FR Document Core (FHIR)
0.1.0 - ci-build

FR Document Core (FHIR), published by Agence du Numérique en Santé (ANS) - 2-10 Rue d'Oradour-sur-Glane, 75015 Paris. 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/ansforge/interop-IG-fhir-document-core/ and changes regularly. See the Directory of published versions

## Resource Profile: ServiceRequest - FR Service Request Imaging Document

Official URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-service-request-imaging-document | Version: 0.1.0 | Highlight text changes?
Draft as of 2026-08-07 | Computable Name: FRServiceRequestImagingDocument

FRServiceRequestImagingDocument profil spécifique permet de porter des demandes d'examens d'imagerie.

Usages:

- Refer to this Profile: DiagnosticReport - FR Diagnostic Report Imaging Document, ImagingStudy - FR Imaging study Document, Observation - FR Observation Radiation Exposure Document and Procedure - FR Procedure Imaging Document

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..* | FRServiceRequestDocument(0.1.0) | A request for a service to be performed Constraints: prr-1, fr-invariant-intent
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:method | S | 0..* | CodeableConcept | Méthode URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-method-extension Binding: ObservationMethod (20260619134042) (required) Constraints: ext-1
extension:author |  | 0..1 | (Complex) | Auteur de la demande URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension Constraints: ext-1
Slices for extension |  | 2..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension |  |  |  | Content/Rules for all slices
extension:type |  | 1..1 | Extension | Extension Constraints: ext-1
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "type"
value[x] |  | 0..1 | code | Value of extension Binding: FRValueSetActorTypeDocument (0.1.0) (required) Required Pattern: AUT
extension:typeCode |  | 0..1 | Extension | Type de participation Constraints: ext-1
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "typeCode"
extension:actor |  | 1..1 | Extension | Référence vers le rôle du praticien dans le document Constraints: ext-1
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "actor"
url |  | 1..1 | uri | "https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension"
extension:reason |  | 1..* | (Complex) | R5: Explanation/Justification for procedure or service additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.reason Constraints: ext-1
extension:reason/finaliteExamen | S | 1..1 | (Complex) | R5: Explanation/Justification for procedure or service additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.reason Constraints: ext-1
Slices for extension |  | 2..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension |  |  |  | Content/Rules for all slices
extension:_datatype |  | 1..1 | Extension | DataType slice for a FHIR R5 `CodeableReference` value Constraints: ext-1
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/_datatype"
value[x] |  | 1..1 | string | Value of extension Fixed Value: CodeableReference
extension:concept | S | 1..1 | Extension | Extension Constraints: ext-1
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "concept"
value[x] |  | 0..1 | CodeableConcept | Reference to a concept (by class) Required Pattern: At least the following
text | S Σ | 1..1 | string | Plain text representation of the concept
extension:reference |  | 0..1 | Extension | R5: Reference to a resource (by instance) Constraints: ext-1
url |  | 1..1 | uri | "reference"
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.reason"
extension:reason/justificationDemande | S | 0..1 | (Complex) | R5: Explanation/Justification for procedure or service additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.reason Constraints: ext-1
Slices for extension |  | 2..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension |  |  |  | Content/Rules for all slices
extension:_datatype |  | 1..1 | Extension | DataType slice for a FHIR R5 `CodeableReference` value Constraints: ext-1
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/_datatype"
value[x] |  | 1..1 | string | Value of extension Fixed Value: CodeableReference
extension:concept | S | 1..1 | Extension | Extension Constraints: ext-1
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "concept"
value[x] |  | 0..1 | CodeableConcept | Reference to a concept (by class) Required Pattern: At least the following
text | S Σ | 1..1 | string | Plain text representation of the concept
extension:reference |  | 0..1 | Extension | R5: Reference to a resource (by instance) Constraints: ext-1
url |  | 1..1 | uri | "reference"
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.reason"
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1
Slices for identifier | Σ | 0..* | Identifier | Identifiers assigned to this order Slice: Unordered, Open by value:type
identifier:accessionNumber | Σ | 0..1 | FRAccessionNumberIdentifierDocument(0.1.0) | Accession Number de la demande d’examen d’imagerie
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 | ?!S Σ | 1..1 | code | Intention de la demande : order, plan ou proposal Binding: RequestIntent (required): The kind of service request.
category | S Σ | 0..* | CodeableConcept | Catégorie de la demande Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed
code | S Σ | 1..1 | CodeableConcept | Type de la demande : Si aucun code n'est trouvé dans des terminologies existantes, utiliser le code : GEN-092.04.20 'Autre demande d’examen ou de suivi' 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.
orderDetail | S Σ C | 0..* | CodeableConcept | Informations complémentaires sur la demande d'acte, par exemple : INR cible. Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
subject | Σ | 1..1 | Reference(Patient | Group | Location | Device) | Individual or Entity the service is ordered for
occurrence[x] | S Σ | 1..1 |  | Date prévisionnelle de l'examen, du suivi, de l'objectif
occurrenceDateTime |  |  | dateTime |
occurrencePeriod |  |  | Period |
occurrenceTiming |  |  | Timing |
requester | S Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Prescripteur
bodySite | S Σ | 0..* | CodeableConcept | Cible Binding: SNOMEDCTBodyStructures (extensible)
