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: BeReferralPrescriptionDiagnosticImaging

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

Referral prescription for a generic diagnostic imaging. Please note in .orderDetail, a specific slicing is available to give guidance how to express acquisition modalities if needed. In future iterations of this profile, more slicing might provide additional guidance.

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
... relevantSupportingInformationAsAnnotationOrCodeableConcept S0..*Annotation, CodeableConceptRelevant clinical information in the context of this prescription concerning for example allergies, kidney function, diabetic. This extension allows the use of a codeableConcept or Annotation but when more detailed information can be given, it is RECOMMENDED to express it as structured as possible using the appropriate elements (for general relevant supporting information, this means the use of the .supportingInfo element.) ContraIndications SHALL be expressed using the contraIndication modifierExtension.
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-supporting-info
... Slices for modifierExtension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
... modifierExtension:contraIndication S1..*BeContraindicationRelevant information in the context of a prescription concerning possible contra indication. For example presence of devices or (suspected) pregnancy. When detailed information can be given, it is RECOMMENDED to express it as structured as possible. If prescriber has no knowledge of contra indication, this SHALL be expressed with a nullFlavor ( e.g. ASKU = Information was sought but not found ) in codeableConcept.
... category
.... coding
..... system 0..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 0..1codeSymbol in syntax defined by the system
Fixed Value: 363679005
... Slices for orderDetail 0..*CodeableConceptAdditional order information
Slice: Unordered, Open by value:coding.system
.... orderDetail:modality S0..*CodeableConceptAcquisition modalities, i.e. those in the DICOM Context Group 29
..... coding 0..*CodingCode defined by a terminology system
Binding: AcquisitionModality . (required): Type of acquired data in the instance.

...... system 1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
...... code 1..1codeSymbol in syntax defined by the system
... reasonCode 0..1CodeableConceptDiagnostic question, explanation/Justification for procedure or service
... supportingInfo 0..*Reference(Resource | Procedure | BeObservation | Condition | BeAllergyIntolerance | MedicationStatement | QuestionnaireResponse)Relevant information in the context of this prescription concerning for example allergies, kidney function, diabetic. When detailed information can be given, it is RECOMMENDED to express it as structured as possible. ContraIndications SHALL be expressed using the contraIndication modifierExtension

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
ServiceRequest.orderDetail:modality.codingrequiredAcquisitionModality .
http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html
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
... 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)
... relevantSupportingInformationAsAnnotationOrCodeableConcept S0..*Annotation, CodeableConceptRelevant clinical information in the context of this prescription concerning for example allergies, kidney function, diabetic. This extension allows the use of a codeableConcept or Annotation but when more detailed information can be given, it is RECOMMENDED to express it as structured as possible using the appropriate elements (for general relevant supporting information, this means the use of the .supportingInfo element.) ContraIndications SHALL be expressed using the contraIndication modifierExtension.
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-supporting-info
... Slices for modifierExtension ?!1..*ExtensionExtension
Slice: Unordered, Open by value:url
... modifierExtension:contraIndication ?!S1..*BeContraindicationRelevant information in the context of a prescription concerning possible contra indication. For example presence of devices or (suspected) pregnancy. When detailed information can be given, it is RECOMMENDED to express it as structured as possible. If prescriber has no knowledge of contra indication, this SHALL be expressed with a nullFlavor ( e.g. ASKU = Information was sought but not found ) in codeableConcept.
... modifierExtension:contrastFluidUse ?!S0..1BeContrastFluidUseWhether the use of contrast fluid in diagnostic imaging can be defined as 'If necessary' or 'Not permitted.'
... 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
... 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)
... doNotPerform ?!Σ0..1booleanTrue if service/procedure should not be performed
... code SΣ0..1CodeableConceptWhat 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.

... Slices for orderDetail SΣC0..*CodeableConceptAdditional order information
Slice: Unordered, Open by value:coding.system
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.


.... orderDetail:modality SΣC0..*CodeableConceptAcquisition modalities, i.e. those in the DICOM Context Group 29
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.


..... coding Σ0..*CodingCode defined by a terminology system
Binding: AcquisitionModality . (required): Type of acquired data in the instance.


...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
...... code Σ1..1codeSymbol in syntax defined by the system
... subject SΣ1..1BeContainedOrLogicalReference(BePatient)Individual or Entity the service is ordered for
... occurrence[x] SΣ0..1When service shall occur - once this is past, this prescription is no longer valid and the status shall reflect this.
.... occurrenceDateTimedateTime
.... occurrencePeriodPeriod
.... occurrenceTimingTiming
... 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..1CodeableConceptDiagnostic question, explanation/Justification for procedure or service
Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.


