Breast Radiology Reporting - 1st STU ballot
0.2.0 - STU 1 Ballot 2020May
Breast Radiology Reporting - 1st STU ballot
0.2.0 - STU 1 Ballot 2020May
Breast Radiology Reporting - 1st STU ballot - Local Development build (v0.2.0). See the Directory of published versions
Service Recommendation
Recommended follow-up action to be taken in response to the findings of this exam.
This resource is a profile of ServiceRequest. It’s ServiceRequest.code is bound to a value set of common breast radiology recommendations. This list is not meant to be comprehensive, just commonly used items will will be included in the list.
The Breast Radiology Report contains references to zero or more recommendations, which may include ServiceRecommendation instances but is not limited to only ServiceRecommendation instances.
The official URL for this profile is:
http://hl7.org/fhir/us/breast-radiology/StructureDefinition/ServiceRecommendation
Graphical Overview
This graph provides an overview of how and where this resource is referenced.
Click on any of the elements of the graph to go to a section describing that element.
Profile Fragments
The following are the fragments that are included in this profile.
This section is included primarily for developers to understand the hierarchy and commonality of each profile.
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from ServiceRequest
This structure is derived from ServiceRequest
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  ServiceRequest | 0..* | ServiceRequest | Service Recommendation | |
  code | 0..1 | CodeableConcept | What is being requested/ordered Binding: Recommendations ValueSet (extensible) | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| ServiceRequest | I | 0..* | ServiceRequest | Service Recommendation |
  id | Σ | 0..1 | string | Logical id of this artifact |
 meta | ΣI | 0..1 | Meta | Metadata about the resource |
| implicitRules | ?!ΣI | 0..1 | uri | A set of rules under which this content was created |
| language | I | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages |
| text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
| contained | 0..* | Resource | Contained, inline Resources | |
 extension | I | 0..* | Extension | Additional content defined by implementations |
 modifierExtension | ?!I | 0..* | Extension | Extensions that cannot be ignored |
| identifier | ΣI | 0..* | Identifier | Identifiers assigned to this order |
| instantiatesCanonical | ΣI | 0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition |
| instantiatesUri | ΣI | 0..* | uri | Instantiates external protocol or definition |
 basedOn | ΣI | 0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills |
| replaces | ΣI | 0..* | Reference(ServiceRequest) | What request replaces |
| requisition | ΣI | 0..1 | Identifier | Composite Request ID |
| status | ?!ΣI | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required) |
| intent | ?!ΣI | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required) |
| category | ΣI | 0..* | CodeableConcept | Classification of service Binding: ServiceRequestCategoryCodes (example) |
| priority | ΣI | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required) |
| doNotPerform | ?!ΣI | 0..1 | boolean | True if service/procedure should not be performed |
| code | ΣI | 0..1 | CodeableConcept | What is being requested/ordered Binding: Recommendations ValueSet (extensible) |
| orderDetail | ΣI | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example) |
  quantity[x] | ΣI | 0..1 | Service amount | |
 quantityQuantity | Quantity | |||
| quantityRatio | Ratio | |||
| quantityRange | Range | |||
| subject | ΣI | 1..1 | Reference(Patient | Group | Location | Device) | Individual or Entity the service is ordered for |
| encounter | ΣI | 0..1 | Reference(Encounter) | Encounter in which the request was created |
| occurrence[x] | ΣI | 0..1 | When service should occur | |
| occurrenceDateTime | dateTime | |||
| occurrencePeriod | Period | |||
| occurrenceTiming | Timing | |||
| asNeeded[x] | ΣI | 0..1 | Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example) | |
| asNeededBoolean | boolean | |||
| asNeededCodeableConcept | CodeableConcept | |||
| authoredOn | ΣI | 0..1 | dateTime | Date request signed |
| requester | ΣI | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/what is requesting service |
| performerType | ΣI | 0..1 | CodeableConcept | Performer role Binding: ParticipantRoles (example) |
| performer | ΣI | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | Requested performer |
| locationCode | ΣI | 0..* | CodeableConcept | Requested location Binding: V3 Value SetServiceDeliveryLocationRoleType (example) |
| locationReference | ΣI | 0..* | Reference(Location) | Requested location |
| reasonCode | ΣI | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example) |
| reasonReference | ΣI | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service |
| insurance | I | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage |
| supportingInfo | I | 0..* | Reference(Resource) | Additional clinical information |
| specimen | ΣI | 0..* | Reference(Specimen) | Procedure Samples |
| bodySite | ΣI | 0..* | CodeableConcept | Location on Body Binding: SNOMEDCTBodyStructures (example) |
| note | I | 0..* | Annotation | Comments |
| patientInstruction | ΣI | 0..1 | string | Patient or consumer-oriented instructions |
| relevantHistory | I | 0..* | Reference(Provenance) | Request provenance |
| Documentation for this format | ||||
This structure is derived from ServiceRequest
Differential View
This structure is derived from ServiceRequest
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| ServiceRequest | 0..* | ServiceRequest | Service Recommendation | |
| code | 0..1 | CodeableConcept | What is being requested/ordered Binding: Recommendations ValueSet (extensible) | |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| ServiceRequest | I | 0..* | ServiceRequest | Service Recommendation |
| id | Σ | 0..1 | string | Logical id of this artifact |
| meta | ΣI | 0..1 | Meta | Metadata about the resource |
| implicitRules | ?!ΣI | 0..1 | uri | A set of rules under which this content was created |
| language | I | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages |
| text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
| contained | 0..* | Resource | Contained, inline Resources | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!I | 0..* | Extension | Extensions that cannot be ignored |
| identifier | ΣI | 0..* | Identifier | Identifiers assigned to this order |
| instantiatesCanonical | ΣI | 0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition |
| instantiatesUri | ΣI | 0..* | uri | Instantiates external protocol or definition |
| basedOn | ΣI | 0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills |
| replaces | ΣI | 0..* | Reference(ServiceRequest) | What request replaces |
