Polaris Core ServiceRequest Profile

Overview

The Polaris Core ServiceRequest profile represents orders for diagnostic tests, procedures, referrals, and other services within primary care EMR systems. This profile captures the essential elements of service ordering including what is requested, for whom, by whom, and when across the Polaris ecosystem.

Key Features

• Flexible Service Coding: Supports SNOMED CT, LOINC, and source EMR order codes
• Category Classification: Distinguishes laboratory, imaging, referral, and other service types
• Status Tracking: Monitors order lifecycle from draft through completion
• Timing Flexibility: Supports scheduled, urgent, and routine requests
• Clinical Context: Links to encounters and related clinical information

Service Categories

Common service request types include:

• Laboratory: Blood tests, urinalysis, cultures, pathology
• Diagnostic Imaging: X-rays, CT, MRI, ultrasound orders
• Referrals: Specialist consultations, therapy services
• Procedures: Minor surgeries, diagnostic procedures
• Other Services: Home care, equipment, education

Order Workflow

Service requests progress through states:

• Draft: Order being prepared
• Active: Order placed and actionable
• On-hold: Temporarily suspended
• Completed: Service has been performed
• Entered-in-error: Order should be ignored
• Revoked: Order cancelled before completion

Clinical Decision Support

The profile supports:

• Order appropriateness checking
• Duplicate order detection
• Insurance authorization requirements
• Clinical guidelines integration
• Result tracking and follow-up

Relationships

ServiceRequests connect to:

• DiagnosticReport: Results fulfilling the request
• Procedure: Procedures performed in response
• Observation: Observations resulting from the request
• Encounter: Clinical context when ordered
• MedicationRequest: Related medication orders

Future Considerations

Potential enhancements being evaluated:

• Priority and urgency indicators
• Insurance and authorization tracking
• Order sets and protocols
• Reason for request documentation
• Performer preferences and instructions
• Specimen requirements and instructions

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	ServiceRequest	Polaris Service Request Core Constraints: prr-1, servicerequest-has-polaris-id
meta	Σ	0..1	Meta	Metadata about the resource
source	SΣ	0..1	uri	Identifies EMR instance & pipeline version the resource came from
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	S	0..1	Narrative	Narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	Business identifier(s) for servicerequest Slice: Unordered, Open by pattern:system
identifier:polarisId	SΣ	1..1	Identifier	Polaris ServiceRequest ID
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
system	Σ	1..1	uri	Polaris servicerequest identifier system: https://fhir.apps.health/NamingSystem/<instance-id>-servicerequest-identifier Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The actual Polaris servicerequest ID value: unique in source system Example General: 123456
identifier:rawCode	SΣ	0..*	Identifier	Source EMR servicerequest identifier
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: secondary
system	Σ	1..1	uri	Source system URI or https://fhir.apps.health/NamingSystem/<instance-id>-servicerequest-raw-code Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error Binding: RequestStatus (required)
intent	?!SΣ	1..1	code	proposal | plan | directive | order Binding: RequestIntent (required) Fixed Value: order
category	SΣ	1..1	CodeableConcept	Service Category Binding: ServiceRequestCategoryCodes (required)
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	SΣ	1..1	CodeableConcept	Service requested with raw code support Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:system
coding:standard	SΣ	0..*	Coding	Standard service code (SNOMED CT, LOINC)
system	Σ	1..1	uri	Standard terminology system URI
code	Σ	1..1	code	Symbol in syntax defined by the system
coding:rawCode	SΣ	0..*	Coding	Source EMR service code
system	Σ	1..1	uri	Source system URI or https://fhir.apps.health/NamingSystem/<instance-id>-servicerequest-code-raw-code
code	Σ	1..1	code	EMR-specific service code
display	Σ	1..1	string	EMR's display text for this service
text	SΣ	1..1	string	Human-readable service description (required)
subject	SΣ	1..1	Reference(Polaris Patient Core)	Individual or entity the service is ordered for
encounter	SΣ	0..1	Reference(Polaris Encounter Profile Core)	Encounter in which the request was created
occurrence[x]	SΣ	0..1		When service should occur
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
authoredOn	SΣ	1..1	dateTime	Date request was initially authored
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ServiceRequest.identifier:polarisId.use	required	Pattern Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
ServiceRequest.identifier:rawCode.use	required	Pattern Value: secondary http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status From the FHIR Standard
ServiceRequest.intent	required	Fixed Value: order http://hl7.org/fhir/ValueSet/request-intent From the FHIR Standard
ServiceRequest.category	required	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category From the FHIR Standard
ServiceRequest.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ServiceRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ServiceRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ServiceRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
prr-1	error	ServiceRequest	orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists()
servicerequest-has-polaris-id	error	ServiceRequest	Must have at least one identifier with a canonical Polaris system URI : identifier.exists(system.matches('^https://fhir.apps.health/NamingSystem/[A-Za-z0-9._-]+-servicerequest-identifier$'))

