eHealth Infrastructure
2.9.0 - release
eHealth Infrastructure
2.9.0 - release
eHealth Infrastructure - Local Development build (v2.9.0). See the Directory of published versions
| Official URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-servicerequest | Version: 2.9.0 | |||
| Active as of 2023-08-23 | Computable Name: ehealth-servicerequest | |||
ServiceRequest is a record of a request for a procedure to be planned, proposed, or performed with or on a patient. Examples of procedures include diagnostic tests/studies, endoscopic procedures, counseling, biopsies, therapies (e.g., physio-, social-, psychological-), (exploratory) surgeries or procedures, exercises, and other clinical interventions. Procedures may be performed by a healthcare professional, a friend or relative or in some cases by the patient themselves.
In scope of the eHealth infrastructure ServiceRequests are used with CarePlans to express actual measurement activities to be performed by a Patient in the context of a CarePlan.
The eHealth profile of ServiceRequest has the following extensions:
ehealth-reuseCriteria which defines whether resource(s) resulting from conducting the activity, typically measurements or answering of Questionnaire may be reused and if so with which criteria. These are copied from the ActivityDefinition referenced in definition and can subsequently be adjusted to suit the particular Patient contextehealth-referenceRange can contain one or more reference ranges against which values in measurements (resource(s)
resulting from conducting the activity) can be compared. These are copied from the ActivityDefinition referenced in definition and can subsequently be adjusted to suit the particular Patient contextehealth-sharingPolicy sets a stance on whether publication to national document sharing of the measurements (resource(s) resulting from conducting the activity) shall be allowed or not. The value is copied from the ActivityDefinition referenced in definition and can subsequently be adjusted to suit the particular Patient context.ehealth-servicerequest-statusHistory contains history of changes in status, and is automatically maintained by the infrastructure.ehealth-servicerequest-statusSchedule contains a list of scheduled changes in status. The infrastructure applies these changes automatically, and will remove the entry for the change once it has been applied.Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from ServiceRequest
| Path | Conformance | ValueSet |
| ServiceRequest.code | required | ActivityDefinitionCode |
| Path | Conformance | ValueSet |
| ServiceRequest.status | required | RequestStatus |
| ServiceRequest.intent | required | RequestIntent |
| ServiceRequest.code | required | ActivityDefinitionCode |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
  ServiceRequest | C | 0..* | ServiceRequest | A request for a service to be performed | ||||
  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 | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
 Slices for extension | 2..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
 episodeOfCare | 1..1 | Reference(EpisodeOfCare) | Associated Encounter episode of care URL: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare | |||||
| referenceRange | 0..* | (Complex) | Provides guide for interpretation. URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-referenceRange | |||||
| sharingPolicy | 1..1 | CodeableConcept | Policy for sharing a resource with national data banks URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-sharingPolicy Binding: Measurement Sharing Policies (required) | |||||
| reuseCriteria | 0..1 | (Complex) | Criteria to be met for reuse of responses to be allowed URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-reuseCriteria | |||||
| triggerEnablementCode | 0..1 | code | Enablement of reaction to triggering conditions being met. URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-trigger-enablement-code Binding: Trigger Enablement Code (required) | |||||
| statusHistory | 0..* | (Complex) | ServiceRequest status history URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-servicerequest-statusHistory | |||||
| statusSchedule | 0..* | (Complex) | ServiceRequest status schedule URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-servicerequest-statusSchedule | |||||
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 0..* | Identifier | Identifiers assigned to this order | ||||
| instantiatesCanonical | Σ | 1..1 | canonical(ehealth-activitydefinition) | Instantiates FHIR protocol or definition | ||||
| instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition | ||||
| 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: Activity Definition Code (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 | Σ | 1..1 | Reference(ehealth-patient) {r} | 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 | Date request signed | ||||
| requester | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/what is requesting service | ||||
| performerType | Σ | 0..1 | CodeableConcept | Performer role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. | ||||
| performer | Σ | 0..1 | Reference(ehealth-practitioner | ehealth-organization | ehealth-patient | ehealth-device | ehealth-relatedperson | HealthcareService) {r} | 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(ehealth-condition | ehealth-observation) {r} | Explanation/Justification for service or service | ||||
| insurance | 0..* | Reference(Coverage | ClaimResponse) | 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 | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
 Slices for author[x] | Σ | 0..1 | Individual responsible for the annotation Slice: Unordered, Closed by type:$this | |||||
 authorReference | Reference(Practitioner | Patient | RelatedPerson | Organization) | |||||||
| authorString | string | |||||||
| author[x]:authorReference | Σ | 0..1 | Reference(ehealth-practitioner | ehealth-patient | ehealth-relatedperson) | Individual responsible for the annotation | ||||
 author[x]:authorString | Σ | 0..1 | string | Individual responsible for the annotation | ||||
| time | Σ | 0..1 | dateTime | When the annotation was made | ||||
| text | Σ | 1..1 | markdown | The annotation - text content (as markdown) | ||||
| patientInstruction | Σ | 0..1 | string | Patient or consumer-oriented instructions | ||||
