DRAFT Implementation Guide

This is for collaboration and discussion purposes and is subject to change.

NHS England North West GMSA - IHE Laboratory Testing Workflow (LTW) - Local Development build (v0.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

• Content
• Detailed Descriptions
• Examples
• XML
• JSON

Resource Profile: ServiceRequest

DRAFT Extension of UKCore-ServiceRequest which includes constraints from:

• NHS England Genomics ServiceRequest use text descriptions only, not the rendered profile.

Usage:

• Refer to this Resource Profile: DocumentReference, RequestGroup and ServiceRequest

Formal Views of Profile Content

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

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from UKCoreServiceRequest

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest			UKCoreServiceRequest
Slices for extension				Content/Rules for all slices
extension:additionalContact		0..*	ExtensionUKCoreAdditionalContact	Do not use, not supported. Use PractitionerRole instead.
Slices for identifier	S	1..*	CorrelationIdentifier	Identifiers assigned to this order Slice: Unordered, Open by value:type
identifier:placerOrderNumber	SO	0..1	PlacerOrderNumber	Identifier assigned by the Order Placer. (HL7 v2 ORC-2/OBR-2 Placer Order Number) Obligations Actor SHOULD:populate-if-known Order Filler SHALL:populate Order Placer SHOULD:populate-if-known Automation Manager
identifier:fillerOrderNumber	SO	0..1	FillerOrderNumber	Identifier assigned by the lab (Order Filler) Obligations Actor SHALL:populate Order Filler SHOULD:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
basedOn		0..*	Reference(ServiceRequest)	SHALL reference a parent request where this ServiceRequest is based on a previous request, e.g. in the case of reanalysis and cascade testing, or Germline Late tests in the Tumour First/Germline Late scenario
identifier		0..1	CorrelationIdentifier	Logical reference, when literal reference is not known
requisition	O	0..1	PlacerGroupNumber	Identifier assigned by the Order Placer. (HL7 v2 ORC-4 Placer Group Number) Obligations Actor SHOULD:populate-if-known Order Filler SHALL:populate Order Placer SHOULD:populate-if-known Automation Manager
Slices for category		1..*	CodeableConcept	A code that classifies the service for searching, sorting and display purposes. Slice: Unordered, Open by value:coding.system
category:genomicsWholeCaseSequencing	S	0..1	CodeableConcept	Classification of Genomics service
category:GenomicProcedure	S	1..1	CodeableConcept	A code that classifies the service for searching, sorting and display purposes.
coding
system		1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
code		0..1	code	Symbol in syntax defined by the system Required Pattern: 116148004
code		1..1	CodeableConcept	ISSUE. See [National Genomic Test Directory](https://www.england.nhs.uk/wp-content/uploads/2018/08/rare-and-inherited-disease-eligibility-criteria-v2.pdf).
Slices for coding	S	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:GenomicTestDirectory	S	0..1	Coding	Use for Genomics Orders Binding: Genomic Test Directory (required)
system		1..1	uri	Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
coding:PathologyAndLaboratoryMedicine		0..1	Coding	Use for Pathology and Laboratory Orders Binding: UK Core Pathology And Laboratory Medicine Observables (required)
system		1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
coding:NICIP		0..1	Coding	Use for Radiology Orders Binding: https://fhir.interweavedigital.nhs.uk/R4/ValueSet/Interweave-NICIP (required)
system		1..1	uri	Identity of the terminology system Required Pattern: https://fhir.interweavedigital.nhs.uk/CodeSystem/Interweave-NICIP
subject		1..1	Reference(Patient)	The individual or entity the service is ordered for.
identifier		0..1	NHSNumber	Logical reference, when literal reference is not known
encounter	S	0..1	Reference(Encounter)	A reference identifier to the episode/stay/visit number in which the request was created. (HL7 v2 PV1-19)
identifier	SO	0..1	VisitNumber	Logical reference, when literal reference is not known Obligations Actor SHALL:populate-if-known Order Filler SHALL:populate-if-known Order Placer SHALL:populate-if-known Automation Manager
occurrence[x]	S	0..1	dateTime, Period, Timing	When service should occur
authoredOn		1..1	dateTime	The date the request was signed.
requester		1..1	Reference(PractitionerRole)	Who / what is requesting the service
performer		0..*	Reference(Organization)	Requested performer
identifier		0..1	OrganisationCode	Logical reference, when literal reference is not known
Slices for supportingInfo	S	0..*	Reference(Observation Panel | Observation | Diagnostic Report | DocumentReference)	Additional clinical information Slice: Unordered, Open by value:type
supportingInfo:PriorResult	S	0..1	Reference(Diagnostic Report)	Equivalent of HL7 v2 OML_O21 PRIOR RESULT (as PDF)
type		1..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: DiagnosticReport
identifier	S	1..1	CorrelationIdentifier	Logical reference, when literal reference is not known
supportingInfo:PatientSummary	S	0..1	Reference(DocumentReference)	Additional clinical information
type		1..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: DocumentReference
note	S	0..*	Annotation	Comments
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ServiceRequest.code.coding:GenomicTestDirectory	required	GenomicTestDirectory (a valid code from Genomic Test Directory) https://fhir.north-west.england.nhs.uk/ValueSet/genomic-test-directory from this IG
ServiceRequest.code.coding:PathologyAndLaboratoryMedicine	required	UKCorePathologyAndLaboratoryMedicineObservables https://fhir.hl7.org.uk/ValueSet/UKCore-PathologyAndLaboratoryMedicineObservables
ServiceRequest.code.coding:NICIP	required	https://fhir.interweavedigital.nhs.uk/R4/ValueSet/Interweave-NICIP https://fhir.interweavedigital.nhs.uk/R4/ValueSet/Interweave-NICIP

