Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest			ServiceRequestLabEu
Slices for identifier	S	1..*	CorrelationIdentifier	Identifiers assigned to this order Slice: Unordered, Open by value:type
identifier:placerOrderNumber	SO	0..1	PlacerOrderNumber	Identifier assigned by the Order Placer. (HL7 v2 ORC-2/OBR-2 Placer Order Number) Obligations Actor SHOULD:populate-if-known Order Filler SHALL:populate Order Placer SHOULD:populate-if-known Automation Manager
identifier:fillerOrderNumber	SO	0..1	FillerOrderNumber	Identifier assigned by the lab (Order Filler) Obligations Actor SHALL:populate Order Filler SHOULD:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
basedOn	S	0..*	Reference(ServiceRequest)	SHALL reference a parent request where this ServiceRequest is based on a previous request, e.g. in the case of reanalysis and cascade testing, or Germline Late tests in the Tumour First/Germline Late scenario
identifier		0..1	CorrelationIdentifier	Logical reference, when literal reference is not known
requisition	O	0..1	PlacerGroupNumber	G Number (Pedigree Number) used to identify a family across a series of orders. Identifier assigned by the Order Placer. (HL7 v2 ORC-4 Placer Group Number) Obligations Actor SHOULD:populate-if-known Order Filler SHALL:populate Order Placer SHOULD:populate-if-known Automation Manager
Slices for category	S	1..*	CodeableConcept	Classification of service Slice: Unordered, Open by value:coding.system
category:GenomicProcedure	S	1..1	CodeableConcept	Classification of service
coding
system		1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
code		0..1	code	Symbol in syntax defined by the system Required Pattern: 116148004
category:GenomicsWholeCaseSequencing	S	0..1	CodeableConcept	Classification of service
coding
system		1..1	uri	Identity of the terminology system Required Pattern: https://fhir.hl7.org.uk/CodeSystem/UKCore-GenomeSequencingCategory
priority		0..1	code	routine | urgent | asap | stat Binding: Request Priority (required)
code	S	1..1	CodeableConcept	ISSUE. See [National Genomic Test Directory](https://www.england.nhs.uk/wp-content/uploads/2018/08/rare-and-inherited-disease-eligibility-criteria-v2.pdf).
Slices for coding	S	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:GenomicRareAndInheritedDisease	S	0..1	Coding	Genomic Rare and Inherited Disease Test Directory Binding: Genomic Rare and Inherited Disease Test Directory (required)
system		1..1	uri	Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
coding:GenomicCancer	S	0..1	Coding	Genomic Cancer Test Directory Binding: Genomic Cancer Test Directory (required)
system		1..1	uri	Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
orderDetail	S	0..*	CodeableConcept	Additional order codes
Slices for coding	S	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:GenomicRareAndInheritedDisease	S	0..1	Coding	Genomic Rare and Inherited Disease Test Directory Binding: Genomic Rare and Inherited Disease Test Directory (required)
system		1..1	uri	Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
coding:GenomicCancer	S	0..1	Coding	Genomic Cancer Test Directory Binding: Genomic Cancer Test Directory (required)
system		1..1	uri	Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
subject	S	1..1	Reference(Patient)	Individual or Entity the service is ordered for
identifier		0..1	NHSNumber	Logical reference, when literal reference is not known
encounter	S	0..1	Reference(Encounter)	A reference identifier to the episode/stay/visit number in which the request was created. (HL7 v2 PV1-19)
identifier	SO	0..1	EpisodeNumber	Logical reference, when literal reference is not known Obligations Actor SHALL:populate-if-known Order Filler SHALL:populate-if-known Order Placer SHALL:populate-if-known Automation Manager
occurrence[x]	S	0..1	dateTime, Period, Timing	When service should occur
authoredOn	S	1..1	dateTime	When the order was placed
requester	S	1..1	Reference(PractitionerRole)	Who/what is requesting service
performer		0..*	Reference(Organization)	Requested performer
identifier		0..1	OrganisationCode	Logical reference, when literal reference is not known
reasonCode	S	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: Genomic Condition Code (required)
Slices for supportingInfo	S	0..*	Reference(Observation Panel | Observation | Diagnostic Report | DocumentReference)	Additional information: e.g AOEs and prior results Slice: Unordered, Open by value:type
supportingInfo:PriorResult	S	0..1	Reference(Diagnostic Report)	Equivalent of HL7 v2 OML_O21 PRIOR RESULT (as PDF)
type		1..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: DiagnosticReport
identifier	S	1..1	CorrelationIdentifier	Logical reference, when literal reference is not known
supportingInfo:PatientSummary	S	0..1	Reference(DocumentReference)	Additional information: e.g AOEs and prior results
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.priority	required	RequestPriority https://nw-gmsa.github.io/ValueSet/RequestPriority From this IG
ServiceRequest.code.coding:GenomicRareAndInheritedDisease	required	GenomicRareAndInheritedDisease https://nw-gmsa.github.io/ValueSet/GenomicRareAndInheritedDisease From this IG
ServiceRequest.code.coding:GenomicCancer	required	GenomicCancer https://nw-gmsa.github.io/ValueSet/GenomicCancer From this IG
