HL7 Czech K-Order Implementation Guide
0.0.3 - ci-build
HL7 Czech K-Order Implementation Guide, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.0.3 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/k-order/ and changes regularly. See the Directory of published versions
| Official URL: https://hl7.cz/fhir/korder/StructureDefinition/LogKOrderEn | Version: 0.0.3 | |||
| Draft as of 2025-12-18 | Computable Name: LogKOrderEn | |||
Logical model for the national implementation guide of K-order (referral form) in the Czech Republic. The model represents structured data for requesting medical services or consultation requests, aligned with CZ Core FHIR profiles and national code systems.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | Base | K-order (Referral Form) – Logical Model (EN) | |
![]() ![]() |
1..1 | Base | K-order Referral | |
![]() ![]() ![]() |
1..1 | Identifier | K-order Identifier | |
![]() ![]() ![]() |
1..1 | dateTime | Date and Time of Creation | |
![]() ![]() ![]() |
1..1 | code | Order Status | |
![]() ![]() ![]() |
1..1 | CodeableConcept | Order Category | |
![]() ![]() ![]() |
0..1 | code | Request Priority | |
![]() ![]() ![]() |
1..1 | Base | Patient Identification | |
![]() ![]() ![]() ![]() |
1..1 | string | Given Name | |
![]() ![]() ![]() ![]() |
1..1 | string | Family Name | |
![]() ![]() ![]() ![]() |
1..1 | date | Date of Birth | |
![]() ![]() ![]() ![]() |
1..1 | Identifier | Patient Identifier | |
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Citizenship | |
![]() ![]() ![]() ![]() |
0..1 | code | Administrative Gender | |
![]() ![]() ![]() ![]() |
0..1 | code | Communication Language | |
![]() ![]() ![]() ![]() |
0..* | Base | Patient Contact Information | |
![]() ![]() ![]() ![]() ![]() |
0..1 | Address | Patient Address | |
![]() ![]() ![]() ![]() ![]() |
0..1 | string | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Phone | |
![]() ![]() ![]() ![]() |
0..* | Base | Legal Guardian or Contact | |
![]() ![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Contact Type | |
![]() ![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Relationship to Patient | |
![]() ![]() ![]() ![]() ![]() |
0..1 | Identifier | Contact Person Identifier | |
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Contact Person Given Name | |
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Contact Person Family Name | |
![]() ![]() ![]() ![]() ![]() |
0..1 | Address | Contact Address | |
![]() ![]() ![]() ![]() ![]() |
0..* | ContactPoint | Contact Telecom | |
![]() ![]() ![]() |
1..1 | Base | Health Insurance | |
![]() ![]() ![]() ![]() |
1..1 | CodeableConcept | Insurance Company Code | |
![]() ![]() ![]() ![]() |
0..1 | string | Insurance Company Name | |
![]() ![]() ![]() ![]() |
1..1 | string | Insurance Number | |
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Payment Type | |
![]() ![]() ![]() |
1..1 | Base | Requester (Referring Practitioner/Facility) | |
![]() ![]() ![]() ![]() |
1..1 | Identifier | ICP of Requester | |
![]() ![]() ![]() ![]() |
0..1 | Identifier | ICO of Requester Organization | |
![]() ![]() ![]() ![]() |
1..1 | string | Requester Organization Name | |
![]() ![]() ![]() ![]() |
1..1 | CodeableConcept | Requester Specialty | |
![]() ![]() ![]() ![]() |
1..1 | Identifier | Requester Practitioner ID | |
![]() ![]() ![]() ![]() |
1..1 | string | Requester Practitioner Name | |
![]() ![]() ![]() |
0..1 | Base | Performer (Recipient) | |
![]() ![]() ![]() ![]() |
0..1 | Identifier | Performer ICP | |
![]() ![]() ![]() ![]() |
0..1 | Identifier | Performer ICO | |
![]() ![]() ![]() ![]() |
0..1 | string | Performer Name | |
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Performer Specialty | |
![]() ![]() ![]() |
1..* | Base | Diagnoses | |
![]() ![]() ![]() ![]() |
1..1 | CodeableConcept | Primary Diagnosis | |
![]() ![]() ![]() ![]() |
0..* | CodeableConcept | Secondary Diagnoses | |
![]() ![]() ![]() |
0..1 | CodeableConcept | Reimbursement code | |
![]() ![]() ![]() |
