FR Document Core (FHIR)
0.1.0 - ci-build

FR Document Core (FHIR), publié par Agence du Numérique en Santé (ANS) - 2-10 Rue d'Oradour-sur-Glane, 75015 Paris. Ce guide n'est pas une publication autorisée ; C'est la version en intégration continue pour la version 0.1.0 construite par le CI Build FHIR (HL7® FHIR® Standard). Cette version est basée sur le contenu actuel de https://github.com/ansforge/interop-IG-fhir-document-core/ et change régulièrement. Voir le répertoire des versions publiées

## Profil de ressource: ServiceRequest - FR Service Request Document - Descriptions détaillées

Draft à partir de 2026-08-07

Définitions pour le fr-service-request-document profil de ressource

- Tableau des éléments clés
- Tableau différentiel (differential)
- Tableau récapitulatif (snapshot)

Des conseils sur l'interprétation du contenu de ce tableau peuvent être trouvésici

0. ServiceRequest
Définition | A record of a request for service such as diagnostic investigations, treatments, or operations to be performed.
Court | A request for a service to be performed
Contrôle | 0..*
Est modificateur | false
Résumé | false
Noms alternatifs | diagnostic request, referral, referral request, transfer of care request
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (`contained.contained.empty()`) dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (`contained.meta.security.empty()`) dom-6: A resource should have narrative for robust management (`text.`div`.exists()`) prr-1: orderDetail SHALL only be present if code is present (`orderDetail.empty() or code.exists()`) fr-invariant-intent: L'intention doit être order, plan ou proposal. (`intent = 'order' or intent = 'plan' or intent = 'proposal'`) dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists()) prr-1: orderDetail SHALL only be present if code is present (orderDetail.empty() or code.exists())
2. ServiceRequest.implicitRules
Définition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Court | A set of rules under which this content was created
Commentaires | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Contrôle | 0..1
Type | uri
Est modificateur | true parce que This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. ServiceRequest.extension
Définition | An Extension May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Court | ExtensionAdditional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | Cet élément introduit un ensemble de slices sur `ServiceRequest.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
6. ServiceRequest.extension:method
Nom de la slice | method
Définition | Extension permettant d’indiquer la méthode utilisée : techniques biologiques (ex. : titration, agglutination…), techniques d’imagerie dans les demandes d'examen (ultrasound, tomographie, IRM…), des méthodes de mesure spécifiques, etc.
Court | Méthode
Contrôle | 0..* Cet élément est affecté par les invariants suivants : ele-1
Type | Extension(FR Method Extension) (Type d'extension : CodeableConcept)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
8. ServiceRequest.extension:author
Nom de la slice | author
Définition | Extension permettant de représenter un acteur impliqué dans le document avec son type et sa référence.
Court | Auteur de la demande
Contrôle | 0..1 Cet élément est affecté par les invariants suivants : ele-1
Type | Extension(FR Actor Extension) (Extension complexe)
Est modificateur | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
10. ServiceRequest.extension:author.extension
Définition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Court | ExtensionAdditional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 20..*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | Cet élément introduit un ensemble de slices sur `ServiceRequest.extension.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
12. ServiceRequest.extension:author.extension:type
Nom de la slice | type
Définition | An Extension
Court | ExtensionAdditional content defined by implementations
Contrôle | 10..1*
Type | Extension
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
14. ServiceRequest.extension:author.extension:type.extension
Définition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Court | ExtensionAdditional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..0*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | Cet élément introduit un ensemble de slices sur `ServiceRequest.extension.extension.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
16. ServiceRequest.extension:author.extension:type.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Court | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Contrôle | 1..1
Type | uri
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
Valeur fixe | `type`
18. ServiceRequest.extension:author.extension:type.value[x]
Définition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Court | Value of extension
Contrôle | 0..1
Binding | Les codes DOIVENT (SHALL) être pris de Pour les codes, voir FRValueSetActorTypeDocument (0.1.0) (required to `https://interop.esante.gouv.fr/ig/fhir/document-core/ValueSet/fr-vs-actor-type-document|0.1.0` )
Type | code, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | false
Valeur de motif | `AUT`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. ServiceRequest.extension:author.extension:typeCode
Nom de la slice | typeCode
Définition | An Extension
Court | Type de participationAdditional content defined by implementations
Contrôle | 0..1*
Type | Extension
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
22. ServiceRequest.extension:author.extension:typeCode.extension
Définition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Court | ExtensionAdditional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..0*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | Cet élément introduit un ensemble de slices sur `ServiceRequest.extension.extension.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
24. ServiceRequest.extension:author.extension:typeCode.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Court | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Contrôle | 1..1
Type | uri
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
Valeur fixe | `typeCode`
26. ServiceRequest.extension:author.extension:actor
Nom de la slice | actor
Définition | An Extension
Court | Référence vers le rôle du praticien dans le documentAdditional content defined by implementations
Contrôle | 10..1*
Type | Extension
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
28. ServiceRequest.extension:author.extension:actor.extension
Définition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Court | ExtensionAdditional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..0*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | Cet élément introduit un ensemble de slices sur `ServiceRequest.extension.extension.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
30. ServiceRequest.extension:author.extension:actor.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Court | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Contrôle | 1..1
Type | uri
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
Valeur fixe | `actor`
32. ServiceRequest.extension:author.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Court | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Contrôle | 1..1
Type | uri
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
Valeur fixe | `https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension`
34. ServiceRequest.extension:author.value[x]
Définition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Court | Value of extension
Contrôle | 0..01
Type | Choix de : base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. ServiceRequest.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Court | Extensions that cannot be ignored
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | true parce que Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Résumé | false
Exigences | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
38. ServiceRequest.identifier
Définition | Identifiers assigned to this order instance by the orderer and/or the receiver and/or order fulfiller.
