Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	UKCoreServiceRequest	A request for a service to be performed Constraints: prr-1
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
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.
extension:additionalContact		0..*	Reference(Organization | Practitioner | PractitionerRole)	Do not use, not supported. Use CareTeam 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	0..*	CorrelationIdentifier	Identifiers assigned to this order Slice: Unordered, Open by value:type
identifier:OriginatingReferralIdentifier	SOΣ	0..1	OriginatingReferralIdentifier	Identifier assigned by the Referrer. (HL7 v2 RF1-6 Originating Referral Identifier) Obligations Actor SHOULD:populate-if-known Referral Recipient SHALL:populate Referral Initiator
basedOn	SΣ	0..*	Reference(ServiceRequest)	What the service request fulfils.
identifier	Σ	0..1	CorrelationIdentifier	Logical reference, when literal reference is not known
requisition	SOΣ	0..1	UniqueBookingReferenceNumber	Identifier assigned by the Referral Booking Service. Obligations Actor SHOULD:populate-if-known Referral Recipient SHALL:populate Referral Initiator
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:PatientReferral	SΣ	1..1	CodeableConcept	A code that classifies the service for searching, sorting and display purposes. Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
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.
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.
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	SΣ	1..1	CodeableConcept	What is being requested/ordered. (HL7 v2 RF1-3 Referral Type) 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.
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:PatientReferralSCT	SΣ	1..1	Coding	Patient Referral Type UK SNOMED CT Binding: Patient Referral (extensible)
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
subject	SΣ	1..1	Reference(Patient)	The individual or entity the service is ordered for.
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	NHSNumber	Logical reference, when literal reference is not known
encounter	SΣ	0..1	Reference(Encounter)	Encounter in which the request was created
identifier	OΣ	0..1	VisitNumber	Episode or Stay ID (HL7 v2 PV1-19 Visit Number) Obligations Actor SHALL:populate-if-known Referral Initiator SHALL:populate-if-known Referral Recipient
Slices for occurrence[x]	Σ	0..1		When service should occur Slice: Unordered, Open by type:$this
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
occurrence[x]:occurrencePeriod	SΣ	0..1	Period	When service should occur
authoredOn	SΣ	0..1	dateTime	The date the request was signed.
requester	SΣ	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Who / what is requesting the service
performerType	SΣ	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.
Slices for performer	SΣ	1..*	Reference(Practitioner | PractitionerRole | Organization | HealthcareService)	Requested performer Slice: Unordered, Open by value:type
performer:Clinician	SΣ	0..1	Reference(Practitioner)	Requested performer
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: Practitioner
identifier	SΣ	0..1	EnglandPractitionerIdentifier	Logical reference, when literal reference is not known
performer:Service	SΣ	0..1	Reference(HealthcareService)	Requested performer
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: HealthcareService
identifier	SΣ	0..1	EnglandServiceIdentifier	Logical reference, when literal reference is not known
Slices for supportingInfo	S	0..*	Reference(Observation Panel | Observation | DiagnosticReport | DocumentReference | Consent)	Additional clinical information Slice: Unordered, Open by value:type
supportingInfo:ReferralLetter	S	0..1	Reference(DocumentReference)	Additional clinical information
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
note	S	0..*	Annotation	Comments
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:PatientReferral	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:PatientReferralSCT	extensible	PatientReferral https://fhir.virtually.healthcare/ValueSet/PatientReferral From this IG
ServiceRequest.performerType	example	ParticipantRoles http://hl7.org/fhir/ValueSet/participant-role From the FHIR Standard
ServiceRequest.performer:Clinician.type	extensible	Pattern Value: Practitioner http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
ServiceRequest.performer:Service.type	extensible	Pattern Value: HealthcareService http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
ServiceRequest.supportingInfo:ReferralLetter.type	extensible	Pattern Value: DocumentReference http://hl7.org/fhir/ValueSet/resource-types 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()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest			UKCoreServiceRequest
Slices for extension				Content/Rules for all slices
extension:additionalContact		0..*	ExtensionUKCoreAdditionalContact	Do not use, not supported. Use CareTeam instead.
