NHS North West Genomics
2.2.5 - ci-build
NHS North West Genomics
2.2.5 - ci-build
NHS North West Genomics - Local Development build (v2.2.5) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: https://fhir.nwgenomics.nhs.uk/StructureDefinition/ServiceRequest | Version: 2.2.5 | ||||
| Draft as of 2026-11-05 | Computable Name: ServiceRequest | ||||
Diagnostic - Laboratory
See Genomic Test Order for detailed notes.
Usages:
You can also check for usages in the FHIR IG Statistics
Description Differentials, Snapshots, and other representations.
| Name | Flags | Card. | Type | Description & Constraints Filter:  | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
  ServiceRequest |
C | 0..* | ServiceRequestLabEu | Laboratory Order Constraints: prr-1 | ||||||||||||
  implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||||||
 Slices for extension |
Content/Rules for all slices | |||||||||||||||
   extension:accreditedLab |
0..1 | boolean | Accredited laboratory requested URL: http://hl7.eu/fhir/StructureDefinition/laboratory-accredited | |||||||||||||
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||||||
| Slices for identifier |
1..* | CorrelationIdentifier | Identifiers assigned to this order Slice: Unordered, Open by value:type Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||||
| identifier:OrderIdentifier |
0..* | OrderIdentifier | Identifier assigned by the Order Placer. (HL7 v2 ORC-2/OBR-2 Placer Order Number and GS1 )
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 basedOn |
0..* | Reference(ServiceRequest) | SHALL reference a parent request where this ServiceRequest is based on a previous request, e.g. in the case of reanalysis and cascade testing, or Germline Late tests in the Tumour First/Germline Late scenario | |||||||||||||
  identifier |
0..1 | OrderIdentifier | Logical reference, when literal reference is not known | |||||||||||||
| requisition |
0..1 | OrderGroupNumber | Identifier assigned by the Order Placer. (HL7 v2 ORC-4 Placer Group Number, provisionally ORC-8 Parent)
| |||||||||||||
| status |
1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. | |||||||||||||
| intent |
1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. | |||||||||||||
| Slices for category |
0..* | CodeableConcept | Classification of service Slice: Unordered, Open by value:coding.system Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. | |||||||||||||
 category:GenomicProcedure |
0..1 | CodeableConcept | Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. | |||||||||||||
| category:GenomicsWholeCaseSequencing |
0..1 | CodeableConcept | Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. | |||||||||||||
| priority |
0..1 | code | routine | urgent | asap | stat Binding: Request Priority (required) | |||||||||||||
| doNotPerform |
0..1 | boolean | True if service/procedure should not be performed | |||||||||||||
| code |
1..1 | CodeableConcept | See [National Genomic Test Directory](https://www.england.nhs.uk/wp-content/uploads/2018/08/rare-and-inherited-disease-eligibility-criteria-v2.pdf). Binding: Genomic Test Codes (required) | |||||||||||||
| orderDetail |
C | 0..* | CodeableConcept | Additional order codes Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context. | ||||||||||||
| Slices for coding |
1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||||
 coding:GenomicTestDirectory |
1..1 | Coding | Genomic Test Directory | |||||||||||||
  system |
1..1 | uri | Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory (extensions allowed) | |||||||||||||
| coding:Histotrac |
0..1 | Coding | Histotrac Test Code Binding: Histotrac Order Detail Codes (required) | |||||||||||||
| system |
1..1 | uri | Identity of the terminology system Required Pattern: https://fhir.nwgenomics.nhs.uk/CodeSystem/Histotrac (extensions allowed) | |||||||||||||
| subject |
1..1 | Reference(Patient) | The patient the laboratory order is for | |||||||||||||
| identifier |
0..1 | NHSIdentifier | Logical reference, when literal reference is not known | |||||||||||||
| encounter |
0..1 | Reference(Hospital Spell | Visit) | A reference identifier to the episode/stay/visit number in which the request was created. (HL7 v2 PV1-19) | |||||||||||||
| identifier |
0..1 | CorrelationIdentifier | Logical reference, when literal reference is not known
| |||||||||||||
| authoredOn |
0..1 | dateTime | When the order was placed | |||||||||||||
| requester |
1..1 | Reference(PractitionerRole | Organization) | Who/what is requesting service | |||||||||||||
| identifier |
0..1 | OrganisationCode | Logical reference, when literal reference is not known | |||||||||||||
| performer |
0..* | Reference(Organization) | Requested performer | |||||||||||||
| identifier |
0..1 | OrganisationCode | Logical reference, when literal reference is not known | |||||||||||||
| reasonCode |
0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: Genomic Clinical Indication Codes (preferred) | |||||||||||||
| reasonReference |
0..* | Reference(Condition | Observation) | Explanation/Justification for service or service | |||||||||||||
| Slices for supportingInfo |
0..* | Reference(Observation Order | DocumentReference | Family Genetic Group) | Additional information: e.g AOEs and prior results. Most common resource types expected are: Observation, Condition, QuestionnaireResponse, MedicationStatement, MedicationRequest. Slice: Unordered, Open by profile:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||||
| supportingInfo:OrderEntryQuestions |
0..* | Reference(Observation Order) | Additional information: e.g AOEs and prior results. Most common resource types expected are: Observation, Condition, QuestionnaireResponse, MedicationStatement, MedicationRequest. | |||||||||||||
| supportingInfo:clinicalContext |
0..* | Reference(DocumentReference) | Additional information: e.g AOEs and prior results. Most common resource types expected are: Observation, Condition, QuestionnaireResponse, MedicationStatement, MedicationRequest. | |||||||||||||
| supportingInfo:familyGeneticGroup |
0..1 | Reference(Family Genetic Group) | The family tested together with the subject (e.g. dWGS Duo/Trio), identified by the same referral_id / Pedigree Number as ServiceRequest.requisition | |||||||||||||
| specimen |
0..* | Reference(Specimen) | Specimens to be used by the laboratory procedure | |||||||||||||
| Documentation for this format | ||||||||||||||||
| Name | Requestor (ILW) | Order Filler | Order Placer | Subcontractor (ILW) | Automation Manager |
|---|---|---|---|---|---|
| ServiceRequest |
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| Slices for extension |
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| Slices for identifier |
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| identifier:OrderIdentifier |
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| Slices for category |