Court | Identifiers assigned to this order
Commentaires | The identifier.type element is used to distinguish between the identifiers assigned by the orderer (known as the 'Placer' in HL7 v2) and the producer of the observations in response to the order (known as the 'Filler' in HL7 v2). For further discussion and examples see the resource notes section below.
Note | Ceci est un identifiant métier, pas un identifiant de ressource (voir discussion)
Contrôle | 0..*
Type | Identifier
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Slicing | Cet élément introduit un ensemble de slices sur `ServiceRequest.identifier`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ type
40. ServiceRequest.identifier:accessionNumber
Nom de la slice | accessionNumber
Définition | Identifiers assigned to this order instance by the orderer and/or the receiver and/or order fulfiller.
Court | Accession Number de la demande d’examen d’imagerieIdentifiers assigned to this order
Commentaires | The identifier.type element is used to distinguish between the identifiers assigned by the orderer (known as the 'Placer' in HL7 v2) and the producer of the observations in response to the order (known as the 'Filler' in HL7 v2). For further discussion and examples see the resource notes section below.
Note | Ceci est un identifiant métier, pas un identifiant de ressource (voir discussion)
Contrôle | 0..1*
Type | Identifier(FR Accession Number Identifier Document)
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
42. ServiceRequest.status
Définition | The status of the order.
Court | draft | active | on-hold | revoked | completed | entered-in-error | unknown
Commentaires | The status is generally fully in the control of the requester - they determine whether the order is draft or active and, after it has been activated, competed, cancelled or suspended. States relating to the activities of the performer are reflected on either the corresponding event (see Event Pattern for general discussion) or using the Task resource. The status is generally fully in the control of the requester - they determine whether the order is draft or active and, after it has been activated, competed, cancelled or suspended. States relating to the activities of the performer are reflected on either the corresponding event (see Event Pattern for general discussion) or using the Task resource.
Contrôle | 1..1
Binding | Les codes DOIVENT (SHALL) être pris de RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 (required to `http://hl7.org/fhir/ValueSet/request-status|4.0.1` ) The status of a service order.
Type | code
Est modificateur | true parce que This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
44. ServiceRequest.intent
Définition | Whether the request is a proposal, plan, an original order or a reflex order.
Court | Intention de la demande : order, plan ou proposalproposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Commentaires | This element is labeled as a modifier because the intent alters when and how the resource is actually applicable.
Contrôle | 1..1
Binding | Les codes DOIVENT (SHALL) être pris de RequestIntent http://hl7.org/fhir/ValueSet/request-intent|4.0.1 (required to `http://hl7.org/fhir/ValueSet/request-intent|4.0.1` ) The kind of service request.
Type | code
Est modificateur | true parce que This element changes the interpretation of all descriptive attributes. For example "the time the request is recommended to occur" vs. "the time the request is authorized to occur" or "who is recommended to perform the request" vs. "who is authorized to perform the request
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Doit être pris en charge (Must Support) | true
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
46. ServiceRequest.category
Définition | A code that classifies the service for searching, sorting and display purposes (e.g. "Surgical Procedure").
Court | Catégorie de la demandeClassification of service
Commentaires | There may be multiple axis of categorization depending on the context or use case for retrieving or displaying the resource. The level of granularity is defined by the category concepts in the value set.
Contrôle | 0..*
Binding | Pour des exemples de codes, voir ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category|4.0.1 (example to `http://hl7.org/fhir/ValueSet/servicerequest-category|4.0.1` ) Classification of the requested service.
Type | CodeableConcept
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Exigences | Used for filtering what service request are retrieved and displayed.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
48. ServiceRequest.doNotPerform
Définition | Set this to true if the record is saying that the service/procedure should NOT be performed.
Court | True if service/procedure should not be performed
Commentaires | In general, only the code and timeframe will be present, though occasional additional qualifiers such as body site or even performer could be included to narrow the scope of the prohibition. If the ServiceRequest.code and ServiceRequest.doNotPerform both contain negation, that will reinforce prohibition and should not have a double negative interpretation.
Contrôle | 0..1
Type | boolean
Est modificateur | true parce que If true this element negates the specified action. For Example, instead of a request for a procedure, it is a request for the procedure to not occur.
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Exigences | Used for do not ambulate, do not elevate head of bed, do not flush NG tube, do not take blood pressure on a certain arm, etc.