Slices for identifier	S	0..*	CorrelationIdentifier	Identifiers assigned to this order Slice: Unordered, Open by value:type
identifier:OriginatingReferralIdentifier	SO	0..1	OriginatingReferralIdentifier	Identifier assigned by the Referrer. (HL7 v2 RF1-6 Originating Referral Identifier) Obligations Actor SHOULD:populate-if-known Referral Recipient SHALL:populate Referral Initiator
basedOn		0..*	Reference(ServiceRequest)	What the service request fulfils.
identifier		0..1	CorrelationIdentifier	Logical reference, when literal reference is not known
requisition	SO	0..1	UniqueBookingReferenceNumber	Identifier assigned by the Referral Booking Service. Obligations Actor SHOULD:populate-if-known Referral Recipient SHALL:populate Referral Initiator
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		0..0
category:PatientReferral	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: 3457005
code		1..1	CodeableConcept	What is being requested/ordered. (HL7 v2 RF1-3 Referral Type)
Slices for coding	S	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:PatientReferralSCT	S	1..1	Coding	Patient Referral Type UK SNOMED CT Binding: Patient Referral (extensible)
system		1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
subject		1..1	Reference(Patient)	The individual or entity the service is ordered for.
reference	S	0..1	string	Literal reference, Relative, internal or absolute URL
identifier		0..1	NHSNumber	Logical reference, when literal reference is not known
encounter	S	0..1	Reference(Encounter)	Encounter in which the request was created
identifier	O	0..1	VisitNumber	Episode or Stay ID (HL7 v2 PV1-19 Visit Number) Obligations Actor SHALL:populate-if-known Referral Initiator SHALL:populate-if-known Referral Recipient
Slices for occurrence[x]		0..1	dateTime, Period, Timing	When service should occur Slice: Unordered, Open by type:$this
occurrence[x]:occurrencePeriod	S	0..1	Period	When service should occur
performerType	S	0..1	CodeableConcept	Performer role
Slices for performer	S	1..*	Reference(Practitioner | PractitionerRole | Organization | HealthcareService)	Requested performer Slice: Unordered, Open by value:type
performer:Clinician	S	0..1	Reference(Practitioner)	Requested performer
type		1..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: Practitioner
identifier	S	0..1	EnglandPractitionerIdentifier	Logical reference, when literal reference is not known
performer:Service	S	0..1	Reference(HealthcareService)	Requested performer
type		1..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: HealthcareService
identifier	S	0..1	EnglandServiceIdentifier	Logical reference, when literal reference is not known
Slices for supportingInfo	S	0..*	Reference(Observation Panel | Observation | DiagnosticReport | DocumentReference | Consent)	Additional clinical information Slice: Unordered, Open by value:type
supportingInfo:ReferralLetter	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:PatientReferralSCT	extensible	PatientReferral https://fhir.virtually.healthcare/ValueSet/PatientReferral From this IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	UKCoreServiceRequest	A request for a service to be performed Constraints: prr-1
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
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 CareTeam 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	0..*	CorrelationIdentifier	Identifiers assigned to this order Slice: Unordered, Open by value:type
identifier:OriginatingReferralIdentifier	SOΣ	0..1	OriginatingReferralIdentifier	Identifier assigned by the Referrer. (HL7 v2 RF1-6 Originating Referral Identifier) Obligations Actor SHOULD:populate-if-known Referral Recipient SHALL:populate Referral Initiator
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)	What the service request fulfils.
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	SOΣ	0..1	UniqueBookingReferenceNumber	Identifier assigned by the Referral Booking Service. Obligations Actor SHOULD:populate-if-known Referral Recipient SHALL:populate Referral Initiator
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:PatientReferral	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: 3457005
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	What is being requested/ordered. (HL7 v2 RF1-3 Referral Type) 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:PatientReferralSCT	SΣ	1..1	Coding	Patient Referral Type UK SNOMED CT Binding: Patient Referral (extensible)
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
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	SΣC	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)	Encounter in which the request was created
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	OΣ	0..1	VisitNumber	Episode or Stay ID (HL7 v2 PV1-19 Visit Number) Obligations Actor SHALL:populate-if-known Referral Initiator SHALL:populate-if-known Referral Recipient
display	Σ	0..1	string	Text alternative for the resource
Slices for occurrence[x]	Σ	0..1		When service should occur Slice: Unordered, Open by type:$this
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
occurrence[x]:occurrencePeriod	SΣ	0..1	Period	When service should occur
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	0..1	dateTime	The date the request was signed.
requester	SΣ	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Who / what is requesting the service
performerType	SΣ	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.
