HL7 Europe Imaging Report R4
1.0.0-ballot - qa-preview 150

HL7 Europe Imaging Report R4, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/imaging-r4/ and changes regularly. See the Directory of published versions

Resource Profile: ServiceRequest: Imaging Order

Official URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/ServiceRequestOrderEuImaging Version: 1.0.0-ballot
Standards status: Draft Draft as of 2026-03-11 Maturity Level: 1 Computable Name: ServiceRequestOrderEuImaging

Copyright/Legal: Copyright HL7 Europe. Licensed under Creative Commons public domain (CC0 1.0).

This profile on ServiceRequest represents the order for the Imaging Study and report. In DICOM this is referred to as the Requested Procedure. The code element represents the requested imaging procedure type which includes the requested modality.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* ServiceRequest A request for a service to be performed
Constraints: prr-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:reason 0..* (Complex) Explanation/Justification for procedure or service
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.reason
Constraints: ext-1
..... Slices for extension Content/Rules for all slices
...... extension:concept 0..1 Extension Reference to a concept (by class)
Constraints: ext-1
....... url 1..1 uri "concept"
...... extension:reference 0..1 Extension Reference to a resource (by instance)
Constraints: ext-1
....... url 1..1 uri "reference"
...... extension:_datatype 0..1 (Complex) Data type name for ServiceRequest.reason from FHIR R5
URL: http://hl7.org/fhir/StructureDefinition/_datatype
Constraints: ext-1
....... extension 0..0 Extension
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
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.reason"
..... Slices for value[x] 0..1 Value of extension
Slice: Unordered, Open by type:$this
...... valueBase64Binary base64Binary
...... valueBoolean boolean
...... valueCanonical canonical(Any)
...... valueCode code
...... valueDate date
...... valueDateTime dateTime
...... valueDecimal decimal
...... valueId id
...... valueInstant instant
...... valueInteger integer
...... valueMarkdown markdown
...... valueOid oid
...... valuePositiveInt positiveInt
...... valueString string
...... valueTime time
...... valueUnsignedInt unsignedInt
...... valueUri uri
...... valueUrl url
...... valueUuid uuid
...... valueAddress Address
...... valueAge Age
...... valueAnnotation Annotation
...... valueAttachment Attachment
...... valueCodeableConcept CodeableConcept
...... valueCoding Coding
...... valueContactPoint ContactPoint
...... valueCount Count
...... valueDistance Distance
...... valueDuration Duration
...... valueHumanName HumanName
...... valueIdentifier Identifier
...... valueMoney Money
...... valuePeriod Period
...... valueQuantity Quantity
...... valueRange Range
...... valueRatio Ratio
...... valueReference Reference(Any)
...... valueSampledData SampledData
...... valueSignature Signature
...... valueTiming Timing
...... valueContactDetail ContactDetail
...... valueContributor Contributor
...... valueDataRequirement DataRequirement
...... valueExpression Expression
...... valueParameterDefinition ParameterDefinition
...... valueRelatedArtifact RelatedArtifact
...... valueTriggerDefinition TriggerDefinition
...... valueUsageContext UsageContext
...... valueDosage Dosage
...... valueMeta Meta
...... value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
....... text Σ 0..1 string Plain text representation of the concept
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... identifier:accessionNumber Σ 0..1 AccessionNumberIdentifierEuImaging Identifiers assigned to this order
... status ?!Σ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.
... intent ?!Σ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.
... Slices for category Σ 1..* CodeableConcept Classification of service
Slice: Unordered, Open by value:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
.... category:imaging Σ 1..1 CodeableConcept Classification of service
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 363679005
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code Σ 0..1 CodeableConcept Requested procedure
Binding: ValueSet: Imaging Procedure Type (example)
... subject Σ 1..1 Reference(Patient | Group | Location | Device) Individual or Entity the service is ordered for
... note 0..* Annotation Comments

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
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.category:imaging Base example Service Request Category Codes 📍4.0.1 FHIR Std.
ServiceRequest.code Base example ValueSet: Imaging Procedure Type 📦1.0.0-ballot This IG

