HL7 Norge
FHIR Implementation Guide for the Norwegian Municipal Sector
Shared starting point for understanding and consistent use of FHIR in municipal health and care services.
Norwegian

FHIR Implementation Guide for the Norwegian Municipal Sector
0.3.0 - Norway flag

FHIR Implementation Guide for the Norwegian Municipal Sector - Local Development build (v0.3.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: no-kommune-ServiceRequest

Official URL: https://kommune.conteir.no/StructureDefinition/kommune-servicerequest Version: 0.3.0
Draft as of 2026-10-02 Computable Name: KommuneServiceRequest

Municipal request profile for a referral, assignment or order that should be followed up by a municipal health and care service. The profile is used when a system needs to share what the municipality should do or follow up for a patient, for example home nursing, practical assistance, rehabilitation or digital follow-up. It provides a shared minimum for requested service, patient, requester, requested performer, timing/period and relevant basis. Decisions, assessments and other supporting documents can be linked to the request through reasonReference or supportingInfo.

Service and supporting information

code describes what is requested. KPR service type (9151) may be used when the service concept matches. The binding is example, while the element is mandatory.

reasonReference may reference an assessment that directly justifies the request. supportingInfo is used for other relevant supporting material, such as additional assessments, a plan or a decision document. In the example, the functional assessments are standard Observation resources.

category describes the request category, while reasonCode and reasonReference describe the reason. See Norwegian Context for relevant code systems and the example journey for the links.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots, and their representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* ServiceRequest A request for a service to be performed
Constraints: prr-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Optional business identifier for the request or assignment
... intent ?!Σ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required)
... category Σ 0..* CodeableConcept Municipal service area or request category
Binding: ServiceRequestCategoryCodes (example): Illustrative categories for broad classification of the request.
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code Σ 1..1 CodeableConcept Requested service or assignment
Binding: Municipal service types – illustrative examples (example): Illustrative examples from code system 9151; the value set does not restrict permitted codes.
Example Example: home health services: {"coding":[{"system":"urn:oid:2.16.578.1.12.4.1.1.9151","code":"15","display":"Helsetjenester i hjemmet"}]}
... subject Σ 1..1 Reference(Patient) Patient - SHOULD reference no-basis-Patient
... authoredOn Σ 0..1 dateTime When the request was authored
... requester Σ 1..1 Reference(Practitioner | PractitionerRole | Organization) Requester - SHOULD reference no-basis-Practitioner, no-basis-PractitionerRole or no-basis-Organization
... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | HealthcareService | CareTeam) Requested performer or responsible service - SHOULD reference no-basis where relevant
... reasonCode Σ 0..* CodeableConcept Explanation/Justification for procedure or service
Binding: ProcedureReasonCodes (example): Use coding for the recorded reason, not the requested service. Other suitable reason codes may be used.
... reasonReference Σ 0..* Reference(Condition | Observation | DocumentReference) Explanation/Justification for service or service

Example KPR functional assessment as justification: {"reference":"Observation/example-kpr-function"}
... supportingInfo 0..* Reference(DocumentReference | CarePlan | Observation | QuestionnaireResponse) Additional clinical information

Example Other relevant KPR functional assessment: {"reference":"Observation/example-kpr-mobility"}

