Profile Comparison between http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-servicerequest vs http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-servicerequest

Left:De-Identified UDS Plus ServiceRequest (http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-servicerequest)
Right:De-Identified UDS Plus ServiceRequest (http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-servicerequest)

Messages

ErrorStructureDefinition.versionValues for version differ: '1.0.1' vs '1.1.0'
InformationStructureDefinition.dateValues for date differ: '2023-12-01T16:16:20+11:00' vs '2024-09-20T09:30:38-04:00'
InformationStructureDefinition.commentValues for comment differ: 'The status is generally fully in the control of the requester - they determine whether the order is draft or active and, after it has been activated, competed, cancelled or suspended. States relating to the activities of the performer are reflected on either the corresponding event (see [Event Pattern](event.html) for general discussion) or using the [Task](task.html) resource.' vs 'The status is generally fully in the control of the requester - they determine whether the order is draft or active and, after it has been activated, competed, cancelled or suspended. States relating to the activities of the performer are reflected on either the corresponding event (see [Event Pattern](http://hl7.org/fhir/R4/event.html) for general discussion) or using the [Task](http://hl7.org/fhir/R4/task.html) resource.'
InformationStructureDefinition.commentValues for comment differ: 'This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all. Use `CodeableConcept.text` element if the data is free (uncoded) text as shown in the [CT Scan example](servicerequest-example-di.html).' vs 'This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all. Use `CodeableConcept.text` element if the data is free (uncoded) text as shown in the [CT Scan example](http://hl7.org/fhir/R4/servicerequest-example-di.html).'
InformationStructureDefinition.commentValues for comment differ: 'This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all. To be as specific as possible, a reference to *Observation* or *Condition* should be used if available. Otherwise when referencing *DiagnosticReport* it should contain a finding in `DiagnosticReport.conclusion` and/or `DiagnosticReport.conclusionCode`. When using a reference to *DocumentReference*, the target document should contain clear findings language providing the relevant reason for this service request. Use the CodeableConcept text element in `ServiceRequest.reasonCode` if the data is free (uncoded) text as shown in the [CT Scan example](servicerequest-example-di.html).' vs 'This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all. To be as specific as possible, a reference to *Observation* or *Condition* should be used if available. Otherwise when referencing *DiagnosticReport* it should contain a finding in `DiagnosticReport.conclusion` and/or `DiagnosticReport.conclusionCode`. When using a reference to *DocumentReference*, the target document should contain clear findings language providing the relevant reason for this service request. Use the CodeableConcept text element in `ServiceRequest.reasonCode` if the data is free (uncoded) text as shown in the [CT Scan example](http://hl7.org/fhir/R4/servicerequest-example-di.html).'
InformationStructureDefinition.commentValues for comment differ: 'Many diagnostic procedures need a specimen, but the request itself is not actually about the specimen. This element is for when the diagnostic is requested on already existing specimens and the request points to the specimen it applies to. Conversely, if the request is entered first with an unknown specimen, then the [Specimen](specimen.html) resource points to the ServiceRequest.' vs 'Many diagnostic procedures need a specimen, but the request itself is not actually about the specimen. This element is for when the diagnostic is requested on already existing specimens and the request points to the specimen it applies to. Conversely, if the request is entered first with an unknown specimen, then the [Specimen](http://hl7.org/fhir/R4/specimen.html) resource points to the ServiceRequest.'
WarningServiceRequest.bodySiteElements differ in definition for mustSupport: 'true' vs 'false'
InformationServiceRequest.noteElement maximum cardinalities differ: '2147483647' vs '0'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/ServiceRequest
      .copyright
        .date2023-12-01T16:16:20+11:002024-09-20T09:30:38-04:00
        • Values Differ
        .descriptionThe UDS+ profile is based on the ServiceRequest resource and establishes the core elements, extensions, vocabularies and value sets for representing ServiceRequest for UDS+ program.
          .experimentalfalse
            .fhirVersion4.0.1
              .jurisdiction
                ..jurisdiction[0]http://unstats.un.org/unsd/methods/m49/m49.htm#001
                  .kindresource
                    .nameUDSPlusServiceRequest
                      .publisherHRSA BPHC
                        .purpose
                          .statusactive
                            .titleDe-Identified UDS Plus ServiceRequest
                              .typeServiceRequest
                                .urlhttp://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-servicerequest
                                  .version1.0.11.1.0
                                  • Values Differ