This structure is derived from ServiceRequest

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	ServiceRequest	Polaris Service Request Core Constraints: servicerequest-has-polaris-id
meta
source	S	0..1	uri	Identifies EMR instance & pipeline version the resource came from
text	S	0..1	Narrative	Narrative
Slices for identifier	S	1..*	Identifier	Business identifier(s) for servicerequest Slice: Unordered, Open by pattern:system
identifier:polarisId	S	1..1	Identifier	Polaris ServiceRequest ID
use		0..1	code	usual | official | temp | secondary | old (If known) Required Pattern: official
system		1..1	uri	Polaris servicerequest identifier system: https://fhir.apps.health/NamingSystem/<instance-id>-servicerequest-identifier
value		1..1	string	The actual Polaris servicerequest ID value: unique in source system
identifier:rawCode	S	0..*	Identifier	Source EMR servicerequest identifier
use		0..1	code	usual | official | temp | secondary | old (If known) Required Pattern: secondary
system		1..1	uri	Source system URI or https://fhir.apps.health/NamingSystem/<instance-id>-servicerequest-raw-code
value		1..1	string	The value that is unique
status	S	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error Binding: RequestStatus (required)
intent	S	1..1	code	proposal | plan | directive | order Binding: RequestIntent (required) Fixed Value: order
category	S	1..1	CodeableConcept	Service Category Binding: ServiceRequestCategoryCodes (required)
code	S	1..1	CodeableConcept	Service requested with raw code support
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:system
coding:standard	S	0..*	Coding	Standard service code (SNOMED CT, LOINC)
system		1..1	uri	Standard terminology system URI
code		1..1	code	Symbol in syntax defined by the system
coding:rawCode	S	0..*	Coding	Source EMR service code
system		1..1	uri	Source system URI or https://fhir.apps.health/NamingSystem/<instance-id>-servicerequest-code-raw-code
code		1..1	code	EMR-specific service code
display		1..1	string	EMR's display text for this service
text	S	1..1	string	Human-readable service description (required)
subject	S	1..1	Reference(Polaris Patient Core)	Individual or entity the service is ordered for
encounter	S	0..1	Reference(Polaris Encounter Profile Core)	Encounter in which the request was created
occurrence[x]	S	0..1	dateTime, Period, Timing	When service should occur
authoredOn	S	1..1	dateTime	Date request was initially authored
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet / Code	URI
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status From the FHIR Standard
ServiceRequest.intent	required	Fixed Value: order http://hl7.org/fhir/ValueSet/request-intent From the FHIR Standard
ServiceRequest.category	required	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
servicerequest-has-polaris-id	error	ServiceRequest	Must have at least one identifier with a canonical Polaris system URI : identifier.exists(system.matches('^https://fhir.apps.health/NamingSystem/[A-Za-z0-9._-]+-servicerequest-identifier$'))

