HL7 Czech Imaging Report IG
0.1.0-ballot - ci-build CZ

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: Service Request: Imaging Report (CZ)

Official URL: https://hl7.cz/fhir/img/StructureDefinition/cz-imagingOrderInformation | Version: 0.1.0-ballot | Highlight text changes?
Draft as of 2026-05-26 | Computable Name: CZ_ImagingOrderInformation

Order information for the scope of the Czech national interoperability project.

Usages:

- Derived from this Profile: Service Request: Obligations
- Use this Profile: Bundle: Imaging Report (CZ)
- Refer to this Profile: Care plan: Imaging Report (CZ), Composition: Imaging Report (CZ), Diagnostic Report: Imaging Report (CZ), Service Request: Imaging Report (CZ)... Show 6 more, Imaging Key Image Document Reference: Imaging Report (CZ), Attachment: Imaging Report (CZ), Observation: Imaging Report (CZ), Procedure: Imaging Report (CZ), Radiation Dose Observation: Imaging Report (CZ) and Imaging Study (CZ)
- Examples for this Profile: ServiceRequest/cz-examplebase-imagingorder and ServiceRequest/d6784779-d008-447d-90cf-89d5d53a0f04

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | ServiceRequest | A request for a service to be performed This profile also imposes the profile ServiceRequest: Imaging Order Constraints: prr-1
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
text |  | 1..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:bodySite |  | 0..1 | (Complex) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/bodySite"
value[x] |  | 1..1 | Reference(Body Structure (CZ core)) | Value of extension
extension:reason |  | 0..* | (Complex) | R5: Explanation/Justification for procedure or service additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.reason Constraints: ext-1
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | Σ | 0..* | Identifier | Identifiers assigned to this order Slice: Unordered, Open by value:type
identifier:accessionNumber | Σ | 0..1 | CZ_AccessionNumberIdentifier | Identifiers assigned to this order
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:All Slices |  |  |  | Content/Rules for all slices
system | Σ | 0..1 | uri | Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
code | Σ | 0..1 | code | Symbol in syntax defined by the system Required Pattern: ACSN
coding:v2-0203-coding | Σ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ACSN
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
coding:dcm | Σ | 0..1 | Coding | Code defined by a terminology system Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 121022
display |  | 1..1 | string | Representation defined by the system Fixed Value: Accession Number
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
system | Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | The value that is unique Example General: 123456
basedOn | Σ | 0..* | Reference(Care plan: Imaging Report (CZ) | CarePlan | Service Request: Imaging Report (CZ) | ServiceRequest | MedicationRequest) | What request fulfills
replaces | Σ | 0..* | Reference(Service Request: Imaging Report (CZ) | ServiceRequest) | What request replaces
status | ?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent | ?!Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request.
Slices for category | Σ | 1..* | CodeableConcept | Classification of service Slice: Unordered, Open by value:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:imaging | Σ | 1..1 | CodeableConcept | Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 363679005
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed
subject | Σ | 1..1 | Reference(Patient (CZ core) | Patient: Animal (CZ)) | Individual or Entity the service is ordered for
authoredOn | Σ | 1..1 | dateTime | Date request signed
requester | Σ | 0..1 | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | Patient (CZ core) | Related Person (CZ core) | Device: Performer/Observer (CZ core) | Device) | Who/what is requesting service
performer | Σ | 0..* | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam | HealthcareService | Patient (CZ core) | Related Person (CZ core) | Device: Performer/Observer (CZ core) | Device) | Requested performer
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: DeviceType (required)
locationReference | Σ | 0..* | Reference(Location (CZ core)) | Requested location
reasonReference | Σ | 0..* | Reference(Condition: Imaging Report (CZ)) | Explanation/Justification for service or service
insurance |  | 0..* | Reference(Coverage (CZ core)) | Associated insurance coverage
supportingInfo |  | 0..* | Reference(Medication Statement (CZ core) | Body Height: Imaging Order (CZ) | Body Weight: Imaging Order (CZ) | Condition | Condition: Imaging Report (CZ) | Allergy Intolerance (CZ core) | Medical Device (CZ core) | Observation: Imaging Order (CZ) | Care plan: Imaging Report (CZ)) | Additional clinical information
Slices for extension |  |  |  | Content/Rules for all slices
extension:codeableConcept |  | 0..* | CodeableConcept | R5: supportingInfo additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.supportingInfo
specimen | Σ | 0..* | Reference(Specimen (CZ Core)) | Procedure Samples
bodySite | Σ | 0..* | CodeableConcept | Location on Body Binding: SNOMEDCTBodyStructures (preferred)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
ServiceRequest.identifier:accessionNumber.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
ServiceRequest.identifier:accessionNumber.​type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std.
ServiceRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std.
ServiceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std.
ServiceRequest.category | Base | example | Service Request Category Codes | 📍4.0.1 | FHIR Std.
ServiceRequest.category:imaging | Base | example | Service Request Category Codes | 📍4.0.1 | FHIR Std.
ServiceRequest.performer.​type | Base | required | Device Type | 📦4.0.1 | FHIR Std.
ServiceRequest.bodySite | Base | preferred | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | ServiceRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | ServiceRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | ServiceRequest | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
prr-1 | error | ServiceRequest | orderDetail SHALL only be present if code is present | `orderDetail.empty() or code.exists()`