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	UKCoreServiceRequest	A request for a service to be performed dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management prr-1: orderDetail SHALL only be present if code is present
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:sourceOfServiceRequest	N	0..1	CodeableConcept	Describes the source of the Service Request. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-SourceOfServiceRequest Binding: UK Core Source Of Service Request (preferred): A set of codes that describe the source of the service request. ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:additionalContact		0..*	Reference(Organization | Practitioner | PractitionerRole)	Do not use, not supported. Use PractitionerRole instead. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AdditionalContact ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:coverage	N	0..1	CodeableConcept	Supports the exchange of information describing the method of funding for the Service Request. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage Binding: UK Core Funding Category (extensible): A set of codes that define the funding category for a service request. ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for identifier	SΣ	1..*	CorrelationIdentifier	Identifiers assigned to this order Slice: Unordered, Open by value:type ele-1: All FHIR elements must have a @value or children
identifier:placerOrderNumber	SOΣ	0..1	PlacerOrderNumber	Identifier assigned by the Order Placer. (HL7 v2 ORC-2/OBR-2 Placer Order Number) ele-1: All FHIR elements must have a @value or children Obligations Actor SHOULD:populate-if-known Order Filler SHALL:populate Order Placer SHOULD:populate-if-known Automation Manager
identifier:fillerOrderNumber	SOΣ	0..1	FillerOrderNumber	Identifier assigned by the lab (Order Filler) ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate Order Filler SHOULD:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
basedOn	SΣ	0..*	Reference(ServiceRequest)	SHALL reference a parent request where this ServiceRequest is based on a previous request, e.g. in the case of reanalysis and cascade testing, or Germline Late tests in the Tumour First/Germline Late scenario ele-1: All FHIR elements must have a @value or children
identifier	Σ	0..1	CorrelationIdentifier	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
requisition	OΣ	0..1	PlacerGroupNumber	Identifier assigned by the Order Placer. (HL7 v2 ORC-4 Placer Group Number) ele-1: All FHIR elements must have a @value or children Obligations Actor SHOULD:populate-if-known Order Filler SHALL:populate Order Placer SHOULD:populate-if-known Automation Manager
status	?!SΣ	1..1	code	The status of the order. Binding: RequestStatus (required): The status of a service order. ele-1: All FHIR elements must have a @value or children
intent	?!SΣ	1..1	code	Whether the request is a proposal, plan, an original order or a reflex order. Binding: RequestIntent (required): The kind of service request. ele-1: All FHIR elements must have a @value or children
Slices for category	SΣ	1..*	CodeableConcept	A code that classifies the service for searching, sorting and display purposes. Slice: Unordered, Open by value:coding.system Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. ele-1: All FHIR elements must have a @value or children
category:genomicsWholeCaseSequencing	SΣ	0..1	CodeableConcept	Classification of Genomics service Binding: UK Core Genome Sequencing Category (extensible): Classification of the requested service. ele-1: All FHIR elements must have a @value or children
category:GenomicProcedure	SΣ	1..1	CodeableConcept	A code that classifies the service for searching, sorting and display purposes. Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. ele-1: All FHIR elements must have a @value or children
priority	SΣ	0..1	code	Indicates how quickly the ServiceRequest should be addressed with respect to other requests. Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:priorityReason	N	0..*	CodeableConcept	Supports the underlying reason why a Service Request is urgent. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-PriorityReason Binding: UK Core Service Request Reason Code (preferred): A set of codes that define the reason why a service request is urgent. ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	CodeableConcept	ISSUE. See [National Genomic Test Directory](https://www.england.nhs.uk/wp-content/uploads/2018/08/rare-and-inherited-disease-eligibility-criteria-v2.pdf). Binding: UK Core Procedure Code (preferred): A set of codes that define a procedure or a procedure with explicit context. Selected from the SNOMED CT UK coding system. ele-1: All FHIR elements must have a @value or children
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
coding:GenomicTestDirectory	SΣ	0..1	Coding	Use for Genomics Orders Binding: Genomic Test Directory (required) ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
coding:PathologyAndLaboratoryMedicine	Σ	0..1	Coding	Use for Pathology and Laboratory Orders Binding: UK Core Pathology And Laboratory Medicine Observables (required) ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: http://snomed.info/sct
coding:NICIP	Σ	0..1	Coding	Use for Radiology Orders Binding: https://fhir.interweavedigital.nhs.uk/R4/ValueSet/Interweave-NICIP (required) ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: https://fhir.interweavedigital.nhs.uk/CodeSystem/Interweave-NICIP
subject	SΣ	1..1	Reference(Patient)	The individual or entity the service is ordered for. ele-1: All FHIR elements must have a @value or children
identifier	Σ	0..1	NHSNumber	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
encounter	SΣ	0..1	Reference(Encounter)	A reference identifier to the episode/stay/visit number in which the request was created. (HL7 v2 PV1-19) ele-1: All FHIR elements must have a @value or children
identifier	SOΣ	0..1	VisitNumber	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Order Filler SHALL:populate-if-known Order Placer SHALL:populate-if-known Automation Manager
occurrence[x]	SΣ	0..1		When service should occur ele-1: All FHIR elements must have a @value or children
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
authoredOn	SΣ	1..1	dateTime	The date the request was signed. ele-1: All FHIR elements must have a @value or children
requester	SΣ	1..1	Reference(PractitionerRole)	Who / what is requesting the service ele-1: All FHIR elements must have a @value or children
performer	Σ	0..*	Reference(Organization)	Requested performer ele-1: All FHIR elements must have a @value or children
identifier	Σ	0..1	OrganisationCode	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
Slices for supportingInfo	S	0..*	Reference(Observation Panel | Observation | Diagnostic Report | DocumentReference)	Additional clinical information Slice: Unordered, Open by value:type ele-1: All FHIR elements must have a @value or children
supportingInfo:PriorResult	S	0..1	Reference(Diagnostic Report)	Equivalent of HL7 v2 OML_O21 PRIOR RESULT (as PDF) ele-1: All FHIR elements must have a @value or children
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). ele-1: All FHIR elements must have a @value or children Required Pattern: DiagnosticReport
identifier	SΣ	1..1	CorrelationIdentifier	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
supportingInfo:PatientSummary	S	0..1	Reference(DocumentReference)	Additional clinical information ele-1: All FHIR elements must have a @value or children
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). ele-1: All FHIR elements must have a @value or children Required Pattern: DocumentReference
note	S	0..*	Annotation	Comments ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
ServiceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent|4.0.1 from the FHIR Standard
ServiceRequest.category	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category from the FHIR Standard
ServiceRequest.category:genomicsWholeCaseSequencing	extensible	UKCoreGenomeSequencingCategory https://fhir.hl7.org.uk/ValueSet/UKCore-GenomeSequencingCategory
ServiceRequest.category:GenomicProcedure	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category from the FHIR Standard
ServiceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
ServiceRequest.code	preferred	UKCoreProcedureCode https://fhir.hl7.org.uk/ValueSet/UKCore-ProcedureCode
ServiceRequest.code.coding:GenomicTestDirectory	required	GenomicTestDirectory (a valid code from Genomic Test Directory) https://fhir.north-west.england.nhs.uk/ValueSet/genomic-test-directory from this IG
ServiceRequest.code.coding:PathologyAndLaboratoryMedicine	required	UKCorePathologyAndLaboratoryMedicineObservables https://fhir.hl7.org.uk/ValueSet/UKCore-PathologyAndLaboratoryMedicineObservables
ServiceRequest.code.coding:NICIP	required	https://fhir.interweavedigital.nhs.uk/R4/ValueSet/Interweave-NICIP https://fhir.interweavedigital.nhs.uk/R4/ValueSet/Interweave-NICIP
ServiceRequest.supportingInfo:PriorResult.type	extensible	Pattern: DiagnosticReport http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
ServiceRequest.supportingInfo:PatientSummary.type	extensible	Pattern: DocumentReference http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	UKCoreServiceRequest	A request for a service to be performed prr-1: orderDetail SHALL only be present if code is present
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:sourceOfServiceRequest	N	0..1	CodeableConcept	Describes the source of the Service Request. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-SourceOfServiceRequest Binding: UK Core Source Of Service Request (preferred): A set of codes that describe the source of the service request.
extension:additionalContact		0..*	Reference(Organization | Practitioner | PractitionerRole)	Do not use, not supported. Use PractitionerRole instead. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AdditionalContact
