MyHealth@Eu Laboratory Report
9.1.1 - trial-use 150

MyHealth@Eu Laboratory Report - Downloaded Version 9.1.1 See the Directory of published versions

## Resource Profile: ServiceRequest: Laboratory

Official URL: http://fhir.ehdsi.eu/laboratory/StructureDefinition/ServiceRequest-lab-myhealtheu | Version: 9.1.1
Active as of 2026-05-05 | Computable Name: ServiceRequestLabMyHealthEu

This profile defines how to represent a Laboratory Order in HL7 FHIR for the purpose of this guide.

Usages:

- Use this Profile: Bundle: Laboratory
- Refer to this Profile: DiagnosticReport: Laboratory and Specimen: Laboratory
- Examples for this Profile: ServiceRequest/SampleServiceRequest

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | ServiceRequestLabEu | Laboratory Order Constraints: prr-1
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  |  |  | Content/Rules for all slices
extension:accreditedLab |  | 0..1 | boolean | Accredited laboratory requested URL: http://hl7.eu/fhir/StructureDefinition/laboratory-accredited
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | O Σ | 1..* | Identifier | Identifiers assigned to this order
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
status | ?!Σ | 1..1 | code | The status of a service order Binding: RequestStatus (required): The status of a service order.
intent | ?!Σ | 1..1 | code | The kind of service reques Binding: RequestIntent (required): The kind of service request.
doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed
code | Σ | 0..1 | CodeableConcept | What is being requested/ordered Binding: eHDSI Laboratory Codes With Exceptions (required)
subject | Σ | 1..1 | Reference(Patient (Core) | PatientAnimal: Laboratory | Group | Location | Device) | Individual or Entity the service is ordered for
authoredOn | O Σ | 0..1 | dateTime | When the order was placed
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
requester | O Σ | 0..1 | Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core) | Patient (Core) | RelatedPerson | Device) | Who/what is requesting service
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
reasonCode | O Σ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: eHDSI Order Reason With Exceptions (required)
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
reasonReference | O Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
specimen | Σ | 0..* | Reference(Specimen: Laboratory) | Specimens to be used by the laboratory procedure
Documentation for this format

#### Terminology Bindings

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.code | Base | required | eHDSI Laboratory Codes With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0
ServiceRequest.reasonCode | Base | required | eHDSI Order Reason With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | ServiceRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | ServiceRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | ServiceRequest | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
prr-1 | error | ServiceRequest | orderDetail SHALL only be present if code is present | `orderDetail.empty() or code.exists()`

This structure is derived from ServiceRequestLabEu

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest |  |  | ServiceRequestLabEu |
identifier | O | 1..* | Identifier | Identifiers assigned to this order
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
status |  | 1..1 | code | The status of a service order
intent |  | 1..1 | code | The kind of service reques
code |  | 0..1 | CodeableConcept | What is being requested/ordered Binding: eHDSI Laboratory Codes With Exceptions (required)
subject |  | 1..1 | Reference(Patient (Core) | PatientAnimal: Laboratory | Group | Location | Device) | Individual or Entity the service is ordered for
authoredOn | O | 0..1 | dateTime | When the order was placed
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
requester | O | 0..1 | Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core) | Patient (Core) | RelatedPerson | Device) | Who/what is requesting service
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
reasonCode | O | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: eHDSI Order Reason With Exceptions (required)
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
reasonReference | O | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
specimen |  | 0..* | Reference(Specimen: Laboratory) | Specimens to be used by the laboratory procedure
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
ServiceRequest.code | Base | required | eHDSI Laboratory Codes With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0
ServiceRequest.reasonCode | Base | required | eHDSI Order Reason With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0

