Digital Referral Prescription Implementation Guide
1.0.0 - STU

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

## Resource Profile: BeReferralServiceRequest

Official URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-referral-servicerequest | Version: 1.0.0
Active as of 2025-12-02 | Computable Name: BeReferralServiceRequest

The common structure for referral prescription.

Usages:

- Derived from this Profile: BeReferralServiceRequestNursing
- Refer to this Profile: BePerformerTask and BeReferralTask

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | ServiceRequest | A request for a service to be performed Constraints: prr-1
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:feedback | S | 0..1 | boolean | Whether prescriber requests feedback URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-feedback-to-prescriber
extension:validity | S | 1..1 | Period | Validity period of the prescription URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-validity-period
extension:latest | S | 0..1 | dateTime | Request must be executed before URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-latest-end-date
extension:performerType | S | 0..* | CodeableConcept | Discipline of provider. Replaces .performerType because of insufficient cardinality URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-performer-type Binding: BeVSCdHcParty (extensible)
extension:statusReason | S | 0..1 | (Complex) | Reason for current status URL: http://hl7.org/fhir/StructureDefinition/request-statusReason
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/request-statusReason"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: BeVSPrescriptionStatusReason (example)
extension:device | S | 0..* | (Complex) | BeExtCodeableReference URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeable-reference
Slices for extension |  |  |  | Content/Rules for all slices
extension:reference |  | 0..1 | Extension | Extension
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "reference"
value[x] |  | 0..1 | Reference(DeviceDefinition) | Value of extension
extension:concept |  | 0..1 | Extension | Extension
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "concept"
url |  | 1..1 | uri | "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeable-reference"
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | S Σ | 0..* | Identifier | Identifiers assigned to this order Slice: Unordered, Open by value:system
identifier:UHMEP | S Σ | 0..1 | Identifier | Reference ID of the UHMEP once available there
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/NamingSystem/uhmep
value | Σ | 1..1 | string | The value that is unique Example General: 123456
identifier:SHORT | S Σ C | 0..1 | Identifier | Patient friendly ID (UHMEP SHORT) Constraints: be-inv-uhmep-short
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/NamingSystem/uhmep-short
value | Σ | 1..1 | string | The value that is unique Example General: 123456
basedOn | S Σ | 0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills
status | ?!S Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent | ?!S Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet.
category | S Σ | 1..1 | CodeableConcept | Classification of service Binding: BeReferralCategory (example): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet.
doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed
code | S Σ | 1..1 | CodeableConcept | What is being requested/ordered Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service.
orderDetail | S Σ C | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
subject | S Σ | 1..1 | Reference(BePatient(2.1.2)) | Individual or Entity the service is ordered for
occurrence[x] | S Σ | 0..1 |  | When service shall occur - once this is past, this prescription is no longer valid and the status shall reflect this.
occurrenceDateTime |  |  | dateTime |
occurrencePeriod |  |  | Period |
occurrenceTiming |  |  | Timing |
authoredOn | S Σ C | 1..1 | dateTime | Date request signed Constraints: be-inv-long-date
requester | S Σ | 1..1 | Reference(BePractitionerRole(2.1.2)) | Prescriber of the requested service
reasonCode | S Σ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
supportingInfo | S | 0..* | Reference(Resource) | Additional clinical information
bodySite | S Σ | 0..* | CodeableConcept | Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Slices for extension |  |  |  | Content/Rules for all slices
extension:bodyLaterality |  | 0..1 | Coding | BeExtLaterality URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-laterality Binding: Laterality (required)
note | S | 0..* | BeCodedAnnotation | Comments
Slices for extension |  |  |  | Content/Rules for all slices
extension:code |  | 0..1 | (Complex) | Code URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept"
value[x] |  | 0..1 | CodeableConcept | Value of extension Binding: BeVSRequestNoteType (example)
text | Σ | 1..1 | markdown | The annotation - plain text without markdown is strongly recommended
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
ServiceRequest.extension:statusReason.​value[x] | Base | example | BeVSPrescriptionStatusReason | 📦1.0.0 | This IG
ServiceRequest.identifier:UHMEP.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
ServiceRequest.identifier:SHORT.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
ServiceRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std.
ServiceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std.
ServiceRequest.category | Base | example | BeReferralCategory | 📦1.0.0 | This IG
ServiceRequest.code | Base | example | Procedure Codes (SNOMED CT) | 📦4.0.1 | FHIR Std.
ServiceRequest.orderDetail | Base | example | Service Request Order Details Codes | 📍4.0.1 | FHIR Std.
ServiceRequest.reasonCode | Base | example | Procedure Reason Codes | 📍4.0.1 | FHIR Std.
ServiceRequest.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std.
ServiceRequest.note.​extension:code.value[x] | Base | example | BeVSRequestNoteType | 📦1.0.0 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
be-inv-long-date | warning | ServiceRequest.authoredOn | date SHALL contain a long date (YYYY-MM-DDThh:mm:ss+zz:zz) | `empty() or toString().length()=25`
be-inv-uhmep-short | warning | ServiceRequest.identifier:SHORT | The format of UHMEP-SHORT is 6 capital alphanumerics, without O | `Identifier.where(system = 'https://www.ehealth.fgov.be/standards/fhir/referral/NamingSystem/uhmep-short').where(value.extension.empty() or value.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization').empty()).value.select($this.matches('[A-NP-Z0-9]{6}')).allTrue()`
dom-2 | error | ServiceRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | ServiceRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | ServiceRequest | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
prr-1 | error | ServiceRequest | orderDetail SHALL only be present if code is present | `orderDetail.empty() or code.exists()`

