HL7 FHIR Implementation Guide Laboratory Report
0.1.0 - ballot Italy flag

This page is part of the HL7 FHIR Implementation Guide Laboratory Report (v0.1.0: Release 1 Ballot 1) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: ServiceRequest - Lab Report ( Experimental )

Official URL: http://hl7.it/fhir/lab-report/StructureDefinition/servicerequest-it-lab Version: 0.1.0
Draft as of 2023-03-09 Computable Name: ServiceRequestRefertoLabIt

Copyright/Legal: HL7 Italia

Descrive la risorsa ServiceRequest che genera l’incontro del Lab Report.

Usage:

Formal Views of Profile Content

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

This structure is derived from ServiceRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest 0..*ServiceRequestServiceRequest Referto di Laboratorio
... identifier 1..*IdentifierIdentificativo assegnato all'ordine.
... requisition 0..1IdentifierIdenificativo comune a più ServiceRequest autorizzate simultaneamente. Rappresenta l'identificativo univoco della richiesta.
... intent 1..1codeDescrizione attributo: Indica lo scopo associato ad una richiesta. Possibili valori: proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required)
... quantity[x] 0..1Quantity, Ratio, RangeMolteplicità della prestazione.
... subject 1..1Reference(Patient - Lab Report)Soggetto cui si riferisce la richiesta.
... authoredOn 0..1dateTimeData di invio della richiesta.
... reasonCode 0..*CodeableConceptQuesito diagnostico associato alla richiesta.
... specimen 0..*Reference(Specimen - Lab Report)Reference usata solo se il campione cui punta la richiesta è già stato prelevato ed esiste.

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
ServiceRequest.intentrequiredRequestIntent
ServiceRequest.priorityrequiredRequestPriority
NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C0..*ServiceRequestServiceRequest Referto di Laboratorio
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ1..*IdentifierIdentificativo assegnato all'ordine.
... status ?!Σ1..1codedraft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.

... intent ?!Σ1..1codeDescrizione attributo: Indica lo scopo associato ad una richiesta. Possibili valori: proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required)
... priority SΣ0..1codeDescrizione attributo: Priorità della richiesta. Possibili valori: routine | urgent | asap | stat
Binding: RequestPriority (required)
... doNotPerform ?!Σ0..1booleanTrue if service/procedure should not be performed
... quantity[x] Σ0..1Molteplicità della prestazione.
.... quantityQuantityQuantity
.... quantityRatioRatio
.... quantityRangeRange
... subject Σ1..1Reference(Patient - Lab Report)Soggetto cui si riferisce la richiesta.
... authoredOn Σ0..1dateTimeData di invio della richiesta.
... reasonCode Σ0..*CodeableConceptQuesito diagnostico associato alla richiesta.
Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.


... specimen Σ0..*Reference(Specimen - Lab Report)Reference usata solo se il campione cui punta la richiesta è già stato prelevato ed esiste.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
ServiceRequest.statusrequiredRequestStatus
ServiceRequest.intentrequiredRequestIntent
ServiceRequest.priorityrequiredRequestPriority
ServiceRequest.reasonCodeexampleProcedureReasonCodes

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 C0..*ServiceRequestServiceRequest Referto di Laboratorio
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ1..*IdentifierIdentificativo assegnato all'ordine.
... instantiatesCanonical Σ0..*canonical(ActivityDefinition | PlanDefinition)Instantiates FHIR protocol or definition
... instantiatesUri Σ0..*uriInstantiates external protocol or definition
... basedOn Σ0..*Reference(CarePlan | ServiceRequest | MedicationRequest)What request fulfills
... replaces Σ0..*Reference(ServiceRequest)What request replaces
... requisition Σ0..1IdentifierIdenificativo comune a più ServiceRequest autorizzate simultaneamente. Rappresenta l'identificativo univoco della richiesta.
... status ?!Σ1..1codedraft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.

... intent ?!Σ1..1codeDescrizione attributo: Indica lo scopo associato ad una richiesta. Possibili valori: proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required)
... category Σ0..*CodeableConceptClassification of service
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.


... priority SΣ0..1codeDescrizione attributo: Priorità della richiesta. Possibili valori: routine | urgent | asap | stat
Binding: RequestPriority (required)
... doNotPerform ?!Σ0..1booleanTrue if service/procedure should not be performed
... code Σ0..1CodeableConceptWhat is being requested/ordered
Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred and a valueset using LOINC Order codes is available here.

... orderDetail ΣC0..*CodeableConceptAdditional order information
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.


