Referral Prescription
1.0.0 - STU Belgium flag

Referral Prescription, published by . 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/ and changes regularly. See the Directory of published versions

Resource Profile: BeLabPrescription

Official URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-lab-prescription Version: 1.0.0
Draft as of 2021-07-15 Responsible: HL7 Belgium Computable Name: BeLabPrescription

This is the Belgian profile for a laboratory order.

Initially, this profile is created for the unadressed flow for laboratory orders. These existing channels: via a specialized laboratory application, running on the environment of the ordering party, via the own application of the ordering party in which that own application places the order directly at the laboratory using a custom protocol, via the website of a laboratory or via a paper channel are initially out of scope for use of this profile. They might however benefit from using this format in the future.

Usage:

Formal Views of Profile Content

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

This structure is derived from BeReferralPrescription

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest 0..*BeReferralPrescriptionA request for a service to be performed
... text S0..1NarrativeText summary of the resource, for human interpretation
... urgentCommunication 0..1(Complex)when needed to communicate urgently any results
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-urgent-communication
... basedOn 0..*Reference(CarePlan | ServiceRequest | MedicationRequest)What request fulfills - could be a different lab order for example in case of sub orders.
... priority S0..1coderoutine | urgent | asap | stat
... code 0..1BeObservationCodeableConceptHigh level code to describe the tests - if needed to detail within orderDetail - consult comment for more detail.
... orderDetail 0..*BeObservationCodeableConceptAdditional order information - consult comment for more information
... occurrence[x] 0..0
... reasonCode 0..1CodeableConceptExplanation/Justification for procedure or service. Based on nomenclature codes.
... supportingInfo 0..*Reference(Resource)Additional clinical information - e.g. an Observation or Condition or a link to a supporting image.
... specimen S0..*Reference(Specimen)Procedure Samples
... bodySite 0..0

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C0..*BeReferralPrescriptionA request for a service to be performed
prr-1: orderDetail SHALL only be present if code is present
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text S0..1NarrativeText summary of the resource, for human interpretation
... Slices for extension 2..*ExtensionExtension
Slice: Unordered, Open by value:url
... statusReason S0..1CodeableConceptReason for current status
URL: http://hl7.org/fhir/StructureDefinition/request-statusReason
Binding: (unbound) (example): Codes identifying the reason for the current state of an event.


.... extension 0..0
.... url 1..1uri"http://hl7.org/fhir/StructureDefinition/request-statusReason"
.... value[x] 1..1CodeableConceptValue of extension
Binding: BeVSPrescriptionStatusReason (extensible)
... feedback S1..1booleanGive feedback to the prescriber
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-feedback-to-prescriber
... coprescriber S0..1(Complex)Info about the other parties that have to take part in the prescription.
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-co-prescriber-info
... validity S1..1PeriodValidity period of the prescription
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-validity-period
... latest S0..1BeYearMonthDayRequest must be executed before
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-latest-end-date
... latestDraft S0..1BeYearMonthDayThe prescription must have left the draft status befor this moment
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-latest-draft-date
... proposalType S0..1CodeableConceptBeProposalType
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-proposal-type
Binding: BeVsProposalType (required)
... pss S0..1(Complex)BePSSInfo
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-pss-info
... recorder S0..1Reference(BePatient | BePractitioner | BeOrganization)The person responsable for this information, not necessarily the person who recorded the information
URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-recorder
... performerType S0..*CodeableConceptDiscipline of provider. Replaces .performerType because of wrong cardinality
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-performer-type
Binding: List of health care parties in Belgium (extensible)
... urgentCommunication 0..1(Complex)when needed to communicate urgently any results
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-urgent-communication
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier SΣ0..*IdentifierIdentifiers assigned to this order
Slice: Unordered, Open by value:system
.... identifier:UHMEP Σ0..1IdentifierReference ID of the UHMEP once available there
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... system Σ1..1uriThe namespace for the identifier value
Fixed Value: https://www.ehealth.fgov.be/standards/fhir/referral/NamingSystem/uhmep
..... value Σ1..1stringThe value that is unique
Example General: 123456
... basedOn SΣ0..*Reference(CarePlan | ServiceRequest | MedicationRequest)What request fulfills - could be a different lab order for example in case of sub orders.
... replaces SΣ0..*Reference(ServiceRequest)What request replaces
... requisition SΣ0..1IdentifierIf needed to have a common identifier among different prescriptions.
... status ?!SΣ1..1codedraft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.

... intent ?!SΣ1..1codeproposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: BeVsRequestIntent (required)
... category SΣ1..1CodeableConceptClassification of service
Binding: BeReferralCategory (extensible)
... priority SΣ0..1coderoutine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... doNotPerform ?!Σ0..1booleanTrue if service/procedure should not be performed
... code S0..1BeObservationCodeableConceptHigh level code to describe the tests - if needed to detail within orderDetail - consult comment for more detail.
Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service.

... orderDetail S0..*BeObservationCodeableConceptAdditional order information - consult comment for more information
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.


... subject SΣ1..1BeContainedOrLogicalReference(BePatient)Individual or Entity the service is ordered for
... authoredOn SΣC1..1dateTimeDate request signed
be-inv-long-date: date SHALL contain a long date (YYYY-MM-DDThh:mm:ss+zz:zz)
... requester SΣ1..1BeContainedOrLogicalReference(BePractitionerRole)Prescriber of the requested service
... performer SΣ0..*BeContainedOrLogicalReference(BePractitionerRole)Requested performer - typically reference to practitionerroles
... reasonCode SΣ0..1CodeableConceptExplanation/Justification for procedure or service. Based on nomenclature codes.
Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.


... supportingInfo S0..*Reference(Resource)Additional clinical information - e.g. an Observation or Condition or a link to a supporting image.
... specimen SΣ0..*Reference(Specimen)Procedure Samples
... note S0..*BeCodedAnnotationText node with attribution
.... code 0..1CodeableConceptCode
URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept
..... extension 0..0
..... url 1..1uri"https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept"
.... text Σ1..1markdownThe annotation - plain text without markdown is strongly recommended
... patientInstruction SΣ0..1stringPatient or consumer-oriented instructions

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
ServiceRequest.extension:statusReason.value[x]extensibleBeVSPrescriptionStatusReason (a valid code from BePrescriptionStatusReason)
https://www.ehealth.fgov.be/standards/fhir/referral/ValueSet/be-vs-prescription-status-reason
from this IG
ServiceRequest.identifier:UHMEP.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
ServiceRequest.intentrequiredBeVsRequestIntent
https://www.ehealth.fgov.be/standards/fhir/referral/ValueSet/be-vs-request-intent
from this IG
ServiceRequest.categoryextensibleBeReferralCategory
https://www.ehealth.fgov.be/standards/fhir/referral/ValueSet/be-vs-referral-category
from this IG
ServiceRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
ServiceRequest.codeexampleProcedureCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard
ServiceRequest.orderDetailexampleServiceRequestOrderDetailsCodes
http://hl7.org/fhir/ValueSet/servicerequest-orderdetail
from the FHIR Standard
ServiceRequest.reasonCodeexampleProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
be-inv-long-dateerrorServiceRequest.authoredOndate SHALL contain a long date (YYYY-MM-DDThh:mm:ss+zz:zz)
: empty() or toString().length()=25
dom-2errorServiceRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorServiceRequestIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorServiceRequestIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorServiceRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceServiceRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
prr-1errorServiceRequestorderDetail SHALL only be present if code is present
: orderDetail.empty() or code.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C0..*BeReferralPrescriptionA request for a service to be performed
prr-1: orderDetail SHALL only be present if code is present
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text S0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 2..*ExtensionExtension
Slice: Unordered, Open by value:url
... statusReason S0..1CodeableConceptReason for current status
URL: http://hl7.org/fhir/StructureDefinition/request-statusReason
Binding: (unbound) (example): Codes identifying the reason for the current state of an event.


.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://hl7.org/fhir/StructureDefinition/request-statusReason"
.... value[x] 1..1CodeableConceptValue of extension
Binding: BeVSPrescriptionStatusReason (extensible)
... feedback S1..1booleanGive feedback to the prescriber
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-feedback-to-prescriber
... coprescriber S0..1(Complex)Info about the other parties that have to take part in the prescription.
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-co-prescriber-info
... validity S1..1PeriodValidity period of the prescription
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-validity-period
... latest S0..1BeYearMonthDayRequest must be executed before
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-latest-end-date
... latestDraft S0..1BeYearMonthDayThe prescription must have left the draft status befor this moment
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-latest-draft-date
... proposalType S0..1CodeableConceptBeProposalType
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-proposal-type
Binding: BeVsProposalType (required)
... pss S0..1(Complex)BePSSInfo
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-pss-info
... recorder S0..1Reference(BePatient | BePractitioner | BeOrganization)The person responsable for this information, not necessarily the person who recorded the information
URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-recorder
... performerType S0..*CodeableConceptDiscipline of provider. Replaces .performerType because of wrong cardinality
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-performer-type
Binding: List of health care parties in Belgium (extensible)
... urgentCommunication 0..1(Complex)when needed to communicate urgently any results
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-urgent-communication
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier SΣ0..*IdentifierIdentifiers assigned to this order
Slice: Unordered, Open by value:system
.... identifier:UHMEP Σ0..1IdentifierReference ID of the UHMEP once available there
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ0..1CodeableConceptDescription 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 Σ1..1uriThe namespace for the identifier value
Fixed Value: https://www.ehealth.fgov.be/standards/fhir/referral/NamingSystem/uhmep
..... value Σ1..1stringThe value that is unique
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
... instantiatesCanonical Σ0..*canonical(ActivityDefinition | PlanDefinition)Instantiates FHIR protocol or definition
... instantiatesUri Σ0..*uriInstantiates external protocol or definition
... basedOn SΣ0..*Reference(CarePlan | ServiceRequest | MedicationRequest)What request fulfills - could be a different lab order for example in case of sub orders.
... replaces SΣ0..*Reference(ServiceRequest)What request replaces
... requisition SΣ0..1IdentifierIf needed to have a common identifier among different prescriptions.
... status ?!SΣ1..1codedraft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.

... intent ?!SΣ1..1codeproposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: BeVsRequestIntent (required)
... category SΣ1..1CodeableConceptClassification of service
Binding: BeReferralCategory (extensible)
... priority SΣ0..1coderoutine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... doNotPerform ?!Σ0..1booleanTrue if service/procedure should not be performed
... code S0..1BeObservationCodeableConceptHigh level code to describe the tests - if needed to detail within orderDetail - consult comment for more detail.
Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service.

... orderDetail S0..*BeObservationCodeableConceptAdditional order information - consult comment for more information
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.


... quantity[x] Σ0..1Service amount
.... quantityQuantityQuantity
.... quantityRatioRatio
.... quantityRangeRange
... subject SΣ1..1BeContainedOrLogicalReference(BePatient)Individual or Entity the service is ordered for
... encounter Σ0..1Reference(Encounter)Encounter in which the request was created
... asNeeded[x] Σ0..1Preconditions 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.

.... asNeededBooleanboolean
.... asNeededCodeableConceptCodeableConcept
... authoredOn SΣC1..1dateTimeDate request signed
be-inv-long-date: date SHALL contain a long date (YYYY-MM-DDThh:mm:ss+zz:zz)
... requester SΣ1..1BeContainedOrLogicalReference(BePractitionerRole)Prescriber of the requested service
... performer SΣ0..*BeContainedOrLogicalReference(BePractitionerRole)Requested performer - typically reference to practitionerroles
... locationCode Σ0..*CodeableConceptRequested location
Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.


... locationReference Σ0..*Reference(Location)Requested location
... reasonCode SΣ0..1CodeableConceptExplanation/Justification for procedure or service. Based on nomenclature codes.
Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.


... reasonReference Σ0..*Reference(Condition | Observation | DiagnosticReport | DocumentReference)Explanation/Justification for service or service
... insurance 0..*Reference(Coverage | ClaimResponse)Associated insurance coverage
... supportingInfo S0..*Reference(Resource)Additional clinical information - e.g. an Observation or Condition or a link to a supporting image.
... specimen SΣ0..*Reference(Specimen)Procedure Samples
... note S0..*BeCodedAnnotationText node with attribution
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... code 0..1CodeableConceptCode
URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept"
..... value[x] 0..1CodeableConceptValue of extension
Binding: BeVSRequestNoteType (required)
.... author[x] Σ0..1Individual responsible for the annotation
..... authorReferenceReference(Practitioner | Patient | RelatedPerson | Organization)
..... authorStringstring
.... time Σ0..1dateTimeWhen the annotation was made
.... text Σ1..1markdownThe annotation - plain text without markdown is strongly recommended
... patientInstruction SΣ0..1stringPatient or consumer-oriented instructions
... relevantHistory 0..*Reference(Provenance)Request provenance

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
ServiceRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
ServiceRequest.extension:statusReason.value[x]extensibleBeVSPrescriptionStatusReason (a valid code from BePrescriptionStatusReason)
https://www.ehealth.fgov.be/standards/fhir/referral/ValueSet/be-vs-prescription-status-reason
from this IG
ServiceRequest.identifier:UHMEP.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.identifier:UHMEP.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ServiceRequest.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
ServiceRequest.intentrequiredBeVsRequestIntent
https://www.ehealth.fgov.be/standards/fhir/referral/ValueSet/be-vs-request-intent
from this IG
ServiceRequest.categoryextensibleBeReferralCategory
https://www.ehealth.fgov.be/standards/fhir/referral/ValueSet/be-vs-referral-category
from this IG
ServiceRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
ServiceRequest.codeexampleProcedureCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard
ServiceRequest.orderDetailexampleServiceRequestOrderDetailsCodes
http://hl7.org/fhir/ValueSet/servicerequest-orderdetail
from the FHIR Standard
ServiceRequest.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
ServiceRequest.locationCodeexampleServiceDeliveryLocationRoleType
http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reasonCodeexampleProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason
from the FHIR Standard
ServiceRequest.note.extension:code.value[x]requiredBeVSRequestNoteType
https://www.ehealth.fgov.be/standards/fhir/referral/ValueSet/be-vs-request-note-type
from this IG

Constraints

IdGradePath(s)DetailsRequirements
be-inv-long-dateerrorServiceRequest.authoredOndate SHALL contain a long date (YYYY-MM-DDThh:mm:ss+zz:zz)
: empty() or toString().length()=25
dom-2errorServiceRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorServiceRequestIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorServiceRequestIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorServiceRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceServiceRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
prr-1errorServiceRequestorderDetail SHALL only be present if code is present
: orderDetail.empty() or code.exists()

This structure is derived from BeReferralPrescription

Summary

Must-Support: 4 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Differential View

This structure is derived from BeReferralPrescription

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest 0..*BeReferralPrescriptionA request for a service to be performed
... text S0..1NarrativeText summary of the resource, for human interpretation
... urgentCommunication 0..1(Complex)when needed to communicate urgently any results
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-urgent-communication
... basedOn 0..*Reference(CarePlan | ServiceRequest | MedicationRequest)What request fulfills - could be a different lab order for example in case of sub orders.
... priority S0..1coderoutine | urgent | asap | stat
... code 0..1BeObservationCodeableConceptHigh level code to describe the tests - if needed to detail within orderDetail - consult comment for more detail.
... orderDetail 0..*BeObservationCodeableConceptAdditional order information - consult comment for more information
... occurrence[x] 0..0
... reasonCode 0..1CodeableConceptExplanation/Justification for procedure or service. Based on nomenclature codes.
... supportingInfo 0..*Reference(Resource)Additional clinical information - e.g. an Observation or Condition or a link to a supporting image.
... specimen S0..*Reference(Specimen)Procedure Samples
... bodySite 0..0

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C0..*BeReferralPrescriptionA request for a service to be performed
prr-1: orderDetail SHALL only be present if code is present
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text S0..1NarrativeText summary of the resource, for human interpretation
... Slices for extension 2..*ExtensionExtension
Slice: Unordered, Open by value:url
... statusReason S0..1CodeableConceptReason for current status
URL: http://hl7.org/fhir/StructureDefinition/request-statusReason
Binding: (unbound) (example): Codes identifying the reason for the current state of an event.


.... extension 0..0
.... url 1..1uri"http://hl7.org/fhir/StructureDefinition/request-statusReason"
.... value[x] 1..1CodeableConceptValue of extension
Binding: BeVSPrescriptionStatusReason (extensible)
... feedback S1..1booleanGive feedback to the prescriber
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-feedback-to-prescriber
... coprescriber S0..1(Complex)Info about the other parties that have to take part in the prescription.
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-co-prescriber-info
... validity S1..1PeriodValidity period of the prescription
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-validity-period
... latest S0..1BeYearMonthDayRequest must be executed before
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-latest-end-date
... latestDraft S0..1BeYearMonthDayThe prescription must have left the draft status befor this moment
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-latest-draft-date
... proposalType S0..1CodeableConceptBeProposalType
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-proposal-type
Binding: BeVsProposalType (required)
... pss S0..1(Complex)BePSSInfo
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-pss-info
... recorder S0..1Reference(BePatient | BePractitioner | BeOrganization)The person responsable for this information, not necessarily the person who recorded the information
URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-recorder
... performerType S0..*CodeableConceptDiscipline of provider. Replaces .performerType because of wrong cardinality
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-performer-type
Binding: List of health care parties in Belgium (extensible)
... urgentCommunication 0..1(Complex)when needed to communicate urgently any results
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-urgent-communication
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier SΣ0..*IdentifierIdentifiers assigned to this order
Slice: Unordered, Open by value:system
.... identifier:UHMEP Σ0..1IdentifierReference ID of the UHMEP once available there
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... system Σ1..1uriThe namespace for the identifier value
Fixed Value: https://www.ehealth.fgov.be/standards/fhir/referral/NamingSystem/uhmep
..... value Σ1..1stringThe value that is unique
Example General: 123456
... basedOn SΣ0..*Reference(CarePlan | ServiceRequest | MedicationRequest)What request fulfills - could be a different lab order for example in case of sub orders.
... replaces SΣ0..*Reference(ServiceRequest)What request replaces
... requisition SΣ0..1IdentifierIf needed to have a common identifier among different prescriptions.
... status ?!SΣ1..1codedraft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.

... intent ?!SΣ1..1codeproposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: BeVsRequestIntent (required)
... category SΣ1..1CodeableConceptClassification of service
Binding: BeReferralCategory (extensible)
... priority SΣ0..1coderoutine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... doNotPerform ?!Σ0..1booleanTrue if service/procedure should not be performed
... code S0..1BeObservationCodeableConceptHigh level code to describe the tests - if needed to detail within orderDetail - consult comment for more detail.
Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service.

... orderDetail S0..*BeObservationCodeableConceptAdditional order information - consult comment for more information
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.


... subject SΣ1..1BeContainedOrLogicalReference(BePatient)Individual or Entity the service is ordered for
... authoredOn SΣC1..1dateTimeDate request signed
be-inv-long-date: date SHALL contain a long date (YYYY-MM-DDThh:mm:ss+zz:zz)
... requester SΣ1..1BeContainedOrLogicalReference(BePractitionerRole)Prescriber of the requested service
... performer SΣ0..*BeContainedOrLogicalReference(BePractitionerRole)Requested performer - typically reference to practitionerroles
... reasonCode SΣ0..1CodeableConceptExplanation/Justification for procedure or service. Based on nomenclature codes.
Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.


... supportingInfo S0..*Reference(Resource)Additional clinical information - e.g. an Observation or Condition or a link to a supporting image.
... specimen SΣ0..*Reference(Specimen)Procedure Samples
... note S0..*BeCodedAnnotationText node with attribution
.... code 0..1CodeableConceptCode
URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept
..... extension 0..0
..... url 1..1uri"https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept"
.... text Σ1..1markdownThe annotation - plain text without markdown is strongly recommended
... patientInstruction SΣ0..1stringPatient or consumer-oriented instructions

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
ServiceRequest.extension:statusReason.value[x]extensibleBeVSPrescriptionStatusReason (a valid code from BePrescriptionStatusReason)
https://www.ehealth.fgov.be/standards/fhir/referral/ValueSet/be-vs-prescription-status-reason
from this IG
ServiceRequest.identifier:UHMEP.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
ServiceRequest.intentrequiredBeVsRequestIntent
https://www.ehealth.fgov.be/standards/fhir/referral/ValueSet/be-vs-request-intent
from this IG
ServiceRequest.categoryextensibleBeReferralCategory
https://www.ehealth.fgov.be/standards/fhir/referral/ValueSet/be-vs-referral-category
from this IG
ServiceRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
ServiceRequest.codeexampleProcedureCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard
ServiceRequest.orderDetailexampleServiceRequestOrderDetailsCodes
http://hl7.org/fhir/ValueSet/servicerequest-orderdetail
from the FHIR Standard
ServiceRequest.reasonCodeexampleProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
be-inv-long-dateerrorServiceRequest.authoredOndate SHALL contain a long date (YYYY-MM-DDThh:mm:ss+zz:zz)
: empty() or toString().length()=25
dom-2errorServiceRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorServiceRequestIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorServiceRequestIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorServiceRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceServiceRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
prr-1errorServiceRequestorderDetail SHALL only be present if code is present
: orderDetail.empty() or code.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C0..*BeReferralPrescriptionA request for a service to be performed
prr-1: orderDetail SHALL only be present if code is present
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text S0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 2..*ExtensionExtension
Slice: Unordered, Open by value:url
... statusReason S0..1CodeableConceptReason for current status
URL: http://hl7.org/fhir/StructureDefinition/request-statusReason
Binding: (unbound) (example): Codes identifying the reason for the current state of an event.


.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://hl7.org/fhir/StructureDefinition/request-statusReason"
.... value[x] 1..1CodeableConceptValue of extension
Binding: BeVSPrescriptionStatusReason (extensible)
... feedback S1..1booleanGive feedback to the prescriber
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-feedback-to-prescriber
... coprescriber S0..1(Complex)Info about the other parties that have to take part in the prescription.
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-co-prescriber-info
... validity S1..1PeriodValidity period of the prescription
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-validity-period
... latest S0..1BeYearMonthDayRequest must be executed before
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-latest-end-date
... latestDraft S0..1BeYearMonthDayThe prescription must have left the draft status befor this moment
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-latest-draft-date
... proposalType S0..1CodeableConceptBeProposalType
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-proposal-type
Binding: BeVsProposalType (required)
... pss S0..1(Complex)BePSSInfo
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-pss-info
... recorder S0..1Reference(BePatient | BePractitioner | BeOrganization)The person responsable for this information, not necessarily the person who recorded the information
URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-recorder
... performerType S0..*CodeableConceptDiscipline of provider. Replaces .performerType because of wrong cardinality
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-performer-type
Binding: List of health care parties in Belgium (extensible)
... urgentCommunication 0..1(Complex)when needed to communicate urgently any results
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-urgent-communication
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier SΣ0..*IdentifierIdentifiers assigned to this order
Slice: Unordered, Open by value:system
.... identifier:UHMEP Σ0..1IdentifierReference ID of the UHMEP once available there
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ0..1CodeableConceptDescription 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 Σ1..1uriThe namespace for the identifier value
Fixed Value: https://www.ehealth.fgov.be/standards/fhir/referral/NamingSystem/uhmep
..... value Σ1..1stringThe value that is unique
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
... instantiatesCanonical Σ0..*canonical(ActivityDefinition | PlanDefinition)Instantiates FHIR protocol or definition
... instantiatesUri Σ0..*uriInstantiates external protocol or definition
... basedOn SΣ0..*Reference(CarePlan | ServiceRequest | MedicationRequest)What request fulfills - could be a different lab order for example in case of sub orders.
... replaces SΣ0..*Reference(ServiceRequest)What request replaces
... requisition SΣ0..1IdentifierIf needed to have a common identifier among different prescriptions.
... status ?!SΣ1..1codedraft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.

... intent ?!SΣ1..1codeproposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: BeVsRequestIntent (required)
... category SΣ1..1CodeableConceptClassification of service
Binding: BeReferralCategory (extensible)
... priority SΣ0..1coderoutine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... doNotPerform ?!Σ0..1booleanTrue if service/procedure should not be performed
... code S0..1BeObservationCodeableConceptHigh level code to describe the tests - if needed to detail within orderDetail - consult comment for more detail.
Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service.

... orderDetail S0..*BeObservationCodeableConceptAdditional order information - consult comment for more information
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.


... quantity[x] Σ0..1Service amount
.... quantityQuantityQuantity
.... quantityRatioRatio
.... quantityRangeRange
... subject SΣ1..1BeContainedOrLogicalReference(BePatient)Individual or Entity the service is ordered for
... encounter Σ0..1Reference(Encounter)Encounter in which the request was created
... asNeeded[x] Σ0..1Preconditions 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.

.... asNeededBooleanboolean
.... asNeededCodeableConceptCodeableConcept
... authoredOn SΣC1..1dateTimeDate request signed
be-inv-long-date: date SHALL contain a long date (YYYY-MM-DDThh:mm:ss+zz:zz)
... requester SΣ1..1BeContainedOrLogicalReference(BePractitionerRole)Prescriber of the requested service
... performer SΣ0..*BeContainedOrLogicalReference(BePractitionerRole)Requested performer - typically reference to practitionerroles
... locationCode Σ0..*CodeableConceptRequested location
Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.


... locationReference Σ0..*Reference(Location)Requested location
... reasonCode SΣ0..1CodeableConceptExplanation/Justification for procedure or service. Based on nomenclature codes.
Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.


... reasonReference Σ0..*Reference(Condition | Observation | DiagnosticReport | DocumentReference)Explanation/Justification for service or service
... insurance 0..*Reference(Coverage | ClaimResponse)Associated insurance coverage
... supportingInfo S0..*Reference(Resource)Additional clinical information - e.g. an Observation or Condition or a link to a supporting image.
... specimen SΣ0..*Reference(Specimen)Procedure Samples
... note S0..*BeCodedAnnotationText node with attribution
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... code 0..1CodeableConceptCode
URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept"
..... value[x] 0..1CodeableConceptValue of extension
Binding: BeVSRequestNoteType (required)
.... author[x] Σ0..1Individual responsible for the annotation
..... authorReferenceReference(Practitioner | Patient | RelatedPerson | Organization)
..... authorStringstring
.... time Σ0..1dateTimeWhen the annotation was made
.... text Σ1..1markdownThe annotation - plain text without markdown is strongly recommended
... patientInstruction SΣ0..1stringPatient or consumer-oriented instructions
... relevantHistory 0..*Reference(Provenance)Request provenance

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
ServiceRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
ServiceRequest.extension:statusReason.value[x]extensibleBeVSPrescriptionStatusReason (a valid code from BePrescriptionStatusReason)
https://www.ehealth.fgov.be/standards/fhir/referral/ValueSet/be-vs-prescription-status-reason
from this IG
ServiceRequest.identifier:UHMEP.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.identifier:UHMEP.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ServiceRequest.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
ServiceRequest.intentrequiredBeVsRequestIntent
https://www.ehealth.fgov.be/standards/fhir/referral/ValueSet/be-vs-request-intent
from this IG
ServiceRequest.categoryextensibleBeReferralCategory
https://www.ehealth.fgov.be/standards/fhir/referral/ValueSet/be-vs-referral-category
from this IG
ServiceRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
ServiceRequest.codeexampleProcedureCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard
ServiceRequest.orderDetailexampleServiceRequestOrderDetailsCodes
http://hl7.org/fhir/ValueSet/servicerequest-orderdetail
from the FHIR Standard
ServiceRequest.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
ServiceRequest.locationCodeexampleServiceDeliveryLocationRoleType
http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reasonCodeexampleProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason
from the FHIR Standard
ServiceRequest.note.extension:code.value[x]requiredBeVSRequestNoteType
https://www.ehealth.fgov.be/standards/fhir/referral/ValueSet/be-vs-request-note-type
from this IG

Constraints

IdGradePath(s)DetailsRequirements
be-inv-long-dateerrorServiceRequest.authoredOndate SHALL contain a long date (YYYY-MM-DDThh:mm:ss+zz:zz)
: empty() or toString().length()=25
dom-2errorServiceRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorServiceRequestIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorServiceRequestIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorServiceRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceServiceRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
prr-1errorServiceRequestorderDetail SHALL only be present if code is present
: orderDetail.empty() or code.exists()

This structure is derived from BeReferralPrescription

Summary

Must-Support: 4 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

 

Other representations of profile: CSV, Excel, Schematron