ServiceRequest.orderDetail.coding:GenomicRareAndInheritedDisease	required	GenomicRareAndInheritedDisease https://nw-gmsa.github.io/ValueSet/GenomicRareAndInheritedDisease From this IG
ServiceRequest.orderDetail.coding:GenomicCancer	required	GenomicCancer https://nw-gmsa.github.io/ValueSet/GenomicCancer From this IG
ServiceRequest.reasonCode	required	GenomicConditionCode(a valid code from Genomic Condition Code) https://nw-gmsa.github.io/ValueSet/genomic-condition-code From this IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	ServiceRequestLabEu	Laboratory Order Constraints: prr-1
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	CorrelationIdentifier	Identifiers assigned to this order Slice: Unordered, Open by value:type
identifier:placerOrderNumber	SOΣ	0..1	PlacerOrderNumber	Identifier assigned by the Order Placer. (HL7 v2 ORC-2/OBR-2 Placer Order Number) Obligations Actor SHOULD:populate-if-known Order Filler SHALL:populate Order Placer SHOULD:populate-if-known Automation Manager
identifier:fillerOrderNumber	SOΣ	0..1	FillerOrderNumber	Identifier assigned by the lab (Order Filler) Obligations Actor SHALL:populate Order Filler SHOULD:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
basedOn	SΣ	0..*	Reference(ServiceRequest)	SHALL reference a parent request where this ServiceRequest is based on a previous request, e.g. in the case of reanalysis and cascade testing, or Germline Late tests in the Tumour First/Germline Late scenario
identifier	Σ	0..1	CorrelationIdentifier	Logical reference, when literal reference is not known
requisition	OΣ	0..1	PlacerGroupNumber	G Number (Pedigree Number) used to identify a family across a series of orders. Identifier assigned by the Order Placer. (HL7 v2 ORC-4 Placer Group Number) Obligations Actor SHOULD:populate-if-known Order Filler SHALL:populate Order Placer SHOULD:populate-if-known Automation Manager
status	?!Σ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent	?!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	SΣ	1..*	CodeableConcept	Classification of service Slice: Unordered, Open by value:coding.system Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:GenomicProcedure	SΣ	1..1	CodeableConcept	Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:GenomicsWholeCaseSequencing	SΣ	0..1	CodeableConcept	Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: Request Priority (required)
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	SΣ	1..1	CodeableConcept	ISSUE. See [National Genomic Test Directory](https://www.england.nhs.uk/wp-content/uploads/2018/08/rare-and-inherited-disease-eligibility-criteria-v2.pdf). Binding: Laboratory Order (preferred)
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:GenomicRareAndInheritedDisease	SΣ	0..1	Coding	Genomic Rare and Inherited Disease Test Directory Binding: Genomic Rare and Inherited Disease Test Directory (required)
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
coding:GenomicCancer	SΣ	0..1	Coding	Genomic Cancer Test Directory Binding: Genomic Cancer Test Directory (required)
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
orderDetail	SΣC	0..*	CodeableConcept	Additional order codes Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:GenomicRareAndInheritedDisease	SΣ	0..1	Coding	Genomic Rare and Inherited Disease Test Directory Binding: Genomic Rare and Inherited Disease Test Directory (required)
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
coding:GenomicCancer	SΣ	0..1	Coding	Genomic Cancer Test Directory Binding: Genomic Cancer Test Directory (required)
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
subject	SΣ	1..1	Reference(Patient)	Individual or Entity the service is ordered for
identifier	Σ	0..1	NHSNumber	Logical reference, when literal reference is not known
encounter	SΣ	0..1	Reference(Encounter)	A reference identifier to the episode/stay/visit number in which the request was created. (HL7 v2 PV1-19)
identifier	SOΣ	0..1	EpisodeNumber	Logical reference, when literal reference is not known Obligations Actor SHALL:populate-if-known Order Filler SHALL:populate-if-known Order Placer SHALL:populate-if-known Automation Manager
occurrence[x]	SΣ	0..1		When service should occur
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
authoredOn	SΣ	1..1	dateTime	When the order was placed
requester	SΣ	1..1	Reference(PractitionerRole)	Who/what is requesting service
performer	Σ	0..*	Reference(Organization)	Requested performer
identifier	Σ	0..1	OrganisationCode	Logical reference, when literal reference is not known
reasonCode	SΣ	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: Genomic Condition Code (required)
Slices for supportingInfo	S	0..*	Reference(Observation Panel | Observation | Diagnostic Report | DocumentReference)	Additional information: e.g AOEs and prior results Slice: Unordered, Open by value:type
supportingInfo:PriorResult	S	0..1	Reference(Diagnostic Report)	Equivalent of HL7 v2 OML_O21 PRIOR RESULT (as PDF)
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: DiagnosticReport
identifier	SΣ	1..1	CorrelationIdentifier	Logical reference, when literal reference is not known
supportingInfo:PatientSummary	S	0..1	Reference(DocumentReference)	Additional information: e.g AOEs and prior results
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:GenomicProcedure	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category From the FHIR Standard