This structure is derived from ServiceRequest

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest |  | 0..* | ServiceRequest | A request for a service to be performed
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:feedback | S | 0..1 | boolean | Whether prescriber requests feedback URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-feedback-to-prescriber
extension:validity | S | 1..1 | Period | Validity period of the prescription URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-validity-period
extension:latest | S | 0..1 | dateTime | Request must be executed before URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-latest-end-date
extension:performerType | S | 0..* | CodeableConcept | Discipline of provider. Replaces .performerType because of insufficient cardinality URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-performer-type Binding: BeVSCdHcParty (extensible)
extension:statusReason | S | 0..1 | (Complex) | Reason for current status URL: http://hl7.org/fhir/StructureDefinition/request-statusReason
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: BeVSPrescriptionStatusReason (example)
extension:device | S | 0..* | (Complex) | BeExtCodeableReference URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeable-reference
Slices for extension |  |  |  | Content/Rules for all slices
extension:reference |  | 0..1 | Extension | Extension
value[x] |  | 0..1 | Reference(DeviceDefinition) | Value of extension
Slices for identifier | S | 0..* | Identifier | Identifiers assigned to this order Slice: Unordered, Open by value:system
identifier:UHMEP | S | 0..1 | Identifier | Reference ID of the UHMEP once available there
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/NamingSystem/uhmep
value |  | 1..1 | string | The value that is unique
identifier:SHORT | S C | 0..1 | Identifier | Patient friendly ID (UHMEP SHORT) Constraints: be-inv-uhmep-short
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/NamingSystem/uhmep-short
value |  | 1..1 | string | The value that is unique
basedOn | S | 0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills
status | S | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown
intent | S | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet.
category | S | 1..1 | CodeableConcept | Classification of service Binding: BeReferralCategory (example): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet.
code | S | 1..1 | CodeableConcept | What is being requested/ordered Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service.
orderDetail | S | 0..* | CodeableConcept | Additional order information
subject | S | 1..1 | Reference(BePatient(2.1.2)) | Individual or Entity the service is ordered for
occurrence[x] | S | 0..1 | dateTime, Period, Timing | When service shall occur - once this is past, this prescription is no longer valid and the status shall reflect this.
authoredOn | S C | 1..1 | dateTime | Date request signed Constraints: be-inv-long-date
requester | S | 1..1 | Reference(BePractitionerRole(2.1.2)) | Prescriber of the requested service
performerType | S | 0..0 |  | Performer role
performer | S | 0..0 |  | Requested performer - typically reference to practitionerroles
reasonCode | S | 0..* | CodeableConcept | Explanation/Justification for procedure or service
supportingInfo | S | 0..* | Reference(Resource) | Additional clinical information
bodySite | S | 0..* | CodeableConcept | Location on Body
Slices for extension |  |  |  | Content/Rules for all slices
extension:bodyLaterality |  | 0..1 | Coding | BeExtLaterality URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-laterality Binding: Laterality (required)
note | S | 0..* | BeCodedAnnotation | Comments
Slices for extension |  |  |  | Content/Rules for all slices
extension:code |  | 0..1 | BeExtCodeableConcept | Code
value[x] |  | 0..1 | CodeableConcept | Value of extension Binding: BeVSRequestNoteType (example)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
ServiceRequest.extension:statusReason.​value[x] | Base | example | BeVSPrescriptionStatusReason | 📦1.0.0 | This IG
ServiceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std.
ServiceRequest.category | Base | example | BeReferralCategory | 📦1.0.0 | This IG
ServiceRequest.code | Base | example | Procedure Codes (SNOMED CT) | 📦4.0.1 | FHIR Std.
ServiceRequest.note.​extension:code.value[x] | Base | example | BeVSRequestNoteType | 📦1.0.0 | This IG