                                  Structure

                                  NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.R TypeR Description & ConstraintsCommentsdoco
                                  .. ServiceRequest C0..*ServiceRequestDe-Identified UDS Plus ServiceRequest
                                  prr-1: orderDetail SHALL only be present if code is present
                                  C0..*ServiceRequestDe-Identified UDS Plus ServiceRequest
                                  prr-1: orderDetail SHALL only be present if code is present
                                    ... id SΣ0..1idThe de-identified ServiceRequest identifier created by the health center to send data to UDS+ Data ReceiverSΣ0..1idThe de-identified ServiceRequest identifier created by the health center to send data to UDS+ Data Receiver
                                      ... meta Σ0..1MetaMetadata about the resourceΣ0..1MetaMetadata about the resource
                                        ... implicitRules ?!Σ0..1uriA set of rules under which this content was created?!Σ0..1uriA set of rules under which this content was created
                                          ... language 0..1codeLanguage of the resource content
                                          Binding: ?? (preferred): A human language.

                                          Additional BindingsPurpose
                                          ??Max Binding
                                          0..1codeLanguage of the resource content
                                          Binding: ?? (preferred): A human language.

                                          Additional BindingsPurpose
                                          ??Max Binding
                                            ... text 0..00..0
                                              ... contained 0..00..0
                                                ... extension 0..*ExtensionAdditional content defined by implementations
                                                0..*ExtensionAdditional content defined by implementations
                                                  ... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
                                                  ?!0..*ExtensionExtensions that cannot be ignored
                                                    ... identifier Σ0..*IdentifierIdentifiers assigned to this order
                                                    Σ0..*IdentifierIdentifiers assigned to this order
                                                      ... instantiatesCanonical Σ0..*canonical(ActivityDefinition | PlanDefinition)Instantiates FHIR protocol or definition
                                                      Σ0..*canonical(ActivityDefinition | PlanDefinition)Instantiates FHIR protocol or definition
                                                        ... instantiatesUri Σ0..*uriInstantiates external protocol or definition
                                                        Σ0..*uriInstantiates external protocol or definition
                                                          ... basedOn Σ0..*Reference(CarePlan | ServiceRequest | MedicationRequest)What request fulfills
                                                          Σ0..*Reference(CarePlan | ServiceRequest | MedicationRequest)What request fulfills
                                                            ... replaces Σ0..*Reference(ServiceRequest)What request replaces
                                                            Σ0..*Reference(ServiceRequest)What request replaces
                                                              ... requisition Σ0..1IdentifierComposite Request IDΣ0..1IdentifierComposite Request ID
                                                                ... status ?!SΣ1..1codedraft | active | on-hold | revoked | completed | entered-in-error | unknown
                                                                Binding: ?? (required): The status of a service order.

                                                                ?!SΣ1..1codedraft | active | on-hold | revoked | completed | entered-in-error | unknown
                                                                Binding: ?? (required): The status of a service order.

                                                                  ... intent ?!SΣ1..1codeproposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
                                                                  Binding: ?? (required): The kind of service request.

                                                                  ?!SΣ1..1codeproposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
                                                                  Binding: ?? (required): The kind of service request.

                                                                    ... category Σ0..*CodeableConceptClassification of service
                                                                    Binding: ?? (example): Classification of the requested service.


