Digital Referral Prescription Implementation Guide
1.0.0 - STU

Digital Referral Prescription Implementation Guide, published by eHealth Platform. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-be/referral-uhmep/ and changes regularly. See the Directory of published versions

## Resource Profile: BeAnnex81

Official URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-annex-81 | Version: 1.0.0
Active as of 2026-02-12 | Computable Name: BeAnnex81

Annex81 proposal and approval

Usages:

- Refer to this Profile: BeAnnex81, BePerformerTask and BeReferralTask
- Examples for this Profile: ServiceRequest/example12-referralprescription-nursing-annex81

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.

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | ServiceRequest | A request for a service to be performed Constraints: prr-1, be-inv-annex-81-based-on
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:validity | S | 1..1 | Period | Validity period of the prescription URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-validity-period
extension:latest | S | 0..1 | dateTime | Request must be executed before URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-latest-end-date
extension:statusReason | S | 0..1 | (Complex) | Reason for current status URL: http://hl7.org/fhir/StructureDefinition/request-statusReason
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/request-statusReason"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: BeVSPrescriptionStatusReason (example): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet.
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | S Σ | 0..* | Identifier | Identifiers assigned to this order Slice: Unordered, Open by value:system
identifier:UHMEP | S Σ | 0..1 | Identifier | Reference ID of the UHMEP once available there
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/NamingSystem/uhmep
value | Σ | 1..1 | string | The value that is unique Example General: 123456
identifier:SHORT | S Σ C | 0..1 | Identifier | Patient friendly ID (UHMEP SHORT) Constraints: be-inv-uhmep-short
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/NamingSystem/uhmep-short
value | Σ | 1..1 | string | The value that is unique Example General: 123456
basedOn | S Σ | 0..* | Reference(BeAnnex81) | What request fulfills
status | ?!S Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent | ?!S Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request.
Slices for category | S Σ | 1..* | CodeableConcept | Classification of service Slice: Unordered, Open by value:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:discipline | S Σ | 1..1 | CodeableConcept | Category that identifies the type of referral Binding: DRP Categories of Care (required): Categories of care that can be prescribed. See ValueSet. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
version |  | 1..1 | string | Version of the system - if relevant Fixed Value: http://snomed.info/sct/11000172109
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 9632001
display |  | 1..1 | string | Representation defined by the system Fixed Value: Nursing procedure (procedure)
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
category:annex81TechnicalType | S Σ | 0..1 | CodeableConcept | Technical type for Annex 81 prescriptions Binding: DRP Annex 81 Technical Type (required): Technical type for Annex 81 prescriptions. See ValueSet.
doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed
code | S Σ | 1..1 | CodeableConcept | What is being requested/ordered 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. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/CodeSystem/be-cs-temp-requested-service
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: tmp-prep-x081-2
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
subject | S Σ | 1..1 | Reference(Patient | Group | Location | Device) | Individual or Entity the service is ordered for
Slices for occurrence[x] | Σ | 0..1 |  | When service should occur Slice: Unordered, Open by type:$this
occurrenceDateTime |  |  | dateTime |
occurrencePeriod |  |  | Period |
occurrenceTiming |  |  | Timing |
occurrence[x]:occurrenceTiming | Σ | 0..1 | Timing | When service should occur
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
authoredOn | S Σ C | 1..1 | dateTime | Date request signed Constraints: be-inv-long-date
requester | S Σ | 1..1 | Reference(BePractitionerRole(2.1.2)) | Who/what is requesting service
reasonCode | S Σ | 1..* | CodeableConcept | Explanation/Justification for procedure or service Binding: BeVSAnnex81ReasonCode (example): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet.
note | S | 0..* | BeCodedAnnotation | Comments
Slices for extension |  |  |  | Content/Rules for all slices
extension:code |  | 0..1 | (Complex) | Code URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept"
value[x] |  | 0..1 | CodeableConcept | Value of extension Binding: DRP Note Type (example): Types of notes that can be associated with a prescription. See ValueSet.
text | Σ | 1..1 | markdown | The annotation - plain text without markdown is strongly recommended
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
ServiceRequest.extension:statusReason.​value[x] | Base | example | BeVSPrescriptionStatusReason | 📦1.0.0 | This IG
ServiceRequest.identifier:UHMEP.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
ServiceRequest.identifier:SHORT.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
ServiceRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std.
ServiceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std.
ServiceRequest.category | Base | example | Service Request Category Codes | 📍4.0.1 | FHIR Std.
ServiceRequest.category:discipline | Base | required | DRP Categories of Care | 📦1.0.0 | This IG
ServiceRequest.category:annex81TechnicalType | Base | required | DRP Annex 81 Technical Type | 📦1.0.0 | This IG
ServiceRequest.code | Base | example | Procedure Codes (SNOMED CT) | 📍4.0.1 | FHIR Std.
ServiceRequest.reasonCode | Base | example | BeVSAnnex81ReasonCode | 📦1.0.0 | This IG
ServiceRequest.note.​extension:code.value[x] | Base | example | DRP Note Type | 📦1.0.0 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
be-inv-annex-81-based-on | error | ServiceRequest | An approved Annex81 is always based on a request by a nurse | `intent = 'order' implies basedOn.exists()`
be-inv-long-date | warning | ServiceRequest.authoredOn | date SHALL contain a long date (YYYY-MM-DDThh:mm:ss+zz:zz) | `empty() or toString().length()=25`
be-inv-uhmep-short | warning | ServiceRequest.identifier:SHORT | The format of UHMEP-SHORT is 6 capital alphanumerics, without O | `Identifier.where(system = 'https://www.ehealth.fgov.be/standards/fhir/referral/NamingSystem/uhmep-short').where(value.extension.empty() or value.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization').empty()).value.select($this.matches('[A-NP-Z0-9]{6}')).allTrue()`
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 ServiceRequest