#### Constraints

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | ServiceRequest | A request for a service to be performed Constraints: prr-1
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:feedback | S | 0..1 | boolean | Whether prescriber requests feedback URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-feedback-to-prescriber
extension:validity | S | 1..1 | Period | Validity period of the prescription URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-validity-period
extension:latest | S | 0..1 | dateTime | Request must be executed before URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-latest-end-date
extension:performerType | S | 0..* | CodeableConcept | Discipline of provider. Replaces .performerType because of insufficient cardinality URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-performer-type Binding: BeVSCdHcParty (extensible)
extension:statusReason | S | 0..1 | (Complex) | Reason for current status URL: http://hl7.org/fhir/StructureDefinition/request-statusReason
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/request-statusReason"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: BeVSPrescriptionStatusReason (example)
extension:device | S | 0..* | (Complex) | BeExtCodeableReference URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeable-reference
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:reference |  | 0..1 | Extension | Extension
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "reference"
value[x] |  | 0..1 | Reference(DeviceDefinition) | Value of extension
extension:concept |  | 0..1 | Extension | Extension
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "concept"
value[x] |  | 0..1 | CodeableConcept | Value of extension
url |  | 1..1 | uri | "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeable-reference"
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | S Σ | 0..* | Identifier | Identifiers assigned to this order Slice: Unordered, Open by value:system
identifier:UHMEP | S Σ | 0..1 | Identifier | Reference ID of the UHMEP once available there
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/NamingSystem/uhmep
value | Σ | 1..1 | string | The value that is unique Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
identifier:SHORT | S Σ C | 0..1 | Identifier | Patient friendly ID (UHMEP SHORT) Constraints: be-inv-uhmep-short
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/NamingSystem/uhmep-short
value | Σ | 1..1 | string | The value that is unique Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
instantiatesCanonical | Σ | 0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition
basedOn | S Σ | 0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills
replaces | Σ | 0..* | Reference(ServiceRequest) | What request replaces
requisition | Σ | 0..1 | Identifier | Composite Request ID
status | ?!S Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent | ?!S Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet.
category | S Σ | 1..1 | CodeableConcept | Classification of service Binding: BeReferralCategory (example): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet.
priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed
code | S Σ | 1..1 | CodeableConcept | What is being requested/ordered Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service.
orderDetail | S Σ C | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
quantity[x] | Σ | 0..1 |  | Service amount
quantityQuantity |  |  | Quantity |
quantityRatio |  |  | Ratio |
quantityRange |  |  | Range |
subject | S Σ | 1..1 | Reference(BePatient(2.1.2)) | Individual or Entity the service is ordered for
encounter | Σ | 0..1 | Reference(Encounter) | Encounter in which the request was created
occurrence[x] | S Σ | 0..1 |  | When service shall occur - once this is past, this prescription is no longer valid and the status shall reflect this.
occurrenceDateTime |  |  | dateTime |
occurrencePeriod |  |  | Period |
occurrenceTiming |  |  | Timing |
asNeeded[x] | Σ | 0..1 |  | Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
asNeededBoolean |  |  | boolean |
asNeededCodeableConcept |  |  | CodeableConcept |
authoredOn | S Σ C | 1..1 | dateTime | Date request signed Constraints: be-inv-long-date
requester | S Σ | 1..1 | Reference(BePractitionerRole(2.1.2)) | Prescriber of the requested service
locationCode | Σ | 0..* | CodeableConcept | Requested location Binding: ServiceDeliveryLocationRoleType (3.0.0) (example): A location type where services are delivered.