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest |  |  | ServiceRequest | This profile also imposes the profile ServiceRequest: Imaging Order
text |  | 1..1 | Narrative | Text summary of the resource, for human interpretation
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:bodySite |  | 0..1 | (Complex) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
value[x] |  | 1..1 | Reference(Body Structure (CZ core)) | Value of extension
extension:reason |  | 0..* | (Complex) | R5: Explanation/Justification for procedure or service additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.reason
Slices for identifier |  | 0..* | Identifier | Identifiers assigned to this order Slice: Unordered, Open by value:type
identifier:accessionNumber |  | 0..1 | CZ_AccessionNumberIdentifier | Identifiers assigned to this order
type |  |  |  |
coding |  | 1..* | Coding | Code defined by a terminology system
system |  | 0..1 | uri | Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
code |  | 0..1 | code | Symbol in syntax defined by the system Required Pattern: ACSN
basedOn |  | 0..* | Reference(Care plan: Imaging Report (CZ) | CarePlan | Service Request: Imaging Report (CZ) | ServiceRequest | MedicationRequest) | What request fulfills
replaces |  | 0..* | Reference(Service Request: Imaging Report (CZ) | ServiceRequest) | What request replaces
Slices for category |  | 1..* | CodeableConcept | Classification of service Slice: Unordered, Open by value:$this
category:imaging |  | 1..1 | CodeableConcept | Classification of service Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 363679005
code |  |  |  |
coding |  | 0..* | Coding | Code defined by a terminology system Binding: CZ Imaging Procedure (preferred)
subject |  | 1..1 | Reference(Patient (CZ core) | Patient: Animal (CZ)) | Individual or Entity the service is ordered for
authoredOn |  | 1..1 | dateTime | Date request signed
requester |  | 0..1 | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | Patient (CZ core) | Related Person (CZ core) | Device: Performer/Observer (CZ core) | Device) | Who/what is requesting service
performer |  | 0..* | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam | HealthcareService | Patient (CZ core) | Related Person (CZ core) | Device: Performer/Observer (CZ core) | Device) | Requested performer
type |  | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: DeviceType (required)
locationReference |  | 0..* | Reference(Location (CZ core)) | Requested location
reasonReference |  | 0..* | Reference(Condition: Imaging Report (CZ)) | Explanation/Justification for service or service
insurance |  | 0..* | Reference(Coverage (CZ core)) | Associated insurance coverage
supportingInfo |  | 0..* | Reference(Medication Statement (CZ core) | Body Height: Imaging Order (CZ) | Body Weight: Imaging Order (CZ) | Condition | Condition: Imaging Report (CZ) | Allergy Intolerance (CZ core) | Medical Device (CZ core) | Observation: Imaging Order (CZ) | Care plan: Imaging Report (CZ)) | Additional clinical information
Slices for extension |  |  |  | Content/Rules for all slices
extension:codeableConcept |  | 0..* | CodeableConcept | R5: supportingInfo additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.supportingInfo
specimen |  | 0..* | Reference(Specimen (CZ Core)) | Procedure Samples
bodySite |  | 0..* | CodeableConcept | Location on Body Binding: SNOMEDCTBodyStructures (preferred)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
ServiceRequest.code.​coding | Base | preferred | CZ Imaging Procedure | 📦1.0.0 | This IG
ServiceRequest.performer.​type | Base | required | Device Type | 📦4.0.1 | FHIR Std.
ServiceRequest.bodySite | Base | preferred | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | ServiceRequest | A request for a service to be performed This profile also imposes the profile ServiceRequest: Imaging Order Constraints: prr-1
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 1..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:bodySite |  | 0..1 | (Complex) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/bodySite"
value[x] |  | 1..1 | Reference(Body Structure (CZ core)) | Value of extension
extension:reason |  | 0..* | (Complex) | R5: Explanation/Justification for procedure or service additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.reason Constraints: ext-1
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | Σ | 0..* | Identifier | Identifiers assigned to this order Slice: Unordered, Open by value:type
identifier:accessionNumber | Σ | 0..1 | CZ_AccessionNumberIdentifier | Identifiers assigned to this order
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 0..1 | uri | Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system Required Pattern: ACSN
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
coding:v2-0203-coding | Σ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ACSN
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
coding:dcm | Σ | 0..1 | Coding | Code defined by a terminology system Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 121022
display |  | 1..1 | string | Representation defined by the system Fixed Value: Accession Number
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
system | Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | The value that is unique Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
instantiatesCanonical | Σ | 0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition
basedOn | Σ | 0..* | Reference(Care plan: Imaging Report (CZ) | CarePlan | Service Request: Imaging Report (CZ) | ServiceRequest | MedicationRequest) | What request fulfills
replaces | Σ | 0..* | Reference(Service Request: Imaging Report (CZ) | ServiceRequest) | What request replaces
