HL7 Czech Imaging Report IG
0.1.0-ballot - ci-build Czechia flag

HL7 Czech Imaging Report IG, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.1.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/img/ and changes regularly. See the Directory of published versions

Resource Profile: CZ_ServiceRequestObligationsImg - Detailed Descriptions

Page standards status: Informative Maturity Level: 0

Definitions for the cz-serviceRequest-obl-img resource profile.

Guidance on how to interpret the contents of this table can be foundhere

0. ServiceRequest
Definition

A record of a request for service such as diagnostic investigations, treatments, or operations to be performed.

ShortA request for a service to be performed
Control0..*
Is Modifierfalse
Summaryfalse
Alternate Namesdiagnostic request, referral, referral request, transfer of care request
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
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 (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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
prr-1: orderDetail SHALL only be present if code is present (orderDetail.empty() or code.exists())
prr-1: orderDetail SHALL only be present if code is present (orderDetail.empty() or code.exists())
2. ServiceRequest.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. ServiceRequest.text
Definition

A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

ShortText summary of the resource, for human interpretation
Comments

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

Control10..1
TypeNarrative
Is Modifierfalse
Obligations
    ObligationsActor
    SHALL:displayImgReportConsumer
    SHALL:able-to-populateImgReportCreator
    Summaryfalse
    Alternate Namesnarrative, html, xhtml, display
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    6. ServiceRequest.extension:bodySite
    Slice NamebodySite
    Definition

    Record details about the anatomical location of a specimen or body part. This resource may be used when a coded concept does not provide the necessary detail needed for the use case.

    ShortTarget anatomic location or structure
    Control0..1
    TypeExtension(BodyStructure Reference) (Extension Type: Reference(BodyStructure))
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    8. ServiceRequest.extension:bodySite.extension
    Definition

    An Extension


    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

    ShortExtensionAdditional content defined by implementations
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..0*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    SlicingThis element introduces a set of slices on ServiceRequest.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 10. ServiceRequest.extension:bodySite.url
      Definition

      Source of the definition for the extension code - a logical name or a URL.

      Shortidentifies the meaning of the extension
      Comments

      The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

      Control1..1
      Typeuri
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      Fixed Valuehttp://hl7.org/fhir/StructureDefinition/bodySite
      12. ServiceRequest.extension:bodySite.value[x]
      Definition

      Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).


      Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

      ShortValue of extension
      Control10..1
      This element is affected by the following invariants: ext-1
      TypeReference(Body Structure (CZ)), date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      14. ServiceRequest.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
      Summaryfalse
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      16. ServiceRequest.identifier
      Definition

      Identifiers assigned to this order instance by the orderer and/or the receiver and/or order fulfiller.

      ShortIdentifiers assigned to this order
      Comments

      The identifier.type element is used to distinguish between the identifiers assigned by the orderer (known as the 'Placer' in HL7 v2) and the producer of the observations in response to the order (known as the 'Filler' in HL7 v2). For further discussion and examples see the resource notes section below.

      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..1*
      TypeIdentifier
      Is Modifierfalse
      Obligations
        ObligationsActor
        SHALL:displayImgReportConsumer
        SHOULD:populate-if-knownImgReportCreator
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        18. ServiceRequest.status
        Definition

        The status of the order.

        Shortdraft | active | on-hold | revoked | completed | entered-in-error | unknown
        Comments

        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 for general discussion) or using the Task resource.


        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 for general discussion) or using the Task resource.

        Control1..1
        BindingThe codes SHALL be taken from RequestStatushttp://hl7.org/fhir/ValueSet/request-status|4.0.1
        (required to http://hl7.org/fhir/ValueSet/request-status|4.0.1)

        The status of a service order.

        Typecode
        Is Modifiertrue because This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Obligations
          ObligationsActor
          SHALL:displayImgReportConsumer
          SHOULD:populate-if-knownImgReportCreator
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          20. ServiceRequest.intent
          Definition

          Whether the request is a proposal, plan, an original order or a reflex order.

          Shortproposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
          Comments

          This element is labeled as a modifier because the intent alters when and how the resource is actually applicable.

          Control1..1
          BindingThe codes SHALL be taken from RequestIntenthttp://hl7.org/fhir/ValueSet/request-intent|4.0.1
          (required to http://hl7.org/fhir/ValueSet/request-intent|4.0.1)

          The kind of service request.

          Typecode
          Is Modifiertrue because This element changes the interpretation of all descriptive attributes. For example "the time the request is recommended to occur" vs. "the time the request is authorized to occur" or "who is recommended to perform the request" vs. "who is authorized to perform the request
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Obligations
            ObligationsActor
            SHALL:displayImgReportConsumer
            SHOULD:populate-if-knownImgReportCreator
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            22. ServiceRequest.category
            Definition

            A code that classifies the service for searching, sorting and display purposes (e.g. "Surgical Procedure").

            ShortClassification of service
            Comments

            There may be multiple axis of categorization depending on the context or use case for retrieving or displaying the resource. The level of granularity is defined by the category concepts in the value set.

