Service Request

A direction given by a regulated health care professional within their authorized scope of practice to request a procedure, diagnostic test, medication or other health care service. This includes direct orders and medical directives.

Note:
A service request is a formal, documented request that serves as an authorization to proceed with the task and can be used to initiate a workflow, transfer care or manage a patient's treatment plan.
A service request captures clinical intent. It can be treated as a planned activity, with the difference that it represents an actionable request.
Requests are distinct from events in that an event is primarily focused on what has occurred or is occurring while requests deal with what is "desired" to occur. While creating a request or definition can be seen as a type of event, the focus is not the "creation" but the desire/intention.
For Laboratory Service Requests, Service Request Category Code is fixed to "LAB".
For Medical Imaging Service Requests, Service Request Category Code is fixed to "DI".

Contraintes

  • XOR (Service Request Quantity Value, Service Request Quantity Range, Service Request Quantity Ratio)

Stéréotypes

s. o.

Attributs

AttributTypeMultiplicitéNote sur l’attribut
Service Request Identifier Identifier 0..*
Alphanumeric identifier(s) assigned to the service request.
Service Request Code Codeable Concept 0..1
Uniquely specifies what is being requested/ordered. Value Set: To be developed.
Service Request Intent Code Codeable Concept 1
Uniquely specifies the purpose or goal of the request (e.g., proposal, plan, directive, order (original, reflex, instance order), option). Value Set: https://hl7.org/fhir/R4/valueset-request-intent.html
Service Request Category Code Codeable Concept 0..*
Uniquely specifies the high-level classification(s) among the types of health care services that can be requested (such as imaging or lab). Member concepts facilitate searching, sorting and display (e.g., consultation between health care providers, imaging, laboratory test, patient referral, procedure). Value Set: &&https://ui.terminologystandardsservice.ca/ui/deeplink?iss=https://terminologystandardsservice.ca/fhir&type=ValueSet&canonicalUrl=https://fhir.infoway-inforoute.ca/ValueSet/servicerequestcategorycode
Service Request Consultation or Referral Type Code Codeable Concept 0..1
Uniquely specifies the purpose of the service request as intended by the referring health care provider (e.g., opinion only, transfer of care or co-management, ongoing management, re-service request). Additional Guidance: for use in Consultation or Referral only. Value Set: To be developed.
Service Request Priority Code Codeable Concept 0..1
Uniquely specifies how quickly the service request should be addressed with respect to other requests (e.g., routine, urgent, ASAP, STAT/emergency). Value Set: https://hl7.org/fhir/R4/valueset-request-priority.html
Service Request Quantity Value Quantity 0..1
The amount of services requested expressed as a single quantity (decimal or integer) along with the unit of measure for the service request amount (e.g., visits, hours, dollars). Unit of Measure Code Value Set: To be developed.
Service Request Quantity Range Range 0..1
The amount of services requested expressed as a range of quantities, along with the corresponding units of measure (e.g., visits, hours, dollars). Lower Limit.Unit of Measure Code, Higher Limit.Unit of Measure Code Value Set: To be developed.
Service Request Quantity Ratio Ratio 0..1
The amount of services requested expressed as a ratio of quantities, along with the corresponding units of measure (e.g., visits, hours, dollars). Numerator.Unit of Measure Code, Denominator.Unit of Measure Code Value Set: To be developed.
Service Request Timing Code Codeable Concept 0..1
Uniquely specifies the timing schedule when a service request should be performed. Value Set: To be developed.
Service Request Timing Frequency Quantity 0..1
Service Request Time Of Day Time 0..*
The time(s) of day the service should be performed (e.g., 1300 hrs).
Service Request Day Of Week Code Codeable Concept 0..*
Uniquely specifies the day(s) of the week when the service should be performed (e.g., Monday, Wednesday). Value Set: https://fhir.infoway-inforoute.ca/ValueSet/daysofweek
Service Request Communication Method Code Codeable Concept 0..1
Uniquely specifies the original method used to send the service request (e.g., fax, secure messaging). Value Set: To be developed.
Service Request Body Site Code Codeable Concept 0..*
Uniquely specifies anatomical location(s) where the requested service should be performed. Value Set: https://fhir.infoway-inforoute.ca/ValueSet/anatomicaloracquiredbodystructurecode
Service Request Do Not Perform Indicator Indicator 0..1
An indicator of whether (if true) the requested service should not be performed due to a clinical contraindication.
Service Request As Needed Indicator Indicator 0..1
An indicator of whether the requested service should be performed on an as-needed basis.
Service Request Do Not Perform Reason Code Codeable Concept 0..*
Uniquely specifies the clinical reason(s) (health condition(s)) why the requested service should not be performed. Value Set: &&https://ui.terminologystandardsservice.ca/ui/deeplink?iss=https://terminologystandardsservice.ca/fhir&type=ValueSet&canonicalUrl=https://fhir.infoway-inforoute.ca/ValueSet/healthconditioncode
Service Request Additional Instructions Information String 0..1
Additional details and instructions about the how the services within the service request are to be delivered, performed, prepared for or coordinated.
Service Request Internal Indicator Indicator 0..1
An indicator of whether the service is internal (if true) or external (if false). Note: This indicator helps distinguish in-patient referrals, which impact audit processes, billing, notes visible to providers and triage processes. In primary care the indicator is used to distinguish between a referral that came from the provider and one created based on a patient's request.
Service Request Effective Period Period 1
The period - start and end date and, if known, time - when the requested service is intended to be valid. End of period is mandatory.

Relations

Classe d’origine Multiplicité d’origine Relation Classe de destination Multiplicité de destination
Location 0..1 subject of Service Request 0..*
Party Group 0..1 subject of Service Request 0..*
Encounter 0..1 created in Service Request 0..*
Service Request 0..* originating referral for Episode Of Care 0..1
Clinical Document 0..* supports Service Request 0..*
Device Usage 0..* based on Service Request 0..*
Service Request 0..* fulfilled in Encounter 0..*
Requisition Form 0..* instructs Service Request 0..1
Service Request 0..* for Health Care Service 0..1
Imaging Study 0..* based on Service Request 0..*
Service Request is a Administrative Event
Diagnostic Report 0..* based on Service Request 0..*
Service Request 0..* Party Role 0..*
Order Set 0..1 defines Service Request 0..*
Service Request 0..* has
{Event Types: "authoring (signed)", "request", "reception", "acknowledgment", ..., Party Role is Health Care Provider for "authoring", "reception", "acknowledgment"}
Clinical Information Life Cycle Event 0..*
Device 0..1 subject of Service Request 0..*
Service Request 1 has Service Request Status 1..*
Service Request 0..* Location 0..*
Service Request 1 has Service Request Reason 0..*
Patient 0..1 subject of Service Request 0..*
Patient Procedure 0..* based on Service Request 0..*
Service Request 0..1 has (aggregation) Service Request 0..*
Service Request 0..1 has (composition) Clinical Annotation 0..*
Service Request 0..1 defines Specimen 0..*
Health Care Provider 1 requests Service Request 0..*
Service Request 0..* replaces Service Request 0..*
Service Request 0..1 has Provenance 0..*

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Comment citer ce contenu:

Institut canadien d’information sur la santé. Service Request. Consulté le 02 novembre 2026.