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | ServiceRequest | A request for a service to be performed Constraints: be-inv-annex-81-based-on
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:validity | S | 1..1 | Period | Validity period of the prescription URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-validity-period
extension:latest | S | 0..1 | dateTime | Request must be executed before URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-latest-end-date
extension:statusReason | S | 0..1 | (Complex) | Reason for current status URL: http://hl7.org/fhir/StructureDefinition/request-statusReason
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: BeVSPrescriptionStatusReason (example): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet.
Slices for identifier | S | 0..* | Identifier | Identifiers assigned to this order Slice: Unordered, Open by value:system
identifier:UHMEP | S | 0..1 | Identifier | Reference ID of the UHMEP once available there
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/NamingSystem/uhmep
value |  | 1..1 | string | The value that is unique
identifier:SHORT | S C | 0..1 | Identifier | Patient friendly ID (UHMEP SHORT) Constraints: be-inv-uhmep-short
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/NamingSystem/uhmep-short
value |  | 1..1 | string | The value that is unique
basedOn | S | 0..* | Reference(BeAnnex81) | What request fulfills
status | S | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown
intent | S | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Slices for category | S | 1..* | CodeableConcept | Classification of service Slice: Unordered, Open by value:$this
category:discipline | S | 1..1 | CodeableConcept | Category that identifies the type of referral Binding: DRP Categories of Care (required): Categories of care that can be prescribed. See ValueSet. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
version |  | 1..1 | string | Version of the system - if relevant Fixed Value: http://snomed.info/sct/11000172109
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 9632001
display |  | 1..1 | string | Representation defined by the system Fixed Value: Nursing procedure (procedure)
category:annex81TechnicalType | S | 0..1 | CodeableConcept | Technical type for Annex 81 prescriptions Binding: DRP Annex 81 Technical Type (required): Technical type for Annex 81 prescriptions. See ValueSet.
code | S | 1..1 | CodeableConcept | What is being requested/ordered Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/CodeSystem/be-cs-temp-requested-service
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: tmp-prep-x081-2
subject | S | 1..1 | Reference(Patient | Group | Location | Device) | Individual or Entity the service is ordered for
Slices for occurrence[x] |  | 0..1 | dateTime, Period, Timing | When service should occur Slice: Unordered, Open by type:$this
occurrence[x]:occurrenceTiming |  | 0..1 | Timing | When service should occur
repeat |  |  |  |
frequency |  | 0..1 | positiveInt | Event occurs frequency times per period Required Pattern: 1
period |  | 0..1 | decimal | Event occurs frequency times per period Required Pattern: 1
periodUnit |  | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Required Pattern: wk
authoredOn | S C | 1..1 | dateTime | Date request signed Constraints: be-inv-long-date
requester | S | 1..1 | Reference(BePractitionerRole(2.1.2)) | Who/what is requesting service
reasonCode | S | 1..* | CodeableConcept | Explanation/Justification for procedure or service Binding: BeVSAnnex81ReasonCode (example): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet.
note | S | 0..* | BeCodedAnnotation | Comments
Slices for extension |  |  |  | Content/Rules for all slices
extension:code |  | 0..1 | BeExtCodeableConcept | Code
value[x] |  | 0..1 | CodeableConcept | Value of extension Binding: DRP Note Type (example): Types of notes that can be associated with a prescription. See ValueSet.
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
ServiceRequest.extension:statusReason.​value[x] | Base | example | BeVSPrescriptionStatusReason | 📦1.0.0 | This IG
ServiceRequest.category:discipline | Base | required | DRP Categories of Care | 📦1.0.0 | This IG
ServiceRequest.category:annex81TechnicalType | Base | required | DRP Annex 81 Technical Type | 📦1.0.0 | This IG
ServiceRequest.reasonCode | Base | example | BeVSAnnex81ReasonCode | 📦1.0.0 | This IG
ServiceRequest.note.​extension:code.value[x] | Base | example | DRP Note Type | 📦1.0.0 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
be-inv-annex-81-based-on | error | ServiceRequest | An approved Annex81 is always based on a request by a nurse | `intent = 'order' implies basedOn.exists()`
be-inv-long-date | warning | ServiceRequest.authoredOn | date SHALL contain a long date (YYYY-MM-DDThh:mm:ss+zz:zz) | `empty() or toString().length()=25`
be-inv-uhmep-short | warning | ServiceRequest.identifier:SHORT | The format of UHMEP-SHORT is 6 capital alphanumerics, without O | `Identifier.where(system = 'https://www.ehealth.fgov.be/standards/fhir/referral/NamingSystem/uhmep-short').where(value.extension.empty() or value.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization').empty()).value.select($this.matches('[A-NP-Z0-9]{6}')).allTrue()`