... quantity[x] Σ0..1Molteplicità della prestazione.
.... quantityQuantityQuantity
.... quantityRatioRatio
.... quantityRangeRange
... subject Σ1..1Reference(Patient - Lab Report)Soggetto cui si riferisce la richiesta.
... encounter Σ0..1Reference(Encounter)Encounter in which the request was created
... occurrence[x] Σ0..1When service should occur
.... occurrenceDateTimedateTime
.... occurrencePeriodPeriod
.... occurrenceTimingTiming
... asNeeded[x] Σ0..1Preconditions 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.

.... asNeededBooleanboolean
.... asNeededCodeableConceptCodeableConcept
... authoredOn Σ0..1dateTimeData di invio della richiesta.
... requester Σ0..1Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)Who/what is requesting service
... performerType Σ0..1CodeableConceptPerformer role
Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.

... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)Requested performer
... locationCode Σ0..*CodeableConceptRequested location
Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.


... locationReference Σ0..*Reference(Location)Requested location
... reasonCode Σ0..*CodeableConceptQuesito diagnostico associato alla richiesta.
Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.


... reasonReference Σ0..*Reference(Condition | Observation | DiagnosticReport | DocumentReference)Explanation/Justification for service or service
... insurance 0..*Reference(Coverage | ClaimResponse)Associated insurance coverage
... supportingInfo 0..*Reference(Resource)Additional clinical information
... specimen Σ0..*Reference(Specimen - Lab Report)Reference usata solo se il campione cui punta la richiesta è già stato prelevato ed esiste.
... bodySite Σ0..*CodeableConceptLocation on Body
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


... note 0..*AnnotationComments
... patientInstruction Σ0..1stringPatient or consumer-oriented instructions
... relevantHistory 0..*Reference(Provenance)Request provenance

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
ServiceRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
ServiceRequest.statusrequiredRequestStatus
ServiceRequest.intentrequiredRequestIntent
ServiceRequest.categoryexampleServiceRequestCategoryCodes
ServiceRequest.priorityrequiredRequestPriority
ServiceRequest.codeexampleProcedureCodes(SNOMEDCT)
ServiceRequest.orderDetailexampleServiceRequestOrderDetailsCodes
ServiceRequest.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
ServiceRequest.performerTypeexampleParticipantRoles
ServiceRequest.locationCodeexampleServiceDeliveryLocationRoleType
ServiceRequest.reasonCodeexampleProcedureReasonCodes
ServiceRequest.bodySiteexampleSNOMEDCTBodyStructures

Constraints

IdGradePath(s)DetailsRequirements
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()

This structure is derived from ServiceRequest

Differential View

This structure is derived from ServiceRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest 0..*ServiceRequestServiceRequest Referto di Laboratorio
... identifier 1..*IdentifierIdentificativo assegnato all'ordine.
... requisition 0..1IdentifierIdenificativo comune a più ServiceRequest autorizzate simultaneamente. Rappresenta l'identificativo univoco della richiesta.
... intent 1..1codeDescrizione attributo: Indica lo scopo associato ad una richiesta. Possibili valori: proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required)
... quantity[x] 0..1Quantity, Ratio, RangeMolteplicità della prestazione.
... subject 1..1Reference(Patient - Lab Report)Soggetto cui si riferisce la richiesta.
... authoredOn 0..1dateTimeData di invio della richiesta.
... reasonCode 0..*CodeableConceptQuesito diagnostico associato alla richiesta.
... specimen 0..*Reference(Specimen - Lab Report)Reference usata solo se il campione cui punta la richiesta è già stato prelevato ed esiste.

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
ServiceRequest.intentrequiredRequestIntent
ServiceRequest.priorityrequiredRequestPriority

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C0..*ServiceRequestServiceRequest Referto di Laboratorio
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ1..*IdentifierIdentificativo assegnato all'ordine.
... status ?!Σ1..1codedraft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.

... intent ?!Σ1..1codeDescrizione attributo: Indica lo scopo associato ad una richiesta. Possibili valori: proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required)
... priority SΣ0..1codeDescrizione attributo: Priorità della richiesta. Possibili valori: routine | urgent | asap | stat
Binding: RequestPriority (required)
... doNotPerform ?!Σ0..1booleanTrue if service/procedure should not be performed
... quantity[x] Σ0..1Molteplicità della prestazione.
.... quantityQuantityQuantity
.... quantityRatioRatio
.... quantityRangeRange
... subject Σ1..1Reference(Patient - Lab Report)Soggetto cui si riferisce la richiesta.
... authoredOn Σ0..1dateTimeData di invio della richiesta.
... reasonCode Σ0..*CodeableConceptQuesito diagnostico associato alla richiesta.
Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.