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| encounter |
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| Slices for supportingInfo |
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| Documentation for this format | |||||
| Path | Status | Usage | ValueSet | Version | Source |
| ServiceRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std. |
| ServiceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std. |
| ServiceRequest.category | Base | example | Service Request Category Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.category:GenomicProcedure | Base | example | Service Request Category Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.category:GenomicsWholeCaseSequencing | Base | example | Service Request Category Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.priority | Base | required | Request Priority | 📦2.2.5 | This IG |
| ServiceRequest.code | Base | required | Genomic Test Codes | 📦2.2.5 | This IG |
| ServiceRequest.orderDetail | Base | example | Service Request Order Details Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.orderDetail.coding:Histotrac | Base | required | Histotrac Order Detail Codes | 📦2.2.5 | This IG |
| ServiceRequest.reasonCode | Base | preferred | Genomic Clinical Indication Codes | 📦2.2.5 | This IG |
| Id | Grade | Path(s) | Description | Expression |
This structure is derived from ServiceRequestLabEu
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ServiceRequest |
ServiceRequestLabEu | |||||||||||||||
| Slices for identifier |
1..* | CorrelationIdentifier | Identifiers assigned to this order Slice: Unordered, Open by value:type Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||||
| identifier:OrderIdentifier |
0..* | OrderIdentifier | Identifier assigned by the Order Placer. (HL7 v2 ORC-2/OBR-2 Placer Order Number and GS1 )
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| basedOn |
0..* | Reference(ServiceRequest) | SHALL reference a parent request where this ServiceRequest is based on a previous request, e.g. in the case of reanalysis and cascade testing, or Germline Late tests in the Tumour First/Germline Late scenario | |||||||||||||
| identifier |
0..1 | OrderIdentifier | Logical reference, when literal reference is not known | |||||||||||||
| requisition |
0..1 | OrderGroupNumber | Identifier assigned by the Order Placer. (HL7 v2 ORC-4 Placer Group Number, provisionally ORC-8 Parent)
| |||||||||||||
| Slices for category |
0..* | CodeableConcept | Classification of service Slice: Unordered, Open by value:coding.system | |||||||||||||
| category:GenomicProcedure |
0..1 | CodeableConcept | Classification of service | |||||||||||||
 coding |
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| system |
1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct (extensions allowed) | |||||||||||||
| code |
0..1 | code | Symbol in syntax defined by the system Required Pattern: 116148004 (extensions allowed) | |||||||||||||
| category:GenomicsWholeCaseSequencing |
0..1 | CodeableConcept | Classification of service | |||||||||||||
| coding |
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| system |
1..1 | uri | Identity of the terminology system Required Pattern: https://fhir.hl7.org.uk/CodeSystem/UKCore-GenomeSequencingCategory (extensions allowed) | |||||||||||||
| priority |
0..1 | code | routine | urgent | asap | stat Binding: Request Priority (required) | |||||||||||||
| code |
1..1 | CodeableConcept | See [National Genomic Test Directory](https://www.england.nhs.uk/wp-content/uploads/2018/08/rare-and-inherited-disease-eligibility-criteria-v2.pdf). Binding: Genomic Test Codes (required) | |||||||||||||
| orderDetail |
0..* | CodeableConcept | Additional order codes | |||||||||||||
| Slices for coding |
1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||||
| coding:GenomicTestDirectory |
1..1 | Coding | Genomic Test Directory | |||||||||||||
| system |
1..1 | uri | Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory (extensions allowed) | |||||||||||||
| coding:Histotrac |
0..1 | Coding | Histotrac Test Code Binding: Histotrac Order Detail Codes (required) | |||||||||||||
| system |
1..1 | uri | Identity of the terminology system Required Pattern: https://fhir.nwgenomics.nhs.uk/CodeSystem/Histotrac (extensions allowed) | |||||||||||||
| subject |
1..1 | Reference(Patient) | The patient the laboratory order is for | |||||||||||||
| identifier |
0..1 | NHSIdentifier | Logical reference, when literal reference is not known | |||||||||||||
| encounter |
0..1 | Reference(Hospital Spell | Visit) | A reference identifier to the episode/stay/visit number in which the request was created. (HL7 v2 PV1-19) | |||||||||||||
| identifier |
0..1 | CorrelationIdentifier | Logical reference, when literal reference is not known
| |||||||||||||
| authoredOn |
0..1 | dateTime | When the order was placed | |||||||||||||
| requester |
1..1 | Reference(PractitionerRole | Organization) | Who/what is requesting service | |||||||||||||
| identifier |
0..1 | OrganisationCode | Logical reference, when literal reference is not known | |||||||||||||
| performer |
0..* | Reference(Organization) | Requested performer | |||||||||||||
| identifier |
0..1 | OrganisationCode | Logical reference, when literal reference is not known | |||||||||||||
| reasonCode |
0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: Genomic Clinical Indication Codes (preferred) | |||||||||||||
| reasonReference |
0..* | Reference(Condition | Observation) | Explanation/Justification for service or service | |||||||||||||
| Slices for supportingInfo |
0..* | Reference(Observation Order | DocumentReference | Family Genetic Group) | Additional information: e.g AOEs and prior results. Most common resource types expected are: Observation, Condition, QuestionnaireResponse, MedicationStatement, MedicationRequest. Slice: Unordered, Open by profile:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||||
| supportingInfo:OrderEntryQuestions |
0..* | Reference(Observation Order) | Additional information: e.g AOEs and prior results. Most common resource types expected are: Observation, Condition, QuestionnaireResponse, MedicationStatement, MedicationRequest. | |||||||||||||
| supportingInfo:clinicalContext |
0..* | Reference(DocumentReference) | Additional information: e.g AOEs and prior results. Most common resource types expected are: Observation, Condition, QuestionnaireResponse, MedicationStatement, MedicationRequest. | |||||||||||||
| supportingInfo:familyGeneticGroup |
0..1 | Reference(Family Genetic Group) | The family tested together with the subject (e.g. dWGS Duo/Trio), identified by the same referral_id / Pedigree Number as ServiceRequest.requisition | |||||||||||||
| specimen |
0..* | Reference(Specimen) | Specimens to be used by the laboratory procedure | |||||||||||||