note | S | 0..* | Annotation | Justification de la demande d’examen / Finalité de l'examen
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
ServiceRequest.extension:author.​extension:type.value[x] | Base | required | ValueSet - FR ValueSet Actor Type Document | 📍0.1.0 | This IG
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.code | Base | example | Procedure Codes (SNOMED CT) | 📍4.0.1 | FHIR Std.
ServiceRequest.orderDetail | Base | example | Service Request Order Details Codes | 📍4.0.1 | FHIR Std.
ServiceRequest.bodySite | Base | extensible | 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 | ServiceRequest.implicitRules, ServiceRequest.extension, ServiceRequest.extension:method, ServiceRequest.extension:author, ServiceRequest.extension:author.extension, ServiceRequest.extension:author.extension:type, ServiceRequest.extension:author.extension:type.value[x], ServiceRequest.extension:author.extension:typeCode, ServiceRequest.extension:author.extension:actor, ServiceRequest.extension:reason, ServiceRequest.extension:reason/finaliteExamen, ServiceRequest.extension:reason/finaliteExamen.extension, ServiceRequest.extension:reason/finaliteExamen.extension:_datatype, ServiceRequest.extension:reason/finaliteExamen.extension:_datatype.value[x], ServiceRequest.extension:reason/finaliteExamen.extension:concept, ServiceRequest.extension:reason/finaliteExamen.extension:concept.value[x], ServiceRequest.extension:reason/finaliteExamen.extension:concept.value[x].text, ServiceRequest.extension:reason/finaliteExamen.extension:reference, ServiceRequest.extension:reason/justificationDemande, ServiceRequest.extension:reason/justificationDemande.extension, ServiceRequest.extension:reason/justificationDemande.extension:_datatype, ServiceRequest.extension:reason/justificationDemande.extension:_datatype.value[x], ServiceRequest.extension:reason/justificationDemande.extension:concept, ServiceRequest.extension:reason/justificationDemande.extension:concept.value[x], ServiceRequest.extension:reason/justificationDemande.extension:concept.value[x].text, ServiceRequest.extension:reason/justificationDemande.extension:reference, ServiceRequest.modifierExtension, ServiceRequest.identifier, ServiceRequest.identifier:accessionNumber, ServiceRequest.status, ServiceRequest.intent, ServiceRequest.category, ServiceRequest.doNotPerform, ServiceRequest.code, ServiceRequest.orderDetail, ServiceRequest.subject, ServiceRequest.occurrence[x], ServiceRequest.requester, ServiceRequest.bodySite, ServiceRequest.note | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | ServiceRequest.extension, ServiceRequest.extension:method, ServiceRequest.extension:author, ServiceRequest.extension:author.extension, ServiceRequest.extension:author.extension:type, ServiceRequest.extension:author.extension:typeCode, ServiceRequest.extension:author.extension:actor, ServiceRequest.extension:reason, ServiceRequest.extension:reason/finaliteExamen, ServiceRequest.extension:reason/finaliteExamen.extension, ServiceRequest.extension:reason/finaliteExamen.extension:_datatype, ServiceRequest.extension:reason/finaliteExamen.extension:concept, ServiceRequest.extension:reason/finaliteExamen.extension:reference, ServiceRequest.extension:reason/justificationDemande, ServiceRequest.extension:reason/justificationDemande.extension, ServiceRequest.extension:reason/justificationDemande.extension:_datatype, ServiceRequest.extension:reason/justificationDemande.extension:concept, ServiceRequest.extension:reason/justificationDemande.extension:reference, ServiceRequest.modifierExtension | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
fr-invariant-intent | error | ServiceRequest | L'intention doit être order, plan ou proposal. | `intent = 'order' or intent = 'plan' or intent = 'proposal'`
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 |  | 0..* | FRServiceRequestDocument(0.1.0) | A request for a service to be performed
extension |  | 1..* | Extension | Extension
Slices for extension |  |  |  | Content/Rules for all slices
extension:reason |  | 1..* | (Complex) | R5: Explanation/Justification for procedure or service additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.reason
extension:reason/finaliteExamen | S | 1..1 | 0.1.0 | R5: Explanation/Justification for procedure or service additional types
extension |  | 2..* | Extension | Extension
Slices for extension |  |  |  | Content/Rules for all slices
extension:concept | S | 1..1 | Extension | Extension
extension |  | 0..0 |  | Extension
value[x] |  | 0..1 | CodeableConcept | Reference to a concept (by class) Required Pattern: At least the following
text | S | 1..1 | string | Plain text representation of the concept
extension:reason/justificationDemande | S | 0..1 | 0.1.0 | R5: Explanation/Justification for procedure or service additional types
extension |  | 2..* | Extension | Extension
Slices for extension |  |  |  | Content/Rules for all slices
extension:concept | S | 1..1 | Extension | Extension
extension |  | 0..0 |  | Extension
value[x] |  | 0..1 | CodeableConcept | Reference to a concept (by class) Required Pattern: At least the following
text | S | 1..1 | string | Plain text representation of the concept
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | FRServiceRequestDocument(0.1.0) | A request for a service to be performed Constraints: prr-1, fr-invariant-intent
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 |  | 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
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:method | S | 0..* | CodeableConcept | Méthode URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-method-extension Binding: ObservationMethod (20260619134042) (required) Constraints: ext-1
extension:author |  | 0..1 | (Complex) | Auteur de la demande URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 2..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension |  |  |  | Content/Rules for all slices
extension:type |  | 1..1 | Extension | Extension Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "type"
value[x] |  | 0..1 | code | Value of extension Binding: FRValueSetActorTypeDocument (0.1.0) (required) Required Pattern: AUT
