1.7.1 - release

SHINNYHRSN - Local Development build (v1.7.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: SHINNY SDOH Service Request

Official URL: http://test.shinny.org/us/ny/hrsn/StructureDefinition/SHINNYSDOHServiceRequest | Version: 1.7.1
Active as of 2025-12-09 | Computable Name: SHINNYSDOHServiceRequest

- SHINNY HRSN: Needed for Referrals. Include in Service Request and Task bundles.
- Profiled off of the SDOHCC Service Request: Profile for service requests that address Social Determinants of Health.

Usages:

- Examples for this Profile: ServiceRequest/ServiceRequestActiveExample and ServiceRequest/ServiceRequestCompleteExample

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | SDOHCCServiceRequest | A request for a service to address an SDOH condition, observation or goal. Constraints: prr-1
id | S Σ | 1..1 | id | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
meta | S Σ | 1..1 | SHINNYMeta | 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: SHINNYLanguageVS (preferred)
Slices for extension |  |  |  | Content/Rules for all slices
extension:pertainsToGoal | S | 0..* | (Complex) | Pertains to SDOH goal URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal"
value[x] | S | 1..1 | Reference(SDOHCC Goal) | Value of extension
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for basedOn | Σ | 0..* | Reference(CarePlan | ServiceRequest) | What request fulfills Slice: Unordered, Open by profile:resolve()
basedOn:SupportedBasedOn | S Σ | 0..* | Reference(SDOHCC ServiceRequest) | What request fulfills
status | ?!S Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent | ?!S Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request.
Slices for category | Σ | 1..* | CodeableConcept | Classification of service Slice: Unordered, Open by value:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:SDOH | S Σ | 1..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.
priority | S Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed
code | S Σ | 1..1 | CodeableConcept | What is being requested/ordered. Binding: US Core Procedure Codes (required): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service.
Additional Bindings | Purpose | Usage
Digital Access Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = digital-access
Digital Literacy Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = digital-literacy
Less Than High School Education Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = educational-attainment
Elder Abuse Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = elder-abuse
Unemployment Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = employment-status
Financial Insecurity Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = financial-insecurity
Food Insecurity Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = food-insecurity
Health Insurance Coverage Status Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = health-insurance-coverage-status
Homelessness Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = homelessness
Housing Instability Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = housing-instability
Inadequate Housing Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = inadequate-housing
Intimate Partner Violence Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = intimate-partner-violence
Material Hardship Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = material-hardship
Medical Cost Burden Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = medical-cost-burden
Health Literacy Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = personal-health-literacy
Social Connection Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = social-connection
Stress Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = stress
Transportation Insecurity Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = transportation-insecurity
Utility Insecurity Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = utility-insecurity
Veteran Status Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = veteran-status
US Core Procedure Codes | Required | SDOHCCServiceRequest#`ServiceRequest.category` = sdoh-category-unspecified
Slices for orderDetail | Σ C | 0..* | CodeableConcept | Additional order information Slice: Unordered, Open by pattern:coding Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
orderDetail:SubjectContactDetail | S Σ C | 0..1 | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context. 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://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: contacting-subject-prohibited
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
subject | S Σ | 1..1 | Reference(Group | US Core Patient Profile | US Core Location Profile) | Individual or Entity the service is ordered for
encounter | S Σ | 1..1 | Reference(Encounter) | Encounter in which the request was created
occurrence[x] | S Σ | 0..1 |  | When service should occur
occurrenceDateTime |  |  | dateTime |
occurrencePeriod |  |  | Period |
occurrenceTiming |  |  | Timing |
authoredOn | S Σ | 0..1 | dateTime | Date request signed
requester | S Σ | 1..1 | Reference(RelatedPerson | Device | US Core PractitionerRole Profile | US Core Practitioner Profile | US Core Patient Profile | US Core Organization Profile) | Who/what is requesting service
performer | S Σ | 0..* | Reference(HealthcareService | Device | RelatedPerson | US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile | US Core CareTeam Profile) | Requested performer
Slices for reasonReference | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service Slice: Unordered, Open by profile:resolve()
reasonReference:SupportedReasonReference | S Σ | 0..* | Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Explanation/Justification for service or service
Slices for supportingInfo |  | 0..* | Reference(Resource) | Additional clinical information Slice: Unordered, Open by profile:resolve()
supportingInfo:SupportedSupportingInfo | S | 0..* | Reference(SDOHCC Consent) | Additional clinical information
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
ServiceRequest.language | preferred | SHINNYLanguageVS `http://test.shinny.org/us/ny/hrsn/ValueSet/SHINNYLanguageVS` From this IG
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:SDOH | required | SDOHCCValueSetSDOHCategory `http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategory`
ServiceRequest.priority | required | RequestPriority `http://hl7.org/fhir/ValueSet/request-priority|4.0.1` From the FHIR Standard
ServiceRequest.code | required | USCoreProcedureCodes `http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code`
ServiceRequest.orderDetail | example | ServiceRequestOrderDetailsCodes `http://hl7.org/fhir/ValueSet/servicerequest-orderdetail` From the FHIR Standard
ServiceRequest.orderDetail:SubjectContactDetail | example | Pattern Value: contacting-subject-prohibited `http://hl7.org/fhir/ValueSet/servicerequest-orderdetail` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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 SDOHCCServiceRequest