| requisition | ΣI | 0..1 | Identifier | Composite Request ID |
| status | ?!ΣI | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required) |
| intent | ?!ΣI | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required) |
| category | ΣI | 0..* | CodeableConcept | Classification of service Binding: ServiceRequestCategoryCodes (example) |
| priority | ΣI | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required) |
| doNotPerform | ?!ΣI | 0..1 | boolean | True if service/procedure should not be performed |
| code | ΣI | 0..1 | CodeableConcept | What is being requested/ordered Binding: Recommendations ValueSet (extensible) |
| orderDetail | ΣI | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example) |
| quantity[x] | ΣI | 0..1 | Service amount | |
| quantityQuantity | Quantity | |||
| quantityRatio | Ratio | |||
| quantityRange | Range | |||
| subject | ΣI | 1..1 | Reference(Patient | Group | Location | Device) | Individual or Entity the service is ordered for |
| encounter | ΣI | 0..1 | Reference(Encounter) | Encounter in which the request was created |
| occurrence[x] | ΣI | 0..1 | When service should occur | |
| occurrenceDateTime | dateTime | |||
| occurrencePeriod | Period | |||
| occurrenceTiming | Timing | |||
| asNeeded[x] | ΣI | 0..1 | Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example) | |
| asNeededBoolean | boolean | |||
| asNeededCodeableConcept | CodeableConcept | |||
| authoredOn | ΣI | 0..1 | dateTime | Date request signed |
| requester | ΣI | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/what is requesting service |
| performerType | ΣI | 0..1 | CodeableConcept | Performer role Binding: ParticipantRoles (example) |
| performer | ΣI | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | Requested performer |
| locationCode | ΣI | 0..* | CodeableConcept | Requested location Binding: V3 Value SetServiceDeliveryLocationRoleType (example) |
| locationReference | ΣI | 0..* | Reference(Location) | Requested location |
| reasonCode | ΣI | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example) |
| reasonReference | ΣI | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service |
| insurance | I | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage |
| supportingInfo | I | 0..* | Reference(Resource) | Additional clinical information |
| specimen | ΣI | 0..* | Reference(Specimen) | Procedure Samples |
| bodySite | ΣI | 0..* | CodeableConcept | Location on Body Binding: SNOMEDCTBodyStructures (example) |
| note | I | 0..* | Annotation | Comments |
| patientInstruction | ΣI | 0..1 | string | Patient or consumer-oriented instructions |
| relevantHistory | I | 0..* | Reference(Provenance) | Request provenance |
| Documentation for this format | ||||
Other representations of profile: Schematron
| Path | Conformance | ValueSet |
| ServiceRequest.language | preferred | CommonLanguages Max Binding: AllLanguages |
| ServiceRequest.status | required | RequestStatus |
| ServiceRequest.intent | required | RequestIntent |
| ServiceRequest.category | example | ServiceRequestCategoryCodes |
| ServiceRequest.priority | required | RequestPriority |
| ServiceRequest.code | extensible | RecommendationsVS |
| ServiceRequest.orderDetail | example | ServiceRequestOrderDetailsCodes |
| ServiceRequest.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodes |
| ServiceRequest.performerType | example | ParticipantRoles |
| ServiceRequest.locationCode | example | v3.ServiceDeliveryLocationRoleType |
| ServiceRequest.reasonCode | example | ProcedureReasonCodes |
| ServiceRequest.bodySite | example | SNOMEDCTBodyStructures |
| Id | Path | Details | Requirements |
| dom-2 | ServiceRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | 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 | 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 | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | ServiceRequest | A resource should have narrative for robust management : text.`div`.exists() | |
| prr-1 | ServiceRequest | orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists() | |
| ele-1 | ServiceRequest.meta | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.implicitRules | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.language | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.text | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | ServiceRequest.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | ServiceRequest.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | ServiceRequest.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | ServiceRequest.identifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.instantiatesCanonical | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.instantiatesUri | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.basedOn | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.replaces | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.requisition | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.status | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.intent | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.category | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.priority | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.doNotPerform | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.code | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.orderDetail | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.quantity[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.subject | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.encounter | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.occurrence[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.asNeeded[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.authoredOn | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.requester | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.performerType | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.performer | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.locationCode | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.locationReference | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.reasonCode | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.reasonReference | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.insurance | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.supportingInfo | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.specimen | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.bodySite | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.note | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.patientInstruction | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ServiceRequest.relevantHistory | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
IG © 2019+ Hl7 - Clinical Interoperability Council. Package hl7.fhir.us.breast-radiology#0.2.0 based on FHIR 4.0.1. Generated 2020-04-07
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