extension:typeCode |  | 0..1 | Extension | Type de participation Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "typeCode"
value[x] |  | 0..1 | CodeableConcept | Value of extension
extension:actor |  | 1..1 | Extension | Référence vers le rôle du praticien dans le document Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "actor"
value[x] |  | 0..1 | Reference(FR PractitionerRole Document(0.1.0) | Device | FR Device Document(0.1.0) | FR Organization Document(0.1.0) | FR RelatedPerson Document(0.1.0) | FR Patient INS Document(0.1.0) | FR Patient Document(0.1.0)) | Value of extension
url |  | 1..1 | uri | "https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension"
extension:reason |  | 1..* | (Complex) | R5: Explanation/Justification for procedure or service additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.reason Constraints: ext-1
extension:reason/finaliteExamen | S | 1..1 | (Complex) | R5: Explanation/Justification for procedure or service additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.reason Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 2..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension |  |  |  | Content/Rules for all slices
extension:_datatype |  | 1..1 | Extension | DataType slice for a FHIR R5 `CodeableReference` value Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/_datatype"
value[x] |  | 1..1 | string | Value of extension Fixed Value: CodeableReference
extension:concept | S | 1..1 | Extension | Extension Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "concept"
value[x] |  | 0..1 | CodeableConcept | Reference to a concept (by class) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
coding | Σ | 0..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
text | S Σ | 1..1 | string | Plain text representation of the concept
extension:reference |  | 0..1 | Extension | R5: Reference to a resource (by instance) Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "reference"
value[x] |  | 0..1 | Reference(Cross-version Profile for R5.Condition for use in FHIR R4(0.1.0) | Condition | Cross-version Profile for R5.Observation for use in FHIR R4(0.1.0) | Observation | Cross-version Profile for R5.DiagnosticReport for use in FHIR R4(0.1.0) | DiagnosticReport | Cross-version Profile for R5.DocumentReference for use in FHIR R4(0.1.0) | Media | Cross-version Profile for R5.DetectedIssue for use in FHIR R4(0.1.0) | DetectedIssue) | Reference to a resource (by instance)
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.reason"
extension:reason/justificationDemande | S | 0..1 | (Complex) | R5: Explanation/Justification for procedure or service additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.reason Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 2..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension |  |  |  | Content/Rules for all slices
extension:_datatype |  | 1..1 | Extension | DataType slice for a FHIR R5 `CodeableReference` value Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/_datatype"
value[x] |  | 1..1 | string | Value of extension Fixed Value: CodeableReference
extension:concept | S | 1..1 | Extension | Extension Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "concept"
value[x] |  | 0..1 | CodeableConcept | Reference to a concept (by class) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
coding | Σ | 0..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
text | S Σ | 1..1 | string | Plain text representation of the concept
extension:reference |  | 0..1 | Extension | R5: Reference to a resource (by instance) Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "reference"
value[x] |  | 0..1 | Reference(Cross-version Profile for R5.Condition for use in FHIR R4(0.1.0) | Condition | Cross-version Profile for R5.Observation for use in FHIR R4(0.1.0) | Observation | Cross-version Profile for R5.DiagnosticReport for use in FHIR R4(0.1.0) | DiagnosticReport | Cross-version Profile for R5.DocumentReference for use in FHIR R4(0.1.0) | Media | Cross-version Profile for R5.DetectedIssue for use in FHIR R4(0.1.0) | DetectedIssue) | Reference to a resource (by instance)
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.reason"
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1
Slices for identifier | Σ | 0..* | Identifier | Identifiers assigned to this order Slice: Unordered, Open by value:type
identifier:accessionNumber | Σ | 0..1 | FRAccessionNumberIdentifierDocument(0.1.0) | Accession Number de la demande d’examen d’imagerie
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) | 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 | ?!S Σ | 1..1 | code | Intention de la demande : order, plan ou proposal Binding: RequestIntent (required): The kind of service request.
category | S Σ | 0..* | CodeableConcept | Catégorie de la demande 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 | S Σ | 1..1 | CodeableConcept | Type de la demande : Si aucun code n'est trouvé dans des terminologies existantes, utiliser le code : GEN-092.04.20 'Autre demande d’examen ou de suivi' 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.
orderDetail | S Σ C | 0..* | CodeableConcept | Informations complémentaires sur la demande d'acte, par exemple : INR cible. 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 | Group | Location | Device) | Individual or Entity the service is ordered for
encounter | Σ | 0..1 | Reference(Encounter) | Encounter in which the request was created
occurrence[x] | S Σ | 1..1 |  | Date prévisionnelle de l'examen, du suivi, de l'objectif
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 | S Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Prescripteur
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
locationCode | Σ | 0..* | CodeableConcept | Requested location Binding: ServiceDeliveryLocationRoleType (3.0.0) (example): A location type where services are delivered.
locationReference | Σ | 0..* | Reference(Location) | 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 | 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 | Σ | 0..* | Reference(Specimen) | Procedure Samples
bodySite | S Σ | 0..* | CodeableConcept | Cible Binding: SNOMEDCTBodyStructures (extensible)