| Documentation for this format | ||||||||||||||||
| Name | Requestor (ILW) | Order Filler | Order Placer | Subcontractor (ILW) | Automation Manager |
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| ServiceRequest |
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| Slices for identifier |
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| identifier:OrderIdentifier |
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| requisition |
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| Slices for category |
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| encounter |
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| identifier |
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| Slices for supportingInfo |
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| Documentation for this format | |||||
| Path | Status | Usage | ValueSet | Version | Source |
| ServiceRequest.priority | Base | required | Request Priority | 📦2.2.5 | This IG |
| ServiceRequest.code | Base | required | Genomic Test Codes | 📦2.2.5 | This IG |
| ServiceRequest.orderDetail.coding:Histotrac | Base | required | Histotrac Order Detail Codes | 📦2.2.5 | This IG |
| ServiceRequest.reasonCode | Base | preferred | Genomic Clinical Indication Codes | 📦2.2.5 | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ServiceRequest |
C | 0..* | ServiceRequestLabEu | Laboratory Order Constraints: prr-1 | ||||||||||||
| id |
0..1 | id | Logical id of this artifact | |||||||||||||
| meta |
0..1 | Meta | Metadata about the resource | |||||||||||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||||||
 Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||||
| extension:accreditedLab |
0..1 | boolean | Accredited laboratory requested URL: http://hl7.eu/fhir/StructureDefinition/laboratory-accredited | |||||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||||||
| Slices for identifier |
1..* | CorrelationIdentifier | Identifiers assigned to this order Slice: Unordered, Open by value:type Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||||
| identifier:OrderIdentifier |
0..* | OrderIdentifier | Identifier assigned by the Order Placer. (HL7 v2 ORC-2/OBR-2 Placer Order Number and GS1 )
| |||||||||||||
| instantiatesCanonical |
0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition | |||||||||||||
| instantiatesUri |
0..* | uri | Instantiates external protocol or definition | |||||||||||||
| basedOn |
0..* | Reference(ServiceRequest) | SHALL reference a parent request where this ServiceRequest is based on a previous request, e.g. in the case of reanalysis and cascade testing, or Germline Late tests in the Tumour First/Germline Late scenario | |||||||||||||
| 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 |
C | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||||||
| type |
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 |
0..1 | OrderIdentifier | Logical reference, when literal reference is not known | |||||||||||||
| display |
0..1 | string | Text alternative for the resource | |||||||||||||
| replaces |
0..* | Reference(ServiceRequest) | What request replaces | |||||||||||||
| requisition |
0..1 | OrderGroupNumber | Identifier assigned by the Order Placer. (HL7 v2 ORC-4 Placer Group Number, provisionally ORC-8 Parent)
| |||||||||||||
| status |
1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. | |||||||||||||
| intent |
1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. | |||||||||||||
| Slices for category |
0..* | CodeableConcept | Classification of service Slice: Unordered, Open by value:coding.system Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. | |||||||||||||
| category:GenomicProcedure |
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 |
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 |
1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct (extensions allowed) | |||||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||||
| code |
0..1 | code | Symbol in syntax defined by the system Required Pattern: 116148004 (extensions allowed) | |||||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||||
| category:GenomicsWholeCaseSequencing |
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 |
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 |
1..1 | uri | Identity of the terminology system Required Pattern: https://fhir.hl7.org.uk/CodeSystem/UKCore-GenomeSequencingCategory (extensions allowed) | |||||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||||
| code |
0..1 | code | Symbol in syntax defined by the system | |||||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||||
| priority |
0..1 | code | routine | urgent | asap | stat Binding: Request Priority (required) | |||||||||||||
| doNotPerform |
0..1 | boolean | True if service/procedure should not be performed | |||||||||||||
| code |
1..1 | CodeableConcept | See [National Genomic Test Directory](https://www.england.nhs.uk/wp-content/uploads/2018/08/rare-and-inherited-disease-eligibility-criteria-v2.pdf). Binding: Genomic Test Codes (required) | |||||||||||||
| orderDetail |
C | 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 |
1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||||
| coding:GenomicTestDirectory |
1..1 | Coding | Genomic Test Directory | |||||||||||||
| 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 |
1..1 | uri | Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory (extensions allowed) | |||||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||||
| code |
0..1 | code | Symbol in syntax defined by the system | |||||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||||
| coding:Histotrac |
0..1 | Coding | Histotrac Test Code Binding: Histotrac Order Detail Codes (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 |
1..1 | uri | Identity of the terminology system Required Pattern: https://fhir.nwgenomics.nhs.uk/CodeSystem/Histotrac (extensions allowed) | |||||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||||
| code |
0..1 | code | Symbol in syntax defined by the system | |||||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||||
 quantity[x] |
0..1 | Service amount | ||||||||||||||
| quantityQuantity |
Quantity | |||||||||||||||
| quantityRatio |
Ratio | |||||||||||||||
| quantityRange |
Range | |||||||||||||||
| subject |
1..1 | Reference(Patient) | The patient the laboratory order is 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 |
C | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||||||
| type |
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 |
0..1 | NHSIdentifier | Logical reference, when literal reference is not known | |||||||||||||
| display |
0..1 | string | Text alternative for the resource | |||||||||||||
| encounter |
0..1 | Reference(Hospital Spell | Visit) | 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 |
C | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||||||
