Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest vs http://hl7.org/fhir/us/core/StructureDefinition/us-core-pmo-servicerequest

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/ServiceRequest
copyright	Used by permission of HL7 International, all rights reserved Creative Commons License		Removed the item 'Used by permission of HL7 International, all rights reserved Creative Commons License'
date	2025-04-28	2025-08-26	Values Differ
description	The US Core ServiceRequest Profile inherits from the FHIR [ServiceRequest](https://hl7.org/fhir/R4/servicerequest.html) resource; refer to it for scope and usage definitions. This profile sets minimum expectations for recording, searching, and fetching the ServiceRequest information. It specifies which core elements, extensions, vocabularies, and value sets **SHALL** be present and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.	The US Core PMO ServiceRequest Profile inherits from the [FHIR ServiceRequest](https://hl7.org/fhir/R4/servicerequest.html) resource; refer to it for scope and usage definitions. This profile represents an order based on a PMO document and references the [US Core ADI DocumentReference Profile](StructureDefinition-us-core-adi-documentreference.html) to communicate the contents of the PMO document, such as POLST, MOLST, or other state-specific forms. PMO documents follow the patient across care settings and are typically stored as scanned images in EMRs/EHRs. Together, these two profiles satisfy the USCDI's PMO Order Data Element's intent to represent orders based on an individual's PMO. The US Core PMO ServiceRequest Profile establishes minimum expectations for recording, searching, and fetching PMO-related ServiceRequest information, specifying core elements, extensions, vocabularies, and value sets that SHALL be present to promote interoperability.	Values Differ
experimental
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#US
kind	resource
name	USCoreServiceRequestProfile	USCorePMOServiceRequestProfile	Values Differ
publisher	HL7 International / Cross-Group Projects	HL7 International / Payer/Provider Information Exchange Work Group	Values Differ
purpose
status	active	draft	Values Differ
title	US Core ServiceRequest Profile	US Core PMO ServiceRequest Profile	Values Differ
type	ServiceRequest
url	http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest	http://hl7.org/fhir/us/core/StructureDefinition/us-core-pmo-servicerequest	Values Differ
version	8.0.0	0.1.0	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	R Type	R Description & Constraints	Comments
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed	C	0..*	ServiceRequest	A request for a service to be performed
id	Σ	0..1	id	Logical id of this artifact	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding	Example/preferred bindings differ at ServiceRequest.language using binding from USCoreServiceRequestProfile
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		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		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifiers assigned to this order	Σ	0..*	Identifier	Identifiers assigned to this order
instantiatesCanonical	Σ	0..*	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition	Σ	0..*	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest | MedicationRequest)	What request fulfills	Σ	0..*	Reference(CarePlan | ServiceRequest | MedicationRequest)	What request fulfills
replaces	Σ	0..*	Reference(ServiceRequest)	What request replaces	Σ	0..*	Reference(ServiceRequest)	What request replaces
requisition	Σ	0..1	Identifier	Composite Request ID	Σ	0..1	Identifier	Composite Request ID
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: ?? (required): The status of a service order.	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: ?? (required): The status of a service order.
intent	?!SΣ	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): The kind of service request.	?!SΣ	1..1	code	Note: To allow for the resource life cycle, no constraint on intent, use "directive" in PMO document Binding: ?? (required): The kind of service request.
Slices for category	SΣ	0..*	CodeableConcept	Classification of service Slice: Unordered, Open by value:$this Binding: ?? (example): Classification of the requested service.	SΣ	0..*	CodeableConcept	Classification of service Slice: Unordered, Open by value:$this Binding: ?? (example): Classification of the requested service.