note | S | 0..* | Annotation | Justification de la demande d’examen / Finalité de l'examen
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.extension:author.​extension:type.value[x] | Base | required | ValueSet - FR ValueSet Actor Type Document | 📍0.1.0 | This IG
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.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std.
ServiceRequest.code | Base | example | Procedure Codes (SNOMED CT) | 📍4.0.1 | FHIR Std.
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.locationCode | Base | example | ServiceDeliveryLocationRoleType | 📍3.0.0 | THO v7.3
ServiceRequest.reasonCode | Base | example | Procedure Reason Codes | 📍4.0.1 | FHIR Std.
ServiceRequest.bodySite | Base | extensible | 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 | ServiceRequest.meta, ServiceRequest.implicitRules, ServiceRequest.language, ServiceRequest.text, ServiceRequest.extension, ServiceRequest.extension:method, ServiceRequest.extension:author, ServiceRequest.extension:author.extension, ServiceRequest.extension:author.extension:type, ServiceRequest.extension:author.extension:type.value[x], ServiceRequest.extension:author.extension:typeCode, ServiceRequest.extension:author.extension:typeCode.value[x], ServiceRequest.extension:author.extension:actor, ServiceRequest.extension:author.extension:actor.value[x], ServiceRequest.extension:reason, ServiceRequest.extension:reason/finaliteExamen, ServiceRequest.extension:reason/finaliteExamen.extension, ServiceRequest.extension:reason/finaliteExamen.extension:_datatype, ServiceRequest.extension:reason/finaliteExamen.extension:_datatype.extension, ServiceRequest.extension:reason/finaliteExamen.extension:_datatype.value[x], ServiceRequest.extension:reason/finaliteExamen.extension:concept, ServiceRequest.extension:reason/finaliteExamen.extension:concept.value[x], ServiceRequest.extension:reason/finaliteExamen.extension:concept.value[x].extension, ServiceRequest.extension:reason/finaliteExamen.extension:concept.value[x].coding, ServiceRequest.extension:reason/finaliteExamen.extension:concept.value[x].text, ServiceRequest.extension:reason/finaliteExamen.extension:reference, ServiceRequest.extension:reason/finaliteExamen.extension:reference.extension, ServiceRequest.extension:reason/finaliteExamen.extension:reference.value[x], ServiceRequest.extension:reason/justificationDemande, ServiceRequest.extension:reason/justificationDemande.extension, ServiceRequest.extension:reason/justificationDemande.extension:_datatype, ServiceRequest.extension:reason/justificationDemande.extension:_datatype.extension, ServiceRequest.extension:reason/justificationDemande.extension:_datatype.value[x], ServiceRequest.extension:reason/justificationDemande.extension:concept, ServiceRequest.extension:reason/justificationDemande.extension:concept.value[x], ServiceRequest.extension:reason/justificationDemande.extension:concept.value[x].extension, ServiceRequest.extension:reason/justificationDemande.extension:concept.value[x].coding, ServiceRequest.extension:reason/justificationDemande.extension:concept.value[x].text, ServiceRequest.extension:reason/justificationDemande.extension:reference, ServiceRequest.extension:reason/justificationDemande.extension:reference.extension, ServiceRequest.extension:reason/justificationDemande.extension:reference.value[x], ServiceRequest.modifierExtension, ServiceRequest.identifier, ServiceRequest.identifier:accessionNumber, ServiceRequest.instantiatesCanonical, ServiceRequest.instantiatesUri, ServiceRequest.basedOn, ServiceRequest.replaces, ServiceRequest.requisition, ServiceRequest.status, ServiceRequest.intent, ServiceRequest.category, ServiceRequest.priority, ServiceRequest.doNotPerform, ServiceRequest.code, ServiceRequest.orderDetail, ServiceRequest.quantity[x], ServiceRequest.subject, ServiceRequest.encounter, ServiceRequest.occurrence[x], ServiceRequest.asNeeded[x], ServiceRequest.authoredOn, ServiceRequest.requester, ServiceRequest.performerType, ServiceRequest.performer, ServiceRequest.locationCode, ServiceRequest.locationReference, ServiceRequest.reasonCode, ServiceRequest.reasonReference, ServiceRequest.insurance, ServiceRequest.supportingInfo, ServiceRequest.specimen, ServiceRequest.bodySite, ServiceRequest.note, ServiceRequest.patientInstruction, ServiceRequest.relevantHistory | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | ServiceRequest.extension, ServiceRequest.extension:method, ServiceRequest.extension:author, ServiceRequest.extension:author.extension, ServiceRequest.extension:author.extension:type, ServiceRequest.extension:author.extension:typeCode, ServiceRequest.extension:author.extension:actor, ServiceRequest.extension:reason, ServiceRequest.extension:reason/finaliteExamen, ServiceRequest.extension:reason/finaliteExamen.extension, ServiceRequest.extension:reason/finaliteExamen.extension:_datatype, ServiceRequest.extension:reason/finaliteExamen.extension:_datatype.extension, ServiceRequest.extension:reason/finaliteExamen.extension:concept, ServiceRequest.extension:reason/finaliteExamen.extension:concept.value[x].extension, ServiceRequest.extension:reason/finaliteExamen.extension:reference, ServiceRequest.extension:reason/finaliteExamen.extension:reference.extension, ServiceRequest.extension:reason/justificationDemande, ServiceRequest.extension:reason/justificationDemande.extension, ServiceRequest.extension:reason/justificationDemande.extension:_datatype, ServiceRequest.extension:reason/justificationDemande.extension:_datatype.extension, ServiceRequest.extension:reason/justificationDemande.extension:concept, ServiceRequest.extension:reason/justificationDemande.extension:concept.value[x].extension, ServiceRequest.extension:reason/justificationDemande.extension:reference, ServiceRequest.extension:reason/justificationDemande.extension:reference.extension, ServiceRequest.modifierExtension | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
fr-invariant-intent | error | ServiceRequest | L'intention doit être order, plan ou proposal. | `intent = 'order' or intent = 'plan' or intent = 'proposal'`
prr-1 | error | ServiceRequest | orderDetail SHALL only be present if code is present | `orderDetail.empty() or code.exists()`