Slices for performer	SΣ	1..*	Reference(Practitioner | PractitionerRole | Organization | HealthcareService)	Requested performer Slice: Unordered, Open by value:type
performer:Clinician	SΣ	0..1	Reference(Practitioner)	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	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: Practitioner
identifier	SΣ	0..1	EnglandPractitionerIdentifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
performer:Service	SΣ	0..1	Reference(HealthcareService)	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	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: HealthcareService
identifier	SΣ	0..1	EnglandServiceIdentifier	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 | DiagnosticReport | DocumentReference | Consent)	Additional clinical information Slice: Unordered, Open by value:type
supportingInfo:ReferralLetter	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:PatientReferral	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:PatientReferralSCT	extensible	PatientReferral https://fhir.virtually.healthcare/ValueSet/PatientReferral From this IG
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:Clinician.type	extensible	Pattern Value: Practitioner http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
ServiceRequest.performer:Service.type	extensible	Pattern Value: HealthcareService 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:ReferralLetter.type	extensible	Pattern Value: 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

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()

Summary

Mandatory: 7 elements(4 nested mandatory elements)
Must-Support: 18 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

• Correlation Identifier (https://fhir.virtually.healthcare/StructureDefinition/CorrelationIdentifier)
• OriginatingReferralIdentifier (https://fhir.virtually.healthcare/StructureDefinition/OriginatingReferralIdentifier)
• ServiceRequest (https://fhir.virtually.healthcare/StructureDefinition/ServiceRequest)
• Unique Booking Reference Number (https://fhir.virtually.healthcare/StructureDefinition/UniqueBookingReferenceNumber)
• Patient (https://fhir.virtually.healthcare/StructureDefinition/Patient)
• NHS, HCSN and CHI Numbers (https://fhir.virtually.healthcare/StructureDefinition/NHSNumber)
• Encounter (https://fhir.virtually.healthcare/StructureDefinition/Encounter)
• Visit Number (https://fhir.virtually.healthcare/StructureDefinition/VisitNumber)
• Practitioner (https://fhir.virtually.healthcare/StructureDefinition/Practitioner)
• PractitionerRole (https://fhir.virtually.healthcare/StructureDefinition/PractitionerRole)
• Organization (https://fhir.virtually.healthcare/StructureDefinition/Organization)
• HealthcareService (https://fhir.virtually.healthcare/StructureDefinition/HealthcareService)
• England Practitioner Identifier (https://fhir.virtually.healthcare/StructureDefinition/EnglandPractitionerIdentifier)
• England Service Identifier (https://fhir.virtually.healthcare/StructureDefinition/EnglandServiceIdentifier)
• Observation Panel (https://fhir.virtually.healthcare/StructureDefinition/Observation-Panel)
• Observation (https://fhir.virtually.healthcare/StructureDefinition/Observation)
• DiagnosticReport (https://fhir.virtually.healthcare/StructureDefinition/DiagnosticReport)
• DocumentReference (https://fhir.virtually.healthcare/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.occurrence[x]
• The element 1 is sliced based on the value of ServiceRequest.performer
• The element 1 is sliced based on the value of ServiceRequest.supportingInfo

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	UKCoreServiceRequest	A request for a service to be performed Constraints: prr-1
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
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.
extension:additionalContact		0..*	Reference(Organization | Practitioner | PractitionerRole)	Do not use, not supported. Use CareTeam 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	0..*	CorrelationIdentifier	Identifiers assigned to this order Slice: Unordered, Open by value:type
identifier:OriginatingReferralIdentifier	SOΣ	0..1	OriginatingReferralIdentifier	Identifier assigned by the Referrer. (HL7 v2 RF1-6 Originating Referral Identifier) Obligations Actor SHOULD:populate-if-known Referral Recipient SHALL:populate Referral Initiator
basedOn	SΣ	0..*	Reference(ServiceRequest)	What the service request fulfils.
identifier	Σ	0..1	CorrelationIdentifier	Logical reference, when literal reference is not known
requisition	SOΣ	0..1	UniqueBookingReferenceNumber	Identifier assigned by the Referral Booking Service. Obligations Actor SHOULD:populate-if-known Referral Recipient SHALL:populate Referral Initiator
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:PatientReferral	SΣ	1..1	CodeableConcept	A code that classifies the service for searching, sorting and display purposes. Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
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.