extension:coverage	N	0..1	CodeableConcept	Supports the exchange of information describing the method of funding for the Service Request. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage Binding: UK Core Funding Category (extensible): A set of codes that define the funding category for a service request.
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	CorrelationIdentifier	Identifiers assigned to this order Slice: Unordered, Open by value:type
identifier:placerOrderNumber	SOΣ	0..1	PlacerOrderNumber	Identifier assigned by the Order Placer. (HL7 v2 ORC-2/OBR-2 Placer Order Number) Obligations Actor SHOULD:populate-if-known Order Filler SHALL:populate Order Placer SHOULD:populate-if-known Automation Manager
identifier:fillerOrderNumber	SOΣ	0..1	FillerOrderNumber	Identifier assigned by the lab (Order Filler) Obligations Actor SHALL:populate Order Filler SHOULD:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
instantiatesCanonical	Σ	0..*	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	SΣ	0..*	Reference(ServiceRequest)	SHALL reference a parent request where this ServiceRequest is based on a previous request, e.g. in the case of reanalysis and cascade testing, or Germline Late tests in the Tumour First/Germline Late scenario
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	CorrelationIdentifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
replaces	Σ	0..*	Reference(ServiceRequest)	What request replaces
requisition	OΣ	0..1	PlacerGroupNumber	Identifier assigned by the Order Placer. (HL7 v2 ORC-4 Placer Group Number) Obligations Actor SHOULD:populate-if-known Order Filler SHALL:populate Order Placer SHOULD:populate-if-known Automation Manager
status	?!SΣ	1..1	code	The status of the order. Binding: RequestStatus (required): The status of a service order.
intent	?!SΣ	1..1	code	Whether the request is a proposal, plan, an original order or a reflex order. Binding: RequestIntent (required): The kind of service request.
Slices for category	SΣ	1..*	CodeableConcept	A code that classifies the service for searching, sorting and display purposes. Slice: Unordered, Open by value:coding.system Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:genomicsWholeCaseSequencing	SΣ	0..1	CodeableConcept	Classification of Genomics service Binding: UK Core Genome Sequencing Category (extensible): Classification of the requested service.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: https://fhir.hl7.org.uk/CodeSystem/UKCore-GenomeSequencingCategory
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
category:GenomicProcedure	SΣ	1..1	CodeableConcept	A code that classifies the service for searching, sorting and display purposes. Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Required Pattern: 116148004
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
priority	SΣ	0..1	code	Indicates how quickly the ServiceRequest should be addressed with respect to other requests. Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:priorityReason	N	0..*	CodeableConcept	Supports the underlying reason why a Service Request is urgent. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-PriorityReason Binding: UK Core Service Request Reason Code (preferred): A set of codes that define the reason why a service request is urgent.
value		0..1	string	Primitive value for code
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	SΣ	1..1	CodeableConcept	ISSUE. See [National Genomic Test Directory](https://www.england.nhs.uk/wp-content/uploads/2018/08/rare-and-inherited-disease-eligibility-criteria-v2.pdf). Binding: UK Core Procedure Code (preferred): A set of codes that define a procedure or a procedure with explicit context. Selected from the SNOMED CT UK coding system.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:GenomicTestDirectory	SΣ	0..1	Coding	Use for Genomics Orders Binding: Genomic Test Directory (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:PathologyAndLaboratoryMedicine	Σ	0..1	Coding	Use for Pathology and Laboratory Orders Binding: UK Core Pathology And Laboratory Medicine Observables (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:NICIP	Σ	0..1	Coding	Use for Radiology Orders Binding: https://fhir.interweavedigital.nhs.uk/R4/ValueSet/Interweave-NICIP (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.interweavedigital.nhs.uk/CodeSystem/Interweave-NICIP
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
orderDetail	ΣC	0..*	CodeableConcept	Additional order information Binding: UK Core Procedure Code (preferred): Codified order entry details which are based on order context.
quantity[x]	Σ	0..1		Service amount
quantityQuantity			Quantity
quantityRatio			Ratio
quantityRange			Range
subject	SΣ	1..1	Reference(Patient)	The individual or entity the service is ordered for.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	NHSNumber	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	SΣ	0..1	Reference(Encounter)	A reference identifier to the episode/stay/visit number in which the request was created. (HL7 v2 PV1-19)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SOΣ	0..1	VisitNumber	Logical reference, when literal reference is not known Obligations Actor SHALL:populate-if-known Order Filler SHALL:populate-if-known Order Placer SHALL:populate-if-known Automation Manager
display	Σ	0..1	string	Text alternative for the resource
occurrence[x]	SΣ	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	SΣ	1..1	dateTime	The date the request was signed.
requester	SΣ	1..1	Reference(PractitionerRole)	Who / what is requesting the service
performerType	Σ	0..1	CodeableConcept	Performer role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
performer	Σ	0..*	Reference(Organization)	Requested performer
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	OrganisationCode	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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: UK Core Service Request Reason Code (preferred): A set of codes that define a reason for a service request.
reasonReference	Σ	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Explanation/Justification for service or service
insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
Slices for supportingInfo	S	0..*	Reference(Observation Panel | Observation | Diagnostic Report | DocumentReference)	Additional clinical information Slice: Unordered, Open by value:type
supportingInfo:PriorResult	S	0..1	Reference(Diagnostic Report)	Equivalent of HL7 v2 OML_O21 PRIOR RESULT (as PDF)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: DiagnosticReport
identifier	SΣ	1..1	CorrelationIdentifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
supportingInfo:PatientSummary	S	0..1	Reference(DocumentReference)	Additional clinical information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: DocumentReference
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
specimen	Σ	0..*	Reference(Specimen)	Procedure Samples
bodySite	Σ	0..*	CodeableConcept	Location on Body Binding: SNOMEDCTBodyStructures (preferred): Codes describing anatomical locations. May include laterality.
note	S	0..*	Annotation	Comments
patientInstruction	Σ	0..1	string	Patient or consumer-oriented instructions
relevantHistory		0..*	Reference(Provenance)	Request provenance
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ServiceRequest.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
ServiceRequest.basedOn.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
ServiceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent|4.0.1 from the FHIR Standard
ServiceRequest.category	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category from the FHIR Standard
ServiceRequest.category:genomicsWholeCaseSequencing	extensible	UKCoreGenomeSequencingCategory https://fhir.hl7.org.uk/ValueSet/UKCore-GenomeSequencingCategory
ServiceRequest.category:GenomicProcedure	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category from the FHIR Standard
ServiceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
ServiceRequest.code	preferred	UKCoreProcedureCode https://fhir.hl7.org.uk/ValueSet/UKCore-ProcedureCode
ServiceRequest.code.coding:GenomicTestDirectory	required	GenomicTestDirectory (a valid code from Genomic Test Directory) https://fhir.north-west.england.nhs.uk/ValueSet/genomic-test-directory from this IG
ServiceRequest.code.coding:PathologyAndLaboratoryMedicine	required	UKCorePathologyAndLaboratoryMedicineObservables https://fhir.hl7.org.uk/ValueSet/UKCore-PathologyAndLaboratoryMedicineObservables
ServiceRequest.code.coding:NICIP	required	https://fhir.interweavedigital.nhs.uk/R4/ValueSet/Interweave-NICIP https://fhir.interweavedigital.nhs.uk/R4/ValueSet/Interweave-NICIP
ServiceRequest.orderDetail	preferred	UKCoreProcedureCode https://fhir.hl7.org.uk/ValueSet/UKCore-ProcedureCode
ServiceRequest.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
ServiceRequest.encounter.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
ServiceRequest.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
ServiceRequest.performerType	example	ParticipantRoles http://hl7.org/fhir/ValueSet/participant-role from the FHIR Standard
ServiceRequest.performer.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
ServiceRequest.locationCode	example	ServiceDeliveryLocationRoleType http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reasonCode	preferred	UKCoreServiceRequestReasonCode https://fhir.hl7.org.uk/ValueSet/UKCore-ServiceRequestReasonCode
ServiceRequest.supportingInfo:PriorResult.type	extensible	Pattern: DiagnosticReport http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
ServiceRequest.supportingInfo:PatientSummary.type	extensible	Pattern: DocumentReference http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
ServiceRequest.bodySite	preferred	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard

This structure is derived from UKCoreServiceRequest

Summary

Mandatory: 7 elements(7 nested mandatory elements)
Must-Support: 15 elements

Structures

This structure refers to these other structures:

• Correlation Identifier (https://fhir.north-west.england.nhs.uk/StructureDefinition/CorrelationIdentifier)
• Placer Order Number (https://fhir.north-west.england.nhs.uk/StructureDefinition/PlacerOrderNumber)
• Filler Order Number (https://fhir.north-west.england.nhs.uk/StructureDefinition/FillerOrderNumber)
• ServiceRequest (https://fhir.north-west.england.nhs.uk/StructureDefinition/ServiceRequest)
• Placer Group Number (https://fhir.north-west.england.nhs.uk/StructureDefinition/PlacerGroupNumber)
• Patient (https://fhir.north-west.england.nhs.uk/StructureDefinition/Patient)
• NHS Number (https://fhir.north-west.england.nhs.uk/StructureDefinition/NHSNumber)
• Encounter (https://fhir.north-west.england.nhs.uk/StructureDefinition/Encounter)
• Visit Number (https://fhir.north-west.england.nhs.uk/StructureDefinition/VisitNumber)
• PractitionerRole (https://fhir.north-west.england.nhs.uk/StructureDefinition/PractitionerRole)
• Organization (https://fhir.north-west.england.nhs.uk/StructureDefinition/Organization)
• Organisation Code (https://fhir.north-west.england.nhs.uk/StructureDefinition/OrganisationCode)
• Observation Panel (https://fhir.north-west.england.nhs.uk/StructureDefinition/Observation-Panel)
• Observation (https://fhir.north-west.england.nhs.uk/StructureDefinition/Observation)
• Diagnostic Report (https://fhir.north-west.england.nhs.uk/StructureDefinition/DiagnosticReport)
• DocumentReference (https://fhir.north-west.england.nhs.uk/StructureDefinition/DocumentReference)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of ServiceRequest.identifier
• The element 1 is sliced based on the value of ServiceRequest.category
• The element 1 is sliced based on the value of ServiceRequest.code.coding
• The element 1 is sliced based on the value of ServiceRequest.supportingInfo