Summary

Mandatory: 4 elements(3 nested mandatory elements)
Must-Support: 6 elements
Prohibited: 2 elements

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.reason|0.1.0

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | FRServiceRequestDocument(0.1.0) | A request for a service to be performed Constraints: prr-1, fr-invariant-intent
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:method | S | 0..* | CodeableConcept | Méthode URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-method-extension Binding: ObservationMethod (20260619134042) (required) Constraints: ext-1
extension:author |  | 0..1 | (Complex) | Auteur de la demande URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension Constraints: ext-1
Slices for extension |  | 2..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension |  |  |  | Content/Rules for all slices
extension:type |  | 1..1 | Extension | Extension Constraints: ext-1
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "type"
value[x] |  | 0..1 | code | Value of extension Binding: FRValueSetActorTypeDocument (0.1.0) (required) Required Pattern: AUT
extension:typeCode |  | 0..1 | Extension | Type de participation Constraints: ext-1
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "typeCode"
extension:actor |  | 1..1 | Extension | Référence vers le rôle du praticien dans le document Constraints: ext-1
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "actor"
url |  | 1..1 | uri | "https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension"
extension:reason |  | 1..* | (Complex) | R5: Explanation/Justification for procedure or service additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.reason Constraints: ext-1
extension:reason/finaliteExamen | S | 1..1 | (Complex) | R5: Explanation/Justification for procedure or service additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.reason Constraints: ext-1
Slices for extension |  | 2..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension |  |  |  | Content/Rules for all slices
extension:_datatype |  | 1..1 | Extension | DataType slice for a FHIR R5 `CodeableReference` value Constraints: ext-1
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/_datatype"
value[x] |  | 1..1 | string | Value of extension Fixed Value: CodeableReference
extension:concept | S | 1..1 | Extension | Extension Constraints: ext-1
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "concept"
value[x] |  | 0..1 | CodeableConcept | Reference to a concept (by class) Required Pattern: At least the following
text | S Σ | 1..1 | string | Plain text representation of the concept
extension:reference |  | 0..1 | Extension | R5: Reference to a resource (by instance) Constraints: ext-1
url |  | 1..1 | uri | "reference"
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.reason"
extension:reason/justificationDemande | S | 0..1 | (Complex) | R5: Explanation/Justification for procedure or service additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.reason Constraints: ext-1
Slices for extension |  | 2..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension |  |  |  | Content/Rules for all slices
extension:_datatype |  | 1..1 | Extension | DataType slice for a FHIR R5 `CodeableReference` value Constraints: ext-1
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/_datatype"
value[x] |  | 1..1 | string | Value of extension Fixed Value: CodeableReference
extension:concept | S | 1..1 | Extension | Extension Constraints: ext-1
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "concept"
value[x] |  | 0..1 | CodeableConcept | Reference to a concept (by class) Required Pattern: At least the following
text | S Σ | 1..1 | string | Plain text representation of the concept
extension:reference |  | 0..1 | Extension | R5: Reference to a resource (by instance) Constraints: ext-1
url |  | 1..1 | uri | "reference"
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.reason"
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1
Slices for identifier | Σ | 0..* | Identifier | Identifiers assigned to this order Slice: Unordered, Open by value:type
identifier:accessionNumber | Σ | 0..1 | FRAccessionNumberIdentifierDocument(0.1.0) | Accession Number de la demande d’examen d’imagerie
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 | ?!S Σ | 1..1 | code | Intention de la demande : order, plan ou proposal Binding: RequestIntent (required): The kind of service request.
category | S Σ | 0..* | CodeableConcept | Catégorie de la demande Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed
code | S Σ | 1..1 | CodeableConcept | Type de la demande : Si aucun code n'est trouvé dans des terminologies existantes, utiliser le code : GEN-092.04.20 'Autre demande d’examen ou de suivi' 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.
orderDetail | S Σ C | 0..* | CodeableConcept | Informations complémentaires sur la demande d'acte, par exemple : INR cible. Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
subject | Σ | 1..1 | Reference(Patient | Group | Location | Device) | Individual or Entity the service is ordered for
occurrence[x] | S Σ | 1..1 |  | Date prévisionnelle de l'examen, du suivi, de l'objectif
occurrenceDateTime |  |  | dateTime |
occurrencePeriod |  |  | Period |
occurrenceTiming |  |  | Timing |
requester | S Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Prescripteur