Signification si manquant | If missing, the request is a positive request e.g. "do perform"
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
50. ServiceRequest.code
Définition | A code that identifies a particular service (i.e., procedure, diagnostic investigation, or panel of investigations) that have been requested.
Court | 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'What is being requested/ordered
Commentaires | Many laboratory and radiology procedure codes embed the specimen/organ system in the test order name, for example, serum or serum/plasma glucose, or a chest x-ray. The specimen might not be recorded separately from the test code.
Contrôle | 10..1
Binding | Pour des exemples de codes, voir ProcedureCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-code|4.0.1 (example to `http://hl7.org/fhir/ValueSet/procedure-code|4.0.1` ) Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred.
Type | CodeableConcept
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Noms alternatifs | service requested
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
52. ServiceRequest.orderDetail
Définition | Additional details and instructions about the how the services are to be delivered. For example, and order for a urinary catheter may have an order detail for an external or indwelling catheter, or an order for a bandage may require additional instructions specifying how the bandage should be applied.
Court | Informations complémentaires sur la demande d'acte, par exemple : INR cible.Additional order information
Commentaires | For information from the medical record intended to support the delivery of the requested services, use the `supportingInformation` element.
Contrôle | 0..* Cet élément est affecté par les invariants suivants : prr-1
Binding | Pour des exemples de codes, voir ServiceRequestOrderDetailsCodes http://hl7.org/fhir/ValueSet/servicerequest-orderdetail|4.0.1 (example to `http://hl7.org/fhir/ValueSet/servicerequest-orderdetail|4.0.1` ) Codified order entry details which are based on order context.
Type | CodeableConcept
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Noms alternatifs | detailed instructions
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
54. ServiceRequest.subject
Définition | On whom or what the service is to be performed. This is usually a human patient, but can also be requested on animals, groups of humans or animals, devices such as dialysis machines, or even locations (typically for environmental scans).
Court | Individual or Entity the service is ordered for
Contrôle | 1..1
Type | Reference(Patient, Group, Location, Device)
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
56. ServiceRequest.occurrence[x]
Définition | The date/time at which the requested service should occur.
Court | Date prévisionnelle de l'examen, du suivi, de l'objectifWhen service should occur
Contrôle | 10..1
Type | Choix de : dateTime, Period, Timing
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Doit être pris en charge (Must Support) | true
Types qui doivent être pris en charge (Must Support) | Aucune règle de prise en charge obligatoire concernant le choix des types/profils
Résumé | true
Noms alternatifs | schedule
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
58. ServiceRequest.requester
Définition | The individual who initiated the request and has responsibility for its activation.
Court | PrescripteurWho/what is requesting service
Commentaires | This not the dispatcher, but rather who is the authorizer. This element is not intended to handle delegation which would generally be managed through the Provenance resource.
Contrôle | 0..1
Type | Reference(Practitioner, PractitionerRole, Organization, Patient, RelatedPerson, Device)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Types qui doivent être pris en charge (Must Support) | Aucune règle de prise en charge obligatoire concernant le choix des types/profils
Résumé | true
Noms alternatifs | author, orderer
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
60. ServiceRequest.bodySite
Définition | Anatomic location where the procedure should be performed. This is the target site.
Court | CibleLocation on Body
Commentaires | Only used if not implicit in the code found in ServiceRequest.code. If the use case requires BodySite to be handled as a separate resource instead of an inline coded element (e.g. to identify and track separately) then use the standard extension procedure-targetBodyStructure.
Contrôle | 0..*
Binding | Sauf si inapproprié, ces codes DOIVENT (SHALL) être pris de Pour des exemples de codes, voir SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site|4.0.1 (extensible to `http://hl7.org/fhir/ValueSet/body-site|4.0.1` )
Type | CodeableConcept
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Exigences | Knowing where the procedure is performed is important for tracking if multiple sites are possible.
Noms alternatifs | location
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
62. ServiceRequest.note
Définition | Any other notes and comments made about the service request. For example, internal billing notes.
Court | Justification de la demande d’examen / Finalité de l'examenComments
Contrôle | 0..*
Type | Annotation
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

Des conseils sur l'interprétation du contenu de ce tableau peuvent être trouvésici

0. ServiceRequest
Invariants | fr-invariant-intent: L'intention doit être order, plan ou proposal. (`intent = 'order' or intent = 'plan' or intent = 'proposal'`)
2. ServiceRequest.extension
Slicing | Cet élément introduit un ensemble de slices sur `ServiceRequest.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
4. ServiceRequest.extension:method
Nom de la slice | method
Court | Méthode
Contrôle | 0..*
Type | Extension(FR Method Extension) (Type d'extension : CodeableConcept)
Doit être pris en charge (Must Support) | true
6. ServiceRequest.extension:author
Nom de la slice | author
Court | Auteur de la demande
Contrôle | 0..1
Type | Extension(FR Actor Extension) (Extension complexe)
8. ServiceRequest.extension:author.extension:type
Nom de la slice | type
10. ServiceRequest.extension:author.extension:type.value[x]
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Valeur de motif | `AUT`
12. ServiceRequest.identifier
Note | Ceci est un identifiant métier, pas un identifiant de ressource (voir discussion)
Slicing | Cet élément introduit un ensemble de slices sur `ServiceRequest.identifier`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ type
14. ServiceRequest.identifier:accessionNumber
Nom de la slice | accessionNumber
Court | Accession Number de la demande d’examen d’imagerie
Note | Ceci est un identifiant métier, pas un identifiant de ressource (voir discussion)
Contrôle | 0..1
Type | Identifier(FR Accession Number Identifier Document)
16. ServiceRequest.intent
Court | Intention de la demande : order, plan ou proposal
Doit être pris en charge (Must Support) | true
18. ServiceRequest.category
Court | Catégorie de la demande
Doit être pris en charge (Must Support) | true
20. ServiceRequest.code
Court | 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'
Contrôle | 1..?