ServiceRequest.category:GenomicsWholeCaseSequencing	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category From the FHIR Standard
ServiceRequest.priority	required	RequestPriority https://nw-gmsa.github.io/ValueSet/RequestPriority From this IG
ServiceRequest.code	preferred	LabOrderCodesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-orderCodes-eu-lab
ServiceRequest.code.coding:GenomicRareAndInheritedDisease	required	GenomicRareAndInheritedDisease https://nw-gmsa.github.io/ValueSet/GenomicRareAndInheritedDisease From this IG
ServiceRequest.code.coding:GenomicCancer	required	GenomicCancer https://nw-gmsa.github.io/ValueSet/GenomicCancer From this IG
ServiceRequest.orderDetail	example	ServiceRequestOrderDetailsCodes http://hl7.org/fhir/ValueSet/servicerequest-orderdetail From the FHIR Standard
ServiceRequest.orderDetail.coding:GenomicRareAndInheritedDisease	required	GenomicRareAndInheritedDisease https://nw-gmsa.github.io/ValueSet/GenomicRareAndInheritedDisease From this IG
ServiceRequest.orderDetail.coding:GenomicCancer	required	GenomicCancer https://nw-gmsa.github.io/ValueSet/GenomicCancer From this IG
ServiceRequest.reasonCode	required	GenomicConditionCode(a valid code from Genomic Condition Code) https://nw-gmsa.github.io/ValueSet/genomic-condition-code From this IG
ServiceRequest.supportingInfo:PriorResult.type	extensible	Pattern Value: DiagnosticReport http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
ServiceRequest.supportingInfo:PatientSummary.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	C	0..*	ServiceRequestLabEu	Laboratory Order 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
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	CorrelationIdentifier	Identifiers assigned to this order Slice: Unordered, Open by value:type
identifier:placerOrderNumber	SOΣ	0..1	PlacerOrderNumber	Identifier assigned by the Order Placer. (HL7 v2 ORC-2/OBR-2 Placer Order Number) Obligations Actor SHOULD:populate-if-known Order Filler SHALL:populate Order Placer SHOULD:populate-if-known Automation Manager
identifier:fillerOrderNumber	SOΣ	0..1	FillerOrderNumber	Identifier assigned by the lab (Order Filler) Obligations Actor SHALL:populate Order Filler SHOULD:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
instantiatesCanonical	Σ	0..*	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	SΣ	0..*	Reference(ServiceRequest)	SHALL reference a parent request where this ServiceRequest is based on a previous request, e.g. in the case of reanalysis and cascade testing, or Germline Late tests in the Tumour First/Germline Late scenario
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	CorrelationIdentifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
replaces	Σ	0..*	Reference(ServiceRequest)	What request replaces
requisition	OΣ	0..1	PlacerGroupNumber	G Number (Pedigree Number) used to identify a family across a series of orders. Identifier assigned by the Order Placer. (HL7 v2 ORC-4 Placer Group Number) Obligations Actor SHOULD:populate-if-known Order Filler SHALL:populate Order Placer SHOULD:populate-if-known Automation Manager
status	?!Σ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent	?!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	SΣ	1..*	CodeableConcept	Classification of service Slice: Unordered, Open by value:coding.system Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:GenomicProcedure	SΣ	1..1	CodeableConcept	Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Required Pattern: 116148004
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
category:GenomicsWholeCaseSequencing	SΣ	0..1	CodeableConcept	Classification of service 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: https://fhir.hl7.org.uk/CodeSystem/UKCore-GenomeSequencingCategory
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: Request Priority (required)
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	SΣ	1..1	CodeableConcept	ISSUE. See [National Genomic Test Directory](https://www.england.nhs.uk/wp-content/uploads/2018/08/rare-and-inherited-disease-eligibility-criteria-v2.pdf). Binding: Laboratory Order (preferred)
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:GenomicRareAndInheritedDisease	SΣ	0..1	Coding	Genomic Rare and Inherited Disease Test Directory Binding: Genomic Rare and Inherited Disease Test Directory (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:GenomicCancer	SΣ	0..1	Coding	Genomic Cancer Test Directory Binding: Genomic Cancer Test Directory (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
orderDetail	SΣC	0..*	CodeableConcept	Additional order codes Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
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:GenomicRareAndInheritedDisease	SΣ	0..1	Coding	Genomic Rare and Inherited Disease Test Directory Binding: Genomic Rare and Inherited Disease Test Directory (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:GenomicCancer	SΣ	0..1	Coding	Genomic Cancer Test Directory Binding: Genomic Cancer Test Directory (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
quantity[x]	Σ	0..1		Service amount
quantityQuantity			Quantity
quantityRatio			Ratio
quantityRange			Range
subject	SΣ	1..1	Reference(Patient)	Individual or Entity the service is ordered for
