German Practice Management FHIR Profiles (R4)
0.49.0 - STU1 Germany flag

German Practice Management FHIR Profiles (R4) - Local Development build (v0.49.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Imaging ServiceRequest (Praxis DE)

Official URL: https://fhir.cognovis.de/praxis/StructureDefinition/imaging-service-request-praxis-de Version: 0.49.0
Active as of 2026-05-04 Computable Name: ImagingServiceRequestPraxisDe
Other Identifiers: OID:2.16.840.1.113883.3.7985.42.106

Bildgebungsauftrag-Profil fuer die deutsche ambulante Praxis. Erbt von IHE IMR ServiceRequest (imr-servicerequest). Erweitert um ICD-10-GM Indikations-Slicing (reasonCode), Coverage-Referenz (GKV/Privat), Prior-Study supportingInfo und LOINC Imaging Procedure Code Binding.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* IMRServiceRequest A request for a service to be performed
Constraints: prr-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier Σ 1..* Identifier Identifiers assigned to this order
Slice: Unordered, Open by pattern:type.coding
.... identifier:accession SΣ 1..1 Identifier Identifiers assigned to this order
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
...... coding Σ 1..* Coding Code defined by a terminology system

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: ACSN
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
..... system SΣ 1..1 uri The namespace for the identifier value
Required Pattern: https://fhir.cognovis.de/praxis/NamingSystem/pvs-id
..... value SΣ 1..1 string The value that is unique
Example General: 123456
.... identifier:requestedProcedureId SΣ 0..1 Identifier DICOM RequestedProcedureID (0040,1001) — Identifier des geplanten Untersuchungsschritts
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
...... coding Σ 1..* Coding Code defined by a terminology system

Required Pattern: At least the following
....... 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 1..1 string Representation defined by the system
Fixed Value: Filler Identifier
....... userSelected 0..1 boolean If this coding was chosen directly by the user
..... system SΣ 0..1 uri The namespace for the identifier value
Required Pattern: https://fhir.cognovis.de/praxis/NamingSystem/dicom-requested-procedure-id
..... value SΣ 1..1 string The value that is unique
Example General: 123456
... intent ?!Σ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: IMR ServiceRequest intent Value Set (required)
... priority SΣ 0..1 code Prioritaet des Auftrags (routine, urgent, asap, stat) — required binding auf http://hl7.org/fhir/ValueSet/request-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 Bildgebungsverfahren-Code (LOINC, z.B. 36803-5 MRI of knee)
Binding: Imaging Request Code (preferred)
... subject SΣ 1..1 Reference(Patient) Individual or Entity the service is ordered for
... requester SΣ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/what is requesting service
... Slices for reasonCode SΣ 0..* CodeableConcept Explanation/Justification for procedure or service
Slice: Unordered, Open by value:coding.system
Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
.... reasonCode:icd10gm SΣ 0..* CodeableConcept ICD-10-GM Indikation fuer die Bildgebung
Binding: Imaging Indication ICD-10-GM (required)
..... coding SΣ 1..* Coding Code defined by a terminology system
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... code SΣ 1..1 code Symbol in syntax defined by the system
... insurance S 0..* Reference(FPDE Coverage GKV | FPDE Coverage Privat) Versicherungsreferenz (GKV: FPDECoverageGKV oder Privat: FPDECoveragePrivat)
... supportingInfo S 0..* Reference(ImagingStudy) Voruntersuchungen fuer Vergleichsbefundung (ImagingStudy)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ServiceRequest.identifier:accession.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
ServiceRequest.identifier:accession.​type Base extensible IdentifierType 📦4.0.1 FHIR Std.
ServiceRequest.identifier:requestedProcedureId.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
ServiceRequest.identifier:requestedProcedureId.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
ServiceRequest.status Base required RequestStatus 📍4.0.1 FHIR Std.
ServiceRequest.intent Base required IMR ServiceRequest intent Value Set 📦1.1.0 Interactive Multimedia Report v1.1
ServiceRequest.priority Base required Request priority 📍4.0.1 FHIR Std.
ServiceRequest.code Base preferred Imaging Request Code 📦0.49.0 This IG
ServiceRequest.reasonCode Base example Procedure Reason Codes 📦4.0.1 FHIR Std.
ServiceRequest.reasonCode:icd10gm Base required Imaging Indication ICD-10-GM 📦0.49.0 This IG