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	ServiceRequest	Polaris Service Request Core Constraints: prr-1, servicerequest-has-polaris-id
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	SΣ	0..1	uri	Identifies EMR instance & pipeline version the resource came from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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	S	0..1	Narrative	Narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	Business identifier(s) for servicerequest Slice: Unordered, Open by pattern:system
identifier:polarisId	SΣ	1..1	Identifier	Polaris ServiceRequest ID
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	Polaris servicerequest identifier system: https://fhir.apps.health/NamingSystem/<instance-id>-servicerequest-identifier Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The actual Polaris servicerequest ID value: unique in source system Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:rawCode	SΣ	0..*	Identifier	Source EMR servicerequest identifier
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: secondary
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	Source system URI or https://fhir.apps.health/NamingSystem/<instance-id>-servicerequest-raw-code Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
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	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error Binding: RequestStatus (required)
intent	?!SΣ	1..1	code	proposal | plan | directive | order Binding: RequestIntent (required) Fixed Value: order
category	SΣ	1..1	CodeableConcept	Service Category Binding: ServiceRequestCategoryCodes (required)
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	SΣ	1..1	CodeableConcept	Service requested with raw code support Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:system
coding:standard	SΣ	0..*	Coding	Standard service code (SNOMED CT, LOINC)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Standard terminology system URI
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:rawCode	SΣ	0..*	Coding	Source EMR service code
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Source system URI or https://fhir.apps.health/NamingSystem/<instance-id>-servicerequest-code-raw-code
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	EMR-specific service code
display	Σ	1..1	string	EMR's display text for this service
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	1..1	string	Human-readable service description (required)
orderDetail	ΣC	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	SΣ	1..1	Reference(Polaris Patient Core)	Individual or entity the service is ordered for
encounter	SΣ	0..1	Reference(Polaris Encounter Profile Core)	Encounter in which the request was created
occurrence[x]	SΣ	0..1		When service should occur
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
asNeeded[x]	Σ	0..1		Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
authoredOn	SΣ	1..1	dateTime	Date request was initially authored
requester	Σ	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Who/what is requesting service
performerType	Σ	0..1	CodeableConcept	Performer role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
performer	Σ	0..*	Reference(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	Σ	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
reasonReference	Σ	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Explanation/Justification for service or service
insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
supportingInfo		0..*	Reference(Resource)	Additional clinical information
specimen	Σ	0..*	Reference(Specimen)	Procedure Samples
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	Conformance	ValueSet / Code	URI
ServiceRequest.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels From the FHIR Standard
ServiceRequest.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags From the FHIR Standard
ServiceRequest.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
ServiceRequest.identifier:polarisId.use	required	Pattern Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
ServiceRequest.identifier:polarisId.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
ServiceRequest.identifier:rawCode.use	required	Pattern Value: secondary http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
ServiceRequest.identifier:rawCode.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status From the FHIR Standard
ServiceRequest.intent	required	Fixed Value: order http://hl7.org/fhir/ValueSet/request-intent From the FHIR Standard
ServiceRequest.category	required	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category From the FHIR Standard
ServiceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 From the FHIR Standard
ServiceRequest.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code From the FHIR Standard
ServiceRequest.orderDetail	example	ServiceRequestOrderDetailsCodes http://hl7.org/fhir/ValueSet/servicerequest-orderdetail From the FHIR Standard
ServiceRequest.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason From the FHIR Standard
ServiceRequest.performerType	example	ParticipantRoles http://hl7.org/fhir/ValueSet/participant-role From the FHIR Standard
ServiceRequest.locationCode	example	ServiceDeliveryLocationRoleType http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reasonCode	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason From the FHIR Standard
ServiceRequest.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ServiceRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ServiceRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ServiceRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
prr-1	error	ServiceRequest	orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists()
servicerequest-has-polaris-id	error	ServiceRequest	Must have at least one identifier with a canonical Polaris system URI : identifier.exists(system.matches('^https://fhir.apps.health/NamingSystem/[A-Za-z0-9._-]+-servicerequest-identifier$'))