                                                                    Σ0..*CodeableConceptClassification of service
                                                                    Binding: ?? (example): Classification of the requested service.


                                                                      ... priority Σ0..1coderoutine | urgent | asap | stat
                                                                      Binding: ?? (required): Identifies the level of importance to be assigned to actioning the request.

                                                                      Σ0..1coderoutine | urgent | asap | stat
                                                                      Binding: ?? (required): Identifies the level of importance to be assigned to actioning the request.

                                                                        ... doNotPerform ?!SΣ1..1booleanTrue if service/procedure should not be performed?!SΣ1..1booleanTrue if service/procedure should not be performed
                                                                          ... code SΣ1..1CodeableConceptWhat is being requested/ordered
                                                                          Binding: ?? (extensible): The set of codes indicating the ServiceRequests

                                                                          SΣ1..1CodeableConceptWhat is being requested/ordered
                                                                          Binding: ?? (extensible): The set of codes indicating the ServiceRequests

                                                                            ... orderDetail ΣC0..*CodeableConceptAdditional order information
                                                                            Binding: ?? (example): Codified order entry details which are based on order context.


                                                                            ΣC0..*CodeableConceptAdditional order information
                                                                            Binding: ?? (example): Codified order entry details which are based on order context.


                                                                              ... quantity[x] Σ0..1Quantity, Ratio, RangeService amountΣ0..1Quantity, Ratio, RangeService amount
                                                                                ... subject SΣ1..1Reference(De-Identified UDS Plus Patient)Individual or Entity the service is ordered forSΣ1..1Reference(De-Identified UDS Plus Patient)Individual or Entity the service is ordered for
                                                                                  .... id 0..1stringUnique id for inter-element referencing
                                                                                  • Added this element
                                                                                  .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                                                  Slice: Unordered, Open by value:url
                                                                                  • Added this element
                                                                                  .... reference ΣC0..1stringLiteral reference, Relative, internal or absolute URL
                                                                                  • Added this element
                                                                                  .... type Σ0..1uriType the reference refers to (e.g. "Patient")
                                                                                  Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).

                                                                                  • Added this element
                                                                                  .... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
                                                                                  • Added this element
                                                                                  .... display Σ0..0
                                                                                  • Added this element
                                                                                  ... encounter SΣ0..1Reference(De-Identified UDS Plus Encounter)Encounter in which the request was createdSΣ0..1Reference(De-Identified UDS Plus Encounter)Encounter in which the request was created
                                                                                    .... id 0..1stringUnique id for inter-element referencing
                                                                                    • Added this element
                                                                                    .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                                                    Slice: Unordered, Open by value:url
                                                                                    • Added this element
                                                                                    .... reference ΣC0..1stringLiteral reference, Relative, internal or absolute URL
                                                                                    • Added this element
                                                                                    .... type Σ0..1uriType the reference refers to (e.g. "Patient")
                                                                                    Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).

                                                                                    • Added this element
                                                                                    .... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
                                                                                    • Added this element
                                                                                    .... display Σ0..0
                                                                                    • Added this element
                                                                                    ... occurrence[x] SΣ0..1dateTime, Period, TimingWhen service should occurSΣC0..1dateTime S, Period, TimingWhen service should occur
                                                                                    uds-plus-svr-1: All dateTime data elements should be truncated to a year only for de-identified resources.
                                                                                    uds-plus-svr-2: All Period.start data elements should be truncated to a year only for de-identified resources.
                                                                                    uds-plus-svr-3: All Period.emd data elements should be truncated to a year only for de-identified resources.
                                                                                    uds-plus-svr-4: All Timing.event data elements should be truncated to a year only for de-identified resources.
                                                                                    uds-plus-svr-5: All Timing.event data elements should be truncated to a year only for de-identified resources.
                                                                                      ... asNeeded[x] Σ0..1boolean, CodeableConceptPreconditions 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.

