NP Core Implementation Guide
1.0.0 - Release
NP Core Implementation Guide
1.0.0 - Release
NP Core Implementation Guide - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-referral-request | Version: 1.0.0 | ||||
| Active as of 2026-10-14 | Computable Name: NPCoreReferralRequest | ||||
Sets minimum expectations for representing a patient referral between health facilities in Nepal.
Usages:
You can also check for usages in the FHIR IG Statistics
Description Differentials, Snapshots, and other representations.
| Name | Flags | Card. | Type | Description & Constraints Filter:  | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
  ServiceRequest |
C | 0..* | NPCoreServiceRequest | A request for a service to be performed Constraints: prr-1 | |||||||||||||||||||||
  implicitRules |
0..1 | uri | A set of rules under which this content was created | ||||||||||||||||||||||
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | ||||||||||||||||||||||
| status |
1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
| ||||||||||||||||||||||
| intent |
1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. Required Pattern: order
| ||||||||||||||||||||||
 category |
0..* | CodeableConcept | Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
| ||||||||||||||||||||||
| priority |
1..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
| ||||||||||||||||||||||
| doNotPerform |
0..1 | boolean | True if service/procedure should not be performed | ||||||||||||||||||||||
 code |
1..1 | CodeableConcept | What 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. 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: 3457005 | ||||||||||||||||||||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Patient referral | ||||||||||||||||||||||
 userSelected |
0..1 | boolean | If this coding was chosen directly by the user | ||||||||||||||||||||||
| text |
0..1 | string | Plain text representation of the concept | ||||||||||||||||||||||
 subject |
1..1 | Reference(NP Core Patient) | Individual or Entity the service is ordered for
| ||||||||||||||||||||||
| encounter |
1..1 | Reference(NP Core Encounter) | Encounter in which the request was created
| ||||||||||||||||||||||
| authoredOn |
1..1 | dateTime | Date request signed
| ||||||||||||||||||||||
| requester |
1..1 | Reference(NP Core Practitioner | NP Core Health Facility) | Who/what is requesting service
| ||||||||||||||||||||||
| performer |
1..1 | Reference(NP Core Health Facility) | Requested performer
| ||||||||||||||||||||||
| reasonCode |
0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
| ||||||||||||||||||||||
| reasonReference |
0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service
| ||||||||||||||||||||||
| Documentation for this format | |||||||||||||||||||||||||
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| ServiceRequest |
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| status |
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| intent |
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| category |
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| priority |
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| code |
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| subject |
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| encounter |
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| authoredOn |
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| requester |
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| performer |
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| reasonCode |
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| reasonReference |
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| Documentation for this format | |||
| 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.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std. |
| ServiceRequest.code | Base | example | Procedure Codes (SNOMED CT) | 📍4.0.1 | FHIR Std. |
| ServiceRequest.reasonCode | Base | example | Procedure Reason Codes | 📍4.0.1 | FHIR Std. |
| 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()
|
This structure is derived from NPCoreServiceRequest
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ServiceRequest |
0..* | NPCoreServiceRequest | A request for a service to be performed | |||||||||
 intent |
1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Required Pattern: order | |||||||||
| priority |
1..1 | code | routine | urgent | asap | stat
| |||||||||
| code |
1..1 | CodeableConcept | What is being requested/ordered 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: 3457005 | |||||||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Patient referral | |||||||||
| subject |
1..1 | Reference(NP Core Patient) | Individual or Entity the service is ordered for | |||||||||
| encounter |
1..1 | Reference(NP Core Encounter) | Encounter in which the request was created
| |||||||||
| authoredOn |
1..1 | dateTime | Date request signed
| |||||||||
| requester |
1..1 | Reference(NP Core Practitioner | NP Core Health Facility) | Who/what is requesting service
| |||||||||
| performer |
1..1 | Reference(NP Core Health Facility) | Requested performer
| |||||||||
| reasonCode |
0..* | CodeableConcept | Explanation/Justification for procedure or service
| |||||||||
| reasonReference |
0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service
| |||||||||
| Documentation for this format | ||||||||||||
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| ServiceRequest |
|||
| priority |
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| code |
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| encounter |