1..1 | string | Clinical Justification | |
![]() ![]() ![]() |
1..* | Base | Requested Services or Procedures | |
![]() ![]() ![]() ![]() |
1..1 | string | Requested Service Description | |
![]() ![]() ![]() ![]() |
0..* | CodeableConcept | Procedure Code | |
![]() ![]() ![]() ![]() |
0..1 | string | Recommendation Text | |
![]() ![]() ![]() |
0..1 | Base | Notes | |
![]() ![]() ![]() ![]() |
0..1 | string | Significant medical history | |
![]() ![]() ![]() ![]() |
0..1 | string | Results of performed examinations | |
![]() ![]() ![]() ![]() |
0..1 | string | Differential diagnostic assessment | |
![]() ![]() ![]() ![]() |
0..1 | string | Current treatment | |
![]() ![]() ![]() |
0..* | Attachment | Attachments | |
![]() ![]() ![]() |
0..1 | Base | Electronic Signature | |
![]() ![]() ![]() ![]() |
1..1 | string | Author of Signature | |
![]() ![]() ![]() ![]() |
0..1 | dateTime | Timestamp | |
Documentation for this format | ||||
This structure is derived from Base
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | Base | K-order (Referral Form) – Logical Model (EN) | |
![]() ![]() |
1..1 | Base | K-order Referral | |
![]() ![]() ![]() |
1..1 | Identifier | K-order Identifier | |
![]() ![]() ![]() |
1..1 | dateTime | Date and Time of Creation | |
![]() ![]() ![]() |
1..1 | code | Order Status | |
![]() ![]() ![]() |
1..1 | CodeableConcept | Order Category | |
![]() ![]() ![]() |
0..1 | code | Request Priority | |
![]() ![]() ![]() |
1..1 | Base | Patient Identification | |
![]() ![]() ![]() ![]() |
1..1 | string | Given Name | |
![]() ![]() ![]() ![]() |
1..1 | string | Family Name | |
![]() ![]() ![]() ![]() |
1..1 | date | Date of Birth | |
![]() ![]() ![]() ![]() |
1..1 | Identifier | Patient Identifier | |
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Citizenship | |
![]() ![]() ![]() ![]() |
0..1 | code | Administrative Gender | |
![]() ![]() ![]() ![]() |
0..1 | code | Communication Language | |
![]() ![]() ![]() ![]() |
0..* | Base | Patient Contact Information | |
![]() ![]() ![]() ![]() ![]() |
0..1 | Address | Patient Address | |
![]() ![]() ![]() ![]() ![]() |
0..1 | string | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Phone | |
![]() ![]() ![]() ![]() |
0..* | Base | Legal Guardian or Contact | |
![]() ![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Contact Type | |
![]() ![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Relationship to Patient | |
![]() ![]() ![]() ![]() ![]() |
0..1 | Identifier | Contact Person Identifier | |
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Contact Person Given Name | |
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Contact Person Family Name | |
![]() ![]() ![]() ![]() ![]() |
0..1 | Address | Contact Address | |
![]() ![]() ![]() ![]() ![]() |
0..* | ContactPoint | Contact Telecom | |
![]() ![]() ![]() |
1..1 | Base | Health Insurance | |
![]() ![]() ![]() ![]() |
1..1 | CodeableConcept | Insurance Company Code | |
![]() ![]() ![]() ![]() |
0..1 | string | Insurance Company Name | |
![]() ![]() ![]() ![]() |
1..1 | string | Insurance Number | |
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Payment Type | |
![]() ![]() ![]() |
1..1 | Base | Requester (Referring Practitioner/Facility) | |
![]() ![]() ![]() ![]() |
1..1 | Identifier | ICP of Requester | |
![]() ![]() ![]() ![]() |
0..1 | Identifier | ICO of Requester Organization | |
![]() ![]() ![]() ![]() |
1..1 | string | Requester Organization Name | |
![]() ![]() ![]() ![]() |
1..1 | CodeableConcept | Requester Specialty | |
![]() ![]() ![]() ![]() |
1..1 | Identifier | Requester Practitioner ID | |
![]() ![]() ![]() ![]() |
1..1 | string | Requester Practitioner Name | |
![]() ![]() ![]() |
0..1 | Base | Performer (Recipient) | |
![]() ![]() ![]() ![]() |
0..1 | Identifier | Performer ICP | |
![]() ![]() ![]() ![]() |
0..1 | Identifier | Performer ICO | |
![]() ![]() ![]() ![]() |
0..1 | string | Performer Name | |
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Performer Specialty | |