Constraints

Id Grade Path(s) Description Expression
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 IMRServiceRequest

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest 0..* IMRServiceRequest A request for a service to be performed
... Slices for identifier Content/Rules for all slices
.... identifier:accession 1..1 Identifier Identifiers assigned to this order
..... system S 1..1 uri The namespace for the identifier value
Required Pattern: https://fhir.cognovis.de/praxis/NamingSystem/pvs-id
.... identifier:requestedProcedureId S 0..1 Identifier DICOM RequestedProcedureID (0040,1001) — Identifier des geplanten Untersuchungsschritts
..... type S 1..1 CodeableConcept Description of identifier
...... coding 1..* Coding Code defined by a terminology system
Required Pattern: At least the following
....... 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
....... display 1..1 string Representation defined by the system
Fixed Value: Filler Identifier
..... system S 0..1 uri The namespace for the identifier value
Required Pattern: https://fhir.cognovis.de/praxis/NamingSystem/dicom-requested-procedure-id
..... value S 1..1 string The value that is unique
... priority S 0..1 code Prioritaet des Auftrags (routine, urgent, asap, stat) — required binding auf http://hl7.org/fhir/ValueSet/request-priority
... code S 0..1 CodeableConcept Bildgebungsverfahren-Code (LOINC, z.B. 36803-5 MRI of knee)
Binding: Imaging Request Code (preferred)
... requester S 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/what is requesting service
... Slices for reasonCode S 0..* CodeableConcept Explanation/Justification for procedure or service
Slice: Unordered, Open by value:coding.system
.... reasonCode:icd10gm S 0..* CodeableConcept ICD-10-GM Indikation fuer die Bildgebung
Binding: Imaging Indication ICD-10-GM (required)
..... coding S 1..* Coding Code defined by a terminology system
...... system S 1..1 uri Identity of the terminology system
Required Pattern: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... code S 1..1 code Symbol in syntax defined by the system
... insurance S 0..* Reference(FPDE Coverage GKV | FPDE Coverage Privat) Versicherungsreferenz (GKV: FPDECoverageGKV oder Privat: FPDECoveragePrivat)
... supportingInfo S 0..* Reference(ImagingStudy) Voruntersuchungen fuer Vergleichsbefundung (ImagingStudy)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
ServiceRequest.code Base preferred Imaging Request Code 📦0.49.0 This IG
ServiceRequest.reasonCode:icd10gm Base required Imaging Indication ICD-10-GM 📦0.49.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* IMRServiceRequest A request for a service to be performed
Constraints: prr-1
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier Σ 1..* Identifier Identifiers assigned to this order
Slice: Unordered, Open by pattern:type.coding
.... identifier:accession SΣ 1..1 Identifier Identifiers assigned to this order
..... 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 SΣ 1..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.
...... 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 1..* Coding Code defined by a terminology system

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: ACSN
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... system SΣ 1..1 uri The namespace for the identifier value
Required Pattern: https://fhir.cognovis.de/praxis/NamingSystem/pvs-id
..... 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:requestedProcedureId SΣ 0..1 Identifier DICOM RequestedProcedureID (0040,1001) — Identifier des geplanten Untersuchungsschritts
..... 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 SΣ 1..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.
...... 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 1..* Coding Code defined by a terminology system

