FHIR Imaging ServiceRequest Profile IG
0.1.0 - ci-build International flag

FHIR Imaging ServiceRequest Profile IG, published by HL7 International / Imaging Integration. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/imaging-service-request-ig/ and changes regularly. See the Directory of published versions

Resource Profile: ServiceRequest - DICOM MWL Requested Procedure Mapping ( Experimental )

Official URL: http://hl7.org/fhir/uv/imaging-service-request-ig/StructureDefinition/imaging-requested-procedure Version: 0.1.0
Draft as of 2024-11-28 Computable Name: ImagingRequestedProcedureProfile

DICOM MWL Requested Procedure Mapping to ServiceRequest

Usage:

Formal Views of Profile Content

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

This structure is derived from ServiceRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest 0..* ServiceRequest A request for a service to be performed
... Slices for basedOn 1..* Reference(CarePlan | ServiceRequest | MedicationRequest) What request fulfills
Slice: Unordered, Open by type:reference
.... basedOn:imagingServiceRequestRef 1..1 Reference(ServiceRequest - DICOM MWL Imaging Service Request Mapping) What request fulfills
... intent 1..1 code proposal | plan | directive | order +
Required Pattern: order
... subject 1..1 Reference(Patient - DICOM MWL Patient Mapping) Individual or Entity the service is ordered for

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C 0..* ServiceRequest A request for a service to be performed
bdystr-1: bodyStructure SHALL only be present if bodySite is not present
prr-1: orderDetail SHALL only be present if code is present
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... basedOn:imagingServiceRequestRef Σ 1..1 Reference(ServiceRequest - DICOM MWL Imaging Service Request Mapping) What request fulfills
... 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 +
Binding: RequestIntent (required): The kind of service request.


Required Pattern: order
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... subject Σ 1..1 Reference(Patient - DICOM MWL Patient Mapping) Individual or Entity the service is ordered for
... encounter Σ 0..1 Reference(Encounter - DICOM MWL Visit Mapping) Encounter in which the request was created

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
ServiceRequest.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|5.0.0
from the FHIR Standard
ServiceRequest.intentrequiredPattern: order
http://hl7.org/fhir/ValueSet/request-intent|5.0.0
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C 0..* ServiceRequest A request for a service to be performed
bdystr-1: bodyStructure SHALL only be present if bodySite is not present
prr-1: orderDetail SHALL only be present if code is present
... 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: AllLanguages (required): IETF language tag for a human language

Additional BindingsPurpose
CommonLanguages Starter Set
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Identifiers assigned to this order
... instantiatesCanonical Σ 0..* canonical(ActivityDefinition | PlanDefinition) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... Slices for basedOn Σ 1..* Reference(CarePlan | ServiceRequest | MedicationRequest) What request fulfills
Slice: Unordered, Open by type:reference
.... basedOn:imagingServiceRequestRef Σ 1..1 Reference(ServiceRequest - DICOM MWL Imaging Service Request Mapping) What request fulfills
... replaces Σ 0..* Reference(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 +
Binding: RequestIntent (required): The kind of service request.


Required Pattern: order
... category Σ 0..* CodeableConcept Classification of service
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.


... 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 ΣC 0..1 CodeableReference(ActivityDefinition | PlanDefinition) ​What is being requested/ordered
Binding: ProcedureCodesSNOMEDCT (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred and a valueset using LOINC Order codes is available here.

... orderDetail ΣC 0..* BackboneElement Additional order information
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... parameterFocus 0..1 CodeableReference(Device | DeviceDefinition | DeviceRequest | SupplyRequest | Medication | MedicationRequest | BiologicallyDerivedProduct | Substance) The context of the order details by reference
.... parameter Σ 1..* BackboneElement The parameter details for the service being requested
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept The detail of the order being requested
Binding: ServiceRequestOrderDetailParameterCode (example): Codes for order detail parameters.

..... value[x] Σ 1..1 The value for the order detail
...... valueQuantity Quantity
...... valueRatio Ratio
...... valueRange Range
...... valueBoolean boolean
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valuePeriod Period
... quantity[x] Σ 0..1 Service amount
.... quantityQuantity Quantity
.... quantityRatio Ratio
.... quantityRange Range
... subject Σ 1..1 Reference(Patient - DICOM MWL Patient Mapping) Individual or Entity the service is ordered for
... focus Σ 0..* Reference(Resource) What the service request is about, when it is not about the subject of record
... encounter Σ 0..1 Reference(Encounter - DICOM MWL Visit Mapping) 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 0..1 dateTime Date request signed
... requester Σ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | 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 | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Requested performer
... location Σ 0..* CodeableReference(Location) Requested location
Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.


... reason Σ 0..* CodeableReference(Condition | Observation | DiagnosticReport | DocumentReference | DetectedIssue) Explanation/Justification for procedure or service
Binding: ProcedureReasonCodes (example): SNOMED CT Condition/Problem/Diagnosis Codes


... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... supportingInfo 0..* CodeableReference(Resource) Additional clinical information
... specimen Σ 0..* Reference(Specimen) Procedure Samples
... bodySite ΣC 0..* CodeableConcept Coded location on Body
Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts


... bodyStructure ΣC 0..1 Reference(BodyStructure) BodyStructure-based location on the body
... note 0..* Annotation Comments
... patientInstruction 0..* BackboneElement Patient or consumer-oriented instructions
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... instruction[x] Σ 0..1 Patient or consumer-oriented instructions
..... instructionMarkdown markdown
..... instructionReference Reference(DocumentReference)
... relevantHistory 0..* Reference(Provenance) Request provenance

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
ServiceRequest.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
from the FHIR Standard
ServiceRequest.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|5.0.0
from the FHIR Standard
ServiceRequest.intentrequiredPattern: order
http://hl7.org/fhir/ValueSet/request-intent|5.0.0
from the FHIR Standard
ServiceRequest.categoryexampleServiceRequestCategoryCodes
http://hl7.org/fhir/ValueSet/servicerequest-category
from the FHIR Standard
ServiceRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|5.0.0
from the FHIR Standard
ServiceRequest.codeexampleProcedureCodesSNOMEDCT
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard
ServiceRequest.orderDetail.parameter.codeexampleServiceRequestOrderDetailParameterCode
http://hl7.org/fhir/ValueSet/servicerequest-orderdetail-parameter-code
from the FHIR Standard
ServiceRequest.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
ServiceRequest.performerTypeexampleParticipantRoles
http://hl7.org/fhir/ValueSet/participant-role
from the FHIR Standard
ServiceRequest.locationexampleServiceDeliveryLocationRoleType
http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reasonexampleProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason
from the FHIR Standard
ServiceRequest.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard

Differential View

This structure is derived from ServiceRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest 0..* ServiceRequest A request for a service to be performed
... Slices for basedOn 1..* Reference(CarePlan | ServiceRequest | MedicationRequest) What request fulfills
Slice: Unordered, Open by type:reference
.... basedOn:imagingServiceRequestRef 1..1 Reference(ServiceRequest - DICOM MWL Imaging Service Request Mapping) What request fulfills
... intent 1..1 code proposal | plan | directive | order +
Required Pattern: order
... subject 1..1 Reference(Patient - DICOM MWL Patient Mapping) Individual or Entity the service is ordered for

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C 0..* ServiceRequest A request for a service to be performed
bdystr-1: bodyStructure SHALL only be present if bodySite is not present
prr-1: orderDetail SHALL only be present if code is present
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... basedOn:imagingServiceRequestRef Σ 1..1 Reference(ServiceRequest - DICOM MWL Imaging Service Request Mapping) What request fulfills
... 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 +
Binding: RequestIntent (required): The kind of service request.


Required Pattern: order
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... subject Σ 1..1 Reference(Patient - DICOM MWL Patient Mapping) Individual or Entity the service is ordered for
... encounter Σ 0..1 Reference(Encounter - DICOM MWL Visit Mapping) Encounter in which the request was created

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
ServiceRequest.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|5.0.0
from the FHIR Standard
ServiceRequest.intentrequiredPattern: order
http://hl7.org/fhir/ValueSet/request-intent|5.0.0
from the FHIR Standard

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C 0..* ServiceRequest A request for a service to be performed
bdystr-1: bodyStructure SHALL only be present if bodySite is not present
prr-1: orderDetail SHALL only be present if code is present
... 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: AllLanguages (required): IETF language tag for a human language

Additional BindingsPurpose
CommonLanguages Starter Set
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Identifiers assigned to this order
... instantiatesCanonical Σ 0..* canonical(ActivityDefinition | PlanDefinition) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... Slices for basedOn Σ 1..* Reference(CarePlan | ServiceRequest | MedicationRequest) What request fulfills
Slice: Unordered, Open by type:reference
.... basedOn:imagingServiceRequestRef Σ 1..1 Reference(ServiceRequest - DICOM MWL Imaging Service Request Mapping) What request fulfills
... replaces Σ 0..* Reference(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 +
Binding: RequestIntent (required): The kind of service request.


Required Pattern: order
... category Σ 0..* CodeableConcept Classification of service
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.


... 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 ΣC 0..1 CodeableReference(ActivityDefinition | PlanDefinition) ​What is being requested/ordered
Binding: ProcedureCodesSNOMEDCT (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred and a valueset using LOINC Order codes is available here.

... orderDetail ΣC 0..* BackboneElement Additional order information
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... parameterFocus 0..1 CodeableReference(Device | DeviceDefinition | DeviceRequest | SupplyRequest | Medication | MedicationRequest | BiologicallyDerivedProduct | Substance) The context of the order details by reference
.... parameter Σ 1..* BackboneElement The parameter details for the service being requested
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept The detail of the order being requested
Binding: ServiceRequestOrderDetailParameterCode (example): Codes for order detail parameters.

..... value[x] Σ 1..1 The value for the order detail
...... valueQuantity Quantity
...... valueRatio Ratio
...... valueRange Range
...... valueBoolean boolean
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valuePeriod Period
... quantity[x] Σ 0..1 Service amount
.... quantityQuantity Quantity
.... quantityRatio Ratio
.... quantityRange Range
... subject Σ 1..1 Reference(Patient - DICOM MWL Patient Mapping) Individual or Entity the service is ordered for
... focus Σ 0..* Reference(Resource) What the service request is about, when it is not about the subject of record
... encounter Σ 0..1 Reference(Encounter - DICOM MWL Visit Mapping) 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 0..1 dateTime Date request signed
... requester Σ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | 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 | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Requested performer
... location Σ 0..* CodeableReference(Location) Requested location
Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.


... reason Σ 0..* CodeableReference(Condition | Observation | DiagnosticReport | DocumentReference | DetectedIssue) Explanation/Justification for procedure or service
Binding: ProcedureReasonCodes (example): SNOMED CT Condition/Problem/Diagnosis Codes


... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... supportingInfo 0..* CodeableReference(Resource) Additional clinical information
... specimen Σ 0..* Reference(Specimen) Procedure Samples
... bodySite ΣC 0..* CodeableConcept Coded location on Body
Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts


... bodyStructure ΣC 0..1 Reference(BodyStructure) BodyStructure-based location on the body
... note 0..* Annotation Comments
... patientInstruction 0..* BackboneElement Patient or consumer-oriented instructions
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... instruction[x] Σ 0..1 Patient or consumer-oriented instructions
..... instructionMarkdown markdown
..... instructionReference Reference(DocumentReference)
... relevantHistory 0..* Reference(Provenance) Request provenance

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
ServiceRequest.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
from the FHIR Standard
ServiceRequest.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|5.0.0
from the FHIR Standard
ServiceRequest.intentrequiredPattern: order
http://hl7.org/fhir/ValueSet/request-intent|5.0.0
from the FHIR Standard
ServiceRequest.categoryexampleServiceRequestCategoryCodes
http://hl7.org/fhir/ValueSet/servicerequest-category
from the FHIR Standard
ServiceRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|5.0.0
from the FHIR Standard
ServiceRequest.codeexampleProcedureCodesSNOMEDCT
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard
ServiceRequest.orderDetail.parameter.codeexampleServiceRequestOrderDetailParameterCode
http://hl7.org/fhir/ValueSet/servicerequest-orderdetail-parameter-code
from the FHIR Standard
ServiceRequest.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
ServiceRequest.performerTypeexampleParticipantRoles
http://hl7.org/fhir/ValueSet/participant-role
from the FHIR Standard
ServiceRequest.locationexampleServiceDeliveryLocationRoleType
http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reasonexampleProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason
from the FHIR Standard
ServiceRequest.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard

 

Other representations of profile: CSV, Excel, Schematron