CH RAD-Order (R4)
2.0.0-ballot - ballot Switzerland flag

This page is part of the CH RAD-Order (R4) (v2.0.0-ballot: STU 2 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: CH RAD-Order ServiceRequest

Official URL: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-servicerequest Version: 2.0.0-ballot
Active as of 2024-05-17 Computable Name: ChRadOrderServiceRequest

Copyright/Legal: CC0-1.0

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

Usage:

Formal Views of Profile Content

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

This structure is derived from ChOrfServiceRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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 pattern:$this
..... coding:LncPlbFull S 0..1 Coding Code defined by a terminology system
Binding: LOINC loinc-rsna-radiology-playbook (required)
..... coding:RdlxModType S 0..1 Coding Code defined by a terminology system
Binding: Modality Type (required)
... Slices for orderDetail S 0..* CodeableConcept Additional order information
Slice: Unordered, Open by pattern:$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)
... 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)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
ServiceRequest.categoryrequiredChRadOrderRequestedService (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:LncPlbFullrequiredLOINC loinc-rsna-radiology-playbook
http://loinc.org/vs/loinc-rsna-radiology-playbook
ServiceRequest.code.coding:RdlxModTyperequiredChRadOrderModalityType
http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-modality-type
from this IG
ServiceRequest.orderDetail:imagingRegionrequiredChRadOrderImagingRegion
http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-imaging-region
from this IG
ServiceRequest.orderDetail:lateralityrequiredChRadOrderLaterality
http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-laterality
from this IG
ServiceRequest.orderDetail:viewTyperequiredChRadOrderViewType
http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-view-type
from this IG
ServiceRequest.orderDetail:maneuverTyperequiredChRadOrderManeuverType
http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-maneuver-type
from this IG
ServiceRequest.orderDetail:guidanceForActionrequiredChRadOrderGuidanceForAction
http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-guidance-for-action
from this IG
ServiceRequest.bodySiterequiredChRadOrderImagingFocus
http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-imaging-focus
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
.... 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)[http://build.fhir.org/terminologies.html#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 pattern:$this
..... coding:LncPlbFull SΣ 0..1 Coding Code defined by a terminology system
Binding: LOINC loinc-rsna-radiology-playbook (required)
..... coding:RdlxModType SΣ 0..1 Coding Code defined by a terminology system
Binding: Modality Type (required)
... Slices for orderDetail SΣC 0..* CodeableConcept Additional order information
Slice: Unordered, Open by pattern:$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)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
ServiceRequest.identifier:placerOrderIdentifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.identifier:fillerOrderIdentifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
ServiceRequest.intentrequiredRequestIntent
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
from the FHIR Standard
ServiceRequest.categoryrequiredChRadOrderRequestedService (a valid code from Requested Service)
http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-requested-service
from this IG
ServiceRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
ServiceRequest.codeexampleProcedureCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard
ServiceRequest.code.coding:LncPlbFullrequiredLOINC loinc-rsna-radiology-playbook
http://loinc.org/vs/loinc-rsna-radiology-playbook
ServiceRequest.code.coding:RdlxModTyperequiredChRadOrderModalityType
http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-modality-type
from this IG
ServiceRequest.orderDetailexampleServiceRequestOrderDetailsCodes
http://hl7.org/fhir/ValueSet/servicerequest-orderdetail
from the FHIR Standard
ServiceRequest.orderDetail:imagingRegionrequiredChRadOrderImagingRegion
http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-imaging-region
from this IG
ServiceRequest.orderDetail:lateralityrequiredChRadOrderLaterality
http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-laterality
from this IG
ServiceRequest.orderDetail:viewTyperequiredChRadOrderViewType
http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-view-type
from this IG
ServiceRequest.orderDetail:maneuverTyperequiredChRadOrderManeuverType
http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-maneuver-type
from this IG
ServiceRequest.orderDetail:guidanceForActionrequiredChRadOrderGuidanceForAction