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | ServiceRequest | A request for a service to be performed Constraints: prr-1, be-inv-annex-81-based-on
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:validity | S | 1..1 | Period | Validity period of the prescription URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-validity-period
extension:latest | S | 0..1 | dateTime | Request must be executed before URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-latest-end-date
extension:statusReason | S | 0..1 | (Complex) | Reason for current status URL: http://hl7.org/fhir/StructureDefinition/request-statusReason
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/request-statusReason"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: BeVSPrescriptionStatusReason (example): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet.
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | S Σ | 0..* | Identifier | Identifiers assigned to this order Slice: Unordered, Open by value:system
identifier:UHMEP | S Σ | 0..1 | Identifier | Reference ID of the UHMEP once available there
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 | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/NamingSystem/uhmep
value | Σ | 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:SHORT | S Σ C | 0..1 | Identifier | Patient friendly ID (UHMEP SHORT) Constraints: be-inv-uhmep-short
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 | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/NamingSystem/uhmep-short
value | Σ | 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 | S Σ | 0..* | Reference(BeAnnex81) | What request fulfills
replaces | Σ | 0..* | Reference(ServiceRequest) | What request replaces
requisition | Σ | 0..1 | Identifier | Composite Request ID
status | ?!S Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent | ?!S Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request.
Slices for category | S Σ | 1..* | CodeableConcept | Classification of service Slice: Unordered, Open by value:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:discipline | S Σ | 1..1 | CodeableConcept | Category that identifies the type of referral Binding: DRP Categories of Care (required): Categories of care that can be prescribed. See ValueSet. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
version |  | 1..1 | string | Version of the system - if relevant Fixed Value: http://snomed.info/sct/11000172109
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 9632001
display |  | 1..1 | string | Representation defined by the system Fixed Value: Nursing procedure (procedure)
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
category:annex81TechnicalType | S Σ | 0..1 | CodeableConcept | Technical type for Annex 81 prescriptions Binding: DRP Annex 81 Technical Type (required): Technical type for Annex 81 prescriptions. See ValueSet.
priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed
code | S Σ | 1..1 | CodeableConcept | What is being requested/ordered 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. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/CodeSystem/be-cs-temp-requested-service
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: tmp-prep-x081-2
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
orderDetail | Σ C | 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 | S Σ | 1..1 | Reference(Patient | Group | Location | Device) | Individual or Entity the service is ordered for
encounter | Σ | 0..1 | Reference(Encounter) | Encounter in which the request was created
Slices for occurrence[x] | Σ | 0..1 |  | When service should occur Slice: Unordered, Open by type:$this
occurrenceDateTime |  |  | dateTime |
occurrencePeriod |  |  | Period |
occurrenceTiming |  |  | Timing |
occurrence[x]:occurrenceTiming | Σ | 0..1 | Timing | When service should occur
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
event | Σ | 0..* | dateTime | When the event occurs
repeat | Σ C | 0..1 | Element | When the event is to occur Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
bounds[x] | Σ | 0..1 |  | Length/Range of lengths, or (Start and/or end) limits
boundsDuration |  |  | Duration |
boundsRange |  |  | Range |
boundsPeriod |  |  | Period |
count | Σ | 0..1 | positiveInt | Number of times to repeat
countMax | Σ | 0..1 | positiveInt | Maximum number of times to repeat
duration | Σ | 0..1 | decimal | How long when it happens
durationMax | Σ | 0..1 | decimal | How long when it happens (Max)
durationUnit | Σ | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency | Σ | 0..1 | positiveInt | Event occurs frequency times per period Required Pattern: 1
frequencyMax | Σ | 0..1 | positiveInt | Event occurs up to frequencyMax times per period
period | Σ | 0..1 | decimal | Event occurs frequency times per period Required Pattern: 1
periodMax | Σ | 0..1 | decimal | Upper limit of period (3-4 hours)
periodUnit | Σ | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM). Required Pattern: wk
dayOfWeek | Σ | 0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required)
timeOfDay | Σ | 0..* | time | Time of day for action
when | Σ | 0..* | code | Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule.
offset | Σ | 0..1 | unsignedInt | Minutes from event (before or after)
code | Σ | 0..1 | CodeableConcept | BID | TID | QID | AM | PM | QD | QOD | + Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
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 | S Σ C | 1..1 | dateTime | Date request signed Constraints: be-inv-long-date
requester | S Σ | 1..1 | Reference(BePractitionerRole(2.1.2)) | 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 (3.0.0) (example): A location type where services are delivered.