... specimen Σ0..*Reference(Specimen - Lab Report)Reference usata solo se il campione cui punta la richiesta è già stato prelevato ed esiste.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
ServiceRequest.statusrequiredRequestStatus
ServiceRequest.intentrequiredRequestIntent
ServiceRequest.priorityrequiredRequestPriority
ServiceRequest.reasonCodeexampleProcedureReasonCodes

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 C0..*ServiceRequestServiceRequest Referto di Laboratorio
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ1..*IdentifierIdentificativo assegnato all'ordine.
... instantiatesCanonical Σ0..*canonical(ActivityDefinition | PlanDefinition)Instantiates FHIR protocol or definition
... instantiatesUri Σ0..*uriInstantiates external protocol or definition
... basedOn Σ0..*Reference(CarePlan | ServiceRequest | MedicationRequest)What request fulfills
... replaces Σ0..*Reference(ServiceRequest)What request replaces
... requisition Σ0..1IdentifierIdenificativo comune a più ServiceRequest autorizzate simultaneamente. Rappresenta l'identificativo univoco della richiesta.
... status ?!Σ1..1codedraft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.

... intent ?!Σ1..1codeDescrizione attributo: Indica lo scopo associato ad una richiesta. Possibili valori: proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required)
... category Σ0..*CodeableConceptClassification of service
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.


... priority SΣ0..1codeDescrizione attributo: Priorità della richiesta. Possibili valori: routine | urgent | asap | stat
Binding: RequestPriority (required)
... doNotPerform ?!Σ0..1booleanTrue if service/procedure should not be performed
... code Σ0..1CodeableConceptWhat is being requested/ordered
Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred and a valueset using LOINC Order codes is available here.

... orderDetail ΣC0..*CodeableConceptAdditional order information
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.


... quantity[x] Σ0..1Molteplicità della prestazione.
.... quantityQuantityQuantity
.... quantityRatioRatio
.... quantityRangeRange
... subject Σ1..1Reference(Patient - Lab Report)Soggetto cui si riferisce la richiesta.
... encounter Σ0..1Reference(Encounter)Encounter in which the request was created
... occurrence[x] Σ0..1When service should occur
.... occurrenceDateTimedateTime
.... occurrencePeriodPeriod
.... occurrenceTimingTiming
... asNeeded[x] Σ0..1Preconditions 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.

.... asNeededBooleanboolean
.... asNeededCodeableConceptCodeableConcept
... authoredOn Σ0..1dateTimeData di invio della richiesta.
... requester Σ0..1Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)Who/what is requesting service
... performerType Σ0..1CodeableConceptPerformer role
Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.

... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)Requested performer
... locationCode Σ0..*CodeableConceptRequested location
Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.


... locationReference Σ0..*Reference(Location)Requested location
... reasonCode Σ0..*CodeableConceptQuesito diagnostico associato alla richiesta.
Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.


... reasonReference Σ0..*Reference(Condition | Observation | DiagnosticReport | DocumentReference)Explanation/Justification for service or service
... insurance 0..*Reference(Coverage | ClaimResponse)Associated insurance coverage
... supportingInfo 0..*Reference(Resource)Additional clinical information
... specimen Σ0..*Reference(Specimen - Lab Report)Reference usata solo se il campione cui punta la richiesta è già stato prelevato ed esiste.
... bodySite Σ0..*CodeableConceptLocation on Body
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


... note 0..*AnnotationComments
... patientInstruction Σ0..1stringPatient or consumer-oriented instructions
... relevantHistory 0..*Reference(Provenance)Request provenance

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
ServiceRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
ServiceRequest.statusrequiredRequestStatus
ServiceRequest.intentrequiredRequestIntent
ServiceRequest.categoryexampleServiceRequestCategoryCodes
ServiceRequest.priorityrequiredRequestPriority
ServiceRequest.codeexampleProcedureCodes(SNOMEDCT)
ServiceRequest.orderDetailexampleServiceRequestOrderDetailsCodes
ServiceRequest.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
ServiceRequest.performerTypeexampleParticipantRoles
ServiceRequest.locationCodeexampleServiceDeliveryLocationRoleType
ServiceRequest.reasonCodeexampleProcedureReasonCodes
ServiceRequest.bodySiteexampleSNOMEDCTBodyStructures

Constraints

IdGradePath(s)DetailsRequirements
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()

This structure is derived from ServiceRequest

 

Other representations of profile: CSV, Excel, Schematron