CH RAD-Order (R4), published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7ch/ch-rad-order/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON

Resource Profile: CH RAD-Order ServiceRequest

Definition for the ServiceRequest resource in the context of CH RAD-Order.

Usage:

• Refer to this Resource Profile: CH RAD-Order Composition
• Examples for this Resource Profile: ServiceRequest/ServiceRequestRadiologyOrder

Formal Views of Profile Content

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

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

This structure is derived from ChOrfServiceRequest

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest		0..*	ChOrfServiceRequest	CH RAD-Order ServiceRequest
category	S	1..1	CodeableConcept	Classification of service Binding: Requested Service (required)
code	S	0..1	CodeableConcept	Use 'RSNA/LOINC Playbook (Full Version support)' OR Codes from 'ChRadOrderModalityType' but NOT both. In case of 'ChRadOrderModalityType' specify Imaging Request Details by means of orderDetail.
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:LncPlbFull	S	0..1	Coding	Code defined by a terminology system Binding: LOINC loinc-rsna-radiology-playbook (required)
coding:RdlxModType	S	0..1	Coding	Code defined by a terminology system Binding: Modality Type (required)
Slices for orderDetail	S	0..*	CodeableConcept	Additional order information Slice: Unordered, Open by value:$this
orderDetail:All Slices				Content/Rules for all slices
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
orderDetailType	S	1..1	Coding	CH RAD-Order Order Detail Type URL: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-order-detail-type Binding: Type of Order Detail (required)
orderDetail:imagingRegion	S	0..*	CodeableConcept	Additional order information Binding: Imaging Region (required)
orderDetail:laterality	S	0..1	CodeableConcept	Additional order information Binding: Laterality (required)
orderDetail:viewType	S	0..*	CodeableConcept	Additional order information Binding: View Type (required)
orderDetail:maneuverType	S	0..*	CodeableConcept	Additional order information Binding: Maneuver Type (required)
orderDetail:guidanceForAction	S	0..*	CodeableConcept	Additional order information Binding: Guidance for Action (required)
performer	S	0..1	Reference(CH Core PractitionerRole)	Desired radiologist for diagnostic / for intervention
reasonCode	S	0..*	CodeableConcept	Diagnostic Question in free text: Coding of all diagnostic questions will be defined later.
text	S	1..1	string	Plain text representation of the concept
reasonReference	S	0..*	Reference(CH RAD-Order Diagnosis Condition)	Reason for the referral (primary diagnosis)
Slices for supportingInfo	S	0..*	Reference(Resource)	Additional clinical information Slice: Unordered, Open by profile:resolve()
supportingInfo:bodyHeight	S	0..1	Reference(CH RAD-Order Body Height Observation)	Additional clinical information
supportingInfo:bodyWeight	S	0..1	Reference(CH RAD-Order Body Weight Observation)	Additional clinical information
supportingInfo:diagnosis	S	0..*	Reference(CH RAD-Order Diagnosis Condition)	Additional problem / secondary diagnosis
supportingInfo:caveats	S	0..*	Reference(CH RAD-Order Caveat Condition)	Additional clinical information
supportingInfo:previousImagingResults	S	0..*	Reference(CH RAD-Order ImagingStudy | CH ORF DocumentReference)	The ImagingStudy Resource lists the SOP Instances which are either attached by means of a document reference or which shall be retrieved by means of a DICOM service
bodySite	S	0..*	CodeableConcept	Location on Body Binding: Imaging Focus (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ServiceRequest.category	required	ChRadOrderRequestedService (a valid code from Requested Service) http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-requested-service from this IG
ServiceRequest.code.coding:LncPlbFull	required	LOINC loinc-rsna-radiology-playbook http://loinc.org/vs/loinc-rsna-radiology-playbook
ServiceRequest.code.coding:RdlxModType	required	ChRadOrderModalityType http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-modality-type from this IG
ServiceRequest.orderDetail:imagingRegion	required	ChRadOrderImagingRegion http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-imaging-region from this IG
ServiceRequest.orderDetail:laterality	required	ChRadOrderLaterality http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-laterality from this IG
ServiceRequest.orderDetail:viewType	required	ChRadOrderViewType http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-view-type from this IG
ServiceRequest.orderDetail:maneuverType	required	ChRadOrderManeuverType http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-maneuver-type from this IG
ServiceRequest.orderDetail:guidanceForAction	required	ChRadOrderGuidanceForAction http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-guidance-for-action from this IG
ServiceRequest.bodySite	required	ChRadOrderImagingFocus http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-imaging-focus from this IG