Differential View

This structure is derived from UKCoreServiceRequest

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest			UKCoreServiceRequest
Slices for extension				Content/Rules for all slices
extension:additionalContact		0..*	ExtensionUKCoreAdditionalContact	Do not use, not supported. Use PractitionerRole instead.
Slices for identifier	S	1..*	CorrelationIdentifier	Identifiers assigned to this order Slice: Unordered, Open by value:type
identifier:placerOrderNumber	SO	0..1	PlacerOrderNumber	Identifier assigned by the Order Placer. (HL7 v2 ORC-2/OBR-2 Placer Order Number) Obligations Actor SHOULD:populate-if-known Order Filler SHALL:populate Order Placer SHOULD:populate-if-known Automation Manager
identifier:fillerOrderNumber	SO	0..1	FillerOrderNumber	Identifier assigned by the lab (Order Filler) Obligations Actor SHALL:populate Order Filler SHOULD:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
basedOn		0..*	Reference(ServiceRequest)	SHALL reference a parent request where this ServiceRequest is based on a previous request, e.g. in the case of reanalysis and cascade testing, or Germline Late tests in the Tumour First/Germline Late scenario
identifier		0..1	CorrelationIdentifier	Logical reference, when literal reference is not known
requisition	O	0..1	PlacerGroupNumber	Identifier assigned by the Order Placer. (HL7 v2 ORC-4 Placer Group Number) Obligations Actor SHOULD:populate-if-known Order Filler SHALL:populate Order Placer SHOULD:populate-if-known Automation Manager
Slices for category		1..*	CodeableConcept	A code that classifies the service for searching, sorting and display purposes. Slice: Unordered, Open by value:coding.system
category:genomicsWholeCaseSequencing	S	0..1	CodeableConcept	Classification of Genomics service
category:GenomicProcedure	S	1..1	CodeableConcept	A code that classifies the service for searching, sorting and display purposes.
coding
system		1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
code		0..1	code	Symbol in syntax defined by the system Required Pattern: 116148004
code		1..1	CodeableConcept	ISSUE. See [National Genomic Test Directory](https://www.england.nhs.uk/wp-content/uploads/2018/08/rare-and-inherited-disease-eligibility-criteria-v2.pdf).
Slices for coding	S	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:GenomicTestDirectory	S	0..1	Coding	Use for Genomics Orders Binding: Genomic Test Directory (required)
system		1..1	uri	Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
coding:PathologyAndLaboratoryMedicine		0..1	Coding	Use for Pathology and Laboratory Orders Binding: UK Core Pathology And Laboratory Medicine Observables (required)
system		1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
coding:NICIP		0..1	Coding	Use for Radiology Orders Binding: https://fhir.interweavedigital.nhs.uk/R4/ValueSet/Interweave-NICIP (required)
system		1..1	uri	Identity of the terminology system Required Pattern: https://fhir.interweavedigital.nhs.uk/CodeSystem/Interweave-NICIP
subject		1..1	Reference(Patient)	The individual or entity the service is ordered for.
identifier		0..1	NHSNumber	Logical reference, when literal reference is not known
encounter	S	0..1	Reference(Encounter)	A reference identifier to the episode/stay/visit number in which the request was created. (HL7 v2 PV1-19)
identifier	SO	0..1	VisitNumber	Logical reference, when literal reference is not known Obligations Actor SHALL:populate-if-known Order Filler SHALL:populate-if-known Order Placer SHALL:populate-if-known Automation Manager
occurrence[x]	S	0..1	dateTime, Period, Timing	When service should occur
authoredOn		1..1	dateTime	The date the request was signed.
requester		1..1	Reference(PractitionerRole)	Who / what is requesting the service
performer		0..*	Reference(Organization)	Requested performer
identifier		0..1	OrganisationCode	Logical reference, when literal reference is not known
Slices for supportingInfo	S	0..*	Reference(Observation Panel | Observation | Diagnostic Report | DocumentReference)	Additional clinical information Slice: Unordered, Open by value:type
supportingInfo:PriorResult	S	0..1	Reference(Diagnostic Report)	Equivalent of HL7 v2 OML_O21 PRIOR RESULT (as PDF)
type		1..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: DiagnosticReport
identifier	S	1..1	CorrelationIdentifier	Logical reference, when literal reference is not known
supportingInfo:PatientSummary	S	0..1	Reference(DocumentReference)	Additional clinical information
type		1..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: DocumentReference
note	S	0..*	Annotation	Comments
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ServiceRequest.code.coding:GenomicTestDirectory	required	GenomicTestDirectory (a valid code from Genomic Test Directory) https://fhir.north-west.england.nhs.uk/ValueSet/genomic-test-directory from this IG
ServiceRequest.code.coding:PathologyAndLaboratoryMedicine	required	UKCorePathologyAndLaboratoryMedicineObservables https://fhir.hl7.org.uk/ValueSet/UKCore-PathologyAndLaboratoryMedicineObservables
ServiceRequest.code.coding:NICIP	required	https://fhir.interweavedigital.nhs.uk/R4/ValueSet/Interweave-NICIP https://fhir.interweavedigital.nhs.uk/R4/ValueSet/Interweave-NICIP