| type |
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 |
0..1 | CorrelationIdentifier | Logical reference, when literal reference is not known
| |||||||||||||
| display |
0..1 | string | Text alternative for the resource | |||||||||||||
| occurrence[x] |
0..1 | When service should occur | ||||||||||||||
| occurrenceDateTime |
dateTime | |||||||||||||||
| occurrencePeriod |
Period | |||||||||||||||
| occurrenceTiming |
Timing | |||||||||||||||
| asNeeded[x] |
0..1 | Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc. | ||||||||||||||
| asNeededBoolean |
boolean | |||||||||||||||
| asNeededCodeableConcept |
CodeableConcept | |||||||||||||||
| authoredOn |
0..1 | dateTime | When the order was placed | |||||||||||||
| requester |
1..1 | Reference(PractitionerRole | Organization) | Who/what is requesting 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 | |||||||||||||
| reference |
C | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||||||
| type |
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 |
0..1 | OrganisationCode | Logical reference, when literal reference is not known | |||||||||||||
| display |
0..1 | string | Text alternative for the resource | |||||||||||||
| performerType |
0..1 | CodeableConcept | Performer role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. | |||||||||||||
| performer |
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 |
C | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||||||
| type |
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 |
0..1 | OrganisationCode | Logical reference, when literal reference is not known | |||||||||||||
| display |
0..1 | string | Text alternative for the resource | |||||||||||||
| locationCode |
0..* | CodeableConcept | Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered. | |||||||||||||
| locationReference |
0..* | Reference(Location) | Requested location | |||||||||||||
| reasonCode |
0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: Genomic Clinical Indication Codes (preferred) | |||||||||||||
| reasonReference |
0..* | Reference(Condition | Observation) | Explanation/Justification for service or service | |||||||||||||
| insurance |
0..* | Reference(Coverage) | Associated insurance coverage | |||||||||||||
| Slices for supportingInfo |
0..* | Reference(Observation Order | DocumentReference | Family Genetic Group) | Additional information: e.g AOEs and prior results. Most common resource types expected are: Observation, Condition, QuestionnaireResponse, MedicationStatement, MedicationRequest. Slice: Unordered, Open by profile:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||||
| supportingInfo:OrderEntryQuestions |
0..* | Reference(Observation Order) | Additional information: e.g AOEs and prior results. Most common resource types expected are: Observation, Condition, QuestionnaireResponse, MedicationStatement, MedicationRequest. | |||||||||||||
| supportingInfo:clinicalContext |
0..* | Reference(DocumentReference) | Additional information: e.g AOEs and prior results. Most common resource types expected are: Observation, Condition, QuestionnaireResponse, MedicationStatement, MedicationRequest. | |||||||||||||
| supportingInfo:familyGeneticGroup |
0..1 | Reference(Family Genetic Group) | The family tested together with the subject (e.g. dWGS Duo/Trio), identified by the same referral_id / Pedigree Number as ServiceRequest.requisition | |||||||||||||
| specimen |
0..* | Reference(Specimen) | Specimens to be used by the laboratory procedure | |||||||||||||
| bodySite |
0..* | CodeableConcept | Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||||||||||
| note |
0..* | Annotation | Comments | |||||||||||||
| patientInstruction |
0..1 | string | Patient or consumer-oriented instructions | |||||||||||||
| relevantHistory |
0..* | Reference(Provenance) | Request provenance | |||||||||||||
| Documentation for this format | ||||||||||||||||
| Name | Requestor (ILW) | Order Filler | Order Placer | Subcontractor (ILW) | Automation Manager |
|---|---|---|---|---|---|
| ServiceRequest |
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| Slices for extension |
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| Slices for identifier |
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| identifier:OrderIdentifier |
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| requisition |
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| Slices for category |
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| encounter |
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| identifier |
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| Slices for supportingInfo |
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| Documentation for this format | |||||
| Path | Status | Usage | ValueSet | Version | Source |
| ServiceRequest.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| ServiceRequest.basedOn.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| ServiceRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std. |
| ServiceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std. |
| ServiceRequest.category | Base | example | Service Request Category Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.category:GenomicProcedure | Base | example | Service Request Category Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.category:GenomicsWholeCaseSequencing | Base | example | Service Request Category Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.priority | Base | required | Request Priority | 📦2.2.5 | This IG |
| ServiceRequest.code | Base | required | Genomic Test Codes | 📦2.2.5 | This IG |
| ServiceRequest.orderDetail | Base | example | Service Request Order Details Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.orderDetail.coding:Histotrac | Base | required | Histotrac Order Detail Codes | 📦2.2.5 | This IG |
| ServiceRequest.subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| ServiceRequest.encounter.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| ServiceRequest.asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.requester.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| ServiceRequest.performerType | Base | example | Participant Roles | 📍4.0.1 | FHIR Std. |
| ServiceRequest.performer.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| ServiceRequest.locationCode | Base | example | ServiceDeliveryLocationRoleType | 📦3.0.0 | THO v7.5 |
| ServiceRequest.reasonCode | Base | preferred | Genomic Clinical Indication Codes | 📦2.2.5 | This IG |
| ServiceRequest.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| Name | Requestor (ILW) | Order Filler | Order Placer | Subcontractor (ILW) | Automation Manager |
|---|---|---|---|---|---|
| ServiceRequest |
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| Slices for extension |
