Australian Digital Health Agency FHIR Implementation Guide

Australian Digital Health Agency FHIR Implementation Guide, published by Australian Digital Health Agency. This guide is not an authorized publication; it is the continuous build for version 1.2.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/AuDigitalHealth/ci-fhir-r4/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Examples
• XML
• JSON
• TTL

Resource Profile: MODI Request for Diagnostic Imaging Service ( Experimental )

The purpose of this profile is to provide a representation of a request for a diagnostic imaging service for use in the Modernisation of Diagnostic Imaging (MODI) Proof of Concept.

Usage:

• Examples for this Resource Profile: ServiceRequest/order-chest-ct-01, ServiceRequest/order-chest-xray-01, ServiceRequest/order-ct-abpelcontrast-01, ServiceRequest/order-lk-ct-contrast-01... Show 3 more, ServiceRequest/order-lk-xray-01, ServiceRequest/order-rk-ct-contrast-01 and ServiceRequest/order-rk-xray-01

Formal Views of Profile Content

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

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from AUBaseDiagnosticRequest

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	AUBaseDiagnosticRequest	Request for diagnostic imaging service inv-dh-srr-01: If present, a performer shall at least have a reference or display or a valid identifier
Slices for extension				Content/Rules for all slices
targetBodyStructure	S	0..*	Reference(BodyStructure)	The target point for this procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure
hl7V2MessageBase64	S	0..1	base64Binary	HL7 V2 message conveyed directly as data inline, base64 encoded URL: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-hl7-v2-base64-1
identifier	S	1..*	Identifier, AULocalOrderIdentifier	Identifiers assigned to this order
status	S	1..1	code	draft | active | revoked | completed
intent		1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Fixed Value: order
Slices for category	S	1..*	CodeableConcept	Classification of the service requested as diagnostic imaging + modality where available Slice: Unordered, Open by pattern:$this
category:diagImg		1..1	CodeableConcept	Diagnostic imaging service Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 708175003
code	S	1..1	CodeableConcept	What is being requested/ordered Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
subject	S	1..1	Reference(ADHA Core Patient)	Individual or Entity the service is ordered for
reference		1..1	string	Literal reference, Relative, internal or absolute URL
authoredOn	S	1..1	dateTime	Date request signed
requester	S	1..1	Reference(ADHA Authoring PractitionerRole)	Authorising individual, organisation or program (e.g. National Bowel Cancer Screening Program)
reference		1..1	string	Literal reference, Relative, internal or absolute URL
performer	SC	0..*	Reference(ADHA Core PractitionerRole | ADHA Core HealthcareService)	Requested performer
reasonCode	S	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: Reason for Request (preferred)
supportingInfo	S	0..*	Reference(Resource)	Additional clinical information
bodySite	S	0..*	CodeableConcept	Location on Body Binding: Body Site (required)
note	S	0..*	Annotation	Comments
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ServiceRequest.reasonCode	preferred	ReasonForRequest https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1 from https://tx.ontoserver.csiro.au/fhir
ServiceRequest.bodySite	required	BodySite https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 from https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-srr-01	error	ServiceRequest	If present, a performer shall at least have a reference or display or a valid identifier : performer.exists() implies performer.all($this.reference.exists() or $this.display.exists() or $this.identifier.where(system.count() + value.count() >1).exists())