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ServiceRequest.status Base required RequestStatus 📍4.0.1 FHIR Std.
ServiceRequest.intent Base required RequestIntent 📦4.0.1 FHIR Std.
ServiceRequest.category Base example Service Request Category Codes 📦4.0.1 FHIR Std.
ServiceRequest.code Base example Municipal service types – illustrative examples 📦0.3.0 This IG
ServiceRequest.reasonCode Base example Procedure Reason Codes 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error ServiceRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ServiceRequest If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error ServiceRequest If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error ServiceRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice ServiceRequest A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
prr-1 error ServiceRequest orderDetail SHALL only be present if code is present orderDetail.empty() or code.exists()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest 0..* ServiceRequest A request for a service to be performed
... identifier 0..* Identifier Optional business identifier for the request or assignment
... intent 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required)
... category 0..* CodeableConcept Municipal service area or request category
Binding: ServiceRequestCategoryCodes (example): Illustrative categories for broad classification of the request.
... subject 1..1 Reference(Patient) Patient - SHOULD reference no-basis-Patient
... authoredOn 0..1 dateTime When the request was authored
... requester 1..1 Reference(Practitioner | PractitionerRole | Organization) Requester - SHOULD reference no-basis-Practitioner, no-basis-PractitionerRole or no-basis-Organization
... performer 0..* Reference(Practitioner | PractitionerRole | Organization | HealthcareService | CareTeam) Requested performer or responsible service - SHOULD reference no-basis where relevant
... reasonCode 0..* CodeableConcept Explanation/Justification for procedure or service
Binding: ProcedureReasonCodes (example): Use coding for the recorded reason, not the requested service. Other suitable reason codes may be used.
... reasonReference 0..* Reference(Condition | Observation | DocumentReference) Explanation/Justification for service or service
Example KPR functional assessment as justification: {"reference":"Observation/example-kpr-function"}
... supportingInfo 0..* Reference(DocumentReference | CarePlan | Observation | QuestionnaireResponse) Additional clinical information
Example Other relevant KPR functional assessment: {"reference":"Observation/example-kpr-mobility"}

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
ServiceRequest.intent Base required RequestIntent 📦4.0.1 FHIR Std.
ServiceRequest.category Base example Service Request Category Codes 📦4.0.1 FHIR Std.
ServiceRequest.code Base example Municipal service types – illustrative examples 📦0.3.0 This IG
ServiceRequest.reasonCode Base example Procedure Reason Codes 📦4.0.1 FHIR Std.
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* ServiceRequest A request for a service to be performed
Constraints: prr-1
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Optional business identifier for the request or assignment
... 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)
... category Σ 0..* CodeableConcept Municipal service area or request category
Binding: ServiceRequestCategoryCodes (example): Illustrative categories for broad classification of the request.
... 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 1..1 CodeableConcept Requested service or assignment
Binding: Municipal service types – illustrative examples (example): Illustrative examples from code system 9151; the value set does not restrict permitted codes.
Example Example: home health services: {"coding":[{"system":"urn:oid:2.16.578.1.12.4.1.1.9151","code":"15","display":"Helsetjenester i hjemmet"}]}
... 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(Patient) Patient - SHOULD reference no-basis-Patient
... 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 request was authored
... requester Σ 1..1 Reference(Practitioner | PractitionerRole | Organization) Requester - SHOULD reference no-basis-Practitioner, no-basis-PractitionerRole or no-basis-Organization
... 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 | HealthcareService | CareTeam) Requested performer or responsible service - SHOULD reference no-basis where relevant
... 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): Use coding for the recorded reason, not the requested service. Other suitable reason codes may be used.
... reasonReference Σ 0..* Reference(Condition | Observation | DocumentReference) Explanation/Justification for service or service

Example KPR functional assessment as justification: {"reference":"Observation/example-kpr-function"}
... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... supportingInfo 0..* Reference(DocumentReference | CarePlan | Observation | QuestionnaireResponse) Additional clinical information

Example Other relevant KPR functional assessment: {"reference":"Observation/example-kpr-mobility"}
... specimen Σ 0..* Reference(Specimen) Procedure Samples
... bodySite Σ 0..* CodeableConcept Location on Body
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... note 0..* Annotation Comments
... patientInstruction Σ 0..1 string Patient or consumer-oriented instructions
... relevantHistory 0..* Reference(Provenance) Request provenance