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	NHSNumber	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	SΣ	0..1	Reference(Encounter)	A reference identifier to the episode/stay/visit number in which the request was created. (HL7 v2 PV1-19)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SOΣ	0..1	EpisodeNumber	Logical reference, when literal reference is not known Obligations Actor SHALL:populate-if-known Order Filler SHALL:populate-if-known Order Placer SHALL:populate-if-known Automation Manager
display	Σ	0..1	string	Text alternative for the resource
occurrence[x]	SΣ	0..1		When service should occur
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
asNeeded[x]	Σ	0..1		Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
authoredOn	SΣ	1..1	dateTime	When the order was placed
requester	SΣ	1..1	Reference(PractitionerRole)	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	Σ	0..*	Reference(Organization)	Requested performer
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	OrganisationCode	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
locationCode	Σ	0..*	CodeableConcept	Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
locationReference	Σ	0..*	Reference(Location)	Requested location
reasonCode	SΣ	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: Genomic Condition Code (required)
reasonReference	Σ	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Explanation/Justification for service or service
insurance		0..*	Reference(Coverage)	Associated insurance coverage
Slices for supportingInfo	S	0..*	Reference(Observation Panel | Observation | Diagnostic Report | DocumentReference)	Additional information: e.g AOEs and prior results Slice: Unordered, Open by value:type
supportingInfo:PriorResult	S	0..1	Reference(Diagnostic Report)	Equivalent of HL7 v2 OML_O21 PRIOR RESULT (as PDF)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: DiagnosticReport
identifier	SΣ	1..1	CorrelationIdentifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
supportingInfo:PatientSummary	S	0..1	Reference(DocumentReference)	Additional information: e.g AOEs and prior results
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: Laboratory)	Specimens to be used by the laboratory procedure
bodySite	Σ	0..*	CodeableConcept	Location on Body Binding: SNOMEDCTBodyStructures (example): 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:GenomicProcedure	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category From the FHIR Standard
ServiceRequest.category:GenomicsWholeCaseSequencing	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category From the FHIR Standard
ServiceRequest.priority	required	RequestPriority https://nw-gmsa.github.io/ValueSet/RequestPriority From this IG
ServiceRequest.code	preferred	LabOrderCodesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-orderCodes-eu-lab
ServiceRequest.code.coding:GenomicRareAndInheritedDisease	required	GenomicRareAndInheritedDisease https://nw-gmsa.github.io/ValueSet/GenomicRareAndInheritedDisease From this IG
ServiceRequest.code.coding:GenomicCancer	required	GenomicCancer https://nw-gmsa.github.io/ValueSet/GenomicCancer From this IG
ServiceRequest.orderDetail	example	ServiceRequestOrderDetailsCodes http://hl7.org/fhir/ValueSet/servicerequest-orderdetail From the FHIR Standard
ServiceRequest.orderDetail.coding:GenomicRareAndInheritedDisease	required	GenomicRareAndInheritedDisease https://nw-gmsa.github.io/ValueSet/GenomicRareAndInheritedDisease From this IG
ServiceRequest.orderDetail.coding:GenomicCancer	required	GenomicCancer https://nw-gmsa.github.io/ValueSet/GenomicCancer From this IG
ServiceRequest.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
ServiceRequest.encounter.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
ServiceRequest.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason From the FHIR Standard
ServiceRequest.performerType	example	ParticipantRoles http://hl7.org/fhir/ValueSet/participant-role From the FHIR Standard
ServiceRequest.performer.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
ServiceRequest.locationCode	example	ServiceDeliveryLocationRoleType http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reasonCode	required	GenomicConditionCode(a valid code from Genomic Condition Code) https://nw-gmsa.github.io/ValueSet/genomic-condition-code From this IG
ServiceRequest.supportingInfo:PriorResult.type	extensible	Pattern Value: DiagnosticReport http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
ServiceRequest.supportingInfo:PatientSummary.type	extensible	Pattern Value: DocumentReference http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
ServiceRequest.bodySite	example	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: 6 elements(10 nested mandatory elements)
Must-Support: 27 elements

Structures

This structure refers to these other structures:

• Correlation Identifier (https://nw-gmsa.github.io/StructureDefinition/CorrelationIdentifier)
• Placer Order Number (https://nw-gmsa.github.io/StructureDefinition/PlacerOrderNumber)
• Filler Order Number (https://nw-gmsa.github.io/StructureDefinition/FillerOrderNumber)
• ServiceRequest (https://nw-gmsa.github.io/StructureDefinition/ServiceRequest)
• Placer Group Number (https://nw-gmsa.github.io/StructureDefinition/PlacerGroupNumber)
• Patient (https://nw-gmsa.github.io/StructureDefinition/Patient)
• NHS Number (https://nw-gmsa.github.io/StructureDefinition/NHSNumber)
• Encounter (https://nw-gmsa.github.io/StructureDefinition/Encounter)