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	ServiceRequest	Polaris Service Request Core Constraints: prr-1, servicerequest-has-polaris-id
meta	Σ	0..1	Meta	Metadata about the resource
source	SΣ	0..1	uri	Identifies EMR instance & pipeline version the resource came from
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	S	0..1	Narrative	Narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	Business identifier(s) for servicerequest Slice: Unordered, Open by pattern:system
identifier:polarisId	SΣ	1..1	Identifier	Polaris ServiceRequest ID
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
system	Σ	1..1	uri	Polaris servicerequest identifier system: https://fhir.apps.health/NamingSystem/<instance-id>-servicerequest-identifier Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The actual Polaris servicerequest ID value: unique in source system Example General: 123456
identifier:rawCode	SΣ	0..*	Identifier	Source EMR servicerequest identifier
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: secondary
system	Σ	1..1	uri	Source system URI or https://fhir.apps.health/NamingSystem/<instance-id>-servicerequest-raw-code Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error Binding: RequestStatus (required)
intent	?!SΣ	1..1	code	proposal | plan | directive | order Binding: RequestIntent (required) Fixed Value: order
category	SΣ	1..1	CodeableConcept	Service Category Binding: ServiceRequestCategoryCodes (required)
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	SΣ	1..1	CodeableConcept	Service requested with raw code support Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:system
coding:standard	SΣ	0..*	Coding	Standard service code (SNOMED CT, LOINC)
system	Σ	1..1	uri	Standard terminology system URI
code	Σ	1..1	code	Symbol in syntax defined by the system
coding:rawCode	SΣ	0..*	Coding	Source EMR service code
system	Σ	1..1	uri	Source system URI or https://fhir.apps.health/NamingSystem/<instance-id>-servicerequest-code-raw-code
code	Σ	1..1	code	EMR-specific service code
display	Σ	1..1	string	EMR's display text for this service
text	SΣ	1..1	string	Human-readable service description (required)
subject	SΣ	1..1	Reference(Polaris Patient Core)	Individual or entity the service is ordered for
encounter	SΣ	0..1	Reference(Polaris Encounter Profile Core)	Encounter in which the request was created
occurrence[x]	SΣ	0..1		When service should occur
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
authoredOn	SΣ	1..1	dateTime	Date request was initially authored
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ServiceRequest.identifier:polarisId.use	required	Pattern Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
ServiceRequest.identifier:rawCode.use	required	Pattern Value: secondary http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status From the FHIR Standard
ServiceRequest.intent	required	Fixed Value: order http://hl7.org/fhir/ValueSet/request-intent From the FHIR Standard
ServiceRequest.category	required	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category From the FHIR Standard
ServiceRequest.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ServiceRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ServiceRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ServiceRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
prr-1	error	ServiceRequest	orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists()
servicerequest-has-polaris-id	error	ServiceRequest	Must have at least one identifier with a canonical Polaris system URI : identifier.exists(system.matches('^https://fhir.apps.health/NamingSystem/[A-Za-z0-9._-]+-servicerequest-identifier$'))

Differential View

This structure is derived from ServiceRequest

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	ServiceRequest	Polaris Service Request Core Constraints: servicerequest-has-polaris-id
meta
source	S	0..1	uri	Identifies EMR instance & pipeline version the resource came from
text	S	0..1	Narrative	Narrative
Slices for identifier	S	1..*	Identifier	Business identifier(s) for servicerequest Slice: Unordered, Open by pattern:system
identifier:polarisId	S	1..1	Identifier	Polaris ServiceRequest ID
use		0..1	code	usual | official | temp | secondary | old (If known) Required Pattern: official
system		1..1	uri	Polaris servicerequest identifier system: https://fhir.apps.health/NamingSystem/<instance-id>-servicerequest-identifier
value		1..1	string	The actual Polaris servicerequest ID value: unique in source system
identifier:rawCode	S	0..*	Identifier	Source EMR servicerequest identifier
use		0..1	code	usual | official | temp | secondary | old (If known) Required Pattern: secondary
system		1..1	uri	Source system URI or https://fhir.apps.health/NamingSystem/<instance-id>-servicerequest-raw-code
value		1..1	string	The value that is unique
status	S	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error Binding: RequestStatus (required)
intent	S	1..1	code	proposal | plan | directive | order Binding: RequestIntent (required) Fixed Value: order
category	S	1..1	CodeableConcept	Service Category Binding: ServiceRequestCategoryCodes (required)
code	S	1..1	CodeableConcept	Service requested with raw code support
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:system
coding:standard	S	0..*	Coding	Standard service code (SNOMED CT, LOINC)
system		1..1	uri	Standard terminology system URI
code		1..1	code	Symbol in syntax defined by the system
coding:rawCode	S	0..*	Coding	Source EMR service code
system		1..1	uri	Source system URI or https://fhir.apps.health/NamingSystem/<instance-id>-servicerequest-code-raw-code
code		1..1	code	EMR-specific service code
display		1..1	string	EMR's display text for this service
text	S	1..1	string	Human-readable service description (required)
subject	S	1..1	Reference(Polaris Patient Core)	Individual or entity the service is ordered for
encounter	S	0..1	Reference(Polaris Encounter Profile Core)	Encounter in which the request was created
occurrence[x]	S	0..1	dateTime, Period, Timing	When service should occur
authoredOn	S	1..1	dateTime	Date request was initially authored
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet / Code	URI
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status From the FHIR Standard
ServiceRequest.intent	required	Fixed Value: order http://hl7.org/fhir/ValueSet/request-intent From the FHIR Standard
ServiceRequest.category	required	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
servicerequest-has-polaris-id	error	ServiceRequest	Must have at least one identifier with a canonical Polaris system URI : identifier.exists(system.matches('^https://fhir.apps.health/NamingSystem/[A-Za-z0-9._-]+-servicerequest-identifier$'))