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ChOrfServiceRequest	CH RAD-Order ServiceRequest prr-1: orderDetail SHALL only be present if code is present
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
locationAndTime	S	0..*	Reference(CH ORF Appointment)	CH ORF Location and Time URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-locationandtime
requestedEncounterDetails	S	0..1	Reference(CH ORF Requested Encounter)	CH ORF Requested Encounter Details URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-requestedencounterdetails
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	Identifiers assigned to this order Slice: Unordered, Open by value:$this
identifier:placerOrderIdentifier	SΣ	1..1	Identifier	Placer Order Identifier Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
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: PLAC
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
identifier:fillerOrderIdentifier	SΣ	0..1	Identifier	Filler Order Identifier Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
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: FILL
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique 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.
intent	?!SΣ	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request.
category	SΣ	1..1	CodeableConcept	Classification of service Binding: Requested Service (required)
priority	SΣ	0..1	code	Order priority 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	SΣ	0..1	CodeableConcept	​Use 'RSNA/LOINC Playbook (Full Version support)' OR Codes from 'ChRadOrderModalityType' but NOT both. In case of 'ChRadOrderModalityType' specify Imaging Request Details by means of orderDetail. Binding: ProcedureCodes(SNOMEDCT) (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.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:LncPlbFull	SΣ	0..1	Coding	Code defined by a terminology system Binding: LOINC loinc-rsna-radiology-playbook (required)
coding:RdlxModType	SΣ	0..1	Coding	Code defined by a terminology system Binding: Modality Type (required)
Slices for orderDetail	SΣC	0..*	CodeableConcept	Additional order information Slice: Unordered, Open by value:$this Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
orderDetail:All Slices				Content/Rules for all slices
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
orderDetailType	S	1..1	Coding	CH RAD-Order Order Detail Type URL: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-order-detail-type Binding: Type of Order Detail (required)
orderDetail:imagingRegion	SΣC	0..*	CodeableConcept	Additional order information Binding: Imaging Region (required)
orderDetail:laterality	SΣC	0..1	CodeableConcept	Additional order information Binding: Laterality (required)
orderDetail:viewType	SΣC	0..*	CodeableConcept	Additional order information Binding: View Type (required)
orderDetail:maneuverType	SΣC	0..*	CodeableConcept	Additional order information Binding: Maneuver Type (required)
orderDetail:guidanceForAction	SΣC	0..*	CodeableConcept	Additional order information Binding: Guidance for Action (required)
subject	SΣ	1..1	Reference(CH Core Patient)	Patient
requester	SΣ	0..1	Reference(CH Core PractitionerRole)	The person/organization responsible for the form content
performer	SΣ	0..1	Reference(CH Core PractitionerRole)	Desired radiologist for diagnostic / for intervention
reasonCode	SΣ	0..*	CodeableConcept	Diagnostic Question in free text: Coding of all diagnostic questions will be defined later. Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
text	SΣ	1..1	string	Plain text representation of the concept
reasonReference	SΣ	0..*	Reference(CH RAD-Order Diagnosis Condition)	Reason for the referral (primary diagnosis)
insurance	S	0..*	Reference(CH ORF Coverage)	Associated insurance coverage
Slices for supportingInfo	S	0..*	Reference(Resource)	Additional clinical information Slice: Unordered, Open by profile:resolve()
supportingInfo:bodyHeight	S	0..1	Reference(CH RAD-Order Body Height Observation)	Additional clinical information
supportingInfo:bodyWeight	S	0..1	Reference(CH RAD-Order Body Weight Observation)	Additional clinical information
supportingInfo:diagnosis	S	0..*	Reference(CH RAD-Order Diagnosis Condition)	Additional problem / secondary diagnosis
supportingInfo:caveats	S	0..*	Reference(CH RAD-Order Caveat Condition)	Additional clinical information
supportingInfo:previousImagingResults	S	0..*	Reference(CH RAD-Order ImagingStudy | CH ORF DocumentReference)	The ImagingStudy Resource lists the SOP Instances which are either attached by means of a document reference or which shall be retrieved by means of a DICOM service
bodySite	SΣ	0..*	CodeableConcept	Location on Body Binding: Imaging Focus (required)
note	S	0..*	Annotation	Comments
text	SΣ	1..1	markdown	The annotation - text content (as markdown)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ServiceRequest.identifier:placerOrderIdentifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
ServiceRequest.identifier:fillerOrderIdentifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
ServiceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent|4.0.1 from the FHIR Standard
ServiceRequest.category	required	ChRadOrderRequestedService (a valid code from Requested Service) http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-requested-service from this IG
ServiceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
ServiceRequest.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
ServiceRequest.code.coding:LncPlbFull	required	LOINC loinc-rsna-radiology-playbook http://loinc.org/vs/loinc-rsna-radiology-playbook
ServiceRequest.code.coding:RdlxModType	required	ChRadOrderModalityType http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-modality-type from this IG
ServiceRequest.orderDetail	example	ServiceRequestOrderDetailsCodes http://hl7.org/fhir/ValueSet/servicerequest-orderdetail from the FHIR Standard
ServiceRequest.orderDetail:imagingRegion	required	ChRadOrderImagingRegion http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-imaging-region from this IG
ServiceRequest.orderDetail:laterality	required	ChRadOrderLaterality http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-laterality from this IG
ServiceRequest.orderDetail:viewType	required	ChRadOrderViewType http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-view-type from this IG
ServiceRequest.orderDetail:maneuverType	required	ChRadOrderManeuverType http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-maneuver-type from this IG
ServiceRequest.orderDetail:guidanceForAction	required	ChRadOrderGuidanceForAction http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-guidance-for-action from this IG
ServiceRequest.reasonCode	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
ServiceRequest.bodySite	required	ChRadOrderImagingFocus http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-imaging-focus from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ServiceRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ServiceRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ServiceRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
prr-1	error	ServiceRequest	orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists()