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	AUBaseDiagnosticRequest	Request for diagnostic imaging service dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management prr-1: orderDetail SHALL only be present if code is present inv-dh-srr-01: If present, a performer shall at least have a reference or display or a valid identifier
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
targetBodyStructure	S	0..*	Reference(BodyStructure)	The target point for this procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
hl7V2MessageBase64	S	0..1	base64Binary	HL7 V2 message conveyed directly as data inline, base64 encoded URL: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-hl7-v2-base64-1 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	S	1..*	Identifier, AULocalOrderIdentifier	Identifiers assigned to this order ele-1: All FHIR elements must have a @value or children
status	?!SΣ	1..1	code	draft | active | revoked | completed Binding: RequestStatus (required): The status of a service order. ele-1: All FHIR elements must have a @value or children
intent	?!Σ	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. ele-1: All FHIR elements must have a @value or children Fixed Value: order
Slices for category	SΣ	1..*	CodeableConcept	Classification of the service requested as diagnostic imaging + modality where available Slice: Unordered, Open by pattern:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. ele-1: All FHIR elements must have a @value or children
category:diagImg	Σ	1..1	CodeableConcept	Diagnostic imaging service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 708175003
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	CodeableConcept	What is being requested/ordered Binding: Evaluation Procedure (example) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
subject	SΣ	1..1	Reference(ADHA Core Patient)	Individual or Entity the service is ordered for ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
authoredOn	SΣ	1..1	dateTime	Date request signed ele-1: All FHIR elements must have a @value or children
requester	SΣ	1..1	Reference(ADHA Authoring PractitionerRole)	Authorising individual, organisation or program (e.g. National Bowel Cancer Screening Program) ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
performer	SΣC	0..*	Reference(ADHA Core PractitionerRole | ADHA Core HealthcareService)	Requested performer ele-1: All FHIR elements must have a @value or children
reasonCode	SΣ	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: Reason for Request (preferred) ele-1: All FHIR elements must have a @value or children
supportingInfo	S	0..*	Reference(Resource)	Additional clinical information ele-1: All FHIR elements must have a @value or children
bodySite	SΣ	0..*	CodeableConcept	Location on Body Binding: Body Site (required) ele-1: All FHIR elements must have a @value or children
note	S	0..*	Annotation	Comments ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
ServiceRequest.intent	required	Fixed Value: order http://hl7.org/fhir/ValueSet/request-intent|4.0.1 from the FHIR Standard
ServiceRequest.category	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category from the FHIR Standard
ServiceRequest.category:diagImg	example	Pattern: SNOMED-CT Code 708175003 http://hl7.org/fhir/ValueSet/servicerequest-category from the FHIR Standard
ServiceRequest.code	example	Pattern: SNOMED-CT Code null https://healthterminologies.gov.au/fhir/ValueSet/evaluation-procedure-1 from https://tx.ontoserver.csiro.au/fhir
ServiceRequest.reasonCode	preferred	ReasonForRequest https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1 from https://tx.ontoserver.csiro.au/fhir
ServiceRequest.bodySite	required	BodySite https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 from https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-srr-01	error	ServiceRequest	If present, a performer shall at least have a reference or display or a valid identifier : performer.exists() implies performer.all($this.reference.exists() or $this.display.exists() or $this.identifier.where(system.count() + value.count() >1).exists())

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	AUBaseDiagnosticRequest	Request for diagnostic imaging service prr-1: orderDetail SHALL only be present if code is present inv-dh-srr-01: If present, a performer shall at least have a reference or display or a valid identifier
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
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 Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
targetBodyStructure	S	0..*	Reference(BodyStructure)	The target point for this procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure
hl7V2MessageBase64	S	0..1	base64Binary	HL7 V2 message conveyed directly as data inline, base64 encoded URL: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-hl7-v2-base64-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	S	1..*	Identifier, AULocalOrderIdentifier	Identifiers assigned to this order
instantiatesCanonical	Σ	0..*	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest | MedicationRequest)	What request fulfills
replaces	Σ	0..*	Reference(ServiceRequest)	What request replaces
requisition	Σ	0..1	Identifier	Composite Request ID
status	?!SΣ	1..1	code	draft | active | revoked | completed Binding: RequestStatus (required): The status of a service order.
intent	?!Σ	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. Fixed Value: order
Slices for category	SΣ	1..*	CodeableConcept	Classification of the service requested as diagnostic imaging + modality where available Slice: Unordered, Open by pattern:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:diagImg	Σ	1..1	CodeableConcept	Diagnostic imaging service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 708175003
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	SΣ	1..1	CodeableConcept	What is being requested/ordered Binding: Evaluation Procedure (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
orderDetail	ΣC	0..*	CodeableConcept	Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
quantity[x]	Σ	0..1		Service amount
quantityQuantity			Quantity
quantityRatio			Ratio
quantityRange			Range
subject	SΣ	1..1	Reference(ADHA Core Patient)	Individual or Entity the service is ordered for
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	Σ	0..1	Reference(Encounter)	Encounter in which the request was created
occurrence[x]	Σ	0..1		When service should occur
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
asNeeded[x]	Σ	0..1		Preconditions for service 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	SΣ	1..1	dateTime	Date request signed
requester	SΣ	1..1	Reference(ADHA Authoring PractitionerRole)	Authorising individual, organisation or program (e.g. National Bowel Cancer Screening Program)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
performerType	Σ	0..1	CodeableConcept	Performer role Binding: Practitioner Role (preferred)
performer	SΣC	0..*	Reference(ADHA Core PractitionerRole | ADHA Core HealthcareService)	Requested performer
locationCode	Σ	0..*	CodeableConcept	Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
locationReference	Σ	0..*	Reference(Location)	Requested location
reasonCode	SΣ	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: Reason for Request (preferred)
reasonReference	Σ	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Explanation/Justification for service or service
insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
supportingInfo	S	0..*	Reference(Resource)	Additional clinical information
specimen	Σ	0..*	Reference(AU Base Specimen)	Procedure Samples
bodySite	SΣ	0..*	CodeableConcept	Location on Body Binding: Body Site (required)
note	S	0..*	Annotation	Comments
patientInstruction	Σ	0..1	string	Patient or consumer-oriented instructions
relevantHistory		0..*	Reference(Provenance)	Request provenance
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ServiceRequest.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
ServiceRequest.intent	required	Fixed Value: order http://hl7.org/fhir/ValueSet/request-intent|4.0.1 from the FHIR Standard
ServiceRequest.category	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category from the FHIR Standard
ServiceRequest.category:diagImg	example	Pattern: SNOMED-CT Code 708175003 http://hl7.org/fhir/ValueSet/servicerequest-category from the FHIR Standard
ServiceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
ServiceRequest.code	example	Pattern: SNOMED-CT Code null https://healthterminologies.gov.au/fhir/ValueSet/evaluation-procedure-1 from https://tx.ontoserver.csiro.au/fhir
ServiceRequest.orderDetail	example	ServiceRequestOrderDetailsCodes http://hl7.org/fhir/ValueSet/servicerequest-orderdetail from the FHIR Standard
ServiceRequest.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
ServiceRequest.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
ServiceRequest.requester.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
ServiceRequest.performerType	preferred	PractitionerRole https://healthterminologies.gov.au/fhir/ValueSet/practitioner-role-1 from https://tx.ontoserver.csiro.au/fhir
ServiceRequest.locationCode	example	ServiceDeliveryLocationRoleType http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reasonCode	preferred	ReasonForRequest https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1 from https://tx.ontoserver.csiro.au/fhir
ServiceRequest.bodySite	required	BodySite https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 from https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-srr-01	error	ServiceRequest	If present, a performer shall at least have a reference or display or a valid identifier : performer.exists() implies performer.all($this.reference.exists() or $this.display.exists() or $this.identifier.where(system.count() + value.count() >1).exists())