Required Pattern: At least the following
....... 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 1..1 string Representation defined by the system
Fixed Value: Filler Identifier
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... system SΣ 0..1 uri The namespace for the identifier value
Required Pattern: https://fhir.cognovis.de/praxis/NamingSystem/dicom-requested-procedure-id
..... 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 | ServiceRequest | MedicationRequest) What request fulfills
... replaces Σ 0..* Reference(ServiceRequest) What request replaces
... requisition Σ 0..1 Identifier Composite Request ID
... status ?!Σ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.
... intent ?!Σ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: IMR ServiceRequest intent Value Set (required)
... category Σ 0..* CodeableConcept Classification of service
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
... priority SΣ 0..1 code Prioritaet des Auftrags (routine, urgent, asap, stat) — required binding auf http://hl7.org/fhir/ValueSet/request-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 Bildgebungsverfahren-Code (LOINC, z.B. 36803-5 MRI of knee)
Binding: Imaging Request Code (preferred)
... orderDetail ΣC 0..* CodeableConcept Additional order information
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
... quantity[x] Σ 0..1 Service amount
.... quantityQuantity Quantity
.... quantityRatio Ratio
.... quantityRange Range
... subject SΣ 1..1 Reference(Patient) Individual or Entity the service is ordered for
... encounter Σ 0..1 Reference(Encounter) Encounter in which the request was created
... occurrence[x] Σ 0..1 When service should occur
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
... asNeeded[x] Σ 0..1 Preconditions for service
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
.... asNeededBoolean boolean
.... asNeededCodeableConcept CodeableConcept
... authoredOn Σ 0..1 dateTime Date request signed
... requester SΣ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/what is requesting service
... performerType Σ 0..1 CodeableConcept Performer role
Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Requested performer
... locationCode Σ 0..* CodeableConcept Requested location
Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
... locationReference Σ 0..* Reference(Location) Requested location
... Slices for reasonCode SΣ 0..* CodeableConcept Explanation/Justification for procedure or service
Slice: Unordered, Open by value:coding.system
Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
.... reasonCode:icd10gm SΣ 0..* CodeableConcept ICD-10-GM Indikation fuer die Bildgebung
Binding: Imaging Indication ICD-10-GM (required)
..... 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 SΣ 1..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
... reasonReference Σ 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Explanation/Justification for service or service
... insurance S 0..* Reference(FPDE Coverage GKV | FPDE Coverage Privat) Versicherungsreferenz (GKV: FPDECoverageGKV oder Privat: FPDECoveragePrivat)
... supportingInfo S 0..* Reference(ImagingStudy) Voruntersuchungen fuer Vergleichsbefundung (ImagingStudy)
... specimen Σ 0..* Reference(Specimen) Procedure Samples
... bodySite Σ 0..* CodeableConcept Location on Body
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... note 0..* Annotation Comments
... patientInstruction Σ 0..1 string Patient or consumer-oriented instructions
... relevantHistory 0..* Reference(Provenance) Request provenance

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ServiceRequest.language Base preferred Common Languages 📦4.0.1 FHIR Std.
ServiceRequest.identifier:accession.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
ServiceRequest.identifier:accession.​type Base extensible IdentifierType 📦4.0.1 FHIR Std.
ServiceRequest.identifier:requestedProcedureId.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
ServiceRequest.identifier:requestedProcedureId.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
ServiceRequest.status Base required RequestStatus 📍4.0.1 FHIR Std.
ServiceRequest.intent Base required IMR ServiceRequest intent Value Set 📦1.1.0 Interactive Multimedia Report v1.1
ServiceRequest.category Base example Service Request Category Codes 📦4.0.1 FHIR Std.
ServiceRequest.priority Base required Request priority 📍4.0.1 FHIR Std.
ServiceRequest.code Base preferred Imaging Request Code 📦0.49.0 This IG
ServiceRequest.orderDetail Base example Service Request Order Details Codes 📦4.0.1 FHIR Std.
ServiceRequest.asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📦4.0.1 FHIR Std.
ServiceRequest.performerType Base example Participant Roles 📦4.0.1 FHIR Std.
ServiceRequest.locationCode Base example ServiceDeliveryLocationRoleType 📦3.0.0 THO v7.1
ServiceRequest.reasonCode Base example Procedure Reason Codes 📦4.0.1 FHIR Std.
ServiceRequest.reasonCode:icd10gm Base required Imaging Indication ICD-10-GM 📦0.49.0 This IG
ServiceRequest.bodySite Base example SNOMED CT Body Structures 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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 IMRServiceRequest