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| Slices for identifier |
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| identifier:OrderIdentifier |
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| requisition |
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| Slices for category |
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| encounter |
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| identifier |
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| Slices for supportingInfo |
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| Documentation for this format | |||||
This structure is derived from ServiceRequestLabEu
Summary
Mandatory: 2 elements(6 nested mandatory elements)
Must-Support: 15 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ServiceRequest |
C | 0..* | ServiceRequestLabEu | Laboratory Order Constraints: prr-1 | ||||||||||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||||
| extension:accreditedLab |
0..1 | boolean | Accredited laboratory requested URL: http://hl7.eu/fhir/StructureDefinition/laboratory-accredited | |||||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||||||
| Slices for identifier |
1..* | CorrelationIdentifier | Identifiers assigned to this order Slice: Unordered, Open by value:type Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||||
| identifier:OrderIdentifier |
0..* | OrderIdentifier | Identifier assigned by the Order Placer. (HL7 v2 ORC-2/OBR-2 Placer Order Number and GS1 )
| |||||||||||||
| basedOn |
0..* | Reference(ServiceRequest) | SHALL reference a parent request where this ServiceRequest is based on a previous request, e.g. in the case of reanalysis and cascade testing, or Germline Late tests in the Tumour First/Germline Late scenario | |||||||||||||
| identifier |
0..1 | OrderIdentifier | Logical reference, when literal reference is not known | |||||||||||||
| requisition |
0..1 | OrderGroupNumber | Identifier assigned by the Order Placer. (HL7 v2 ORC-4 Placer Group Number, provisionally ORC-8 Parent)
| |||||||||||||
| status |
1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. | |||||||||||||
| intent |
1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. | |||||||||||||
| Slices for category |
0..* | CodeableConcept | Classification of service Slice: Unordered, Open by value:coding.system Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. | |||||||||||||
| category:GenomicProcedure |
0..1 | CodeableConcept | Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. | |||||||||||||
| category:GenomicsWholeCaseSequencing |
0..1 | CodeableConcept | Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. | |||||||||||||
| priority |
0..1 | code | routine | urgent | asap | stat Binding: Request Priority (required) | |||||||||||||
| doNotPerform |
0..1 | boolean | True if service/procedure should not be performed | |||||||||||||
| code |
1..1 | CodeableConcept | See [National Genomic Test Directory](https://www.england.nhs.uk/wp-content/uploads/2018/08/rare-and-inherited-disease-eligibility-criteria-v2.pdf). Binding: Genomic Test Codes (required) | |||||||||||||
| orderDetail |
C | 0..* | CodeableConcept | Additional order codes Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context. | ||||||||||||
| Slices for coding |
1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||||
| coding:GenomicTestDirectory |
1..1 | Coding | Genomic Test Directory | |||||||||||||
| system |
1..1 | uri | Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory (extensions allowed) | |||||||||||||
| coding:Histotrac |
0..1 | Coding | Histotrac Test Code Binding: Histotrac Order Detail Codes (required) | |||||||||||||
| system |
1..1 | uri | Identity of the terminology system Required Pattern: https://fhir.nwgenomics.nhs.uk/CodeSystem/Histotrac (extensions allowed) | |||||||||||||
| subject |
1..1 | Reference(Patient) | The patient the laboratory order is for | |||||||||||||
| identifier |
0..1 | NHSIdentifier | Logical reference, when literal reference is not known | |||||||||||||
| encounter |
0..1 | Reference(Hospital Spell | Visit) | A reference identifier to the episode/stay/visit number in which the request was created. (HL7 v2 PV1-19) | |||||||||||||
| identifier |
0..1 | CorrelationIdentifier | Logical reference, when literal reference is not known
| |||||||||||||
| authoredOn |
0..1 | dateTime | When the order was placed | |||||||||||||
| requester |
1..1 | Reference(PractitionerRole | Organization) | Who/what is requesting service | |||||||||||||
| identifier |
0..1 | OrganisationCode | Logical reference, when literal reference is not known | |||||||||||||
| performer |
0..* | Reference(Organization) | Requested performer | |||||||||||||
| identifier |
0..1 | OrganisationCode | Logical reference, when literal reference is not known | |||||||||||||
| reasonCode |
0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: Genomic Clinical Indication Codes (preferred) | |||||||||||||
| reasonReference |
0..* | Reference(Condition | Observation) | Explanation/Justification for service or service | |||||||||||||
| Slices for supportingInfo |
0..* | Reference(Observation Order | DocumentReference | Family Genetic Group) | Additional information: e.g AOEs and prior results. Most common resource types expected are: Observation, Condition, QuestionnaireResponse, MedicationStatement, MedicationRequest. Slice: Unordered, Open by profile:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||||
| supportingInfo:OrderEntryQuestions |
0..* | Reference(Observation Order) | Additional information: e.g AOEs and prior results. Most common resource types expected are: Observation, Condition, QuestionnaireResponse, MedicationStatement, MedicationRequest. | |||||||||||||
| supportingInfo:clinicalContext |
0..* | Reference(DocumentReference) | Additional information: e.g AOEs and prior results. Most common resource types expected are: Observation, Condition, QuestionnaireResponse, MedicationStatement, MedicationRequest. | |||||||||||||
| supportingInfo:familyGeneticGroup |
0..1 | Reference(Family Genetic Group) | The family tested together with the subject (e.g. dWGS Duo/Trio), identified by the same referral_id / Pedigree Number as ServiceRequest.requisition | |||||||||||||
| specimen |
0..* | Reference(Specimen) | Specimens to be used by the laboratory procedure | |||||||||||||
| Documentation for this format | ||||||||||||||||
| Name | Requestor (ILW) | Order Filler | Order Placer | Subcontractor (ILW) | Automation Manager |
|---|---|---|---|---|---|
| ServiceRequest |
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| Slices for extension |
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| Slices for identifier |
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| identifier:OrderIdentifier |
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| requisition |
