HL7 Europe Imaging Study Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/imaging/ and changes regularly. See the Directory of published versions

• Content
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Resource Profile: Imaging Order

This profile on ServiceRequest represents the order for the Imaging Study and report.

Usage:

• Refer to this Resource Profile: Imaging Composition, Imaging Diagnostic Report, Finding, ImagingStudy... Show 2 more, Imaging Key Image Document Reference and Imaging Procedure

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed bdystr-1: bodyStructure SHALL only be present if bodySite is not present dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management prr-1: orderDetail SHALL only be present if code is present
meta	Σ	0..1	Meta	Metadata about the resource ele-1: All FHIR elements must have a @value or children
security	SΣ	0..*	Coding	Security Labels applied to this resource Binding: AllSecurityLabels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. ele-1: All FHIR elements must have a @value or children
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
language	S	0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set ele-1: All FHIR elements must have a @value or children
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for identifier	Σ	0..*	Identifier	Identifiers assigned to this order Slice: Unordered, Open by value:type ele-1: All FHIR elements must have a @value or children
identifier:accessionNumber	SOΣ	0..1	Identifier	Identifiers assigned to this order ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known IM Producer
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. ele-1: All FHIR elements must have a @value or children 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://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ACSN
system	SΣ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
value	SΣC	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. ele-1: All FHIR elements must have a @value or children
intent	?!SΣ	1..1	code	proposal | plan | directive | order + Binding: RequestIntent (required): The kind of service request. ele-1: All FHIR elements must have a @value or children
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(Imaging Patient)	Individual or Entity the service is ordered for ele-1: All FHIR elements must have a @value or children
authoredOn	SOΣ	0..1	dateTime	Date request signed ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known IM Producer
requester	SOΣ	0..1	Reference(Order Placer | Imaging Patient)	Who/what is requesting service ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known IM Producer
reason	SOΣ	0..*	CodeableReference(Condition | Observation | DiagnosticReport | DocumentReference | DetectedIssue)	Clinical question/reason for the order Binding: ProcedureReasonCodes (example): SNOMED CT Condition/Problem/Diagnosis Codes ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known IM Producer
insurance	SO	0..1	Reference(Coverage information)	Associated insurance coverage ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known IM Producer
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ServiceRequest.meta.security	extensible	AllSecurityLabels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
ServiceRequest.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
ServiceRequest.identifier:accessionNumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
ServiceRequest.identifier:accessionNumber.type	extensible	Pattern: ACSN http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|5.0.0 from the FHIR Standard
ServiceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent|5.0.0 from the FHIR Standard
ServiceRequest.reason	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

This structure is derived from ServiceRequest

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest			ServiceRequest
meta
security	S	0..*	Coding	Security Labels applied to this resource
language	S	0..1	code	Language of the resource content
Slices for identifier		0..*	Identifier	Identifiers assigned to this order Slice: Unordered, Open by value:type
identifier:accessionNumber	SO	0..1	Identifier	Identifiers assigned to this order Obligations Actor SHALL:populate-if-known IM Producer
type	S	1..1	CodeableConcept	Description of identifier 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://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ACSN
system	S	1..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
status	S	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown
intent	S	1..1	code	proposal | plan | directive | order +
subject	S	1..1	Reference(Imaging Patient)	Individual or Entity the service is ordered for
authoredOn	SO	0..1	dateTime	Date request signed Obligations Actor SHALL:populate-if-known IM Producer
requester	SO	0..1	Reference(Order Placer | Imaging Patient)	Who/what is requesting service Obligations Actor SHALL:populate-if-known IM Producer
reason	SO	0..*	CodeableReference(Condition | Observation | DiagnosticReport | DocumentReference | DetectedIssue)	Clinical question/reason for the order Obligations Actor SHALL:populate-if-known IM Producer
insurance	SO	0..1	Reference(Coverage information)	Associated insurance coverage Obligations Actor SHALL:populate-if-known IM Producer
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed bdystr-1: bodyStructure SHALL only be present if bodySite is not present prr-1: orderDetail SHALL only be present if code is present
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	SΣ	0..*	Coding	Security Labels applied to this resource Binding: AllSecurityLabels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language	S	0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set
text		0..1	Narrative	Text summary of the resource, for human interpretation
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	SOΣ	0..1	Identifier	Identifiers assigned to this order Obligations Actor SHALL:populate-if-known IM Producer
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. 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://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ACSN
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
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣC	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
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	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent	?!SΣ	1..1	code	proposal | plan | directive | order + Binding: RequestIntent (required): The kind of service request.
category	Σ	0..*	CodeableConcept	Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	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	SΣ	1..1	Reference(Imaging Patient)	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	SOΣ	0..1	dateTime	Date request signed Obligations Actor SHALL:populate-if-known IM Producer
requester	SOΣ	0..1	Reference(Order Placer | Imaging Patient)	Who/what is requesting service Obligations Actor SHALL:populate-if-known IM Producer
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	SOΣ	0..*	CodeableReference(Condition | Observation | DiagnosticReport | DocumentReference | DetectedIssue)	Clinical question/reason for the order Binding: ProcedureReasonCodes (example): SNOMED CT Condition/Problem/Diagnosis Codes Obligations Actor SHALL:populate-if-known IM Producer
insurance	SO	0..1	Reference(Coverage information)	Associated insurance coverage Obligations Actor SHALL:populate-if-known IM Producer
supportingInfo		0..*	CodeableReference(Resource)	Additional clinical information
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	Conformance	ValueSet / Code	URI
ServiceRequest.meta.security	extensible	AllSecurityLabels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
ServiceRequest.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
ServiceRequest.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
ServiceRequest.identifier:accessionNumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
ServiceRequest.identifier:accessionNumber.type	extensible	Pattern: ACSN http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|5.0.0 from the FHIR Standard
ServiceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent|5.0.0 from the FHIR Standard
ServiceRequest.category	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category from the FHIR Standard
ServiceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|5.0.0 from the FHIR Standard
ServiceRequest.code	example	ProcedureCodesSNOMEDCT http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
ServiceRequest.orderDetail.parameter.code	example	ServiceRequestOrderDetailParameterCode http://hl7.org/fhir/ValueSet/servicerequest-orderdetail-parameter-code from the FHIR Standard
ServiceRequest.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
ServiceRequest.performerType	example	ParticipantRoles http://hl7.org/fhir/ValueSet/participant-role from the FHIR Standard
ServiceRequest.location	example	ServiceDeliveryLocationRoleType http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reason	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
ServiceRequest.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