            Control10..*
            BindingFor example codes, see ServiceRequestCategoryCodeshttp://hl7.org/fhir/ValueSet/servicerequest-category
            (example to http://hl7.org/fhir/ValueSet/servicerequest-category)

            Classification of the requested service.

            TypeCodeableConcept
            Is Modifierfalse
            Obligations
              ObligationsActor
              SHALL:displayImgReportConsumer
              SHOULD:populate-if-knownImgReportCreator
              Summarytrue
              Requirements

              Used for filtering what service request are retrieved and displayed.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              24. ServiceRequest.doNotPerform
              Definition

              Set this to true if the record is saying that the service/procedure should NOT be performed.

              ShortTrue if service/procedure should not be performed
              Comments

              In general, only the code and timeframe will be present, though occasional additional qualifiers such as body site or even performer could be included to narrow the scope of the prohibition. If the ServiceRequest.code and ServiceRequest.doNotPerform both contain negation, that will reinforce prohibition and should not have a double negative interpretation.

              Control0..1
              Typeboolean
              Is Modifiertrue because If true this element negates the specified action. For Example, instead of a request for a procedure, it is a request for the procedure to not occur.
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

              Used for do not ambulate, do not elevate head of bed, do not flush NG tube, do not take blood pressure on a certain arm, etc.

              Meaning if MissingIf missing, the request is a positive request e.g. "do perform"
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              26. ServiceRequest.subject
              Definition

              On whom or what the service is to be performed. This is usually a human patient, but can also be requested on animals, groups of humans or animals, devices such as dialysis machines, or even locations (typically for environmental scans).

              ShortIndividual or Entity the service is ordered for
              Control1..1
              TypeReference(Patient (CZ core), Patient: Animal (CZ), Patient, Group, Location, Device)
              Is Modifierfalse
              Obligations
                ObligationsActor
                SHALL:displayImgReportConsumer
                SHALL:able-to-populateImgReportCreator
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                28. ServiceRequest.authoredOn
                Definition

                When the request transitioned to being actionable.

                ShortDate request signed
                Control10..1
                TypedateTime
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Obligations
                  ObligationsActor
                  SHALL:displayImgReportConsumer
                  SHALL:able-to-populateImgReportCreator
                  Summarytrue
                  Alternate NamesorderedOn
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  30. ServiceRequest.requester
                  Definition

                  The individual who initiated the request and has responsibility for its activation.

                  ShortWho/what is requesting service
                  Comments

                  This not the dispatcher, but rather who is the authorizer. This element is not intended to handle delegation which would generally be managed through the Provenance resource.

                  Control0..1
                  TypeReference(Practitioner (CZ core), Practitioner Role (CZ core), Organization (CZ core), Patient (CZ core), Related Person (CZ core), Device: Performer/Observer (CZ), Device, Practitioner, PractitionerRole, Organization, Patient, RelatedPerson)
                  Is Modifierfalse
                  Obligations
                    ObligationsActor
                    SHALL:displayImgReportConsumer
                    SHOULD:populate-if-knownImgReportCreator
                    Summarytrue
                    Alternate Namesauthor, orderer
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    32. ServiceRequest.reasonCode
                    Definition

                    An explanation or justification for why this service is being requested in coded or textual form. This is often for billing purposes. May relate to the resources referred to in supportingInfo.

                    ShortExplanation/Justification for procedure or service
                    Comments

                    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.


                    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.

                    Control0..*
                    BindingFor example codes, see ProcedureReasonCodeshttp://hl7.org/fhir/ValueSet/procedure-reason
                    (example to http://hl7.org/fhir/ValueSet/procedure-reason)

                    Diagnosis or problem codes justifying the reason for requesting the service investigation.

                    TypeCodeableConcept
                    Is Modifierfalse
                    Obligations
                      ObligationsActor
                      SHALL:displayImgReportConsumer
                      SHALL:populate-if-knownImgReportCreator
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      34. ServiceRequest.reasonReference
                      Definition

                      Indicates another resource that provides a justification for why this service is being requested. May relate to the resources referred to in supportingInfo.

                      ShortExplanation/Justification for service or service
                      Comments

                      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.


                      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.

                      Control0..*
                      TypeReference(Condition: Imaging Report (CZ), Condition, Observation, DiagnosticReport, DocumentReference)
                      Is Modifierfalse
                      Obligations
                        ObligationsActor
                        SHALL:displayImgReportConsumer
                        SHALL:populate-if-knownImgReportCreator
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