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.
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	SΣ	1..1	CodeableConcept	What is being requested/ordered. (HL7 v2 RF1-3 Referral Type) 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.
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:PatientReferralSCT	SΣ	1..1	Coding	Patient Referral Type UK SNOMED CT Binding: Patient Referral (extensible)
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
subject	SΣ	1..1	Reference(Patient)	The individual or entity the service is ordered for.
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	NHSNumber	Logical reference, when literal reference is not known
encounter	SΣ	0..1	Reference(Encounter)	Encounter in which the request was created
identifier	OΣ	0..1	VisitNumber	Episode or Stay ID (HL7 v2 PV1-19 Visit Number) Obligations Actor SHALL:populate-if-known Referral Initiator SHALL:populate-if-known Referral Recipient
Slices for occurrence[x]	Σ	0..1		When service should occur Slice: Unordered, Open by type:$this
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
occurrence[x]:occurrencePeriod	SΣ	0..1	Period	When service should occur
authoredOn	SΣ	0..1	dateTime	The date the request was signed.
requester	SΣ	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Who / what is requesting the service
performerType	SΣ	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.
Slices for performer	SΣ	1..*	Reference(Practitioner | PractitionerRole | Organization | HealthcareService)	Requested performer Slice: Unordered, Open by value:type
performer:Clinician	SΣ	0..1	Reference(Practitioner)	Requested performer
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: Practitioner
identifier	SΣ	0..1	EnglandPractitionerIdentifier	Logical reference, when literal reference is not known
performer:Service	SΣ	0..1	Reference(HealthcareService)	Requested performer
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: HealthcareService
identifier	SΣ	0..1	EnglandServiceIdentifier	Logical reference, when literal reference is not known
Slices for supportingInfo	S	0..*	Reference(Observation Panel | Observation | DiagnosticReport | DocumentReference | Consent)	Additional clinical information Slice: Unordered, Open by value:type
supportingInfo:ReferralLetter	S	0..1	Reference(DocumentReference)	Additional clinical information
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
note	S	0..*	Annotation	Comments
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:PatientReferral	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:PatientReferralSCT	extensible	PatientReferral https://fhir.virtually.healthcare/ValueSet/PatientReferral From this IG
ServiceRequest.performerType	example	ParticipantRoles http://hl7.org/fhir/ValueSet/participant-role From the FHIR Standard
ServiceRequest.performer:Clinician.type	extensible	Pattern Value: Practitioner http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
ServiceRequest.performer:Service.type	extensible	Pattern Value: HealthcareService http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
ServiceRequest.supportingInfo:ReferralLetter.type	extensible	Pattern Value: DocumentReference http://hl7.org/fhir/ValueSet/resource-types 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()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest			UKCoreServiceRequest
Slices for extension				Content/Rules for all slices
extension:additionalContact		0..*	ExtensionUKCoreAdditionalContact	Do not use, not supported. Use CareTeam instead.
Slices for identifier	S	0..*	CorrelationIdentifier	Identifiers assigned to this order Slice: Unordered, Open by value:type
identifier:OriginatingReferralIdentifier	SO	0..1	OriginatingReferralIdentifier	Identifier assigned by the Referrer. (HL7 v2 RF1-6 Originating Referral Identifier) Obligations Actor SHOULD:populate-if-known Referral Recipient SHALL:populate Referral Initiator
basedOn		0..*	Reference(ServiceRequest)	What the service request fulfils.
identifier		0..1	CorrelationIdentifier	Logical reference, when literal reference is not known
requisition	SO	0..1	UniqueBookingReferenceNumber	Identifier assigned by the Referral Booking Service. Obligations Actor SHOULD:populate-if-known Referral Recipient SHALL:populate Referral Initiator
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		0..0
category:PatientReferral	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: 3457005
code		1..1	CodeableConcept	What is being requested/ordered. (HL7 v2 RF1-3 Referral Type)
Slices for coding	S	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:PatientReferralSCT	S	1..1	Coding	Patient Referral Type UK SNOMED CT Binding: Patient Referral (extensible)
system		1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
subject		1..1	Reference(Patient)	The individual or entity the service is ordered for.