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ChOrfServiceRequest	CH RAD-Order ServiceRequest 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
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
locationAndTime	S	0..*	Reference(CH ORF Appointment)	CH ORF Location and Time URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-locationandtime
requestedEncounterDetails	S	0..1	Reference(CH ORF Requested Encounter)	CH ORF Requested Encounter Details URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-requestedencounterdetails
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	Identifiers assigned to this order Slice: Unordered, Open by value:$this
identifier:placerOrderIdentifier	SΣ	1..1	Identifier	Placer Order Identifier Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
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: PLAC
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		0..1	uri	The namespace for the identifier value
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
id		0..1	string	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	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	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)
identifier:fillerOrderIdentifier	SΣ	0..1	Identifier	Filler Order Identifier Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
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: FILL
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		0..1	uri	The namespace for the identifier value
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
id		0..1	string	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	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	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 | CH Core ServiceRequest | CH Core 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 | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request.
category	SΣ	1..1	CodeableConcept	Classification of service Binding: Requested Service (required)
priority	SΣ	0..1	code	Order priority 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	SΣ	0..1	CodeableConcept	​Use 'RSNA/LOINC Playbook (Full Version support)' OR Codes from 'ChRadOrderModalityType' but NOT both. In case of 'ChRadOrderModalityType' specify Imaging Request Details by means of orderDetail. Binding: ProcedureCodes(SNOMEDCT) (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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:LncPlbFull	SΣ	0..1	Coding	Code defined by a terminology system Binding: LOINC loinc-rsna-radiology-playbook (required)
coding:RdlxModType	SΣ	0..1	Coding	Code defined by a terminology system Binding: Modality Type (required)
text	Σ	0..1	string	Plain text representation of the concept
Slices for orderDetail	SΣC	0..*	CodeableConcept	Additional order information Slice: Unordered, Open by value:$this Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
orderDetail:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
orderDetailType	S	1..1	Coding	CH RAD-Order Order Detail Type URL: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-order-detail-type Binding: Type of Order Detail (required)
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
orderDetail:imagingRegion	SΣC	0..*	CodeableConcept	Additional order information Binding: Imaging Region (required)
orderDetail:laterality	SΣC	0..1	CodeableConcept	Additional order information Binding: Laterality (required)
orderDetail:viewType	SΣC	0..*	CodeableConcept	Additional order information Binding: View Type (required)
orderDetail:maneuverType	SΣC	0..*	CodeableConcept	Additional order information Binding: Maneuver Type (required)
orderDetail:guidanceForAction	SΣC	0..*	CodeableConcept	Additional order information Binding: Guidance for Action (required)
quantity[x]	Σ	0..1		Service amount
quantityQuantity			Quantity
quantityRatio			Ratio
quantityRange			Range
subject	SΣ	1..1	Reference(CH Core Patient)	Patient
encounter	Σ	0..1	Reference(CH Core 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	SΣ	0..1	Reference(CH Core PractitionerRole)	The person/organization responsible for the form content
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	SΣ	0..1	Reference(CH Core PractitionerRole)	Desired radiologist for diagnostic / for intervention
locationCode	Σ	0..*	CodeableConcept	Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
locationReference	Σ	0..*	Reference(Location)	Requested location