Summary

Mandatory: 1 element(6 nested mandatory elements)
Must-Support: 16 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

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

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* IMRServiceRequest A request for a service to be performed
Constraints: prr-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier Σ 1..* Identifier Identifiers assigned to this order
Slice: Unordered, Open by pattern:type.coding
.... identifier:accession SΣ 1..1 Identifier Identifiers assigned to this order
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
...... coding Σ 1..* Coding Code defined by a terminology system

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: ACSN
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
..... system SΣ 1..1 uri The namespace for the identifier value
Required Pattern: https://fhir.cognovis.de/praxis/NamingSystem/pvs-id
..... value SΣ 1..1 string The value that is unique
Example General: 123456
.... identifier:requestedProcedureId SΣ 0..1 Identifier DICOM RequestedProcedureID (0040,1001) — Identifier des geplanten Untersuchungsschritts
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
...... coding Σ 1..* Coding Code defined by a terminology system

Required Pattern: At least the following
....... 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 1..1 string Representation defined by the system
Fixed Value: Filler Identifier
....... userSelected 0..1 boolean If this coding was chosen directly by the user
..... system SΣ 0..1 uri The namespace for the identifier value
Required Pattern: https://fhir.cognovis.de/praxis/NamingSystem/dicom-requested-procedure-id
..... value SΣ 1..1 string The value that is unique
Example General: 123456
... intent ?!Σ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: IMR ServiceRequest intent Value Set (required)
... priority SΣ 0..1 code Prioritaet des Auftrags (routine, urgent, asap, stat) — required binding auf http://hl7.org/fhir/ValueSet/request-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 Bildgebungsverfahren-Code (LOINC, z.B. 36803-5 MRI of knee)
Binding: Imaging Request Code (preferred)
... subject SΣ 1..1 Reference(Patient) Individual or Entity the service is ordered for
... requester SΣ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/what is requesting service
... Slices for reasonCode SΣ 0..* CodeableConcept Explanation/Justification for procedure or service
Slice: Unordered, Open by value:coding.system
Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
.... reasonCode:icd10gm SΣ 0..* CodeableConcept ICD-10-GM Indikation fuer die Bildgebung
Binding: Imaging Indication ICD-10-GM (required)
..... coding SΣ 1..* Coding Code defined by a terminology system
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... code SΣ 1..1 code Symbol in syntax defined by the system
... insurance S 0..* Reference(FPDE Coverage GKV | FPDE Coverage Privat) Versicherungsreferenz (GKV: FPDECoverageGKV oder Privat: FPDECoveragePrivat)
... supportingInfo S 0..* Reference(ImagingStudy) Voruntersuchungen fuer Vergleichsbefundung (ImagingStudy)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ServiceRequest.identifier:accession.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
ServiceRequest.identifier:accession.​type Base extensible IdentifierType 📦4.0.1 FHIR Std.
ServiceRequest.identifier:requestedProcedureId.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
ServiceRequest.identifier:requestedProcedureId.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
ServiceRequest.status Base required RequestStatus 📍4.0.1 FHIR Std.
ServiceRequest.intent Base required IMR ServiceRequest intent Value Set 📦1.1.0 Interactive Multimedia Report v1.1
ServiceRequest.priority Base required Request priority 📍4.0.1 FHIR Std.
ServiceRequest.code Base preferred Imaging Request Code 📦0.49.0 This IG
ServiceRequest.reasonCode Base example Procedure Reason Codes 📦4.0.1 FHIR Std.
ServiceRequest.reasonCode:icd10gm Base required Imaging Indication ICD-10-GM 📦0.49.0 This IG

Constraints

Id Grade Path(s) Description Expression
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()