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
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
identifier | O Σ | 1..* | Identifier | Identifiers assigned to this order
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
instantiatesCanonical | Σ | 0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition
basedOn | Σ | 0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills
replaces | Σ | 0..* | Reference(ServiceRequest) | What request replaces
requisition | Σ | 0..1 | Identifier | Composite Request ID.
status | ?!Σ | 1..1 | code | The status of a service order Binding: RequestStatus (required): The status of a service order.
intent | ?!Σ | 1..1 | code | The kind of service reques Binding: RequestIntent (required): The kind of service request.
category | Σ | 0..* | CodeableConcept | Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed
code | Σ | 0..1 | CodeableConcept | What is being requested/ordered Binding: eHDSI Laboratory Codes With Exceptions (required)
orderDetail | Σ C | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
quantity[x] | Σ | 0..1 |  | Service amount
quantityQuantity |  |  | Quantity |
quantityRatio |  |  | Ratio |
quantityRange |  |  | Range |
subject | Σ | 1..1 | Reference(Patient (Core) | PatientAnimal: Laboratory | Group | Location | Device) | Individual or Entity the service is ordered for
encounter | Σ | 0..1 | Reference(Encounter) | Encounter in which the request was created
occurrence[x] | Σ | 0..1 |  | When service should occur
occurrenceDateTime |  |  | dateTime |
occurrencePeriod |  |  | Period |
occurrenceTiming |  |  | Timing |
asNeeded[x] | Σ | 0..1 |  | Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
asNeededBoolean |  |  | boolean |
asNeededCodeableConcept |  |  | CodeableConcept |
authoredOn | O Σ | 0..1 | dateTime | When the order was placed
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
requester | O Σ | 0..1 | Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core) | Patient (Core) | RelatedPerson | Device) | Who/what is requesting service
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
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(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | Requested performer
locationCode | Σ | 0..* | CodeableConcept | Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
locationReference | Σ | 0..* | Reference(Location) | Requested location
reasonCode | O Σ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: eHDSI Order Reason With Exceptions (required)
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
reasonReference | O Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
insurance |  | 0..* | Reference(Coverage) | Associated insurance coverage
supportingInfo |  | 0..* | Reference(Resource) | Additional information: e.g AOEs and prior results
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 |  | 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 | Status | Usage | ValueSet | Version | Source
ServiceRequest.language | Base | preferred | Common Languages | 📍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.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std.
ServiceRequest.code | Base | required | eHDSI Laboratory Codes With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0
ServiceRequest.orderDetail | Base | example | Service Request Order Details Codes | 📍4.0.1 | FHIR Std.
ServiceRequest.asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📍4.0.1 | FHIR Std.
ServiceRequest.performerType | Base | example | Participant Roles | 📍4.0.1 | FHIR Std.
ServiceRequest.locationCode | Base | example | ServiceDeliveryLocationRoleType | 📦3.0.0 | THO v7.1
ServiceRequest.reasonCode | Base | required | eHDSI Order Reason With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0
ServiceRequest.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | ServiceRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | ServiceRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | ServiceRequest | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
prr-1 | error | ServiceRequest | orderDetail SHALL only be present if code is present | `orderDetail.empty() or code.exists()`

This structure is derived from ServiceRequestLabEu

Summary

Structures

This structure refers to these other structures:

- Patient (Core) (http://fhir.ehdsi.eu/core/StructureDefinition/patient-myhealtheu-core)
- PatientAnimal: Laboratory (http://fhir.ehdsi.eu/laboratory/StructureDefinition/patient-animal-myhealtheu-lab)
- Practitioner (Core) (http://fhir.ehdsi.eu/core/StructureDefinition/practitioner-myhealtheu-core)
- PractitionerRole (Core) (http://fhir.ehdsi.eu/core/StructureDefinition/practitionerRole-myhealtheu-core)
- Organization (Core) (http://fhir.ehdsi.eu/core/StructureDefinition/organization-myhealtheu-core)
- Specimen: Laboratory (http://fhir.ehdsi.eu/laboratory/StructureDefinition/Specimen-lab-myhealtheu)

Key Elements View

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
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
identifier | O Σ | 1..* | Identifier | Identifiers assigned to this order
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
status | ?!Σ | 1..1 | code | The status of a service order Binding: RequestStatus (required): The status of a service order.
intent | ?!Σ | 1..1 | code | The kind of service reques Binding: RequestIntent (required): The kind of service request.
doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed
code | Σ | 0..1 | CodeableConcept | What is being requested/ordered Binding: eHDSI Laboratory Codes With Exceptions (required)
subject | Σ | 1..1 | Reference(Patient (Core) | PatientAnimal: Laboratory | Group | Location | Device) | Individual or Entity the service is ordered for
authoredOn | O Σ | 0..1 | dateTime | When the order was placed
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
requester | O Σ | 0..1 | Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core) | Patient (Core) | RelatedPerson | Device) | Who/what is requesting service
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
reasonCode | O Σ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: eHDSI Order Reason With Exceptions (required)
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
reasonReference | O Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
specimen | Σ | 0..* | Reference(Specimen: Laboratory) | Specimens to be used by the laboratory procedure
Documentation for this format

#### Terminology Bindings

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.code | Base | required | eHDSI Laboratory Codes With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0
ServiceRequest.reasonCode | Base | required | eHDSI Order Reason With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | ServiceRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | ServiceRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | ServiceRequest | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
prr-1 | error | ServiceRequest | orderDetail SHALL only be present if code is present | `orderDetail.empty() or code.exists()`