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ServiceRequest.language Base preferred Common Languages 📍4.0.1 FHIR Std.
ServiceRequest.status Base required RequestStatus 📍4.0.1 FHIR Std.
ServiceRequest.intent Base required RequestIntent 📦4.0.1 FHIR Std.
ServiceRequest.category Base example Service Request Category Codes 📦4.0.1 FHIR Std.
ServiceRequest.priority Base required Request priority 📍4.0.1 FHIR Std.
ServiceRequest.code Base example Municipal service types – illustrative examples 📦0.3.0 This IG
ServiceRequest.orderDetail Base example Service Request Order Details Codes 📍4.0.1 FHIR Std.
ServiceRequest.asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
ServiceRequest.performerType Base example Participant Roles 📍4.0.1 FHIR Std.
ServiceRequest.locationCode Base example ServiceDeliveryLocationRoleType 📦3.0.0 THO v7.4
ServiceRequest.reasonCode Base example Procedure Reason Codes 📦4.0.1 FHIR Std.
ServiceRequest.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error ServiceRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ServiceRequest If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error ServiceRequest If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error ServiceRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice ServiceRequest A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
prr-1 error ServiceRequest orderDetail SHALL only be present if code is present orderDetail.empty() or code.exists()

Summary

Mandatory: 2 elements

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* ServiceRequest A request for a service to be performed
Constraints: prr-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Optional business identifier for the request or assignment
... intent ?!Σ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required)
... category Σ 0..* CodeableConcept Municipal service area or request category
Binding: ServiceRequestCategoryCodes (example): Illustrative categories for broad classification of the request.
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code Σ 1..1 CodeableConcept Requested service or assignment
Binding: Municipal service types – illustrative examples (example): Illustrative examples from code system 9151; the value set does not restrict permitted codes.
Example Example: home health services: {"coding":[{"system":"urn:oid:2.16.578.1.12.4.1.1.9151","code":"15","display":"Helsetjenester i hjemmet"}]}
... subject Σ 1..1 Reference(Patient) Patient - SHOULD reference no-basis-Patient
... authoredOn Σ 0..1 dateTime When the request was authored
... requester Σ 1..1 Reference(Practitioner | PractitionerRole | Organization) Requester - SHOULD reference no-basis-Practitioner, no-basis-PractitionerRole or no-basis-Organization
... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | HealthcareService | CareTeam) Requested performer or responsible service - SHOULD reference no-basis where relevant
... reasonCode Σ 0..* CodeableConcept Explanation/Justification for procedure or service
Binding: ProcedureReasonCodes (example): Use coding for the recorded reason, not the requested service. Other suitable reason codes may be used.
... reasonReference Σ 0..* Reference(Condition | Observation | DocumentReference) Explanation/Justification for service or service

Example KPR functional assessment as justification: {"reference":"Observation/example-kpr-function"}
... supportingInfo 0..* Reference(DocumentReference | CarePlan | Observation | QuestionnaireResponse) Additional clinical information

Example Other relevant KPR functional assessment: {"reference":"Observation/example-kpr-mobility"}

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ServiceRequest.status Base required RequestStatus 📍4.0.1 FHIR Std.
ServiceRequest.intent Base required RequestIntent 📦4.0.1 FHIR Std.
ServiceRequest.category Base example Service Request Category Codes 📦4.0.1 FHIR Std.
ServiceRequest.code Base example Municipal service types – illustrative examples 📦0.3.0 This IG
ServiceRequest.reasonCode Base example Procedure Reason Codes 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error ServiceRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ServiceRequest If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error ServiceRequest If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error ServiceRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice ServiceRequest A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
prr-1 error ServiceRequest orderDetail SHALL only be present if code is present orderDetail.empty() or code.exists()

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest 0..* ServiceRequest A request for a service to be performed
... identifier 0..* Identifier Optional business identifier for the request or assignment
... intent 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required)
... category 0..* CodeableConcept Municipal service area or request category
Binding: ServiceRequestCategoryCodes (example): Illustrative categories for broad classification of the request.
... subject 1..1 Reference(Patient) Patient - SHOULD reference no-basis-Patient
... authoredOn 0..1 dateTime When the request was authored
... requester 1..1 Reference(Practitioner | PractitionerRole | Organization) Requester - SHOULD reference no-basis-Practitioner, no-basis-PractitionerRole or no-basis-Organization
... performer 0..* Reference(Practitioner | PractitionerRole | Organization | HealthcareService | CareTeam) Requested performer or responsible service - SHOULD reference no-basis where relevant
... reasonCode 0..* CodeableConcept Explanation/Justification for procedure or service
Binding: ProcedureReasonCodes (example): Use coding for the recorded reason, not the requested service. Other suitable reason codes may be used.
... reasonReference 0..* Reference(Condition | Observation | DocumentReference) Explanation/Justification for service or service
Example KPR functional assessment as justification: {"reference":"Observation/example-kpr-function"}
... supportingInfo 0..* Reference(DocumentReference | CarePlan | Observation | QuestionnaireResponse) Additional clinical information
Example Other relevant KPR functional assessment: {"reference":"Observation/example-kpr-mobility"}