This structure is derived from AUBaseDiagnosticRequest

Summary

Mandatory: 9 elements
Must-Support: 14 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

• ADHA Core Patient (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-patient-core-1)
• ADHA Authoring PractitionerRole (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-practitionerrole-author-1)
• ADHA Core PractitionerRole (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-practitionerrole-core-1)
• ADHA Core HealthcareService (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-healthcareservice-core-1)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure
• http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-hl7-v2-base64-1

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of ServiceRequest.category

Differential View

This structure is derived from AUBaseDiagnosticRequest

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	AUBaseDiagnosticRequest	Request for diagnostic imaging service inv-dh-srr-01: If present, a performer shall at least have a reference or display or a valid identifier
Slices for extension				Content/Rules for all slices
targetBodyStructure	S	0..*	Reference(BodyStructure)	The target point for this procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure
hl7V2MessageBase64	S	0..1	base64Binary	HL7 V2 message conveyed directly as data inline, base64 encoded URL: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-hl7-v2-base64-1
identifier	S	1..*	Identifier, AULocalOrderIdentifier	Identifiers assigned to this order
status	S	1..1	code	draft | active | revoked | completed
intent		1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Fixed Value: order
Slices for category	S	1..*	CodeableConcept	Classification of the service requested as diagnostic imaging + modality where available Slice: Unordered, Open by pattern:$this
category:diagImg		1..1	CodeableConcept	Diagnostic imaging service Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 708175003
code	S	1..1	CodeableConcept	What is being requested/ordered Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
subject	S	1..1	Reference(ADHA Core Patient)	Individual or Entity the service is ordered for
reference		1..1	string	Literal reference, Relative, internal or absolute URL
authoredOn	S	1..1	dateTime	Date request signed
requester	S	1..1	Reference(ADHA Authoring PractitionerRole)	Authorising individual, organisation or program (e.g. National Bowel Cancer Screening Program)
reference		1..1	string	Literal reference, Relative, internal or absolute URL
performer	SC	0..*	Reference(ADHA Core PractitionerRole | ADHA Core HealthcareService)	Requested performer
reasonCode	S	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: Reason for Request (preferred)
supportingInfo	S	0..*	Reference(Resource)	Additional clinical information
bodySite	S	0..*	CodeableConcept	Location on Body Binding: Body Site (required)
note	S	0..*	Annotation	Comments
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ServiceRequest.reasonCode	preferred	ReasonForRequest https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1 from https://tx.ontoserver.csiro.au/fhir
ServiceRequest.bodySite	required	BodySite https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 from https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-srr-01	error	ServiceRequest	If present, a performer shall at least have a reference or display or a valid identifier : performer.exists() implies performer.all($this.reference.exists() or $this.display.exists() or $this.identifier.where(system.count() + value.count() >1).exists())