reasonCode	SΣ	0..*	CodeableConcept	Diagnostic Question in free text: Coding of all diagnostic questions will be defined later. Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	SΣ	1..1	string	Plain text representation of the concept
reasonReference	SΣ	0..*	Reference(CH RAD-Order Diagnosis Condition)	Reason for the referral (primary diagnosis)
insurance	S	0..*	Reference(CH ORF Coverage)	Associated insurance coverage
Slices for supportingInfo	S	0..*	Reference(Resource)	Additional clinical information Slice: Unordered, Open by profile:resolve()
supportingInfo:bodyHeight	S	0..1	Reference(CH RAD-Order Body Height Observation)	Additional clinical information
supportingInfo:bodyWeight	S	0..1	Reference(CH RAD-Order Body Weight Observation)	Additional clinical information
supportingInfo:diagnosis	S	0..*	Reference(CH RAD-Order Diagnosis Condition)	Additional problem / secondary diagnosis
supportingInfo:caveats	S	0..*	Reference(CH RAD-Order Caveat Condition)	Additional clinical information
supportingInfo:previousImagingResults	S	0..*	Reference(CH RAD-Order ImagingStudy | CH ORF DocumentReference)	The ImagingStudy Resource lists the SOP Instances which are either attached by means of a document reference or which shall be retrieved by means of a DICOM service
specimen	Σ	0..*	Reference(Specimen)	Procedure Samples
bodySite	SΣ	0..*	CodeableConcept	Location on Body Binding: Imaging Focus (required)
note	S	0..*	Annotation	Comments
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	SΣ	1..1	markdown	The annotation - text content (as markdown)
patientInstruction	Σ	0..1	string	Use Appointment.patientInstruction (referenced via ServiceRequest.extension) for patient-oriented instructions
relevantHistory		0..*	Reference(Provenance)	Request provenance
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ServiceRequest.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
ServiceRequest.identifier:placerOrderIdentifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
ServiceRequest.identifier:placerOrderIdentifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
ServiceRequest.identifier:fillerOrderIdentifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
ServiceRequest.identifier:fillerOrderIdentifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
ServiceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent|4.0.1 from the FHIR Standard
ServiceRequest.category	required	ChRadOrderRequestedService (a valid code from Requested Service) http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-requested-service from this IG
ServiceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
ServiceRequest.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
ServiceRequest.code.coding:LncPlbFull	required	LOINC loinc-rsna-radiology-playbook http://loinc.org/vs/loinc-rsna-radiology-playbook
ServiceRequest.code.coding:RdlxModType	required	ChRadOrderModalityType http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-modality-type from this IG
ServiceRequest.orderDetail	example	ServiceRequestOrderDetailsCodes http://hl7.org/fhir/ValueSet/servicerequest-orderdetail from the FHIR Standard
ServiceRequest.orderDetail:imagingRegion	required	ChRadOrderImagingRegion http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-imaging-region from this IG
ServiceRequest.orderDetail:laterality	required	ChRadOrderLaterality http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-laterality from this IG
ServiceRequest.orderDetail:viewType	required	ChRadOrderViewType http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-view-type from this IG
ServiceRequest.orderDetail:maneuverType	required	ChRadOrderManeuverType http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-maneuver-type from this IG
ServiceRequest.orderDetail:guidanceForAction	required	ChRadOrderGuidanceForAction http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-guidance-for-action from this IG
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.locationCode	example	ServiceDeliveryLocationRoleType http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reasonCode	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
ServiceRequest.bodySite	required	ChRadOrderImagingFocus http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-imaging-focus from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ServiceRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ServiceRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ServiceRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
prr-1	error	ServiceRequest	orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists()