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
ServiceRequest.intent Base required RequestIntent 📦4.0.1 FHIR Std.
ServiceRequest.category Base example Service Request Category Codes 📦4.0.1 FHIR Std.
ServiceRequest.code Base example Municipal service types – illustrative examples 📦0.3.0 This IG
ServiceRequest.reasonCode Base example Procedure Reason Codes 📦4.0.1 FHIR Std.

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* ServiceRequest A request for a service to be performed
Constraints: prr-1
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Optional business identifier for the request or assignment
... 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)
... category Σ 0..* CodeableConcept Municipal service area or request category
Binding: ServiceRequestCategoryCodes (example): Illustrative categories for broad classification of the request.
... 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 1..1 CodeableConcept Requested service or assignment
Binding: Municipal service types – illustrative examples (example): Illustrative examples from code system 9151; the value set does not restrict permitted codes.
Example Example: home health services: {"coding":[{"system":"urn:oid:2.16.578.1.12.4.1.1.9151","code":"15","display":"Helsetjenester i hjemmet"}]}
... 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(Patient) Patient - SHOULD reference no-basis-Patient
... 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 request was authored
... requester Σ 1..1 Reference(Practitioner | PractitionerRole | Organization) Requester - SHOULD reference no-basis-Practitioner, no-basis-PractitionerRole or no-basis-Organization
... 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 | HealthcareService | CareTeam) Requested performer or responsible service - SHOULD reference no-basis where relevant
... 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): Use coding for the recorded reason, not the requested service. Other suitable reason codes may be used.
... reasonReference Σ 0..* Reference(Condition | Observation | DocumentReference) Explanation/Justification for service or service

Example KPR functional assessment as justification: {"reference":"Observation/example-kpr-function"}
... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... supportingInfo 0..* Reference(DocumentReference | CarePlan | Observation | QuestionnaireResponse) Additional clinical information

Example Other relevant KPR functional assessment: {"reference":"Observation/example-kpr-mobility"}
... specimen Σ 0..* Reference(Specimen) Procedure Samples
... bodySite Σ 0..* CodeableConcept Location on Body
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... note 0..* Annotation Comments
... patientInstruction Σ 0..1 string Patient or consumer-oriented instructions
... relevantHistory 0..* Reference(Provenance) Request provenance

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ServiceRequest.language Base preferred Common Languages 📍4.0.1 FHIR Std.
ServiceRequest.status Base required RequestStatus 📍4.0.1 FHIR Std.
ServiceRequest.intent Base required RequestIntent 📦4.0.1 FHIR Std.
ServiceRequest.category Base example Service Request Category Codes 📦4.0.1 FHIR Std.
ServiceRequest.priority Base required Request priority 📍4.0.1 FHIR Std.
ServiceRequest.code Base example Municipal service types – illustrative examples 📦0.3.0 This IG
ServiceRequest.orderDetail Base example Service Request Order Details Codes 📍4.0.1 FHIR Std.
ServiceRequest.asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
ServiceRequest.performerType Base example Participant Roles 📍4.0.1 FHIR Std.
ServiceRequest.locationCode Base example ServiceDeliveryLocationRoleType 📦3.0.0 THO v7.4
ServiceRequest.reasonCode Base example Procedure Reason Codes 📦4.0.1 FHIR Std.
ServiceRequest.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error ServiceRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ServiceRequest If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error ServiceRequest If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error ServiceRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice ServiceRequest A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
prr-1 error ServiceRequest orderDetail SHALL only be present if code is present orderDetail.empty() or code.exists()

Summary

Mandatory: 2 elements

 

Other representations of profile: CSV, Excel, Schematron