bodySite | S Σ | 0..* | CodeableConcept | Cible Binding: SNOMEDCTBodyStructures (extensible)
note | S | 0..* | Annotation | Justification de la demande d’examen / Finalité de l'examen
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
ServiceRequest.extension:author.​extension:type.value[x] | Base | required | ValueSet - FR ValueSet Actor Type Document | 📍0.1.0 | This IG
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.code | Base | example | Procedure Codes (SNOMED CT) | 📍4.0.1 | FHIR Std.
ServiceRequest.orderDetail | Base | example | Service Request Order Details Codes | 📍4.0.1 | FHIR Std.
ServiceRequest.bodySite | Base | extensible | 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 | ServiceRequest.implicitRules, ServiceRequest.extension, ServiceRequest.extension:method, ServiceRequest.extension:author, ServiceRequest.extension:author.extension, ServiceRequest.extension:author.extension:type, ServiceRequest.extension:author.extension:type.value[x], ServiceRequest.extension:author.extension:typeCode, ServiceRequest.extension:author.extension:actor, ServiceRequest.extension:reason, ServiceRequest.extension:reason/finaliteExamen, ServiceRequest.extension:reason/finaliteExamen.extension, ServiceRequest.extension:reason/finaliteExamen.extension:_datatype, ServiceRequest.extension:reason/finaliteExamen.extension:_datatype.value[x], ServiceRequest.extension:reason/finaliteExamen.extension:concept, ServiceRequest.extension:reason/finaliteExamen.extension:concept.value[x], ServiceRequest.extension:reason/finaliteExamen.extension:concept.value[x].text, ServiceRequest.extension:reason/finaliteExamen.extension:reference, ServiceRequest.extension:reason/justificationDemande, ServiceRequest.extension:reason/justificationDemande.extension, ServiceRequest.extension:reason/justificationDemande.extension:_datatype, ServiceRequest.extension:reason/justificationDemande.extension:_datatype.value[x], ServiceRequest.extension:reason/justificationDemande.extension:concept, ServiceRequest.extension:reason/justificationDemande.extension:concept.value[x], ServiceRequest.extension:reason/justificationDemande.extension:concept.value[x].text, ServiceRequest.extension:reason/justificationDemande.extension:reference, ServiceRequest.modifierExtension, ServiceRequest.identifier, ServiceRequest.identifier:accessionNumber, ServiceRequest.status, ServiceRequest.intent, ServiceRequest.category, ServiceRequest.doNotPerform, ServiceRequest.code, ServiceRequest.orderDetail, ServiceRequest.subject, ServiceRequest.occurrence[x], ServiceRequest.requester, ServiceRequest.bodySite, ServiceRequest.note | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | ServiceRequest.extension, ServiceRequest.extension:method, ServiceRequest.extension:author, ServiceRequest.extension:author.extension, ServiceRequest.extension:author.extension:type, ServiceRequest.extension:author.extension:typeCode, ServiceRequest.extension:author.extension:actor, ServiceRequest.extension:reason, ServiceRequest.extension:reason/finaliteExamen, ServiceRequest.extension:reason/finaliteExamen.extension, ServiceRequest.extension:reason/finaliteExamen.extension:_datatype, ServiceRequest.extension:reason/finaliteExamen.extension:concept, ServiceRequest.extension:reason/finaliteExamen.extension:reference, ServiceRequest.extension:reason/justificationDemande, ServiceRequest.extension:reason/justificationDemande.extension, ServiceRequest.extension:reason/justificationDemande.extension:_datatype, ServiceRequest.extension:reason/justificationDemande.extension:concept, ServiceRequest.extension:reason/justificationDemande.extension:reference, ServiceRequest.modifierExtension | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
fr-invariant-intent | error | ServiceRequest | L'intention doit être order, plan ou proposal. | `intent = 'order' or intent = 'plan' or intent = 'proposal'`
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 |  | 0..* | FRServiceRequestDocument(0.1.0) | A request for a service to be performed
extension |  | 1..* | Extension | Extension
Slices for extension |  |  |  | Content/Rules for all slices
extension:reason |  | 1..* | (Complex) | R5: Explanation/Justification for procedure or service additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.reason
extension:reason/finaliteExamen | S | 1..1 | 0.1.0 | R5: Explanation/Justification for procedure or service additional types
extension |  | 2..* | Extension | Extension
Slices for extension |  |  |  | Content/Rules for all slices
extension:concept | S | 1..1 | Extension | Extension
extension |  | 0..0 |  | Extension
value[x] |  | 0..1 | CodeableConcept | Reference to a concept (by class) Required Pattern: At least the following
text | S | 1..1 | string | Plain text representation of the concept
extension:reason/justificationDemande | S | 0..1 | 0.1.0 | R5: Explanation/Justification for procedure or service additional types
extension |  | 2..* | Extension | Extension
Slices for extension |  |  |  | Content/Rules for all slices
extension:concept | S | 1..1 | Extension | Extension
extension |  | 0..0 |  | Extension
value[x] |  | 0..1 | CodeableConcept | Reference to a concept (by class) Required Pattern: At least the following
text | S | 1..1 | string | Plain text representation of the concept
Documentation for this format