This structure is derived from ChOrfServiceRequest

Summary

Mandatory: 1 element(3 nested mandatory elements)
Must-Support: 22 elements

Structures

This structure refers to these other structures:

• CH Core PractitionerRole (http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole)
• CH RAD-Order Diagnosis Condition (http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-diagnosis-condition)
• CH RAD-Order Body Height Observation (http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-bodyheight-observation)
• CH RAD-Order Body Weight Observation (http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-bodyweight-observation)
• CH RAD-Order Caveat Condition (http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-caveat-condition)
• CH RAD-Order ImagingStudy (http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-imagingstudy)
• CH ORF DocumentReference (http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-documentreference)

Extensions

This structure refers to these extensions:

• http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-order-detail-type

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of ServiceRequest.code.coding
• The element 1 is sliced based on the value of ServiceRequest.orderDetail
• The element 1 is sliced based on the value of ServiceRequest.supportingInfo

Differential View

This structure is derived from ChOrfServiceRequest

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest		0..*	ChOrfServiceRequest	CH RAD-Order ServiceRequest
category	S	1..1	CodeableConcept	Classification of service Binding: Requested Service (required)
code	S	0..1	CodeableConcept	Use 'RSNA/LOINC Playbook (Full Version support)' OR Codes from 'ChRadOrderModalityType' but NOT both. In case of 'ChRadOrderModalityType' specify Imaging Request Details by means of orderDetail.
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:LncPlbFull	S	0..1	Coding	Code defined by a terminology system Binding: LOINC loinc-rsna-radiology-playbook (required)
coding:RdlxModType	S	0..1	Coding	Code defined by a terminology system Binding: Modality Type (required)
Slices for orderDetail	S	0..*	CodeableConcept	Additional order information Slice: Unordered, Open by value:$this
orderDetail:All Slices				Content/Rules for all slices
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
orderDetailType	S	1..1	Coding	CH RAD-Order Order Detail Type URL: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-order-detail-type Binding: Type of Order Detail (required)
orderDetail:imagingRegion	S	0..*	CodeableConcept	Additional order information Binding: Imaging Region (required)
orderDetail:laterality	S	0..1	CodeableConcept	Additional order information Binding: Laterality (required)
orderDetail:viewType	S	0..*	CodeableConcept	Additional order information Binding: View Type (required)
orderDetail:maneuverType	S	0..*	CodeableConcept	Additional order information Binding: Maneuver Type (required)
orderDetail:guidanceForAction	S	0..*	CodeableConcept	Additional order information Binding: Guidance for Action (required)
performer	S	0..1	Reference(CH Core PractitionerRole)	Desired radiologist for diagnostic / for intervention
reasonCode	S	0..*	CodeableConcept	Diagnostic Question in free text: Coding of all diagnostic questions will be defined later.
text	S	1..1	string	Plain text representation of the concept
reasonReference	S	0..*	Reference(CH RAD-Order Diagnosis Condition)	Reason for the referral (primary diagnosis)
Slices for supportingInfo	S	0..*	Reference(Resource)	Additional clinical information Slice: Unordered, Open by profile:resolve()
supportingInfo:bodyHeight	S	0..1	Reference(CH RAD-Order Body Height Observation)	Additional clinical information
supportingInfo:bodyWeight	S	0..1	Reference(CH RAD-Order Body Weight Observation)	Additional clinical information
supportingInfo:diagnosis	S	0..*	Reference(CH RAD-Order Diagnosis Condition)	Additional problem / secondary diagnosis
supportingInfo:caveats	S	0..*	Reference(CH RAD-Order Caveat Condition)	Additional clinical information
supportingInfo:previousImagingResults	S	0..*	Reference(CH RAD-Order ImagingStudy | CH ORF DocumentReference)	The ImagingStudy Resource lists the SOP Instances which are either attached by means of a document reference or which shall be retrieved by means of a DICOM service
bodySite	S	0..*	CodeableConcept	Location on Body Binding: Imaging Focus (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ServiceRequest.category	required	ChRadOrderRequestedService (a valid code from Requested Service) http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-requested-service from this IG
ServiceRequest.code.coding:LncPlbFull	required	LOINC loinc-rsna-radiology-playbook http://loinc.org/vs/loinc-rsna-radiology-playbook
ServiceRequest.code.coding:RdlxModType	required	ChRadOrderModalityType http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-modality-type from this IG
ServiceRequest.orderDetail:imagingRegion	required	ChRadOrderImagingRegion http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-imaging-region from this IG
ServiceRequest.orderDetail:laterality	required	ChRadOrderLaterality http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-laterality from this IG
ServiceRequest.orderDetail:viewType	required	ChRadOrderViewType http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-view-type from this IG
ServiceRequest.orderDetail:maneuverType	required	ChRadOrderManeuverType http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-maneuver-type from this IG
ServiceRequest.orderDetail:guidanceForAction	required	ChRadOrderGuidanceForAction http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-guidance-for-action from this IG