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| Slices for category |
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| encounter |
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| identifier |
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| Slices for supportingInfo |
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| Documentation for this format | |||||
| Path | Status | Usage | ValueSet | Version | Source |
| ServiceRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std. |
| ServiceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std. |
| ServiceRequest.category | Base | example | Service Request Category Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.category:GenomicProcedure | Base | example | Service Request Category Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.category:GenomicsWholeCaseSequencing | Base | example | Service Request Category Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.priority | Base | required | Request Priority | 📦2.2.5 | This IG |
| ServiceRequest.code | Base | required | Genomic Test Codes | 📦2.2.5 | This IG |
| ServiceRequest.orderDetail | Base | example | Service Request Order Details Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.orderDetail.coding:Histotrac | Base | required | Histotrac Order Detail Codes | 📦2.2.5 | This IG |
| ServiceRequest.reasonCode | Base | preferred | Genomic Clinical Indication Codes | 📦2.2.5 | This IG |
| Id | Grade | Path(s) | Description | Expression |
Differential View
This structure is derived from ServiceRequestLabEu
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ServiceRequest |
ServiceRequestLabEu | |||||||||||||||
| Slices for identifier |
1..* | CorrelationIdentifier | Identifiers assigned to this order Slice: Unordered, Open by value:type Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||||
| identifier:OrderIdentifier |
0..* | OrderIdentifier | Identifier assigned by the Order Placer. (HL7 v2 ORC-2/OBR-2 Placer Order Number and GS1 )
| |||||||||||||
| basedOn |
0..* | Reference(ServiceRequest) | SHALL reference a parent request where this ServiceRequest is based on a previous request, e.g. in the case of reanalysis and cascade testing, or Germline Late tests in the Tumour First/Germline Late scenario | |||||||||||||
| identifier |
0..1 | OrderIdentifier | Logical reference, when literal reference is not known | |||||||||||||
| requisition |
0..1 | OrderGroupNumber | Identifier assigned by the Order Placer. (HL7 v2 ORC-4 Placer Group Number, provisionally ORC-8 Parent)
| |||||||||||||
| Slices for category |
0..* | CodeableConcept | Classification of service Slice: Unordered, Open by value:coding.system | |||||||||||||
| category:GenomicProcedure |
0..1 | CodeableConcept | Classification of service | |||||||||||||
| coding |
||||||||||||||||
| system |
1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct (extensions allowed) | |||||||||||||
| code |
0..1 | code | Symbol in syntax defined by the system Required Pattern: 116148004 (extensions allowed) | |||||||||||||
| category:GenomicsWholeCaseSequencing |
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 (extensions allowed) | |||||||||||||
| priority |
0..1 | code | routine | urgent | asap | stat Binding: Request Priority (required) | |||||||||||||
| code |
1..1 | CodeableConcept | See [National Genomic Test Directory](https://www.england.nhs.uk/wp-content/uploads/2018/08/rare-and-inherited-disease-eligibility-criteria-v2.pdf). Binding: Genomic Test Codes (required) | |||||||||||||
| orderDetail |
0..* | CodeableConcept | Additional order codes | |||||||||||||
| Slices for coding |
1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||||
| coding:GenomicTestDirectory |
1..1 | Coding | Genomic Test Directory | |||||||||||||
| system |
1..1 | uri | Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory (extensions allowed) | |||||||||||||
| coding:Histotrac |
0..1 | Coding | Histotrac Test Code Binding: Histotrac Order Detail Codes (required) | |||||||||||||
| system |
1..1 | uri | Identity of the terminology system Required Pattern: https://fhir.nwgenomics.nhs.uk/CodeSystem/Histotrac (extensions allowed) | |||||||||||||
| subject |
1..1 | Reference(Patient) | The patient the laboratory order is for | |||||||||||||
| identifier |
0..1 | NHSIdentifier | Logical reference, when literal reference is not known | |||||||||||||
| encounter |
0..1 | Reference(Hospital Spell | Visit) | A reference identifier to the episode/stay/visit number in which the request was created. (HL7 v2 PV1-19) | |||||||||||||
| identifier |
0..1 | CorrelationIdentifier | Logical reference, when literal reference is not known
| |||||||||||||
| authoredOn |
0..1 | dateTime | When the order was placed | |||||||||||||
| requester |
1..1 | Reference(PractitionerRole | Organization) | Who/what is requesting service | |||||||||||||
| identifier |
0..1 | OrganisationCode | Logical reference, when literal reference is not known | |||||||||||||
| performer |
0..* | Reference(Organization) | Requested performer | |||||||||||||
| identifier |
0..1 | OrganisationCode | Logical reference, when literal reference is not known | |||||||||||||
| reasonCode |
0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: Genomic Clinical Indication Codes (preferred) | |||||||||||||
| reasonReference |
0..* | Reference(Condition | Observation) | Explanation/Justification for service or service | |||||||||||||
| Slices for supportingInfo |
0..* | Reference(Observation Order | DocumentReference | Family Genetic Group) | Additional information: e.g AOEs and prior results. Most common resource types expected are: Observation, Condition, QuestionnaireResponse, MedicationStatement, MedicationRequest. Slice: Unordered, Open by profile:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||||
| supportingInfo:OrderEntryQuestions |
0..* | Reference(Observation Order) | Additional information: e.g AOEs and prior results. Most common resource types expected are: Observation, Condition, QuestionnaireResponse, MedicationStatement, MedicationRequest. | |||||||||||||
| supportingInfo:clinicalContext |
0..* | Reference(DocumentReference) | Additional information: e.g AOEs and prior results. Most common resource types expected are: Observation, Condition, QuestionnaireResponse, MedicationStatement, MedicationRequest. | |||||||||||||
| supportingInfo:familyGeneticGroup |
0..1 | Reference(Family Genetic Group) | The family tested together with the subject (e.g. dWGS Duo/Trio), identified by the same referral_id / Pedigree Number as ServiceRequest.requisition | |||||||||||||
| specimen |
0..* | Reference(Specimen) | Specimens to be used by the laboratory procedure | |||||||||||||
| Documentation for this format | ||||||||||||||||
| Name | Requestor (ILW) | Order Filler | Order Placer | Subcontractor (ILW) | Automation Manager |
|---|---|---|---|---|---|