reference	S	0..1	string	Literal reference, Relative, internal or absolute URL
identifier		0..1	NHSNumber	Logical reference, when literal reference is not known
encounter	S	0..1	Reference(Encounter)	Encounter in which the request was created
identifier	O	0..1	VisitNumber	Episode or Stay ID (HL7 v2 PV1-19 Visit Number) Obligations Actor SHALL:populate-if-known Referral Initiator SHALL:populate-if-known Referral Recipient
Slices for occurrence[x]		0..1	dateTime, Period, Timing	When service should occur Slice: Unordered, Open by type:$this
occurrence[x]:occurrencePeriod	S	0..1	Period	When service should occur
performerType	S	0..1	CodeableConcept	Performer role
Slices for performer	S	1..*	Reference(Practitioner | PractitionerRole | Organization | HealthcareService)	Requested performer Slice: Unordered, Open by value:type
performer:Clinician	S	0..1	Reference(Practitioner)	Requested performer
type		1..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: Practitioner
identifier	S	0..1	EnglandPractitionerIdentifier	Logical reference, when literal reference is not known
performer:Service	S	0..1	Reference(HealthcareService)	Requested performer
type		1..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: HealthcareService
identifier	S	0..1	EnglandServiceIdentifier	Logical reference, when literal reference is not known
Slices for supportingInfo	S	0..*	Reference(Observation Panel | Observation | DiagnosticReport | DocumentReference | Consent)	Additional clinical information Slice: Unordered, Open by value:type
supportingInfo:ReferralLetter	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:PatientReferralSCT	extensible	PatientReferral https://fhir.virtually.healthcare/ValueSet/PatientReferral From this IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	UKCoreServiceRequest	A request for a service to be performed Constraints: prr-1
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
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 CareTeam 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	0..*	CorrelationIdentifier	Identifiers assigned to this order Slice: Unordered, Open by value:type
identifier:OriginatingReferralIdentifier	SOΣ	0..1	OriginatingReferralIdentifier	Identifier assigned by the Referrer. (HL7 v2 RF1-6 Originating Referral Identifier) Obligations Actor SHOULD:populate-if-known Referral Recipient SHALL:populate Referral Initiator
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)	What the service request fulfils.
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	SOΣ	0..1	UniqueBookingReferenceNumber	Identifier assigned by the Referral Booking Service. Obligations Actor SHOULD:populate-if-known Referral Recipient SHALL:populate Referral Initiator
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:PatientReferral	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: 3457005
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	What is being requested/ordered. (HL7 v2 RF1-3 Referral Type) 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:PatientReferralSCT	SΣ	1..1	Coding	Patient Referral Type UK SNOMED CT Binding: Patient Referral (extensible)
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
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	SΣC	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)	Encounter in which the request was created
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	OΣ	0..1	VisitNumber	Episode or Stay ID (HL7 v2 PV1-19 Visit Number) Obligations Actor SHALL:populate-if-known Referral Initiator SHALL:populate-if-known Referral Recipient
display	Σ	0..1	string	Text alternative for the resource
Slices for occurrence[x]	Σ	0..1		When service should occur Slice: Unordered, Open by type:$this
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
occurrence[x]:occurrencePeriod	SΣ	0..1	Period	When service should occur
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	0..1	dateTime	The date the request was signed.
requester	SΣ	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Who / what is requesting the service
performerType	SΣ	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.
Slices for performer	SΣ	1..*	Reference(Practitioner | PractitionerRole | Organization | HealthcareService)	Requested performer Slice: Unordered, Open by value:type
performer:Clinician	SΣ	0..1	Reference(Practitioner)	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	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: Practitioner
identifier	SΣ	0..1	EnglandPractitionerIdentifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
performer:Service	SΣ	0..1	Reference(HealthcareService)	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	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: HealthcareService
identifier	SΣ	0..1	EnglandServiceIdentifier	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 | DiagnosticReport | DocumentReference | Consent)	Additional clinical information Slice: Unordered, Open by value:type
supportingInfo:ReferralLetter	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:PatientReferral	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:PatientReferralSCT	extensible	PatientReferral https://fhir.virtually.healthcare/ValueSet/PatientReferral From this IG
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:Clinician.type	extensible	Pattern Value: Practitioner http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
ServiceRequest.performer:Service.type	extensible	Pattern Value: HealthcareService 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:ReferralLetter.type	extensible	Pattern Value: 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

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()