ServiceRequest.bodySite	required	ChRadOrderImagingFocus http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-imaging-focus from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ChOrfServiceRequest	CH RAD-Order ServiceRequest prr-1: orderDetail SHALL only be present if code is present
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
locationAndTime	S	0..*	Reference(CH ORF Appointment)	CH ORF Location and Time URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-locationandtime
requestedEncounterDetails	S	0..1	Reference(CH ORF Requested Encounter)	CH ORF Requested Encounter Details URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-requestedencounterdetails
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	Identifiers assigned to this order Slice: Unordered, Open by value:$this
identifier:placerOrderIdentifier	SΣ	1..1	Identifier	Placer Order Identifier Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
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: PLAC
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
identifier:fillerOrderIdentifier	SΣ	0..1	Identifier	Filler Order Identifier Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
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: FILL
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique 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.
intent	?!SΣ	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request.
category	SΣ	1..1	CodeableConcept	Classification of service Binding: Requested Service (required)
priority	SΣ	0..1	code	Order priority 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	SΣ	0..1	CodeableConcept	​Use 'RSNA/LOINC Playbook (Full Version support)' OR Codes from 'ChRadOrderModalityType' but NOT both. In case of 'ChRadOrderModalityType' specify Imaging Request Details by means of orderDetail. Binding: ProcedureCodes(SNOMEDCT) (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.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:LncPlbFull	SΣ	0..1	Coding	Code defined by a terminology system Binding: LOINC loinc-rsna-radiology-playbook (required)
coding:RdlxModType	SΣ	0..1	Coding	Code defined by a terminology system Binding: Modality Type (required)
Slices for orderDetail	SΣC	0..*	CodeableConcept	Additional order information Slice: Unordered, Open by value:$this Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
orderDetail:All Slices				Content/Rules for all slices
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
orderDetailType	S	1..1	Coding	CH RAD-Order Order Detail Type URL: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-order-detail-type Binding: Type of Order Detail (required)
orderDetail:imagingRegion	SΣC	0..*	CodeableConcept	Additional order information Binding: Imaging Region (required)
orderDetail:laterality	SΣC	0..1	CodeableConcept	Additional order information Binding: Laterality (required)
orderDetail:viewType	SΣC	0..*	CodeableConcept	Additional order information Binding: View Type (required)
orderDetail:maneuverType	SΣC	0..*	CodeableConcept	Additional order information Binding: Maneuver Type (required)
orderDetail:guidanceForAction	SΣC	0..*	CodeableConcept	Additional order information Binding: Guidance for Action (required)
subject	SΣ	1..1	Reference(CH Core Patient)	Patient
requester	SΣ	0..1	Reference(CH Core PractitionerRole)	The person/organization responsible for the form content
performer	SΣ	0..1	Reference(CH Core PractitionerRole)	Desired radiologist for diagnostic / for intervention
reasonCode	SΣ	0..*	CodeableConcept	Diagnostic Question in free text: Coding of all diagnostic questions will be defined later. Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
text	SΣ	1..1	string	Plain text representation of the concept
reasonReference	SΣ	0..*	Reference(CH RAD-Order Diagnosis Condition)	Reason for the referral (primary diagnosis)
insurance	S	0..*	Reference(CH ORF Coverage)	Associated insurance coverage
Slices for supportingInfo	S	0..*	Reference(Resource)	Additional clinical information Slice: Unordered, Open by profile:resolve()
supportingInfo:bodyHeight	S	0..1	Reference(CH RAD-Order Body Height Observation)	Additional clinical information
supportingInfo:bodyWeight	S	0..1	Reference(CH RAD-Order Body Weight Observation)	Additional clinical information
supportingInfo:diagnosis	S	0..*	Reference(CH RAD-Order Diagnosis Condition)	Additional problem / secondary diagnosis
supportingInfo:caveats	S	0..*	Reference(CH RAD-Order Caveat Condition)	Additional clinical information
supportingInfo:previousImagingResults	S	0..*	Reference(CH RAD-Order ImagingStudy | CH ORF DocumentReference)	The ImagingStudy Resource lists the SOP Instances which are either attached by means of a document reference or which shall be retrieved by means of a DICOM service
bodySite	SΣ	0..*	CodeableConcept	Location on Body Binding: Imaging Focus (required)
note	S	0..*	Annotation	Comments
text	SΣ	1..1	markdown	The annotation - text content (as markdown)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ServiceRequest.identifier:placerOrderIdentifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
ServiceRequest.identifier:fillerOrderIdentifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
ServiceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent|4.0.1 from the FHIR Standard
ServiceRequest.category	required	ChRadOrderRequestedService (a valid code from Requested Service) http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-requested-service from this IG
ServiceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
ServiceRequest.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
ServiceRequest.code.coding:LncPlbFull	required	LOINC loinc-rsna-radiology-playbook http://loinc.org/vs/loinc-rsna-radiology-playbook
ServiceRequest.code.coding:RdlxModType	required	ChRadOrderModalityType http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-modality-type from this IG
ServiceRequest.orderDetail	example	ServiceRequestOrderDetailsCodes http://hl7.org/fhir/ValueSet/servicerequest-orderdetail from the FHIR Standard