• Episode Number (https://nw-gmsa.github.io/StructureDefinition/EpisodeNumber)
• PractitionerRole (https://nw-gmsa.github.io/StructureDefinition/PractitionerRole)
• Organization (https://nw-gmsa.github.io/StructureDefinition/Organization)
• Organisation Code (https://nw-gmsa.github.io/StructureDefinition/OrganisationCode)
• Observation Panel (https://nw-gmsa.github.io/StructureDefinition/Observation-Panel)
• Observation (https://nw-gmsa.github.io/StructureDefinition/Observation)
• Diagnostic Report (https://nw-gmsa.github.io/StructureDefinition/DiagnosticReport)
• DocumentReference (https://nw-gmsa.github.io/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.orderDetail.coding
• The element 1 is sliced based on the value of ServiceRequest.supportingInfo

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest			ServiceRequestLabEu
Slices for identifier	S	1..*	CorrelationIdentifier	Identifiers assigned to this order Slice: Unordered, Open by value:type
identifier:placerOrderNumber	SO	0..1	PlacerOrderNumber	Identifier assigned by the Order Placer. (HL7 v2 ORC-2/OBR-2 Placer Order Number) Obligations Actor SHOULD:populate-if-known Order Filler SHALL:populate Order Placer SHOULD:populate-if-known Automation Manager
identifier:fillerOrderNumber	SO	0..1	FillerOrderNumber	Identifier assigned by the lab (Order Filler) Obligations Actor SHALL:populate Order Filler SHOULD:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
basedOn	S	0..*	Reference(ServiceRequest)	SHALL reference a parent request where this ServiceRequest is based on a previous request, e.g. in the case of reanalysis and cascade testing, or Germline Late tests in the Tumour First/Germline Late scenario
identifier		0..1	CorrelationIdentifier	Logical reference, when literal reference is not known
requisition	O	0..1	PlacerGroupNumber	G Number (Pedigree Number) used to identify a family across a series of orders. Identifier assigned by the Order Placer. (HL7 v2 ORC-4 Placer Group Number) Obligations Actor SHOULD:populate-if-known Order Filler SHALL:populate Order Placer SHOULD:populate-if-known Automation Manager
Slices for category	S	1..*	CodeableConcept	Classification of service Slice: Unordered, Open by value:coding.system
category:GenomicProcedure	S	1..1	CodeableConcept	Classification of service
coding
system		1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
code		0..1	code	Symbol in syntax defined by the system Required Pattern: 116148004
category:GenomicsWholeCaseSequencing	S	0..1	CodeableConcept	Classification of service
coding
system		1..1	uri	Identity of the terminology system Required Pattern: https://fhir.hl7.org.uk/CodeSystem/UKCore-GenomeSequencingCategory
priority		0..1	code	routine | urgent | asap | stat Binding: Request Priority (required)
code	S	1..1	CodeableConcept	ISSUE. See [National Genomic Test Directory](https://www.england.nhs.uk/wp-content/uploads/2018/08/rare-and-inherited-disease-eligibility-criteria-v2.pdf).
Slices for coding	S	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:GenomicRareAndInheritedDisease	S	0..1	Coding	Genomic Rare and Inherited Disease Test Directory Binding: Genomic Rare and Inherited Disease Test Directory (required)
system		1..1	uri	Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
coding:GenomicCancer	S	0..1	Coding	Genomic Cancer Test Directory Binding: Genomic Cancer Test Directory (required)
system		1..1	uri	Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
orderDetail	S	0..*	CodeableConcept	Additional order codes
Slices for coding	S	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:GenomicRareAndInheritedDisease	S	0..1	Coding	Genomic Rare and Inherited Disease Test Directory Binding: Genomic Rare and Inherited Disease Test Directory (required)
system		1..1	uri	Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
coding:GenomicCancer	S	0..1	Coding	Genomic Cancer Test Directory Binding: Genomic Cancer Test Directory (required)
system		1..1	uri	Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
subject	S	1..1	Reference(Patient)	Individual or Entity the service is ordered for
identifier		0..1	NHSNumber	Logical reference, when literal reference is not known
encounter	S	0..1	Reference(Encounter)	A reference identifier to the episode/stay/visit number in which the request was created. (HL7 v2 PV1-19)
identifier	SO	0..1	EpisodeNumber	Logical reference, when literal reference is not known Obligations Actor SHALL:populate-if-known Order Filler SHALL:populate-if-known Order Placer SHALL:populate-if-known Automation Manager
occurrence[x]	S	0..1	dateTime, Period, Timing	When service should occur
authoredOn	S	1..1	dateTime	When the order was placed
requester	S	1..1	Reference(PractitionerRole)	Who/what is requesting service
performer		0..*	Reference(Organization)	Requested performer
identifier		0..1	OrganisationCode	Logical reference, when literal reference is not known
reasonCode	S	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: Genomic Condition Code (required)
Slices for supportingInfo	S	0..*	Reference(Observation Panel | Observation | Diagnostic Report | DocumentReference)	Additional information: e.g AOEs and prior results Slice: Unordered, Open by value:type
supportingInfo:PriorResult	S	0..1	Reference(Diagnostic Report)	Equivalent of HL7 v2 OML_O21 PRIOR RESULT (as PDF)
type		1..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: DiagnosticReport
