Hospital-Community Lab Referral Cycle
1.1.0 - ci-build

This page is part of the LRC IG (v1.1.0: draft-1 Draft) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: Lrc Lab Test Referral

Official URL: http://ig.fhir-il-community.org/LRC/StructureDefinition/lrc-referral Version: 1.1.0
Active as of 2024-08-12 Computable Name: LrcReferral

הפניה לבדיקת מעבדה, או לפאנל (סוללה) של בדיקות מעבדה. משאב זה בפני עצמו אינו מהווה טריגר לתחילת הטיפול בהפניה, אלא יטופל רק במסגרת referral group.

LRC Lab Test Referral

תיאור הפרופיל

פרופיל המייצג הפניה לבדיקת מעבדה, או לפאנל (סוללה) של בדיקות מעבדה, באמצעות ServiceRequest.כל בדיקת מעבדה מיוצגת באמצעות הפניה בודדת. המקרה היחיד בו הפניה תייצג יותרמבדיקת מעבדה אחת הינו פאנל, אשר קוד בודד שלה מייצג מספר קודי הפניות.הפרופיל הנ"ל מתבסס על הפרופיל הישראלי: ILCoreServiceRequest.בנוסף להגדרות קארדינליות ושמירת הקשר לפרופילים נוספים של IL-Core, הפרופיל גם מגדיר רשימתערכים בסיסית הניתנת להרחבה אך מחייבת שלכל ערך יהיה קוד ממערכת קידוד Loinc, לצורך שמירה על האינטראופרביליות של המידע הומעבר. לכן, בכל יישום של הפרופיל יש ליצור טבלת המרה בין הקודים המקומיים של שני הארגונים, לבין קודי Loinc המוסכמים על ידי שני הצדדים, ובמקביל לוודא שהערכים תואמים אתערכי הרשימה (ValueSet) ששוייכה לפרופיל. לפרטים נוספים אודות רשימת הערכים- ר' LrcReferralCodes.

סטאטוס

משאב ServiceRequest נוצר עם סטאטוס "active". רק משאבים בסטאטוס זה יטופלו על ידי הקהילה.

רלוונטיגם להפניה בודדת וגם להפניה מאגדת.

LRC Referral Codes

רשימת ערכי Loinc אשר כוללת מקבץ קודי הפניה עבור בדיקות מעבדה אפשריות. היא רלוונטית עבור אלמנט: ServiceRequest.code, בפרופיל: LRC Lab Test Referral.

הרשימה מוגדרת עם binding מסוג extensible, כלומר ניתן להרחיב את הרשימה לערכים נוספים, על פי הצורך. בתוך הרשימה נכללים קודים של הפניות בודדות וכן קודים של פאנלים (סוללות), כיוון שאופן השימוש בשני סוגי הקודים הינו זהה ושניהם ממומשים באמצעות אותו הפרופיל (LRC Lab Test Referral). לעומת זאת, קודי ההפניה של הפאנלים (הקודים הספציפיים הכלולים בקבוצת הפאנל), הם אינם חלק מרשימת הערכים הזו, מכיוון שלא נוצרת עבורם הפניה נפרדת. הם מיוצגים בהפניה באמצעות קוד הפאנל בלבד.

Usage:

Formal Views of Profile Content

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

This structure is derived from ILCoreServiceRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest ILCoreServiceRequest
... identifier 1..* Identifier Identifiers assigned to this order
.... system 1..1 uri The namespace for the identifier value
.... value 1..1 string The value that is unique
... intent 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Fixed Value: order
... Slices for category Content/Rules for all slices
.... category:il-core 0..* CodeableConcept Classification of service
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
...... 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
Fixed Value: 108252007
...... display 1..1 string Representation defined by the system
Fixed Value: Laboratory procedure
.... coding
..... system 1..1 uri Identity of the terminology system
..... code 1..1 code Symbol in syntax defined by the system
... subject 1..1 Reference(ILCore Patient Profile) Individual or Entity the service is ordered for
... requester 1..1 Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore Organization Profile | ILCore Patient Profile | ILCore RelatedPerson Profile | ILCore Device Profile) Who/what is requesting service

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
ServiceRequest.codeextensibleLrcReferralCodes
Additional Bindings Purpose
LOINCCodes Max Binding
http://ig.fhir-il-community.org/LRC/ValueSet/lrc-referral-codes
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C 0..* ILCoreServiceRequest ILCore ServiceRequest Profile
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..* Identifier Identifiers assigned to this order
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... 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
... 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.