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest |  | 0..* | SDOHCCServiceRequest | A request for a service to address an SDOH condition, observation or goal.
id | S | 1..1 | id | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
meta | S | 1..1 | SHINNYMeta | Metadata about the resource
language |  | 0..1 | code | Language of the resource content Binding: SHINNYLanguageVS (preferred)
category |  | 1..* | CodeableConcept | Classification of service
Slices for category |  |  |  | Content/Rules for all slices
category:SDOH |  | 1..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity
encounter | S | 1..1 | Reference(Encounter) | Encounter in which the request was created
requester |  | 1..1 | Reference(RelatedPerson | Device | US Core PractitionerRole Profile | US Core Practitioner Profile | US Core Patient Profile | US Core Organization Profile) | Who/what is requesting service
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
ServiceRequest.language | preferred | SHINNYLanguageVS `http://test.shinny.org/us/ny/hrsn/ValueSet/SHINNYLanguageVS` From this IG

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | SDOHCCServiceRequest | A request for a service to address an SDOH condition, observation or goal. Constraints: prr-1
id | S Σ | 1..1 | id | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
meta | S Σ | 1..1 | SHINNYMeta | 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: SHINNYLanguageVS (preferred)
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
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:pertainsToGoal | S | 0..* | (Complex) | Pertains to SDOH goal URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal"
value[x] | S | 1..1 | Reference(SDOHCC Goal) | Value of extension
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Identifiers assigned to this order
instantiatesCanonical | Σ | 0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition
Slices for basedOn | Σ | 0..* | Reference(CarePlan | ServiceRequest) | What request fulfills Slice: Unordered, Open by profile:resolve()
basedOn:SupportedBasedOn | S Σ | 0..* | Reference(SDOHCC ServiceRequest) | What request fulfills
replaces | Σ | 0..* | Reference(ServiceRequest) | What request replaces
requisition | Σ | 0..1 | Identifier | Composite Request ID
status | ?!S Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent | ?!S Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request.
Slices for category | Σ | 1..* | CodeableConcept | Classification of service Slice: Unordered, Open by value:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:SDOH | S Σ | 1..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.
priority | S Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed
code | S Σ | 1..1 | CodeableConcept | What is being requested/ordered. Binding: US Core Procedure Codes (required): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service.
Additional Bindings | Purpose | Usage
Digital Access Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = digital-access
Digital Literacy Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = digital-literacy
Less Than High School Education Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = educational-attainment
Elder Abuse Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = elder-abuse
Unemployment Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = employment-status
Financial Insecurity Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = financial-insecurity
Food Insecurity Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = food-insecurity
Health Insurance Coverage Status Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = health-insurance-coverage-status
Homelessness Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = homelessness
Housing Instability Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = housing-instability
Inadequate Housing Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = inadequate-housing
Intimate Partner Violence Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = intimate-partner-violence
Material Hardship Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = material-hardship
Medical Cost Burden Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = medical-cost-burden
Health Literacy Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = personal-health-literacy
Social Connection Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = social-connection