identifier	S	1..1	CorrelationIdentifier	Logical reference, when literal reference is not known
supportingInfo:PatientSummary	S	0..1	Reference(DocumentReference)	Additional information: e.g AOEs and prior results
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.priority	required	RequestPriority https://nw-gmsa.github.io/ValueSet/RequestPriority From this IG
ServiceRequest.code.coding:GenomicRareAndInheritedDisease	required	GenomicRareAndInheritedDisease https://nw-gmsa.github.io/ValueSet/GenomicRareAndInheritedDisease From this IG
ServiceRequest.code.coding:GenomicCancer	required	GenomicCancer https://nw-gmsa.github.io/ValueSet/GenomicCancer From this IG
ServiceRequest.orderDetail.coding:GenomicRareAndInheritedDisease	required	GenomicRareAndInheritedDisease https://nw-gmsa.github.io/ValueSet/GenomicRareAndInheritedDisease From this IG
ServiceRequest.orderDetail.coding:GenomicCancer	required	GenomicCancer https://nw-gmsa.github.io/ValueSet/GenomicCancer From this IG
ServiceRequest.reasonCode	required	GenomicConditionCode(a valid code from Genomic Condition Code) https://nw-gmsa.github.io/ValueSet/genomic-condition-code From this IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	ServiceRequestLabEu	Laboratory Order Constraints: prr-1
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	CorrelationIdentifier	Identifiers assigned to this order Slice: Unordered, Open by value:type
identifier:placerOrderNumber	SOΣ	0..1	PlacerOrderNumber	Identifier assigned by the Order Placer. (HL7 v2 ORC-2/OBR-2 Placer Order Number) Obligations Actor SHOULD:populate-if-known Order Filler SHALL:populate Order Placer SHOULD:populate-if-known Automation Manager
identifier:fillerOrderNumber	SOΣ	0..1	FillerOrderNumber	Identifier assigned by the lab (Order Filler) Obligations Actor SHALL:populate Order Filler SHOULD:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
basedOn	SΣ	0..*	Reference(ServiceRequest)	SHALL reference a parent request where this ServiceRequest is based on a previous request, e.g. in the case of reanalysis and cascade testing, or Germline Late tests in the Tumour First/Germline Late scenario
identifier	Σ	0..1	CorrelationIdentifier	Logical reference, when literal reference is not known
requisition	OΣ	0..1	PlacerGroupNumber	G Number (Pedigree Number) used to identify a family across a series of orders. Identifier assigned by the Order Placer. (HL7 v2 ORC-4 Placer Group Number) Obligations Actor SHOULD:populate-if-known Order Filler SHALL:populate Order Placer SHOULD:populate-if-known Automation Manager
status	?!Σ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent	?!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	SΣ	1..*	CodeableConcept	Classification of service Slice: Unordered, Open by value:coding.system Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:GenomicProcedure	SΣ	1..1	CodeableConcept	Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:GenomicsWholeCaseSequencing	SΣ	0..1	CodeableConcept	Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: Request Priority (required)
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	SΣ	1..1	CodeableConcept	ISSUE. See [National Genomic Test Directory](https://www.england.nhs.uk/wp-content/uploads/2018/08/rare-and-inherited-disease-eligibility-criteria-v2.pdf). Binding: Laboratory Order (preferred)
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:GenomicRareAndInheritedDisease	SΣ	0..1	Coding	Genomic Rare and Inherited Disease Test Directory Binding: Genomic Rare and Inherited Disease Test Directory (required)
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
coding:GenomicCancer	SΣ	0..1	Coding	Genomic Cancer Test Directory Binding: Genomic Cancer Test Directory (required)
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
orderDetail	SΣC	0..*	CodeableConcept	Additional order codes Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:GenomicRareAndInheritedDisease	SΣ	0..1	Coding	Genomic Rare and Inherited Disease Test Directory Binding: Genomic Rare and Inherited Disease Test Directory (required)
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
coding:GenomicCancer	SΣ	0..1	Coding	Genomic Cancer Test Directory Binding: Genomic Cancer Test Directory (required)
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
subject	SΣ	1..1	Reference(Patient)	Individual or Entity the service is ordered for
identifier	Σ	0..1	NHSNumber	Logical reference, when literal reference is not known
encounter	SΣ	0..1	Reference(Encounter)	A reference identifier to the episode/stay/visit number in which the request was created. (HL7 v2 PV1-19)
identifier	SOΣ	0..1	EpisodeNumber	Logical reference, when literal reference is not known Obligations Actor SHALL:populate-if-known Order Filler SHALL:populate-if-known Order Placer SHALL:populate-if-known Automation Manager
occurrence[x]	SΣ	0..1		When service should occur
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
authoredOn	SΣ	1..1	dateTime	When the order was placed
requester	SΣ	1..1	Reference(PractitionerRole)	Who/what is requesting service
performer	Σ	0..*	Reference(Organization)	Requested performer
identifier	Σ	0..1	OrganisationCode	Logical reference, when literal reference is not known
reasonCode	SΣ	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: Genomic Condition Code (required)