                        Guidance on how to interpret the contents of this table can be foundhere

                        0. ServiceRequest
                        2. ServiceRequest.text
                        Obligations
                          ObligationsActor
                          SHALL:displayImgReportConsumer
                          SHALL:able-to-populateImgReportCreator
                          4. ServiceRequest.identifier
                          NoteThis is a business identifier, not a resource identifier (see discussion)
                          Obligations
                            ObligationsActor
                            SHALL:displayImgReportConsumer
                            SHOULD:populate-if-knownImgReportCreator
                            6. ServiceRequest.status
                            Obligations
                              ObligationsActor
                              SHALL:displayImgReportConsumer
                              SHOULD:populate-if-knownImgReportCreator
                              8. ServiceRequest.intent
                              Obligations
                                ObligationsActor
                                SHALL:displayImgReportConsumer
                                SHOULD:populate-if-knownImgReportCreator
                                10. ServiceRequest.category
                                Obligations
                                  ObligationsActor
                                  SHALL:displayImgReportConsumer
                                  SHOULD:populate-if-knownImgReportCreator
                                  12. ServiceRequest.subject
                                  Obligations
                                    ObligationsActor
                                    SHALL:displayImgReportConsumer
                                    SHALL:able-to-populateImgReportCreator
                                    14. ServiceRequest.authoredOn
                                    Obligations
                                      ObligationsActor
                                      SHALL:displayImgReportConsumer
                                      SHALL:able-to-populateImgReportCreator
                                      16. ServiceRequest.requester
                                      Obligations
                                        ObligationsActor
                                        SHALL:displayImgReportConsumer
                                        SHOULD:populate-if-knownImgReportCreator
                                        18. ServiceRequest.reasonCode
                                        Obligations
                                          ObligationsActor
                                          SHALL:displayImgReportConsumer
                                          SHALL:populate-if-knownImgReportCreator
                                          20. ServiceRequest.reasonReference
                                          Obligations
                                            ObligationsActor
                                            SHALL:displayImgReportConsumer
                                            SHALL:populate-if-knownImgReportCreator

                                            Guidance on how to interpret the contents of this table can be foundhere

                                            0. ServiceRequest
                                            Definition

                                            A record of a request for service such as diagnostic investigations, treatments, or operations to be performed.

                                            ShortA request for a service to be performed
                                            Control0..*
                                            Is Modifierfalse
                                            Summaryfalse
                                            Alternate Namesdiagnostic request, referral, referral request, transfer of care request
                                            Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
                                            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 (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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
                                            dom-6: A resource should have narrative for robust management (text.`div`.exists())
                                            prr-1: orderDetail SHALL only be present if code is present (orderDetail.empty() or code.exists())
                                            2. ServiceRequest.id
                                            Definition

                                            The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

                                            ShortLogical id of this artifact
                                            Comments

                                            The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

                                            Control0..1
                                            Typeid
                                            Is Modifierfalse
                                            Summarytrue
                                            4. ServiceRequest.meta
                                            Definition

                                            The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

                                            ShortMetadata about the resource
                                            Control0..1
                                            TypeMeta
                                            Is Modifierfalse
                                            Summarytrue
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            6. ServiceRequest.implicitRules
                                            Definition

                                            A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

                                            ShortA set of rules under which this content was created
                                            Comments

                                            Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

                                            Control0..1
                                            Typeuri
                                            Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summarytrue
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            8. ServiceRequest.language
                                            Definition

                                            The base language in which the resource is written.

                                            ShortLanguage of the resource content
                                            Comments

                                            Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

                                            Control0..1
                                            BindingThe codes SHOULD be taken from CommonLanguages
                                            (preferred to http://hl7.org/fhir/ValueSet/languages)

                                            A human language.

                                            Additional BindingsPurpose
                                            AllLanguagesMax Binding
                                            Typecode
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            10. ServiceRequest.text
                                            Definition

                                            A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

                                            ShortText summary of the resource, for human interpretation
                                            Comments

                                            Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

                                            Control1..1
                                            TypeNarrative
                                            Is Modifierfalse
                                            Obligations
                                              ObligationsActor
                                              SHALL:displayImgReportConsumer
                                              SHALL:able-to-populateImgReportCreator
                                              Summaryfalse
                                              Alternate Namesnarrative, html, xhtml, display
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              12. ServiceRequest.contained
                                              Definition

                                              These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

                                              ShortContained, inline Resources
                                              Comments

                                              This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

                                              Control0..*
                                              TypeResource
                                              Is Modifierfalse
                                              Summaryfalse
                                              Alternate Namesinline resources, anonymous resources, contained resources
                                              14. ServiceRequest.extension
                                              Definition

                                              An Extension

                                              ShortExtension
                                              Control0..*
                                              TypeExtension
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                              SlicingThis element introduces a set of slices on ServiceRequest.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                              • value @ url
                                              • 16. ServiceRequest.extension:bodySite
                                                Slice NamebodySite
                                                Definition

                                                Record details about the anatomical location of a specimen or body part. This resource may be used when a coded concept does not provide the necessary detail needed for the use case.