This structure is derived from ServiceRequest

Summary

Mandatory: 0 element(3 nested mandatory elements)
Must-Support: 13 elements

Structures

This structure refers to these other structures:

• Imaging Patient (http://hl7.eu/fhir/imaging/StructureDefinition/im-patient)
• Order Placer (http://hl7.eu/fhir/imaging/StructureDefinition/im-order-placer)
• Coverage information (http://hl7.eu/fhir/imaging/StructureDefinition/im-coverage)

Slices

This structure defines the following Slices:

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

Maturity: 1

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed bdystr-1: bodyStructure SHALL only be present if bodySite is not present dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management prr-1: orderDetail SHALL only be present if code is present
meta	Σ	0..1	Meta	Metadata about the resource ele-1: All FHIR elements must have a @value or children
security	SΣ	0..*	Coding	Security Labels applied to this resource Binding: AllSecurityLabels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. ele-1: All FHIR elements must have a @value or children
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
language	S	0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set ele-1: All FHIR elements must have a @value or children
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for identifier	Σ	0..*	Identifier	Identifiers assigned to this order Slice: Unordered, Open by value:type ele-1: All FHIR elements must have a @value or children
identifier:accessionNumber	SOΣ	0..1	Identifier	Identifiers assigned to this order ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known IM Producer
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. ele-1: All FHIR elements must have a @value or children 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://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ACSN
system	SΣ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
value	SΣC	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. ele-1: All FHIR elements must have a @value or children
intent	?!SΣ	1..1	code	proposal | plan | directive | order + Binding: RequestIntent (required): The kind of service request. ele-1: All FHIR elements must have a @value or children
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(Imaging Patient)	Individual or Entity the service is ordered for ele-1: All FHIR elements must have a @value or children
authoredOn	SOΣ	0..1	dateTime	Date request signed ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known IM Producer
requester	SOΣ	0..1	Reference(Order Placer | Imaging Patient)	Who/what is requesting service ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known IM Producer
reason	SOΣ	0..*	CodeableReference(Condition | Observation | DiagnosticReport | DocumentReference | DetectedIssue)	Clinical question/reason for the order Binding: ProcedureReasonCodes (example): SNOMED CT Condition/Problem/Diagnosis Codes ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known IM Producer
insurance	SO	0..1	Reference(Coverage information)	Associated insurance coverage ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known IM Producer
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ServiceRequest.meta.security	extensible	AllSecurityLabels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
ServiceRequest.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
ServiceRequest.identifier:accessionNumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
ServiceRequest.identifier:accessionNumber.type	extensible	Pattern: ACSN http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|5.0.0 from the FHIR Standard
ServiceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent|5.0.0 from the FHIR Standard
ServiceRequest.reason	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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

