Imaging Diagnostic Report
0.0.1-current - ci-build
Imaging Diagnostic Report
0.0.1-current - ci-build
Imaging Diagnostic Report, published by IHE Radiology Technical Committee. This guide is not an authorized publication; it is the continuous build for version 0.0.1-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/RAD.IDR/ and changes regularly. See the Directory of published versions
| Official URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idr-recommendation-service-request | Version: 0.0.1-current | |||
| Draft as of 2025-09-14 | Computable Name: IDRRecommendationServiceRequest | |||
Draft ServiceRequests representing Recommendations from an Imaging Report
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from ServiceRequest
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  ServiceRequest |
0..* | ServiceRequest | A request for a service to be performed | |
  text |
S | 0..1 | Narrative | Text summary of the resource, for human interpretation |
| status |
1..1 | code | draft | active | on-hold | entered-in-error | ended | completed | revoked | unknown Required Pattern: draft | |
| intent |
1..1 | code | proposal | plan | directive | order + Binding: Recommendation Imaging ServiceRequest intent Value Set (required) | |
| occurrence[x] |
S | 0..1 | dateTime, Period, Timing | When service should occur |
| performerType |
S | 0..1 | CodeableConcept | Performer role |
  reason |
S | 0..* | CodeableReference(IDR Report Impression Condition) | Reason or indication for requesting the service |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| ServiceRequest.intent | required | RecommendationServiceRequestIntentVShttps://profiles.ihe.net/RAD/IDR/ValueSet/recommendation-servicerequest-intent-vsFrom this IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| ServiceRequest |
C | 0..* | ServiceRequest | A request for a service to be performed Constraints: asn-1, bdystr-1, prr-1 |
 implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
 text |
S | 0..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 | |
 modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| status |
?!Σ | 1..1 | code | draft | active | on-hold | entered-in-error | ended | completed | revoked | unknown Binding: RequestStatus (required): The status of a service order. Required Pattern: draft |
| intent |
?!Σ | 1..1 | code | proposal | plan | directive | order + Binding: Recommendation Imaging ServiceRequest intent Value Set (required) |
| doNotPerform |
?!Σ | 0..1 | boolean | True if service/procedure should not be performed |
| subject |
Σ | 1..1 | Reference(Patient | Group | Location | Device) | Individual or Entity the service is ordered for |
 occurrence[x] |
SΣ | 0..1 | When service should occur | |
 occurrenceDateTime |
dateTime | |||
| occurrencePeriod |
Period | |||
| occurrenceTiming |
Timing | |||
| performerType |
SΣ | 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. |
| reason |
SΣ | 0..* | CodeableReference(IDR Report Impression Condition) | Reason or indication for requesting the service Binding: ProcedureReasonCodes (example): SNOMED CT Condition/Problem/Diagnosis Codes |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| ServiceRequest.status | required | Pattern Value: drafthttp://hl7.org/fhir/ValueSet/request-status|6.0.0-ballot3From the FHIR Standard | |
| ServiceRequest.intent | required | RecommendationServiceRequestIntentVShttps://profiles.ihe.net/RAD/IDR/ValueSet/recommendation-servicerequest-intent-vsFrom this IG | |
| ServiceRequest.performerType | example | ParticipantRoleshttp://hl7.org/fhir/ValueSet/participant-role|6.0.0-ballot3From the FHIR Standard | |
| ServiceRequest.reason | example | ProcedureReasonCodeshttp://hl7.org/fhir/ValueSet/procedure-reason|6.0.0-ballot3From the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| asn-1 | error | ServiceRequest | asNeededFor SHALL only be present if asNeeded is empty or true : asNeededFor.empty() or (asNeeded = true or asNeeded.empty()) | |
| bdystr-1 | error | ServiceRequest | bodyStructure SHALL only be present if bodySite is not present : bodySite.exists() implies bodyStructure.empty() | |
| 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.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').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()) | |
| 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: | ||||
|---|---|---|---|---|---|---|---|---|