requisition | Σ | 0..1 | Identifier | Composite Request ID
status | ?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent | ?!Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request.
Slices for category | Σ | 1..* | CodeableConcept | Classification of service Slice: Unordered, Open by value:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:imaging | Σ | 1..1 | CodeableConcept | Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 363679005
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed
code | Σ | 0..1 | CodeableConcept | What is being requested/ordered Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system Binding: CZ Imaging Procedure (preferred)
text | Σ | 0..1 | string | Plain text representation of the concept
orderDetail | Σ C | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
quantity[x] | Σ | 0..1 |  | Service amount
quantityQuantity |  |  | Quantity |
quantityRatio |  |  | Ratio |
quantityRange |  |  | Range |
subject | Σ | 1..1 | Reference(Patient (CZ core) | Patient: Animal (CZ)) | Individual or Entity the service is ordered for
encounter | Σ | 0..1 | Reference(Encounter) | Encounter in which the request was created
occurrence[x] | Σ | 0..1 |  | When service should occur
occurrenceDateTime |  |  | dateTime |
occurrencePeriod |  |  | Period |
occurrenceTiming |  |  | Timing |
asNeeded[x] | Σ | 0..1 |  | Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
asNeededBoolean |  |  | boolean |
asNeededCodeableConcept |  |  | CodeableConcept |
authoredOn | Σ | 1..1 | dateTime | Date request signed
requester | Σ | 0..1 | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | Patient (CZ core) | Related Person (CZ core) | Device: Performer/Observer (CZ core) | Device) | Who/what is requesting service
performerType | Σ | 0..1 | CodeableConcept | Performer role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
performer | Σ | 0..* | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam | HealthcareService | Patient (CZ core) | Related Person (CZ core) | Device: Performer/Observer (CZ core) | Device) | Requested performer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: DeviceType (required)
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
locationCode | Σ | 0..* | CodeableConcept | Requested location Binding: V3 Value SetServiceDeliveryLocationRoleType (example): A location type where services are delivered.
locationReference | Σ | 0..* | Reference(Location (CZ core)) | Requested location
reasonCode | Σ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
reasonReference | Σ | 0..* | Reference(Condition: Imaging Report (CZ)) | Explanation/Justification for service or service
insurance |  | 0..* | Reference(Coverage (CZ core)) | Associated insurance coverage
supportingInfo |  | 0..* | Reference(Medication Statement (CZ core) | Body Height: Imaging Order (CZ) | Body Weight: Imaging Order (CZ) | Condition | Condition: Imaging Report (CZ) | Allergy Intolerance (CZ core) | Medical Device (CZ core) | Observation: Imaging Order (CZ) | Care plan: Imaging Report (CZ)) | Additional clinical information
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:codeableConcept |  | 0..* | CodeableConcept | R5: supportingInfo additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.supportingInfo
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
specimen | Σ | 0..* | Reference(Specimen (CZ Core)) | Procedure Samples
bodySite | Σ | 0..* | CodeableConcept | Location on Body Binding: SNOMEDCTBodyStructures (preferred)
note |  | 0..* | Annotation | Comments
patientInstruction | Σ | 0..1 | string | Patient or consumer-oriented instructions
relevantHistory |  | 0..* | Reference(Provenance) | Request provenance
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
ServiceRequest.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
ServiceRequest.identifier:accessionNumber.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
ServiceRequest.identifier:accessionNumber.​type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std.
ServiceRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std.
ServiceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std.
ServiceRequest.category | Base | example | Service Request Category Codes | 📍4.0.1 | FHIR Std.
ServiceRequest.category:imaging | Base | example | Service Request Category Codes | 📍4.0.1 | FHIR Std.
ServiceRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std.
ServiceRequest.code | Base | example | Procedure Codes (SNOMED CT) | 📍4.0.1 | FHIR Std.
ServiceRequest.code.​coding | Base | preferred | CZ Imaging Procedure | 📦1.0.0 | This IG
ServiceRequest.orderDetail | Base | example | Service Request Order Details Codes | 📍4.0.1 | FHIR Std.
ServiceRequest.asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📍4.0.1 | FHIR Std.
ServiceRequest.performerType | Base | example | Participant Roles | 📍4.0.1 | FHIR Std.
ServiceRequest.performer.​type | Base | required | Device Type | 📦4.0.1 | FHIR Std.
ServiceRequest.locationCode | Base | example | V3 Value SetServiceDeliveryLocationRoleType | 📦2014-03-26 | FHIR Std.
ServiceRequest.reasonCode | Base | example | Procedure Reason Codes | 📍4.0.1 | FHIR Std.
ServiceRequest.supportingInfo.​type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
ServiceRequest.bodySite | Base | preferred | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | ServiceRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | ServiceRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | ServiceRequest | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
prr-1 | error | ServiceRequest | orderDetail SHALL only be present if code is present | `orderDetail.empty() or code.exists()`