Stress Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = stress
Transportation Insecurity Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = transportation-insecurity
Utility Insecurity Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = utility-insecurity
Veteran Status Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = veteran-status
US Core Procedure Codes | Required | SDOHCCServiceRequest#`ServiceRequest.category` = sdoh-category-unspecified
Slices for orderDetail | Σ C | 0..* | CodeableConcept | Additional order information Slice: Unordered, Open by pattern:coding Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
orderDetail:SubjectContactDetail | S Σ C | 0..1 | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context. 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://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: contacting-subject-prohibited
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
quantity[x] | Σ | 0..1 |  | Service amount
quantityQuantity |  |  | Quantity |
quantityRatio |  |  | Ratio |
quantityRange |  |  | Range |
subject | S Σ | 1..1 | Reference(Group | US Core Patient Profile | US Core Location Profile) | Individual or Entity the service is ordered for
encounter | S Σ | 1..1 | Reference(Encounter) | Encounter in which the request was created
occurrence[x] | S Σ | 0..1 |  | When service should occur
occurrenceDateTime |  |  | dateTime |
occurrencePeriod |  |  | Period |
occurrenceTiming |  |  | Timing |
asNeeded[x] | Σ | 0..1 |  | Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
asNeededBoolean |  |  | boolean |
asNeededCodeableConcept |  |  | CodeableConcept |
authoredOn | S Σ | 0..1 | dateTime | Date request signed
requester | S Σ | 1..1 | Reference(RelatedPerson | Device | US Core PractitionerRole Profile | US Core Practitioner Profile | US Core Patient Profile | US Core Organization Profile) | Who/what is requesting service
performerType | Σ | 0..1 | CodeableConcept | Performer role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
performer | S Σ | 0..* | Reference(HealthcareService | Device | RelatedPerson | US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile | US Core CareTeam Profile) | Requested performer
locationCode | Σ | 0..* | CodeableConcept | Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
locationReference | Σ | 0..* | Reference(Location) | Requested location
reasonCode | Σ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
Slices for reasonReference | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service Slice: Unordered, Open by profile:resolve()
reasonReference:SupportedReasonReference | S Σ | 0..* | Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Explanation/Justification for service or service
insurance |  | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage
Slices for supportingInfo |  | 0..* | Reference(Resource) | Additional clinical information Slice: Unordered, Open by profile:resolve()
supportingInfo:SupportedSupportingInfo | S | 0..* | Reference(SDOHCC Consent) | Additional clinical information
note |  | 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 | SHINNYLanguageVS `http://test.shinny.org/us/ny/hrsn/ValueSet/SHINNYLanguageVS` From this IG
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:SDOH | required | SDOHCCValueSetSDOHCategory `http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategory`
ServiceRequest.priority | required | RequestPriority `http://hl7.org/fhir/ValueSet/request-priority|4.0.1` From the FHIR Standard
ServiceRequest.code | required | USCoreProcedureCodes `http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code`
ServiceRequest.orderDetail | example | ServiceRequestOrderDetailsCodes `http://hl7.org/fhir/ValueSet/servicerequest-orderdetail` From the FHIR Standard
ServiceRequest.orderDetail:SubjectContactDetail | example | Pattern Value: contacting-subject-prohibited `http://hl7.org/fhir/ValueSet/servicerequest-orderdetail` 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.locationCode | example | ServiceDeliveryLocationRoleType `http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType`
ServiceRequest.reasonCode | example | ProcedureReasonCodes `http://hl7.org/fhir/ValueSet/procedure-reason` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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 SDOHCCServiceRequest

