【2026.8.31リリース予定の公開準備版】電子カルテ情報共有サービス2文書５情報+患者サマリー　FHIR実装ガイド JP-CLINS（CLinical Information Sharing ImplementationGuide） v1.13.0-preR1
1.13.0-preR1 - update Japan

【2026.8.31リリース予定の公開準備版】電子カルテ情報共有サービス2文書５情報+患者サマリー　FHIR実装ガイド JP-CLINS（CLinical Information Sharing ImplementationGuide） v1.13.0-preR1 - Local Development build (v1.13.0-preR1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: JP_ServiceRequest

項目 内容
定義URL http://jpfhir.jp/fhir/core/StructureDefinition/JP_ServiceRequest
Version 1.13.0-preR1
Name

JP_ServiceRequest
Status Active ( 2024-10-27 )
Copyright

（一社）日本医療情報学会. CC BY-ND 4.0

この実装ガイドは、今後正式リリースされる予定の公開準備版です。
この公開準備版は正式リリースまでさらに今後も内容が変更される可能性があります。

JP-ServiceRequest　プロファイル = JP-ServiceRequest　Commonプロファイル(JP-Core V1.2系)


Usages:

You can also check for usages in the FHIR IG Statistics

プロファイル詳細

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

This structure is derived from JP_ServiceRequest_Common

Summary

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest 0..* JP_ServiceRequest_Common(1.13.0-preR1) サービスリクエスト

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* JP_ServiceRequest_Common(1.13.0-preR1) サービスリクエスト
Constraints: prr-1
... 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
Constraints: ext-1
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated SΣ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes 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 BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier Σ 0..* Identifier サービスリクエストを識別する業務ID。
... instantiatesCanonical Σ 0..* canonical(ActivityDefinition | PlanDefinition) FHIRのプロトコール、定義への参照
... instantiatesUri Σ 0..* uri 外部のプロトコール、定義への参照
... basedOn Σ 0..* Reference(CarePlan | JP_ServiceRequest_Common(1.13.0-preR1) | JP Core MedicationRequest Profile) リクエストするリソースへの参照
... replaces Σ 0..* Reference(JP_ServiceRequest_Common(1.13.0-preR1)) 完了または終了したService Requestリソースの代替（への参照）
... requisition Σ 0..1 Identifier サービスリクエストの複合ID（別名 グループID）
... status ?!Σ 1..1 code サービスリクエストの状態
Binding: RequestStatus (required): The status of a service order.
... intent ?!Σ 1..1 code サービスリクエストの意図（proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option）
Binding: RequestIntent (required): The kind of service request.
... category Σ 0..* CodeableConcept サービスリクエストの分類
Binding: ServiceRequestCategoryCodes (example)
... priority Σ 0..1 code サービスリクエストの緊急度（routine | urgent | asap | stat）
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
... doNotPerform ?!Σ 0..1 boolean 値が真の時、サービスや処置は実施不可
... code Σ 0..1 CodeableConcept リクエストの内容を示すコード
Binding: ProcedureCodes(SNOMEDCT) (example)
... orderDetail ΣC 0..* CodeableConcept 追加のオーダ情報
Binding: ServiceRequestOrderDetailsCodes (example)
... quantity[x] Σ 0..1 サービスの量
.... quantityQuantity Quantity
.... quantityRatio Ratio
.... quantityRange Range
... subject Σ 1..1 Reference(JP Core Patient Profile | JP Core Location Profile) サービスリクエストの対象（個人または集団）
... encounter Σ 0..1 Reference(JP_Encounter-eCS(1.13.0-preR1)) サービスがリクエストされる診療時の場面
... occurrence[x] Σ 0..1 サービスを実施すべき日時
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
... asNeeded[x] Σ 0..1 前提条件
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 Σ 0..1 dateTime リクエストの署名日時
... requester Σ 0..1 Reference(JP Core Practitioner Profile | JP Core PractitionerRole Profile | JP Core Organization Profile | JP Core Patient Profile | JP_RelatedPerson | JP_Device) サービスを要求した人または物（要求者、発注者）
... performerType Σ 0..1 CodeableConcept 実施者の役割
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(JP Core Practitioner Profile | JP Core PractitionerRole Profile | JP Core Organization Profile | JP Core Patient Profile | JP_Device | JP_RelatedPerson | CareTeam) サービスの実施者
... locationCode Σ 0..* CodeableConcept リクエストされた場所
Binding: ServiceDeliveryLocationRoleType (3.0.0) (example): A location type where services are delivered.
... locationReference Σ 0..* Reference(JP Core Location Profile) リクエストされた場所（参照）
... reasonCode Σ 0..* CodeableConcept 行為やサービスの説明・理由
Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
... reasonReference Σ 0..* Reference(JP Core Condition Profile | JP Core Observation Common Profile | JP Core DiagnosticReport Common Profile | DocumentReference) 行為やサービスの説明・理由（参照）
... insurance 0..* Reference(JP Core Coverage Profile | ClaimResponse) 関連する保険情報
... supportingInfo 0..* Reference(Resource) 追加の補助的な臨床情報（別名 オーダエントリー時の質問 Ask at Order Entry question; AOEs）
... specimen Σ 0..* Reference(JP_Specimen) 検体
... bodySite Σ 0..* CodeableConcept 体の部位（別名 場所）
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... note 0..* Annotation コメント
... patientInstruction Σ 0..1 string 患者、消費者向けの説明
... relevantHistory 0..* Reference(Provenance) リソースの履歴（バージョン管理）