locationReference | Σ | 0..* | Reference(Location) | Requested location
reasonCode | S Σ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
reasonReference | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service
insurance |  | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage
supportingInfo | S | 0..* | Reference(Resource) | Additional clinical information
specimen | Σ | 0..* | Reference(Specimen) | Procedure Samples
bodySite | S Σ | 0..* | CodeableConcept | Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:bodyLaterality |  | 0..1 | Coding | BeExtLaterality URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-laterality Binding: Laterality (required)
coding | Σ | 0..* | Coding | Code defined by a terminology system
text | Σ | 0..1 | string | Plain text representation of the concept
note | S | 0..* | BeCodedAnnotation | Comments
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:code |  | 0..1 | (Complex) | Code URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept"
value[x] |  | 0..1 | CodeableConcept | Value of extension Binding: BeVSRequestNoteType (example)
author[x] | Σ | 0..1 |  | Individual responsible for the annotation
authorReference |  |  | Reference(Practitioner | Patient | RelatedPerson | Organization) |
authorString |  |  | string |
time | Σ | 0..1 | dateTime | When the annotation was made
text | Σ | 1..1 | markdown | The annotation - plain text without markdown is strongly recommended
patientInstruction | Σ | 0..1 | string | Patient or consumer-oriented instructions
relevantHistory |  | 0..* | Reference(Provenance) | Request provenance
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
ServiceRequest.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
ServiceRequest.extension:statusReason.​value[x] | Base | example | BeVSPrescriptionStatusReason | 📦1.0.0 | This IG
ServiceRequest.identifier:UHMEP.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
ServiceRequest.identifier:UHMEP.​type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std.
ServiceRequest.identifier:SHORT.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
ServiceRequest.identifier:SHORT.​type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std.
ServiceRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std.
ServiceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std.
ServiceRequest.category | Base | example | BeReferralCategory | 📦1.0.0 | This IG
ServiceRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std.
ServiceRequest.code | Base | example | Procedure Codes (SNOMED CT) | 📦4.0.1 | FHIR Std.
ServiceRequest.orderDetail | Base | example | Service Request Order Details Codes | 📍4.0.1 | FHIR Std.
ServiceRequest.asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📍4.0.1 | FHIR Std.
ServiceRequest.locationCode | Base | example | ServiceDeliveryLocationRoleType | 📍3.0.0 | THO v7.0
ServiceRequest.reasonCode | Base | example | Procedure Reason Codes | 📍4.0.1 | FHIR Std.
ServiceRequest.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std.
ServiceRequest.note.​extension:code.value[x] | Base | example | BeVSRequestNoteType | 📦1.0.0 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
be-inv-long-date | warning | ServiceRequest.authoredOn | date SHALL contain a long date (YYYY-MM-DDThh:mm:ss+zz:zz) | `empty() or toString().length()=25`
be-inv-uhmep-short | warning | ServiceRequest.identifier:SHORT | The format of UHMEP-SHORT is 6 capital alphanumerics, without O | `Identifier.where(system = 'https://www.ehealth.fgov.be/standards/fhir/referral/NamingSystem/uhmep-short').where(value.extension.empty() or value.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization').empty()).value.select($this.matches('[A-NP-Z0-9]{6}')).allTrue()`
dom-2 | error | ServiceRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | ServiceRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | ServiceRequest | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
prr-1 | error | ServiceRequest | orderDetail SHALL only be present if code is present | `orderDetail.empty() or code.exists()`

This structure is derived from ServiceRequest

Summary

Mandatory: 6 elements(4 nested mandatory elements)
Must-Support: 25 elements
Fixed: 2 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

- BePatient (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient|2.1.2)
- BePractitionerRole (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole|2.1.2)
- BeCodedAnnotation (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-coded-annotation)

Extensions

This structure refers to these extensions:

- https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-feedback-to-prescriber
- https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-validity-period
- https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-latest-end-date
- https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-performer-type
- http://hl7.org/fhir/StructureDefinition/request-statusReason|5.2.0
- https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeable-reference
- https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-laterality

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of ServiceRequest.identifier

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | ServiceRequest | A request for a service to be performed Constraints: prr-1
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:feedback | S | 0..1 | boolean | Whether prescriber requests feedback URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-feedback-to-prescriber
extension:validity | S | 1..1 | Period | Validity period of the prescription URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-validity-period
extension:latest | S | 0..1 | dateTime | Request must be executed before URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-latest-end-date
extension:performerType | S | 0..* | CodeableConcept | Discipline of provider. Replaces .performerType because of insufficient cardinality URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-performer-type Binding: BeVSCdHcParty (extensible)
extension:statusReason | S | 0..1 | (Complex) | Reason for current status URL: http://hl7.org/fhir/StructureDefinition/request-statusReason
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/request-statusReason"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: BeVSPrescriptionStatusReason (example)
extension:device | S | 0..* | (Complex) | BeExtCodeableReference URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeable-reference
Slices for extension |  |  |  | Content/Rules for all slices
extension:reference |  | 0..1 | Extension | Extension
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "reference"
value[x] |  | 0..1 | Reference(DeviceDefinition) | Value of extension
extension:concept |  | 0..1 | Extension | Extension
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "concept"
url |  | 1..1 | uri | "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeable-reference"
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | S Σ | 0..* | Identifier | Identifiers assigned to this order Slice: Unordered, Open by value:system
identifier:UHMEP | S Σ | 0..1 | Identifier | Reference ID of the UHMEP once available there
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/NamingSystem/uhmep
value | Σ | 1..1 | string | The value that is unique Example General: 123456
identifier:SHORT | S Σ C | 0..1 | Identifier | Patient friendly ID (UHMEP SHORT) Constraints: be-inv-uhmep-short
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/NamingSystem/uhmep-short
value | Σ | 1..1 | string | The value that is unique Example General: 123456
basedOn | S Σ | 0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills
status | ?!S Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent | ?!S Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet.
category | S Σ | 1..1 | CodeableConcept | Classification of service Binding: BeReferralCategory (example): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet.
doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed
code | S Σ | 1..1 | CodeableConcept | What is being requested/ordered Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service.
orderDetail | S Σ C | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
subject | S Σ | 1..1 | Reference(BePatient(2.1.2)) | Individual or Entity the service is ordered for
occurrence[x] | S Σ | 0..1 |  | When service shall occur - once this is past, this prescription is no longer valid and the status shall reflect this.
occurrenceDateTime |  |  | dateTime |
occurrencePeriod |  |  | Period |
occurrenceTiming |  |  | Timing |
authoredOn | S Σ C | 1..1 | dateTime | Date request signed Constraints: be-inv-long-date
requester | S Σ | 1..1 | Reference(BePractitionerRole(2.1.2)) | Prescriber of the requested service
reasonCode | S Σ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
supportingInfo | S | 0..* | Reference(Resource) | Additional clinical information
bodySite | S Σ | 0..* | CodeableConcept | Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Slices for extension |  |  |  | Content/Rules for all slices
extension:bodyLaterality |  | 0..1 | Coding | BeExtLaterality URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-laterality Binding: Laterality (required)
note | S | 0..* | BeCodedAnnotation | Comments
Slices for extension |  |  |  | Content/Rules for all slices
extension:code |  | 0..1 | (Complex) | Code URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept"
value[x] |  | 0..1 | CodeableConcept | Value of extension Binding: BeVSRequestNoteType (example)
text | Σ | 1..1 | markdown | The annotation - plain text without markdown is strongly recommended
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
ServiceRequest.extension:statusReason.​value[x] | Base | example | BeVSPrescriptionStatusReason | 📦1.0.0 | This IG
ServiceRequest.identifier:UHMEP.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
ServiceRequest.identifier:SHORT.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
ServiceRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std.
ServiceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std.
ServiceRequest.category | Base | example | BeReferralCategory | 📦1.0.0 | This IG
ServiceRequest.code | Base | example | Procedure Codes (SNOMED CT) | 📦4.0.1 | FHIR Std.
ServiceRequest.orderDetail | Base | example | Service Request Order Details Codes | 📍4.0.1 | FHIR Std.
ServiceRequest.reasonCode | Base | example | Procedure Reason Codes | 📍4.0.1 | FHIR Std.
ServiceRequest.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std.
ServiceRequest.note.​extension:code.value[x] | Base | example | BeVSRequestNoteType | 📦1.0.0 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
be-inv-long-date | warning | ServiceRequest.authoredOn | date SHALL contain a long date (YYYY-MM-DDThh:mm:ss+zz:zz) | `empty() or toString().length()=25`
be-inv-uhmep-short | warning | ServiceRequest.identifier:SHORT | The format of UHMEP-SHORT is 6 capital alphanumerics, without O | `Identifier.where(system = 'https://www.ehealth.fgov.be/standards/fhir/referral/NamingSystem/uhmep-short').where(value.extension.empty() or value.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization').empty()).value.select($this.matches('[A-NP-Z0-9]{6}')).allTrue()`
dom-2 | error | ServiceRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | ServiceRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | ServiceRequest | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
prr-1 | error | ServiceRequest | orderDetail SHALL only be present if code is present | `orderDetail.empty() or code.exists()`

