Breast Imaging Reporting - 2nd STU ballot
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Breast Imaging Reporting - 2nd STU ballot, published by HL7 International - Clinical Interoperability Council. This is not an authorized publication; it is the continuous build for version 0.3.0). This version is based on the current content of https://github.com/HL7/fhir-breast-radiology-ig/ and changes regularly. See the Directory of published versions

Resource Profile: Service Recommendation

Official URL: http://hl7.org/fhir/us/breast-radiology/StructureDefinition/ServiceRecommendation Version: 0.3.0
Draft as of 2019-11-01 Computable Name: ServiceRecommendation

Service Recommendation

Description

Recommended follow-up action to be taken in response to the findings of this exam.

This resource is a profile of ServiceRequest. It's ServiceRequest.code is bound to a value set of common breast imaging recommendations. This list is not meant to be comprehensive, just commonly used items will will be included in the list.

The Breast Imaging Report contains references to zero or more recommendations, which may include ServiceRecommendation instances but is not limited to only ServiceRecommendation instances.

Graphical Overview

This graph provides an overview of this profile, and its dependencies.

Click on any of the elements of the graph to go to a section describing that element.

image/svg+xml

Usage:

  • Refer to this Resource Profile:

Formal Views of Profile Content

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

This structure is derived from USCoreServiceRequestProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest 0..*USCoreServiceRequestProfileA request for a service to be performed
... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
... breastLaterality 1..1CodeableConceptBreast Laterality extension
URL: http://hl7.org/fhir/us/breast-radiology/StructureDefinition/BreastLateralityExtension
Binding: RDE1588 Breast laterality (required)
... code 1..1CodeableConceptWhat is being requested/ordered
Binding: ServiceRecommendations ValueSet (extensible)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
ServiceRequest.codeextensibleServiceRecommendationsVS (a valid code from ServiceRecommendations CodeSystem)
NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C0..*USCoreServiceRequestProfileA request for a service to be performed
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
... breastLaterality 1..1CodeableConceptBreast Laterality extension
URL: http://hl7.org/fhir/us/breast-radiology/StructureDefinition/BreastLateralityExtension
Binding: RDE1588 Breast laterality (required)
... status ?!SΣ1..1codedraft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.

... intent ?!SΣ1..1codeproposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.

... Slices for category SΣ1..*CodeableConceptClassification of service
Slice: Unordered, Open by pattern:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.


.... category:us-core SΣ0..*CodeableConceptClassification of service
Binding: US Core ServiceRequest Category Codes (required)
... doNotPerform ?!Σ0..1booleanTrue if service/procedure should not be performed
... code SΣ1..1CodeableConceptWhat is being requested/ordered
Binding: ServiceRecommendations ValueSet (extensible)
... subject SΣ1..1Reference(US Core Patient Profile)Individual or Entity the service is ordered for
... occurrence[x] SΣ0..1When service should occur
.... occurrencePeriodPeriod
... authoredOn SΣ0..1dateTimeDate request signed
... requester SΣ0..1Reference(US Core Practitioner Profile)Who/what is requesting service

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
ServiceRequest.statusrequiredRequestStatus
ServiceRequest.intentrequiredRequestIntent
ServiceRequest.categoryexampleServiceRequestCategoryCodes
ServiceRequest.category:us-corerequiredUSCoreServiceRequestCategoryCodes
ServiceRequest.codeextensibleServiceRecommendationsVS (a valid code from ServiceRecommendations CodeSystem)
NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C0..*USCoreServiceRequestProfileA request for a service to be performed
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
... breastLaterality 1..1CodeableConceptBreast Laterality extension
URL: http://hl7.org/fhir/us/breast-radiology/StructureDefinition/BreastLateralityExtension
Binding: RDE1588 Breast laterality (required)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierIdentifiers assigned to this order
... instantiatesCanonical Σ0..*canonical(ActivityDefinition | PlanDefinition)Instantiates FHIR protocol or definition
... instantiatesUri Σ0..*uriInstantiates external protocol or definition
... basedOn Σ0..*Reference(CarePlan | ServiceRequest | MedicationRequest)What request fulfills
... replaces Σ0..*Reference(ServiceRequest)What request replaces
... requisition Σ0..1IdentifierComposite Request ID
... status ?!SΣ1..1codedraft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.

... intent ?!SΣ1..1codeproposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.

... Slices for category SΣ1..*CodeableConceptClassification of service
Slice: Unordered, Open by pattern:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.


.... category:us-core SΣ0..*CodeableConceptClassification of service
Binding: US Core ServiceRequest Category Codes (required)
... priority Σ0..1coderoutine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... doNotPerform ?!Σ0..1booleanTrue if service/procedure should not be performed
... code SΣ1..1CodeableConceptWhat is being requested/ordered
Binding: ServiceRecommendations ValueSet (extensible)
... orderDetail ΣC0..*CodeableConceptAdditional order information
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.