Summary

Mandatory: 4 elements

Structures

This structure refers to these other structures:

- Body Structure (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/BodyStructure-cz)
- Imaging Accession Number Identifier (https://hl7.cz/fhir/img/StructureDefinition/cz-accession-number-identifier)
- Care plan: Imaging Report (CZ) (https://hl7.cz/fhir/img/StructureDefinition/cz-carePlanImage)
- Service Request: Imaging Report (CZ) (https://hl7.cz/fhir/img/StructureDefinition/cz-imagingOrderInformation)
- Patient (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core)
- Patient: Animal (CZ) (https://hl7.cz/fhir/core/StructureDefinition/cz-patient-animal)
- Practitioner (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitioner-core)
- Practitioner Role (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitionerrole-core)
- Organization (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-organization-core)
- Related Person (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-relatedPerson-core)
- Device: Performer/Observer (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-device-observer)
- Location (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-location-core)
- Condition: Imaging Report (CZ) (https://hl7.cz/fhir/img/StructureDefinition/cz-conditionImage)
- Coverage (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-coverage)
- Medication Statement (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/medicationStatement-cz-core)
- Body Height: Imaging Order (CZ) (https://hl7.cz/fhir/img/StructureDefinition/cz-bodyheight)
- Body Weight: Imaging Order (CZ) (https://hl7.cz/fhir/img/StructureDefinition/cz-bodyweight)
- Allergy Intolerance (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/allergyIntolerance-cz-core)
- Medical Device (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-medical-device)
- Observation: Imaging Order (CZ) (https://hl7.cz/fhir/img/StructureDefinition/cz-observationImage)
- Specimen (CZ Core) (https://hl7.cz/fhir/core/StructureDefinition/cz-specimen)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/StructureDefinition/bodySite
- http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.reason
- http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.supportingInfo