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ServiceRequest.meta.​security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
ServiceRequest.meta.​tag Base example Common Tags 📍4.0.1 FHIR Std.
ServiceRequest.language Base preferred Common Languages 📍4.0.1 FHIR Std.
ServiceRequest.status Base required RequestStatus 📍4.0.1 FHIR Std.
ServiceRequest.intent Base required RequestIntent 📍4.0.1 FHIR Std.
ServiceRequest.category Base example Service Request Category Codes 📍4.0.1 FHIR Std.
ServiceRequest.priority Base required Request priority 📍4.0.1 FHIR Std.
ServiceRequest.code Base example Procedure Codes (SNOMED CT) 📍4.0.1 FHIR Std.
ServiceRequest.orderDetail Base example Service Request Order Details Codes 📍4.0.1 FHIR Std.
ServiceRequest.asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
ServiceRequest.performerType Base example Participant Roles 📍4.0.1 FHIR Std.
ServiceRequest.locationCode Base example ServiceDeliveryLocationRoleType 📍3.0.0 THO v7.2
ServiceRequest.reasonCode Base example Procedure Reason Codes 📍4.0.1 FHIR Std.
ServiceRequest.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error ServiceRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ServiceRequest If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error ServiceRequest If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error ServiceRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice ServiceRequest A resource should have narrative for robust management text.`div`.exists()
ele-1 error ServiceRequest.meta, ServiceRequest.meta.extension, ServiceRequest.meta.versionId, ServiceRequest.meta.lastUpdated, ServiceRequest.meta.source, ServiceRequest.meta.profile, ServiceRequest.meta.security, ServiceRequest.meta.tag, ServiceRequest.implicitRules, ServiceRequest.language, ServiceRequest.text, ServiceRequest.extension, ServiceRequest.modifierExtension, ServiceRequest.identifier, ServiceRequest.instantiatesCanonical, ServiceRequest.instantiatesUri, ServiceRequest.basedOn, ServiceRequest.replaces, ServiceRequest.requisition, ServiceRequest.status, ServiceRequest.intent, ServiceRequest.category, ServiceRequest.priority, ServiceRequest.doNotPerform, ServiceRequest.code, ServiceRequest.orderDetail, ServiceRequest.quantity[x], ServiceRequest.subject, ServiceRequest.encounter, ServiceRequest.occurrence[x], ServiceRequest.asNeeded[x], ServiceRequest.authoredOn, ServiceRequest.requester, ServiceRequest.performerType, ServiceRequest.performer, ServiceRequest.locationCode, ServiceRequest.locationReference, ServiceRequest.reasonCode, ServiceRequest.reasonReference, ServiceRequest.insurance, ServiceRequest.supportingInfo, ServiceRequest.specimen, ServiceRequest.bodySite, ServiceRequest.note, ServiceRequest.patientInstruction, ServiceRequest.relevantHistory All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error ServiceRequest.meta.extension, ServiceRequest.extension, ServiceRequest.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()
prr-1 error ServiceRequest orderDetail SHALL only be present if code is present orderDetail.empty() or code.exists()