ServiceRequest.orderDetail:imagingRegion	required	ChRadOrderImagingRegion http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-imaging-region from this IG
ServiceRequest.orderDetail:laterality	required	ChRadOrderLaterality http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-laterality from this IG
ServiceRequest.orderDetail:viewType	required	ChRadOrderViewType http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-view-type from this IG
ServiceRequest.orderDetail:maneuverType	required	ChRadOrderManeuverType http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-maneuver-type from this IG
ServiceRequest.orderDetail:guidanceForAction	required	ChRadOrderGuidanceForAction http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-guidance-for-action from this IG
ServiceRequest.reasonCode	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
ServiceRequest.bodySite	required	ChRadOrderImagingFocus http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-imaging-focus from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ServiceRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ServiceRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ServiceRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
prr-1	error	ServiceRequest	orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ChOrfServiceRequest	CH RAD-Order ServiceRequest 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
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
locationAndTime	S	0..*	Reference(CH ORF Appointment)	CH ORF Location and Time URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-locationandtime
requestedEncounterDetails	S	0..1	Reference(CH ORF Requested Encounter)	CH ORF Requested Encounter Details URL: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-requestedencounterdetails
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	Identifiers assigned to this order Slice: Unordered, Open by value:$this
identifier:placerOrderIdentifier	SΣ	1..1	Identifier	Placer Order Identifier Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
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: PLAC
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		0..1	uri	The namespace for the identifier value
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
id		0..1	string	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	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	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)
identifier:fillerOrderIdentifier	SΣ	0..1	Identifier	Filler Order Identifier Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
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: FILL
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		0..1	uri	The namespace for the identifier value
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
id		0..1	string	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	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	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 | CH Core ServiceRequest | CH Core 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 | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request.
category	SΣ	1..1	CodeableConcept	Classification of service Binding: Requested Service (required)
priority	SΣ	0..1	code	Order priority 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	SΣ	0..1	CodeableConcept	​Use 'RSNA/LOINC Playbook (Full Version support)' OR Codes from 'ChRadOrderModalityType' but NOT both. In case of 'ChRadOrderModalityType' specify Imaging Request Details by means of orderDetail. Binding: ProcedureCodes(SNOMEDCT) (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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:LncPlbFull	SΣ	0..1	Coding	Code defined by a terminology system Binding: LOINC loinc-rsna-radiology-playbook (required)
coding:RdlxModType	SΣ	0..1	Coding	Code defined by a terminology system Binding: Modality Type (required)
text	Σ	0..1	string	Plain text representation of the concept
Slices for orderDetail	SΣC	0..*	CodeableConcept	Additional order information Slice: Unordered, Open by value:$this Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
orderDetail:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
orderDetailType	S	1..1	Coding	CH RAD-Order Order Detail Type URL: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-order-detail-type Binding: Type of Order Detail (required)
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
orderDetail:imagingRegion	SΣC	0..*	CodeableConcept	Additional order information Binding: Imaging Region (required)
orderDetail:laterality	SΣC	0..1	CodeableConcept	Additional order information Binding: Laterality (required)
orderDetail:viewType	SΣC	0..*	CodeableConcept	Additional order information Binding: View Type (required)
orderDetail:maneuverType	SΣC	0..*	CodeableConcept	Additional order information Binding: Maneuver Type (required)
orderDetail:guidanceForAction	SΣC	0..*	CodeableConcept	Additional order information Binding: Guidance for Action (required)
quantity[x]	Σ	0..1		Service amount
quantityQuantity			Quantity
quantityRatio			Ratio
quantityRange			Range
subject	SΣ	1..1	Reference(CH Core Patient)	Patient
encounter	Σ	0..1	Reference(CH Core 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	SΣ	0..1	Reference(CH Core PractitionerRole)	The person/organization responsible for the form content
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	SΣ	0..1	Reference(CH Core PractitionerRole)	Desired radiologist for diagnostic / for intervention
locationCode	Σ	0..*	CodeableConcept	Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
locationReference	Σ	0..*	Reference(Location)	Requested location
reasonCode	SΣ	0..*	CodeableConcept	Diagnostic Question in free text: Coding of all diagnostic questions will be defined later. Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	SΣ	1..1	string	Plain text representation of the concept