| ServiceRequest |
|||||
| Slices for identifier |
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| identifier:OrderIdentifier |
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| requisition |
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| Slices for category |
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| encounter |
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| identifier |
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| Slices for supportingInfo |
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| Documentation for this format | |||||
| Path | Status | Usage | ValueSet | Version | Source |
| ServiceRequest.priority | Base | required | Request Priority | 📦2.2.5 | This IG |
| ServiceRequest.code | Base | required | Genomic Test Codes | 📦2.2.5 | This IG |
| ServiceRequest.orderDetail.coding:Histotrac | Base | required | Histotrac Order Detail Codes | 📦2.2.5 | This IG |
| ServiceRequest.reasonCode | Base | preferred | Genomic Clinical Indication Codes | 📦2.2.5 | This IG |
Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ServiceRequest |
C | 0..* | ServiceRequestLabEu | Laboratory Order Constraints: prr-1 | ||||||||||||
| id |
0..1 | id | Logical id of this artifact | |||||||||||||
| meta |
0..1 | Meta | Metadata about the resource | |||||||||||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||||
| extension:accreditedLab |
0..1 | boolean | Accredited laboratory requested URL: http://hl7.eu/fhir/StructureDefinition/laboratory-accredited | |||||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||||||
| Slices for identifier |
1..* | CorrelationIdentifier | Identifiers assigned to this order Slice: Unordered, Open by value:type Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||||
| identifier:OrderIdentifier |
0..* | OrderIdentifier | Identifier assigned by the Order Placer. (HL7 v2 ORC-2/OBR-2 Placer Order Number and GS1 )
| |||||||||||||
| instantiatesCanonical |
0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition | |||||||||||||
| instantiatesUri |
0..* | uri | Instantiates external protocol or definition | |||||||||||||
| basedOn |
0..* | Reference(ServiceRequest) | SHALL reference a parent request where this ServiceRequest is based on a previous request, e.g. in the case of reanalysis and cascade testing, or Germline Late tests in the Tumour First/Germline Late scenario | |||||||||||||
| 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 |
C | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||||||
| type |
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 |
0..1 | OrderIdentifier | Logical reference, when literal reference is not known | |||||||||||||
| display |
0..1 | string | Text alternative for the resource | |||||||||||||
| replaces |
0..* | Reference(ServiceRequest) | What request replaces | |||||||||||||
| requisition |
0..1 | OrderGroupNumber | Identifier assigned by the Order Placer. (HL7 v2 ORC-4 Placer Group Number, provisionally ORC-8 Parent)
| |||||||||||||
| status |
1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. | |||||||||||||
| intent |
1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. | |||||||||||||
| Slices for category |
0..* | CodeableConcept | Classification of service Slice: Unordered, Open by value:coding.system Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. | |||||||||||||
| category:GenomicProcedure |
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 |
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 |
1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct (extensions allowed) | |||||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||||
| code |
0..1 | code | Symbol in syntax defined by the system Required Pattern: 116148004 (extensions allowed) | |||||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||||
| category:GenomicsWholeCaseSequencing |
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 |
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 |
1..1 | uri | Identity of the terminology system Required Pattern: https://fhir.hl7.org.uk/CodeSystem/UKCore-GenomeSequencingCategory (extensions allowed) | |||||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||||
| code |
0..1 | code | Symbol in syntax defined by the system | |||||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||||
| priority |
0..1 | code | routine | urgent | asap | stat Binding: Request Priority (required) | |||||||||||||
| doNotPerform |
0..1 | boolean | True if service/procedure should not be performed | |||||||||||||
| code |
1..1 | CodeableConcept | See [National Genomic Test Directory](https://www.england.nhs.uk/wp-content/uploads/2018/08/rare-and-inherited-disease-eligibility-criteria-v2.pdf). Binding: Genomic Test Codes (required) | |||||||||||||
| orderDetail |
C | 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 |
1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||||
| coding:GenomicTestDirectory |
1..1 | Coding | Genomic Test Directory | |||||||||||||
| 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 |
1..1 | uri | Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory (extensions allowed) | |||||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||||
| code |
0..1 | code | Symbol in syntax defined by the system | |||||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||||
| coding:Histotrac |
0..1 | Coding | Histotrac Test Code Binding: Histotrac Order Detail Codes (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 |
1..1 | uri | Identity of the terminology system Required Pattern: https://fhir.nwgenomics.nhs.uk/CodeSystem/Histotrac (extensions allowed) | |||||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||||
| code |
0..1 | code | Symbol in syntax defined by the system | |||||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||||
| quantity[x] |
0..1 | Service amount | ||||||||||||||
| quantityQuantity |
Quantity | |||||||||||||||
| quantityRatio |
Ratio | |||||||||||||||
| quantityRange |
Range | |||||||||||||||
| subject |
1..1 | Reference(Patient) | The patient the laboratory order is 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 |
C | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||||||
| type |
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 |
0..1 | NHSIdentifier | Logical reference, when literal reference is not known | |||||||||||||
| display |
0..1 | string | Text alternative for the resource | |||||||||||||
| encounter |
0..1 | Reference(Hospital Spell | Visit) | 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 |
C | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||||||
| type |
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 |
0..1 | CorrelationIdentifier | Logical reference, when literal reference is not known
| |||||||||||||
| display |
0..1 | string | Text alternative for the resource | |||||||||||||