Doit être pris en charge (Must Support) | true
22. ServiceRequest.orderDetail
Court | Informations complémentaires sur la demande d'acte, par exemple : INR cible.
Doit être pris en charge (Must Support) | true
24. ServiceRequest.occurrence[x]
Court | Date prévisionnelle de l'examen, du suivi, de l'objectif
Contrôle | 1..?
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Doit être pris en charge (Must Support) | true
26. ServiceRequest.requester
Court | Prescripteur
Doit être pris en charge (Must Support) | true
28. ServiceRequest.bodySite
Court | Cible
Binding | Sauf si inapproprié, ces codes DOIVENT (SHALL) être pris de SNOMEDCTBodyStructures (extensible to `http://hl7.org/fhir/ValueSet/body-site|4.0.1` )
Doit être pris en charge (Must Support) | true
30. ServiceRequest.note
Court | Justification de la demande d’examen / Finalité de l'examen
Doit être pris en charge (Must Support) | true

Des conseils sur l'interprétation du contenu de ce tableau peuvent être trouvésici

0. ServiceRequest
Définition | A record of a request for service such as diagnostic investigations, treatments, or operations to be performed.
Court | A request for a service to be performed
Contrôle | 0..*
Est modificateur | false
Résumé | false
Noms alternatifs | diagnostic request, referral, referral request, transfer of care request
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (`contained.contained.empty()`) dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (`contained.meta.security.empty()`) dom-6: A resource should have narrative for robust management (`text.`div`.exists()`) prr-1: orderDetail SHALL only be present if code is present (`orderDetail.empty() or code.exists()`) fr-invariant-intent: L'intention doit être order, plan ou proposal. (`intent = 'order' or intent = 'plan' or intent = 'proposal'`)
2. ServiceRequest.id
Définition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Court | Logical id of this artifact
Commentaires | The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
Contrôle | 0..1
Type | id
Est modificateur | false
Résumé | true
4. ServiceRequest.meta
Définition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
Court | Metadata about the resource
Contrôle | 0..1
Type | Meta
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
6. ServiceRequest.implicitRules
Définition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Court | A set of rules under which this content was created
Commentaires | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Contrôle | 0..1
Type | uri
Est modificateur | true parce que This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
8. ServiceRequest.language
Définition | The base language in which the resource is written.
Court | Language of the resource content
Commentaires | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Contrôle | 0..1
Binding | Les codes DEVRAIENT (SHOULD) être pris de CommonLanguages (preferred to `http://hl7.org/fhir/ValueSet/languages|4.0.1` ) A human language.
Bindings Additionnels | But
AllLanguages | Binding Max
Type | code
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
10. ServiceRequest.text
Définition | A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Court | Text summary of the resource, for human interpretation
Commentaires | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
Contrôle | 0..1
Type | Narrative
Est modificateur | false
Résumé | false
Noms alternatifs | narrative, html, xhtml, display
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
12. ServiceRequest.contained
Définition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
Court | Contained, inline Resources
Commentaires | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
Contrôle | 0..*
Type | Resource
Est modificateur | false
Résumé | false
Noms alternatifs | inline resources, anonymous resources, contained resources
14. ServiceRequest.extension
Définition | An Extension
Court | Extension
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Cet élément introduit un ensemble de slices sur `ServiceRequest.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
16. ServiceRequest.extension:method
Nom de la slice | method
Définition | Extension permettant d’indiquer la méthode utilisée : techniques biologiques (ex. : titration, agglutination…), techniques d’imagerie dans les demandes d'examen (ultrasound, tomographie, IRM…), des méthodes de mesure spécifiques, etc.
Court | Méthode
Contrôle | 0..* Cet élément est affecté par les invariants suivants : ele-1
Type | Extension(FR Method Extension) (Type d'extension : CodeableConcept)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
18. ServiceRequest.extension:author
Nom de la slice | author
Définition | Extension permettant de représenter un acteur impliqué dans le document avec son type et sa référence.