Summary

Mandatory: 6 elements
Must-Support: 3 elements

Structures

This structure refers to these other structures:

- SHINNYMeta (http://test.shinny.org/us/ny/hrsn/StructureDefinition/SHINNYMeta)

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | SDOHCCServiceRequest | A request for a service to address an SDOH condition, observation or goal. Constraints: prr-1
id | S Σ | 1..1 | id | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
meta | S Σ | 1..1 | SHINNYMeta | 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: SHINNYLanguageVS (preferred)
Slices for extension |  |  |  | Content/Rules for all slices
extension:pertainsToGoal | S | 0..* | (Complex) | Pertains to SDOH goal URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal"
value[x] | S | 1..1 | Reference(SDOHCC Goal) | Value of extension
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for basedOn | Σ | 0..* | Reference(CarePlan | ServiceRequest) | What request fulfills Slice: Unordered, Open by profile:resolve()
basedOn:SupportedBasedOn | S Σ | 0..* | Reference(SDOHCC ServiceRequest) | What request fulfills
status | ?!S Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent | ?!S Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request.
Slices for category | Σ | 1..* | CodeableConcept | Classification of service Slice: Unordered, Open by value:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:SDOH | S Σ | 1..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.
priority | S Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed
code | S Σ | 1..1 | CodeableConcept | What is being requested/ordered. Binding: US Core Procedure Codes (required): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service.
Additional Bindings | Purpose | Usage
Digital Access Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = digital-access
Digital Literacy Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = digital-literacy
Less Than High School Education Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = educational-attainment
Elder Abuse Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = elder-abuse
Unemployment Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = employment-status
Financial Insecurity Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = financial-insecurity
Food Insecurity Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = food-insecurity
Health Insurance Coverage Status Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = health-insurance-coverage-status
Homelessness Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = homelessness
Housing Instability Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = housing-instability
Inadequate Housing Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = inadequate-housing
Intimate Partner Violence Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = intimate-partner-violence
Material Hardship Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = material-hardship
Medical Cost Burden Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = medical-cost-burden
Health Literacy Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = personal-health-literacy
Social Connection Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = social-connection
Stress Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = stress
Transportation Insecurity Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = transportation-insecurity
Utility Insecurity Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = utility-insecurity
Veteran Status Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = veteran-status
US Core Procedure Codes | Required | SDOHCCServiceRequest#`ServiceRequest.category` = sdoh-category-unspecified
Slices for orderDetail | Σ C | 0..* | CodeableConcept | Additional order information Slice: Unordered, Open by pattern:coding Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
orderDetail:SubjectContactDetail | S Σ C | 0..1 | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context. 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://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: contacting-subject-prohibited
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
subject | S Σ | 1..1 | Reference(Group | US Core Patient Profile | US Core Location Profile) | Individual or Entity the service is ordered for
encounter | S Σ | 1..1 | Reference(Encounter) | Encounter in which the request was created
occurrence[x] | S Σ | 0..1 |  | When service should occur
occurrenceDateTime |  |  | dateTime |
occurrencePeriod |  |  | Period |
occurrenceTiming |  |  | Timing |
authoredOn | S Σ | 0..1 | dateTime | Date request signed
requester | S Σ | 1..1 | Reference(RelatedPerson | Device | US Core PractitionerRole Profile | US Core Practitioner Profile | US Core Patient Profile | US Core Organization Profile) | Who/what is requesting service
performer | S Σ | 0..* | Reference(HealthcareService | Device | RelatedPerson | US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile | US Core CareTeam Profile) | Requested performer
Slices for reasonReference | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service Slice: Unordered, Open by profile:resolve()
reasonReference:SupportedReasonReference | S Σ | 0..* | Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Explanation/Justification for service or service
Slices for supportingInfo |  | 0..* | Reference(Resource) | Additional clinical information Slice: Unordered, Open by profile:resolve()
supportingInfo:SupportedSupportingInfo | S | 0..* | Reference(SDOHCC Consent) | Additional clinical information
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
ServiceRequest.language | preferred | SHINNYLanguageVS `http://test.shinny.org/us/ny/hrsn/ValueSet/SHINNYLanguageVS` From this IG
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:SDOH | required | SDOHCCValueSetSDOHCategory `http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategory`
ServiceRequest.priority | required | RequestPriority `http://hl7.org/fhir/ValueSet/request-priority|4.0.1` From the FHIR Standard
ServiceRequest.code | required | USCoreProcedureCodes `http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code`
ServiceRequest.orderDetail | example | ServiceRequestOrderDetailsCodes `http://hl7.org/fhir/ValueSet/servicerequest-orderdetail` From the FHIR Standard
ServiceRequest.orderDetail:SubjectContactDetail | example | Pattern Value: contacting-subject-prohibited `http://hl7.org/fhir/ValueSet/servicerequest-orderdetail` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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 SDOHCCServiceRequest