reasonReference	SΣ	0..*	Reference(CH RAD-Order Diagnosis Condition)	Reason for the referral (primary diagnosis)
insurance	S	0..*	Reference(CH ORF Coverage)	Associated insurance coverage
Slices for supportingInfo	S	0..*	Reference(Resource)	Additional clinical information Slice: Unordered, Open by profile:resolve()
supportingInfo:bodyHeight	S	0..1	Reference(CH RAD-Order Body Height Observation)	Additional clinical information
supportingInfo:bodyWeight	S	0..1	Reference(CH RAD-Order Body Weight Observation)	Additional clinical information
supportingInfo:diagnosis	S	0..*	Reference(CH RAD-Order Diagnosis Condition)	Additional problem / secondary diagnosis
supportingInfo:caveats	S	0..*	Reference(CH RAD-Order Caveat Condition)	Additional clinical information
supportingInfo:previousImagingResults	S	0..*	Reference(CH RAD-Order ImagingStudy | CH ORF DocumentReference)	The ImagingStudy Resource lists the SOP Instances which are either attached by means of a document reference or which shall be retrieved by means of a DICOM service
specimen	Σ	0..*	Reference(Specimen)	Procedure Samples
bodySite	SΣ	0..*	CodeableConcept	Location on Body Binding: Imaging Focus (required)
note	S	0..*	Annotation	Comments
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	SΣ	1..1	markdown	The annotation - text content (as markdown)
patientInstruction	Σ	0..1	string	Use Appointment.patientInstruction (referenced via ServiceRequest.extension) for patient-oriented instructions
relevantHistory		0..*	Reference(Provenance)	Request provenance
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ServiceRequest.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
ServiceRequest.identifier:placerOrderIdentifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
ServiceRequest.identifier:placerOrderIdentifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
ServiceRequest.identifier:fillerOrderIdentifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
ServiceRequest.identifier:fillerOrderIdentifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
ServiceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
ServiceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent|4.0.1 from the FHIR Standard
ServiceRequest.category	required	ChRadOrderRequestedService (a valid code from Requested Service) http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-requested-service from this IG
ServiceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
ServiceRequest.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
ServiceRequest.code.coding:LncPlbFull	required	LOINC loinc-rsna-radiology-playbook http://loinc.org/vs/loinc-rsna-radiology-playbook
ServiceRequest.code.coding:RdlxModType	required	ChRadOrderModalityType http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-modality-type from this IG
ServiceRequest.orderDetail	example	ServiceRequestOrderDetailsCodes http://hl7.org/fhir/ValueSet/servicerequest-orderdetail from the FHIR Standard
ServiceRequest.orderDetail:imagingRegion	required	ChRadOrderImagingRegion http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-imaging-region from this IG
ServiceRequest.orderDetail:laterality	required	ChRadOrderLaterality http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-laterality from this IG
ServiceRequest.orderDetail:viewType	required	ChRadOrderViewType http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-view-type from this IG
ServiceRequest.orderDetail:maneuverType	required	ChRadOrderManeuverType http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-maneuver-type from this IG
ServiceRequest.orderDetail:guidanceForAction	required	ChRadOrderGuidanceForAction http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-guidance-for-action from this IG
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.locationCode	example	ServiceDeliveryLocationRoleType http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reasonCode	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
ServiceRequest.bodySite	required	ChRadOrderImagingFocus http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-imaging-focus from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ServiceRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ServiceRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ServiceRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
prr-1	error	ServiceRequest	orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists()

This structure is derived from ChOrfServiceRequest

Summary

Mandatory: 1 element(3 nested mandatory elements)
Must-Support: 22 elements

Structures

This structure refers to these other structures:

• CH Core PractitionerRole (http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole)
• CH RAD-Order Diagnosis Condition (http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-diagnosis-condition)
• CH RAD-Order Body Height Observation (http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-bodyheight-observation)
• CH RAD-Order Body Weight Observation (http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-bodyweight-observation)
• CH RAD-Order Caveat Condition (http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-caveat-condition)
• CH RAD-Order ImagingStudy (http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-imagingstudy)
• CH ORF DocumentReference (http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-documentreference)

Extensions

This structure refers to these extensions:

• http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-order-detail-type

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of ServiceRequest.code.coding
• The element 1 is sliced based on the value of ServiceRequest.orderDetail
• The element 1 is sliced based on the value of ServiceRequest.supportingInfo