| ServiceRequest |
C | 0..* | ServiceRequest | A request for a service to be performed Constraints: asn-1, bdystr-1, 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: AllLanguages (required): IETF language tag for a human language
| |||||
| text |
S | 0..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 | |||||
 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 | ||||
| basedOn |
Σ | 0..* | Reference(CarePlan | ServiceRequest | MedicationRequest | RequestOrchestration | NutritionOrder) | 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 | entered-in-error | ended | completed | revoked | unknown Binding: RequestStatus (required): The status of a service order. Required Pattern: draft | ||||
| intent |
?!Σ | 1..1 | code | proposal | plan | directive | order + Binding: Recommendation Imaging ServiceRequest intent Value Set (required) | ||||
| 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. | ||||
| orderDetail |
ΣC | 0..* | BackboneElement | Additional information about the request | ||||
| 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 | Group | Location | Device) | 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) | Encounter in which the request was created | ||||
| occurrence[x] |
SΣ | 0..1 | When service should occur | |||||
| occurrenceDateTime |
dateTime | |||||||
| occurrencePeriod |
Period | |||||||
| occurrenceTiming |
Timing | |||||||
| asNeeded |
Σ | 0..1 | boolean | Perform the service "as needed" | ||||
| asNeededFor |
ΣC | 0..* | CodeableConcept | Specified criteria for the 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. | ||||
| authoredOn |
Σ | 0..1 | dateTime | Date request signed | ||||
| requester |
Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | Group) | Who/what is requesting service | ||||
| performerType |
SΣ | 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 | Group) | Requested performer | ||||
| location |
Σ | 0..* | CodeableReference(Location) | Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered. | ||||
| reason |
SΣ | 0..* | CodeableReference(IDR Report Impression Condition) | Reason or indication for requesting the 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 | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI |
| ServiceRequest.language | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot3From the FHIR Standard | |
| ServiceRequest.status | required | Pattern Value: drafthttp://hl7.org/fhir/ValueSet/request-status|6.0.0-ballot3From the FHIR Standard | |
| ServiceRequest.intent | required | RecommendationServiceRequestIntentVShttps://profiles.ihe.net/RAD/IDR/ValueSet/recommendation-servicerequest-intent-vsFrom this IG | |
| ServiceRequest.category | example | ServiceRequestCategoryCodeshttp://hl7.org/fhir/ValueSet/servicerequest-category|6.0.0-ballot3From the FHIR Standard | |
| ServiceRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|6.0.0-ballot3From the FHIR Standard | |
| ServiceRequest.code | example | ProcedureCodesSNOMEDCThttp://hl7.org/fhir/ValueSet/procedure-code|6.0.0-ballot3From the FHIR Standard | |
| ServiceRequest.orderDetail.parameter.code | example | ServiceRequestOrderDetailParameterCodehttp://hl7.org/fhir/ValueSet/servicerequest-orderdetail-parameter-code|6.0.0-ballot3From the FHIR Standard | |
| ServiceRequest.asNeededFor | example | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reason|6.0.0-ballot3From the FHIR Standard | |
| ServiceRequest.performerType | example | ParticipantRoleshttp://hl7.org/fhir/ValueSet/participant-role|6.0.0-ballot3From the FHIR Standard | |
| ServiceRequest.location | example | ServiceDeliveryLocationRoleTypehttp://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType | |
| ServiceRequest.reason | example | ProcedureReasonCodeshttp://hl7.org/fhir/ValueSet/procedure-reason|6.0.0-ballot3From the FHIR Standard | |
| ServiceRequest.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site|6.0.0-ballot3From the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| asn-1 | error | ServiceRequest | asNeededFor SHALL only be present if asNeeded is empty or true : asNeededFor.empty() or (asNeeded = true or asNeeded.empty()) | |
| bdystr-1 | error | ServiceRequest | bodyStructure SHALL only be present if bodySite is not present : bodySite.exists() implies bodyStructure.empty() | |