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	UKCoreServiceRequest	A request for a service to be performed dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management prr-1: orderDetail SHALL only be present if code is present
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:sourceOfServiceRequest	N	0..1	CodeableConcept	Describes the source of the Service Request. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-SourceOfServiceRequest Binding: UK Core Source Of Service Request (preferred): A set of codes that describe the source of the service request. ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:additionalContact		0..*	Reference(Organization | Practitioner | PractitionerRole)	Do not use, not supported. Use PractitionerRole instead. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AdditionalContact ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:coverage	N	0..1	CodeableConcept	Supports the exchange of information describing the method of funding for the Service Request. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage Binding: UK Core Funding Category (extensible): A set of codes that define the funding category for a service request. ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for identifier	SΣ	1..*	CorrelationIdentifier	Identifiers assigned to this order Slice: Unordered, Open by value:type ele-1: All FHIR elements must have a @value or children
identifier:placerOrderNumber	SOΣ	0..1	PlacerOrderNumber	Identifier assigned by the Order Placer. (HL7 v2 ORC-2/OBR-2 Placer Order Number) ele-1: All FHIR elements must have a @value or children Obligations Actor SHOULD:populate-if-known Order Filler SHALL:populate Order Placer SHOULD:populate-if-known Automation Manager
identifier:fillerOrderNumber	SOΣ	0..1	FillerOrderNumber	Identifier assigned by the lab (Order Filler) ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate Order Filler SHOULD:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
basedOn	SΣ	0..*	Reference(ServiceRequest)	SHALL reference a parent request where this ServiceRequest is based on a previous request, e.g. in the case of reanalysis and cascade testing, or Germline Late tests in the Tumour First/Germline Late scenario ele-1: All FHIR elements must have a @value or children
identifier	Σ	0..1	CorrelationIdentifier	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
requisition	OΣ	0..1	PlacerGroupNumber	Identifier assigned by the Order Placer. (HL7 v2 ORC-4 Placer Group Number) ele-1: All FHIR elements must have a @value or children Obligations Actor SHOULD:populate-if-known Order Filler SHALL:populate Order Placer SHOULD:populate-if-known Automation Manager
status	?!SΣ	1..1	code	The status of the order. Binding: RequestStatus (required): The status of a service order. ele-1: All FHIR elements must have a @value or children
intent	?!SΣ	1..1	code	Whether the request is a proposal, plan, an original order or a reflex order. Binding: RequestIntent (required): The kind of service request. ele-1: All FHIR elements must have a @value or children
Slices for category	SΣ	1..*	CodeableConcept	A code that classifies the service for searching, sorting and display purposes. Slice: Unordered, Open by value:coding.system Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. ele-1: All FHIR elements must have a @value or children
category:genomicsWholeCaseSequencing	SΣ	0..1	CodeableConcept	Classification of Genomics service Binding: UK Core Genome Sequencing Category (extensible): Classification of the requested service. ele-1: All FHIR elements must have a @value or children
category:GenomicProcedure	SΣ	1..1	CodeableConcept	A code that classifies the service for searching, sorting and display purposes. Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. ele-1: All FHIR elements must have a @value or children
priority	SΣ	0..1	code	Indicates how quickly the ServiceRequest should be addressed with respect to other requests. Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:priorityReason	N	0..*	CodeableConcept	Supports the underlying reason why a Service Request is urgent. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-PriorityReason Binding: UK Core Service Request Reason Code (preferred): A set of codes that define the reason why a service request is urgent. ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	CodeableConcept	ISSUE. See [National Genomic Test Directory](https://www.england.nhs.uk/wp-content/uploads/2018/08/rare-and-inherited-disease-eligibility-criteria-v2.pdf). Binding: UK Core Procedure Code (preferred): A set of codes that define a procedure or a procedure with explicit context. Selected from the SNOMED CT UK coding system. ele-1: All FHIR elements must have a @value or children
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
coding:GenomicTestDirectory	SΣ	0..1	Coding	Use for Genomics Orders Binding: Genomic Test Directory (required) ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
coding:PathologyAndLaboratoryMedicine	Σ	0..1	Coding	Use for Pathology and Laboratory Orders Binding: UK Core Pathology And Laboratory Medicine Observables (required) ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: http://snomed.info/sct
coding:NICIP	Σ	0..1	Coding	Use for Radiology Orders Binding: https://fhir.interweavedigital.nhs.uk/R4/ValueSet/Interweave-NICIP (required) ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: https://fhir.interweavedigital.nhs.uk/CodeSystem/Interweave-NICIP
subject	SΣ	1..1	Reference(Patient)	The individual or entity the service is ordered for. ele-1: All FHIR elements must have a @value or children
identifier	Σ	0..1	NHSNumber	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
encounter	SΣ	0..1	Reference(Encounter)	A reference identifier to the episode/stay/visit number in which the request was created. (HL7 v2 PV1-19) ele-1: All FHIR elements must have a @value or children
identifier	SOΣ	0..1	VisitNumber	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Order Filler SHALL:populate-if-known Order Placer SHALL:populate-if-known Automation Manager
occurrence[x]	SΣ	0..1		When service should occur ele-1: All FHIR elements must have a @value or children
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
authoredOn	SΣ	1..1	dateTime	The date the request was signed. ele-1: All FHIR elements must have a @value or children
requester	SΣ	1..1	Reference(PractitionerRole)	Who / what is requesting the service ele-1: All FHIR elements must have a @value or children
performer	Σ	0..*	Reference(Organization)	Requested performer ele-1: All FHIR elements must have a @value or children
identifier	Σ	0..1	OrganisationCode	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
Slices for supportingInfo	S	0..*	Reference(Observation Panel | Observation | Diagnostic Report | DocumentReference)	Additional clinical information Slice: Unordered, Open by value:type ele-1: All FHIR elements must have a @value or children
supportingInfo:PriorResult	S	0..1	Reference(Diagnostic Report)	Equivalent of HL7 v2 OML_O21 PRIOR RESULT (as PDF) ele-1: All FHIR elements must have a @value or children
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). ele-1: All FHIR elements must have a @value or children Required Pattern: DiagnosticReport
identifier	SΣ	1..1	CorrelationIdentifier	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
supportingInfo:PatientSummary	S	0..1	Reference(DocumentReference)	Additional clinical information ele-1: All FHIR elements must have a @value or children
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). ele-1: All FHIR elements must have a @value or children Required Pattern: DocumentReference
note	S	0..*	Annotation	Comments ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
ServiceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent|4.0.1 from the FHIR Standard
ServiceRequest.category	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category from the FHIR Standard
ServiceRequest.category:genomicsWholeCaseSequencing	extensible	UKCoreGenomeSequencingCategory https://fhir.hl7.org.uk/ValueSet/UKCore-GenomeSequencingCategory
ServiceRequest.category:GenomicProcedure	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category from the FHIR Standard
ServiceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
ServiceRequest.code	preferred	UKCoreProcedureCode https://fhir.hl7.org.uk/ValueSet/UKCore-ProcedureCode
ServiceRequest.code.coding:GenomicTestDirectory	required	GenomicTestDirectory (a valid code from Genomic Test Directory) https://fhir.north-west.england.nhs.uk/ValueSet/genomic-test-directory from this IG
ServiceRequest.code.coding:PathologyAndLaboratoryMedicine	required	UKCorePathologyAndLaboratoryMedicineObservables https://fhir.hl7.org.uk/ValueSet/UKCore-PathologyAndLaboratoryMedicineObservables
ServiceRequest.code.coding:NICIP	required	https://fhir.interweavedigital.nhs.uk/R4/ValueSet/Interweave-NICIP https://fhir.interweavedigital.nhs.uk/R4/ValueSet/Interweave-NICIP
ServiceRequest.supportingInfo:PriorResult.type	extensible	Pattern: DiagnosticReport http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
ServiceRequest.supportingInfo:PatientSummary.type	extensible	Pattern: DocumentReference http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	UKCoreServiceRequest	A request for a service to be performed prr-1: orderDetail SHALL only be present if code is present
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:sourceOfServiceRequest	N	0..1	CodeableConcept	Describes the source of the Service Request. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-SourceOfServiceRequest Binding: UK Core Source Of Service Request (preferred): A set of codes that describe the source of the service request.
extension:additionalContact		0..*	Reference(Organization | Practitioner | PractitionerRole)	Do not use, not supported. Use PractitionerRole instead. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AdditionalContact