Slices

This structure defines the following Slices:

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

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | ServiceRequest | A request for a service to be performed This profile also imposes the profile ServiceRequest: Imaging Order Constraints: prr-1
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
text |  | 1..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:bodySite |  | 0..1 | (Complex) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/bodySite"
value[x] |  | 1..1 | Reference(Body Structure (CZ core)) | Value of extension
extension:reason |  | 0..* | (Complex) | R5: Explanation/Justification for procedure or service additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.reason Constraints: ext-1
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | Σ | 0..* | Identifier | Identifiers assigned to this order Slice: Unordered, Open by value:type
identifier:accessionNumber | Σ | 0..1 | CZ_AccessionNumberIdentifier | Identifiers assigned to this order
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:All Slices |  |  |  | Content/Rules for all slices
system | Σ | 0..1 | uri | Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
code | Σ | 0..1 | code | Symbol in syntax defined by the system Required Pattern: ACSN
coding:v2-0203-coding | Σ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ACSN
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
coding:dcm | Σ | 0..1 | Coding | Code defined by a terminology system Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 121022
display |  | 1..1 | string | Representation defined by the system Fixed Value: Accession Number
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
system | Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | The value that is unique Example General: 123456
basedOn | Σ | 0..* | Reference(Care plan: Imaging Report (CZ) | CarePlan | Service Request: Imaging Report (CZ) | ServiceRequest | MedicationRequest) | What request fulfills
replaces | Σ | 0..* | Reference(Service Request: Imaging Report (CZ) | ServiceRequest) | What request replaces
status | ?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent | ?!Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request.
Slices for category | Σ | 1..* | CodeableConcept | Classification of service Slice: Unordered, Open by value:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:imaging | Σ | 1..1 | CodeableConcept | Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 363679005
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed
subject | Σ | 1..1 | Reference(Patient (CZ core) | Patient: Animal (CZ)) | Individual or Entity the service is ordered for
authoredOn | Σ | 1..1 | dateTime | Date request signed
requester | Σ | 0..1 | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | Patient (CZ core) | Related Person (CZ core) | Device: Performer/Observer (CZ core) | Device) | Who/what is requesting service
performer | Σ | 0..* | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam | HealthcareService | Patient (CZ core) | Related Person (CZ core) | Device: Performer/Observer (CZ core) | Device) | Requested performer
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: DeviceType (required)
locationReference | Σ | 0..* | Reference(Location (CZ core)) | Requested location
reasonReference | Σ | 0..* | Reference(Condition: Imaging Report (CZ)) | Explanation/Justification for service or service
insurance |  | 0..* | Reference(Coverage (CZ core)) | Associated insurance coverage
supportingInfo |  | 0..* | Reference(Medication Statement (CZ core) | Body Height: Imaging Order (CZ) | Body Weight: Imaging Order (CZ) | Condition | Condition: Imaging Report (CZ) | Allergy Intolerance (CZ core) | Medical Device (CZ core) | Observation: Imaging Order (CZ) | Care plan: Imaging Report (CZ)) | Additional clinical information
Slices for extension |  |  |  | Content/Rules for all slices
extension:codeableConcept |  | 0..* | CodeableConcept | R5: supportingInfo additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.supportingInfo
specimen | Σ | 0..* | Reference(Specimen (CZ Core)) | Procedure Samples
bodySite | Σ | 0..* | CodeableConcept | Location on Body Binding: SNOMEDCTBodyStructures (preferred)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
ServiceRequest.identifier:accessionNumber.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
ServiceRequest.identifier:accessionNumber.​type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std.
ServiceRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std.
ServiceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std.
ServiceRequest.category | Base | example | Service Request Category Codes | 📍4.0.1 | FHIR Std.
ServiceRequest.category:imaging | Base | example | Service Request Category Codes | 📍4.0.1 | FHIR Std.
ServiceRequest.performer.​type | Base | required | Device Type | 📦4.0.1 | FHIR Std.
ServiceRequest.bodySite | Base | preferred | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | ServiceRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | ServiceRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | ServiceRequest | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
prr-1 | error | ServiceRequest | orderDetail SHALL only be present if code is present | `orderDetail.empty() or code.exists()`