Differential View

This structure is derived from ServiceRequest

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest |  | 0..* | ServiceRequest | A request for a service to be performed
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:feedback | S | 0..1 | boolean | Whether prescriber requests feedback URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-feedback-to-prescriber
extension:validity | S | 1..1 | Period | Validity period of the prescription URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-validity-period
extension:latest | S | 0..1 | dateTime | Request must be executed before URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-latest-end-date
extension:performerType | S | 0..* | CodeableConcept | Discipline of provider. Replaces .performerType because of insufficient cardinality URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-performer-type Binding: BeVSCdHcParty (extensible)
extension:statusReason | S | 0..1 | (Complex) | Reason for current status URL: http://hl7.org/fhir/StructureDefinition/request-statusReason
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: BeVSPrescriptionStatusReason (example)
extension:device | S | 0..* | (Complex) | BeExtCodeableReference URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeable-reference
Slices for extension |  |  |  | Content/Rules for all slices
extension:reference |  | 0..1 | Extension | Extension
value[x] |  | 0..1 | Reference(DeviceDefinition) | Value of extension
Slices for identifier | S | 0..* | Identifier | Identifiers assigned to this order Slice: Unordered, Open by value:system
identifier:UHMEP | S | 0..1 | Identifier | Reference ID of the UHMEP once available there
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/NamingSystem/uhmep
value |  | 1..1 | string | The value that is unique
identifier:SHORT | S C | 0..1 | Identifier | Patient friendly ID (UHMEP SHORT) Constraints: be-inv-uhmep-short
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/NamingSystem/uhmep-short
value |  | 1..1 | string | The value that is unique
basedOn | S | 0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills
status | S | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown
intent | S | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet.
category | S | 1..1 | CodeableConcept | Classification of service Binding: BeReferralCategory (example): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet.
code | S | 1..1 | CodeableConcept | What is being requested/ordered Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service.
orderDetail | S | 0..* | CodeableConcept | Additional order information
subject | S | 1..1 | Reference(BePatient(2.1.2)) | Individual or Entity the service is ordered for
occurrence[x] | S | 0..1 | dateTime, Period, Timing | When service shall occur - once this is past, this prescription is no longer valid and the status shall reflect this.
authoredOn | S C | 1..1 | dateTime | Date request signed Constraints: be-inv-long-date
requester | S | 1..1 | Reference(BePractitionerRole(2.1.2)) | Prescriber of the requested service
performerType | S | 0..0 |  | Performer role
performer | S | 0..0 |  | Requested performer - typically reference to practitionerroles
reasonCode | S | 0..* | CodeableConcept | Explanation/Justification for procedure or service
supportingInfo | S | 0..* | Reference(Resource) | Additional clinical information
bodySite | S | 0..* | CodeableConcept | Location on Body
Slices for extension |  |  |  | Content/Rules for all slices
extension:bodyLaterality |  | 0..1 | Coding | BeExtLaterality URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-laterality Binding: Laterality (required)
note | S | 0..* | BeCodedAnnotation | Comments
Slices for extension |  |  |  | Content/Rules for all slices
extension:code |  | 0..1 | BeExtCodeableConcept | Code
value[x] |  | 0..1 | CodeableConcept | Value of extension Binding: BeVSRequestNoteType (example)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
ServiceRequest.extension:statusReason.​value[x] | Base | example | BeVSPrescriptionStatusReason | 📦1.0.0 | This IG
ServiceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std.
ServiceRequest.category | Base | example | BeReferralCategory | 📦1.0.0 | This IG
ServiceRequest.code | Base | example | Procedure Codes (SNOMED CT) | 📦4.0.1 | FHIR Std.
ServiceRequest.note.​extension:code.value[x] | Base | example | BeVSRequestNoteType | 📦1.0.0 | This IG