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest |  | 0..* | SDOHCCServiceRequest | A request for a service to address an SDOH condition, observation or goal.
id | S | 1..1 | id | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
meta | S | 1..1 | SHINNYMeta | Metadata about the resource
language |  | 0..1 | code | Language of the resource content Binding: SHINNYLanguageVS (preferred)
category |  | 1..* | CodeableConcept | Classification of service
Slices for category |  |  |  | Content/Rules for all slices
category:SDOH |  | 1..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity
encounter | S | 1..1 | Reference(Encounter) | Encounter in which the request was created
requester |  | 1..1 | Reference(RelatedPerson | Device | US Core PractitionerRole Profile | US Core Practitioner Profile | US Core Patient Profile | US Core Organization Profile) | Who/what is requesting service
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
ServiceRequest.language | preferred | SHINNYLanguageVS `http://test.shinny.org/us/ny/hrsn/ValueSet/SHINNYLanguageVS` From this IG

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | SDOHCCServiceRequest | A request for a service to address an SDOH condition, observation or goal. Constraints: prr-1
id | S Σ | 1..1 | id | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
meta | S Σ | 1..1 | SHINNYMeta | 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: SHINNYLanguageVS (preferred)
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
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:pertainsToGoal | S | 0..* | (Complex) | Pertains to SDOH goal URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal"
value[x] | S | 1..1 | Reference(SDOHCC Goal) | Value of extension
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Identifiers assigned to this order
instantiatesCanonical | Σ | 0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition
Slices for basedOn | Σ | 0..* | Reference(CarePlan | ServiceRequest) | What request fulfills Slice: Unordered, Open by profile:resolve()
basedOn:SupportedBasedOn | S Σ | 0..* | Reference(SDOHCC ServiceRequest) | What request fulfills
replaces | Σ | 0..* | Reference(ServiceRequest) | What request replaces
requisition | Σ | 0..1 | Identifier | Composite Request ID
status | ?!S Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent | ?!S Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request.
Slices for category | Σ | 1..* | CodeableConcept | Classification of service Slice: Unordered, Open by value:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:SDOH | S Σ | 1..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.
priority | S Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed
code | S Σ | 1..1 | CodeableConcept | What is being requested/ordered. Binding: US Core Procedure Codes (required): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service.
Additional Bindings | Purpose | Usage
Digital Access Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = digital-access
Digital Literacy Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = digital-literacy
Less Than High School Education Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = educational-attainment
Elder Abuse Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = elder-abuse
Unemployment Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = employment-status
Financial Insecurity Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = financial-insecurity
Food Insecurity Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = food-insecurity
Health Insurance Coverage Status Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = health-insurance-coverage-status
Homelessness Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = homelessness
Housing Instability Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = housing-instability
Inadequate Housing Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = inadequate-housing
Intimate Partner Violence Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = intimate-partner-violence
Material Hardship Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = material-hardship
Medical Cost Burden Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = medical-cost-burden
Health Literacy Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = personal-health-literacy
Social Connection Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = social-connection
Stress Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = stress