Snapshot ViewView

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | FRServiceRequestDocument(0.1.0) | A request for a service to be performed Constraints: prr-1, fr-invariant-intent
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 |  | 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
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:method | S | 0..* | CodeableConcept | Méthode URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-method-extension Binding: ObservationMethod (20260619134042) (required) Constraints: ext-1
extension:author |  | 0..1 | (Complex) | Auteur de la demande URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 2..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension |  |  |  | Content/Rules for all slices
extension:type |  | 1..1 | Extension | Extension Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "type"
value[x] |  | 0..1 | code | Value of extension Binding: FRValueSetActorTypeDocument (0.1.0) (required) Required Pattern: AUT
extension:typeCode |  | 0..1 | Extension | Type de participation Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "typeCode"
value[x] |  | 0..1 | CodeableConcept | Value of extension
extension:actor |  | 1..1 | Extension | Référence vers le rôle du praticien dans le document Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "actor"
value[x] |  | 0..1 | Reference(FR PractitionerRole Document(0.1.0) | Device | FR Device Document(0.1.0) | FR Organization Document(0.1.0) | FR RelatedPerson Document(0.1.0) | FR Patient INS Document(0.1.0) | FR Patient Document(0.1.0)) | Value of extension
url |  | 1..1 | uri | "https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension"
extension:reason |  | 1..* | (Complex) | R5: Explanation/Justification for procedure or service additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.reason Constraints: ext-1
extension:reason/finaliteExamen | S | 1..1 | (Complex) | R5: Explanation/Justification for procedure or service additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.reason Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 2..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension |  |  |  | Content/Rules for all slices
extension:_datatype |  | 1..1 | Extension | DataType slice for a FHIR R5 `CodeableReference` value Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/_datatype"
value[x] |  | 1..1 | string | Value of extension Fixed Value: CodeableReference
extension:concept | S | 1..1 | Extension | Extension Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "concept"
value[x] |  | 0..1 | CodeableConcept | Reference to a concept (by class) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
coding | Σ | 0..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
text | S Σ | 1..1 | string | Plain text representation of the concept
extension:reference |  | 0..1 | Extension | R5: Reference to a resource (by instance) Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "reference"
value[x] |  | 0..1 | Reference(Cross-version Profile for R5.Condition for use in FHIR R4(0.1.0) | Condition | Cross-version Profile for R5.Observation for use in FHIR R4(0.1.0) | Observation | Cross-version Profile for R5.DiagnosticReport for use in FHIR R4(0.1.0) | DiagnosticReport | Cross-version Profile for R5.DocumentReference for use in FHIR R4(0.1.0) | Media | Cross-version Profile for R5.DetectedIssue for use in FHIR R4(0.1.0) | DetectedIssue) | Reference to a resource (by instance)
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.reason"
extension:reason/justificationDemande | S | 0..1 | (Complex) | R5: Explanation/Justification for procedure or service additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.reason Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 2..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension |  |  |  | Content/Rules for all slices
extension:_datatype |  | 1..1 | Extension | DataType slice for a FHIR R5 `CodeableReference` value Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/_datatype"
value[x] |  | 1..1 | string | Value of extension Fixed Value: CodeableReference
extension:concept | S | 1..1 | Extension | Extension Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "concept"
value[x] |  | 0..1 | CodeableConcept | Reference to a concept (by class) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
coding | Σ | 0..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
text | S Σ | 1..1 | string | Plain text representation of the concept
extension:reference |  | 0..1 | Extension | R5: Reference to a resource (by instance) Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "reference"
value[x] |  | 0..1 | Reference(Cross-version Profile for R5.Condition for use in FHIR R4(0.1.0) | Condition | Cross-version Profile for R5.Observation for use in FHIR R4(0.1.0) | Observation | Cross-version Profile for R5.DiagnosticReport for use in FHIR R4(0.1.0) | DiagnosticReport | Cross-version Profile for R5.DocumentReference for use in FHIR R4(0.1.0) | Media | Cross-version Profile for R5.DetectedIssue for use in FHIR R4(0.1.0) | DetectedIssue) | Reference to a resource (by instance)
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.reason"
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1
Slices for identifier | Σ | 0..* | Identifier | Identifiers assigned to this order Slice: Unordered, Open by value:type
identifier:accessionNumber | Σ | 0..1 | FRAccessionNumberIdentifierDocument(0.1.0) | Accession Number de la demande d’examen d’imagerie
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) | 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 | ?!S Σ | 1..1 | code | Intention de la demande : order, plan ou proposal Binding: RequestIntent (required): The kind of service request.
category | S Σ | 0..* | CodeableConcept | Catégorie de la demande 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 | S Σ | 1..1 | CodeableConcept | Type de la demande : Si aucun code n'est trouvé dans des terminologies existantes, utiliser le code : GEN-092.04.20 'Autre demande d’examen ou de suivi' 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.
orderDetail | S Σ C | 0..* | CodeableConcept | Informations complémentaires sur la demande d'acte, par exemple : INR cible. 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 | Group | Location | Device) | Individual or Entity the service is ordered for
encounter | Σ | 0..1 | Reference(Encounter) | Encounter in which the request was created
occurrence[x] | S Σ | 1..1 |  | Date prévisionnelle de l'examen, du suivi, de l'objectif
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 | S Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Prescripteur
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
locationCode | Σ | 0..* | CodeableConcept | Requested location Binding: ServiceDeliveryLocationRoleType (3.0.0) (example): A location type where services are delivered.