Court | Auteur de la demande
Contrôle | 0..1 Cet élément est affecté par les invariants suivants : ele-1
Type | Extension(FR Actor Extension) (Extension complexe)
Est modificateur | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
20. ServiceRequest.extension:author.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Court | Unique id for inter-element referencing
Contrôle | 0..1
Type | string
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
22. ServiceRequest.extension:author.extension
Définition | An Extension
Court | Extension
Contrôle | 2..*
Type | Extension
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Cet élément introduit un ensemble de slices sur `ServiceRequest.extension.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
24. ServiceRequest.extension:author.extension:type
Nom de la slice | type
Définition | An Extension
Court | Extension
Contrôle | 1..1
Type | Extension
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
26. ServiceRequest.extension:author.extension:type.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Court | Unique id for inter-element referencing
Contrôle | 0..1
Type | string
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
28. ServiceRequest.extension:author.extension:type.extension
Définition | An Extension
Court | Extension
Contrôle | 0..0
Type | Extension
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Cet élément introduit un ensemble de slices sur `ServiceRequest.extension.extension.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
30. ServiceRequest.extension:author.extension:type.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Court | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Contrôle | 1..1
Type | uri
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
Valeur fixe | `type`
32. ServiceRequest.extension:author.extension:type.value[x]
Définition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Court | Value of extension
Contrôle | 0..1
Binding | Les codes DOIVENT (SHALL) être pris de FRValueSetActorTypeDocument (0.1.0) (required to `https://interop.esante.gouv.fr/ig/fhir/document-core/ValueSet/fr-vs-actor-type-document|0.1.0` )
Type | code
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | false
Valeur de motif | `AUT`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
34. ServiceRequest.extension:author.extension:typeCode
Nom de la slice | typeCode
Définition | An Extension
Court | Type de participation
Contrôle | 0..1
Type | Extension
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
36. ServiceRequest.extension:author.extension:typeCode.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Court | Unique id for inter-element referencing
Contrôle | 0..1
Type | string
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
38. ServiceRequest.extension:author.extension:typeCode.extension
Définition | An Extension
Court | Extension
Contrôle | 0..0
Type | Extension
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Cet élément introduit un ensemble de slices sur `ServiceRequest.extension.extension.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
40. ServiceRequest.extension:author.extension:typeCode.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Court | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Contrôle | 1..1
Type | uri
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
Valeur fixe | `typeCode`
42. ServiceRequest.extension:author.extension:typeCode.value[x]
Définition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Court | Value of extension
Contrôle | 0..1
Type | CodeableConcept
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
44. ServiceRequest.extension:author.extension:actor
Nom de la slice | actor
Définition | An Extension
Court | Référence vers le rôle du praticien dans le document
Contrôle | 1..1
Type | Extension
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
46. ServiceRequest.extension:author.extension:actor.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Court | Unique id for inter-element referencing
Contrôle | 0..1
Type | string
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
48. ServiceRequest.extension:author.extension:actor.extension
Définition | An Extension
Court | Extension
Contrôle | 0..0
Type | Extension
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Cet élément introduit un ensemble de slices sur `ServiceRequest.extension.extension.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
50. ServiceRequest.extension:author.extension:actor.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Court | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Contrôle | 1..1
Type | uri
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
Valeur fixe | `actor`
52. ServiceRequest.extension:author.extension:actor.value[x]
Définition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Court | Value of extension
Contrôle | 0..1
Type | Reference(FR PractitionerRole Document, Device, FR Device Document, FR Organization Document, FR RelatedPerson Document, FR Patient INS Document, FR Patient Document)
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
54. ServiceRequest.extension:author.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Court | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Contrôle | 1..1
Type | uri
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
Valeur fixe | `https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension`
56. ServiceRequest.extension:author.value[x]
Définition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Court | Value of extension
Contrôle | 0..0
Type | Choix de : base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
58. ServiceRequest.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Court | Extensions that cannot be ignored
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | true parce que Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Résumé | false
Exigences | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
60. ServiceRequest.identifier
Définition | Identifiers assigned to this order instance by the orderer and/or the receiver and/or order fulfiller.
Court | Identifiers assigned to this order
Commentaires | The identifier.type element is used to distinguish between the identifiers assigned by the orderer (known as the 'Placer' in HL7 v2) and the producer of the observations in response to the order (known as the 'Filler' in HL7 v2). For further discussion and examples see the resource notes section below.
Note | Ceci est un identifiant métier, pas un identifiant de ressource (voir discussion)
Contrôle | 0..*
Type | Identifier
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | Cet élément introduit un ensemble de slices sur `ServiceRequest.identifier`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ type
62. ServiceRequest.identifier:accessionNumber
Nom de la slice | accessionNumber
Définition | Identifiers assigned to this order instance by the orderer and/or the receiver and/or order fulfiller.
Court | Accession Number de la demande d’examen d’imagerie
Commentaires | The identifier.type element is used to distinguish between the identifiers assigned by the orderer (known as the 'Placer' in HL7 v2) and the producer of the observations in response to the order (known as the 'Filler' in HL7 v2). For further discussion and examples see the resource notes section below.