                                                                                      Σ0..1boolean, CodeableConceptPreconditions 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 SΣ0..1dateTimeDate request signedSΣC0..1dateTimeDate request signed
                                                                                        uds-plus-svr-6: All dateTime data elements should be truncated to a year only for de-identified resources.
                                                                                          ... requester SΣ0..1Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)Who/what is requesting serviceSΣ0..1Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)Who/what is requesting service
                                                                                            .... id 0..1stringUnique id for inter-element referencing
                                                                                            • Added this element
                                                                                            .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                                                            Slice: Unordered, Open by value:url
                                                                                            • Added this element
                                                                                            .... reference ΣC0..1stringLiteral reference, Relative, internal or absolute URL
                                                                                            • Added this element
                                                                                            .... type Σ0..1uriType the reference refers to (e.g. "Patient")
                                                                                            Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).

                                                                                            • Added this element
                                                                                            .... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
                                                                                            • Added this element
                                                                                            .... display Σ0..0
                                                                                            • Added this element
                                                                                            ... performerType Σ0..1CodeableConceptPerformer role
                                                                                            Binding: ?? (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.

                                                                                            Σ0..1CodeableConceptPerformer role
                                                                                            Binding: ?? (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.

                                                                                              ... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)Requested performer
                                                                                              Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)Requested performer
                                                                                                .... id 0..1stringUnique id for inter-element referencing
                                                                                                • Added this element
                                                                                                .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                                                                Slice: Unordered, Open by value:url
                                                                                                • Added this element
                                                                                                .... reference ΣC0..1stringLiteral reference, Relative, internal or absolute URL
                                                                                                • Added this element
                                                                                                .... type Σ0..1uriType the reference refers to (e.g. "Patient")
                                                                                                Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).

                                                                                                • Added this element
                                                                                                .... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
                                                                                                • Added this element
                                                                                                .... display Σ0..0
                                                                                                • Added this element
                                                                                                ... locationCode Σ0..*CodeableConceptRequested location
                                                                                                Binding: ?? (example): A location type where services are delivered.


                                                                                                Σ0..*CodeableConceptRequested location
                                                                                                Binding: ?? (example): A location type where services are delivered.


                                                                                                  ... locationReference Σ0..*Reference(Location)Requested location
                                                                                                  Σ0..*Reference(Location)Requested location
                                                                                                    ... reasonCode Σ0..*CodeableConceptExplanation/Justification for procedure or service
                                                                                                    Binding: ?? (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.


                                                                                                    Σ0..*CodeableConceptExplanation/Justification for procedure or service
                                                                                                    Binding: ?? (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.


                                                                                                      ... reasonReference Σ0..*Reference(Condition | Observation | DiagnosticReport | DocumentReference)Explanation/Justification for service or service
                                                                                                      Σ0..*Reference(Condition | Observation | DiagnosticReport | DocumentReference)Explanation/Justification for service or service
                                                                                                        ... 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 Σ0..*Reference(Specimen)Procedure Samples
                                                                                                            Σ0..*Reference(Specimen)Procedure Samples
                                                                                                              ... bodySite SΣ0..*CodeableConceptLocation on Body
                                                                                                              Binding: ?? (example): Codes describing anatomical locations. May include laterality.


                                                                                                              Σ0..*CodeableConceptLocation on Body
                                                                                                              Binding: ?? (example): Codes describing anatomical locations. May include laterality.


                                                                                                              • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                                                                              ... note 0..*AnnotationComments
                                                                                                              0..0
                                                                                                              • Element maximum cardinalities differ: '2147483647' vs '0'
                                                                                                              ... patientInstruction Σ0..1stringPatient or consumer-oriented instructionsΣ0..1stringPatient or consumer-oriented instructions
                                                                                                                ... relevantHistory 0..*Reference(Provenance)Request provenance
                                                                                                                0..*Reference(Provenance)Request provenance

                                                                                                                  doco Documentation for this format