![]() ![]() ![]() |
1..* | Base | Diagnoses | |
![]() ![]() ![]() ![]() |
1..1 | CodeableConcept | Primary Diagnosis | |
![]() ![]() ![]() ![]() |
0..* | CodeableConcept | Secondary Diagnoses | |
![]() ![]() ![]() |
0..1 | CodeableConcept | Reimbursement code | |
![]() ![]() ![]() |
1..1 | string | Clinical Justification | |
![]() ![]() ![]() |
1..* | Base | Requested Services or Procedures | |
![]() ![]() ![]() ![]() |
1..1 | string | Requested Service Description | |
![]() ![]() ![]() ![]() |
0..* | CodeableConcept | Procedure Code | |
![]() ![]() ![]() ![]() |
0..1 | string | Recommendation Text | |
![]() ![]() ![]() |
0..1 | Base | Notes | |
![]() ![]() ![]() ![]() |
0..1 | string | Significant medical history | |
![]() ![]() ![]() ![]() |
0..1 | string | Results of performed examinations | |
![]() ![]() ![]() ![]() |
0..1 | string | Differential diagnostic assessment | |
![]() ![]() ![]() ![]() |
0..1 | string | Current treatment | |
![]() ![]() ![]() |
0..* | Attachment | Attachments | |
![]() ![]() ![]() |
0..1 | Base | Electronic Signature | |
![]() ![]() ![]() ![]() |
1..1 | string | Author of Signature | |
![]() ![]() ![]() ![]() |
0..1 | dateTime | Timestamp | |
Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | Base | K-order (Referral Form) – Logical Model (EN) | |
![]() ![]() |
1..1 | Base | K-order Referral | |
![]() ![]() ![]() |
1..1 | Identifier | K-order Identifier | |
![]() ![]() ![]() |
1..1 | dateTime | Date and Time of Creation | |
![]() ![]() ![]() |
1..1 | code | Order Status | |
![]() ![]() ![]() |
1..1 | CodeableConcept | Order Category | |
![]() ![]() ![]() |
0..1 | code | Request Priority | |
![]() ![]() ![]() |
1..1 | Base | Patient Identification | |
![]() ![]() ![]() ![]() |
1..1 | string | Given Name | |
![]() ![]() ![]() ![]() |
1..1 | string | Family Name | |
![]() ![]() ![]() ![]() |
1..1 | date | Date of Birth | |
![]() ![]() ![]() ![]() |
1..1 | Identifier | Patient Identifier | |
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Citizenship | |
![]() ![]() ![]() ![]() |
0..1 | code | Administrative Gender | |
![]() ![]() ![]() ![]() |
0..1 | code | Communication Language | |
![]() ![]() ![]() ![]() |
0..* | Base | Patient Contact Information | |
![]() ![]() ![]() ![]() ![]() |
0..1 | Address | Patient Address | |
![]() ![]() ![]() ![]() ![]() |
0..1 | string | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Phone | |
![]() ![]() ![]() ![]() |
0..* | Base | Legal Guardian or Contact | |
![]() ![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Contact Type | |
![]() ![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Relationship to Patient | |
![]() ![]() ![]() ![]() ![]() |
0..1 | Identifier | Contact Person Identifier | |
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Contact Person Given Name | |
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Contact Person Family Name | |
![]() ![]() ![]() ![]() ![]() |
0..1 | Address | Contact Address | |
![]() ![]() ![]() ![]() ![]() |
0..* | ContactPoint | Contact Telecom | |
![]() ![]() ![]() |
1..1 | Base | Health Insurance | |
![]() ![]() ![]() ![]() |
1..1 | CodeableConcept | Insurance Company Code | |
![]() ![]() ![]() ![]() |
0..1 | string | Insurance Company Name | |
![]() ![]() ![]() ![]() |
1..1 | string | Insurance Number | |
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Payment Type | |
![]() ![]() ![]() |
1..1 | Base | Requester (Referring Practitioner/Facility) | |
![]() ![]() ![]() ![]() |
1..1 | Identifier | ICP of Requester | |
![]() ![]() ![]() ![]() |
0..1 | Identifier | ICO of Requester Organization | |
![]() ![]() ![]() ![]() |
1..1 | string | Requester Organization Name | |
![]() ![]() ![]() ![]() |
1..1 | CodeableConcept | Requester Specialty | |
![]() ![]() ![]() ![]() |
1..1 | Identifier | Requester Practitioner ID | |
![]() ![]() ![]() ![]() |
1..1 | string | Requester Practitioner Name | |
![]() ![]() ![]() |
0..1 | Base | Performer (Recipient) | |
![]() ![]() ![]() ![]() |
0..1 | Identifier | Performer ICP | |