This structure is derived from ServiceRequest

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest			ServiceRequest
meta
security	S	0..*	Coding	Security Labels applied to this resource
language	S	0..1	code	Language of the resource content
Slices for identifier		0..*	Identifier	Identifiers assigned to this order Slice: Unordered, Open by value:type
identifier:accessionNumber	SO	0..1	Identifier	Identifiers assigned to this order Obligations Actor SHALL:populate-if-known IM Producer
type	S	1..1	CodeableConcept	Description of identifier 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://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ACSN
system	S	1..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
status	S	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown
intent	S	1..1	code	proposal | plan | directive | order +
subject	S	1..1	Reference(Imaging Patient)	Individual or Entity the service is ordered for
authoredOn	SO	0..1	dateTime	Date request signed Obligations Actor SHALL:populate-if-known IM Producer
requester	SO	0..1	Reference(Order Placer | Imaging Patient)	Who/what is requesting service Obligations Actor SHALL:populate-if-known IM Producer
reason	SO	0..*	CodeableReference(Condition | Observation | DiagnosticReport | DocumentReference | DetectedIssue)	Clinical question/reason for the order Obligations Actor SHALL:populate-if-known IM Producer
insurance	SO	0..1	Reference(Coverage information)	Associated insurance coverage Obligations Actor SHALL:populate-if-known IM Producer
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed bdystr-1: bodyStructure SHALL only be present if bodySite is not present prr-1: orderDetail SHALL only be present if code is present
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	SΣ	0..*	Coding	Security Labels applied to this resource Binding: AllSecurityLabels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language	S	0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set
text		0..1	Narrative	Text summary of the resource, for human interpretation
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	SOΣ	0..1	Identifier	Identifiers assigned to this order Obligations Actor SHALL:populate-if-known IM Producer
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. 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://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ACSN
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
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣC	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
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	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent	?!SΣ	1..1	code	proposal | plan | directive | order + Binding: RequestIntent (required): The kind of service request.
category	Σ	0..*	CodeableConcept	Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	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	SΣ	1..1	Reference(Imaging Patient)	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	SOΣ	0..1	dateTime	Date request signed Obligations Actor SHALL:populate-if-known IM Producer
requester	SOΣ	0..1	Reference(Order Placer | Imaging Patient)	Who/what is requesting service Obligations Actor SHALL:populate-if-known IM Producer
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	SOΣ	0..*	CodeableReference(Condition | Observation | DiagnosticReport | DocumentReference | DetectedIssue)	Clinical question/reason for the order Binding: ProcedureReasonCodes (example): SNOMED CT Condition/Problem/Diagnosis Codes Obligations Actor SHALL:populate-if-known IM Producer
insurance	SO	0..1	Reference(Coverage information)	Associated insurance coverage Obligations Actor SHALL:populate-if-known IM Producer
supportingInfo		0..*	CodeableReference(Resource)	Additional clinical information
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	Conformance	ValueSet / Code	URI
ServiceRequest.meta.security	extensible	AllSecurityLabels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
ServiceRequest.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
ServiceRequest.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
ServiceRequest.identifier:accessionNumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
ServiceRequest.identifier:accessionNumber.type	extensible	Pattern: ACSN http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|5.0.0 from the FHIR Standard
ServiceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent|5.0.0 from the FHIR Standard
ServiceRequest.category	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category from the FHIR Standard
ServiceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|5.0.0 from the FHIR Standard
ServiceRequest.code	example	ProcedureCodesSNOMEDCT http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
ServiceRequest.orderDetail.parameter.code	example	ServiceRequestOrderDetailParameterCode http://hl7.org/fhir/ValueSet/servicerequest-orderdetail-parameter-code from the FHIR Standard
ServiceRequest.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
ServiceRequest.performerType	example	ParticipantRoles http://hl7.org/fhir/ValueSet/participant-role from the FHIR Standard
ServiceRequest.location	example	ServiceDeliveryLocationRoleType http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reason	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
ServiceRequest.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

This structure is derived from ServiceRequest

Summary

Mandatory: 0 element(3 nested mandatory elements)
Must-Support: 13 elements

Structures

This structure refers to these other structures:

• Imaging Patient (http://hl7.eu/fhir/imaging/StructureDefinition/im-patient)
• Order Placer (http://hl7.eu/fhir/imaging/StructureDefinition/im-order-placer)
• Coverage information (http://hl7.eu/fhir/imaging/StructureDefinition/im-coverage)

Slices

This structure defines the following Slices:

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

Maturity: 1

Other representations of profile: CSV, Excel, Schematron