Slices for supportingInfo	S	0..*	Reference(Observation Panel | Observation | Diagnostic Report | DocumentReference)	Additional information: e.g AOEs and prior results Slice: Unordered, Open by value:type
supportingInfo:PriorResult	S	0..1	Reference(Diagnostic Report)	Equivalent of HL7 v2 OML_O21 PRIOR RESULT (as PDF)
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: DiagnosticReport
identifier	SΣ	1..1	CorrelationIdentifier	Logical reference, when literal reference is not known
supportingInfo:PatientSummary	S	0..1	Reference(DocumentReference)	Additional information: e.g AOEs and prior results
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:GenomicProcedure	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category From the FHIR Standard
ServiceRequest.category:GenomicsWholeCaseSequencing	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category From the FHIR Standard
ServiceRequest.priority	required	RequestPriority https://nw-gmsa.github.io/ValueSet/RequestPriority From this IG
ServiceRequest.code	preferred	LabOrderCodesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-orderCodes-eu-lab
ServiceRequest.code.coding:GenomicRareAndInheritedDisease	required	GenomicRareAndInheritedDisease https://nw-gmsa.github.io/ValueSet/GenomicRareAndInheritedDisease From this IG
ServiceRequest.code.coding:GenomicCancer	required	GenomicCancer https://nw-gmsa.github.io/ValueSet/GenomicCancer From this IG
ServiceRequest.orderDetail	example	ServiceRequestOrderDetailsCodes http://hl7.org/fhir/ValueSet/servicerequest-orderdetail From the FHIR Standard
ServiceRequest.orderDetail.coding:GenomicRareAndInheritedDisease	required	GenomicRareAndInheritedDisease https://nw-gmsa.github.io/ValueSet/GenomicRareAndInheritedDisease From this IG
ServiceRequest.orderDetail.coding:GenomicCancer	required	GenomicCancer https://nw-gmsa.github.io/ValueSet/GenomicCancer From this IG
ServiceRequest.reasonCode	required	GenomicConditionCode(a valid code from Genomic Condition Code) https://nw-gmsa.github.io/ValueSet/genomic-condition-code From this IG
ServiceRequest.supportingInfo:PriorResult.type	extensible	Pattern Value: DiagnosticReport http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
ServiceRequest.supportingInfo:PatientSummary.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	C	0..*	ServiceRequestLabEu	Laboratory Order 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
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	CorrelationIdentifier	Identifiers assigned to this order Slice: Unordered, Open by value:type
identifier:placerOrderNumber	SOΣ	0..1	PlacerOrderNumber	Identifier assigned by the Order Placer. (HL7 v2 ORC-2/OBR-2 Placer Order Number) Obligations Actor SHOULD:populate-if-known Order Filler SHALL:populate Order Placer SHOULD:populate-if-known Automation Manager
identifier:fillerOrderNumber	SOΣ	0..1	FillerOrderNumber	Identifier assigned by the lab (Order Filler) Obligations Actor SHALL:populate Order Filler SHOULD:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
instantiatesCanonical	Σ	0..*	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	SΣ	0..*	Reference(ServiceRequest)	SHALL reference a parent request where this ServiceRequest is based on a previous request, e.g. in the case of reanalysis and cascade testing, or Germline Late tests in the Tumour First/Germline Late scenario
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	CorrelationIdentifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
replaces	Σ	0..*	Reference(ServiceRequest)	What request replaces
requisition	OΣ	0..1	PlacerGroupNumber	G Number (Pedigree Number) used to identify a family across a series of orders. Identifier assigned by the Order Placer. (HL7 v2 ORC-4 Placer Group Number) Obligations Actor SHOULD:populate-if-known Order Filler SHALL:populate Order Placer SHOULD:populate-if-known Automation Manager
status	?!Σ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent	?!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	SΣ	1..*	CodeableConcept	Classification of service Slice: Unordered, Open by value:coding.system Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:GenomicProcedure	SΣ	1..1	CodeableConcept	Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Required Pattern: 116148004
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
category:GenomicsWholeCaseSequencing	SΣ	0..1	CodeableConcept	Classification of service 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: https://fhir.hl7.org.uk/CodeSystem/UKCore-GenomeSequencingCategory
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: Request Priority (required)
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	SΣ	1..1	CodeableConcept	ISSUE. See [National Genomic Test Directory](https://www.england.nhs.uk/wp-content/uploads/2018/08/rare-and-inherited-disease-eligibility-criteria-v2.pdf). Binding: Laboratory Order (preferred)
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:GenomicRareAndInheritedDisease	SΣ	0..1	Coding	Genomic Rare and Inherited Disease Test Directory Binding: Genomic Rare and Inherited Disease Test Directory (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:GenomicCancer	SΣ	0..1	Coding	Genomic Cancer Test Directory Binding: Genomic Cancer Test Directory (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
orderDetail	SΣC	0..*	CodeableConcept	Additional order codes Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