locationReference | Σ | 0..* | Reference(Location) | Requested location
reasonCode | S Σ | 1..* | CodeableConcept | Explanation/Justification for procedure or service Binding: BeVSAnnex81ReasonCode (example): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet.
reasonReference | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service
insurance |  | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage
supportingInfo |  | 0..* | Reference(Resource) | Additional clinical information
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 | S | 0..* | BeCodedAnnotation | Comments
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:code |  | 0..1 | (Complex) | Code URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept"
value[x] |  | 0..1 | CodeableConcept | Value of extension Binding: DRP Note Type (example): Types of notes that can be associated with a prescription. See ValueSet.
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 | Σ | 1..1 | markdown | The annotation - plain text without markdown is strongly recommended
patientInstruction | Σ | 0..1 | string | Patient or consumer-oriented instructions
relevantHistory |  | 0..* | Reference(Provenance) | Request provenance
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
ServiceRequest.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
ServiceRequest.extension:statusReason.​value[x] | Base | example | BeVSPrescriptionStatusReason | 📦1.0.0 | This IG
ServiceRequest.identifier:UHMEP.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
ServiceRequest.identifier:UHMEP.​type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std.
ServiceRequest.identifier:SHORT.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
ServiceRequest.identifier:SHORT.​type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std.
ServiceRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std.
ServiceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std.
ServiceRequest.category | Base | example | Service Request Category Codes | 📍4.0.1 | FHIR Std.
ServiceRequest.category:discipline | Base | required | DRP Categories of Care | 📦1.0.0 | This IG
ServiceRequest.category:annex81TechnicalType | Base | required | DRP Annex 81 Technical Type | 📦1.0.0 | This IG
ServiceRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std.
ServiceRequest.code | Base | example | Procedure Codes (SNOMED CT) | 📍4.0.1 | FHIR Std.
ServiceRequest.orderDetail | Base | example | Service Request Order Details Codes | 📍4.0.1 | FHIR Std.
ServiceRequest.occurrence[x]:occurrenceTiming.​repeat.durationUnit | Base | required | UnitsOfTime | 📍4.0.1 | FHIR Std.
ServiceRequest.occurrence[x]:occurrenceTiming.​repeat.periodUnit | Base | required | UnitsOfTime | 📍4.0.1 | FHIR Std.
ServiceRequest.occurrence[x]:occurrenceTiming.​repeat.dayOfWeek | Base | required | DaysOfWeek | 📍4.0.1 | FHIR Std.
ServiceRequest.occurrence[x]:occurrenceTiming.​repeat.when | Base | required | EventTiming | 📍4.0.1 | FHIR Std.
ServiceRequest.occurrence[x]:occurrenceTiming.​code | Base | preferred | TimingAbbreviation | 📍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 v7.0
ServiceRequest.reasonCode | Base | example | BeVSAnnex81ReasonCode | 📦1.0.0 | This IG
ServiceRequest.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std.
ServiceRequest.note.​extension:code.value[x] | Base | example | DRP Note Type | 📦1.0.0 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
be-inv-annex-81-based-on | error | ServiceRequest | An approved Annex81 is always based on a request by a nurse | `intent = 'order' implies basedOn.exists()`
be-inv-long-date | warning | ServiceRequest.authoredOn | date SHALL contain a long date (YYYY-MM-DDThh:mm:ss+zz:zz) | `empty() or toString().length()=25`
be-inv-uhmep-short | warning | ServiceRequest.identifier:SHORT | The format of UHMEP-SHORT is 6 capital alphanumerics, without O | `Identifier.where(system = 'https://www.ehealth.fgov.be/standards/fhir/referral/NamingSystem/uhmep-short').where(value.extension.empty() or value.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization').empty()).value.select($this.matches('[A-NP-Z0-9]{6}')).allTrue()`
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()`
tim-1 | error | ServiceRequest.occurrence[x]:occurrenceTiming.repeat | if there's a duration, there needs to be duration units | `duration.empty() or durationUnit.exists()`
tim-2 | error | ServiceRequest.occurrence[x]:occurrenceTiming.repeat | if there's a period, there needs to be period units | `period.empty() or periodUnit.exists()`
tim-4 | error | ServiceRequest.occurrence[x]:occurrenceTiming.repeat | duration SHALL be a non-negative value | `duration.exists() implies duration >= 0`
tim-5 | error | ServiceRequest.occurrence[x]:occurrenceTiming.repeat | period SHALL be a non-negative value | `period.exists() implies period >= 0`
tim-6 | error | ServiceRequest.occurrence[x]:occurrenceTiming.repeat | If there's a periodMax, there must be a period | `periodMax.empty() or period.exists()`
tim-7 | error | ServiceRequest.occurrence[x]:occurrenceTiming.repeat | If there's a durationMax, there must be a duration | `durationMax.empty() or duration.exists()`
tim-8 | error | ServiceRequest.occurrence[x]:occurrenceTiming.repeat | If there's a countMax, there must be a count | `countMax.empty() or count.exists()`
tim-9 | error | ServiceRequest.occurrence[x]:occurrenceTiming.repeat | If there's an offset, there must be a when (and not C, CM, CD, CV) | `offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))`
tim-10 | error | ServiceRequest.occurrence[x]:occurrenceTiming.repeat | If there's a timeOfDay, there cannot be a when, or vice versa | `timeOfDay.empty() or when.empty()`