                                                ShortTarget anatomic location or structure
                                                Control0..1
                                                TypeExtension(BodyStructure Reference) (Extension Type: Reference(BodyStructure))
                                                Is Modifierfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                18. ServiceRequest.extension:bodySite.id
                                                Definition

                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                ShortUnique id for inter-element referencing
                                                Control0..1
                                                This element is affected by the following invariants: ele-1
                                                Typeid
                                                Is Modifierfalse
                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                Summaryfalse
                                                20. ServiceRequest.extension:bodySite.extension
                                                Definition

                                                An Extension

                                                ShortExtension
                                                Control0..0
                                                TypeExtension
                                                Is Modifierfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                SlicingThis element introduces a set of slices on ServiceRequest.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                • value @ url
                                                • 22. ServiceRequest.extension:bodySite.url
                                                  Definition

                                                  Source of the definition for the extension code - a logical name or a URL.

                                                  Shortidentifies the meaning of the extension
                                                  Comments

                                                  The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                                                  Control1..1
                                                  Typeuri
                                                  Is Modifierfalse
                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                  Summaryfalse
                                                  Fixed Valuehttp://hl7.org/fhir/StructureDefinition/bodySite
                                                  24. ServiceRequest.extension:bodySite.value[x]
                                                  Definition

                                                  Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                                  ShortValue of extension
                                                  Control1..1
                                                  This element is affected by the following invariants: ext-1
                                                  TypeReference(Body Structure (CZ))
                                                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                  Is Modifierfalse
                                                  Summaryfalse
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  26. ServiceRequest.modifierExtension
                                                  Definition

                                                  May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                  ShortExtensions that cannot be ignored
                                                  Comments

                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                  Control0..*
                                                  TypeExtension
                                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                                                  Summaryfalse
                                                  Requirements

                                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                  Alternate Namesextensions, user content
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                  28. ServiceRequest.identifier
                                                  Definition

                                                  Identifiers assigned to this order instance by the orderer and/or the receiver and/or order fulfiller.

                                                  ShortIdentifiers assigned to this order
                                                  Comments

                                                  The identifier.type element is used to distinguish between the identifiers assigned by the orderer (known as the 'Placer' in HL7 v2) and the producer of the observations in response to the order (known as the 'Filler' in HL7 v2). For further discussion and examples see the resource notes section below.

                                                  NoteThis is a business identifier, not a resource identifier (see discussion)
                                                  Control0..1
                                                  TypeIdentifier
                                                  Is Modifierfalse
                                                  Obligations
                                                    ObligationsActor
                                                    SHALL:displayImgReportConsumer
                                                    SHOULD:populate-if-knownImgReportCreator
                                                    Summarytrue
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    30. ServiceRequest.instantiatesCanonical
                                                    Definition

                                                    The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this ServiceRequest.

                                                    ShortInstantiates FHIR protocol or definition
                                                    Comments

                                                    Note: This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.

                                                    Control0..*
                                                    Typecanonical(ActivityDefinition, PlanDefinition)
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Summarytrue
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    32. ServiceRequest.instantiatesUri
                                                    Definition

                                                    The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this ServiceRequest.

                                                    ShortInstantiates external protocol or definition
                                                    Comments

                                                    This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.

                                                    Control0..*
                                                    Typeuri
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Summarytrue
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    34. ServiceRequest.basedOn
                                                    Definition

                                                    Plan/proposal/order fulfilled by this request.

                                                    ShortWhat request fulfills
                                                    Control0..*
                                                    TypeReference(Care plan: Imaging Report (CZ), CarePlan, Service Request: Imaging Report (CZ), ServiceRequest, MedicationRequest)
                                                    Is Modifierfalse
                                                    Summarytrue
                                                    Alternate Namesfulfills
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    36. ServiceRequest.replaces
                                                    Definition

                                                    The request takes the place of the referenced completed or terminated request(s).

                                                    ShortWhat request replaces
                                                    Control0..*
                                                    TypeReference(Service Request: Imaging Report (CZ), ServiceRequest)
                                                    Is Modifierfalse
                                                    Summarytrue
                                                    Alternate Namessupersedes, prior, renewed order
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    38. ServiceRequest.requisition
                                                    Definition

                                                    A shared identifier common to all service requests that were authorized more or less simultaneously by a single author, representing the composite or group identifier.

                                                    ShortComposite Request ID
                                                    Comments

                                                    Requests are linked either by a "basedOn" relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation.

                                                    Control0..1
                                                    TypeIdentifier
                                                    Is Modifierfalse
                                                    Summarytrue
                                                    Requirements

                                                    Some business processes need to know if multiple items were ordered as part of the same "requisition" for billing or other purposes.

                                                    Alternate NamesgrouperId, groupIdentifier
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    40. ServiceRequest.status
                                                    Definition

                                                    The status of the order.

                                                    Shortdraft | active | on-hold | revoked | completed | entered-in-error | unknown
                                                    Comments

                                                    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 for general discussion) or using the Task resource.

                                                    Control1..1
                                                    BindingThe codes SHALL be taken from RequestStatus
                                                    (required to http://hl7.org/fhir/ValueSet/request-status|4.0.1)

                                                    The status of a service order.

                                                    Typecode
                                                    Is Modifiertrue because This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Obligations
                                                      ObligationsActor
                                                      SHALL:displayImgReportConsumer
                                                      SHOULD:populate-if-knownImgReportCreator
                                                      Summarytrue
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      42. ServiceRequest.intent
                                                      Definition

                                                      Whether the request is a proposal, plan, an original order or a reflex order.