![]() ![]() ![]() ![]() |
0..1 | Identifier | Performer ICO | |
![]() ![]() ![]() ![]() |
0..1 | string | Performer Name | |
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Performer Specialty | |
![]() ![]() ![]() |
1..* | Base | Diagnoses | |
![]() ![]() ![]() ![]() |
1..1 | CodeableConcept | Primary Diagnosis | |
![]() ![]() ![]() ![]() |
0..* | CodeableConcept | Secondary Diagnoses | |
![]() ![]() ![]() |
0..1 | CodeableConcept | Reimbursement code | |
![]() ![]() ![]() |
1..1 | string | Clinical Justification | |
![]() ![]() ![]() |
1..* | Base | Requested Services or Procedures | |
![]() ![]() ![]() ![]() |
1..1 | string | Requested Service Description | |
![]() ![]() ![]() ![]() |
0..* | CodeableConcept | Procedure Code | |
![]() ![]() ![]() ![]() |
0..1 | string | Recommendation Text | |
![]() ![]() ![]() |
0..1 | Base | Notes | |
![]() ![]() ![]() ![]() |
0..1 | string | Significant medical history | |
![]() ![]() ![]() ![]() |
0..1 | string | Results of performed examinations | |
![]() ![]() ![]() ![]() |
0..1 | string | Differential diagnostic assessment | |
![]() ![]() ![]() ![]() |
0..1 | string | Current treatment | |
![]() ![]() ![]() |
0..* | Attachment | Attachments | |
![]() ![]() ![]() |
0..1 | Base | Electronic Signature | |
![]() ![]() ![]() ![]() |
1..1 | string | Author of Signature | |
![]() ![]() ![]() ![]() |
0..1 | dateTime | Timestamp | |
Documentation for this format | ||||
This structure is derived from Base
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | Base | K-order (Referral Form) – Logical Model (EN) | |
![]() ![]() |
1..1 | Base | K-order Referral | |
![]() ![]() ![]() |
1..1 | Identifier | K-order Identifier | |
![]() ![]() ![]() |
1..1 | dateTime | Date and Time of Creation | |
![]() ![]() ![]() |
1..1 | code | Order Status | |
![]() ![]() ![]() |
1..1 | CodeableConcept | Order Category | |
![]() ![]() ![]() |
0..1 | code | Request Priority | |
![]() ![]() ![]() |
1..1 | Base | Patient Identification | |
![]() ![]() ![]() ![]() |
1..1 | string | Given Name | |
![]() ![]() ![]() ![]() |
1..1 | string | Family Name | |
![]() ![]() ![]() ![]() |
1..1 | date | Date of Birth | |
![]() ![]() ![]() ![]() |
1..1 | Identifier | Patient Identifier | |
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Citizenship | |
![]() ![]() ![]() ![]() |
0..1 | code | Administrative Gender | |
![]() ![]() ![]() ![]() |
0..1 | code | Communication Language | |
![]() ![]() ![]() ![]() |
0..* | Base | Patient Contact Information | |
![]() ![]() ![]() ![]() ![]() |
0..1 | Address | Patient Address | |
![]() ![]() ![]() ![]() ![]() |
0..1 | string | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Phone | |
![]() ![]() ![]() ![]() |
0..* | Base | Legal Guardian or Contact | |
![]() ![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Contact Type | |
![]() ![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Relationship to Patient | |
![]() ![]() ![]() ![]() ![]() |
0..1 | Identifier | Contact Person Identifier | |
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Contact Person Given Name | |
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Contact Person Family Name | |
![]() ![]() ![]() ![]() ![]() |
0..1 | Address | Contact Address | |
![]() ![]() ![]() ![]() ![]() |
0..* | ContactPoint | Contact Telecom | |
![]() ![]() ![]() |
1..1 | Base | Health Insurance | |
![]() ![]() ![]() ![]() |
1..1 | CodeableConcept | Insurance Company Code | |
![]() ![]() ![]() ![]() |
0..1 | string | Insurance Company Name | |
![]() ![]() ![]() ![]() |
1..1 | string | Insurance Number | |
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Payment Type | |
![]() ![]() ![]() |
1..1 | Base | Requester (Referring Practitioner/Facility) | |
![]() ![]() ![]() ![]() |
1..1 | Identifier | ICP of Requester | |
![]() ![]() ![]() ![]() |
0..1 | Identifier | ICO of Requester Organization | |
![]() ![]() ![]() ![]() |
1..1 | string | Requester Organization Name | |
![]() ![]() ![]() ![]() |
1..1 | CodeableConcept | Requester Specialty | |
![]() ![]() ![]() ![]() |
1..1 | Identifier | Requester Practitioner ID | |
![]() ![]() ![]() ![]() |
1..1 | string | Requester Practitioner Name | |
![]() ![]() ![]() |
0..1 | Base | Performer (Recipient) | |
![]() ![]() ![]() ![]() |
0..1 | Identifier | Performer ICP | |
![]() ![]() ![]() ![]() |
0..1 | Identifier | Performer ICO | |
![]() ![]() ![]() ![]() |
0..1 | string | Performer Name | |
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Performer Specialty | |
![]() ![]() ![]() |
1..* | Base | Diagnoses | |
![]() ![]() ![]() ![]() |
1..1 | CodeableConcept | Primary Diagnosis | |
![]() ![]() ![]() ![]() |
0..* | CodeableConcept | Secondary Diagnoses | |
![]() ![]() ![]() |
0..1 | CodeableConcept | Reimbursement code | |
![]() ![]() ![]() |
1..1 | string | Clinical Justification | |
![]() ![]() ![]() |
1..* | Base | Requested Services or Procedures | |
![]() ![]() ![]() ![]() |
1..1 | string | Requested Service Description | |
![]() ![]() ![]() ![]() |
0..* | CodeableConcept | Procedure Code | |
![]() ![]() ![]() ![]() |
0..1 | string | Recommendation Text | |
![]() ![]() ![]() |
0..1 | Base | Notes | |
![]() ![]() ![]() ![]() |
0..1 | string | Significant medical history | |
![]() ![]() ![]() ![]() |
0..1 | string | Results of performed examinations | |
![]() ![]() ![]() ![]() |
0..1 | string | Differential diagnostic assessment | |
![]() ![]() ![]() ![]() |
0..1 | string | Current treatment | |
![]() ![]() ![]() |
0..* | Attachment | Attachments | |
![]() ![]() ![]() |
0..1 | Base | Electronic Signature | |
![]() ![]() ![]() ![]() |
1..1 | string | Author of Signature | |
![]() ![]() ![]() ![]() |
0..1 | dateTime | Timestamp | |
Documentation for this format | ||||
Differential View
This structure is derived from Base
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | Base | K-order (Referral Form) – Logical Model (EN) | |
![]() ![]() |
1..1 | Base | K-order Referral | |
![]() ![]() ![]() |
1..1 | Identifier | K-order Identifier | |
![]() ![]() ![]() |
1..1 | dateTime | Date and Time of Creation | |
![]() ![]() ![]() |
1..1 | code | Order Status | |
![]() ![]() ![]() |
1..1 | CodeableConcept | Order Category | |
![]() ![]() ![]() |
0..1 | code | Request Priority | |
![]() ![]() ![]() |
1..1 | Base | Patient Identification | |
![]() ![]() ![]() ![]() |
1..1 | string | Given Name | |
![]() ![]() ![]() ![]() |
1..1 | string | Family Name | |
![]() ![]() ![]() ![]() |
1..1 | date | Date of Birth | |
![]() ![]() ![]() ![]() |
1..1 | Identifier | Patient Identifier | |
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Citizenship | |
![]() ![]() ![]() ![]() |
0..1 | code | Administrative Gender | |
![]() ![]() ![]() ![]() |
0..1 | code | Communication Language | |
![]() ![]() ![]() ![]() |
0..* | Base | Patient Contact Information | |
![]() ![]() ![]() ![]() ![]() |
0..1 | Address | Patient Address | |
![]() ![]() ![]() ![]() ![]() |
0..1 | string | ||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Phone | |
![]() ![]() ![]() ![]() |
0..* | Base | Legal Guardian or Contact | |
![]() ![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Contact Type | |
![]() ![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Relationship to Patient | |
![]() ![]() ![]() ![]() ![]() |
0..1 | Identifier | Contact Person Identifier | |
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Contact Person Given Name | |
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Contact Person Family Name | |
![]() ![]() ![]() ![]() ![]() |
0..1 | Address | Contact Address | |
![]() ![]() ![]() ![]() ![]() |
0..* | ContactPoint | Contact Telecom | |
![]() ![]() ![]() |
1..1 | Base | Health Insurance | |
![]() ![]() ![]() ![]() |
1..1 | CodeableConcept | Insurance Company Code | |
![]() ![]() ![]() ![]() |
0..1 | string | Insurance Company Name | |
![]() ![]() ![]() ![]() |
1..1 | string | Insurance Number | |
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Payment Type | |
![]() ![]() ![]() |
1..1 | Base | Requester (Referring Practitioner/Facility) | |