Transportation Insecurity Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = transportation-insecurity
Utility Insecurity Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = utility-insecurity
Veteran Status Service Requests | Extensible | SDOHCCServiceRequest#`ServiceRequest.category` = veteran-status
US Core Procedure Codes | Required | SDOHCCServiceRequest#`ServiceRequest.category` = sdoh-category-unspecified
Slices for orderDetail | Σ C | 0..* | CodeableConcept | Additional order information Slice: Unordered, Open by pattern:coding Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
orderDetail:SubjectContactDetail | S Σ C | 0..1 | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context. 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://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: contacting-subject-prohibited
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
quantity[x] | Σ | 0..1 |  | Service amount
quantityQuantity |  |  | Quantity |
quantityRatio |  |  | Ratio |
quantityRange |  |  | Range |
subject | S Σ | 1..1 | Reference(Group | US Core Patient Profile | US Core Location Profile) | Individual or Entity the service is ordered for
encounter | S Σ | 1..1 | Reference(Encounter) | Encounter in which the request was created
occurrence[x] | S Σ | 0..1 |  | When service should occur
occurrenceDateTime |  |  | dateTime |
occurrencePeriod |  |  | Period |
occurrenceTiming |  |  | Timing |
asNeeded[x] | Σ | 0..1 |  | Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
asNeededBoolean |  |  | boolean |
asNeededCodeableConcept |  |  | CodeableConcept |
authoredOn | S Σ | 0..1 | dateTime | Date request signed
requester | S Σ | 1..1 | Reference(RelatedPerson | Device | US Core PractitionerRole Profile | US Core Practitioner Profile | US Core Patient Profile | US Core Organization Profile) | Who/what is requesting service
performerType | Σ | 0..1 | CodeableConcept | Performer role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
performer | S Σ | 0..* | Reference(HealthcareService | Device | RelatedPerson | US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile | US Core CareTeam Profile) | Requested performer
locationCode | Σ | 0..* | CodeableConcept | Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
locationReference | Σ | 0..* | Reference(Location) | Requested location
reasonCode | Σ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
Slices for reasonReference | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service Slice: Unordered, Open by profile:resolve()
reasonReference:SupportedReasonReference | S Σ | 0..* | Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Explanation/Justification for service or service
insurance |  | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage
Slices for supportingInfo |  | 0..* | Reference(Resource) | Additional clinical information Slice: Unordered, Open by profile:resolve()
supportingInfo:SupportedSupportingInfo | S | 0..* | Reference(SDOHCC Consent) | Additional clinical information
note |  | 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 | SHINNYLanguageVS `http://test.shinny.org/us/ny/hrsn/ValueSet/SHINNYLanguageVS` From this IG
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:SDOH | required | SDOHCCValueSetSDOHCategory `http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategory`
ServiceRequest.priority | required | RequestPriority `http://hl7.org/fhir/ValueSet/request-priority|4.0.1` From the FHIR Standard
ServiceRequest.code | required | USCoreProcedureCodes `http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code`
ServiceRequest.orderDetail | example | ServiceRequestOrderDetailsCodes `http://hl7.org/fhir/ValueSet/servicerequest-orderdetail` From the FHIR Standard
ServiceRequest.orderDetail:SubjectContactDetail | example | Pattern Value: contacting-subject-prohibited `http://hl7.org/fhir/ValueSet/servicerequest-orderdetail` 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.locationCode | example | ServiceDeliveryLocationRoleType `http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType`
ServiceRequest.reasonCode | example | ProcedureReasonCodes `http://hl7.org/fhir/ValueSet/procedure-reason` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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 SDOHCCServiceRequest

Summary

Mandatory: 6 elements
Must-Support: 3 elements

Structures

This structure refers to these other structures:

- SHINNYMeta (http://test.shinny.org/us/ny/hrsn/StructureDefinition/SHINNYMeta)

Other representations of profile: CSV, Excel, Schematron