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 **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
prr-1 error ServiceRequest orderDetail SHALL only be present if code is present orderDetail.empty() or code.exists()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest ServiceRequest
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:reason 0..* (Complex) Explanation/Justification for procedure or service
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.reason
..... Slices for value[x] 0..1 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 Value of extension
Slice: Unordered, Open by type:$this
...... value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
....... text 0..1 string Plain text representation of the concept
... Slices for identifier 0..* Identifier Identifiers assigned to this order
Slice: Unordered, Open by value:type
.... identifier:accessionNumber 0..1 AccessionNumberIdentifierEuImaging Identifiers assigned to this order
... Slices for category 1..* CodeableConcept Classification of service
Slice: Unordered, Open by value:$this
.... category:imaging 1..1 CodeableConcept Classification of service
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 363679005
... subject 1..1 Reference(Patient | Group | Location | Device) Individual or Entity the service is ordered for
... supportingInfo
.... Slices for extension Content/Rules for all slices
..... extension:codeableConcept 0..* 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 Additional clinical information
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.supportingInfo
... note 0..* Annotation Comments

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
ServiceRequest.code Base example ValueSet: Imaging Procedure Type 📦1.0.0-ballot This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* ServiceRequest A request for a service to be performed
Constraints: prr-1
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
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 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:reason 0..* (Complex) Explanation/Justification for procedure or service
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 0..* Extension Extension
Slice: Unordered, Closed by value:url
Constraints: ext-1
...... extension:concept 0..1 Extension Reference to a concept (by class)
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 "concept"
....... value[x] 0..1 CodeableConcept Reference to a concept (by class)
...... extension:reference 0..1 Extension 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() Reference to a resource (by instance)
...... extension:_datatype 0..1 (Complex) Data type name for ServiceRequest.reason from FHIR R5
URL: http://hl7.org/fhir/StructureDefinition/_datatype
Constraints: ext-1
....... id 0..1 id Unique id for inter-element referencing
....... extension 0..0 Extension
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
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.reason"
..... Slices for value[x] 0..1 Value of extension
Slice: Unordered, Open by type:$this
...... valueBase64Binary base64Binary
...... valueBoolean boolean
...... valueCanonical canonical(Any)
...... valueCode code
...... valueDate date
...... valueDateTime dateTime
...... valueDecimal decimal
...... valueId id
...... valueInstant instant
...... valueInteger integer
...... valueMarkdown markdown
...... valueOid oid
...... valuePositiveInt positiveInt
...... valueString string
...... valueTime time
...... valueUnsignedInt unsignedInt
...... valueUri uri
...... valueUrl url
...... valueUuid uuid
...... valueAddress Address
...... valueAge Age
...... valueAnnotation Annotation
...... valueAttachment Attachment
...... valueCodeableConcept CodeableConcept
...... valueCoding Coding
...... valueContactPoint ContactPoint
...... valueCount Count
...... valueDistance Distance
...... valueDuration Duration
...... valueHumanName HumanName
...... valueIdentifier Identifier
...... valueMoney Money
...... valuePeriod Period
...... valueQuantity Quantity
...... valueRange Range
...... valueRatio Ratio
...... valueReference Reference(Any)
...... valueSampledData SampledData
...... valueSignature Signature
...... valueTiming Timing
...... valueContactDetail ContactDetail
...... valueContributor Contributor
...... valueDataRequirement DataRequirement
...... valueExpression Expression
...... valueParameterDefinition ParameterDefinition
...... valueRelatedArtifact RelatedArtifact
...... valueTriggerDefinition TriggerDefinition
...... valueUsageContext UsageContext
...... valueDosage Dosage
...... valueMeta Meta
...... value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... coding Σ 0..* Coding Code defined by a terminology system
....... text Σ 0..1 string Plain text representation of the concept
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier Σ 0..* Identifier Identifiers assigned to this order
Slice: Unordered, Open by value:type
.... identifier:accessionNumber Σ 0..1 AccessionNumberIdentifierEuImaging Identifiers assigned to this order
... instantiatesCanonical Σ 0..* canonical(ActivityDefinition | PlanDefinition) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(CarePlan | ServiceRequest | MedicationRequest) What request fulfills
... replaces Σ 0..* Reference(ServiceRequest) What request replaces
... requisition Σ 0..1 Identifier Composite Request ID
... status ?!Σ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.
... intent ?!Σ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.
... Slices for category Σ 1..* CodeableConcept Classification of service
Slice: Unordered, Open by value:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
.... category:imaging Σ 1..1 CodeableConcept Classification of service
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 363679005
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... 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 Σ 0..1 CodeableConcept Requested procedure
Binding: ValueSet: Imaging Procedure Type (example)
... orderDetail ΣC 0..* CodeableConcept Additional order information
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] Σ 0..1 When service should occur
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
... asNeeded[x] Σ 0..1 Preconditions for service
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
.... asNeededBoolean boolean
.... asNeededCodeableConcept CodeableConcept
... authoredOn Σ 0..1 dateTime Date request signed
... requester Σ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/what is requesting service
... performerType Σ 0..1 CodeableConcept Performer role
Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Requested performer
... locationCode Σ 0..* CodeableConcept Requested location
Binding: ServiceDeliveryLocationRoleType (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
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:codeableConcept 0..* 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 Additional clinical information
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.supportingInfo
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... specimen Σ 0..* Reference(Specimen) Procedure Samples
... bodySite Σ 0..* CodeableConcept Location on Body
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... note 0..* Annotation Comments
... patientInstruction Σ 0..1 string Patient or consumer-oriented instructions
... relevantHistory 0..* Reference(Provenance) Request provenance

