NP Core Referral Request

Sets minimum expectations for representing a patient referral between health facilities in Nepal.

Canonical URL: http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-referral-request
Resource / type: ServiceRequest
Based on: http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-servicerequest
Claim conformance: Put the canonical URL in meta.profile of each instance.

Required elements

“Always” means the element must be present in every instance. Otherwise it is required only when its parent element is present.

Element	Card.	When
`ServiceRequest.status` draft \| active \| on-hold \| revoked \| completed \| entered-in-error \| unknown	1..1	Always
`ServiceRequest.intent` proposal \| plan \| directive \| order \| original-order \| reflex-order \| filler-order \| instance-order \| option	1..1	Always
`ServiceRequest.priority` routine \| urgent \| asap \| stat	1..1	Always
`ServiceRequest.code` What is being requested/ordered	1..1	Always
`ServiceRequest.subject` Individual or Entity the service is ordered for	1..1	Always
`ServiceRequest.encounter` Encounter in which the request was created	1..1	Always
`ServiceRequest.authoredOn` Date request signed	1..1	Always
`ServiceRequest.requester` Who/what is requesting service	1..1	Always
`ServiceRequest.performer` Requested performer	1..1	Always

Must-support elements

If your system has this data it SHALL send it, and receivers SHALL process it. Must-support does not by itself make an element mandatory.

ServiceRequest.status
ServiceRequest.intent
ServiceRequest.category
ServiceRequest.priority
ServiceRequest.code
ServiceRequest.subject
ServiceRequest.encounter
ServiceRequest.authoredOn
ServiceRequest.requester
ServiceRequest.performer
ServiceRequest.reasonCode
ServiceRequest.reasonReference

Fixed and pattern values

Element	Value
`ServiceRequest.intent`	order
`ServiceRequest.code`	{ "coding": [ { "system": "http://snomed.info/sct", "code": "3457005", "display": "Patient referral" } ] }

Terminology bindings

required: codes SHALL come from the value set · extensible: use the value set if a suitable code exists · preferred / example: guidance only.

Element	Strength	Value set
`ServiceRequest.language`	preferred	http://hl7.org/fhir/ValueSet/languages
`ServiceRequest.status`	required	http://hl7.org/fhir/ValueSet/request-status
`ServiceRequest.intent`	required	http://hl7.org/fhir/ValueSet/request-intent
`ServiceRequest.category`	example	http://hl7.org/fhir/ValueSet/servicerequest-category
`ServiceRequest.priority`	required	http://hl7.org/fhir/ValueSet/request-priority
`ServiceRequest.code`	example	http://hl7.org/fhir/ValueSet/procedure-code
`ServiceRequest.orderDetail`	example	http://hl7.org/fhir/ValueSet/servicerequest-orderdetail
`ServiceRequest.asNeeded[x]`	example	http://hl7.org/fhir/ValueSet/medication-as-needed-reason
`ServiceRequest.performerType`	example	http://hl7.org/fhir/ValueSet/participant-role
`ServiceRequest.locationCode`	example	http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
`ServiceRequest.reasonCode`	example	http://hl7.org/fhir/ValueSet/procedure-reason
`ServiceRequest.bodySite`	example	http://hl7.org/fhir/ValueSet/body-site

Official examples

ServiceRequest/ExampleNPCoreReferralRequest

View in IG ↗

{
  "resourceType": "ServiceRequest",
  "id": "ExampleNPCoreReferralRequest",
  "meta": {
    "profile": [
      "http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-referral-request"
    ]
  },
  "status": "active",
  "intent": "order",
  "priority": "routine",
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "3457005",
        "display": "Patient referral"
      }
    ]
  },
  "subject": {
    "reference": "Patient/ExampleNPCorePatient"
  },
  "encounter": {
    "reference": "Encounter/ExampleNPCoreEncounter"
  },
  "authoredOn": "2026-05-10",
  "requester": {
    "reference": "Practitioner/ExampleNPCorePractitioner"
  },
  "performer": [
    {
      "reference": "Organization/ExampleNPCoreOrganization"
    }
  ],
  "reasonReference": [
    {
      "reference": "Condition/ExampleNPCoreCondition"
    }
  ],
  "note": [
    {
      "text": "Patient has uncontrolled hypertension despite initial management. Refer to cardiology for specialist assessment."
    }
  ]
}

Narrative (text) removed for readability.