Note | Ceci est un identifiant métier, pas un identifiant de ressource (voir discussion)
Contrôle | 0..1
Type | Identifier(FR Accession Number Identifier Document)
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
64. ServiceRequest.instantiatesCanonical
Définition | The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this ServiceRequest.
Court | Instantiates FHIR protocol or definition
Commentaires | Note: This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.
Contrôle | 0..*
Type | canonical(ActivityDefinition, PlanDefinition)
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
66. ServiceRequest.instantiatesUri
Définition | The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this ServiceRequest.
Court | Instantiates external protocol or definition
Commentaires | This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.
Contrôle | 0..*
Type | uri
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
68. ServiceRequest.basedOn
Définition | Plan/proposal/order fulfilled by this request.
Court | What request fulfills
Contrôle | 0..*
Type | Reference(CarePlan, ServiceRequest, MedicationRequest)
Est modificateur | false
Résumé | true
Noms alternatifs | fulfills
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
70. ServiceRequest.replaces
Définition | The request takes the place of the referenced completed or terminated request(s).
Court | What request replaces
Contrôle | 0..*
Type | Reference(ServiceRequest)
Est modificateur | false
Résumé | true
Noms alternatifs | supersedes, prior, renewed order
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
72. ServiceRequest.requisition
Définition | A shared identifier common to all service requests that were authorized more or less simultaneously by a single author, representing the composite or group identifier.
Court | Composite Request ID
Commentaires | Requests are linked either by a "basedOn" relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation.
Contrôle | 0..1
Type | Identifier
Est modificateur | false
Résumé | true
Exigences | Some business processes need to know if multiple items were ordered as part of the same "requisition" for billing or other purposes.
Noms alternatifs | grouperId, groupIdentifier
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
74. ServiceRequest.status
Définition | The status of the order.
Court | draft | active | on-hold | revoked | completed | entered-in-error | unknown
Commentaires | The status is generally fully in the control of the requester - they determine whether the order is draft or active and, after it has been activated, competed, cancelled or suspended. States relating to the activities of the performer are reflected on either the corresponding event (see Event Pattern for general discussion) or using the Task resource.
Contrôle | 1..1
Binding | Les codes DOIVENT (SHALL) être pris de RequestStatus (required to `http://hl7.org/fhir/ValueSet/request-status|4.0.1` ) The status of a service order.
Type | code
Est modificateur | true parce que This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
76. ServiceRequest.intent
Définition | Whether the request is a proposal, plan, an original order or a reflex order.
Court | Intention de la demande : order, plan ou proposal
Commentaires | This element is labeled as a modifier because the intent alters when and how the resource is actually applicable.
Contrôle | 1..1
Binding | Les codes DOIVENT (SHALL) être pris de RequestIntent (required to `http://hl7.org/fhir/ValueSet/request-intent|4.0.1` ) The kind of service request.
Type | code
Est modificateur | true parce que This element changes the interpretation of all descriptive attributes. For example "the time the request is recommended to occur" vs. "the time the request is authorized to occur" or "who is recommended to perform the request" vs. "who is authorized to perform the request
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Doit être pris en charge (Must Support) | true
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
78. ServiceRequest.category
Définition | A code that classifies the service for searching, sorting and display purposes (e.g. "Surgical Procedure").
Court | Catégorie de la demande
Commentaires | There may be multiple axis of categorization depending on the context or use case for retrieving or displaying the resource. The level of granularity is defined by the category concepts in the value set.
Contrôle | 0..*
Binding | Pour des exemples de codes, voir ServiceRequestCategoryCodes (example to `http://hl7.org/fhir/ValueSet/servicerequest-category|4.0.1` ) Classification of the requested service.
Type | CodeableConcept
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Exigences | Used for filtering what service request are retrieved and displayed.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
80. ServiceRequest.priority
Définition | Indicates how quickly the ServiceRequest should be addressed with respect to other requests.
Court | routine | urgent | asap | stat
Contrôle | 0..1
Binding | Les codes DOIVENT (SHALL) être pris de RequestPriority (required to `http://hl7.org/fhir/ValueSet/request-priority|4.0.1` ) Identifies the level of importance to be assigned to actioning the request.
Type | code
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Signification si manquant | If missing, this task should be performed with normal priority
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
82. ServiceRequest.doNotPerform
Définition | Set this to true if the record is saying that the service/procedure should NOT be performed.
Court | True if service/procedure should not be performed
Commentaires | In general, only the code and timeframe will be present, though occasional additional qualifiers such as body site or even performer could be included to narrow the scope of the prohibition. If the ServiceRequest.code and ServiceRequest.doNotPerform both contain negation, that will reinforce prohibition and should not have a double negative interpretation.
Contrôle | 0..1
Type | boolean
Est modificateur | true parce que If true this element negates the specified action. For Example, instead of a request for a procedure, it is a request for the procedure to not occur.
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Exigences | Used for do not ambulate, do not elevate head of bed, do not flush NG tube, do not take blood pressure on a certain arm, etc.
Signification si manquant | If missing, the request is a positive request e.g. "do perform"
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
84. ServiceRequest.code
Définition | A code that identifies a particular service (i.e., procedure, diagnostic investigation, or panel of investigations) that have been requested.