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ServiceRequest.language Base preferred Common Languages 📍4.0.1 FHIR Std.
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.category:imaging 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 ValueSet: Imaging Procedure Type 📦1.0.0-ballot This IG
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 v7.1
ServiceRequest.reasonCode Base example Procedure Reason Codes 📍4.0.1 FHIR Std.
ServiceRequest.supportingInfo.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
ServiceRequest.bodySite Base example 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 **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
prr-1 error ServiceRequest orderDetail SHALL only be present if code is present orderDetail.empty() or code.exists()

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of ServiceRequest.extension.value[x]
  • The element 1 is sliced based on the value of ServiceRequest.identifier
  • The element 1 is sliced based on the value of ServiceRequest.category

Maturity: 1

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* ServiceRequest A request for a service to be performed
Constraints: prr-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:reason 0..* (Complex) Explanation/Justification for procedure or service
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.reason
Constraints: ext-1
..... Slices for extension Content/Rules for all slices
...... extension:concept 0..1 Extension Reference to a concept (by class)
Constraints: ext-1
....... url 1..1 uri "concept"
...... extension:reference 0..1 Extension Reference to a resource (by instance)
Constraints: ext-1
....... url 1..1 uri "reference"
...... extension:_datatype 0..1 (Complex) Data type name for ServiceRequest.reason from FHIR R5
URL: http://hl7.org/fhir/StructureDefinition/_datatype
Constraints: ext-1
....... extension 0..0 Extension
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
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.reason"
..... Slices for value[x] 0..1 Value of extension
Slice: Unordered, Open by type:$this
...... valueBase64Binary base64Binary
...... valueBoolean boolean
...... valueCanonical canonical(Any)
...... valueCode code
...... valueDate date
...... valueDateTime dateTime
...... valueDecimal decimal
...... valueId id
...... valueInstant instant
...... valueInteger integer
...... valueMarkdown markdown
...... valueOid oid
...... valuePositiveInt positiveInt
...... valueString string
...... valueTime time
...... valueUnsignedInt unsignedInt
...... valueUri uri
...... valueUrl url
...... valueUuid uuid
...... valueAddress Address
...... valueAge Age
...... valueAnnotation Annotation
...... valueAttachment Attachment
...... valueCodeableConcept CodeableConcept
...... valueCoding Coding
...... valueContactPoint ContactPoint
...... valueCount Count
...... valueDistance Distance
...... valueDuration Duration
...... valueHumanName HumanName
...... valueIdentifier Identifier
...... valueMoney Money
...... valuePeriod Period
...... valueQuantity Quantity
...... valueRange Range
...... valueRatio Ratio
...... valueReference Reference(Any)
...... valueSampledData SampledData
...... valueSignature Signature
...... valueTiming Timing
...... valueContactDetail ContactDetail
...... valueContributor Contributor
...... valueDataRequirement DataRequirement
...... valueExpression Expression
...... valueParameterDefinition ParameterDefinition
...... valueRelatedArtifact RelatedArtifact
...... valueTriggerDefinition TriggerDefinition
...... valueUsageContext UsageContext
...... valueDosage Dosage
...... valueMeta Meta
...... value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
....... text Σ 0..1 string Plain text representation of the concept
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... identifier:accessionNumber Σ 0..1 AccessionNumberIdentifierEuImaging Identifiers assigned to this order
... status ?!Σ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.
... intent ?!Σ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.
... Slices for category Σ 1..* CodeableConcept Classification of service
Slice: Unordered, Open by value:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
.... category:imaging Σ 1..1 CodeableConcept Classification of service
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 363679005
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code Σ 0..1 CodeableConcept Requested procedure
Binding: ValueSet: Imaging Procedure Type (example)
... subject Σ 1..1 Reference(Patient | Group | Location | Device) Individual or Entity the service is ordered for
... note 0..* Annotation Comments