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	ServiceRequest	Polaris Service Request Core Constraints: prr-1, servicerequest-has-polaris-id
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	SΣ	0..1	uri	Identifies EMR instance & pipeline version the resource came from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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	S	0..1	Narrative	Narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	Business identifier(s) for servicerequest Slice: Unordered, Open by pattern:system
identifier:polarisId	SΣ	1..1	Identifier	Polaris ServiceRequest ID
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	Polaris servicerequest identifier system: https://fhir.apps.health/NamingSystem/<instance-id>-servicerequest-identifier Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The actual Polaris servicerequest ID value: unique in source system Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:rawCode	SΣ	0..*	Identifier	Source EMR servicerequest identifier
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: secondary
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	Source system URI or https://fhir.apps.health/NamingSystem/<instance-id>-servicerequest-raw-code Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
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	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error Binding: RequestStatus (required)
intent	?!SΣ	1..1	code	proposal | plan | directive | order Binding: RequestIntent (required) Fixed Value: order
category	SΣ	1..1	CodeableConcept	Service Category Binding: ServiceRequestCategoryCodes (required)
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	SΣ	1..1	CodeableConcept	Service requested with raw code support Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:system
coding:standard	SΣ	0..*	Coding	Standard service code (SNOMED CT, LOINC)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Standard terminology system URI
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:rawCode	SΣ	0..*	Coding	Source EMR service code
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Source system URI or https://fhir.apps.health/NamingSystem/<instance-id>-servicerequest-code-raw-code
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	EMR-specific service code
display	Σ	1..1	string	EMR's display text for this service
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	1..1	string	Human-readable service description (required)
orderDetail	ΣC	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	SΣ	1..1	Reference(Polaris Patient Core)	Individual or entity the service is ordered for
encounter	SΣ	0..1	Reference(Polaris Encounter Profile Core)	Encounter in which the request was created
occurrence[x]	SΣ	0..1		When service should occur
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
asNeeded[x]	Σ	0..1		Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
authoredOn	SΣ	1..1	dateTime	Date request was initially authored
requester	Σ	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Who/what is requesting service
performerType	Σ	0..1	CodeableConcept	Performer role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
performer	Σ	0..*	Reference(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	Σ	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
reasonReference	Σ	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Explanation/Justification for service or service
insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
supportingInfo		0..*	Reference(Resource)	Additional clinical information
specimen	Σ	0..*	Reference(Specimen)	Procedure Samples
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	Conformance	ValueSet / Code	URI
ServiceRequest.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels From the FHIR Standard
ServiceRequest.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags From the FHIR Standard
ServiceRequest.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
ServiceRequest.identifier:polarisId.use	required	Pattern Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
ServiceRequest.identifier:polarisId.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
ServiceRequest.identifier:rawCode.use	required	Pattern Value: secondary http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
ServiceRequest.identifier:rawCode.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status From the FHIR Standard
ServiceRequest.intent	required	Fixed Value: order http://hl7.org/fhir/ValueSet/request-intent From the FHIR Standard
ServiceRequest.category	required	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category From the FHIR Standard
ServiceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 From the FHIR Standard
ServiceRequest.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code From the FHIR Standard
ServiceRequest.orderDetail	example	ServiceRequestOrderDetailsCodes http://hl7.org/fhir/ValueSet/servicerequest-orderdetail From the FHIR Standard
ServiceRequest.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason From the FHIR Standard
ServiceRequest.performerType	example	ParticipantRoles http://hl7.org/fhir/ValueSet/participant-role From the FHIR Standard
ServiceRequest.locationCode	example	ServiceDeliveryLocationRoleType http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reasonCode	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason From the FHIR Standard
ServiceRequest.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ServiceRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ServiceRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ServiceRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
prr-1	error	ServiceRequest	orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists()
servicerequest-has-polaris-id	error	ServiceRequest	Must have at least one identifier with a canonical Polaris system URI : identifier.exists(system.matches('^https://fhir.apps.health/NamingSystem/[A-Za-z0-9._-]+-servicerequest-identifier$'))

This structure is derived from ServiceRequest

Summary

Mandatory: 8 elements(7 nested mandatory elements)
Must-Support: 16 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

• Polaris Patient Core (https://fhir.apps.health/StructureDefinition/polaris-core-patient)
• Polaris Encounter Profile Core (https://fhir.apps.health/StructureDefinition/polaris-core-encounter)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of ServiceRequest.identifier
• The element 1 is sliced based on the value of ServiceRequest.code.coding