HL7 Europe Imaging Report R5
0.1.1-build - ci-build 150

HL7 Europe Imaging Report R5, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.1.1-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/imaging-r5/ and changes regularly. See the Directory of published versions

Resource Profile: ServiceRequest: Imaging Order

Official URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/ServiceRequestOrderEuImaging Version: 0.1.1-build
Standards status: Draft Draft as of 2026-01-26 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: 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
.... 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) 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
... 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

doco 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 ValueSet: Imaging Procedure Type 📦0.1.1-build This IG
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()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest ServiceRequest
... 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:$this
.... category:imaging 1..1 CodeableConcept Classification of service
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 363679005
... code 0..1 CodeableReference(ActivityDefinition | PlanDefinition) Requested procedure
Binding: ValueSet: Imaging Procedure Type (example)
... reason
.... concept 0..1 CodeableConcept Reference to a concept (by class)
..... text 0..1 string Plain text representation of the concept
... Slices for supportingInfo 0..* CodeableReference(Resource) Additional clinical information
Slice: Unordered, Open by value:$this
.... supportingInfo:pregnancy 0..1 CodeableReference(Resource) Additional clinical information
Binding: Pregnancy Status - IPS (required)
... note 0..* Annotation Comments

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
ServiceRequest.code Base example ValueSet: Imaging Procedure Type 📦0.1.1-build This IG
ServiceRequest.supportingInfo:pregnancy Base required Pregnancy Status - IPS 📦1.1.0 International Patient Summary Implementation Guide v1.1
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 BindingsPurpose
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) Requested procedure
Binding: ValueSet: Imaging Procedure Type (example)
... 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

doco 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 ValueSet: Imaging Procedure Type 📦0.1.1-build This IG
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 v7.0
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:

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

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
.... 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) 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
... 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

doco 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 ValueSet: Imaging Procedure Type 📦0.1.1-build This IG
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()

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest ServiceRequest
... 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:$this
.... category:imaging 1..1 CodeableConcept Classification of service
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 363679005
... code 0..1 CodeableReference(ActivityDefinition | PlanDefinition) Requested procedure
Binding: ValueSet: Imaging Procedure Type (example)
... reason
.... concept 0..1 CodeableConcept Reference to a concept (by class)
..... text 0..1 string Plain text representation of the concept
... Slices for supportingInfo 0..* CodeableReference(Resource) Additional clinical information
Slice: Unordered, Open by value:$this
.... supportingInfo:pregnancy 0..1 CodeableReference(Resource) Additional clinical information
Binding: Pregnancy Status - IPS (required)
... note 0..* Annotation Comments

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
ServiceRequest.code Base example ValueSet: Imaging Procedure Type 📦0.1.1-build This IG
ServiceRequest.supportingInfo:pregnancy Base required Pregnancy Status - IPS 📦1.1.0 International Patient Summary Implementation Guide v1.1

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 BindingsPurpose
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) Requested procedure
Binding: ValueSet: Imaging Procedure Type (example)
... 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

doco 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 ValueSet: Imaging Procedure Type 📦0.1.1-build This IG
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 v7.0
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:

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

 

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