                                                      Shortproposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
                                                      Comments

                                                      This element is labeled as a modifier because the intent alters when and how the resource is actually applicable.

                                                      Control1..1
                                                      BindingThe codes SHALL be taken from RequestIntent
                                                      (required to http://hl7.org/fhir/ValueSet/request-intent|4.0.1)

                                                      The kind of service request.

                                                      Typecode
                                                      Is Modifiertrue because This element changes the interpretation of all descriptive attributes. For example "the time the request is recommended to occur" vs. "the time the request is authorized to occur" or "who is recommended to perform the request" vs. "who is authorized to perform the request
                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                      Obligations
                                                        ObligationsActor
                                                        SHALL:displayImgReportConsumer
                                                        SHOULD:populate-if-knownImgReportCreator
                                                        Summarytrue
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        44. ServiceRequest.category
                                                        Definition

                                                        A code that classifies the service for searching, sorting and display purposes (e.g. "Surgical Procedure").

                                                        ShortClassification of service
                                                        Comments

                                                        There may be multiple axis of categorization depending on the context or use case for retrieving or displaying the resource. The level of granularity is defined by the category concepts in the value set.

                                                        Control1..*
                                                        BindingFor example codes, see ServiceRequestCategoryCodes
                                                        (example to http://hl7.org/fhir/ValueSet/servicerequest-category)

                                                        Classification of the requested service.

                                                        TypeCodeableConcept
                                                        Is Modifierfalse
                                                        Obligations
                                                          ObligationsActor
                                                          SHALL:displayImgReportConsumer
                                                          SHOULD:populate-if-knownImgReportCreator
                                                          Summarytrue
                                                          Requirements

                                                          Used for filtering what service request are retrieved and displayed.

                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          46. ServiceRequest.priority
                                                          Definition

                                                          Indicates how quickly the ServiceRequest should be addressed with respect to other requests.

                                                          Shortroutine | urgent | asap | stat
                                                          Control0..1
                                                          BindingThe codes SHALL be taken from RequestPriority
                                                          (required to http://hl7.org/fhir/ValueSet/request-priority|4.0.1)

                                                          Identifies the level of importance to be assigned to actioning the request.

                                                          Typecode
                                                          Is Modifierfalse
                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                          Summarytrue
                                                          Meaning if MissingIf missing, this task should be performed with normal priority
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          48. ServiceRequest.doNotPerform
                                                          Definition

                                                          Set this to true if the record is saying that the service/procedure should NOT be performed.

                                                          ShortTrue if service/procedure should not be performed
                                                          Comments

                                                          In general, only the code and timeframe will be present, though occasional additional qualifiers such as body site or even performer could be included to narrow the scope of the prohibition. If the ServiceRequest.code and ServiceRequest.doNotPerform both contain negation, that will reinforce prohibition and should not have a double negative interpretation.

                                                          Control0..1
                                                          Typeboolean
                                                          Is Modifiertrue because If true this element negates the specified action. For Example, instead of a request for a procedure, it is a request for the procedure to not occur.
                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                          Summarytrue
                                                          Requirements

                                                          Used for do not ambulate, do not elevate head of bed, do not flush NG tube, do not take blood pressure on a certain arm, etc.

                                                          Meaning if MissingIf missing, the request is a positive request e.g. "do perform"
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          50. ServiceRequest.code
                                                          Definition

                                                          A code that identifies a particular service (i.e., procedure, diagnostic investigation, or panel of investigations) that have been requested.

                                                          ShortWhat is being requested/ordered
                                                          Comments

                                                          Many laboratory and radiology procedure codes embed the specimen/organ system in the test order name, for example, serum or serum/plasma glucose, or a chest x-ray. The specimen might not be recorded separately from the test code.

                                                          Control0..1
                                                          BindingFor example codes, see ProcedureCodes(SNOMEDCT)
                                                          (example to http://hl7.org/fhir/ValueSet/procedure-code)

                                                          Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred.

                                                          TypeCodeableConcept
                                                          Is Modifierfalse
                                                          Summarytrue
                                                          Alternate Namesservice requested
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          52. ServiceRequest.code.id
                                                          Definition

                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                          ShortUnique id for inter-element referencing
                                                          Control0..1
                                                          Typestring
                                                          Is Modifierfalse
                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                          Summaryfalse
                                                          54. ServiceRequest.code.extension
                                                          Definition

                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                          ShortAdditional content defined by implementations
                                                          Comments

                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                          Control0..*
                                                          TypeExtension
                                                          Is Modifierfalse
                                                          Summaryfalse
                                                          Alternate Namesextensions, user content
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                          SlicingThis element introduces a set of slices on ServiceRequest.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                          • value @ url
                                                          • 56. ServiceRequest.code.coding
                                                            Definition

                                                            A reference to a code defined by a terminology system.