This structure is derived from JP_ServiceRequest_Common

Summary

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest 0..* JP_ServiceRequest_Common(1.13.0-preR1) サービスリクエスト

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* JP_ServiceRequest_Common(1.13.0-preR1) サービスリクエスト
Constraints: prr-1
... 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
Constraints: ext-1
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated SΣ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes 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 BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier Σ 0..* Identifier サービスリクエストを識別する業務ID。
... instantiatesCanonical Σ 0..* canonical(ActivityDefinition | PlanDefinition) FHIRのプロトコール、定義への参照
... instantiatesUri Σ 0..* uri 外部のプロトコール、定義への参照
... basedOn Σ 0..* Reference(CarePlan | JP_ServiceRequest_Common(1.13.0-preR1) | JP Core MedicationRequest Profile) リクエストするリソースへの参照
... replaces Σ 0..* Reference(JP_ServiceRequest_Common(1.13.0-preR1)) 完了または終了したService Requestリソースの代替（への参照）
... requisition Σ 0..1 Identifier サービスリクエストの複合ID（別名 グループID）
... status ?!Σ 1..1 code サービスリクエストの状態
Binding: RequestStatus (required): The status of a service order.
... intent ?!Σ 1..1 code サービスリクエストの意図（proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option）
Binding: RequestIntent (required): The kind of service request.
... category Σ 0..* CodeableConcept サービスリクエストの分類
Binding: ServiceRequestCategoryCodes (example)
... priority Σ 0..1 code サービスリクエストの緊急度（routine | urgent | asap | stat）
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
... doNotPerform ?!Σ 0..1 boolean 値が真の時、サービスや処置は実施不可
... code Σ 0..1 CodeableConcept リクエストの内容を示すコード
Binding: ProcedureCodes(SNOMEDCT) (example)
... orderDetail ΣC 0..* CodeableConcept 追加のオーダ情報
Binding: ServiceRequestOrderDetailsCodes (example)
... quantity[x] Σ 0..1 サービスの量
.... quantityQuantity Quantity
.... quantityRatio Ratio
.... quantityRange Range
... subject Σ 1..1 Reference(JP Core Patient Profile | JP Core Location Profile) サービスリクエストの対象（個人または集団）
... encounter Σ 0..1 Reference(JP_Encounter-eCS(1.13.0-preR1)) サービスがリクエストされる診療時の場面
... occurrence[x] Σ 0..1 サービスを実施すべき日時
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
... asNeeded[x] Σ 0..1 前提条件
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 Σ 0..1 dateTime リクエストの署名日時
... requester Σ 0..1 Reference(JP Core Practitioner Profile | JP Core PractitionerRole Profile | JP Core Organization Profile | JP Core Patient Profile | JP_RelatedPerson | JP_Device) サービスを要求した人または物（要求者、発注者）
... performerType Σ 0..1 CodeableConcept 実施者の役割
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(JP Core Practitioner Profile | JP Core PractitionerRole Profile | JP Core Organization Profile | JP Core Patient Profile | JP_Device | JP_RelatedPerson | CareTeam) サービスの実施者
... locationCode Σ 0..* CodeableConcept リクエストされた場所
Binding: ServiceDeliveryLocationRoleType (3.0.0) (example): A location type where services are delivered.
... locationReference Σ 0..* Reference(JP Core Location Profile) リクエストされた場所（参照）
... reasonCode Σ 0..* CodeableConcept 行為やサービスの説明・理由
Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
... reasonReference Σ 0..* Reference(JP Core Condition Profile | JP Core Observation Common Profile | JP Core DiagnosticReport Common Profile | DocumentReference) 行為やサービスの説明・理由（参照）
... insurance 0..* Reference(JP Core Coverage Profile | ClaimResponse) 関連する保険情報
... supportingInfo 0..* Reference(Resource) 追加の補助的な臨床情報（別名 オーダエントリー時の質問 Ask at Order Entry question; AOEs）
... specimen Σ 0..* Reference(JP_Specimen) 検体
... bodySite Σ 0..* CodeableConcept 体の部位（別名 場所）
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... note 0..* Annotation コメント
... patientInstruction Σ 0..1 string 患者、消費者向けの説明
... relevantHistory 0..* Reference(Provenance) リソースの履歴（バージョン管理）