Differential View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest |  |  | ServiceRequest | This profile also imposes the profile ServiceRequest: Imaging Order
text |  | 1..1 | Narrative | Text summary of the resource, for human interpretation
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:bodySite |  | 0..1 | (Complex) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
value[x] |  | 1..1 | Reference(Body Structure (CZ core)) | Value of extension
extension:reason |  | 0..* | (Complex) | R5: Explanation/Justification for procedure or service additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.reason
Slices for identifier |  | 0..* | Identifier | Identifiers assigned to this order Slice: Unordered, Open by value:type
identifier:accessionNumber |  | 0..1 | CZ_AccessionNumberIdentifier | Identifiers assigned to this order
type |  |  |  |
coding |  | 1..* | Coding | Code defined by a terminology system
system |  | 0..1 | uri | Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
code |  | 0..1 | code | Symbol in syntax defined by the system Required Pattern: ACSN
basedOn |  | 0..* | Reference(Care plan: Imaging Report (CZ) | CarePlan | Service Request: Imaging Report (CZ) | ServiceRequest | MedicationRequest) | What request fulfills
replaces |  | 0..* | Reference(Service Request: Imaging Report (CZ) | ServiceRequest) | What request replaces
Slices for category |  | 1..* | CodeableConcept | Classification of service Slice: Unordered, Open by value:$this
category:imaging |  | 1..1 | CodeableConcept | Classification of service Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 363679005
code |  |  |  |
coding |  | 0..* | Coding | Code defined by a terminology system Binding: CZ Imaging Procedure (preferred)
subject |  | 1..1 | Reference(Patient (CZ core) | Patient: Animal (CZ)) | Individual or Entity the service is ordered for
authoredOn |  | 1..1 | dateTime | Date request signed
requester |  | 0..1 | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | Patient (CZ core) | Related Person (CZ core) | Device: Performer/Observer (CZ core) | Device) | Who/what is requesting service
performer |  | 0..* | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam | HealthcareService | Patient (CZ core) | Related Person (CZ core) | Device: Performer/Observer (CZ core) | Device) | Requested performer
type |  | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: DeviceType (required)
locationReference |  | 0..* | Reference(Location (CZ core)) | Requested location
reasonReference |  | 0..* | Reference(Condition: Imaging Report (CZ)) | Explanation/Justification for service or service
insurance |  | 0..* | Reference(Coverage (CZ core)) | Associated insurance coverage
supportingInfo |  | 0..* | Reference(Medication Statement (CZ core) | Body Height: Imaging Order (CZ) | Body Weight: Imaging Order (CZ) | Condition | Condition: Imaging Report (CZ) | Allergy Intolerance (CZ core) | Medical Device (CZ core) | Observation: Imaging Order (CZ) | Care plan: Imaging Report (CZ)) | Additional clinical information
Slices for extension |  |  |  | Content/Rules for all slices
extension:codeableConcept |  | 0..* | CodeableConcept | R5: supportingInfo additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.supportingInfo
specimen |  | 0..* | Reference(Specimen (CZ Core)) | Procedure Samples
bodySite |  | 0..* | CodeableConcept | Location on Body Binding: SNOMEDCTBodyStructures (preferred)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
ServiceRequest.code.​coding | Base | preferred | CZ Imaging Procedure | 📦1.0.0 | This IG
ServiceRequest.performer.​type | Base | required | Device Type | 📦4.0.1 | FHIR Std.
ServiceRequest.bodySite | Base | preferred | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.