                                                            ShortCode defined by a terminology system
                                                            Comments

                                                            Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                            Control0..*
                                                            BindingThe codes SHOULD be taken from CZ Imaging Procedure
                                                            (preferred to https://hl7.cz/fhir/img-order/ValueSet/cz-imaging-procedure-vs)
                                                            TypeCoding
                                                            Is Modifierfalse
                                                            Summarytrue
                                                            Requirements

                                                            Allows for alternative encodings within a code system, and translations to other code systems.

                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            58. ServiceRequest.code.text
                                                            Definition

                                                            A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                            ShortPlain text representation of the concept
                                                            Comments

                                                            Very often the text is the same as a displayName of one of the codings.

                                                            Control0..1
                                                            Typestring
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Summarytrue
                                                            Requirements

                                                            The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            60. ServiceRequest.orderDetail
                                                            Definition

                                                            Additional details and instructions about the how the services are to be delivered. For example, and order for a urinary catheter may have an order detail for an external or indwelling catheter, or an order for a bandage may require additional instructions specifying how the bandage should be applied.

                                                            ShortAdditional order information
                                                            Comments

                                                            For information from the medical record intended to support the delivery of the requested services, use the supportingInformation element.

                                                            Control0..*
                                                            This element is affected by the following invariants: prr-1
                                                            BindingFor example codes, see ServiceRequestOrderDetailsCodes
                                                            (example to http://hl7.org/fhir/ValueSet/servicerequest-orderdetail)

                                                            Codified order entry details which are based on order context.

                                                            TypeCodeableConcept
                                                            Is Modifierfalse
                                                            Summarytrue
                                                            Alternate Namesdetailed instructions
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            62. ServiceRequest.quantity[x]
                                                            Definition

                                                            An amount of service being requested which can be a quantity ( for example $1,500 home modification), a ratio ( for example, 20 half day visits per month), or a range (2.0 to 1.8 Gy per fraction).

                                                            ShortService amount
                                                            Control0..1
                                                            TypeChoice of: Quantity, Ratio, Range
                                                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                            Is Modifierfalse
                                                            Summarytrue
                                                            Requirements

                                                            When ordering a service the number of service items may need to be specified separately from the the service item.

                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            64. ServiceRequest.subject
                                                            Definition

                                                            On whom or what the service is to be performed. This is usually a human patient, but can also be requested on animals, groups of humans or animals, devices such as dialysis machines, or even locations (typically for environmental scans).

                                                            ShortIndividual or Entity the service is ordered for
                                                            Control1..1
                                                            TypeReference(Patient (CZ core), Patient: Animal (CZ))
                                                            Is Modifierfalse
                                                            Obligations
                                                              ObligationsActor
                                                              SHALL:displayImgReportConsumer
                                                              SHALL:able-to-populateImgReportCreator
                                                              Summarytrue
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              66. ServiceRequest.encounter
                                                              Definition

                                                              An encounter that provides additional information about the healthcare context in which this request is made.

                                                              ShortEncounter in which the request was created
                                                              Control0..1
                                                              TypeReference(Encounter)
                                                              Is Modifierfalse
                                                              Summarytrue
                                                              Alternate Namescontext
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              68. ServiceRequest.occurrence[x]
                                                              Definition

                                                              The date/time at which the requested service should occur.

                                                              ShortWhen service should occur
                                                              Control0..1
                                                              TypeChoice of: dateTime, Period, Timing
                                                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                              Is Modifierfalse
                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                              Summarytrue
                                                              Alternate Namesschedule
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              70. ServiceRequest.asNeeded[x]
                                                              Definition

                                                              If a CodeableConcept is present, it indicates the pre-condition for performing the service. For example "pain", "on flare-up", etc.

                                                              ShortPreconditions for service
                                                              Control0..1
                                                              BindingFor example codes, see SNOMEDCTMedicationAsNeededReasonCodes
                                                              (example to http://hl7.org/fhir/ValueSet/medication-as-needed-reason)

                                                              A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.

                                                              TypeChoice of: boolean, CodeableConcept
                                                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                              Is Modifierfalse
                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                              Summarytrue
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              72. ServiceRequest.authoredOn
                                                              Definition

                                                              When the request transitioned to being actionable.

                                                              ShortDate request signed
                                                              Control1..1
                                                              TypedateTime
                                                              Is Modifierfalse
                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                              Obligations
                                                                ObligationsActor
                                                                SHALL:displayImgReportConsumer
                                                                SHALL:able-to-populateImgReportCreator
                                                                Summarytrue
                                                                Alternate NamesorderedOn
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                74. ServiceRequest.requester
                                                                Definition

                                                                The individual who initiated the request and has responsibility for its activation.

                                                                ShortWho/what is requesting service
                                                                Comments

                                                                This not the dispatcher, but rather who is the authorizer. This element is not intended to handle delegation which would generally be managed through the Provenance resource.