http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-guidance-for-action
from this IG
ServiceRequest.reasonCodeexampleProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason
from the FHIR Standard
ServiceRequest.bodySiterequiredChRadOrderImagingFocus
http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-imaging-focus
from this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorServiceRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorServiceRequestIf 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-4errorServiceRequestIf 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-5errorServiceRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceServiceRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
prr-1errorServiceRequestorderDetail SHALL only be present if code is present
: orderDetail.empty() or code.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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 BindingsPurpose
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 pattern:$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)[http://build.fhir.org/terminologies.html#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 pattern:$this
..... coding:LncPlbFull SΣ 0..1 Coding Code defined by a terminology system
Binding: LOINC loinc-rsna-radiology-playbook (required)
..... coding:RdlxModType SΣ 0..1 Coding Code defined by a terminology system
Binding: Modality Type (required)
.... text Σ 0..1 string Plain text representation of the concept
... Slices for orderDetail SΣC 0..* CodeableConcept Additional order information
Slice: Unordered, Open by pattern:$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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
ServiceRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
ServiceRequest.identifier:placerOrderIdentifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.identifier:placerOrderIdentifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ServiceRequest.identifier:fillerOrderIdentifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.identifier:fillerOrderIdentifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ServiceRequest.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
ServiceRequest.intentrequiredRequestIntent
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
from the FHIR Standard
ServiceRequest.categoryrequiredChRadOrderRequestedService (a valid code from Requested Service)
http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-requested-service
from this IG
ServiceRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
ServiceRequest.codeexampleProcedureCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard
ServiceRequest.code.coding:LncPlbFullrequiredLOINC loinc-rsna-radiology-playbook
http://loinc.org/vs/loinc-rsna-radiology-playbook
ServiceRequest.code.coding:RdlxModTyperequiredChRadOrderModalityType
http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-modality-type
from this IG
ServiceRequest.orderDetailexampleServiceRequestOrderDetailsCodes
http://hl7.org/fhir/ValueSet/servicerequest-orderdetail
from the FHIR Standard
ServiceRequest.orderDetail:imagingRegionrequiredChRadOrderImagingRegion
http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-imaging-region
from this IG
ServiceRequest.orderDetail:lateralityrequiredChRadOrderLaterality
http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-laterality
from this IG
ServiceRequest.orderDetail:viewTyperequiredChRadOrderViewType
http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-view-type
from this IG
ServiceRequest.orderDetail:maneuverTyperequiredChRadOrderManeuverType
http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-maneuver-type
from this IG
ServiceRequest.orderDetail:guidanceForActionrequiredChRadOrderGuidanceForAction
http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-guidance-for-action
from this IG
ServiceRequest.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
ServiceRequest.performerTypeexampleParticipantRoles
http://hl7.org/fhir/ValueSet/participant-role
from the FHIR Standard
ServiceRequest.locationCodeexampleServiceDeliveryLocationRoleType
http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reasonCodeexampleProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason
from the FHIR Standard
ServiceRequest.bodySiterequiredChRadOrderImagingFocus
http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-imaging-focus
from this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorServiceRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorServiceRequestIf 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-4errorServiceRequestIf 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-5errorServiceRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceServiceRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
prr-1errorServiceRequestorderDetail SHALL only be present if code is present
: orderDetail.empty() or code.exists()