This structure is derived from ServiceRequest

Summary

Mandatory: 8 elements(4 nested mandatory elements)
Must-Support: 18 elements
Fixed: 2 elements

Structures

This structure refers to these other structures:

- BeAnnex81 (https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-annex-81)
- BePractitionerRole (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole|2.1.2)
- BeCodedAnnotation (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-coded-annotation)

Extensions

This structure refers to these extensions:

- https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-validity-period
- https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-latest-end-date
- http://hl7.org/fhir/StructureDefinition/request-statusReason|5.2.0

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of ServiceRequest.identifier
- The element 1 is sliced based on the value of ServiceRequest.category
- The element 1 is sliced based on the value of ServiceRequest.occurrence[x]

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | ServiceRequest | A request for a service to be performed Constraints: prr-1, be-inv-annex-81-based-on
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:validity | S | 1..1 | Period | Validity period of the prescription URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-validity-period
extension:latest | S | 0..1 | dateTime | Request must be executed before URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-latest-end-date
extension:statusReason | S | 0..1 | (Complex) | Reason for current status URL: http://hl7.org/fhir/StructureDefinition/request-statusReason
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/request-statusReason"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: BeVSPrescriptionStatusReason (example): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet.
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | S Σ | 0..* | Identifier | Identifiers assigned to this order Slice: Unordered, Open by value:system
identifier:UHMEP | S Σ | 0..1 | Identifier | Reference ID of the UHMEP once available there
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/NamingSystem/uhmep
value | Σ | 1..1 | string | The value that is unique Example General: 123456
identifier:SHORT | S Σ C | 0..1 | Identifier | Patient friendly ID (UHMEP SHORT) Constraints: be-inv-uhmep-short
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/NamingSystem/uhmep-short
value | Σ | 1..1 | string | The value that is unique Example General: 123456
basedOn | S Σ | 0..* | Reference(BeAnnex81) | What request fulfills
status | ?!S Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent | ?!S Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request.
Slices for category | S Σ | 1..* | CodeableConcept | Classification of service Slice: Unordered, Open by value:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:discipline | S Σ | 1..1 | CodeableConcept | Category that identifies the type of referral Binding: DRP Categories of Care (required): Categories of care that can be prescribed. See ValueSet. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
version |  | 1..1 | string | Version of the system - if relevant Fixed Value: http://snomed.info/sct/11000172109
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 9632001
display |  | 1..1 | string | Representation defined by the system Fixed Value: Nursing procedure (procedure)
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
category:annex81TechnicalType | S Σ | 0..1 | CodeableConcept | Technical type for Annex 81 prescriptions Binding: DRP Annex 81 Technical Type (required): Technical type for Annex 81 prescriptions. See ValueSet.
doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed
code | S Σ | 1..1 | CodeableConcept | What is being requested/ordered 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. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/CodeSystem/be-cs-temp-requested-service
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: tmp-prep-x081-2
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
subject | S Σ | 1..1 | Reference(Patient | Group | Location | Device) | Individual or Entity the service is ordered for
Slices for occurrence[x] | Σ | 0..1 |  | When service should occur Slice: Unordered, Open by type:$this
occurrenceDateTime |  |  | dateTime |
occurrencePeriod |  |  | Period |
occurrenceTiming |  |  | Timing |
occurrence[x]:occurrenceTiming | Σ | 0..1 | Timing | When service should occur
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
authoredOn | S Σ C | 1..1 | dateTime | Date request signed Constraints: be-inv-long-date
requester | S Σ | 1..1 | Reference(BePractitionerRole(2.1.2)) | Who/what is requesting service
reasonCode | S Σ | 1..* | CodeableConcept | Explanation/Justification for procedure or service Binding: BeVSAnnex81ReasonCode (example): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet.
note | S | 0..* | BeCodedAnnotation | Comments
Slices for extension |  |  |  | Content/Rules for all slices
extension:code |  | 0..1 | (Complex) | Code URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept"
value[x] |  | 0..1 | CodeableConcept | Value of extension Binding: DRP Note Type (example): Types of notes that can be associated with a prescription. See ValueSet.
text | Σ | 1..1 | markdown | The annotation - plain text without markdown is strongly recommended
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
ServiceRequest.extension:statusReason.​value[x] | Base | example | BeVSPrescriptionStatusReason | 📦1.0.0 | This IG
ServiceRequest.identifier:UHMEP.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
ServiceRequest.identifier:SHORT.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
ServiceRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std.
ServiceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std.
ServiceRequest.category | Base | example | Service Request Category Codes | 📍4.0.1 | FHIR Std.
ServiceRequest.category:discipline | Base | required | DRP Categories of Care | 📦1.0.0 | This IG
ServiceRequest.category:annex81TechnicalType | Base | required | DRP Annex 81 Technical Type | 📦1.0.0 | This IG
ServiceRequest.code | Base | example | Procedure Codes (SNOMED CT) | 📍4.0.1 | FHIR Std.
ServiceRequest.reasonCode | Base | example | BeVSAnnex81ReasonCode | 📦1.0.0 | This IG
ServiceRequest.note.​extension:code.value[x] | Base | example | DRP Note Type | 📦1.0.0 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
be-inv-annex-81-based-on | error | ServiceRequest | An approved Annex81 is always based on a request by a nurse | `intent = 'order' implies basedOn.exists()`
be-inv-long-date | warning | ServiceRequest.authoredOn | date SHALL contain a long date (YYYY-MM-DDThh:mm:ss+zz:zz) | `empty() or toString().length()=25`
be-inv-uhmep-short | warning | ServiceRequest.identifier:SHORT | The format of UHMEP-SHORT is 6 capital alphanumerics, without O | `Identifier.where(system = 'https://www.ehealth.fgov.be/standards/fhir/referral/NamingSystem/uhmep-short').where(value.extension.empty() or value.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization').empty()).value.select($this.matches('[A-NP-Z0-9]{6}')).allTrue()`
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 ServiceRequest

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | ServiceRequest | A request for a service to be performed Constraints: be-inv-annex-81-based-on
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:validity | S | 1..1 | Period | Validity period of the prescription URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-validity-period
extension:latest | S | 0..1 | dateTime | Request must be executed before URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-latest-end-date
extension:statusReason | S | 0..1 | (Complex) | Reason for current status URL: http://hl7.org/fhir/StructureDefinition/request-statusReason
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: BeVSPrescriptionStatusReason (example): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet.
Slices for identifier | S | 0..* | Identifier | Identifiers assigned to this order Slice: Unordered, Open by value:system
identifier:UHMEP | S | 0..1 | Identifier | Reference ID of the UHMEP once available there
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/NamingSystem/uhmep
value |  | 1..1 | string | The value that is unique
identifier:SHORT | S C | 0..1 | Identifier | Patient friendly ID (UHMEP SHORT) Constraints: be-inv-uhmep-short
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/NamingSystem/uhmep-short
value |  | 1..1 | string | The value that is unique
basedOn | S | 0..* | Reference(BeAnnex81) | What request fulfills
status | S | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown
intent | S | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Slices for category | S | 1..* | CodeableConcept | Classification of service Slice: Unordered, Open by value:$this
category:discipline | S | 1..1 | CodeableConcept | Category that identifies the type of referral Binding: DRP Categories of Care (required): Categories of care that can be prescribed. See ValueSet. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
version |  | 1..1 | string | Version of the system - if relevant Fixed Value: http://snomed.info/sct/11000172109
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 9632001
display |  | 1..1 | string | Representation defined by the system Fixed Value: Nursing procedure (procedure)
category:annex81TechnicalType | S | 0..1 | CodeableConcept | Technical type for Annex 81 prescriptions Binding: DRP Annex 81 Technical Type (required): Technical type for Annex 81 prescriptions. See ValueSet.
code | S | 1..1 | CodeableConcept | What is being requested/ordered Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/CodeSystem/be-cs-temp-requested-service
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: tmp-prep-x081-2
subject | S | 1..1 | Reference(Patient | Group | Location | Device) | Individual or Entity the service is ordered for
Slices for occurrence[x] |  | 0..1 | dateTime, Period, Timing | When service should occur Slice: Unordered, Open by type:$this
occurrence[x]:occurrenceTiming |  | 0..1 | Timing | When service should occur
repeat |  |  |  |
frequency |  | 0..1 | positiveInt | Event occurs frequency times per period Required Pattern: 1
period |  | 0..1 | decimal | Event occurs frequency times per period Required Pattern: 1
periodUnit |  | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Required Pattern: wk
authoredOn | S C | 1..1 | dateTime | Date request signed Constraints: be-inv-long-date
requester | S | 1..1 | Reference(BePractitionerRole(2.1.2)) | Who/what is requesting service
reasonCode | S | 1..* | CodeableConcept | Explanation/Justification for procedure or service Binding: BeVSAnnex81ReasonCode (example): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet.
note | S | 0..* | BeCodedAnnotation | Comments
Slices for extension |  |  |  | Content/Rules for all slices
extension:code |  | 0..1 | BeExtCodeableConcept | Code
value[x] |  | 0..1 | CodeableConcept | Value of extension Binding: DRP Note Type (example): Types of notes that can be associated with a prescription. See ValueSet.
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
ServiceRequest.extension:statusReason.​value[x] | Base | example | BeVSPrescriptionStatusReason | 📦1.0.0 | This IG
ServiceRequest.category:discipline | Base | required | DRP Categories of Care | 📦1.0.0 | This IG
ServiceRequest.category:annex81TechnicalType | Base | required | DRP Annex 81 Technical Type | 📦1.0.0 | This IG
ServiceRequest.reasonCode | Base | example | BeVSAnnex81ReasonCode | 📦1.0.0 | This IG
ServiceRequest.note.​extension:code.value[x] | Base | example | DRP Note Type | 📦1.0.0 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
be-inv-annex-81-based-on | error | ServiceRequest | An approved Annex81 is always based on a request by a nurse | `intent = 'order' implies basedOn.exists()`
be-inv-long-date | warning | ServiceRequest.authoredOn | date SHALL contain a long date (YYYY-MM-DDThh:mm:ss+zz:zz) | `empty() or toString().length()=25`
be-inv-uhmep-short | warning | ServiceRequest.identifier:SHORT | The format of UHMEP-SHORT is 6 capital alphanumerics, without O | `Identifier.where(system = 'https://www.ehealth.fgov.be/standards/fhir/referral/NamingSystem/uhmep-short').where(value.extension.empty() or value.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization').empty()).value.select($this.matches('[A-NP-Z0-9]{6}')).allTrue()`