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| authoredOn |
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| requester |
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| performer |
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| reasonCode |
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| reasonReference |
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|
| Documentation for this format | |||
| Name | Flags | Card. | Type | Description & Constraints Filter: | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ServiceRequest |
C | 0..* | NPCoreServiceRequest | A request for a service to be performed Constraints: prr-1 | |||||||||||||||||||||
| id |
0..1 | id | Logical id of this artifact | ||||||||||||||||||||||
| meta |
0..1 | Meta | Metadata about the resource | ||||||||||||||||||||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | ||||||||||||||||||||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| ||||||||||||||||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation 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 |
0..* | Identifier | Identifiers assigned to this order | ||||||||||||||||||||||
| instantiatesCanonical |
0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition | ||||||||||||||||||||||
| instantiatesUri |
0..* | uri | Instantiates external protocol or definition | ||||||||||||||||||||||
| basedOn |
0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills | ||||||||||||||||||||||
| replaces |
0..* | Reference(ServiceRequest) | What request replaces | ||||||||||||||||||||||
| requisition |
0..1 | Identifier | Composite Request ID | ||||||||||||||||||||||
| status |
1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
| ||||||||||||||||||||||
| intent |
1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. Required Pattern: order
| ||||||||||||||||||||||
| category |
0..* | CodeableConcept | Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
| ||||||||||||||||||||||
| priority |
1..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
| ||||||||||||||||||||||
| doNotPerform |
0..1 | boolean | True if service/procedure should not be performed | ||||||||||||||||||||||
| code |
1..1 | CodeableConcept | What 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. 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: 3457005 | ||||||||||||||||||||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Patient referral | ||||||||||||||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | ||||||||||||||||||||||
| text |
0..1 | string | Plain text representation of the concept | ||||||||||||||||||||||
| orderDetail |
C | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context. | |||||||||||||||||||||
 quantity[x] |
0..1 | Service amount | |||||||||||||||||||||||
| quantityQuantity |
Quantity | ||||||||||||||||||||||||
| quantityRatio |
Ratio | ||||||||||||||||||||||||
| quantityRange |
Range | ||||||||||||||||||||||||
| subject |
1..1 | Reference(NP Core Patient) | Individual or Entity the service is ordered for
| ||||||||||||||||||||||
| encounter |
1..1 | Reference(NP Core Encounter) | Encounter in which the request was created
| ||||||||||||||||||||||
| occurrence[x] |
0..1 | When service should occur | |||||||||||||||||||||||
| occurrenceDateTime |
dateTime | ||||||||||||||||||||||||
| occurrencePeriod |
Period | ||||||||||||||||||||||||
| occurrenceTiming |
Timing | ||||||||||||||||||||||||
| asNeeded[x] |
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 |
1..1 | dateTime | Date request signed
| ||||||||||||||||||||||
| requester |
1..1 | Reference(NP Core Practitioner | NP Core Health Facility) | Who/what is requesting service
| ||||||||||||||||||||||
| performerType |
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 |
1..1 | Reference(NP Core Health Facility) | Requested performer
| ||||||||||||||||||||||
| locationCode |
0..* | CodeableConcept | Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered. | ||||||||||||||||||||||
| locationReference |
0..* | Reference(Location) | Requested location | ||||||||||||||||||||||
| reasonCode |
0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
| ||||||||||||||||||||||
| reasonReference |
0..* | 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 |
0..* | Reference(Specimen) | Procedure Samples | ||||||||||||||||||||||
| bodySite |
0..* | CodeableConcept | Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||||||||||||||||||||
| note |
0..* | Annotation | Comments | ||||||||||||||||||||||
| patientInstruction |
0..1 | string | Patient or consumer-oriented instructions | ||||||||||||||||||||||
| relevantHistory |
0..* | Reference(Provenance) | Request provenance | ||||||||||||||||||||||
| Documentation for this format | |||||||||||||||||||||||||
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| ServiceRequest |
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| status |
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| intent |
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| category |
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| priority |
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| code |
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| subject |
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| encounter |
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| authoredOn |
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| requester |
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| performer |
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| reasonCode |
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| reasonReference |