| 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.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').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()) | |
| prr-1 | error | ServiceRequest | orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists() |
This structure is derived from ServiceRequest
Differential View
This structure is derived from ServiceRequest
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| ServiceRequest |
0..* | ServiceRequest | A request for a service to be performed | |
| text |
S | 0..1 | Narrative | Text summary of the resource, for human interpretation |
| status |
1..1 | code | draft | active | on-hold | entered-in-error | ended | completed | revoked | unknown Required Pattern: draft | |
| intent |
1..1 | code | proposal | plan | directive | order + Binding: Recommendation Imaging ServiceRequest intent Value Set (required) | |
| occurrence[x] |
S | 0..1 | dateTime, Period, Timing | When service should occur |
| performerType |
S | 0..1 | CodeableConcept | Performer role |
| reason |
S | 0..* | CodeableReference(IDR Report Impression Condition) | Reason or indication for requesting the service |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| ServiceRequest.intent | required | RecommendationServiceRequestIntentVShttps://profiles.ihe.net/RAD/IDR/ValueSet/recommendation-servicerequest-intent-vsFrom this IG |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| ServiceRequest |
C | 0..* | ServiceRequest | A request for a service to be performed Constraints: asn-1, bdystr-1, prr-1 |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| text |
S | 0..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 | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| status |
?!Σ | 1..1 | code | draft | active | on-hold | entered-in-error | ended | completed | revoked | unknown Binding: RequestStatus (required): The status of a service order. Required Pattern: draft |
| intent |
?!Σ | 1..1 | code | proposal | plan | directive | order + Binding: Recommendation Imaging ServiceRequest intent Value Set (required) |
| doNotPerform |
?!Σ | 0..1 | boolean | True if service/procedure should not be performed |
| subject |
Σ | 1..1 | Reference(Patient | Group | Location | Device) | Individual or Entity the service is ordered for |
| occurrence[x] |
SΣ | 0..1 | When service should occur | |
| occurrenceDateTime |
dateTime | |||
| occurrencePeriod |
Period | |||
| occurrenceTiming |
Timing | |||
| performerType |
SΣ | 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. |
| reason |
SΣ | 0..* | CodeableReference(IDR Report Impression Condition) | Reason or indication for requesting the service Binding: ProcedureReasonCodes (example): SNOMED CT Condition/Problem/Diagnosis Codes |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| ServiceRequest.status | required | Pattern Value: drafthttp://hl7.org/fhir/ValueSet/request-status|6.0.0-ballot3From the FHIR Standard | |
| ServiceRequest.intent | required | RecommendationServiceRequestIntentVShttps://profiles.ihe.net/RAD/IDR/ValueSet/recommendation-servicerequest-intent-vsFrom this IG | |
| ServiceRequest.performerType | example | ParticipantRoleshttp://hl7.org/fhir/ValueSet/participant-role|6.0.0-ballot3From the FHIR Standard | |
| ServiceRequest.reason | example | ProcedureReasonCodeshttp://hl7.org/fhir/ValueSet/procedure-reason|6.0.0-ballot3From the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| asn-1 | error | ServiceRequest | asNeededFor SHALL only be present if asNeeded is empty or true : asNeededFor.empty() or (asNeeded = true or asNeeded.empty()) | |
| bdystr-1 | error | ServiceRequest | bodyStructure SHALL only be present if bodySite is not present : bodySite.exists() implies bodyStructure.empty() | |
| 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.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').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()) | |
| prr-1 | error | ServiceRequest | orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| ServiceRequest |
C | 0..* | ServiceRequest | A request for a service to be performed Constraints: asn-1, bdystr-1, 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: AllLanguages (required): IETF language tag for a human language
| |||||
| text |
S | 0..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 | |||||
| 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 | ||||
| basedOn |
