantityQuantity |
Quantity | |||||||
| quantityRatio |
Ratio | |||||||
| quantityRange |
Range | |||||||
| subject |
SΣ | 1..1 | Reference(Patient | Group | Location | Device) | Individual or Entity the service is ordered for | ||||
| encounter |
SΣ | 0..1 | Reference(Encounter) | Encounter in which the request was created | ||||
| occurrence[x] |
Σ | 0..1 | When service should occur | |||||
| occurrenceDateTime |
dateTime | |||||||
| occurrencePeriod |
Period | |||||||
| occurrenceTiming |
Timing | |||||||
| asNeeded[x] |
Σ | 0..1 | Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc. | |||||
| asNeededBoolean |
boolean | |||||||
| asNeededCodeableConcept |
CodeableConcept | |||||||
| authoredOn |
SΣ | 0..1 | dateTime | Date request signed | ||||
| requester |
SΣ | 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 |
SΣ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | Requested performer | ||||
| locationCode |
Σ | 0..* | CodeableConcept | Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered. | ||||
| locationReference |
Σ | 0..* | Reference(Location) | Requested location | ||||
| reasonCode |
SΣ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: http://id.who.int/icd10 (extensible) | ||||
| reasonReference |
Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service | ||||
| insurance |
0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
| supportingInfo |
S | 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 | Status | Usage | ValueSet | Version | Source |
| ServiceRequest.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| ServiceRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std. |
| ServiceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std. |
| ServiceRequest.category | Base | example | Service Request Category Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std. |
| ServiceRequest.code | Base | required | http://id.who.int/icd10 | Not State | Unknown |
| ServiceRequest.orderDetail | Base | example | Service Request Order Details Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.performerType | Base | example | Participant Roles | 📍4.0.1 | FHIR Std. |
| ServiceRequest.locationCode | Base | example | ServiceDeliveryLocationRoleType | 📦3.0.0 | THO v7.2 |
| ServiceRequest.reasonCode | Base | extensible | http://id.who.int/icd10 | Not State | Unknown |
| ServiceRequest.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std. |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| 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
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 |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:county |
0..1 | CodeableConcept | County Where Request Originated URL: http://example.org/StructureDefinition/service-request-context-county Binding: https://www.kenyacode.com/fhir/ValueSet/kenya-county-codes (required) | |
| extension:reportToRegistry |
0..1 | boolean | Flag for National Cancer Registry Reporting URL: http://example.org/StructureDefinition/service-request-registry-flag | |
| extension:referralType |
0..1 | CodeableConcept | Referral Type (Internal or External) URL: http://example.org/StructureDefinition/service-request-referral-type Binding: https://www.sha.go.ke/fhir/ValueSet/kenya-referral-types (extensible) | |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| status |
?!SΣ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. |
| intent |
?!SΣ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. |
| priority |
SΣ | 0..1 | code | 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 |
SΣ | 1..1 | CodeableConcept | What is being requested/ordered Binding: http://id.who.int/icd10 (required) |
| subject |
SΣ | 1..1 | Reference(Patient | Group | Location | Device) | Individual or Entity the service is ordered for |
| encounter |
SΣ | 0..1 | Reference(Encounter) | Encounter in which the request was created |
| authoredOn |
SΣ | 0..1 | dateTime | Date request signed |
| requester |
SΣ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/what is requesting service |
| performer |
SΣ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | Requested performer |
| reasonCode |
SΣ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: http://id.who.int/icd10 (extensible) |
| supportingInfo |
S | 0..* | Reference(Resource) | Additional clinical information |
| Documentation for this format | ||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| ServiceRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std. |
| ServiceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std. |
| ServiceRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std. |
| ServiceRequest.code | Base | required | http://id.who.int/icd10 | Not State | Unknown |
| ServiceRequest.reasonCode | Base | extensible | http://id.who.int/icd10 | Not State | Unknown |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| 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
Terminology Bindings (Differential)
| Path | Status | Usage | ValueSet | Version | Source |
| ServiceRequest.code | Base | required | http://id.who.int/icd10 | Not State | Unknown |
| ServiceRequest.reasonCode | Base | extensible | http://id.who.int/icd10 | Not State | Unknown |
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 | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:county |
0..1 | CodeableConcept | County Where Request Originated URL: http://example.org/StructureDefinition/service-request-context-county Binding: https://www.kenyacode.com/fhir/ValueSet/kenya-county-codes (required) | |||||
| extension:reportToRegistry |
0..1 | boolean | Flag for National Cancer Registry Reporting URL: http://example.org/StructureDefinition/service-request-registry-flag | |||||
| extension:referralType |
0..1 | CodeableConcept | Referral Type (Internal or External) URL: http://example.org/StructureDefinition/service-request-referral-type Binding: https://www.sha.go.ke/fhir/ValueSet/kenya-referral-types (extensible) | |||||
| 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 |
?!SΣ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. | ||||
| intent |
?!SΣ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. | ||||
| category |
Σ | 0..* | CodeableConcept | Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. | ||||
| priority |
SΣ | 0..1 | code | 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 |
SΣ | 1..1 | CodeableConcept | What is being requested/ordered Binding: http://id.who.int/icd10 (required) | ||||
| orderDetail |
ΣC | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context. | ||||
| quantity[x] |
Σ | 0..1 | Service amount | |||||
| quantityQuantity |
Quantity | |||||||
| quantityRatio |
Ratio | |||||||
| quantityRange |
Range | |||||||
| subject |
SΣ | 1..1 | Reference(Patient | Group | Location | Device) | Individual or Entity the service is ordered for | ||||
| encounter |
SΣ | 0..1 | Reference(Encounter) | Encounter in which the request was created | ||||
| occurrence[x] |
Σ | 0..1 | When service should occur | |||||
| occurrenceDateTime |
dateTime | |||||||
| occurrencePeriod |
Period | |||||||
| occurrenceTiming |
Timing | |||||||
| asNeeded[x] |
Σ | 0..1 | Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc. | |||||
| asNeededBoolean |
boolean | |||||||
| asNeededCodeableConcept |
CodeableConcept | |||||||
| authoredOn |
SΣ | 0..1 | dateTime | Date request signed | ||||
| requester |
SΣ | 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 |
SΣ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | Requested performer | ||||
| locationCode |
Σ | 0..* | CodeableConcept | Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered. | ||||
| locationReference |
Σ | 0..* | Reference(Location) | Requested location | ||||
| reasonCode |
SΣ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: http://id.who.int/icd10 (extensible) | ||||
| reasonReference |
Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service | ||||
| insurance |
0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
| supportingInfo |
S | 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 | Status | Usage | ValueSet | Version | Source |
| ServiceRequest.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| ServiceRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std. |
| ServiceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std. |
| ServiceRequest.category | Base | example | Service Request Category Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std. |
| ServiceRequest.code | Base | required | http://id.who.int/icd10 | Not State | Unknown |
| ServiceRequest.orderDetail | Base | example | Service Request Order Details Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.performerType | Base | example | Participant Roles | 📍4.0.1 | FHIR Std. |
| ServiceRequest.locationCode | Base | example | ServiceDeliveryLocationRoleType | 📦3.0.0 | THO v7.2 |
| ServiceRequest.reasonCode | Base | extensible | http://id.who.int/icd10 | Not State | Unknown |
| ServiceRequest.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std. |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| 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
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