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| Documentation for this format | |||
| 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 | Procedure Codes (SNOMED CT) | 📍4.0.1 | FHIR Std. |
| 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. |
| 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()
|
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| ServiceRequest |
|||
| status |
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| intent |
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| category |
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| priority |
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| code |
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| subject |
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| encounter |
| ||
| authoredOn |
| ||
| requester |
| ||
| performer |
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| reasonCode |
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| reasonReference |
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| Documentation for this format | |||
This structure is derived from NPCoreServiceRequest
Summary
Mandatory: 6 elements
Must-Support: 5 elements
Structures
This structure refers to these other structures:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ServiceRequest |
C | 0..* | NPCoreServiceRequest | A request for a service to be performed Constraints: prr-1 | |||||||||||||||||||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | ||||||||||||||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | ||||||||||||||||||||||
| status |
1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
| ||||||||||||||||||||||
| intent |
1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. Required Pattern: order
| ||||||||||||||||||||||
| category |
0..* | CodeableConcept | Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
| ||||||||||||||||||||||
| priority |
1..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
| ||||||||||||||||||||||
| doNotPerform |
0..1 | boolean | True if service/procedure should not be performed | ||||||||||||||||||||||
| code |
1..1 | CodeableConcept | What 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. 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: 3457005 | ||||||||||||||||||||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Patient referral | ||||||||||||||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | ||||||||||||||||||||||
| text |
0..1 | string | Plain text representation of the concept | ||||||||||||||||||||||
| subject |
1..1 | Reference(NP Core Patient) | Individual or Entity the service is ordered for
| ||||||||||||||||||||||
| encounter |
1..1 | Reference(NP Core Encounter) | Encounter in which the request was created
| ||||||||||||||||||||||
| authoredOn |
1..1 | dateTime | Date request signed
| ||||||||||||||||||||||
| requester |
1..1 | Reference(NP Core Practitioner | NP Core Health Facility) | Who/what is requesting service
| ||||||||||||||||||||||
| performer |
1..1 | Reference(NP Core Health Facility) | Requested performer
| ||||||||||||||||||||||
| reasonCode |
0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
| ||||||||||||||||||||||
| reasonReference |
0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service
| ||||||||||||||||||||||
| Documentation for this format | |||||||||||||||||||||||||
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| ServiceRequest |
|||
| status |
|
|
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| intent |
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| category |
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| priority |
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| code |
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| subject |
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| encounter |
| ||
| authoredOn |
| ||
| requester |
| ||
| performer |
|
|
|
| reasonCode |
|
|
|
| reasonReference |
|
|
|
| Documentation for this format | |||
| 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.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std. |
| ServiceRequest.code | Base | example | Procedure Codes (SNOMED CT) | 📍4.0.1 | FHIR Std. |
| ServiceRequest.reasonCode | Base | example | Procedure Reason Codes | 📍4.0.1 | FHIR Std. |
| 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
This structure is derived from NPCoreServiceRequest
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ServiceRequest |
0..* | NPCoreServiceRequest | A request for a service to be performed | |||||||||
| intent |
1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Required Pattern: order | |||||||||
| priority |
1..1 | code | routine | urgent | asap | stat
| |||||||||
| code |
1..1 | CodeableConcept | What is being requested/ordered 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: 3457005 | |||||||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Patient referral | |||||||||
| subject |
1..1 | Reference(NP Core Patient) | Individual or Entity the service is ordered for | |||||||||
| encounter |
1..1 | Reference(NP Core Encounter) | Encounter in which the request was created
| |||||||||
| authoredOn |
1..1 | dateTime | Date request signed
| |||||||||
| requester |
1..1 | Reference(NP Core Practitioner | NP Core Health Facility) | Who/what is requesting service
| |||||||||
| performer |
1..1 | Reference(NP Core Health Facility) | Requested performer
| |||||||||
| reasonCode |
0..* | CodeableConcept | Explanation/Justification for procedure or service
| |||||||||
| reasonReference |
0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service
| |||||||||
| Documentation for this format | ||||||||||||