Differential View

This structure is derived from ServiceRequestLabEu

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest |  |  | ServiceRequestLabEu |
identifier | O | 1..* | Identifier | Identifiers assigned to this order
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
status |  | 1..1 | code | The status of a service order
intent |  | 1..1 | code | The kind of service reques
code |  | 0..1 | CodeableConcept | What is being requested/ordered Binding: eHDSI Laboratory Codes With Exceptions (required)
subject |  | 1..1 | Reference(Patient (Core) | PatientAnimal: Laboratory | Group | Location | Device) | Individual or Entity the service is ordered for
authoredOn | O | 0..1 | dateTime | When the order was placed
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
requester | O | 0..1 | Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core) | Patient (Core) | RelatedPerson | Device) | Who/what is requesting service
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
reasonCode | O | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: eHDSI Order Reason With Exceptions (required)
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
reasonReference | O | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
specimen |  | 0..* | Reference(Specimen: Laboratory) | Specimens to be used by the laboratory procedure
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
ServiceRequest.code | Base | required | eHDSI Laboratory Codes With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0
ServiceRequest.reasonCode | Base | required | eHDSI Order Reason With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0

Snapshot View

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
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
identifier | O Σ | 1..* | Identifier | Identifiers assigned to this order
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
instantiatesCanonical | Σ | 0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition
basedOn | Σ | 0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills
replaces | Σ | 0..* | Reference(ServiceRequest) | What request replaces
requisition | Σ | 0..1 | Identifier | Composite Request ID.
status | ?!Σ | 1..1 | code | The status of a service order Binding: RequestStatus (required): The status of a service order.
intent | ?!Σ | 1..1 | code | The kind of service reques Binding: RequestIntent (required): The kind of service request.
category | Σ | 0..* | CodeableConcept | Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed
code | Σ | 0..1 | CodeableConcept | What is being requested/ordered Binding: eHDSI Laboratory Codes With Exceptions (required)
orderDetail | Σ C | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
quantity[x] | Σ | 0..1 |  | Service amount
quantityQuantity |  |  | Quantity |
quantityRatio |  |  | Ratio |
quantityRange |  |  | Range |
subject | Σ | 1..1 | Reference(Patient (Core) | PatientAnimal: Laboratory | Group | Location | Device) | Individual or Entity the service is ordered for
encounter | Σ | 0..1 | Reference(Encounter) | Encounter in which the request was created
occurrence[x] | Σ | 0..1 |  | When service should occur
occurrenceDateTime |  |  | dateTime |
occurrencePeriod |  |  | Period |
occurrenceTiming |  |  | Timing |
asNeeded[x] | Σ | 0..1 |  | Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
asNeededBoolean |  |  | boolean |
asNeededCodeableConcept |  |  | CodeableConcept |
authoredOn | O Σ | 0..1 | dateTime | When the order was placed
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
requester | O Σ | 0..1 | Reference(Practitioner (Core) | PractitionerRole (Core) | Organization (Core) | Patient (Core) | RelatedPerson | Device) | Who/what is requesting service
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
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(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | Requested performer
locationCode | Σ | 0..* | CodeableConcept | Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
locationReference | Σ | 0..* | Reference(Location) | Requested location
reasonCode | O Σ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: eHDSI Order Reason With Exceptions (required)
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
reasonReference | O Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
insurance |  | 0..* | Reference(Coverage) | Associated insurance coverage
supportingInfo |  | 0..* | Reference(Resource) | Additional information: e.g AOEs and prior results
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 |  | 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 | Status | Usage | ValueSet | Version | Source
ServiceRequest.language | Base | preferred | Common Languages | 📍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.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std.
ServiceRequest.code | Base | required | eHDSI Laboratory Codes With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0
ServiceRequest.orderDetail | Base | example | Service Request Order Details Codes | 📍4.0.1 | FHIR Std.
ServiceRequest.asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📍4.0.1 | FHIR Std.
ServiceRequest.performerType | Base | example | Participant Roles | 📍4.0.1 | FHIR Std.
ServiceRequest.locationCode | Base | example | ServiceDeliveryLocationRoleType | 📦3.0.0 | THO v7.1
ServiceRequest.reasonCode | Base | required | eHDSI Order Reason With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0
ServiceRequest.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | ServiceRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | ServiceRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | ServiceRequest | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
prr-1 | error | ServiceRequest | orderDetail SHALL only be present if code is present | `orderDetail.empty() or code.exists()`

This structure is derived from ServiceRequestLabEu

Summary

Structures

This structure refers to these other structures:

- Patient (Core) (http://fhir.ehdsi.eu/core/StructureDefinition/patient-myhealtheu-core)
- PatientAnimal: Laboratory (http://fhir.ehdsi.eu/laboratory/StructureDefinition/patient-animal-myhealtheu-lab)
- Practitioner (Core) (http://fhir.ehdsi.eu/core/StructureDefinition/practitioner-myhealtheu-core)
- PractitionerRole (Core) (http://fhir.ehdsi.eu/core/StructureDefinition/practitionerRole-myhealtheu-core)
- Organization (Core) (http://fhir.ehdsi.eu/core/StructureDefinition/organization-myhealtheu-core)
- Specimen: Laboratory (http://fhir.ehdsi.eu/laboratory/StructureDefinition/Specimen-lab-myhealtheu)

Other representations of profile: CSV, Excel, Schematron