... quantity[x] Σ0..1Service amount
.... quantityQuantityQuantity
.... quantityRatioRatio
.... quantityRangeRange
... subject SΣ1..1Reference(US Core Patient Profile)Individual or Entity the service is ordered for
... encounter Σ0..1Reference(Encounter)Encounter in which the request was created
... occurrence[x] SΣ0..1When service should occur
.... occurrencePeriodPeriod S
.... occurrenceDateTimedateTime
.... occurrenceTimingTiming
... asNeeded[x] Σ0..1Preconditions 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.

.... asNeededBooleanboolean
.... asNeededCodeableConceptCodeableConcept
... authoredOn SΣ0..1dateTimeDate request signed
... requester SΣ0..1Reference(US Core Practitioner Profile S | US Core Organization Profile | US Core Patient Profile | PractitionerRole | US Core RelatedPerson Profile | Device)Who/what is requesting service
... performerType Σ0..1CodeableConceptPerformer role
Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.

... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)Requested performer
... locationCode Σ0..*CodeableConceptRequested location
Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.


... locationReference Σ0..*Reference(Location)Requested location
... reasonCode Σ0..*CodeableConceptExplanation/Justification for procedure or service
Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.


... reasonReference Σ0..*Reference(Condition | Observation | DiagnosticReport | DocumentReference)Explanation/Justification for service or service
... insurance 0..*Reference(Coverage | ClaimResponse)Associated insurance coverage
... supportingInfo 0..*Reference(Resource)Additional clinical information
... specimen Σ0..*Reference(Specimen)Procedure Samples
... bodySite Σ0..*CodeableConceptLocation on Body
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


... note 0..*AnnotationComments
... patientInstruction Σ0..1stringPatient or consumer-oriented instructions
... relevantHistory 0..*Reference(Provenance)Request provenance

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
ServiceRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
ServiceRequest.statusrequiredRequestStatus
ServiceRequest.intentrequiredRequestIntent
ServiceRequest.categoryexampleServiceRequestCategoryCodes
ServiceRequest.category:us-corerequiredUSCoreServiceRequestCategoryCodes
ServiceRequest.priorityrequiredRequestPriority
ServiceRequest.codeextensibleServiceRecommendationsVS (a valid code from ServiceRecommendations CodeSystem)
ServiceRequest.orderDetailexampleServiceRequestOrderDetailsCodes
ServiceRequest.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
ServiceRequest.performerTypeexampleParticipantRoles
ServiceRequest.locationCodeexampleServiceDeliveryLocationRoleType
ServiceRequest.reasonCodeexampleProcedureReasonCodes
ServiceRequest.bodySiteexampleSNOMEDCTBodyStructures

This structure is derived from USCoreServiceRequestProfile

Summary

Mandatory: 2 elements

Extensions

This structure refers to these extensions:

Differential View

This structure is derived from USCoreServiceRequestProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest 0..*USCoreServiceRequestProfileA request for a service to be performed
... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
... breastLaterality 1..1CodeableConceptBreast Laterality extension
URL: http://hl7.org/fhir/us/breast-radiology/StructureDefinition/BreastLateralityExtension
Binding: RDE1588 Breast laterality (required)
... code 1..1CodeableConceptWhat is being requested/ordered
Binding: ServiceRecommendations ValueSet (extensible)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
ServiceRequest.codeextensibleServiceRecommendationsVS (a valid code from ServiceRecommendations CodeSystem)

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C0..*USCoreServiceRequestProfileA request for a service to be performed
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
... breastLaterality 1..1CodeableConceptBreast Laterality extension
URL: http://hl7.org/fhir/us/breast-radiology/StructureDefinition/BreastLateralityExtension
Binding: RDE1588 Breast laterality (required)
... status ?!SΣ1..1codedraft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.

... intent ?!SΣ1..1codeproposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.

... Slices for category SΣ1..*CodeableConceptClassification of service
Slice: Unordered, Open by pattern:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.


.... category:us-core SΣ0..*CodeableConceptClassification of service
Binding: US Core ServiceRequest Category Codes (required)
... doNotPerform ?!Σ0..1booleanTrue if service/procedure should not be performed
... code SΣ1..1CodeableConceptWhat is being requested/ordered
Binding: ServiceRecommendations ValueSet (extensible)
... subject SΣ1..1Reference(US Core Patient Profile)Individual or Entity the service is ordered for
... occurrence[x] SΣ0..1When service should occur
.... occurrencePeriodPeriod
... authoredOn SΣ0..1dateTimeDate request signed
... requester SΣ0..1Reference(US Core Practitioner Profile)Who/what is requesting service

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
ServiceRequest.statusrequiredRequestStatus
ServiceRequest.intentrequiredRequestIntent
ServiceRequest.categoryexampleServiceRequestCategoryCodes
ServiceRequest.category:us-corerequiredUSCoreServiceRequestCategoryCodes
ServiceRequest.codeextensibleServiceRecommendationsVS (a valid code from ServiceRecommendations CodeSystem)

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C0..*USCoreServiceRequestProfileA request for a service to be performed
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
... breastLaterality 1..1CodeableConceptBreast Laterality extension
URL: http://hl7.org/fhir/us/breast-radiology/StructureDefinition/BreastLateralityExtension
Binding: RDE1588 Breast laterality (required)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierIdentifiers assigned to this order
... instantiatesCanonical Σ0..*canonical(ActivityDefinition | PlanDefinition)Instantiates FHIR protocol or definition
... instantiatesUri Σ0..*uriInstantiates external protocol or definition
... basedOn Σ0..*Reference(CarePlan | ServiceRequest | MedicationRequest)What request fulfills
... replaces Σ0..*Reference(ServiceRequest)What request replaces
... requisition Σ0..1IdentifierComposite Request ID
... status ?!SΣ1..1codedraft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.

... intent ?!SΣ1..1codeproposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.

... Slices for category SΣ1..*CodeableConceptClassification of service
Slice: Unordered, Open by pattern:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.


.... category:us-core SΣ0..*CodeableConceptClassification of service
Binding: US Core ServiceRequest Category Codes (required)
... priority Σ0..1coderoutine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... doNotPerform ?!Σ0..1booleanTrue if service/procedure should not be performed
... code SΣ1..1CodeableConceptWhat is being requested/ordered
Binding: ServiceRecommendations ValueSet (extensible)
... orderDetail ΣC0..*CodeableConceptAdditional order information
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.


... quantity[x] Σ0..1Service amount
.... quantityQuantityQuantity
.... quantityRatioRatio
.... quantityRangeRange
... subject SΣ1..1Reference(US Core Patient Profile)Individual or Entity the service is ordered for
... encounter Σ0..1Reference(Encounter)Encounter in which the request was created
... occurrence[x] SΣ0..1When service should occur
.... occurrencePeriodPeriod S
.... occurrenceDateTimedateTime
.... occurrenceTimingTiming
... asNeeded[x] Σ0..1Preconditions 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.

.... asNeededBooleanboolean
.... asNeededCodeableConceptCodeableConcept
... authoredOn SΣ0..1dateTimeDate request signed
... requester SΣ0..1Reference(US Core Practitioner Profile S | US Core Organization Profile | US Core Patient Profile | PractitionerRole | US Core RelatedPerson Profile | Device)Who/what is requesting service
... performerType Σ0..1CodeableConceptPerformer role
Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.

... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)Requested performer
... locationCode Σ0..*CodeableConceptRequested location
Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.


... locationReference Σ0..*Reference(Location)Requested location
... reasonCode Σ0..*CodeableConceptExplanation/Justification for procedure or service
Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.


... reasonReference Σ0..*Reference(Condition | Observation | DiagnosticReport | DocumentReference)Explanation/Justification for service or service
... insurance 0..*Reference(Coverage | ClaimResponse)Associated insurance coverage
... supportingInfo 0..*Reference(Resource)Additional clinical information
... specimen Σ0..*Reference(Specimen)Procedure Samples
... bodySite Σ0..*CodeableConceptLocation on Body
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


... note 0..*AnnotationComments
... patientInstruction Σ0..1stringPatient or consumer-oriented instructions
... relevantHistory 0..*Reference(Provenance)Request provenance

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
ServiceRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
ServiceRequest.statusrequiredRequestStatus
ServiceRequest.intentrequiredRequestIntent
ServiceRequest.categoryexampleServiceRequestCategoryCodes
ServiceRequest.category:us-corerequiredUSCoreServiceRequestCategoryCodes
ServiceRequest.priorityrequiredRequestPriority
ServiceRequest.codeextensibleServiceRecommendationsVS (a valid code from ServiceRecommendations CodeSystem)
ServiceRequest.orderDetailexampleServiceRequestOrderDetailsCodes
ServiceRequest.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
ServiceRequest.performerTypeexampleParticipantRoles
ServiceRequest.locationCodeexampleServiceDeliveryLocationRoleType
ServiceRequest.reasonCodeexampleProcedureReasonCodes
ServiceRequest.bodySiteexampleSNOMEDCTBodyStructures

This structure is derived from USCoreServiceRequestProfile

Summary

Mandatory: 2 elements

Extensions

This structure refers to these extensions:

 

Other representations of profile: CSV, Excel, Schematron