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: ?? (required): Identifies the level of importance to be assigned to actioning the request.	Σ	0..1	code	routine | urgent | asap | stat Binding: ?? (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	SΣ	1..1	CodeableConcept	What is being requested/ordered Binding: ?? (extensible)	SΣ	1..1	CodeableConcept	What is being requested/ordered Binding: ?? (extensible): Portable Medical Order panel answers - mostly free-text Additional Bindings Purpose Documentation ?? Extensible SeviceRequest.category = Cardiopulmonary resuscitation orders ?? Extensible SeviceRequest.category = Initial portable medical treatment orders ?? Extensible SeviceRequest.category = Additional portable medical orders or instructions	Unable to resolve right value set http://hl7.org/fhir/us/core/ValueSet/us-core-pmo-procedure-code at ServiceRequest.code
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: The name of the test, procedure, or service to be performed.	SΣ	0..1	string	Plain text representation of the PMO procedure or service.	Elements differ in definition for mustSupport: 'false' vs 'true'
orderDetail	ΣC	0..*	CodeableConcept	Additional order information Binding: ?? (example): Codified order entry details which are based on order context.	SΣC	0..*	CodeableConcept	Additional order information Binding: ?? (example): Codified order entry details which are based on order context.	Elements differ in definition for mustSupport: 'false' vs 'true'
id						0..1	string	Unique id for inter-element referencing	Added this element
Slices for extension						0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	Added this element
coding					Σ	0..*	Coding	Code defined by a terminology system	Added this element
text					SΣ	0..1	string	Plain text representation to capture additional PMO order details.	Added this element
quantity[x]	Σ	0..1	Quantity, Ratio, Range	Service amount	Σ	0..1	Quantity, Ratio, Range	Service amount
subject	SΣ	1..1	Reference(US Core Patient Profile S | Group | US Core Location Profile | Device)	Individual or Entity the service is ordered for	SΣ	1..1	Reference(US Core Patient Profile)	limited to Patient
encounter	SΣ	0..1	Reference(US Core Encounter Profile)	Encounter in which the request was created	SΣ	0..1	Reference(US Core Encounter Profile)	**NOT USED WHEN PART OF A PMO DOCUMENT**
occurrence[x]	SΣ	0..1	Period S, dateTime, Timing	When service should occur	SΣ	0..1	Period S, dateTime, Timing	Often just a start date
asNeeded[x]	Σ	0..1	boolean, CodeableConcept	Preconditions for service Binding: ?? (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.	Σ	0..1	boolean, CodeableConcept	Preconditions for service Binding: ?? (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
authoredOn	SΣ	0..1	dateTime	Date request signed	SΣ	0..1	dateTime	Date Order signed vs date of PMO document - same if part of PMO document
requester	SΣ	0..1	Reference(US Core Practitioner Profile S | US Core Organization Profile | US Core Patient Profile | PractitionerRole | US Core RelatedPerson Profile | Device)	Who/what is requesting service	SΣ	0..1	Reference(US Core Practitioner Profile S | US Core Organization Profile | PractitionerRole)	Authored only by Practitioner
performerType	Σ	0..1	CodeableConcept	Performer role Binding: ?? (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.	Σ	0..1	CodeableConcept	Performer role Binding: ?? (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)	Requested performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)	Requested performer
locationCode	Σ	0..*	CodeableConcept	Requested location Binding: ?? (example): A location type where services are delivered.	Σ	0..*	CodeableConcept	Requested location Binding: ?? (example): A location type where services are delivered.
locationReference	Σ	0..*	Reference(Location)	Requested location	Σ	0..*	Reference(Location)	Requested location
reasonCode	Σ	0..*	CodeableConcept	𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Explanation/Justification for procedure or service Binding: ?? (extensible)	SΣ	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: ?? (extensible)	Elements differ in definition for mustSupport: 'false' vs 'true'
reasonReference	Σ	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Profile that supports the requested service	SΣ	0..*	Reference(US Core ADI DocumentReference Profile S | us-core-condition | us-core-observation | us-core-diagnosticreport)	US Core ADI DocumentReference Profile or other US Core profiles that support the requested PMO service.	Elements differ in definition for mustSupport: 'false' vs 'true' Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Condition], CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation], CanonicalType[http://hl7.org/fhir/StructureDefinition/DiagnosticReport], CanonicalType[http://hl7.org/fhir/StructureDefinition/DocumentReference]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-adi-documentreference], CanonicalType[http://hl7.org/fhir/StructureDefinition/us-core-condition], CanonicalType[http://hl7.org/fhir/StructureDefinition/us-core-observation], CanonicalType[http://hl7.org/fhir/StructureDefinition/us-core-diagnosticreport]])
insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
supportingInfo		0..*	Reference(Resource)	Additional clinical information		0..*	Reference(Resource)	Additional clinical information
specimen	Σ	0..*	Reference(Specimen)	Procedure Samples	Σ	0..*	Reference(Specimen)	Procedure Samples
bodySite	Σ	0..*	CodeableConcept	Location on Body Binding: ?? (example): Codes describing anatomical locations. May include laterality.	Σ	0..*	CodeableConcept	Location on Body Binding: ?? (example): Codes describing anatomical locations. May include laterality.
note		0..*	Annotation	Comments		0..*	Annotation	Comments
patientInstruction	Σ	0..1	string	Patient or consumer-oriented instructions	Σ	0..1	string	Patient or consumer-oriented instructions
relevantHistory		0..*	Reference(Provenance)	Request provenance		0..*	Reference(Provenance)	Request provenance
Documentation for this format