<status value="active" /> <experimental value="false" /> <date value="2025-03-06" /> <publisher value="Canada Health Infoway" /> <contact> <name value="National Standards Release Centre" /> <telecom> <system value="url" /> <value value="http://www.infoway-inforoute.ca" /> </telecom> <telecom> <system value="email" /> <value value="standards@infoway-inforoute.ca" /> </telecom> </contact> <description value="This profile applies constraints to the ServiceRequest resource for CA Core+ to support orders and referrals for clinical services in the pan-Canadian context." /> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166" /> <code value="CA" /> </coding> </jurisdiction> <copyright value="Copyright © 2025+ Canada Health Infoway. All rights reserved. [Terms of Use and License Agreements](https://ic.infoway-inforoute.ca/en/about/tou). [Privacy Policy](https://www.infoway-inforoute.ca/en/legal/privacy-policy)." /> <fhirVersion value="4.0.1" /> <kind value="resource" /> <abstract value="false" /> <type value="ServiceRequest" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/ServiceRequest" /> <derivation value="constraint" /> <differential> <element id="ServiceRequest.extension"> <path value="ServiceRequest.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> </element> <element id="ServiceRequest.extension:CopiedParticipants"> <path value="ServiceRequest.extension" /> <sliceName value="CopiedParticipants" /> <min value="0" /> <max value="*" /> <type> <code value="Extension" /> <profile value="http://fhir.infoway-inforoute.ca/ca-ext/StructureDefinition/servicerequest-copied-participants" /> </type> </element> <element id="ServiceRequest.extension:DARC"> <path value="ServiceRequest.extension" /> <sliceName value="DARC" /> <min value="0" /> <max value="*" /> <type> <code value="Extension" /> <profile value="http://fhir.infoway-inforoute.ca/ca-ext/StructureDefinition/servicerequest-darc" /> </type> </element> <element id="ServiceRequest.extension:DART"> <path value="ServiceRequest.extension" /> <sliceName value="DART" /> <min value="0" /> <max value="*" /> <type> <code value="Extension" /> <profile value="http://fhir.infoway-inforoute.ca/ca-ext/StructureDefinition/servicerequest-dart" /> </type> </element> <element id="ServiceRequest.extension:PatientPresentLocation"> <path value="ServiceRequest.extension" /> <sliceName value="PatientPresentLocation" /> <min value="0" /> <max value="*" /> <type> <code value="Extension" /> <profile value="http://fhir.infoway-inforoute.ca/ca-ext/StructureDefinition/servicerequest-patientPresentLocation" /> </type> </element> <element id="ServiceRequest.extension:RoutingOptions"> <path value="ServiceRequest.extension" /> <sliceName value="RoutingOptions" /> <min value="0" /> <max value="*" /> <type> <code value="Extension" /> <profile value="http://fhir.infoway-inforoute.ca/ca-ext/StructureDefinition/routingOptions" /> </type> </element> <element id="ServiceRequest.basedOn.identifier.system"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:populate-if-known" /> </extension> <extension url="actor"> <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" /> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:no-error" /> </extension> <extension url="actor"> <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" /> </extension> </extension> <path value="ServiceRequest.basedOn.identifier.system" /> <mustSupport value="true" /> </element> <element id="ServiceRequest.basedOn.identifier.value"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:populate-if-known" /> </extension> <extension url="actor"> <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" /> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:no-error" /> </extension> <extension url="actor"> <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" /> </extension> </extension> <path value="ServiceRequest.basedOn.identifier.value" /> <mustSupport value="true" /> </element> <element id="ServiceRequest.category"> <path value="ServiceRequest.category" /> <type> <code value="CodeableConcept" /> <profile value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/codeableconcept-ca-core" /> </type> </element> <element id="ServiceRequest.code"> <path value="ServiceRequest.code" /> <type> <code value="CodeableConcept" /> <profile value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/codeableconcept-ca-core" /> </type> <binding> <strength value="extensible" /> <valueSet value="https://fhir.infoway-inforoute.ca/ValueSet/procedurecode" /> </binding> </element> <element id="ServiceRequest.subject"> <path value="ServiceRequest.subject" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/patient-ca-core" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group" /> <targetProfile value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/location-ca-core" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device" /> </type> </element> <element id="ServiceRequest.encounter"> <path value="ServiceRequest.encounter" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/encounter-ca-core" /> </type> </element> <element id="ServiceRequest.performer"> <path value="ServiceRequest.performer" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/practitioner-ca-core" /> <targetProfile value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/practitionerRole-ca-core" /> <targetProfile