Σ | 0..* | Reference(CarePlan | ServiceRequest | MedicationRequest | RequestOrchestration | NutritionOrder) | 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 | entered-in-error | ended | completed | revoked | unknown Binding: RequestStatus (required): The status of a service order. Required Pattern: draft | ||||
| intent |
?!Σ | 1..1 | code | proposal | plan | directive | order + Binding: Recommendation Imaging ServiceRequest intent Value Set (required) | ||||
| 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. | ||||
| orderDetail |
ΣC | 0..* | BackboneElement | Additional information about the request | ||||
| 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 | Group | Location | Device) | 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) | Encounter in which the request was created | ||||
| occurrence[x] |
SΣ | 0..1 | When service should occur | |||||
| occurrenceDateTime |
dateTime | |||||||
| occurrencePeriod |
Period | |||||||
| occurrenceTiming |
Timing | |||||||
| asNeeded |
Σ | 0..1 | boolean | Perform the service "as needed" | ||||
| asNeededFor |
ΣC | 0..* | CodeableConcept | Specified criteria for the 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. | ||||
| authoredOn |
Σ | 0..1 | dateTime | Date request signed | ||||
| requester |
Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | Group) | Who/what is requesting service | ||||
| performerType |
SΣ | 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 | Group) | Requested performer | ||||
| location |
Σ | 0..* | CodeableReference(Location) | Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered. | ||||
| reason |
SΣ | 0..* | CodeableReference(IDR Report Impression Condition) | Reason or indication for requesting the 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 | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI |
| ServiceRequest.language | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot3From the FHIR Standard | |
| ServiceRequest.status | required | Pattern Value: drafthttp://hl7.org/fhir/ValueSet/request-status|6.0.0-ballot3From the FHIR Standard | |
| ServiceRequest.intent | required | RecommendationServiceRequestIntentVShttps://profiles.ihe.net/RAD/IDR/ValueSet/recommendation-servicerequest-intent-vsFrom this IG | |
| ServiceRequest.category | example | ServiceRequestCategoryCodeshttp://hl7.org/fhir/ValueSet/servicerequest-category|6.0.0-ballot3From the FHIR Standard | |
| ServiceRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|6.0.0-ballot3From the FHIR Standard | |
| ServiceRequest.code | example | ProcedureCodesSNOMEDCThttp://hl7.org/fhir/ValueSet/procedure-code|6.0.0-ballot3From the FHIR Standard | |
| ServiceRequest.orderDetail.parameter.code | example | ServiceRequestOrderDetailParameterCodehttp://hl7.org/fhir/ValueSet/servicerequest-orderdetail-parameter-code|6.0.0-ballot3From the FHIR Standard | |
| ServiceRequest.asNeededFor | example | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reason|6.0.0-ballot3From the FHIR Standard | |
| ServiceRequest.performerType | example | ParticipantRoleshttp://hl7.org/fhir/ValueSet/participant-role|6.0.0-ballot3From the FHIR Standard | |
| ServiceRequest.location | example | ServiceDeliveryLocationRoleTypehttp://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType | |
| ServiceRequest.reason | example | ProcedureReasonCodeshttp://hl7.org/fhir/ValueSet/procedure-reason|6.0.0-ballot3From the FHIR Standard | |
| ServiceRequest.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site|6.0.0-ballot3From the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| asn-1 | error | ServiceRequest | asNeededFor SHALL only be present if asNeeded is empty or true : asNeededFor.empty() or (asNeeded = true or asNeeded.empty()) | |
| bdystr-1 | error | ServiceRequest | bodyStructure SHALL only be present if bodySite is not present : bodySite.exists() implies bodyStructure.empty() | |
| 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.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').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()) | |
| prr-1 | error | ServiceRequest | orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists() |
This structure is derived from ServiceRequest
Other representations of profile: CSV, Excel, Schematron
IG © 2024+ IHE Radiology Technical Committee. Package ihe.rad.idr#0.0.1-current based on FHIR 6.0.0-ballot3. Generated 2025-09-14
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