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	AUBaseDiagnosticRequest	Request for diagnostic imaging service dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management prr-1: orderDetail SHALL only be present if code is present inv-dh-srr-01: If present, a performer shall at least have a reference or display or a valid identifier
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
targetBodyStructure	S	0..*	Reference(BodyStructure)	The target point for this procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
hl7V2MessageBase64	S	0..1	base64Binary	HL7 V2 message conveyed directly as data inline, base64 encoded URL: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-hl7-v2-base64-1 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	S	1..*	Identifier, AULocalOrderIdentifier	Identifiers assigned to this order ele-1: All FHIR elements must have a @value or children
status	?!SΣ	1..1	code	draft | active | revoked | completed Binding: RequestStatus (required): The status of a service order. ele-1: All FHIR elements must have a @value or children
intent	?!Σ	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. ele-1: All FHIR elements must have a @value or children Fixed Value: order
Slices for category	SΣ	1..*	CodeableConcept	Classification of the service requested as diagnostic imaging + modality where available Slice: Unordered, Open by pattern:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. ele-1: All FHIR elements must have a @value or children
category:diagImg	Σ	1..1	CodeableConcept	Diagnostic imaging service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 708175003
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	CodeableConcept	What is being requested/ordered Binding: Evaluation Procedure (example) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
subject	SΣ	1..1	Reference(ADHA Core Patient)	Individual or Entity the service is ordered for ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
authoredOn	SΣ	1..1	dateTime	Date request signed ele-1: All FHIR elements must have a @value or children
requester	SΣ	1..1	Reference(ADHA Authoring PractitionerRole)	Authorising individual, organisation or program (e.g. National Bowel Cancer Screening Program) ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
performer	SΣC	0..*	Reference(ADHA Core PractitionerRole | ADHA Core HealthcareService)	Requested performer ele-1: All FHIR elements must have a @value or children
reasonCode	SΣ	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: Reason for Request (preferred) ele-1: All FHIR elements must have a @value or children
supportingInfo	S	0..*	Reference(Resource)	Additional clinical information ele-1: All FHIR elements must have a @value or children
bodySite	SΣ	0..*	CodeableConcept	Location on Body Binding: Body Site (required) ele-1: All FHIR elements must have a @value or children
note	S	0..*	Annotation	Comments ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
ServiceRequest.intent	required	Fixed Value: order http://hl7.org/fhir/ValueSet/request-intent|4.0.1 from the FHIR Standard
ServiceRequest.category	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category from the FHIR Standard
ServiceRequest.category:diagImg	example	Pattern: SNOMED-CT Code 708175003 http://hl7.org/fhir/ValueSet/servicerequest-category from the FHIR Standard
ServiceRequest.code	example	Pattern: SNOMED-CT Code null https://healthterminologies.gov.au/fhir/ValueSet/evaluation-procedure-1 from https://tx.ontoserver.csiro.au/fhir
ServiceRequest.reasonCode	preferred	ReasonForRequest https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1 from https://tx.ontoserver.csiro.au/fhir
ServiceRequest.bodySite	required	BodySite https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 from https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-srr-01	error	ServiceRequest	If present, a performer shall at least have a reference or display or a valid identifier : performer.exists() implies performer.all($this.reference.exists() or $this.display.exists() or $this.identifier.where(system.count() + value.count() >1).exists())