Fixed Value: order
... Slices for category SΣ 1..* CodeableConcept Classification of service
Slice: Unordered, Open by pattern:$this
Binding: IL Core ServiceCategory (extensible)
.... category:il-core Σ 0..* CodeableConcept Classification of service
Binding: IL Core ServiceCategory (required)

Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
...... 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
Fixed Value: 108252007
...... display 1..1 string Representation defined by the system
Fixed Value: Laboratory procedure
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code SΣ 1..1 CodeableConcept What is being requested/ordered
Binding: Lrc Referral Codes (extensible)
Additional BindingsPurpose
LOINCCodes Max Binding
... subject SΣ 1..1 Reference(ILCore Patient Profile) Individual or Entity the service is ordered for
... Slices for occurrence[x] SΣ 0..1 When service should occur
Slice: Unordered, Open by type:$this
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
.... occurrence[x]:occurrenceDateTime SΣ 0..1 dateTime When service should occur
..... Slices for extension Content/Rules for all slices
...... relative-date 0..1 (Complex) Extension: Relative Date Criteria
URL: http://hl7.org/fhir/StructureDefinition/relative-date
.... occurrence[x]:occurrencePeriod SΣ 0..1 Period When service should occur
... authoredOn SΣ 0..1 dateTime Date request signed
... requester SΣ 1..1 Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore Organization Profile | ILCore Patient Profile | ILCore RelatedPerson Profile | ILCore Device Profile) Who/what is requesting service
... reasonCode SΣ 0..* CodeableConcept Explanation/Justification for procedure or service
Binding: IL Core procedure Reason (extensible)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
ServiceRequest.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
ServiceRequest.intentrequiredFixed Value: order
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
from the FHIR Standard
ServiceRequest.categoryextensibleILCoreServiceCategory
http://fhir.health.gov.il/ValueSet/il-core-service-category
ServiceRequest.category:il-corerequiredPattern: SNOMED-CT Code 108252007("Laboratory procedure")
http://fhir.health.gov.il/ValueSet/il-core-service-category
ServiceRequest.codeextensibleLrcReferralCodes
Additional Bindings Purpose
LOINCCodes Max Binding
http://ig.fhir-il-community.org/LRC/ValueSet/lrc-referral-codes
from this IG
ServiceRequest.reasonCodeextensibleILCoreProcedureReason
http://fhir.health.gov.il/ValueSet/il-core-procedure-reason

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorServiceRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorServiceRequestIf 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-4errorServiceRequestIf 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-5errorServiceRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceServiceRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
prr-1errorServiceRequestorderDetail SHALL only be present if code is present
: orderDetail.empty() or code.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C 0..* ILCoreServiceRequest ILCore ServiceRequest Profile
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 BindingsPurpose
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
.... 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 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... 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 0..1 Reference(Organization) 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 | ILCore ServiceRequest Profile | ILCore MedicationRequest Profile) What request fulfills
... replaces Σ 0..* Reference(ILCore ServiceRequest Profile) 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.


Fixed Value: order
... Slices for category SΣ 1..* CodeableConcept Classification of service
Slice: Unordered, Open by pattern:$this
Binding: IL Core ServiceCategory (extensible)
.... category:il-core Σ 0..* CodeableConcept Classification of service
Binding: IL Core ServiceCategory (required)

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 108252007
...... display 1..1 string Representation defined by the system
Fixed Value: Laboratory procedure
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
..... 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
Required Pattern: 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
... 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 SΣ 1..1 CodeableConcept What is being requested/ordered
Binding: Lrc Referral Codes (extensible)
Additional BindingsPurpose
LOINCCodes Max Binding
.... 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 0..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 Service amount
.... quantityQuantity Quantity
.... quantityRatio Ratio
.... quantityRange Range
... subject SΣ 1..1 Reference(ILCore Patient Profile) Individual or Entity the service is ordered for
... encounter Σ 0..1 Reference(ILCore Encounter Profile) Encounter in which the request was created
... Slices for occurrence[x] SΣ 0..1 When service should occur
Slice: Unordered, Open by type:$this
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
.... occurrence[x]:occurrenceDateTime SΣ 0..1 dateTime When service should occur
..... id 0..1 string xml:id (or equivalent in JSON)
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... relative-date 0..1 (Complex) Extension: Relative Date Criteria
URL: http://hl7.org/fhir/StructureDefinition/relative-date
..... value 0..1 dateTime Primitive value for dateTime
.... occurrence[x]:occurrencePeriod SΣ 0..1 Period 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 SΣ 0..1 dateTime Date request signed
... requester SΣ 1..1 Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore Organization Profile | ILCore Patient Profile | ILCore RelatedPerson Profile | ILCore Device Profile) 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(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore Organization Profile | CareTeam | HealthcareService | ILCore Patient Profile | ILCore Device Profile | ILCore RelatedPerson Profile) Requested performer
... locationCode Σ 0..* CodeableConcept Requested location
Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.


... locationReference Σ 0..* Reference(ILCore Location Profile) Requested location
... reasonCode SΣ 0..* CodeableConcept Explanation/Justification for procedure or service
Binding: IL Core procedure Reason (extensible)
... reasonReference Σ 0..* Reference(ILCore Condition Profile | ILCore Observation Profile | ILCore DiagnosticReport Profile | DocumentReference) 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(ILCore Specimen Profile) 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
ServiceRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
ServiceRequest.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ServiceRequest.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
ServiceRequest.intentrequiredFixed Value: order
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
from the FHIR Standard
ServiceRequest.categoryextensibleILCoreServiceCategory
http://fhir.health.gov.il/ValueSet/il-core-service-category
ServiceRequest.category:il-corerequiredPattern: SNOMED-CT Code 108252007("Laboratory procedure")
http://fhir.health.gov.il/ValueSet/il-core-service-category
ServiceRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
ServiceRequest.codeextensibleLrcReferralCodes
Additional Bindings Purpose
LOINCCodes Max Binding
http://ig.fhir-il-community.org/LRC/ValueSet/lrc-referral-codes
from this IG
ServiceRequest.orderDetailexampleServiceRequestOrderDetailsCodes
http://hl7.org/fhir/ValueSet/servicerequest-orderdetail
from the FHIR Standard
ServiceRequest.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
ServiceRequest.performerTypeexampleParticipantRoles
http://hl7.org/fhir/ValueSet/participant-role
from the FHIR Standard
ServiceRequest.locationCodeexampleServiceDeliveryLocationRoleType
http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reasonCodeextensibleILCoreProcedureReason
http://fhir.health.gov.il/ValueSet/il-core-procedure-reason
ServiceRequest.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorServiceRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorServiceRequestIf 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-4errorServiceRequestIf 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-5errorServiceRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceServiceRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
prr-1errorServiceRequestorderDetail SHALL only be present if code is present
: orderDetail.empty() or code.exists()

This structure is derived from ILCoreServiceRequest

Summary

Mandatory: 4 elements(2 nested mandatory elements)
Fixed: 1 element

Structures

This structure refers to these other structures:

Differential View

This structure is derived from ILCoreServiceRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest ILCoreServiceRequest
... identifier 1..* Identifier Identifiers assigned to this order
.... system 1..1 uri The namespace for the identifier value
.... value 1..1 string The value that is unique
... intent 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Fixed Value: order
... Slices for category Content/Rules for all slices
.... category:il-core 0..* CodeableConcept Classification of service
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
...... 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
Fixed Value: 108252007
...... display 1..1 string Representation defined by the system
Fixed Value: Laboratory procedure
.... coding
..... system 1..1 uri Identity of the terminology system
..... code 1..1 code Symbol in syntax defined by the system
... subject 1..1 Reference(ILCore Patient Profile) Individual or Entity the service is ordered for
... requester 1..1 Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore Organization Profile | ILCore Patient Profile | ILCore RelatedPerson Profile | ILCore Device Profile) Who/what is requesting service

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
ServiceRequest.codeextensibleLrcReferralCodes
Additional Bindings Purpose
LOINCCodes Max Binding
http://ig.fhir-il-community.org/LRC/ValueSet/lrc-referral-codes
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C 0..* ILCoreServiceRequest ILCore ServiceRequest Profile
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..* Identifier Identifiers assigned to this order
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... 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
... 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.


Fixed Value: order
... Slices for category SΣ 1..* CodeableConcept Classification of service
Slice: Unordered, Open by pattern:$this
Binding: IL Core ServiceCategory (extensible)
.... category:il-core Σ 0..* CodeableConcept Classification of service
Binding: IL Core ServiceCategory (required)

Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
...... 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
Fixed Value: 108252007
...... display 1..1 string Representation defined by the system
Fixed Value: Laboratory procedure
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code SΣ 1..1 CodeableConcept What is being requested/ordered
Binding: Lrc Referral Codes (extensible)
Additional BindingsPurpose
LOINCCodes Max Binding
... subject SΣ 1..1 Reference(ILCore Patient Profile) Individual or Entity the service is ordered for
... Slices for occurrence[x] SΣ 0..1 When service should occur
Slice: Unordered, Open by type:$this
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
.... occurrence[x]:occurrenceDateTime SΣ 0..1 dateTime When service should occur
..... Slices for extension Content/Rules for all slices
...... relative-date 0..1 (Complex) Extension: Relative Date Criteria
URL: http://hl7.org/fhir/StructureDefinition/relative-date
.... occurrence[x]:occurrencePeriod SΣ 0..1 Period When service should occur
... authoredOn SΣ 0..1 dateTime Date request signed
... requester SΣ 1..1 Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore Organization Profile | ILCore Patient Profile | ILCore RelatedPerson Profile | ILCore Device Profile) Who/what is requesting service
... reasonCode SΣ 0..* CodeableConcept Explanation/Justification for procedure or service
Binding: IL Core procedure Reason (extensible)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
ServiceRequest.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
ServiceRequest.intentrequiredFixed Value: order
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
from the FHIR Standard
ServiceRequest.categoryextensibleILCoreServiceCategory
http://fhir.health.gov.il/ValueSet/il-core-service-category
ServiceRequest.category:il-corerequiredPattern: SNOMED-CT Code 108252007("Laboratory procedure")
http://fhir.health.gov.il/ValueSet/il-core-service-category
ServiceRequest.codeextensibleLrcReferralCodes
Additional Bindings Purpose
LOINCCodes Max Binding
http://ig.fhir-il-community.org/LRC/ValueSet/lrc-referral-codes
from this IG
ServiceRequest.reasonCodeextensibleILCoreProcedureReason
http://fhir.health.gov.il/ValueSet/il-core-procedure-reason

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorServiceRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorServiceRequestIf 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-4errorServiceRequestIf 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-5errorServiceRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceServiceRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
prr-1errorServiceRequestorderDetail SHALL only be present if code is present
: orderDetail.empty() or code.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C 0..* ILCoreServiceRequest ILCore ServiceRequest Profile
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 BindingsPurpose
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
.... 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 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... 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 0..1 Reference(Organization) 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 | ILCore ServiceRequest Profile | ILCore MedicationRequest Profile) What request fulfills
... replaces Σ 0..* Reference(ILCore ServiceRequest Profile) 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.


Fixed Value: order
... Slices for category SΣ 1..* CodeableConcept Classification of service
Slice: Unordered, Open by pattern:$this
Binding: IL Core ServiceCategory (extensible)
.... category:il-core Σ 0..* CodeableConcept Classification of service
Binding: IL Core ServiceCategory (required)

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 108252007
...... display 1..1 string Representation defined by the system
Fixed Value: Laboratory procedure
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
..... 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
Required Pattern: 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
... 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 SΣ 1..1 CodeableConcept What is being requested/ordered
Binding: Lrc Referral Codes (extensible)
Additional BindingsPurpose
LOINCCodes Max Binding
.... 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 0..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 Service amount
.... quantityQuantity Quantity
.... quantityRatio Ratio
.... quantityRange Range
... subject SΣ 1..1 Reference(ILCore Patient Profile) Individual or Entity the service is ordered for
... encounter Σ 0..1 Reference(ILCore Encounter Profile) Encounter in which the request was created
... Slices for occurrence[x] SΣ 0..1 When service should occur
Slice: Unordered, Open by type:$this
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
.... occurrence[x]:occurrenceDateTime SΣ 0..1 dateTime When service should occur
..... id 0..1 string xml:id (or equivalent in JSON)
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... relative-date 0..1 (Complex) Extension: Relative Date Criteria
URL: http://hl7.org/fhir/StructureDefinition/relative-date
..... value 0..1 dateTime Primitive value for dateTime
.... occurrence[x]:occurrencePeriod SΣ 0..1 Period 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 SΣ 0..1 dateTime Date request signed
... requester SΣ 1..1 Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore Organization Profile | ILCore Patient Profile | ILCore RelatedPerson Profile | ILCore Device Profile) 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(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore Organization Profile | CareTeam | HealthcareService | ILCore Patient Profile | ILCore Device Profile | ILCore RelatedPerson Profile) Requested performer
... locationCode Σ 0..* CodeableConcept Requested location
Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.


... locationReference Σ 0..* Reference(ILCore Location Profile) Requested location
... reasonCode SΣ 0..* CodeableConcept Explanation/Justification for procedure or service
Binding: IL Core procedure Reason (extensible)
... reasonReference Σ 0..* Reference(ILCore Condition Profile | ILCore Observation Profile | ILCore DiagnosticReport Profile | DocumentReference) 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(ILCore Specimen Profile) 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
ServiceRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
ServiceRequest.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ServiceRequest.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
ServiceRequest.intentrequiredFixed Value: order
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
from the FHIR Standard
ServiceRequest.categoryextensibleILCoreServiceCategory
http://fhir.health.gov.il/ValueSet/il-core-service-category
ServiceRequest.category:il-corerequiredPattern: SNOMED-CT Code 108252007("Laboratory procedure")
http://fhir.health.gov.il/ValueSet/il-core-service-category
ServiceRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
ServiceRequest.codeextensibleLrcReferralCodes
Additional Bindings Purpose
LOINCCodes Max Binding
http://ig.fhir-il-community.org/LRC/ValueSet/lrc-referral-codes
from this IG
ServiceRequest.orderDetailexampleServiceRequestOrderDetailsCodes
http://hl7.org/fhir/ValueSet/servicerequest-orderdetail
from the FHIR Standard
ServiceRequest.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
ServiceRequest.performerTypeexampleParticipantRoles
http://hl7.org/fhir/ValueSet/participant-role
from the FHIR Standard
ServiceRequest.locationCodeexampleServiceDeliveryLocationRoleType
http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reasonCodeextensibleILCoreProcedureReason
http://fhir.health.gov.il/ValueSet/il-core-procedure-reason
ServiceRequest.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorServiceRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorServiceRequestIf 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-4errorServiceRequestIf 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-5errorServiceRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceServiceRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
prr-1errorServiceRequestorderDetail SHALL only be present if code is present
: orderDetail.empty() or code.exists()

This structure is derived from ILCoreServiceRequest

Summary

Mandatory: 4 elements(2 nested mandatory elements)
Fixed: 1 element

Structures

This structure refers to these other structures:

 

Other representations of profile: CSV, Excel, Schematron