locationReference | Σ | 0..* | Reference(Location) | 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 | 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 | Σ | 0..* | Reference(Specimen) | Procedure Samples
bodySite | S Σ | 0..* | CodeableConcept | Cible Binding: SNOMEDCTBodyStructures (extensible)
note | S | 0..* | Annotation | Justification de la demande d’examen / Finalité de l'examen
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.extension:author.​extension:type.value[x] | Base | required | ValueSet - FR ValueSet Actor Type Document | 📍0.1.0 | This IG
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.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std.
ServiceRequest.code | Base | example | Procedure Codes (SNOMED CT) | 📍4.0.1 | FHIR Std.
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.locationCode | Base | example | ServiceDeliveryLocationRoleType | 📍3.0.0 | THO v7.3
ServiceRequest.reasonCode | Base | example | Procedure Reason Codes | 📍4.0.1 | FHIR Std.
ServiceRequest.bodySite | Base | extensible | 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 | ServiceRequest.meta, ServiceRequest.implicitRules, ServiceRequest.language, ServiceRequest.text, ServiceRequest.extension, ServiceRequest.extension:method, ServiceRequest.extension:author, ServiceRequest.extension:author.extension, ServiceRequest.extension:author.extension:type, ServiceRequest.extension:author.extension:type.value[x], ServiceRequest.extension:author.extension:typeCode, ServiceRequest.extension:author.extension:typeCode.value[x], ServiceRequest.extension:author.extension:actor, ServiceRequest.extension:author.extension:actor.value[x], ServiceRequest.extension:reason, ServiceRequest.extension:reason/finaliteExamen, ServiceRequest.extension:reason/finaliteExamen.extension, ServiceRequest.extension:reason/finaliteExamen.extension:_datatype, ServiceRequest.extension:reason/finaliteExamen.extension:_datatype.extension, ServiceRequest.extension:reason/finaliteExamen.extension:_datatype.value[x], ServiceRequest.extension:reason/finaliteExamen.extension:concept, ServiceRequest.extension:reason/finaliteExamen.extension:concept.value[x], ServiceRequest.extension:reason/finaliteExamen.extension:concept.value[x].extension, ServiceRequest.extension:reason/finaliteExamen.extension:concept.value[x].coding, ServiceRequest.extension:reason/finaliteExamen.extension:concept.value[x].text, ServiceRequest.extension:reason/finaliteExamen.extension:reference, ServiceRequest.extension:reason/finaliteExamen.extension:reference.extension, ServiceRequest.extension:reason/finaliteExamen.extension:reference.value[x], ServiceRequest.extension:reason/justificationDemande, ServiceRequest.extension:reason/justificationDemande.extension, ServiceRequest.extension:reason/justificationDemande.extension:_datatype, ServiceRequest.extension:reason/justificationDemande.extension:_datatype.extension, ServiceRequest.extension:reason/justificationDemande.extension:_datatype.value[x], ServiceRequest.extension:reason/justificationDemande.extension:concept, ServiceRequest.extension:reason/justificationDemande.extension:concept.value[x], ServiceRequest.extension:reason/justificationDemande.extension:concept.value[x].extension, ServiceRequest.extension:reason/justificationDemande.extension:concept.value[x].coding, ServiceRequest.extension:reason/justificationDemande.extension:concept.value[x].text, ServiceRequest.extension:reason/justificationDemande.extension:reference, ServiceRequest.extension:reason/justificationDemande.extension:reference.extension, ServiceRequest.extension:reason/justificationDemande.extension:reference.value[x], ServiceRequest.modifierExtension, ServiceRequest.identifier, ServiceRequest.identifier:accessionNumber, ServiceRequest.instantiatesCanonical, ServiceRequest.instantiatesUri, ServiceRequest.basedOn, ServiceRequest.replaces, ServiceRequest.requisition, ServiceRequest.status, ServiceRequest.intent, ServiceRequest.category, ServiceRequest.priority, ServiceRequest.doNotPerform, ServiceRequest.code, ServiceRequest.orderDetail, ServiceRequest.quantity[x], ServiceRequest.subject, ServiceRequest.encounter, ServiceRequest.occurrence[x], ServiceRequest.asNeeded[x], ServiceRequest.authoredOn, ServiceRequest.requester, ServiceRequest.performerType, ServiceRequest.performer, ServiceRequest.locationCode, ServiceRequest.locationReference, ServiceRequest.reasonCode, ServiceRequest.reasonReference, ServiceRequest.insurance, ServiceRequest.supportingInfo, ServiceRequest.specimen, ServiceRequest.bodySite, ServiceRequest.note, ServiceRequest.patientInstruction, ServiceRequest.relevantHistory | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | ServiceRequest.extension, ServiceRequest.extension:method, ServiceRequest.extension:author, ServiceRequest.extension:author.extension, ServiceRequest.extension:author.extension:type, ServiceRequest.extension:author.extension:typeCode, ServiceRequest.extension:author.extension:actor, ServiceRequest.extension:reason, ServiceRequest.extension:reason/finaliteExamen, ServiceRequest.extension:reason/finaliteExamen.extension, ServiceRequest.extension:reason/finaliteExamen.extension:_datatype, ServiceRequest.extension:reason/finaliteExamen.extension:_datatype.extension, ServiceRequest.extension:reason/finaliteExamen.extension:concept, ServiceRequest.extension:reason/finaliteExamen.extension:concept.value[x].extension, ServiceRequest.extension:reason/finaliteExamen.extension:reference, ServiceRequest.extension:reason/finaliteExamen.extension:reference.extension, ServiceRequest.extension:reason/justificationDemande, ServiceRequest.extension:reason/justificationDemande.extension, ServiceRequest.extension:reason/justificationDemande.extension:_datatype, ServiceRequest.extension:reason/justificationDemande.extension:_datatype.extension, ServiceRequest.extension:reason/justificationDemande.extension:concept, ServiceRequest.extension:reason/justificationDemande.extension:concept.value[x].extension, ServiceRequest.extension:reason/justificationDemande.extension:reference, ServiceRequest.extension:reason/justificationDemande.extension:reference.extension, ServiceRequest.modifierExtension | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
fr-invariant-intent | error | ServiceRequest | L'intention doit être order, plan ou proposal. | `intent = 'order' or intent = 'plan' or intent = 'proposal'`
prr-1 | error | ServiceRequest | orderDetail SHALL only be present if code is present | `orderDetail.empty() or code.exists()`

Summary

Mandatory: 4 elements(3 nested mandatory elements)
Must-Support: 6 elements
Prohibited: 2 elements

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.reason|0.1.0

Other representations of profile: CSV, Excel, Schematron