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	AUBaseDiagnosticRequest	Request for diagnostic imaging service prr-1: orderDetail SHALL only be present if code is present inv-dh-srr-01: If present, a performer shall at least have a reference or display or a valid identifier
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
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 Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
targetBodyStructure	S	0..*	Reference(BodyStructure)	The target point for this procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure
hl7V2MessageBase64	S	0..1	base64Binary	HL7 V2 message conveyed directly as data inline, base64 encoded URL: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-hl7-v2-base64-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	S	1..*	Identifier, AULocalOrderIdentifier	Identifiers assigned to this order
instantiatesCanonical	Σ	0..*	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest | MedicationRequest)	What request fulfills
replaces	Σ	0..*	Reference(ServiceRequest)	What request replaces
requisition	Σ	0..1	Identifier	Composite Request ID
status	?!SΣ	1..1	code	draft | active | revoked | completed Binding: RequestStatus (required): The status of a service order.
intent	?!Σ	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. Fixed Value: order
Slices for category	SΣ	1..*	CodeableConcept	Classification of the service requested as diagnostic imaging + modality where available Slice: Unordered, Open by pattern:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:diagImg	Σ	1..1	CodeableConcept	Diagnostic imaging service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 708175003
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	SΣ	1..1	CodeableConcept	What is being requested/ordered Binding: Evaluation Procedure (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
orderDetail	ΣC	0..*	CodeableConcept	Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
quantity[x]	Σ	0..1		Service amount
quantityQuantity			Quantity
quantityRatio			Ratio
quantityRange			Range
subject	SΣ	1..1	Reference(ADHA Core Patient)	Individual or Entity the service is ordered for
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	Σ	0..1	Reference(Encounter)	Encounter in which the request was created
occurrence[x]	Σ	0..1		When service should occur
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
asNeeded[x]	Σ	0..1		Preconditions for service 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	SΣ	1..1	dateTime	Date request signed
requester	SΣ	1..1	Reference(ADHA Authoring PractitionerRole)	Authorising individual, organisation or program (e.g. National Bowel Cancer Screening Program)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
performerType	Σ	0..1	CodeableConcept	Performer role Binding: Practitioner Role (preferred)
performer	SΣC	0..*	Reference(ADHA Core PractitionerRole | ADHA Core HealthcareService)	Requested performer
locationCode	Σ	0..*	CodeableConcept	Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
locationReference	Σ	0..*	Reference(Location)	Requested location
reasonCode	SΣ	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: Reason for Request (preferred)
reasonReference	Σ	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Explanation/Justification for service or service
insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
supportingInfo	S	0..*	Reference(Resource)	Additional clinical information
specimen	Σ	0..*	Reference(AU Base Specimen)	Procedure Samples
bodySite	SΣ	0..*	CodeableConcept	Location on Body Binding: Body Site (required)
note	S	0..*	Annotation	Comments
patientInstruction	Σ	0..1	string	Patient or consumer-oriented instructions
relevantHistory		0..*	Reference(Provenance)	Request provenance
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ServiceRequest.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
ServiceRequest.intent	required	Fixed Value: order http://hl7.org/fhir/ValueSet/request-intent|4.0.1 from the FHIR Standard
ServiceRequest.category	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category from the FHIR Standard
ServiceRequest.category:diagImg	example	Pattern: SNOMED-CT Code 708175003 http://hl7.org/fhir/ValueSet/servicerequest-category from the FHIR Standard
ServiceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
ServiceRequest.code	example	Pattern: SNOMED-CT Code null https://healthterminologies.gov.au/fhir/ValueSet/evaluation-procedure-1 from https://tx.ontoserver.csiro.au/fhir
ServiceRequest.orderDetail	example	ServiceRequestOrderDetailsCodes http://hl7.org/fhir/ValueSet/servicerequest-orderdetail from the FHIR Standard
ServiceRequest.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
ServiceRequest.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
ServiceRequest.requester.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
ServiceRequest.performerType	preferred	PractitionerRole https://healthterminologies.gov.au/fhir/ValueSet/practitioner-role-1 from https://tx.ontoserver.csiro.au/fhir
ServiceRequest.locationCode	example	ServiceDeliveryLocationRoleType http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reasonCode	preferred	ReasonForRequest https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1 from https://tx.ontoserver.csiro.au/fhir
ServiceRequest.bodySite	required	BodySite https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 from https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-srr-01	error	ServiceRequest	If present, a performer shall at least have a reference or display or a valid identifier : performer.exists() implies performer.all($this.reference.exists() or $this.display.exists() or $this.identifier.where(system.count() + value.count() >1).exists())

This structure is derived from AUBaseDiagnosticRequest

Summary

Mandatory: 9 elements
Must-Support: 14 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

• ADHA Core Patient (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-patient-core-1)
• ADHA Authoring PractitionerRole (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-practitionerrole-author-1)
• ADHA Core PractitionerRole (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-practitionerrole-core-1)
• ADHA Core HealthcareService (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-healthcareservice-core-1)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure
• http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-hl7-v2-base64-1

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of ServiceRequest.category

Other representations of profile: CSV, Excel, Schematron

Notes: