Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed Constraints: bdystr-1, prr-1
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
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
status	?!Σ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent	?!Σ	1..1	code	proposal | plan | directive | order + Binding: RequestIntent (required): The kind of service request.
Slices for category	Σ	1..*	CodeableConcept	Classification of service Slice: Unordered, Open by value:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:imaging	Σ	1..1	CodeableConcept	Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 363679005
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	ΣC	0..1	CodeableReference(ActivityDefinition | PlanDefinition)	​What is being requested/ordered Binding: ProcedureCodesSNOMEDCT (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred and a valueset using LOINC Order codes is available here.
subject	Σ	1..1	Reference(Patient | Group | Location | Device)	Individual or Entity the service is ordered for
Slices for supportingInfo		0..*	CodeableReference(Resource)	Additional clinical information Slice: Unordered, Open by value:$this
supportingInfo:pregnancy		0..1	CodeableReference(Resource)	Additional clinical information Binding: Pregnancy Status - IPS (required)
note		0..*	Annotation	Comments
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
ServiceRequest.status	Base	required	RequestStatus	📍5.0.0	FHIR Std.
ServiceRequest.intent	Base	required	RequestIntent	📍5.0.0	FHIR Std.
ServiceRequest.category	Base	example	Service Request Category Codes	📍5.0.0	FHIR Std.
ServiceRequest.category:imaging	Base	example	Service Request Category Codes	📍5.0.0	FHIR Std.
ServiceRequest.code	Base	example	Procedure Codes (SNOMED CT)	📍5.0.0	FHIR Std.
ServiceRequest.supportingInfo:pregnancy	Base	required	Pregnancy Status - IPS	📦1.1.0	International Patient Summary Implementation Guide v1.1

Constraints

Id	Grade	Path(s)	Description	Expression
bdystr-1	error	ServiceRequest	bodyStructure SHALL only be present if bodySite is not present	bodySite.exists() implies bodyStructure.empty()
dom-2	error	ServiceRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	ServiceRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest		0..*	ServiceRequest	A request for a service to be performed
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:$this
category:imaging		1..1	CodeableConcept	Classification of service Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 363679005
code		0..1	CodeableReference(ActivityDefinition | PlanDefinition)	What is being requested/ordered
subject		1..1	Reference(Patient | Group | Location | Device)	Individual or Entity the service is ordered for
reason
concept		0..1	CodeableConcept	Reference to a concept (by class)
text		0..1	string	Plain text representation of the concept
Slices for supportingInfo		0..*	CodeableReference(Resource)	Additional clinical information Slice: Unordered, Open by value:$this
supportingInfo:pregnancy		0..1	CodeableReference(Resource)	Additional clinical information Binding: Pregnancy Status - IPS (required)
note		0..*	Annotation	Comments
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
ServiceRequest.supportingInfo:pregnancy	Base	required	Pregnancy Status - IPS	📦1.1.0	International Patient Summary Implementation Guide v1.1

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed Constraints: bdystr-1, prr-1
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
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
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	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 + 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	ΣC	0..1	CodeableReference(ActivityDefinition | PlanDefinition)	​What is being requested/ordered Binding: ProcedureCodesSNOMEDCT (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred and a valueset using LOINC Order codes is available here.
orderDetail	ΣC	0..*	BackboneElement	Additional order information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
parameterFocus		0..1	CodeableReference(Device | DeviceDefinition | DeviceRequest | SupplyRequest | Medication | MedicationRequest | BiologicallyDerivedProduct | Substance)	The context of the order details by reference
parameter	Σ	1..*	BackboneElement	The parameter details for the service being requested
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	The detail of the order being requested Binding: ServiceRequestOrderDetailParameterCode (example): Codes for order detail parameters.
value[x]	Σ	1..1		The value for the order detail
valueQuantity			Quantity
valueRatio			Ratio
valueRange			Range
valueBoolean			boolean
valueCodeableConcept			CodeableConcept
valueString			string
valuePeriod			Period
quantity[x]	Σ	0..1		Service amount
quantityQuantity			Quantity
quantityRatio			Ratio
quantityRange			Range
subject	Σ	1..1	Reference(Patient | Group | Location | Device)	Individual or Entity the service is ordered for
focus	Σ	0..*	Reference(Resource)	What the service request is about, when it is not about the subject of record
encounter	Σ	0..1	Reference(Encounter)	Encounter in which the request was created
occurrence[x]	Σ	0..1		When service should occur
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
asNeeded[x]	Σ	0..1		Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
authoredOn	Σ	0..1	dateTime	Date request signed
requester	Σ	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Who/what is requesting service
performerType	Σ	0..1	CodeableConcept	Performer role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)	Requested performer
location	Σ	0..*	CodeableReference(Location)	Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
reason	Σ	0..*	CodeableReference(Condition | Observation | DiagnosticReport | DocumentReference | DetectedIssue)	Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): SNOMED CT Condition/Problem/Diagnosis Codes
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
concept	Σ	0..1	CodeableConcept	Reference to a concept (by class)
id		0..1	id	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
reference	Σ	0..1	Reference()	Reference to a resource (by instance)
insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
Slices for supportingInfo		0..*	CodeableReference(Resource)	Additional clinical information Slice: Unordered, Open by value:$this
supportingInfo:pregnancy		0..1	CodeableReference(Resource)	Additional clinical information Binding: Pregnancy Status - IPS (required)
specimen	Σ	0..*	Reference(Specimen)	Procedure Samples
bodySite	ΣC	0..*	CodeableConcept	Coded location on Body Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
bodyStructure	ΣC	0..1	Reference(BodyStructure)	BodyStructure-based location on the body
note		0..*	Annotation	Comments
patientInstruction		0..*	BackboneElement	Patient or consumer-oriented instructions
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
instruction[x]	Σ	0..1		Patient or consumer-oriented instructions
instructionMarkdown			markdown
instructionReference			Reference(DocumentReference)
relevantHistory		0..*	Reference(Provenance)	Request provenance
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
ServiceRequest.language	Base	required	All Languages	📍5.0.0	FHIR Std.
ServiceRequest.status	Base	required	RequestStatus	📍5.0.0	FHIR Std.
ServiceRequest.intent	Base	required	RequestIntent	📍5.0.0	FHIR Std.
ServiceRequest.category	Base	example	Service Request Category Codes	📍5.0.0	FHIR Std.
ServiceRequest.category:imaging	Base	example	Service Request Category Codes	📍5.0.0	FHIR Std.
ServiceRequest.priority	Base	required	RequestPriority	📍5.0.0	FHIR Std.
ServiceRequest.code	Base	example	Procedure Codes (SNOMED CT)	📍5.0.0	FHIR Std.
ServiceRequest.orderDetail.​parameter.code	Base	example	Servicerequest OrderDetail Parameter Code	📍5.0.0	FHIR Std.
ServiceRequest.asNeeded[x]	Base	example	SNOMED CT Medication As Needed Reason Codes	📍5.0.0	FHIR Std.
ServiceRequest.performerType	Base	example	Participant Roles	📍5.0.0	FHIR Std.
ServiceRequest.location	Base	example	ServiceDeliveryLocationRoleType	📦3.0.0	THO v6.5
ServiceRequest.reason	Base	example	Procedure Reason Codes	📍5.0.0	FHIR Std.
ServiceRequest.supportingInfo:pregnancy	Base	required	Pregnancy Status - IPS	📦1.1.0	International Patient Summary Implementation Guide v1.1
ServiceRequest.bodySite	Base	example	SNOMED CT Body Structures	📍5.0.0	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
bdystr-1	error	ServiceRequest	bodyStructure SHALL only be present if bodySite is not present	bodySite.exists() implies bodyStructure.empty()
dom-2	error	ServiceRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	ServiceRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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:

• Identifier: Accession Number (http://hl7.eu/fhir/imaging-r5/StructureDefinition/AccessionNumberIdentifierEuImaging)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of ServiceRequest.identifier
• The element 1 is sliced based on the value of ServiceRequest.category
• The element 1 is sliced based on the value of ServiceRequest.supportingInfo

Maturity: 1

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed Constraints: bdystr-1, prr-1
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
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
status	?!Σ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent	?!Σ	1..1	code	proposal | plan | directive | order + Binding: RequestIntent (required): The kind of service request.
Slices for category	Σ	1..*	CodeableConcept	Classification of service Slice: Unordered, Open by value:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:imaging	Σ	1..1	CodeableConcept	Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 363679005
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	ΣC	0..1	CodeableReference(ActivityDefinition | PlanDefinition)	​What is being requested/ordered Binding: ProcedureCodesSNOMEDCT (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred and a valueset using LOINC Order codes is available here.
subject	Σ	1..1	Reference(Patient | Group | Location | Device)	Individual or Entity the service is ordered for
Slices for supportingInfo		0..*	CodeableReference(Resource)	Additional clinical information Slice: Unordered, Open by value:$this
supportingInfo:pregnancy		0..1	CodeableReference(Resource)	Additional clinical information Binding: Pregnancy Status - IPS (required)
note		0..*	Annotation	Comments
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
ServiceRequest.status	Base	required	RequestStatus	📍5.0.0	FHIR Std.
ServiceRequest.intent	Base	required	RequestIntent	📍5.0.0	FHIR Std.
ServiceRequest.category	Base	example	Service Request Category Codes	📍5.0.0	FHIR Std.
ServiceRequest.category:imaging	Base	example	Service Request Category Codes	📍5.0.0	FHIR Std.
ServiceRequest.code	Base	example	Procedure Codes (SNOMED CT)	📍5.0.0	FHIR Std.
ServiceRequest.supportingInfo:pregnancy	Base	required	Pregnancy Status - IPS	📦1.1.0	International Patient Summary Implementation Guide v1.1

Constraints

Id	Grade	Path(s)	Description	Expression
bdystr-1	error	ServiceRequest	bodyStructure SHALL only be present if bodySite is not present	bodySite.exists() implies bodyStructure.empty()
dom-2	error	ServiceRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	ServiceRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest		0..*	ServiceRequest	A request for a service to be performed
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:$this
category:imaging		1..1	CodeableConcept	Classification of service Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 363679005
code		0..1	CodeableReference(ActivityDefinition | PlanDefinition)	What is being requested/ordered
subject		1..1	Reference(Patient | Group | Location | Device)	Individual or Entity the service is ordered for
reason
concept		0..1	CodeableConcept	Reference to a concept (by class)
text		0..1	string	Plain text representation of the concept
Slices for supportingInfo		0..*	CodeableReference(Resource)	Additional clinical information Slice: Unordered, Open by value:$this
supportingInfo:pregnancy		0..1	CodeableReference(Resource)	Additional clinical information Binding: Pregnancy Status - IPS (required)
note		0..*	Annotation	Comments
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
ServiceRequest.supportingInfo:pregnancy	Base	required	Pregnancy Status - IPS	📦1.1.0	International Patient Summary Implementation Guide v1.1

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed Constraints: bdystr-1, prr-1
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
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
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	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 + 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	ΣC	0..1	CodeableReference(ActivityDefinition | PlanDefinition)	​What is being requested/ordered Binding: ProcedureCodesSNOMEDCT (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred and a valueset using LOINC Order codes is available here.
orderDetail	ΣC	0..*	BackboneElement	Additional order information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
parameterFocus		0..1	CodeableReference(Device | DeviceDefinition | DeviceRequest | SupplyRequest | Medication | MedicationRequest | BiologicallyDerivedProduct | Substance)	The context of the order details by reference
parameter	Σ	1..*	BackboneElement	The parameter details for the service being requested
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	The detail of the order being requested Binding: ServiceRequestOrderDetailParameterCode (example): Codes for order detail parameters.
value[x]	Σ	1..1		The value for the order detail
valueQuantity			Quantity
valueRatio			Ratio
valueRange			Range
valueBoolean			boolean
valueCodeableConcept			CodeableConcept
valueString			string
valuePeriod			Period
quantity[x]	Σ	0..1		Service amount
quantityQuantity			Quantity
quantityRatio			Ratio
quantityRange			Range
subject	Σ	1..1	Reference(Patient | Group | Location | Device)	Individual or Entity the service is ordered for
focus	Σ	0..*	Reference(Resource)	What the service request is about, when it is not about the subject of record
encounter	Σ	0..1	Reference(Encounter)	Encounter in which the request was created
occurrence[x]	Σ	0..1		When service should occur
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
asNeeded[x]	Σ	0..1		Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
authoredOn	Σ	0..1	dateTime	Date request signed
requester	Σ	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Who/what is requesting service
performerType	Σ	0..1	CodeableConcept	Performer role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)	Requested performer
location	Σ	0..*	CodeableReference(Location)	Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
reason	Σ	0..*	CodeableReference(Condition | Observation | DiagnosticReport | DocumentReference | DetectedIssue)	Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): SNOMED CT Condition/Problem/Diagnosis Codes
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
concept	Σ	0..1	CodeableConcept	Reference to a concept (by class)
id		0..1	id	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
reference	Σ	0..1	Reference()	Reference to a resource (by instance)
insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
Slices for supportingInfo		0..*	CodeableReference(Resource)	Additional clinical information Slice: Unordered, Open by value:$this
supportingInfo:pregnancy		0..1	CodeableReference(Resource)	Additional clinical information Binding: Pregnancy Status - IPS (required)
specimen	Σ	0..*	Reference(Specimen)	Procedure Samples
bodySite	ΣC	0..*	CodeableConcept	Coded location on Body Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
bodyStructure	ΣC	0..1	Reference(BodyStructure)	BodyStructure-based location on the body
note		0..*	Annotation	Comments
patientInstruction		0..*	BackboneElement	Patient or consumer-oriented instructions
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
instruction[x]	Σ	0..1		Patient or consumer-oriented instructions
instructionMarkdown			markdown
instructionReference			Reference(DocumentReference)
relevantHistory		0..*	Reference(Provenance)	Request provenance
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
ServiceRequest.language	Base	required	All Languages	📍5.0.0	FHIR Std.
ServiceRequest.status	Base	required	RequestStatus	📍5.0.0	FHIR Std.
ServiceRequest.intent	Base	required	RequestIntent	📍5.0.0	FHIR Std.
ServiceRequest.category	Base	example	Service Request Category Codes	📍5.0.0	FHIR Std.
ServiceRequest.category:imaging	Base	example	Service Request Category Codes	📍5.0.0	FHIR Std.
ServiceRequest.priority	Base	required	RequestPriority	📍5.0.0	FHIR Std.
ServiceRequest.code	Base	example	Procedure Codes (SNOMED CT)	📍5.0.0	FHIR Std.
ServiceRequest.orderDetail.​parameter.code	Base	example	Servicerequest OrderDetail Parameter Code	📍5.0.0	FHIR Std.
ServiceRequest.asNeeded[x]	Base	example	SNOMED CT Medication As Needed Reason Codes	📍5.0.0	FHIR Std.
ServiceRequest.performerType	Base	example	Participant Roles	📍5.0.0	FHIR Std.
ServiceRequest.location	Base	example	ServiceDeliveryLocationRoleType	📦3.0.0	THO v6.5
ServiceRequest.reason	Base	example	Procedure Reason Codes	📍5.0.0	FHIR Std.
ServiceRequest.supportingInfo:pregnancy	Base	required	Pregnancy Status - IPS	📦1.1.0	International Patient Summary Implementation Guide v1.1
ServiceRequest.bodySite	Base	example	SNOMED CT Body Structures	📍5.0.0	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
bdystr-1	error	ServiceRequest	bodyStructure SHALL only be present if bodySite is not present	bodySite.exists() implies bodyStructure.empty()
dom-2	error	ServiceRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	ServiceRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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:

• Identifier: Accession Number (http://hl7.eu/fhir/imaging-r5/StructureDefinition/AccessionNumberIdentifierEuImaging)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of ServiceRequest.identifier
• The element 1 is sliced based on the value of ServiceRequest.category
• The element 1 is sliced based on the value of ServiceRequest.supportingInfo

Maturity: 1