                                                                Control0..1
                                                                TypeReference(Practitioner (CZ core), Practitioner Role (CZ core), Organization (CZ core), Patient (CZ core), Related Person (CZ core), Device: Performer/Observer (CZ), Device)
                                                                Is Modifierfalse
                                                                Obligations
                                                                  ObligationsActor
                                                                  SHALL:displayImgReportConsumer
                                                                  SHOULD:populate-if-knownImgReportCreator
                                                                  Summarytrue
                                                                  Alternate Namesauthor, orderer
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  76. ServiceRequest.performerType
                                                                  Definition

                                                                  Desired type of performer for doing the requested service.

                                                                  ShortPerformer role
                                                                  Comments

                                                                  This is a role, not a participation type. In other words, does not describe the task but describes the capacity. For example, “compounding pharmacy”, “psychiatrist” or “internal referral”.

                                                                  Control0..1
                                                                  BindingFor example codes, see ParticipantRoles
                                                                  (example to http://hl7.org/fhir/ValueSet/participant-role)

                                                                  Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.

                                                                  TypeCodeableConcept
                                                                  Is Modifierfalse
                                                                  Summarytrue
                                                                  Alternate Namesspecialty
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  78. ServiceRequest.performer
                                                                  Definition

                                                                  The desired performer for doing the requested service. For example, the surgeon, dermatopathologist, endoscopist, etc.

                                                                  ShortRequested performer
                                                                  Comments

                                                                  If multiple performers are present, it is interpreted as a list of alternative performers without any preference regardless of order. If order of preference is needed use the request-performerOrder extension. Use CareTeam to represent a group of performers (for example, Practitioner A and Practitioner B).

                                                                  Control0..*
                                                                  TypeReference(Practitioner (CZ core), Practitioner Role (CZ core), Organization (CZ core), CareTeam, HealthcareService, Patient (CZ core), Related Person (CZ core), Device: Performer/Observer (CZ), Device)
                                                                  Is Modifierfalse
                                                                  Summarytrue
                                                                  Alternate Namesrequest recipient
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  80. ServiceRequest.performer.id
                                                                  Definition

                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                  ShortUnique id for inter-element referencing
                                                                  Control0..1
                                                                  Typestring
                                                                  Is Modifierfalse
                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                  Summaryfalse
                                                                  82. ServiceRequest.performer.extension
                                                                  Definition

                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                  ShortAdditional content defined by implementations
                                                                  Comments

                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                  Control0..*
                                                                  TypeExtension
                                                                  Is Modifierfalse
                                                                  Summaryfalse
                                                                  Alternate Namesextensions, user content
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                  SlicingThis element introduces a set of slices on ServiceRequest.performer.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                  • value @ url
                                                                  • 84. ServiceRequest.performer.reference
                                                                    Definition

                                                                    A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

                                                                    ShortLiteral reference, Relative, internal or absolute URL
                                                                    Comments

                                                                    Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

                                                                    Control0..1
                                                                    This element is affected by the following invariants: ref-1
                                                                    Typestring
                                                                    Is Modifierfalse
                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                    Summarytrue
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    86. ServiceRequest.performer.type
                                                                    Definition

                                                                    The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

                                                                    The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

                                                                    ShortType the reference refers to (e.g. "Patient")
                                                                    Comments

                                                                    This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

                                                                    Control0..1
                                                                    BindingThe codes SHALL be taken from DeviceType
                                                                    (required to http://hl7.org/fhir/ValueSet/device-type)
                                                                    Typeuri
                                                                    Is Modifierfalse
                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                    Summarytrue
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    88. ServiceRequest.performer.identifier
                                                                    Definition

                                                                    An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

                                                                    ShortLogical reference, when literal reference is not known
                                                                    Comments

                                                                    When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

                                                                    When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

                                                                    Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

                                                                    Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

                                                                    NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                    Control0..1
                                                                    TypeIdentifier
                                                                    Is Modifierfalse
                                                                    Summarytrue
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    90. ServiceRequest.performer.display
                                                                    Definition

                                                                    Plain text narrative that identifies the resource in addition to the resource reference.

                                                                    ShortText alternative for the resource
                                                                    Comments

                                                                    This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

                                                                    Control0..1
                                                                    Typestring
                                                                    Is Modifierfalse
                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                    Summarytrue
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    92. ServiceRequest.locationCode
                                                                    Definition

                                                                    The preferred location(s) where the procedure should actually happen in coded or free text form. E.g. at home or nursing day care center.

                                                                    ShortRequested location
                                                                    Control0..*
                                                                    BindingFor example codes, see ServiceDeliveryLocationRoleType (3.0.0)
                                                                    (example to http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType|3.0.0)

                                                                    A location type where services are delivered.

                                                                    TypeCodeableConcept
                                                                    Is Modifierfalse
                                                                    Summarytrue
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    94. ServiceRequest.locationReference
                                                                    Definition

                                                                    A reference to the the preferred location(s) where the procedure should actually happen. E.g. at home or nursing day care center.

                                                                    ShortRequested location
                                                                    Control0..*
                                                                    TypeReference(Location (CZ core))
                                                                    Is Modifierfalse
                                                                    Summarytrue
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    96. ServiceRequest.reasonCode
                                                                    Definition

                                                                    An explanation or justification for why this service is being requested in coded or textual form. This is often for billing purposes. May relate to the resources referred to in supportingInfo.