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | ServiceRequest | A request for a service to be performed Constraints: prr-1, be-inv-annex-81-based-on
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:validity | S | 1..1 | Period | Validity period of the prescription URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-validity-period
extension:latest | S | 0..1 | dateTime | Request must be executed before URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-latest-end-date
extension:statusReason | S | 0..1 | (Complex) | Reason for current status URL: http://hl7.org/fhir/StructureDefinition/request-statusReason
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/request-statusReason"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: BeVSPrescriptionStatusReason (example): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet.
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | S Σ | 0..* | Identifier | Identifiers assigned to this order Slice: Unordered, Open by value:system
identifier:UHMEP | S Σ | 0..1 | Identifier | Reference ID of the UHMEP once available there
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 | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/NamingSystem/uhmep
value | Σ | 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:SHORT | S Σ C | 0..1 | Identifier | Patient friendly ID (UHMEP SHORT) Constraints: be-inv-uhmep-short
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 | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/NamingSystem/uhmep-short
value | Σ | 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 | S Σ | 0..* | Reference(BeAnnex81) | What request fulfills
replaces | Σ | 0..* | Reference(ServiceRequest) | What request replaces
requisition | Σ | 0..1 | Identifier | Composite Request ID
status | ?!S Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent | ?!S Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request.
Slices for category | S Σ | 1..* | CodeableConcept | Classification of service Slice: Unordered, Open by value:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:discipline | S Σ | 1..1 | CodeableConcept | Category that identifies the type of referral Binding: DRP Categories of Care (required): Categories of care that can be prescribed. See ValueSet. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
version |  | 1..1 | string | Version of the system - if relevant Fixed Value: http://snomed.info/sct/11000172109
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 9632001
display |  | 1..1 | string | Representation defined by the system Fixed Value: Nursing procedure (procedure)
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
category:annex81TechnicalType | S Σ | 0..1 | CodeableConcept | Technical type for Annex 81 prescriptions Binding: DRP Annex 81 Technical Type (required): Technical type for Annex 81 prescriptions. See ValueSet.
priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed
code | S Σ | 1..1 | CodeableConcept | What is being requested/ordered 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. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/CodeSystem/be-cs-temp-requested-service
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: tmp-prep-x081-2
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
orderDetail | Σ C | 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 | S Σ | 1..1 | Reference(Patient | Group | Location | Device) | Individual or Entity the service is ordered for
encounter | Σ | 0..1 | Reference(Encounter) | Encounter in which the request was created
Slices for occurrence[x] | Σ | 0..1 |  | When service should occur Slice: Unordered, Open by type:$this
occurrenceDateTime |  |  | dateTime |
occurrencePeriod |  |  | Period |
occurrenceTiming |  |  | Timing |
occurrence[x]:occurrenceTiming | Σ | 0..1 | Timing | When service should occur
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
event | Σ | 0..* | dateTime | When the event occurs
repeat | Σ C | 0..1 | Element | When the event is to occur Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
bounds[x] | Σ | 0..1 |  | Length/Range of lengths, or (Start and/or end) limits
boundsDuration |  |  | Duration |
boundsRange |  |  | Range |
boundsPeriod |  |  | Period |
count | Σ | 0..1 | positiveInt | Number of times to repeat
countMax | Σ | 0..1 | positiveInt | Maximum number of times to repeat
duration | Σ | 0..1 | decimal | How long when it happens
durationMax | Σ | 0..1 | decimal | How long when it happens (Max)
durationUnit | Σ | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency | Σ | 0..1 | positiveInt | Event occurs frequency times per period Required Pattern: 1
frequencyMax | Σ | 0..1 | positiveInt | Event occurs up to frequencyMax times per period
period | Σ | 0..1 | decimal | Event occurs frequency times per period Required Pattern: 1
periodMax | Σ | 0..1 | decimal | Upper limit of period (3-4 hours)
periodUnit | Σ | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM). Required Pattern: wk
dayOfWeek | Σ | 0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required)
timeOfDay | Σ | 0..* | time | Time of day for action
when | Σ | 0..* | code | Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule.
offset | Σ | 0..1 | unsignedInt | Minutes from event (before or after)
code | Σ | 0..1 | CodeableConcept | BID | TID | QID | AM | PM | QD | QOD | + Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
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 | S Σ C | 1..1 | dateTime | Date request signed Constraints: be-inv-long-date
requester | S Σ | 1..1 | Reference(BePractitionerRole(2.1.2)) | 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 (3.0.0) (example): A location type where services are delivered.
locationReference | Σ | 0..* | Reference(Location) | Requested location
reasonCode | S Σ | 1..* | CodeableConcept | Explanation/Justification for procedure or service Binding: BeVSAnnex81ReasonCode (example): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet.
reasonReference | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service
insurance |  | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage
supportingInfo |  | 0..* | Reference(Resource) | Additional clinical information