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
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.category:imaging Base example Service Request Category Codes 📍4.0.1 FHIR Std.
ServiceRequest.code Base example ValueSet: Imaging Procedure Type 📦1.0.0-ballot This IG

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 **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
prr-1 error ServiceRequest orderDetail SHALL only be present if code is present orderDetail.empty() or code.exists()

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest ServiceRequest
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:reason 0..* (Complex) Explanation/Justification for procedure or service
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.reason
..... Slices for value[x] 0..1 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 Value of extension
Slice: Unordered, Open by type:$this
...... value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
....... text 0..1 string Plain text representation of the concept
... Slices for identifier 0..* Identifier Identifiers assigned to this order
Slice: Unordered, Open by value:type
.... identifier:accessionNumber 0..1 AccessionNumberIdentifierEuImaging Identifiers assigned to this order
... Slices for category 1..* CodeableConcept Classification of service
Slice: Unordered, Open by value:$this
.... category:imaging 1..1 CodeableConcept Classification of service
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 363679005
... subject 1..1 Reference(Patient | Group | Location | Device) Individual or Entity the service is ordered for
... supportingInfo
.... Slices for extension Content/Rules for all slices
..... extension:codeableConcept 0..* 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 Additional clinical information
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.supportingInfo
... note 0..* Annotation Comments

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
ServiceRequest.code Base example ValueSet: Imaging Procedure Type 📦1.0.0-ballot This IG