extension:coverage	N	0..1	CodeableConcept	Supports the exchange of information describing the method of funding for the Service Request. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage Binding: UK Core Funding Category (extensible): A set of codes that define the funding category for a service request.
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	CorrelationIdentifier	Identifiers assigned to this order Slice: Unordered, Open by value:type
identifier:placerOrderNumber	SOΣ	0..1	PlacerOrderNumber	Identifier assigned by the Order Placer. (HL7 v2 ORC-2/OBR-2 Placer Order Number) Obligations Actor SHOULD:populate-if-known Order Filler SHALL:populate Order Placer SHOULD:populate-if-known Automation Manager
identifier:fillerOrderNumber	SOΣ	0..1	FillerOrderNumber	Identifier assigned by the lab (Order Filler) Obligations Actor SHALL:populate Order Filler SHOULD:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
instantiatesCanonical	Σ	0..*	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	SΣ	0..*	Reference(ServiceRequest)	SHALL reference a parent request where this ServiceRequest is based on a previous request, e.g. in the case of reanalysis and cascade testing, or Germline Late tests in the Tumour First/Germline Late scenario
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	CorrelationIdentifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
replaces	Σ	0..*	Reference(ServiceRequest)	What request replaces
requisition	OΣ	0..1	PlacerGroupNumber	Identifier assigned by the Order Placer. (HL7 v2 ORC-4 Placer Group Number) Obligations Actor SHOULD:populate-if-known Order Filler SHALL:populate Order Placer SHOULD:populate-if-known Automation Manager
status	?!SΣ	1..1	code	The status of the order. Binding: RequestStatus (required): The status of a service order.
intent	?!SΣ	1..1	code	Whether the request is a proposal, plan, an original order or a reflex order. Binding: RequestIntent (required): The kind of service request.
Slices for category	SΣ	1..*	CodeableConcept	A code that classifies the service for searching, sorting and display purposes. Slice: Unordered, Open by value:coding.system Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:genomicsWholeCaseSequencing	SΣ	0..1	CodeableConcept	Classification of Genomics service Binding: UK Core Genome Sequencing Category (extensible): Classification of the requested service.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: https://fhir.hl7.org.uk/CodeSystem/UKCore-GenomeSequencingCategory
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
category:GenomicProcedure	SΣ	1..1	CodeableConcept	A code that classifies the service for searching, sorting and display purposes. Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Required Pattern: 116148004
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
priority	SΣ	0..1	code	Indicates how quickly the ServiceRequest should be addressed with respect to other requests. Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:priorityReason	N	0..*	CodeableConcept	Supports the underlying reason why a Service Request is urgent. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-PriorityReason Binding: UK Core Service Request Reason Code (preferred): A set of codes that define the reason why a service request is urgent.
value		0..1	string	Primitive value for code
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	SΣ	1..1	CodeableConcept	ISSUE. See [National Genomic Test Directory](https://www.england.nhs.uk/wp-content/uploads/2018/08/rare-and-inherited-disease-eligibility-criteria-v2.pdf). Binding: UK Core Procedure Code (preferred): A set of codes that define a procedure or a procedure with explicit context. Selected from the SNOMED CT UK coding system.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:GenomicTestDirectory	SΣ	0..1	Coding	Use for Genomics Orders Binding: Genomic Test Directory (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:PathologyAndLaboratoryMedicine	Σ	0..1	Coding	Use for Pathology and Laboratory Orders Binding: UK Core Pathology And Laboratory Medicine Observables (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:NICIP	Σ	0..1	Coding	Use for Radiology Orders Binding: https://fhir.interweavedigital.nhs.uk/R4/ValueSet/Interweave-NICIP (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.interweavedigital.nhs.uk/CodeSystem/Interweave-NICIP
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
orderDetail	ΣC	0..*	CodeableConcept	Additional order information Binding: UK Core Procedure Code (preferred): Codified order entry details which are based on order context.
quantity[x]	Σ	0..1		Service amount
quantityQuantity			Quantity
quantityRatio			Ratio
quantityRange			Range
subject	SΣ	1..1	Reference(Patient)	The individual or entity the service is ordered for.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	NHSNumber	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	SΣ	0..1	Reference(Encounter)	A reference identifier to the episode/stay/visit number in which the request was created. (HL7 v2 PV1-19)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SOΣ	0..1	VisitNumber	Logical reference, when literal reference is not known Obligations Actor SHALL:populate-if-known Order Filler SHALL:populate-if-known Order Placer SHALL:populate-if-known Automation Manager
display	Σ	0..1	string	Text alternative for the resource
occurrence[x]	SΣ	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	SΣ	1..1	dateTime	The date the request was signed.
requester	SΣ	1..1	Reference(PractitionerRole)	Who / what is requesting the service
performerType	Σ	0..1	CodeableConcept	Performer role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
performer	Σ	0..*	Reference(Organization)	Requested performer
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	OrganisationCode	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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: UK Core Service Request Reason Code (preferred): A set of codes that define a reason for a service request.
reasonReference	Σ	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Explanation/Justification for service or service
insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
Slices for supportingInfo	S	0..*	Reference(Observation Panel | Observation | Diagnostic Report | DocumentReference)	Additional clinical information Slice: Unordered, Open by value:type
supportingInfo:PriorResult	S	0..1	Reference(Diagnostic Report)	Equivalent of HL7 v2 OML_O21 PRIOR RESULT (as PDF)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: DiagnosticReport
identifier	SΣ	1..1	CorrelationIdentifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
supportingInfo:PatientSummary	S	0..1	Reference(DocumentReference)	Additional clinical information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: DocumentReference
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
specimen	Σ	0..*	Reference(Specimen)	Procedure Samples
bodySite	Σ	0..*	CodeableConcept	Location on Body Binding: SNOMEDCTBodyStructures (preferred): Codes describing anatomical locations. May include laterality.
note	S	0..*	Annotation	Comments
patientInstruction	Σ	0..1	string	Patient or consumer-oriented instructions
relevantHistory		0..*	Reference(Provenance)	Request provenance
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ServiceRequest.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
ServiceRequest.basedOn.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
ServiceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent|4.0.1 from the FHIR Standard
ServiceRequest.category	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category from the FHIR Standard
ServiceRequest.category:genomicsWholeCaseSequencing	extensible	UKCoreGenomeSequencingCategory https://fhir.hl7.org.uk/ValueSet/UKCore-GenomeSequencingCategory
ServiceRequest.category:GenomicProcedure	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category from the FHIR Standard
ServiceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
ServiceRequest.code	preferred	UKCoreProcedureCode https://fhir.hl7.org.uk/ValueSet/UKCore-ProcedureCode
ServiceRequest.code.coding:GenomicTestDirectory	required	GenomicTestDirectory (a valid code from Genomic Test Directory) https://fhir.north-west.england.nhs.uk/ValueSet/genomic-test-directory from this IG
ServiceRequest.code.coding:PathologyAndLaboratoryMedicine	required	UKCorePathologyAndLaboratoryMedicineObservables https://fhir.hl7.org.uk/ValueSet/UKCore-PathologyAndLaboratoryMedicineObservables
ServiceRequest.code.coding:NICIP	required	https://fhir.interweavedigital.nhs.uk/R4/ValueSet/Interweave-NICIP https://fhir.interweavedigital.nhs.uk/R4/ValueSet/Interweave-NICIP
ServiceRequest.orderDetail	preferred	UKCoreProcedureCode https://fhir.hl7.org.uk/ValueSet/UKCore-ProcedureCode
ServiceRequest.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
ServiceRequest.encounter.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
ServiceRequest.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
ServiceRequest.performerType	example	ParticipantRoles http://hl7.org/fhir/ValueSet/participant-role from the FHIR Standard
ServiceRequest.performer.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
ServiceRequest.locationCode	example	ServiceDeliveryLocationRoleType http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reasonCode	preferred	UKCoreServiceRequestReasonCode https://fhir.hl7.org.uk/ValueSet/UKCore-ServiceRequestReasonCode
ServiceRequest.supportingInfo:PriorResult.type	extensible	Pattern: DiagnosticReport http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
ServiceRequest.supportingInfo:PatientSummary.type	extensible	Pattern: DocumentReference http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
ServiceRequest.bodySite	preferred	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard

This structure is derived from UKCoreServiceRequest

Summary

Mandatory: 7 elements(7 nested mandatory elements)
Must-Support: 15 elements

Structures

This structure refers to these other structures:

• Correlation Identifier (https://fhir.north-west.england.nhs.uk/StructureDefinition/CorrelationIdentifier)
• Placer Order Number (https://fhir.north-west.england.nhs.uk/StructureDefinition/PlacerOrderNumber)
• Filler Order Number (https://fhir.north-west.england.nhs.uk/StructureDefinition/FillerOrderNumber)
• ServiceRequest (https://fhir.north-west.england.nhs.uk/StructureDefinition/ServiceRequest)
• Placer Group Number (https://fhir.north-west.england.nhs.uk/StructureDefinition/PlacerGroupNumber)
• Patient (https://fhir.north-west.england.nhs.uk/StructureDefinition/Patient)
• NHS Number (https://fhir.north-west.england.nhs.uk/StructureDefinition/NHSNumber)
• Encounter (https://fhir.north-west.england.nhs.uk/StructureDefinition/Encounter)
• Visit Number (https://fhir.north-west.england.nhs.uk/StructureDefinition/VisitNumber)
• PractitionerRole (https://fhir.north-west.england.nhs.uk/StructureDefinition/PractitionerRole)
• Organization (https://fhir.north-west.england.nhs.uk/StructureDefinition/Organization)
• Organisation Code (https://fhir.north-west.england.nhs.uk/StructureDefinition/OrganisationCode)
• Observation Panel (https://fhir.north-west.england.nhs.uk/StructureDefinition/Observation-Panel)
• Observation (https://fhir.north-west.england.nhs.uk/StructureDefinition/Observation)
• Diagnostic Report (https://fhir.north-west.england.nhs.uk/StructureDefinition/DiagnosticReport)
• DocumentReference (https://fhir.north-west.england.nhs.uk/StructureDefinition/DocumentReference)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of ServiceRequest.identifier
• The element 1 is sliced based on the value of ServiceRequest.category
• The element 1 is sliced based on the value of ServiceRequest.code.coding
• The element 1 is sliced based on the value of ServiceRequest.supportingInfo