#### Constraints

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

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ServiceRequest | C | 0..* | ServiceRequest | A request for a service to be performed Constraints: prr-1
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:feedback | S | 0..1 | boolean | Whether prescriber requests feedback URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-feedback-to-prescriber
extension:validity | S | 1..1 | Period | Validity period of the prescription URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-validity-period
extension:latest | S | 0..1 | dateTime | Request must be executed before URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-latest-end-date
extension:performerType | S | 0..* | CodeableConcept | Discipline of provider. Replaces .performerType because of insufficient cardinality URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-performer-type Binding: BeVSCdHcParty (extensible)
extension:statusReason | S | 0..1 | (Complex) | Reason for current status URL: http://hl7.org/fhir/StructureDefinition/request-statusReason
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/request-statusReason"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: BeVSPrescriptionStatusReason (example)
extension:device | S | 0..* | (Complex) | BeExtCodeableReference URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeable-reference
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:reference |  | 0..1 | Extension | Extension
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "reference"
value[x] |  | 0..1 | Reference(DeviceDefinition) | Value of extension
extension:concept |  | 0..1 | Extension | Extension
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "concept"
value[x] |  | 0..1 | CodeableConcept | Value of extension
url |  | 1..1 | uri | "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeable-reference"
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | S Σ | 0..* | Identifier | Identifiers assigned to this order Slice: Unordered, Open by value:system
identifier:UHMEP | S Σ | 0..1 | Identifier | Reference ID of the UHMEP once available there
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/NamingSystem/uhmep
value | Σ | 1..1 | string | The value that is unique Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
identifier:SHORT | S Σ C | 0..1 | Identifier | Patient friendly ID (UHMEP SHORT) Constraints: be-inv-uhmep-short
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/NamingSystem/uhmep-short
value | Σ | 1..1 | string | The value that is unique Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
instantiatesCanonical | Σ | 0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition
basedOn | S Σ | 0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills
replaces | Σ | 0..* | Reference(ServiceRequest) | What request replaces
requisition | Σ | 0..1 | Identifier | Composite Request ID
status | ?!S Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent | ?!S Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet.
category | S Σ | 1..1 | CodeableConcept | Classification of service Binding: BeReferralCategory (example): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet.
priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed
code | S Σ | 1..1 | CodeableConcept | What is being requested/ordered Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service.
orderDetail | S Σ C | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
quantity[x] | Σ | 0..1 |  | Service amount
quantityQuantity |  |  | Quantity |
quantityRatio |  |  | Ratio |
quantityRange |  |  | Range |
subject | S Σ | 1..1 | Reference(BePatient(2.1.2)) | Individual or Entity the service is ordered for
encounter | Σ | 0..1 | Reference(Encounter) | Encounter in which the request was created
occurrence[x] | S Σ | 0..1 |  | When service shall occur - once this is past, this prescription is no longer valid and the status shall reflect this.
occurrenceDateTime |  |  | dateTime |
occurrencePeriod |  |  | Period |
occurrenceTiming |  |  | Timing |
asNeeded[x] | Σ | 0..1 |  | Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
asNeededBoolean |  |  | boolean |
asNeededCodeableConcept |  |  | CodeableConcept |
authoredOn | S Σ C | 1..1 | dateTime | Date request signed Constraints: be-inv-long-date
requester | S Σ | 1..1 | Reference(BePractitionerRole(2.1.2)) | Prescriber of the requested service
locationCode | Σ | 0..* | CodeableConcept | Requested location Binding: ServiceDeliveryLocationRoleType (3.0.0) (example): A location type where services are delivered.
locationReference | Σ | 0..* | Reference(Location) | Requested location
reasonCode | S Σ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
reasonReference | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service
insurance |  | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage
supportingInfo | S | 0..* | Reference(Resource) | Additional clinical information