Court | 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'
Commentaires | Many laboratory and radiology procedure codes embed the specimen/organ system in the test order name, for example, serum or serum/plasma glucose, or a chest x-ray. The specimen might not be recorded separately from the test code.
Contrôle | 1..1
Binding | Pour des exemples de codes, voir ProcedureCodes(SNOMEDCT) (example to `http://hl7.org/fhir/ValueSet/procedure-code|4.0.1` ) Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred.
Type | CodeableConcept
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Noms alternatifs | service requested
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
86. ServiceRequest.orderDetail
Définition | Additional details and instructions about the how the services are to be delivered. For example, and order for a urinary catheter may have an order detail for an external or indwelling catheter, or an order for a bandage may require additional instructions specifying how the bandage should be applied.
Court | Informations complémentaires sur la demande d'acte, par exemple : INR cible.
Commentaires | For information from the medical record intended to support the delivery of the requested services, use the `supportingInformation` element.
Contrôle | 0..* Cet élément est affecté par les invariants suivants : prr-1
Binding | Pour des exemples de codes, voir ServiceRequestOrderDetailsCodes (example to `http://hl7.org/fhir/ValueSet/servicerequest-orderdetail|4.0.1` ) Codified order entry details which are based on order context.
Type | CodeableConcept
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Noms alternatifs | detailed instructions
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
88. ServiceRequest.quantity[x]
Définition | An amount of service being requested which can be a quantity ( for example $1,500 home modification), a ratio ( for example, 20 half day visits per month), or a range (2.0 to 1.8 Gy per fraction).
Court | Service amount
Contrôle | 0..1
Type | Choix de : Quantity, Ratio, Range
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Résumé | true
Exigences | When ordering a service the number of service items may need to be specified separately from the the service item.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
90. ServiceRequest.subject
Définition | On whom or what the service is to be performed. This is usually a human patient, but can also be requested on animals, groups of humans or animals, devices such as dialysis machines, or even locations (typically for environmental scans).
Court | Individual or Entity the service is ordered for
Contrôle | 1..1
Type | Reference(Patient, Group, Location, Device)
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
92. ServiceRequest.encounter
Définition | An encounter that provides additional information about the healthcare context in which this request is made.
Court | Encounter in which the request was created
Contrôle | 0..1
Type | Reference(Encounter)
Est modificateur | false
Résumé | true
Noms alternatifs | context
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
94. ServiceRequest.occurrence[x]
Définition | The date/time at which the requested service should occur.
Court | Date prévisionnelle de l'examen, du suivi, de l'objectif
Contrôle | 1..1
Type | Choix de : dateTime, Period, Timing
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Doit être pris en charge (Must Support) | true
Types qui doivent être pris en charge (Must Support) | Aucune règle de prise en charge obligatoire concernant le choix des types/profils
Résumé | true
Noms alternatifs | schedule
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
96. ServiceRequest.asNeeded[x]
Définition | If a CodeableConcept is present, it indicates the pre-condition for performing the service. For example "pain", "on flare-up", etc.
Court | Preconditions for service
Contrôle | 0..1
Binding | Pour des exemples de codes, voir SNOMEDCTMedicationAsNeededReasonCodes (example to `http://hl7.org/fhir/ValueSet/medication-as-needed-reason|4.0.1` ) A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
Type | Choix de : boolean, CodeableConcept
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
98. ServiceRequest.authoredOn
Définition | When the request transitioned to being actionable.
Court | Date request signed
Contrôle | 0..1
Type | dateTime
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Noms alternatifs | orderedOn
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
100. ServiceRequest.requester
Définition | The individual who initiated the request and has responsibility for its activation.
Court | Prescripteur
Commentaires | This not the dispatcher, but rather who is the authorizer. This element is not intended to handle delegation which would generally be managed through the Provenance resource.
Contrôle | 0..1
Type | Reference(Practitioner, PractitionerRole, Organization, Patient, RelatedPerson, Device)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Types qui doivent être pris en charge (Must Support) | Aucune règle de prise en charge obligatoire concernant le choix des types/profils
Résumé | true
Noms alternatifs | author, orderer
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
102. ServiceRequest.performerType
Définition | Desired type of performer for doing the requested service.
Court | Performer role
Commentaires | This is a role, not a participation type. In other words, does not describe the task but describes the capacity. For example, “compounding pharmacy”, “psychiatrist” or “internal referral”.
Contrôle | 0..1
Binding | Pour des exemples de codes, voir ParticipantRoles (example to `http://hl7.org/fhir/ValueSet/participant-role|4.0.1` ) Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
Type | CodeableConcept
Est modificateur | false
Résumé | true
Noms alternatifs | specialty
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
104. ServiceRequest.performer
Définition | The desired performer for doing the requested service. For example, the surgeon, dermatopathologist, endoscopist, etc.
Court | Requested performer
Commentaires | If multiple performers are present, it is interpreted as a list of alternative performers without any preference regardless of order. If order of preference is needed use the request-performerOrder extension. Use CareTeam to represent a group of performers (for example, Practitioner A and Practitioner B).