value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/organization-ca-core" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/CareTeam" /> <targetProfile value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/healthcareservice-ca-core" /> <targetProfile value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/patient-ca-core" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" /> </type> </element> <element id="ServiceRequest.performer.identifier.system"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:populate-if-known" /> </extension> <extension url="actor"> <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" /> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:no-error" /> </extension> <extension url="actor"> <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" /> </extension> </extension> <path value="ServiceRequest.performer.identifier.system" /> <mustSupport value="true" /> </element> <element id="ServiceRequest.performer.identifier.value"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:populate-if-known" /> </extension> <extension url="actor"> <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" /> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:no-error" /> </extension> <extension url="actor"> <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" /> </extension> </extension> <path value="ServiceRequest.performer.identifier.value" /> <mustSupport value="true" /> </element> <element id="ServiceRequest.locationReference"> <path value="ServiceRequest.locationReference" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/location-ca-core" /> </type> </element> <element id="ServiceRequest.reasonCode"> <path value="ServiceRequest.reasonCode" /> <binding> <strength value="preferred" /> <valueSet value="https://fhir.infoway-inforoute.ca/ValueSet/healthconditioncode" /> </binding> </element> <element id="ServiceRequest.supportingInfo.identifier.system"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:populate-if-known" /> </extension> <extension url="actor"> <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" /> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:no-error" /> </extension> <extension url="actor"> <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" /> </extension> </extension> <path value="ServiceRequest.supportingInfo.identifier.system" /> <mustSupport value="true" /> </element> <element id="ServiceRequest.supportingInfo.identifier.value"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:populate-if-known" /> </extension> <extension url="actor"> <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" /> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:no-error" /> </extension> <extension url="actor"> <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" /> </extension> </extension> <path value="ServiceRequest.supportingInfo.identifier.value" /> <mustSupport value="true" /> </element> <element id="ServiceRequest.note.author[x]"> <path value="ServiceRequest.note.author[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> </element> <element id="ServiceRequest.note.author[x]:authorReference"> <path value="ServiceRequest.note.author[x]" /> <sliceName value="authorReference" /> <min value="0" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" /> </type> </element> <element id="ServiceRequest.note.author[x]:authorReference.reference"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:populate-if-known" /> </extension> <extension url="actor"> <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" /> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:no-error" /> </extension> <extension url="actor"> <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" /> </extension> </extension> <path value="ServiceRequest.note.author[x].reference" /> <mustSupport value="true" /> </element> <element id="ServiceRequest.note.author[x]:authorReference.identifier"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:populate-if-known" /> </extension> <extension url="actor"> <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" /> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:no-error" /> </extension> <extension url="actor"> <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" /> </extension> </extension> <path value="ServiceRequest.note.author[x].identifier" /> <mustSupport value="true" /> </element> <element id="ServiceRequest.note.author[x]:authorReference.identifier.system"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:populate-if-known" /> </extension> <extension url="actor"> <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" /> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:no-error" /> </extension> <extension url="actor"> <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" /> </extension> </extension> <path value="ServiceRequest.note.author[x].identifier.system" /> <mustSupport value="true" /> </element> <element id="ServiceRequest.note.author[x]:authorReference.identifier.value"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:populate-if-known" /> </extension> <extension url="actor"> <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" /> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:no-error" /> </extension> <extension url="actor"> <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" /> </extension> </extension> <path value="ServiceRequest.note.author[x].identifier.value" /> <mustSupport value="true" /> </element> </differential> </StructureDefinition>