specimen | Σ | 0..* | Reference(Specimen) | Procedure Samples
bodySite | S Σ | 0..* | CodeableConcept | Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:bodyLaterality |  | 0..1 | Coding | BeExtLaterality URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-laterality Binding: Laterality (required)
coding | Σ | 0..* | Coding | Code defined by a terminology system
text | Σ | 0..1 | string | Plain text representation of the concept
note | S | 0..* | BeCodedAnnotation | Comments
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:code |  | 0..1 | (Complex) | Code URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept"
value[x] |  | 0..1 | CodeableConcept | Value of extension Binding: BeVSRequestNoteType (example)
author[x] | Σ | 0..1 |  | Individual responsible for the annotation
authorReference |  |  | Reference(Practitioner | Patient | RelatedPerson | Organization) |
authorString |  |  | string |
time | Σ | 0..1 | dateTime | When the annotation was made
text | Σ | 1..1 | markdown | The annotation - plain text without markdown is strongly recommended
patientInstruction | Σ | 0..1 | string | Patient or consumer-oriented instructions
relevantHistory |  | 0..* | Reference(Provenance) | Request provenance
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
ServiceRequest.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
ServiceRequest.extension:statusReason.​value[x] | Base | example | BeVSPrescriptionStatusReason | 📦1.0.0 | This IG
ServiceRequest.identifier:UHMEP.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
ServiceRequest.identifier:UHMEP.​type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std.
ServiceRequest.identifier:SHORT.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
ServiceRequest.identifier:SHORT.​type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std.
ServiceRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std.
ServiceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std.
ServiceRequest.category | Base | example | BeReferralCategory | 📦1.0.0 | This IG
ServiceRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std.
ServiceRequest.code | Base | example | Procedure Codes (SNOMED CT) | 📦4.0.1 | FHIR Std.
ServiceRequest.orderDetail | Base | example | Service Request Order Details Codes | 📍4.0.1 | FHIR Std.
ServiceRequest.asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📍4.0.1 | FHIR Std.
ServiceRequest.locationCode | Base | example | ServiceDeliveryLocationRoleType | 📍3.0.0 | THO v7.0
ServiceRequest.reasonCode | Base | example | Procedure Reason Codes | 📍4.0.1 | FHIR Std.
ServiceRequest.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std.
ServiceRequest.note.​extension:code.value[x] | Base | example | BeVSRequestNoteType | 📦1.0.0 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
be-inv-long-date | warning | ServiceRequest.authoredOn | date SHALL contain a long date (YYYY-MM-DDThh:mm:ss+zz:zz) | `empty() or toString().length()=25`
be-inv-uhmep-short | warning | ServiceRequest.identifier:SHORT | The format of UHMEP-SHORT is 6 capital alphanumerics, without O | `Identifier.where(system = 'https://www.ehealth.fgov.be/standards/fhir/referral/NamingSystem/uhmep-short').where(value.extension.empty() or value.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization').empty()).value.select($this.matches('[A-NP-Z0-9]{6}')).allTrue()`
dom-2 | error | ServiceRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | ServiceRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | ServiceRequest | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | ServiceRequest | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
prr-1 | error | ServiceRequest | orderDetail SHALL only be present if code is present | `orderDetail.empty() or code.exists()`

This structure is derived from ServiceRequest

Summary

Mandatory: 6 elements(4 nested mandatory elements)
Must-Support: 25 elements
Fixed: 2 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

- BePatient (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient|2.1.2)
- BePractitionerRole (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole|2.1.2)
- BeCodedAnnotation (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-coded-annotation)

Extensions

This structure refers to these extensions:

- https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-feedback-to-prescriber
- https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-validity-period
- https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-latest-end-date
- https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-performer-type
- http://hl7.org/fhir/StructureDefinition/request-statusReason|5.2.0
- https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeable-reference
- https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-laterality

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of ServiceRequest.identifier

Other representations of profile: CSV, Excel, Schematron