![]() ![]() ![]() ![]() |
1..1 | Identifier | ICP of Requester | |
![]() ![]() ![]() ![]() |
0..1 | Identifier | ICO of Requester Organization | |
![]() ![]() ![]() ![]() |
1..1 | string | Requester Organization Name | |
![]() ![]() ![]() ![]() |
1..1 | CodeableConcept | Requester Specialty | |
![]() ![]() ![]() ![]() |
1..1 | Identifier | Requester Practitioner ID | |
![]() ![]() ![]() ![]() |
1..1 | string | Requester Practitioner Name | |
![]() ![]() ![]() |
0..1 | Base | Performer (Recipient) | |
![]() ![]() ![]() ![]() |
0..1 | Identifier | Performer ICP | |
![]() ![]() ![]() ![]() |
0..1 | Identifier | Performer ICO | |
![]() ![]() ![]() ![]() |
0..1 | string | Performer Name | |
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Performer Specialty | |
![]() ![]() ![]() |
1..* | Base | Diagnoses | |
![]() ![]() ![]() ![]() |
1..1 | CodeableConcept | Primary Diagnosis | |
![]() ![]() ![]() ![]() |
0..* | CodeableConcept | Secondary Diagnoses | |
![]() ![]() ![]() |
0..1 | CodeableConcept | Reimbursement code | |
![]() ![]() ![]() |
1..1 | string | Clinical Justification | |
![]() ![]() ![]() |
1..* | Base | Requested Services or Procedures | |
![]() ![]() ![]() ![]() |
1..1 | string | Requested Service Description | |
![]() ![]() ![]() ![]() |
0..* | CodeableConcept | Procedure Code | |
![]() ![]() ![]() ![]() |
0..1 | string | Recommendation Text | |
![]() ![]() ![]() |
0..1 | Base | Notes | |
![]() ![]() ![]() ![]() |
0..1 | string | Significant medical history | |
![]() ![]() ![]() ![]() |
0..1 | string | Results of performed examinations | |
![]() ![]() ![]() ![]() |
0..1 | string | Differential diagnostic assessment | |
![]() ![]() ![]() ![]() |
0..1 | string | Current treatment | |
![]() ![]() ![]() |
0..* | Attachment | Attachments | |
![]() ![]() ![]() |
0..1 | Base | Electronic Signature | |
![]() ![]() ![]() ![]() |
1..1 | string | Author of Signature | |
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0..1 | dateTime | Timestamp | |
Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
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0..* | Base | K-order (Referral Form) – Logical Model (EN) | |
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1..1 | Base | K-order Referral | |
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1..1 | Identifier | K-order Identifier | |
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1..1 | dateTime | Date and Time of Creation | |
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1..1 | code | Order Status | |
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1..1 | CodeableConcept | Order Category | |
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0..1 | code | Request Priority | |
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1..1 | Base | Patient Identification | |
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1..1 | string | Given Name | |
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1..1 | string | Family Name | |
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1..1 | date | Date of Birth | |
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1..1 | Identifier | Patient Identifier | |
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0..1 | CodeableConcept | Citizenship | |
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0..1 | code | Administrative Gender | |
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0..1 | code | Communication Language | |
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0..* | Base | Patient Contact Information | |
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0..1 | Address | Patient Address | |
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0..1 | string | ||
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0..1 | string | Phone | |
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0..* | Base | Legal Guardian or Contact | |
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0..1 | CodeableConcept | Contact Type | |
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0..1 | CodeableConcept | Relationship to Patient | |
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0..1 | Identifier | Contact Person Identifier | |
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0..1 | string | Contact Person Given Name | |
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0..1 | string | Contact Person Family Name | |
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0..1 | Address | Contact Address | |
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0..* | ContactPoint | Contact Telecom | |
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1..1 | Base | Health Insurance | |
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1..1 | CodeableConcept | Insurance Company Code | |
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0..1 | string | Insurance Company Name | |
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1..1 | string | Insurance Number | |
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0..1 | CodeableConcept | Payment Type | |
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1..1 | Base | Requester (Referring Practitioner/Facility) | |
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1..1 | Identifier | ICP of Requester | |
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0..1 | Identifier | ICO of Requester Organization | |
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1..1 | string | Requester Organization Name | |
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1..1 | CodeableConcept | Requester Specialty | |
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1..1 | Identifier | Requester Practitioner ID | |
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1..1 | string | Requester Practitioner Name | |
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0..1 | Base | Performer (Recipient) | |
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0..1 | Identifier | Performer ICP | |
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0..1 | Identifier | Performer ICO | |
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0..1 | string | Performer Name | |
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0..1 | CodeableConcept | Performer Specialty | |
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1..* | Base | Diagnoses | |
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1..1 | CodeableConcept | Primary Diagnosis | |
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0..* | CodeableConcept | Secondary Diagnoses | |
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0..1 | CodeableConcept | Reimbursement code | |
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1..1 | string | Clinical Justification | |
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1..* | Base | Requested Services or Procedures | |
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1..1 | string | Requested Service Description | |
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0..* | CodeableConcept | Procedure Code | |
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0..1 | string | Recommendation Text | |
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0..1 | Base | Notes | |
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0..1 | string | Significant medical history | |
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0..1 | string | Results of performed examinations | |
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0..1 | string | Differential diagnostic assessment | |
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0..1 | string | Current treatment | |
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0..* | Attachment | Attachments | |
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0..1 | Base | Electronic Signature | |
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1..1 | string | Author of Signature | |
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0..1 | dateTime | Timestamp | |
Documentation for this format | ||||
This structure is derived from Base