Differential View

This structure is derived from ChOrfServiceRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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 pattern:$this
..... coding:LncPlbFull S 0..1 Coding Code defined by a terminology system
Binding: LOINC loinc-rsna-radiology-playbook (required)
..... coding:RdlxModType S 0..1 Coding Code defined by a terminology system
Binding: Modality Type (required)
... Slices for orderDetail S 0..* CodeableConcept Additional order information
Slice: Unordered, Open by pattern:$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)
... 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)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
ServiceRequest.categoryrequiredChRadOrderRequestedService (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:LncPlbFullrequiredLOINC loinc-rsna-radiology-playbook
http://loinc.org/vs/loinc-rsna-radiology-playbook
ServiceRequest.code.coding:RdlxModTyperequiredChRadOrderModalityType
http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-modality-type
from this IG
ServiceRequest.orderDetail:imagingRegionrequiredChRadOrderImagingRegion
http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-imaging-region
from this IG
ServiceRequest.orderDetail:lateralityrequiredChRadOrderLaterality
http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-laterality
from this IG
ServiceRequest.orderDetail:viewTyperequiredChRadOrderViewType
http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-view-type
from this IG
ServiceRequest.orderDetail:maneuverTyperequiredChRadOrderManeuverType
http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-maneuver-type
from this IG
ServiceRequest.orderDetail:guidanceForActionrequiredChRadOrderGuidanceForAction
http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-guidance-for-action
from this IG
ServiceRequest.bodySiterequiredChRadOrderImagingFocus
http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-imaging-focus
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
.... 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)[http://build.fhir.org/terminologies.html#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 pattern:$this
..... coding:LncPlbFull SΣ 0..1 Coding Code defined by a terminology system
Binding: LOINC loinc-rsna-radiology-playbook (required)
..... coding:RdlxModType SΣ 0..1 Coding Code defined by a terminology system
Binding: Modality Type (required)
... Slices for orderDetail SΣC 0..* CodeableConcept Additional order information
Slice: Unordered, Open by pattern:$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)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
ServiceRequest.identifier:placerOrderIdentifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.identifier:fillerOrderIdentifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
ServiceRequest.intentrequiredRequestIntent
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
from the FHIR Standard
ServiceRequest.categoryrequiredChRadOrderRequestedService (a valid code from Requested Service)
http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-requested-service
from this IG
ServiceRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
ServiceRequest.codeexampleProcedureCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard
ServiceRequest.code.coding:LncPlbFullrequiredLOINC loinc-rsna-radiology-playbook
http://loinc.org/vs/loinc-rsna-radiology-playbook
ServiceRequest.code.coding:RdlxModTyperequiredChRadOrderModalityType
http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-modality-type
from this IG
ServiceRequest.orderDetailexampleServiceRequestOrderDetailsCodes
http://hl7.org/fhir/ValueSet/servicerequest-orderdetail
from the FHIR Standard
ServiceRequest.orderDetail:imagingRegionrequiredChRadOrderImagingRegion
http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-imaging-region
from this IG
ServiceRequest.orderDetail:lateralityrequiredChRadOrderLaterality
http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-laterality
from this IG
ServiceRequest.orderDetail:viewTyperequiredChRadOrderViewType
http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-view-type
from this IG
ServiceRequest.orderDetail:maneuverTyperequiredChRadOrderManeuverType
http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-maneuver-type
from this IG
ServiceRequest.orderDetail:guidanceForActionrequiredChRadOrderGuidanceForAction
http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-guidance-for-action
from this IG
ServiceRequest.reasonCodeexampleProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason
from the FHIR Standard
ServiceRequest.bodySiterequiredChRadOrderImagingFocus
http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-imaging-focus
from this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorServiceRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorServiceRequestIf 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-4errorServiceRequestIf 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-5errorServiceRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceServiceRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
prr-1errorServiceRequestorderDetail SHALL only be present if code is present
: orderDetail.empty() or code.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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 BindingsPurpose
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 pattern:$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)[http://build.fhir.org/terminologies.html#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 pattern:$this
..... coding:LncPlbFull SΣ 0..1 Coding Code defined by a terminology system
Binding: LOINC loinc-rsna-radiology-playbook (required)
..... coding:RdlxModType SΣ 0..1 Coding Code defined by a terminology system
Binding: Modality Type (required)
.... text Σ 0..1 string Plain text representation of the concept
... Slices for orderDetail SΣC 0..* CodeableConcept Additional order information
Slice: Unordered, Open by pattern:$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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
ServiceRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
ServiceRequest.identifier:placerOrderIdentifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.identifier:placerOrderIdentifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ServiceRequest.identifier:fillerOrderIdentifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.identifier:fillerOrderIdentifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ServiceRequest.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
ServiceRequest.intentrequiredRequestIntent
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
from the FHIR Standard
ServiceRequest.categoryrequiredChRadOrderRequestedService (a valid code from Requested Service)
http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-requested-service
from this IG
ServiceRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
ServiceRequest.codeexampleProcedureCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard
ServiceRequest.code.coding:LncPlbFullrequiredLOINC loinc-rsna-radiology-playbook
http://loinc.org/vs/loinc-rsna-radiology-playbook
ServiceRequest.code.coding:RdlxModTyperequiredChRadOrderModalityType
http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-modality-type
from this IG
ServiceRequest.orderDetailexampleServiceRequestOrderDetailsCodes
http://hl7.org/fhir/ValueSet/servicerequest-orderdetail
from the FHIR Standard
ServiceRequest.orderDetail:imagingRegionrequiredChRadOrderImagingRegion
http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-imaging-region
from this IG
ServiceRequest.orderDetail:lateralityrequiredChRadOrderLaterality
http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-laterality
from this IG
ServiceRequest.orderDetail:viewTyperequiredChRadOrderViewType
http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-view-type
from this IG
ServiceRequest.orderDetail:maneuverTyperequiredChRadOrderManeuverType
http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-maneuver-type
from this IG
ServiceRequest.orderDetail:guidanceForActionrequiredChRadOrderGuidanceForAction
http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-guidance-for-action
from this IG
ServiceRequest.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
ServiceRequest.performerTypeexampleParticipantRoles
http://hl7.org/fhir/ValueSet/participant-role
from the FHIR Standard
ServiceRequest.locationCodeexampleServiceDeliveryLocationRoleType
http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reasonCodeexampleProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason
from the FHIR Standard
ServiceRequest.bodySiterequiredChRadOrderImagingFocus
http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-imaging-focus
from this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorServiceRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorServiceRequestIf 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-4errorServiceRequestIf 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-5errorServiceRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceServiceRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
prr-1errorServiceRequestorderDetail SHALL only be present if code is present
: orderDetail.empty() or code.exists()

 

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