Snapshot ViewView

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | ServiceRequest | A request for a service to be performed This profile also imposes the profile ServiceRequest: Imaging Order Constraints: prr-1
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 1..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:bodySite |  | 0..1 | (Complex) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/bodySite"
value[x] |  | 1..1 | Reference(Body Structure (CZ core)) | Value of extension
extension:reason |  | 0..* | (Complex) | R5: Explanation/Justification for procedure or service additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.reason Constraints: ext-1
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | Σ | 0..* | Identifier | Identifiers assigned to this order Slice: Unordered, Open by value:type
identifier:accessionNumber | Σ | 0..1 | CZ_AccessionNumberIdentifier | Identifiers assigned to this order
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 0..1 | uri | Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system Required Pattern: ACSN
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
coding:v2-0203-coding | Σ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ACSN
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
coding:dcm | Σ | 0..1 | Coding | Code defined by a terminology system Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 121022
display |  | 1..1 | string | Representation defined by the system Fixed Value: Accession Number
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
system | Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | The value that is unique Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
instantiatesCanonical | Σ | 0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition
basedOn | Σ | 0..* | Reference(Care plan: Imaging Report (CZ) | CarePlan | Service Request: Imaging Report (CZ) | ServiceRequest | MedicationRequest) | What request fulfills
replaces | Σ | 0..* | Reference(Service Request: Imaging Report (CZ) | ServiceRequest) | What request replaces
requisition | Σ | 0..1 | Identifier | Composite Request ID
status | ?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent | ?!Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request.
Slices for category | Σ | 1..* | CodeableConcept | Classification of service Slice: Unordered, Open by value:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:imaging | Σ | 1..1 | CodeableConcept | Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 363679005
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed
code | Σ | 0..1 | CodeableConcept | What is being requested/ordered Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system Binding: CZ Imaging Procedure (preferred)
text | Σ | 0..1 | string | Plain text representation of the concept
orderDetail | Σ C | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
quantity[x] | Σ | 0..1 |  | Service amount
quantityQuantity |  |  | Quantity |
quantityRatio |  |  | Ratio |
quantityRange |  |  | Range |
subject | Σ | 1..1 | Reference(Patient (CZ core) | Patient: Animal (CZ)) | Individual or Entity the service is ordered for
encounter | Σ | 0..1 | Reference(Encounter) | Encounter in which the request was created
occurrence[x] | Σ | 0..1 |  | When service should occur
occurrenceDateTime |  |  | dateTime |
occurrencePeriod |  |  | Period |
occurrenceTiming |  |  | Timing |
asNeeded[x] | Σ | 0..1 |  | Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
asNeededBoolean |  |  | boolean |
asNeededCodeableConcept |  |  | CodeableConcept |
authoredOn | Σ | 1..1 | dateTime | Date request signed
requester | Σ | 0..1 | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | Patient (CZ core) | Related Person (CZ core) | Device: Performer/Observer (CZ core) | Device) | Who/what is requesting service
performerType | Σ | 0..1 | CodeableConcept | Performer role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
performer | Σ | 0..* | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam | HealthcareService | Patient (CZ core) | Related Person (CZ core) | Device: Performer/Observer (CZ core) | Device) | Requested performer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: DeviceType (required)
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
locationCode | Σ | 0..* | CodeableConcept | Requested location Binding: V3 Value SetServiceDeliveryLocationRoleType (example): A location type where services are delivered.
locationReference | Σ | 0..* | Reference(Location (CZ core)) | Requested location
reasonCode | Σ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
reasonReference | Σ | 0..* | Reference(Condition: Imaging Report (CZ)) | Explanation/Justification for service or service
insurance |  | 0..* | Reference(Coverage (CZ core)) | Associated insurance coverage
supportingInfo |  | 0..* | Reference(Medication Statement (CZ core) | Body Height: Imaging Order (CZ) | Body Weight: Imaging Order (CZ) | Condition | Condition: Imaging Report (CZ) | Allergy Intolerance (CZ core) | Medical Device (CZ core) | Observation: Imaging Order (CZ) | Care plan: Imaging Report (CZ)) | Additional clinical information
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:codeableConcept |  | 0..* | CodeableConcept | R5: supportingInfo additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.supportingInfo
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
specimen | Σ | 0..* | Reference(Specimen (CZ Core)) | Procedure Samples
bodySite | Σ | 0..* | CodeableConcept | Location on Body Binding: SNOMEDCTBodyStructures (preferred)
note |  | 0..* | Annotation | Comments
patientInstruction | Σ | 0..1 | string | Patient or consumer-oriented instructions
relevantHistory |  | 0..* | Reference(Provenance) | Request provenance
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
ServiceRequest.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
ServiceRequest.identifier:accessionNumber.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
ServiceRequest.identifier:accessionNumber.​type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std.
ServiceRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std.
ServiceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std.
ServiceRequest.category | Base | example | Service Request Category Codes | 📍4.0.1 | FHIR Std.
ServiceRequest.category:imaging | Base | example | Service Request Category Codes | 📍4.0.1 | FHIR Std.
ServiceRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std.
ServiceRequest.code | Base | example | Procedure Codes (SNOMED CT) | 📍4.0.1 | FHIR Std.
ServiceRequest.code.​coding | Base | preferred | CZ Imaging Procedure | 📦1.0.0 | This IG
ServiceRequest.orderDetail | Base | example | Service Request Order Details Codes | 📍4.0.1 | FHIR Std.
ServiceRequest.asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📍4.0.1 | FHIR Std.
ServiceRequest.performerType | Base | example | Participant Roles | 📍4.0.1 | FHIR Std.
ServiceRequest.performer.​type | Base | required | Device Type | 📦4.0.1 | FHIR Std.
ServiceRequest.locationCode | Base | example | V3 Value SetServiceDeliveryLocationRoleType | 📦2014-03-26 | FHIR Std.
ServiceRequest.reasonCode | Base | example | Procedure Reason Codes | 📍4.0.1 | FHIR Std.
ServiceRequest.supportingInfo.​type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
ServiceRequest.bodySite | Base | preferred | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | ServiceRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | ServiceRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | ServiceRequest | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
prr-1 | error | ServiceRequest | orderDetail SHALL only be present if code is present | `orderDetail.empty() or code.exists()`

