HL7 Europe Laboratory Report
0.1.1 - trial-use 150

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## Resource Profile: ServiceRequest: Laboratory Order

Official URL: http://hl7.eu/fhir/laboratory/StructureDefinition/ServiceRequest-eu-lab | Version: 0.1.1
Standards status: Trial-use | Maturity Level: 2 | Computable Name: ServiceRequestLabEu
Other Identifiers: OID:2.16.840.1.113883.2.51.22.1.42.23
Copyright/Legal: Used by permission of HL7 Europe, all rights reserved Creative Commons License

This profile defines how to represent an laboratory orders using the HL7 FHIR ServiceRequest for the purpose of this guide.

#### Communicating Ask at Order Entry questions and prior results

There are cases in which information is collected at the order entry, including prior results, for helping the results' interpretation.

These data may be represented in FHIR by different resources (Observations, Conditions, MedicationStatements,...), depending of the kind of information collected; and they are linked to the order (i.e. the ServiceRequest) by using the supportingInfo reference

Usage:

- Derived from this Resource Profile: ServiceRequest: Obligations
- Use this Resource Profile: Bundle: Laboratory Report
- Refer to this Resource Profile: Composition: Laboratory Report and DiagnosticReport: Laboratory Report
- Examples for this Resource Profile: ServiceRequest/srv-request-example

### Formal Views of Profile Content

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

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

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | ServiceRequest | Laboratory Order dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management 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 ele-1: All FHIR elements must have a @value or children
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier | Σ | 1..* | Identifier | Identifiers assigned to this order ele-1: All FHIR elements must have a @value or children
requisition | Σ | 0..1 | Identifier | Composite Request ID. ele-1: All FHIR elements must have a @value or children
status | ?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed ele-1: All FHIR elements must have a @value or children
code | Σ | 0..1 | CodeableConcept | What is being requested/ordered Binding: Laboratory Order (preferred) ele-1: All FHIR elements must have a @value or children
subject | Σ | 1..1 | Reference(Patient: Person | Patient: Animal | Group | Location | Device) | Individual or Entity the service is ordered for ele-1: All FHIR elements must have a @value or children
authoredOn | Σ | 0..1 | dateTime | When the order was placed ele-1: All FHIR elements must have a @value or children
insurance |  | 0..* | Reference(Coverage) | Associated insurance coverage ele-1: All FHIR elements must have a @value or children
supportingInfo |  | 0..* | Reference(Resource) | Additional information: e.g AOEs and prior results ele-1: All FHIR elements must have a @value or children
specimen | Σ | 0..* | Reference(Specimen: Laboratory) | Specimens to be used by the laboratory procedure ele-1: All FHIR elements must have a @value or children
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
ServiceRequest.status | required | RequestStatus `http://hl7.org/fhir/ValueSet/request-status|4.0.1` from the FHIR Standard
ServiceRequest.intent | required | RequestIntent `http://hl7.org/fhir/ValueSet/request-intent|4.0.1` from the FHIR Standard
ServiceRequest.code | preferred | LabOrderCodesEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-orderCodes-eu-lab` 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() |

This structure is derived from ServiceRequest

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
ServiceRequest |  | 0..* | ServiceRequest | Laboratory Order
identifier |  | 1..* | Identifier | Identifiers assigned to this order
requisition |  | 0..1 | Identifier | Composite Request ID.
code |  | 0..1 | CodeableConcept | What is being requested/ordered Binding: Laboratory Order (preferred)
subject |  | 1..1 | Reference(Patient: Person | Patient: Animal | Group | Location | Device) | Individual or Entity the service is ordered for
authoredOn |  | 0..1 | dateTime | When the order was placed
insurance |  | 0..* | Reference(Coverage) | Associated insurance coverage
supportingInfo |  | 0..* | Reference(Resource) | Additional information: e.g AOEs and prior results
specimen |  | 0..* | Reference(Specimen: Laboratory) | Specimens to be used by the laboratory procedure
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
ServiceRequest.code | preferred | LabOrderCodesEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-orderCodes-eu-lab` from this IG