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| ServiceRequest |
|||
| priority |
|
|
|
| code |
|
|
|
| encounter |
| ||
| authoredOn |
| ||
| requester |
| ||
| performer |
|
|
|
| reasonCode |
|
|
|
| reasonReference |
|
|
|
| Documentation for this format | |||
Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ServiceRequest |
C | 0..* | NPCoreServiceRequest | A request for a service to be performed Constraints: prr-1 | |||||||||||||||||||||
| id |
0..1 | id | Logical id of this artifact | ||||||||||||||||||||||
| meta |
0..1 | Meta | Metadata about the resource | ||||||||||||||||||||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | ||||||||||||||||||||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| ||||||||||||||||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation 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 |
0..* | Identifier | Identifiers assigned to this order | ||||||||||||||||||||||
| instantiatesCanonical |
0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition | ||||||||||||||||||||||
| instantiatesUri |
0..* | uri | Instantiates external protocol or definition | ||||||||||||||||||||||
| basedOn |
0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills | ||||||||||||||||||||||
| replaces |
0..* | Reference(ServiceRequest) | What request replaces | ||||||||||||||||||||||
| requisition |
0..1 | Identifier | Composite Request ID | ||||||||||||||||||||||
| status |
1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
| ||||||||||||||||||||||
| intent |
1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. Required Pattern: order
| ||||||||||||||||||||||
| category |
0..* | CodeableConcept | Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
| ||||||||||||||||||||||
| priority |
1..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
| ||||||||||||||||||||||
| doNotPerform |
0..1 | boolean | True if service/procedure should not be performed | ||||||||||||||||||||||
| code |
1..1 | CodeableConcept | What 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. 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: 3457005 | ||||||||||||||||||||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Patient referral | ||||||||||||||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | ||||||||||||||||||||||
| text |
0..1 | string | Plain text representation of the concept | ||||||||||||||||||||||
| orderDetail |
C | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context. | |||||||||||||||||||||
| quantity[x] |
0..1 | Service amount | |||||||||||||||||||||||
| quantityQuantity |
Quantity | ||||||||||||||||||||||||
| quantityRatio |
Ratio | ||||||||||||||||||||||||
| quantityRange |
Range | ||||||||||||||||||||||||
| subject |
1..1 | Reference(NP Core Patient) | Individual or Entity the service is ordered for
| ||||||||||||||||||||||
| encounter |
1..1 | Reference(NP Core Encounter) | Encounter in which the request was created
| ||||||||||||||||||||||
| occurrence[x] |
0..1 | When service should occur | |||||||||||||||||||||||
| occurrenceDateTime |
dateTime | ||||||||||||||||||||||||
| occurrencePeriod |
Period | ||||||||||||||||||||||||
| occurrenceTiming |
Timing | ||||||||||||||||||||||||
| asNeeded[x] |
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 |
1..1 | dateTime | Date request signed
| ||||||||||||||||||||||
| requester |
1..1 | Reference(NP Core Practitioner | NP Core Health Facility) | Who/what is requesting service
| ||||||||||||||||||||||
| performerType |
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 |
1..1 | Reference(NP Core Health Facility) | Requested performer
| ||||||||||||||||||||||
| locationCode |
0..* | CodeableConcept | Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered. | ||||||||||||||||||||||
| locationReference |
0..* | Reference(Location) | Requested location | ||||||||||||||||||||||
| reasonCode |
0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
| ||||||||||||||||||||||
| reasonReference |
0..* | 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 |
0..* | Reference(Specimen) | Procedure Samples | ||||||||||||||||||||||
| bodySite |
0..* | CodeableConcept | Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||||||||||||||||||||
| note |
0..* | Annotation | Comments | ||||||||||||||||||||||
| patientInstruction |
0..1 | string | Patient or consumer-oriented instructions | ||||||||||||||||||||||
| relevantHistory |
0..* | Reference(Provenance) | Request provenance | ||||||||||||||||||||||
| Documentation for this format | |||||||||||||||||||||||||
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| ServiceRequest |
|||
| status |
|
|
|
| intent |
|
|
|
| category |
|
|
|
| priority |
|
|
|
| code |
|
|
|
| subject |
|
|
|
| encounter |
| ||
| authoredOn |
| ||
| requester |
| ||
| performer |
|
|
|
| reasonCode |
|
|
|
| reasonReference |
|
|
|
| Documentation for this format | |||
| 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 | Procedure Codes (SNOMED CT) | 📍4.0.1 | FHIR Std. |
| 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. |
| 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()
|
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| ServiceRequest |
|||
| status |
|
|
|
| intent |
|
|
|
| category |
|
|
|
| priority |
|
|
|
| code |
|
|
|
| subject |
|
|
|
| encounter |
| ||
| authoredOn |
| ||
| requester |
| ||
| performer |
|
|
|
| reasonCode |
|
|
|
| reasonReference |
|
|
|
| Documentation for this format | |||
This structure is derived from NPCoreServiceRequest
Summary
Mandatory: 6 elements
Must-Support: 5 elements
Structures
This structure refers to these other structures:
Other representations of profile: CSV, Excel, Schematron