Summary

Mandatory: 4 elements

Structures

This structure refers to these other structures:

- Body Structure (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/BodyStructure-cz)
- Imaging Accession Number Identifier (https://hl7.cz/fhir/img/StructureDefinition/cz-accession-number-identifier)
- Care plan: Imaging Report (CZ) (https://hl7.cz/fhir/img/StructureDefinition/cz-carePlanImage)
- Service Request: Imaging Report (CZ) (https://hl7.cz/fhir/img/StructureDefinition/cz-imagingOrderInformation)
- Patient (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core)
- Patient: Animal (CZ) (https://hl7.cz/fhir/core/StructureDefinition/cz-patient-animal)
- Practitioner (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitioner-core)
- Practitioner Role (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitionerrole-core)
- Organization (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-organization-core)
- Related Person (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-relatedPerson-core)
- Device: Performer/Observer (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-device-observer)
- Location (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-location-core)
- Condition: Imaging Report (CZ) (https://hl7.cz/fhir/img/StructureDefinition/cz-conditionImage)
- Coverage (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-coverage)
- Medication Statement (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/medicationStatement-cz-core)
- Body Height: Imaging Order (CZ) (https://hl7.cz/fhir/img/StructureDefinition/cz-bodyheight)
- Body Weight: Imaging Order (CZ) (https://hl7.cz/fhir/img/StructureDefinition/cz-bodyweight)
- Allergy Intolerance (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/allergyIntolerance-cz-core)
- Medical Device (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-medical-device)
- Observation: Imaging Order (CZ) (https://hl7.cz/fhir/img/StructureDefinition/cz-observationImage)
- Specimen (CZ Core) (https://hl7.cz/fhir/core/StructureDefinition/cz-specimen)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/StructureDefinition/bodySite
- http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.reason
- http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.supportingInfo

Slices

This structure defines the following Slices:

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

Other representations of profile: CSV, Excel, Schematron