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | ServiceRequest | Laboratory Order 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..* | 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 | Σ | 0..* | CodeableConcept | Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
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 | 0..1 | CodeableConcept | What is being requested/ordered Binding: Laboratory Order (preferred)
orderDetail | Σ C | 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: Person | Patient: Animal | Group | Location | Device) | Individual or Entity the service is ordered for
encounter | Σ | 0..1 | Reference(Encounter) | Encounter in which the request was created
occurrence[x] | Σ | 0..1 |  | When service should occur
occurrenceDateTime |  |  | dateTime |
occurrencePeriod |  |  | Period |
occurrenceTiming |  |  | Timing |
asNeeded[x] | Σ | 0..1 |  | Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
asNeededBoolean |  |  | boolean |
asNeededCodeableConcept |  |  | CodeableConcept |
authoredOn | Σ | 0..1 | dateTime | When the order was placed
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 (example): A location type where services are delivered.
locationReference | Σ | 0..* | Reference(Location) | Requested location
reasonCode | Σ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
reasonReference | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service
insurance |  | 0..* | Reference(Coverage) | Associated insurance coverage
supportingInfo |  | 0..* | Reference(Resource) | Additional information: e.g AOEs and prior results
specimen | Σ | 0..* | Reference(Specimen: Laboratory) | Specimens to be used by the laboratory procedure
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 | URI
ServiceRequest.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
ServiceRequest.status | required | RequestStatus `http://hl7.org/fhir/ValueSet/request-status|4.0.1` from the FHIR Standard
ServiceRequest.intent | required | RequestIntent `http://hl7.org/fhir/ValueSet/request-intent|4.0.1` from the FHIR Standard
ServiceRequest.category | example | ServiceRequestCategoryCodes `http://hl7.org/fhir/ValueSet/servicerequest-category` from the FHIR Standard
ServiceRequest.priority | required | RequestPriority `http://hl7.org/fhir/ValueSet/request-priority|4.0.1` from the FHIR Standard
ServiceRequest.code | preferred | LabOrderCodesEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-orderCodes-eu-lab` 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 | example | ProcedureReasonCodes `http://hl7.org/fhir/ValueSet/procedure-reason` from the FHIR Standard
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: 1 element

Structures

This structure refers to these other structures:

- Patient: Person (http://hl7.eu/fhir/laboratory/StructureDefinition/Patient-eu-lab)
- Patient: Animal (http://hl7.eu/fhir/laboratory/StructureDefinition/Patient-animal-eu-lab)
- Specimen: Laboratory (http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab)

Maturity: 2

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | ServiceRequest | Laboratory Order dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management 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 ele-1: All FHIR elements must have a @value or children
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier | Σ | 1..* | Identifier | Identifiers assigned to this order ele-1: All FHIR elements must have a @value or children
requisition | Σ | 0..1 | Identifier | Composite Request ID. ele-1: All FHIR elements must have a @value or children
status | ?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed ele-1: All FHIR elements must have a @value or children
code | Σ | 0..1 | CodeableConcept | What is being requested/ordered Binding: Laboratory Order (preferred) ele-1: All FHIR elements must have a @value or children
subject | Σ | 1..1 | Reference(Patient: Person | Patient: Animal | Group | Location | Device) | Individual or Entity the service is ordered for ele-1: All FHIR elements must have a @value or children
authoredOn | Σ | 0..1 | dateTime | When the order was placed ele-1: All FHIR elements must have a @value or children
insurance |  | 0..* | Reference(Coverage) | Associated insurance coverage ele-1: All FHIR elements must have a @value or children
supportingInfo |  | 0..* | Reference(Resource) | Additional information: e.g AOEs and prior results ele-1: All FHIR elements must have a @value or children
specimen | Σ | 0..* | Reference(Specimen: Laboratory) | Specimens to be used by the laboratory procedure ele-1: All FHIR elements must have a @value or children
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
ServiceRequest.status | required | RequestStatus `http://hl7.org/fhir/ValueSet/request-status|4.0.1` from the FHIR Standard
ServiceRequest.intent | required | RequestIntent `http://hl7.org/fhir/ValueSet/request-intent|4.0.1` from the FHIR Standard
ServiceRequest.code | preferred | LabOrderCodesEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-orderCodes-eu-lab` 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() |

Differential View

This structure is derived from ServiceRequest

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
ServiceRequest |  | 0..* | ServiceRequest | Laboratory Order
identifier |  | 1..* | Identifier | Identifiers assigned to this order
requisition |  | 0..1 | Identifier | Composite Request ID.
code |  | 0..1 | CodeableConcept | What is being requested/ordered Binding: Laboratory Order (preferred)
subject |  | 1..1 | Reference(Patient: Person | Patient: Animal | Group | Location | Device) | Individual or Entity the service is ordered for
authoredOn |  | 0..1 | dateTime | When the order was placed
insurance |  | 0..* | Reference(Coverage) | Associated insurance coverage
supportingInfo |  | 0..* | Reference(Resource) | Additional information: e.g AOEs and prior results
specimen |  | 0..* | Reference(Specimen: Laboratory) | Specimens to be used by the laboratory procedure
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
ServiceRequest.code | preferred | LabOrderCodesEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-orderCodes-eu-lab` from this IG

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | ServiceRequest | Laboratory Order 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..* | 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 | Σ | 0..* | CodeableConcept | Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
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 | 0..1 | CodeableConcept | What is being requested/ordered Binding: Laboratory Order (preferred)
orderDetail | Σ C | 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: Person | Patient: Animal | Group | Location | Device) | Individual or Entity the service is ordered for
encounter | Σ | 0..1 | Reference(Encounter) | Encounter in which the request was created
occurrence[x] | Σ | 0..1 |  | When service should occur
occurrenceDateTime |  |  | dateTime |
occurrencePeriod |  |  | Period |
occurrenceTiming |  |  | Timing |
asNeeded[x] | Σ | 0..1 |  | Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
asNeededBoolean |  |  | boolean |
asNeededCodeableConcept |  |  | CodeableConcept |
authoredOn | Σ | 0..1 | dateTime | When the order was placed
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 (example): A location type where services are delivered.
locationReference | Σ | 0..* | Reference(Location) | Requested location
reasonCode | Σ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
reasonReference | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service
insurance |  | 0..* | Reference(Coverage) | Associated insurance coverage
supportingInfo |  | 0..* | Reference(Resource) | Additional information: e.g AOEs and prior results
specimen | Σ | 0..* | Reference(Specimen: Laboratory) | Specimens to be used by the laboratory procedure
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 | URI
ServiceRequest.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
ServiceRequest.status | required | RequestStatus `http://hl7.org/fhir/ValueSet/request-status|4.0.1` from the FHIR Standard
ServiceRequest.intent | required | RequestIntent `http://hl7.org/fhir/ValueSet/request-intent|4.0.1` from the FHIR Standard
ServiceRequest.category | example | ServiceRequestCategoryCodes `http://hl7.org/fhir/ValueSet/servicerequest-category` from the FHIR Standard
ServiceRequest.priority | required | RequestPriority `http://hl7.org/fhir/ValueSet/request-priority|4.0.1` from the FHIR Standard
ServiceRequest.code | preferred | LabOrderCodesEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-orderCodes-eu-lab` 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 | example | ProcedureReasonCodes `http://hl7.org/fhir/ValueSet/procedure-reason` from the FHIR Standard
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: 1 element

Structures

This structure refers to these other structures:

- Patient: Person (http://hl7.eu/fhir/laboratory/StructureDefinition/Patient-eu-lab)
- Patient: Animal (http://hl7.eu/fhir/laboratory/StructureDefinition/Patient-animal-eu-lab)
- Specimen: Laboratory (http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab)

Maturity: 2

Other representations of profile: CSV, Excel, Schematron