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* ServiceRequest A request for a service to be performed
Constraints: prr-1
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
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 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:reason 0..* (Complex) Explanation/Justification for procedure or service
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 0..* Extension Extension
Slice: Unordered, Closed by value:url
Constraints: ext-1
...... extension:concept 0..1 Extension Reference to a concept (by class)
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 "concept"
....... value[x] 0..1 CodeableConcept Reference to a concept (by class)
...... extension:reference 0..1 Extension 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() Reference to a resource (by instance)
...... extension:_datatype 0..1 (Complex) Data type name for ServiceRequest.reason from FHIR R5
URL: http://hl7.org/fhir/StructureDefinition/_datatype
Constraints: ext-1
....... id 0..1 id Unique id for inter-element referencing
....... extension 0..0 Extension
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
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.reason"
..... Slices for value[x] 0..1 Value of extension
Slice: Unordered, Open by type:$this
...... valueBase64Binary base64Binary
...... valueBoolean boolean
...... valueCanonical canonical(Any)
...... valueCode code
...... valueDate date
...... valueDateTime dateTime
...... valueDecimal decimal
...... valueId id
...... valueInstant instant
...... valueInteger integer
...... valueMarkdown markdown
...... valueOid oid
...... valuePositiveInt positiveInt
...... valueString string
...... valueTime time
...... valueUnsignedInt unsignedInt
...... valueUri uri
...... valueUrl url
...... valueUuid uuid
...... valueAddress Address
...... valueAge Age
...... valueAnnotation Annotation
...... valueAttachment Attachment
...... valueCodeableConcept CodeableConcept
...... valueCoding Coding
...... valueContactPoint ContactPoint
...... valueCount Count
...... valueDistance Distance
...... valueDuration Duration
...... valueHumanName HumanName
...... valueIdentifier Identifier
...... valueMoney Money
...... valuePeriod Period
...... valueQuantity Quantity
...... valueRange Range
...... valueRatio Ratio
...... valueReference Reference(Any)
...... valueSampledData SampledData
...... valueSignature Signature
...... valueTiming Timing
...... valueContactDetail ContactDetail
...... valueContributor Contributor
...... valueDataRequirement DataRequirement
...... valueExpression Expression
...... valueParameterDefinition ParameterDefinition
...... valueRelatedArtifact RelatedArtifact
...... valueTriggerDefinition TriggerDefinition
...... valueUsageContext UsageContext
...... valueDosage Dosage
...... valueMeta Meta
...... value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... coding Σ 0..* Coding Code defined by a terminology system
....... text Σ 0..1 string Plain text representation of the concept
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier Σ 0..* Identifier Identifiers assigned to this order
Slice: Unordered, Open by value:type
.... identifier:accessionNumber Σ 0..1 AccessionNumberIdentifierEuImaging Identifiers assigned to this order
... instantiatesCanonical Σ 0..* canonical(ActivityDefinition | PlanDefinition) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(CarePlan | ServiceRequest | MedicationRequest) What request fulfills
... replaces Σ 0..* Reference(ServiceRequest) What request replaces
... requisition Σ 0..1 Identifier Composite Request ID
... status ?!Σ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.
... intent ?!Σ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.
... Slices for category Σ 1..* CodeableConcept Classification of service
Slice: Unordered, Open by value:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
.... category:imaging Σ 1..1 CodeableConcept Classification of service
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 363679005
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... 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 Σ 0..1 CodeableConcept Requested procedure
Binding: ValueSet: Imaging Procedure Type (example)
... orderDetail ΣC 0..* CodeableConcept Additional order information
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] Σ 0..1 When service should occur
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
... asNeeded[x] Σ 0..1 Preconditions for service
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
.... asNeededBoolean boolean
.... asNeededCodeableConcept CodeableConcept
... authoredOn Σ 0..1 dateTime Date request signed
... requester Σ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/what is requesting service
... performerType Σ 0..1 CodeableConcept Performer role
Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Requested performer
... locationCode Σ 0..* CodeableConcept Requested location
Binding: ServiceDeliveryLocationRoleType (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
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:codeableConcept 0..* 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 Additional clinical information
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ServiceRequest.supportingInfo
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... specimen Σ 0..* Reference(Specimen) Procedure Samples
... bodySite Σ 0..* CodeableConcept Location on Body
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... note 0..* Annotation Comments
... patientInstruction Σ 0..1 string Patient or consumer-oriented instructions
... relevantHistory 0..* Reference(Provenance) Request provenance

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ServiceRequest.language Base preferred Common Languages 📍4.0.1 FHIR Std.
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.category:imaging 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 ValueSet: Imaging Procedure Type 📦1.0.0-ballot This IG
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 v7.1
ServiceRequest.reasonCode Base example Procedure Reason Codes 📍4.0.1 FHIR Std.
ServiceRequest.supportingInfo.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
ServiceRequest.bodySite Base example 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 **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
prr-1 error ServiceRequest orderDetail SHALL only be present if code is present orderDetail.empty() or code.exists()

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of ServiceRequest.extension.value[x]
  • The element 1 is sliced based on the value of ServiceRequest.identifier
  • The element 1 is sliced based on the value of ServiceRequest.category

Maturity: 1

 

Other representations of profile: CSV, Excel, Schematron