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:GenomicRareAndInheritedDisease	SΣ	0..1	Coding	Genomic Rare and Inherited Disease Test Directory Binding: Genomic Rare and Inherited Disease Test Directory (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:GenomicCancer	SΣ	0..1	Coding	Genomic Cancer Test Directory Binding: Genomic Cancer Test Directory (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
quantity[x]	Σ	0..1		Service amount
quantityQuantity			Quantity
quantityRatio			Ratio
quantityRange			Range
subject	SΣ	1..1	Reference(Patient)	Individual or Entity the service is ordered for
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	NHSNumber	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	SΣ	0..1	Reference(Encounter)	A reference identifier to the episode/stay/visit number in which the request was created. (HL7 v2 PV1-19)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SOΣ	0..1	EpisodeNumber	Logical reference, when literal reference is not known Obligations Actor SHALL:populate-if-known Order Filler SHALL:populate-if-known Order Placer SHALL:populate-if-known Automation Manager
display	Σ	0..1	string	Text alternative for the resource
occurrence[x]	SΣ	0..1		When service should occur
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
asNeeded[x]	Σ	0..1		Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
authoredOn	SΣ	1..1	dateTime	When the order was placed
requester	SΣ	1..1	Reference(PractitionerRole)	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	Σ	0..*	Reference(Organization)	Requested performer
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	OrganisationCode	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
locationCode	Σ	0..*	CodeableConcept	Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
locationReference	Σ	0..*	Reference(Location)	Requested location
reasonCode	SΣ	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: Genomic Condition Code (required)
reasonReference	Σ	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Explanation/Justification for service or service
insurance		0..*	Reference(Coverage)	Associated insurance coverage
Slices for supportingInfo	S	0..*	Reference(Observation Panel | Observation | Diagnostic Report | DocumentReference)	Additional information: e.g AOEs and prior results Slice: Unordered, Open by value:type
supportingInfo:PriorResult	S	0..1	Reference(Diagnostic Report)	Equivalent of HL7 v2 OML_O21 PRIOR RESULT (as PDF)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: DiagnosticReport
identifier	SΣ	1..1	CorrelationIdentifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
supportingInfo:PatientSummary	S	0..1	Reference(DocumentReference)	Additional information: e.g AOEs and prior results
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: Laboratory)	Specimens to be used by the laboratory procedure
bodySite	Σ	0..*	CodeableConcept	Location on Body Binding: SNOMEDCTBodyStructures (example): 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:GenomicProcedure	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category From the FHIR Standard
ServiceRequest.category:GenomicsWholeCaseSequencing	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category From the FHIR Standard
ServiceRequest.priority	required	RequestPriority https://nw-gmsa.github.io/ValueSet/RequestPriority From this IG
ServiceRequest.code	preferred	LabOrderCodesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-orderCodes-eu-lab
ServiceRequest.code.coding:GenomicRareAndInheritedDisease	required	GenomicRareAndInheritedDisease https://nw-gmsa.github.io/ValueSet/GenomicRareAndInheritedDisease From this IG
ServiceRequest.code.coding:GenomicCancer	required	GenomicCancer https://nw-gmsa.github.io/ValueSet/GenomicCancer From this IG
ServiceRequest.orderDetail	example	ServiceRequestOrderDetailsCodes http://hl7.org/fhir/ValueSet/servicerequest-orderdetail From the FHIR Standard
ServiceRequest.orderDetail.coding:GenomicRareAndInheritedDisease	required	GenomicRareAndInheritedDisease https://nw-gmsa.github.io/ValueSet/GenomicRareAndInheritedDisease From this IG
ServiceRequest.orderDetail.coding:GenomicCancer	required	GenomicCancer https://nw-gmsa.github.io/ValueSet/GenomicCancer From this IG
ServiceRequest.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
ServiceRequest.encounter.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
ServiceRequest.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason From the FHIR Standard
ServiceRequest.performerType	example	ParticipantRoles http://hl7.org/fhir/ValueSet/participant-role From the FHIR Standard
ServiceRequest.performer.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
ServiceRequest.locationCode	example	ServiceDeliveryLocationRoleType http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reasonCode	required	GenomicConditionCode(a valid code from Genomic Condition Code) https://nw-gmsa.github.io/ValueSet/genomic-condition-code From this IG
ServiceRequest.supportingInfo:PriorResult.type	extensible	Pattern Value: DiagnosticReport http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
ServiceRequest.supportingInfo:PatientSummary.type	extensible	Pattern Value: DocumentReference http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
ServiceRequest.bodySite	example	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()