                                                                    ShortExplanation/Justification for procedure or service
                                                                    Comments

                                                                    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.

                                                                    Control0..*
                                                                    BindingFor example codes, see ProcedureReasonCodes
                                                                    (example to http://hl7.org/fhir/ValueSet/procedure-reason)

                                                                    Diagnosis or problem codes justifying the reason for requesting the service investigation.

                                                                    TypeCodeableConcept
                                                                    Is Modifierfalse
                                                                    Obligations
                                                                      ObligationsActor
                                                                      SHALL:displayImgReportConsumer
                                                                      SHALL:populate-if-knownImgReportCreator
                                                                      Summarytrue
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      98. ServiceRequest.reasonReference
                                                                      Definition

                                                                      Indicates another resource that provides a justification for why this service is being requested. May relate to the resources referred to in supportingInfo.

                                                                      ShortExplanation/Justification for service or service
                                                                      Comments

                                                                      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.

                                                                      Control0..*
                                                                      TypeReference(Condition: Imaging Report (CZ))
                                                                      Is Modifierfalse
                                                                      Obligations
                                                                        ObligationsActor
                                                                        SHALL:displayImgReportConsumer
                                                                        SHALL:populate-if-knownImgReportCreator
                                                                        Summarytrue
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        100. ServiceRequest.insurance
                                                                        Definition

                                                                        Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be needed for delivering the requested service.

                                                                        ShortAssociated insurance coverage
                                                                        Control0..*
                                                                        TypeReference(Coverage (CZ))
                                                                        Is Modifierfalse
                                                                        Summaryfalse
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        102. ServiceRequest.supportingInfo
                                                                        Definition

                                                                        Additional clinical information about the patient or specimen that may influence the services or their interpretations. This information includes diagnosis, clinical findings and other observations. In laboratory ordering these are typically referred to as "ask at order entry questions (AOEs)". This includes observations explicitly requested by the producer (filler) to provide context or supporting information needed to complete the order. For example, reporting the amount of inspired oxygen for blood gas measurements.

                                                                        ShortAdditional clinical information
                                                                        Comments

                                                                        To represent information about how the services are to be delivered use the instructions element.

                                                                        Control0..*
                                                                        TypeReference(Medication Statement (CZ), Body Height: Imaging Order (CZ), Body Weight: Imaging Order (CZ), Condition, Condition: Imaging Report (CZ), Allergy Intolerance (CZ), Medical Device (CZ), Observation: Imaging Order (CZ), Care plan: Imaging Report (CZ))
                                                                        Is Modifierfalse
                                                                        Summaryfalse
                                                                        Alternate NamesAsk at order entry question, AOE
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        104. ServiceRequest.specimen
                                                                        Definition

                                                                        One or more specimens that the laboratory procedure will use.

                                                                        ShortProcedure Samples
                                                                        Comments

                                                                        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 resource points to the ServiceRequest.

                                                                        Control0..*
                                                                        TypeReference(Specimen (CZ))
                                                                        Is Modifierfalse
                                                                        Summarytrue
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        106. ServiceRequest.bodySite
                                                                        Definition

                                                                        Anatomic location where the procedure should be performed. This is the target site.

                                                                        ShortLocation on Body
                                                                        Comments

                                                                        Only used if not implicit in the code found in ServiceRequest.code. If the use case requires BodySite to be handled as a separate resource instead of an inline coded element (e.g. to identify and track separately) then use the standard extension procedure-targetBodyStructure.

                                                                        Control0..*
                                                                        BindingThe codes SHOULD be taken from SNOMEDCTBodyStructures
                                                                        (preferred to http://hl7.org/fhir/ValueSet/body-site)
                                                                        TypeCodeableConcept
                                                                        Is Modifierfalse
                                                                        Summarytrue
                                                                        Requirements

                                                                        Knowing where the procedure is performed is important for tracking if multiple sites are possible.

                                                                        Alternate Nameslocation
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        108. ServiceRequest.note
                                                                        Definition

                                                                        Any other notes and comments made about the service request. For example, internal billing notes.

                                                                        ShortComments
                                                                        Control0..*
                                                                        TypeAnnotation
                                                                        Is Modifierfalse
                                                                        Summaryfalse
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        110. ServiceRequest.patientInstruction
                                                                        Definition

                                                                        Instructions in terms that are understood by the patient or consumer.

                                                                        ShortPatient or consumer-oriented instructions
                                                                        Control0..1
                                                                        Typestring
                                                                        Is Modifierfalse
                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                        Summarytrue
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        112. ServiceRequest.relevantHistory
                                                                        Definition

                                                                        Key events in the history of the request.

                                                                        ShortRequest provenance
                                                                        Comments

                                                                        This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.

                                                                        Control0..*
                                                                        TypeReference(Provenance)
                                                                        Is Modifierfalse
                                                                        Summaryfalse
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))