| occurrence[x] |
0..1 | When service should occur | ||||||||||||||
| occurrenceDateTime |
dateTime | |||||||||||||||
| occurrencePeriod |
Period | |||||||||||||||
| occurrenceTiming |
Timing | |||||||||||||||
| asNeeded[x] |
0..1 | Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc. | ||||||||||||||
| asNeededBoolean |
boolean | |||||||||||||||
| asNeededCodeableConcept |
CodeableConcept | |||||||||||||||
| authoredOn |
0..1 | dateTime | When the order was placed | |||||||||||||
| requester |
1..1 | Reference(PractitionerRole | Organization) | Who/what is requesting 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 | |||||||||||||
| reference |
C | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||||||
| type |
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 |
0..1 | OrganisationCode | Logical reference, when literal reference is not known | |||||||||||||
| display |
0..1 | string | Text alternative for the resource | |||||||||||||
| performerType |
0..1 | CodeableConcept | Performer role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. | |||||||||||||
| performer |
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 |
C | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||||||
| type |
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 |
0..1 | OrganisationCode | Logical reference, when literal reference is not known | |||||||||||||
| display |
0..1 | string | Text alternative for the resource | |||||||||||||
| locationCode |
0..* | CodeableConcept | Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered. | |||||||||||||
| locationReference |
0..* | Reference(Location) | Requested location | |||||||||||||
| reasonCode |
0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: Genomic Clinical Indication Codes (preferred) | |||||||||||||
| reasonReference |
0..* | Reference(Condition | Observation) | Explanation/Justification for service or service | |||||||||||||
| insurance |
0..* | Reference(Coverage) | Associated insurance coverage | |||||||||||||
| Slices for supportingInfo |
0..* | Reference(Observation Order | DocumentReference | Family Genetic Group) | Additional information: e.g AOEs and prior results. Most common resource types expected are: Observation, Condition, QuestionnaireResponse, MedicationStatement, MedicationRequest. Slice: Unordered, Open by profile:$this.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||||
| supportingInfo:OrderEntryQuestions |
0..* | Reference(Observation Order) | Additional information: e.g AOEs and prior results. Most common resource types expected are: Observation, Condition, QuestionnaireResponse, MedicationStatement, MedicationRequest. | |||||||||||||
| supportingInfo:clinicalContext |
0..* | Reference(DocumentReference) | Additional information: e.g AOEs and prior results. Most common resource types expected are: Observation, Condition, QuestionnaireResponse, MedicationStatement, MedicationRequest. | |||||||||||||
| supportingInfo:familyGeneticGroup |
0..1 | Reference(Family Genetic Group) | The family tested together with the subject (e.g. dWGS Duo/Trio), identified by the same referral_id / Pedigree Number as ServiceRequest.requisition | |||||||||||||
| specimen |
0..* | Reference(Specimen) | Specimens to be used by the laboratory procedure | |||||||||||||
| bodySite |
0..* | CodeableConcept | Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||||||||||
| note |
0..* | Annotation | Comments | |||||||||||||
| patientInstruction |
0..1 | string | Patient or consumer-oriented instructions | |||||||||||||
| relevantHistory |
0..* | Reference(Provenance) | Request provenance | |||||||||||||
| Documentation for this format | ||||||||||||||||
| Name | Requestor (ILW) | Order Filler | Order Placer | Subcontractor (ILW) | Automation Manager |
|---|---|---|---|---|---|
| ServiceRequest |
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| Slices for extension |
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| Slices for identifier |
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| identifier:OrderIdentifier |
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| Documentation for this format | |||||
| Path | Status | Usage | ValueSet | Version | Source |
| ServiceRequest.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| ServiceRequest.basedOn.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| ServiceRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std. |
| ServiceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std. |
| ServiceRequest.category | Base | example | Service Request Category Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.category:GenomicProcedure | Base | example | Service Request Category Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.category:GenomicsWholeCaseSequencing | Base | example | Service Request Category Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.priority | Base | required | Request Priority | 📦2.2.5 | This IG |
| ServiceRequest.code | Base | required | Genomic Test Codes | 📦2.2.5 | This IG |
| ServiceRequest.orderDetail | Base | example | Service Request Order Details Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.orderDetail.coding:Histotrac | Base | required | Histotrac Order Detail Codes | 📦2.2.5 | This IG |
| ServiceRequest.subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| ServiceRequest.encounter.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| ServiceRequest.asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.requester.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| ServiceRequest.performerType | Base | example | Participant Roles | 📍4.0.1 | FHIR Std. |
| ServiceRequest.performer.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| ServiceRequest.locationCode | Base | example | ServiceDeliveryLocationRoleType | 📦3.0.0 | THO v7.5 |
| ServiceRequest.reasonCode | Base | preferred | Genomic Clinical Indication Codes | 📦2.2.5 | This IG |
| ServiceRequest.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| Name | Requestor (ILW) | Order Filler | Order Placer | Subcontractor (ILW) | Automation Manager |
|---|---|---|---|---|---|
| ServiceRequest |
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| Slices for extension |
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| Slices for identifier |
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| identifier:OrderIdentifier |
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| encounter |
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| identifier |
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| Slices for supportingInfo |
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| Documentation for this format | |||||
This structure is derived from ServiceRequestLabEu
Summary
Mandatory: 2 elements(6 nested mandatory elements)
Must-Support: 15 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron