ServiceRequest Profile¶
| Canonical | ../StructureDefinition/nexus-emr-core-servicerequest |
|---|---|
| Status | draft · 1.26.0 |
| Base | ServiceRequest (constraint) |
| Source | FSH · JSON |
Defines the Nexus EMR FHIR profile for ORDER-shaped ServiceRequest resources -- laboratory, diagnostic-imaging and procedure orders -- aggregated from multiple EMRs. Referrals are NOT in scope: a referral is intent=proposal and carries the receiving service or specialty in category, neither of which this profile permits. Referrals use NexusCoreReferral (../StructureDefinition/nexus-core-referral).
Elements / Snapshot
The full effective definition: base ServiceRequest with this profile's constraints applied.
| Element | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| ServiceRequest | 0..* | Nexus EMR Service Request Core (orders) Invariants: dom-2, dom-3, dom-4, dom-5, dom-6, prr-1, nexus-note-extension-not-where-native |
||
| id | 0..1 | http://hl7.org/fhirpath/System.String | Logical id of this artifact i | |
| meta | 0..1 | Meta | Metadata about the resource Invariants: ele-1 |
|
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Slicing: value:url (open) Invariants: ele-1, ext-1 |
|
| versionId | 0..1 | id | Version specific identifier i Invariants: ele-1 |
|
| lastUpdated | 0..1 | instant | When the resource version last changed i Invariants: ele-1 |
|
| source | S | 0..1 | uri | Identifies EMR instance & pipeline version the resource came from i Invariants: ele-1 |
| profile | 0..* | canonical | Profiles this resource claims to conform to i Invariants: ele-1 |
|
| security | 0..* | Coding | Security Labels applied to this resource i Binding: security-labels ( extensible)Invariants: ele-1 |
|
| tag | 0..* | Coding | Tags applied to this resource i Binding: common-tags ( example)Invariants: ele-1 |
|
| implicitRules | ?! | 0..1 | uri | A set of rules under which this content was created i Invariants: ele-1 |
| language | 0..1 | code | Language of the resource content i Binding: languages ( preferred)Invariants: ele-1 |
|
| text | S | 0..1 | Narrative | Narrative i Invariants: ele-1 |
| contained | 0..* | Resource | Contained, inline Resources i | |
| extension | 0..* | Extension | Additional content defined by implementations i Invariants: ele-1, ext-1 |
|
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored i Invariants: ele-1, ext-1 |
| identifier | S | 0..* | Identifier | Business identifier(s) for servicerequest i Invariants: ele-1 |
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Slicing: value:url (open) Invariants: ele-1, ext-1 |
|
| use | ?! | 0..1 | code | usual | official | temp | secondary | old (If known) i Binding: identifier-use ( required)Invariants: ele-1 |
| type | 0..1 | CodeableConcept | Description of identifier i Binding: identifier-type ( extensible)Invariants: ele-1 |
|
| system | 1..1 | uri | The namespace for the identifier value i Invariants: ele-1 |
|
| value | 1..1 | string | The value that is unique i Invariants: ele-1 |
|
| period | 0..1 | Period | Time period when id is/was valid for use Invariants: ele-1 |
|
| assigner | 0..1 | Reference(Organization) | Organization that issued id (may be just text) i Invariants: ele-1 |
|
| instantiatesCanonical | 0..* | canonical | Instantiates FHIR protocol or definition i Invariants: ele-1 |
|
| instantiatesUri | 0..* | uri | Instantiates external protocol or definition i Invariants: ele-1 |
|
| basedOn | 0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills Invariants: ele-1 |
|
| replaces | 0..* | Reference(ServiceRequest) | What request replaces Invariants: ele-1 |
|
| requisition | 0..1 | Identifier | Composite Request ID i Invariants: ele-1 |
|
| status | S ?! | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error i Binding: request-status ( required)Invariants: ele-1 |
| intent | S ?! | 1..1 | code | order i Fixed: orderBinding: request-intent ( required)Invariants: ele-1 |
| category | S | 1..1 | CodeableConcept | Service Category i Binding: servicerequest-category ( required)Invariants: ele-1 |
| priority | 0..1 | code | routine | urgent | asap | stat Binding: request-priority ( required)Invariants: ele-1 |
|
| doNotPerform | ?! | 0..1 | boolean | True if service/procedure should not be performed i Invariants: ele-1 |
| code | S | 1..1 | CodeableConcept | Service requested with raw code support i Binding: procedure-code ( example)Invariants: ele-1 |
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Slicing: value:url (open) Invariants: ele-1, ext-1 |
|
| coding | 0..* | Coding | Code defined by a terminology system i Invariants: ele-1 |
|
| text | S | 1..1 | string | Human-readable service description (required) i Invariants: ele-1 |
| orderDetail | 0..* | CodeableConcept | Additional order information i Binding: servicerequest-orderdetail ( example)Invariants: ele-1 |
|
| quantity[x] | 0..1 | Quantity, Ratio, Range | Service amount Invariants: ele-1 |
|
| subject | S | 1..1 | Reference(Patient Profile) | Individual or entity the service is ordered for i Invariants: ele-1 |
| encounter | S | 0..1 | Reference(Encounter Profile) | Encounter in which the request was created i Invariants: ele-1 |
| occurrence[x] | S | 0..1 | dateTime, Period, Timing | When service should occur i Invariants: ele-1 |
| asNeeded[x] | 0..1 | boolean, CodeableConcept | Preconditions for service Binding: medication-as-needed-reason ( example)Invariants: ele-1 |
|
| authoredOn | S | 1..1 | dateTime | Date request was initially authored i Invariants: ele-1 |
| requester | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/what is requesting service i Invariants: ele-1 |
|
| performerType | 0..1 | CodeableConcept | Performer role i Binding: participant-role ( example)Invariants: ele-1 |
|
| performer | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | Requested performer i Invariants: ele-1 |
|
| locationCode | 0..* | CodeableConcept | Requested location Binding: v3-ServiceDeliveryLocationRoleType ( example)Invariants: ele-1 |
|
| locationReference | 0..* | Reference(Location) | Requested location Invariants: ele-1 |
|
| reasonCode | 0..* | CodeableConcept | Explanation/Justification for procedure or service i Binding: procedure-reason ( example)Invariants: ele-1 |
|
| reasonReference | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service i Invariants: ele-1 |
|
| insurance | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage Invariants: ele-1 |
|
| supportingInfo | 0..* | Reference(Resource) | Additional clinical information i Invariants: ele-1 |
|
| specimen | 0..* | Reference(Specimen) | Procedure Samples i Invariants: ele-1 |
|
| bodySite | 0..* | CodeableConcept | Location on Body i Binding: body-site ( example)Invariants: ele-1 |
|
| note | 0..* | Annotation | Comments Invariants: ele-1 |
|
| patientInstruction | 0..1 | string | Patient or consumer-oriented instructions Invariants: ele-1 |
|
| relevantHistory | 0..* | Reference(Provenance) | Request provenance i Invariants: ele-1 |