Differential View

This structure is derived from IMRServiceRequest

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest 0..* IMRServiceRequest A request for a service to be performed
... Slices for identifier Content/Rules for all slices
.... identifier:accession 1..1 Identifier Identifiers assigned to this order
..... system S 1..1 uri The namespace for the identifier value
Required Pattern: https://fhir.cognovis.de/praxis/NamingSystem/pvs-id
.... identifier:requestedProcedureId S 0..1 Identifier DICOM RequestedProcedureID (0040,1001) — Identifier des geplanten Untersuchungsschritts
..... type S 1..1 CodeableConcept Description of identifier
...... coding 1..* Coding Code defined by a terminology system
Required Pattern: At least the following
....... 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
....... display 1..1 string Representation defined by the system
Fixed Value: Filler Identifier
..... system S 0..1 uri The namespace for the identifier value
Required Pattern: https://fhir.cognovis.de/praxis/NamingSystem/dicom-requested-procedure-id
..... value S 1..1 string The value that is unique
... priority S 0..1 code Prioritaet des Auftrags (routine, urgent, asap, stat) — required binding auf http://hl7.org/fhir/ValueSet/request-priority
... code S 0..1 CodeableConcept Bildgebungsverfahren-Code (LOINC, z.B. 36803-5 MRI of knee)
Binding: Imaging Request Code (preferred)
... requester S 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/what is requesting service
... Slices for reasonCode S 0..* CodeableConcept Explanation/Justification for procedure or service
Slice: Unordered, Open by value:coding.system
.... reasonCode:icd10gm S 0..* CodeableConcept ICD-10-GM Indikation fuer die Bildgebung
Binding: Imaging Indication ICD-10-GM (required)
..... coding S 1..* Coding Code defined by a terminology system
...... system S 1..1 uri Identity of the terminology system
Required Pattern: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... code S 1..1 code Symbol in syntax defined by the system
... insurance S 0..* Reference(FPDE Coverage GKV | FPDE Coverage Privat) Versicherungsreferenz (GKV: FPDECoverageGKV oder Privat: FPDECoveragePrivat)
... supportingInfo S 0..* Reference(ImagingStudy) Voruntersuchungen fuer Vergleichsbefundung (ImagingStudy)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
ServiceRequest.code Base preferred Imaging Request Code 📦0.49.0 This IG
ServiceRequest.reasonCode:icd10gm Base required Imaging Indication ICD-10-GM 📦0.49.0 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* IMRServiceRequest A request for a service to be performed
Constraints: prr-1
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier Σ 1..* Identifier Identifiers assigned to this order
Slice: Unordered, Open by pattern:type.coding
.... identifier:accession SΣ 1..1 Identifier Identifiers assigned to this order
..... 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 SΣ 1..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.
...... 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 1..* Coding Code defined by a terminology system

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: ACSN
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... system SΣ 1..1 uri The namespace for the identifier value
Required Pattern: https://fhir.cognovis.de/praxis/NamingSystem/pvs-id
..... 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:requestedProcedureId SΣ 0..1 Identifier DICOM RequestedProcedureID (0040,1001) — Identifier des geplanten Untersuchungsschritts
..... 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 SΣ 1..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.
...... 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 1..* Coding Code defined by a terminology system