... supportingInfo S0..*Reference(Resource | Procedure | BeObservation | Condition | BeAllergyIntolerance | MedicationStatement | QuestionnaireResponse)Relevant information in the context of this prescription concerning for example allergies, kidney function, diabetic. When detailed information can be given, it is RECOMMENDED to express it as structured as possible. ContraIndications SHALL be expressed using the contraIndication modifierExtension
... bodySite SΣ0..*CodeableConceptLocation on Body
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


.... bodyLaterality 0..1CodingBeExtLaterality
URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-laterality
Binding: Laterality (required)
... 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.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.orderDetail:modalityexampleServiceRequestOrderDetailsCodes
http://hl7.org/fhir/ValueSet/servicerequest-orderdetail
from the FHIR Standard
ServiceRequest.orderDetail:modality.codingrequiredAcquisitionModality .
http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html
ServiceRequest.reasonCodeexampleProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason
from the FHIR Standard
ServiceRequest.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
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 0..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)
... relevantSupportingInformationAsAnnotationOrCodeableConcept S0..*Annotation, CodeableConceptRelevant clinical information in the context of this prescription concerning for example allergies, kidney function, diabetic. This extension allows the use of a codeableConcept or Annotation but when more detailed information can be given, it is RECOMMENDED to express it as structured as possible using the appropriate elements (for general relevant supporting information, this means the use of the .supportingInfo element.) ContraIndications SHALL be expressed using the contraIndication modifierExtension.
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-supporting-info
... Slices for modifierExtension ?!1..*ExtensionExtension
Slice: Unordered, Open by value:url
... modifierExtension:contraIndication ?!S1..*BeContraindicationRelevant information in the context of a prescription concerning possible contra indication. For example presence of devices or (suspected) pregnancy. When detailed information can be given, it is RECOMMENDED to express it as structured as possible. If prescriber has no knowledge of contra indication, this SHALL be expressed with a nullFlavor ( e.g. ASKU = Information was sought but not found ) in codeableConcept.
... modifierExtension:contrastFluidUse ?!S0..1BeContrastFluidUseWhether the use of contrast fluid in diagnostic imaging can be defined as 'If necessary' or 'Not permitted.'
... 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
... replaces Σ0..*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)
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ0..*CodingCode defined by a terminology system
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ0..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... version Σ0..1stringVersion of the system - if relevant
..... code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: 363679005
..... display Σ0..1stringRepresentation defined by the system
..... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... priority Σ0..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 SΣ0..1CodeableConceptWhat 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.

... Slices for orderDetail SΣC0..*CodeableConceptAdditional order information
Slice: Unordered, Open by value:coding.system
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.


.... orderDetail:modality SΣC0..*CodeableConceptAcquisition modalities, i.e. those in the DICOM Context Group 29
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.


..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ0..*CodingCode defined by a terminology system
Binding: AcquisitionModality . (required): Type of acquired data in the instance.


...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ1..1codeSymbol in syntax defined by the system
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... text Σ0..1stringPlain text representation of the concept
... 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
... occurrence[x] SΣ0..1When service shall occur - once this is past, this prescription is no longer valid and the status shall reflect this.
.... occurrenceDateTimedateTime
.... occurrencePeriodPeriod
.... occurrenceTimingTiming
... 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..1CodeableConceptDiagnostic question, explanation/Justification for procedure or service
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 | Procedure | BeObservation | Condition | BeAllergyIntolerance | MedicationStatement | QuestionnaireResponse)Relevant information in the context of this prescription concerning for example allergies, kidney function, diabetic. When detailed information can be given, it is RECOMMENDED to express it as structured as possible. ContraIndications SHALL be expressed using the contraIndication modifierExtension
... specimen Σ0..*Reference(Specimen)Procedure Samples
... bodySite SΣ0..*CodeableConceptLocation on Body
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... bodyLaterality 0..1CodingBeExtLaterality
URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-laterality
Binding: Laterality (required)
.... coding Σ0..*CodingCode defined by a terminology system
.... text Σ0..1stringPlain text representation of the concept
... 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.orderDetail:modalityexampleServiceRequestOrderDetailsCodes
http://hl7.org/fhir/ValueSet/servicerequest-orderdetail
from the FHIR Standard
ServiceRequest.orderDetail:modality.codingrequiredAcquisitionModality .
http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html
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.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
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

Mandatory: 2 elements (2 nested mandatory elements)
Must-Support: 4 elements
Fixed Value: 3 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element ServiceRequest.orderDetail is sliced based on the value of value:coding.system