| relevantHistory | 0..* | Reference(ehealth-provenance) {r} | Request provenance | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | ||||
| ServiceRequest.language | preferred | CommonLanguages
| ||||
| ServiceRequest.status | required | RequestStatus | ||||
| ServiceRequest.intent | required | RequestIntent | ||||
| ServiceRequest.category | example | ServiceRequestCategoryCodes | ||||
| ServiceRequest.priority | required | RequestPriority | ||||
| ServiceRequest.code | required | ActivityDefinitionCode | ||||
| ServiceRequest.orderDetail | example | ServiceRequestOrderDetailsCodes | ||||
| ServiceRequest.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodes | ||||
| ServiceRequest.performerType | example | ParticipantRoles | ||||
| ServiceRequest.locationCode | example | ServiceDeliveryLocationRoleType | ||||
| ServiceRequest.reasonCode | example | ProcedureReasonCodes | ||||
| ServiceRequest.bodySite | example | SNOMEDCTBodyStructures |
This structure is derived from ServiceRequest
Summary
Mandatory: 3 elements
Prohibited: 2 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Differential View
This structure is derived from ServiceRequest
| Path | Conformance | ValueSet |
| ServiceRequest.code | required | ActivityDefinitionCode |
Key Elements View
| Path | Conformance | ValueSet |
| ServiceRequest.status | required | RequestStatus |
| ServiceRequest.intent | required | RequestIntent |
| ServiceRequest.code | required | ActivityDefinitionCode |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| ServiceRequest | C | 0..* | ServiceRequest | A request for a service to be performed | ||||
| 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 | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| Slices for extension | 2..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| episodeOfCare | 1..1 | Reference(EpisodeOfCare) | Associated Encounter episode of care URL: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare | |||||
| referenceRange | 0..* | (Complex) | Provides guide for interpretation. URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-referenceRange | |||||
| sharingPolicy | 1..1 | CodeableConcept | Policy for sharing a resource with national data banks URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-sharingPolicy Binding: Measurement Sharing Policies (required) | |||||
| reuseCriteria | 0..1 | (Complex) | Criteria to be met for reuse of responses to be allowed URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-reuseCriteria | |||||
| triggerEnablementCode | 0..1 | code | Enablement of reaction to triggering conditions being met. URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-trigger-enablement-code Binding: Trigger Enablement Code (required) | |||||
| statusHistory | 0..* | (Complex) | ServiceRequest status history URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-servicerequest-statusHistory | |||||
| statusSchedule | 0..* | (Complex) | ServiceRequest status schedule URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-servicerequest-statusSchedule | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 0..* | Identifier | Identifiers assigned to this order | ||||
| instantiatesCanonical | Σ | 1..1 | canonical(ehealth-activitydefinition) | Instantiates FHIR protocol or definition | ||||
| instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition | ||||
| 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: Activity Definition Code (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 | Σ | 1..1 | Reference(ehealth-patient) {r} | 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 | Date request signed | ||||
| requester | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/what is requesting service | ||||
| performerType | Σ | 0..1 | CodeableConcept | Performer role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. | ||||
| performer | Σ | 0..1 | Reference(ehealth-practitioner | ehealth-organization | ehealth-patient | ehealth-device | ehealth-relatedperson | HealthcareService) {r} | 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(ehealth-condition | ehealth-observation) {r} | Explanation/Justification for service or service | ||||
| insurance | 0..* | Reference(Coverage | ClaimResponse) | 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 | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for author[x] | Σ | 0..1 | Individual responsible for the annotation Slice: Unordered, Closed by type:$this | |||||
| authorReference | Reference(Practitioner | Patient | RelatedPerson | Organization) | |||||||
| authorString | string | |||||||
| author[x]:authorReference | Σ | 0..1 | Reference(ehealth-practitioner | ehealth-patient | ehealth-relatedperson) | Individual responsible for the annotation | ||||
| author[x]:authorString | Σ | 0..1 | string | Individual responsible for the annotation | ||||
| time | Σ | 0..1 | dateTime | When the annotation was made | ||||
| text | Σ | 1..1 | markdown | The annotation - text content (as markdown) | ||||
| patientInstruction | Σ | 0..1 | string | Patient or consumer-oriented instructions | ||||
| relevantHistory | 0..* | Reference(ehealth-provenance) {r} | Request provenance | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | ||||
| ServiceRequest.language | preferred | CommonLanguages
| ||||
| ServiceRequest.status | required | RequestStatus | ||||
| ServiceRequest.intent | required | RequestIntent | ||||
| ServiceRequest.category | example | ServiceRequestCategoryCodes | ||||
| ServiceRequest.priority | required | RequestPriority | ||||
| ServiceRequest.code | required | ActivityDefinitionCode | ||||
| ServiceRequest.orderDetail | example | ServiceRequestOrderDetailsCodes | ||||
| ServiceRequest.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodes | ||||
| ServiceRequest.performerType | example | ParticipantRoles | ||||
| ServiceRequest.locationCode | example | ServiceDeliveryLocationRoleType | ||||
| ServiceRequest.reasonCode | example | ProcedureReasonCodes | ||||
| ServiceRequest.bodySite | example | SNOMEDCTBodyStructures |
This structure is derived from ServiceRequest
Summary
Mandatory: 3 elements
Prohibited: 2 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Other representations of profile: CSV, Excel, Schematron
IG © 2021+ Systematic | Trifork. Package dk.ehealth.sundhed.fhir.ig.core#2.9.0 based on FHIR 4.0.1. Generated 2023-08-23