Required Pattern: At least the following
....... 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 1..1 string Representation defined by the system
Fixed Value: Filler Identifier
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... system SΣ 0..1 uri The namespace for the identifier value
Required Pattern: https://fhir.cognovis.de/praxis/NamingSystem/dicom-requested-procedure-id
..... 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 | ServiceRequest | MedicationRequest) What request fulfills
... replaces Σ 0..* Reference(ServiceRequest) What request replaces
... requisition Σ 0..1 Identifier Composite Request ID
... status ?!Σ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.
... intent ?!Σ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: IMR ServiceRequest intent Value Set (required)
... category Σ 0..* CodeableConcept Classification of service
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
... priority SΣ 0..1 code Prioritaet des Auftrags (routine, urgent, asap, stat) — required binding auf http://hl7.org/fhir/ValueSet/request-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 Bildgebungsverfahren-Code (LOINC, z.B. 36803-5 MRI of knee)
Binding: Imaging Request Code (preferred)
... orderDetail ΣC 0..* CodeableConcept Additional order information
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
... quantity[x] Σ 0..1 Service amount
.... quantityQuantity Quantity
.... quantityRatio Ratio
.... quantityRange Range
... subject SΣ 1..1 Reference(Patient) Individual or Entity the service is ordered for
... encounter Σ 0..1 Reference(Encounter) Encounter in which the request was created
... occurrence[x] Σ 0..1 When service should occur
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
... asNeeded[x] Σ 0..1 Preconditions for service
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
.... asNeededBoolean boolean
.... asNeededCodeableConcept CodeableConcept
... authoredOn Σ 0..1 dateTime Date request signed
... requester SΣ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/what is requesting service
... performerType Σ 0..1 CodeableConcept Performer role
Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Requested performer
... locationCode Σ 0..* CodeableConcept Requested location
Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
... locationReference Σ 0..* Reference(Location) Requested location
... Slices for reasonCode SΣ 0..* CodeableConcept Explanation/Justification for procedure or service
Slice: Unordered, Open by value:coding.system
Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
.... reasonCode:icd10gm SΣ 0..* CodeableConcept ICD-10-GM Indikation fuer die Bildgebung
Binding: Imaging Indication ICD-10-GM (required)
..... 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 SΣ 1..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
... reasonReference Σ 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Explanation/Justification for service or service
... insurance S 0..* Reference(FPDE Coverage GKV | FPDE Coverage Privat) Versicherungsreferenz (GKV: FPDECoverageGKV oder Privat: FPDECoveragePrivat)
... supportingInfo S 0..* Reference(ImagingStudy) Voruntersuchungen fuer Vergleichsbefundung (ImagingStudy)
... specimen Σ 0..* Reference(Specimen) Procedure Samples
... bodySite Σ 0..* CodeableConcept Location on Body
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... note 0..* Annotation Comments
... patientInstruction Σ 0..1 string Patient or consumer-oriented instructions
... relevantHistory 0..* Reference(Provenance) Request provenance

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ServiceRequest.language Base preferred Common Languages 📦4.0.1 FHIR Std.
ServiceRequest.identifier:accession.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
ServiceRequest.identifier:accession.​type Base extensible IdentifierType 📦4.0.1 FHIR Std.
ServiceRequest.identifier:requestedProcedureId.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
ServiceRequest.identifier:requestedProcedureId.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
ServiceRequest.status Base required RequestStatus 📍4.0.1 FHIR Std.
ServiceRequest.intent Base required IMR ServiceRequest intent Value Set 📦1.1.0 Interactive Multimedia Report v1.1
ServiceRequest.category Base example Service Request Category Codes 📦4.0.1 FHIR Std.
ServiceRequest.priority Base required Request priority 📍4.0.1 FHIR Std.
ServiceRequest.code Base preferred Imaging Request Code 📦0.49.0 This IG
ServiceRequest.orderDetail Base example Service Request Order Details Codes 📦4.0.1 FHIR Std.
ServiceRequest.asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📦4.0.1 FHIR Std.
ServiceRequest.performerType Base example Participant Roles 📦4.0.1 FHIR Std.
ServiceRequest.locationCode Base example ServiceDeliveryLocationRoleType 📦3.0.0 THO v7.1
ServiceRequest.reasonCode Base example Procedure Reason Codes 📦4.0.1 FHIR Std.
ServiceRequest.reasonCode:icd10gm Base required Imaging Indication ICD-10-GM 📦0.49.0 This IG
ServiceRequest.bodySite Base example SNOMED CT Body Structures 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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 IMRServiceRequest

Summary

Mandatory: 1 element(6 nested mandatory elements)
Must-Support: 16 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

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

 

Other representations of profile: CSV, Excel, Schematron