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 | S | 0..* | BeCodedAnnotation | Comments
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:code |  | 0..1 | (Complex) | Code URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept"
value[x] |  | 0..1 | CodeableConcept | Value of extension Binding: DRP Note Type (example): Types of notes that can be associated with a prescription. See ValueSet.
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 | Σ | 1..1 | markdown | The annotation - plain text without markdown is strongly recommended
patientInstruction | Σ | 0..1 | string | Patient or consumer-oriented instructions
relevantHistory |  | 0..* | Reference(Provenance) | Request provenance
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
ServiceRequest.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
ServiceRequest.extension:statusReason.​value[x] | Base | example | BeVSPrescriptionStatusReason | 📦1.0.0 | This IG
ServiceRequest.identifier:UHMEP.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
ServiceRequest.identifier:UHMEP.​type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std.
ServiceRequest.identifier:SHORT.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
ServiceRequest.identifier:SHORT.​type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std.
ServiceRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std.
ServiceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std.
ServiceRequest.category | Base | example | Service Request Category Codes | 📍4.0.1 | FHIR Std.
ServiceRequest.category:discipline | Base | required | DRP Categories of Care | 📦1.0.0 | This IG
ServiceRequest.category:annex81TechnicalType | Base | required | DRP Annex 81 Technical Type | 📦1.0.0 | This IG
ServiceRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std.
ServiceRequest.code | Base | example | Procedure Codes (SNOMED CT) | 📍4.0.1 | FHIR Std.
ServiceRequest.orderDetail | Base | example | Service Request Order Details Codes | 📍4.0.1 | FHIR Std.
ServiceRequest.occurrence[x]:occurrenceTiming.​repeat.durationUnit | Base | required | UnitsOfTime | 📍4.0.1 | FHIR Std.
ServiceRequest.occurrence[x]:occurrenceTiming.​repeat.periodUnit | Base | required | UnitsOfTime | 📍4.0.1 | FHIR Std.
ServiceRequest.occurrence[x]:occurrenceTiming.​repeat.dayOfWeek | Base | required | DaysOfWeek | 📍4.0.1 | FHIR Std.
ServiceRequest.occurrence[x]:occurrenceTiming.​repeat.when | Base | required | EventTiming | 📍4.0.1 | FHIR Std.
ServiceRequest.occurrence[x]:occurrenceTiming.​code | Base | preferred | TimingAbbreviation | 📍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 v7.0
ServiceRequest.reasonCode | Base | example | BeVSAnnex81ReasonCode | 📦1.0.0 | This IG
ServiceRequest.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std.
ServiceRequest.note.​extension:code.value[x] | Base | example | DRP Note Type | 📦1.0.0 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
be-inv-annex-81-based-on | error | ServiceRequest | An approved Annex81 is always based on a request by a nurse | `intent = 'order' implies basedOn.exists()`
be-inv-long-date | warning | ServiceRequest.authoredOn | date SHALL contain a long date (YYYY-MM-DDThh:mm:ss+zz:zz) | `empty() or toString().length()=25`
be-inv-uhmep-short | warning | ServiceRequest.identifier:SHORT | The format of UHMEP-SHORT is 6 capital alphanumerics, without O | `Identifier.where(system = 'https://www.ehealth.fgov.be/standards/fhir/referral/NamingSystem/uhmep-short').where(value.extension.empty() or value.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization').empty()).value.select($this.matches('[A-NP-Z0-9]{6}')).allTrue()`
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()`
tim-1 | error | ServiceRequest.occurrence[x]:occurrenceTiming.repeat | if there's a duration, there needs to be duration units | `duration.empty() or durationUnit.exists()`
tim-2 | error | ServiceRequest.occurrence[x]:occurrenceTiming.repeat | if there's a period, there needs to be period units | `period.empty() or periodUnit.exists()`
tim-4 | error | ServiceRequest.occurrence[x]:occurrenceTiming.repeat | duration SHALL be a non-negative value | `duration.exists() implies duration >= 0`
tim-5 | error | ServiceRequest.occurrence[x]:occurrenceTiming.repeat | period SHALL be a non-negative value | `period.exists() implies period >= 0`
tim-6 | error | ServiceRequest.occurrence[x]:occurrenceTiming.repeat | If there's a periodMax, there must be a period | `periodMax.empty() or period.exists()`
tim-7 | error | ServiceRequest.occurrence[x]:occurrenceTiming.repeat | If there's a durationMax, there must be a duration | `durationMax.empty() or duration.exists()`
tim-8 | error | ServiceRequest.occurrence[x]:occurrenceTiming.repeat | If there's a countMax, there must be a count | `countMax.empty() or count.exists()`
tim-9 | error | ServiceRequest.occurrence[x]:occurrenceTiming.repeat | If there's an offset, there must be a when (and not C, CM, CD, CV) | `offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))`
tim-10 | error | ServiceRequest.occurrence[x]:occurrenceTiming.repeat | If there's a timeOfDay, there cannot be a when, or vice versa | `timeOfDay.empty() or when.empty()`

This structure is derived from ServiceRequest

Summary

Mandatory: 8 elements(4 nested mandatory elements)
Must-Support: 18 elements
Fixed: 2 elements

Structures

This structure refers to these other structures:

- BeAnnex81 (https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-annex-81)
- BePractitionerRole (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole|2.1.2)
- BeCodedAnnotation (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-coded-annotation)

Extensions

This structure refers to these extensions:

- https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-validity-period
- https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-latest-end-date
- http://hl7.org/fhir/StructureDefinition/request-statusReason|5.2.0

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of ServiceRequest.identifier
- The element 1 is sliced based on the value of ServiceRequest.category
- The element 1 is sliced based on the value of ServiceRequest.occurrence[x]

Other representations of profile: CSV, Excel, Schematron