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ServiceRequest.meta.​security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
ServiceRequest.meta.​tag Base example Common Tags 📍4.0.1 FHIR Std.
ServiceRequest.language Base preferred Common Languages 📍4.0.1 FHIR Std.
ServiceRequest.status Base required RequestStatus 📍4.0.1 FHIR Std.
ServiceRequest.intent Base required RequestIntent 📍4.0.1 FHIR Std.
ServiceRequest.category Base example Service Request Category Codes 📍4.0.1 FHIR Std.
ServiceRequest.priority Base required Request priority 📍4.0.1 FHIR Std.
ServiceRequest.code Base example Procedure Codes (SNOMED CT) 📍4.0.1 FHIR Std.
ServiceRequest.orderDetail Base example Service Request Order Details Codes 📍4.0.1 FHIR Std.
ServiceRequest.asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
ServiceRequest.performerType Base example Participant Roles 📍4.0.1 FHIR Std.
ServiceRequest.locationCode Base example ServiceDeliveryLocationRoleType 📍3.0.0 THO v7.2
ServiceRequest.reasonCode Base example Procedure Reason Codes 📍4.0.1 FHIR Std.
ServiceRequest.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error ServiceRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ServiceRequest If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error ServiceRequest If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error ServiceRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice ServiceRequest A resource should have narrative for robust management text.`div`.exists()
ele-1 error ServiceRequest.meta, ServiceRequest.meta.extension, ServiceRequest.meta.versionId, ServiceRequest.meta.lastUpdated, ServiceRequest.meta.source, ServiceRequest.meta.profile, ServiceRequest.meta.security, ServiceRequest.meta.tag, ServiceRequest.implicitRules, ServiceRequest.language, ServiceRequest.text, ServiceRequest.extension, ServiceRequest.modifierExtension, ServiceRequest.identifier, ServiceRequest.instantiatesCanonical, ServiceRequest.instantiatesUri, ServiceRequest.basedOn, ServiceRequest.replaces, ServiceRequest.requisition, ServiceRequest.status, ServiceRequest.intent, ServiceRequest.category, ServiceRequest.priority, ServiceRequest.doNotPerform, ServiceRequest.code, ServiceRequest.orderDetail, ServiceRequest.quantity[x], ServiceRequest.subject, ServiceRequest.encounter, ServiceRequest.occurrence[x], ServiceRequest.asNeeded[x], ServiceRequest.authoredOn, ServiceRequest.requester, ServiceRequest.performerType, ServiceRequest.performer, ServiceRequest.locationCode, ServiceRequest.locationReference, ServiceRequest.reasonCode, ServiceRequest.reasonReference, ServiceRequest.insurance, ServiceRequest.supportingInfo, ServiceRequest.specimen, ServiceRequest.bodySite, ServiceRequest.note, ServiceRequest.patientInstruction, ServiceRequest.relevantHistory All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error ServiceRequest.meta.extension, ServiceRequest.extension, ServiceRequest.modifierExtension 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()

 

Other representations of profile: CSV, Excel, Schematron