Differential View

This structure is derived from BeReferralPrescription

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest 0..*BeReferralPrescriptionA request for a service to be performed
... relevantSupportingInformationAsAnnotationOrCodeableConcept S0..*Annotation, CodeableConceptRelevant clinical information in the context of this prescription concerning for example allergies, kidney function, diabetic. This extension allows the use of a codeableConcept or Annotation but when more detailed information can be given, it is RECOMMENDED to express it as structured as possible using the appropriate elements (for general relevant supporting information, this means the use of the .supportingInfo element.) ContraIndications SHALL be expressed using the contraIndication modifierExtension.
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-supporting-info
... Slices for modifierExtension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
... modifierExtension:contraIndication S1..*BeContraindicationRelevant information in the context of a prescription concerning possible contra indication. For example presence of devices or (suspected) pregnancy. When detailed information can be given, it is RECOMMENDED to express it as structured as possible. If prescriber has no knowledge of contra indication, this SHALL be expressed with a nullFlavor ( e.g. ASKU = Information was sought but not found ) in codeableConcept.
... category
.... coding
..... system 0..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 0..1codeSymbol in syntax defined by the system
Fixed Value: 363679005
... Slices for orderDetail 0..*CodeableConceptAdditional order information
Slice: Unordered, Open by value:coding.system
.... orderDetail:modality S0..*CodeableConceptAcquisition modalities, i.e. those in the DICOM Context Group 29
..... coding 0..*CodingCode defined by a terminology system
Binding: AcquisitionModality . (required): Type of acquired data in the instance.

...... system 1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
...... code 1..1codeSymbol in syntax defined by the system
... reasonCode 0..1CodeableConceptDiagnostic question, explanation/Justification for procedure or service
... supportingInfo 0..*Reference(Resource | Procedure | BeObservation | Condition | BeAllergyIntolerance | MedicationStatement | QuestionnaireResponse)Relevant information in the context of this prescription concerning for example allergies, kidney function, diabetic. When detailed information can be given, it is RECOMMENDED to express it as structured as possible. ContraIndications SHALL be expressed using the contraIndication modifierExtension

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
ServiceRequest.orderDetail:modality.codingrequiredAcquisitionModality .
http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html

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
... 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)
... relevantSupportingInformationAsAnnotationOrCodeableConcept S0..*Annotation, CodeableConceptRelevant clinical information in the context of this prescription concerning for example allergies, kidney function, diabetic. This extension allows the use of a codeableConcept or Annotation but when more detailed information can be given, it is RECOMMENDED to express it as structured as possible using the appropriate elements (for general relevant supporting information, this means the use of the .supportingInfo element.) ContraIndications SHALL be expressed using the contraIndication modifierExtension.
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-supporting-info
... Slices for modifierExtension ?!1..*ExtensionExtension
Slice: Unordered, Open by value:url
... modifierExtension:contraIndication ?!S1..*BeContraindicationRelevant information in the context of a prescription concerning possible contra indication. For example presence of devices or (suspected) pregnancy. When detailed information can be given, it is RECOMMENDED to express it as structured as possible. If prescriber has no knowledge of contra indication, this SHALL be expressed with a nullFlavor ( e.g. ASKU = Information was sought but not found ) in codeableConcept.
... modifierExtension:contrastFluidUse ?!S0..1BeContrastFluidUseWhether the use of contrast fluid in diagnostic imaging can be defined as 'If necessary' or 'Not permitted.'
... 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
... 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)
... doNotPerform ?!Σ0..1booleanTrue if service/procedure should not be performed
... code SΣ0..1CodeableConceptWhat 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.

... Slices for orderDetail SΣC0..*CodeableConceptAdditional order information
Slice: Unordered, Open by value:coding.system
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.


.... orderDetail:modality SΣC0..*CodeableConceptAcquisition modalities, i.e. those in the DICOM Context Group 29
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.


..... coding Σ0..*CodingCode defined by a terminology system
Binding: AcquisitionModality . (required): Type of acquired data in the instance.


...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
...... code Σ1..1codeSymbol in syntax defined by the system
... subject SΣ1..1BeContainedOrLogicalReference(BePatient)Individual or Entity the service is ordered for
... occurrence[x] SΣ0..1When service shall occur - once this is past, this prescription is no longer valid and the status shall reflect this.
.... occurrenceDateTimedateTime
.... occurrencePeriodPeriod
.... occurrenceTimingTiming
... 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..1CodeableConceptDiagnostic question, explanation/Justification for procedure or service
Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.


... supportingInfo S0..*Reference(Resource | Procedure | BeObservation | Condition | BeAllergyIntolerance | MedicationStatement | QuestionnaireResponse)Relevant information in the context of this prescription concerning for example allergies, kidney function, diabetic. When detailed information can be given, it is RECOMMENDED to express it as structured as possible. ContraIndications SHALL be expressed using the contraIndication modifierExtension
... bodySite SΣ0..*CodeableConceptLocation on Body
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


.... bodyLaterality 0..1CodingBeExtLaterality
URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-laterality
Binding: Laterality (required)
... 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.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.orderDetail:modalityexampleServiceRequestOrderDetailsCodes
http://hl7.org/fhir/ValueSet/servicerequest-orderdetail
from the FHIR Standard
ServiceRequest.orderDetail:modality.codingrequiredAcquisitionModality .
http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html
ServiceRequest.reasonCodeexampleProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason
from the FHIR Standard
ServiceRequest.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
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 0..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)
... relevantSupportingInformationAsAnnotationOrCodeableConcept S0..*Annotation, CodeableConceptRelevant clinical information in the context of this prescription concerning for example allergies, kidney function, diabetic. This extension allows the use of a codeableConcept or Annotation but when more detailed information can be given, it is RECOMMENDED to express it as structured as possible using the appropriate elements (for general relevant supporting information, this means the use of the .supportingInfo element.) ContraIndications SHALL be expressed using the contraIndication modifierExtension.
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-supporting-info
... Slices for modifierExtension ?!1..*ExtensionExtension
Slice: Unordered, Open by value:url
... modifierExtension:contraIndication ?!S1..*BeContraindicationRelevant information in the context of a prescription concerning possible contra indication. For example presence of devices or (suspected) pregnancy. When detailed information can be given, it is RECOMMENDED to express it as structured as possible. If prescriber has no knowledge of contra indication, this SHALL be expressed with a nullFlavor ( e.g. ASKU = Information was sought but not found ) in codeableConcept.
... modifierExtension:contrastFluidUse ?!S0..1BeContrastFluidUseWhether the use of contrast fluid in diagnostic imaging can be defined as 'If necessary' or 'Not permitted.'
... 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
... replaces Σ0..*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)
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ0..*CodingCode defined by a terminology system
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ0..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... version Σ0..1stringVersion of the system - if relevant
..... code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: 363679005
..... display Σ0..1stringRepresentation defined by the system
..... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... priority Σ0..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 SΣ0..1CodeableConceptWhat 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.

... Slices for orderDetail SΣC0..*CodeableConceptAdditional order information
Slice: Unordered, Open by value:coding.system
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.


.... orderDetail:modality SΣC0..*CodeableConceptAcquisition modalities, i.e. those in the DICOM Context Group 29
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.


..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ0..*CodingCode defined by a terminology system
Binding: AcquisitionModality . (required): Type of acquired data in the instance.


...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ1..1codeSymbol in syntax defined by the system
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... text Σ0..1stringPlain text representation of the concept
... 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
... occurrence[x] SΣ0..1When service shall occur - once this is past, this prescription is no longer valid and the status shall reflect this.
.... occurrenceDateTimedateTime
.... occurrencePeriodPeriod
.... occurrenceTimingTiming
... 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..1CodeableConceptDiagnostic question, explanation/Justification for procedure or service
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 | Procedure | BeObservation | Condition | BeAllergyIntolerance | MedicationStatement | QuestionnaireResponse)Relevant information in the context of this prescription concerning for example allergies, kidney function, diabetic. When detailed information can be given, it is RECOMMENDED to express it as structured as possible. ContraIndications SHALL be expressed using the contraIndication modifierExtension
... specimen Σ0..*Reference(Specimen)Procedure Samples
... bodySite SΣ0..*CodeableConceptLocation on Body
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... bodyLaterality 0..1CodingBeExtLaterality
URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-laterality
Binding: Laterality (required)
.... coding Σ0..*CodingCode defined by a terminology system
.... text Σ0..1stringPlain text representation of the concept
... 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.orderDetail:modalityexampleServiceRequestOrderDetailsCodes
http://hl7.org/fhir/ValueSet/servicerequest-orderdetail
from the FHIR Standard
ServiceRequest.orderDetail:modality.codingrequiredAcquisitionModality .
http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html
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.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
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

Mandatory: 2 elements (2 nested mandatory elements)
Must-Support: 4 elements
Fixed Value: 3 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element ServiceRequest.orderDetail is sliced based on the value of value:coding.system

 

Other representations of profile: CSV, Excel, Schematron