Contrôle | 0..*
Type | Reference(Practitioner, PractitionerRole, Organization, CareTeam, HealthcareService, Patient, Device, RelatedPerson)
Est modificateur | false
Résumé | true
Noms alternatifs | request recipient
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
106. ServiceRequest.locationCode
Définition | The preferred location(s) where the procedure should actually happen in coded or free text form. E.g. at home or nursing day care center.
Court | Requested location
Contrôle | 0..*
Binding | Pour des exemples de codes, voir ServiceDeliveryLocationRoleType (3.0.0) (example to `http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType|3.0.0` ) A location type where services are delivered.
Type | CodeableConcept
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
108. ServiceRequest.locationReference
Définition | A reference to the the preferred location(s) where the procedure should actually happen. E.g. at home or nursing day care center.
Court | Requested location
Contrôle | 0..*
Type | Reference(Location)
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
110. ServiceRequest.reasonCode
Définition | An explanation or justification for why this service is being requested in coded or textual form. This is often for billing purposes. May relate to the resources referred to in `supportingInfo`.
Court | Explanation/Justification for procedure or service
Commentaires | This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all. Use `CodeableConcept.text` element if the data is free (uncoded) text as shown in the CT Scan example.
Contrôle | 0..*
Binding | Pour des exemples de codes, voir ProcedureReasonCodes (example to `http://hl7.org/fhir/ValueSet/procedure-reason|4.0.1` ) Diagnosis or problem codes justifying the reason for requesting the service investigation.
Type | CodeableConcept
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
112. ServiceRequest.reasonReference
Définition | Indicates another resource that provides a justification for why this service is being requested. May relate to the resources referred to in `supportingInfo`.
Court | Explanation/Justification for service or service
Commentaires | This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all. To be as specific as possible, a reference to Observation or Condition should be used if available. Otherwise when referencing DiagnosticReport it should contain a finding in `DiagnosticReport.conclusion` and/or `DiagnosticReport.conclusionCode`. When using a reference to DocumentReference, the target document should contain clear findings language providing the relevant reason for this service request. Use the CodeableConcept text element in `ServiceRequest.reasonCode` if the data is free (uncoded) text as shown in the CT Scan example.
Contrôle | 0..*
Type | Reference(Condition, Observation, DiagnosticReport, DocumentReference)
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
114. ServiceRequest.insurance
Définition | Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be needed for delivering the requested service.
Court | Associated insurance coverage
Contrôle | 0..*
Type | Reference(Coverage, ClaimResponse)
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
116. ServiceRequest.supportingInfo
Définition | Additional clinical information about the patient or specimen that may influence the services or their interpretations. This information includes diagnosis, clinical findings and other observations. In laboratory ordering these are typically referred to as "ask at order entry questions (AOEs)". This includes observations explicitly requested by the producer (filler) to provide context or supporting information needed to complete the order. For example, reporting the amount of inspired oxygen for blood gas measurements.
Court | Additional clinical information
Commentaires | To represent information about how the services are to be delivered use the `instructions` element.
Contrôle | 0..*
Type | Reference(Resource)
Est modificateur | false
Résumé | false
Noms alternatifs | Ask at order entry question, AOE
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
118. ServiceRequest.specimen
Définition | One or more specimens that the laboratory procedure will use.
Court | Procedure Samples
Commentaires | Many diagnostic procedures need a specimen, but the request itself is not actually about the specimen. This element is for when the diagnostic is requested on already existing specimens and the request points to the specimen it applies to. Conversely, if the request is entered first with an unknown specimen, then the Specimen resource points to the ServiceRequest.
Contrôle | 0..*
Type | Reference(Specimen)
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
120. ServiceRequest.bodySite
Définition | Anatomic location where the procedure should be performed. This is the target site.
Court | Cible
Commentaires | Only used if not implicit in the code found in ServiceRequest.code. If the use case requires BodySite to be handled as a separate resource instead of an inline coded element (e.g. to identify and track separately) then use the standard extension procedure-targetBodyStructure.
Contrôle | 0..*
Binding | Sauf si inapproprié, ces codes DOIVENT (SHALL) être pris de SNOMEDCTBodyStructures (extensible to `http://hl7.org/fhir/ValueSet/body-site|4.0.1` )
Type | CodeableConcept
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Exigences | Knowing where the procedure is performed is important for tracking if multiple sites are possible.
Noms alternatifs | location
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
122. ServiceRequest.note
Définition | Any other notes and comments made about the service request. For example, internal billing notes.
Court | Justification de la demande d’examen / Finalité de l'examen
Contrôle | 0..*
Type | Annotation
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
124. ServiceRequest.patientInstruction
Définition | Instructions in terms that are understood by the patient or consumer.
Court | Patient or consumer-oriented instructions
Contrôle | 0..1
Type | string
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
126. ServiceRequest.relevantHistory
Définition | Key events in the history of the request.
Court | Request provenance
Commentaires | This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.
Contrôle | 0..*
Type | Reference(Provenance)
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)