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: BeAnnex81

Official URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-annex-81 Version: 1.0.0
Draft as of 2024-09-15 Computable Name: BeAnnex81

Usage:

Formal Views of Profile Content

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

This structure is derived from ServiceRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C 0..* ServiceRequest A request for a service to be performed
be-inv-annex-81-based-on: An approved Annex81 is always based on a request by a nurse
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... feedback S 0..1 boolean Give feedback to the prescriber
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-feedback-to-prescriber
.... coprescriber S 0..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 S 1..1 Period Validity period of the prescription
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-validity-period
.... latest S 0..1 BeYearMonthDay Request must be executed before
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-latest-end-date
.... proposalType S 0..1 CodeableConcept BeProposalType
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-proposal-type
Binding: BeVSProposalType (required)
.... pss S 0..1 (Complex) BePSSInfo
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-pss-info
.... performerType S 0..* (Complex) Discipline of provider. Replaces .performerType because of wrong cardinality
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-performer-type
..... value[x]
...... coding
....... system 0..1 uri Identity of the terminology system
Required Pattern: https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty
... Slices for identifier 0..* Identifier Identifiers assigned to this order
Slice: Unordered, Open by value:system
.... identifier:UHMEP 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/referral/NamingSystem/uhmep
..... value 1..1 string The value that is unique
.... identifier:SHORT C 0..1 Identifier Patient friendly ID (UHMEP SHORT)
be-inv-uhmep-short: The format of UHMEP-SHORT is 6 capital alphanumerics, without O
..... system 1..1 uri The namespace for the identifier value
Fixed Value: https://www.ehealth.fgov.be/standards/fhir/referral/NamingSystem/uhmep-short
..... value 1..1 string The value that is unique
... basedOn 0..* Reference(BeAnnex81) What request fulfills
.... coding
..... system 0..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 0..1 code Symbol in syntax defined by the system
Fixed Value: 9632001
... code 0..1 CodeableConcept What is being requested/ordered
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: https://www.ehealth.fgov.be/standards/fhir/referral/CodeSystem/be-cs-temp-requested-service
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: tmp-prep-x081-2
... Slices for occurrence[x] 0..1 dateTime, Period, Timing When service should occur
Slice: Unordered, Open by type:$this
.... occurrence[x]:occurrenceTiming 0..1 Timing When service should occur
..... repeat
...... frequency 0..1 positiveInt Event occurs frequency times per period
Required Pattern: 1
...... period 0..1 decimal Event occurs frequency times per period
Required Pattern: 1
...... periodUnit 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
Required Pattern: wk
... authoredOn SC 1..1 dateTime Date request signed
be-inv-long-date: date SHALL contain a long date (YYYY-MM-DDThh:mm:ss+zz:zz)
... reasonCode S 1..* CodeableConcept Explanation/Justification for procedure or service
Binding: BeVSAnnex81ReasonCode (required)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
ServiceRequest.reasonCoderequiredBeVSAnnex81ReasonCode
https://www.ehealth.fgov.be/standards/fhir/referral/ValueSet/be-vs-annex-81-reason-code
from this IG

Constraints

IdGradePath(s)DetailsRequirements
be-inv-annex-81-based-onerrorServiceRequestAn approved Annex81 is always based on a request by a nurse
: intent = 'order' implies basedOn.exists()
be-inv-long-dateerrorServiceRequest.authoredOndate SHALL contain a long date (YYYY-MM-DDThh:mm:ss+zz:zz)
: empty() or toString().length()=25
be-inv-uhmep-shorterrorServiceRequest.identifier:SHORTThe 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()
NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C 0..* ServiceRequest A request for a service to be performed
prr-1: orderDetail SHALL only be present if code is present
be-inv-annex-81-based-on: An approved Annex81 is always based on a request by a nurse
... 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
.... feedback S 0..1 boolean Give feedback to the prescriber
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-feedback-to-prescriber
.... coprescriber S 0..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 S 1..1 Period Validity period of the prescription
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-validity-period
.... latest S 0..1 BeYearMonthDay Request must be executed before
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-latest-end-date
.... proposalType S 0..1 CodeableConcept BeProposalType
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-proposal-type
Binding: BeVSProposalType (required)
.... pss S 0..1 (Complex) BePSSInfo
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-pss-info
.... performerType S 0..* (Complex) Discipline of provider. Replaces .performerType because of wrong cardinality
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-performer-type
..... extension 0..0
..... url 1..1 uri "https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-performer-type"
..... value[x] S 0..1 CodeableConcept Value of extension
Binding: BeVSCdHcParty (extensible)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... identifier:UHMEP 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/referral/NamingSystem/uhmep
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:SHORT ΣC 0..1 Identifier Patient friendly ID (UHMEP SHORT)
be-inv-uhmep-short: The format of UHMEP-SHORT is 6 capital alphanumerics, without O
..... 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/referral/NamingSystem/uhmep-short
..... value Σ 1..1 string The value that is unique
Example General: 123456
... basedOn Σ 0..* Reference(BeAnnex81) What request fulfills
... status ?!Σ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.

... intent ?!Σ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.

... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code Σ 0..1 CodeableConcept What is being requested/ordered
Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is (preferred)[http://build.fhir.org/terminologies.html#preferred] and a valueset using LOINC Order codes is available here.


Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: https://www.ehealth.fgov.be/standards/fhir/referral/CodeSystem/be-cs-temp-requested-service
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: tmp-prep-x081-2
... subject Σ 1..1 Reference(Patient | Group | Location | Device) Individual or Entity the service is ordered for
... Slices for occurrence[x] Σ 0..1 When service should occur
Slice: Unordered, Open by type:$this
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
.... occurrence[x]:occurrenceTiming Σ 0..1 Timing When service should occur
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
... authoredOn SΣC 1..1 dateTime Date request signed
be-inv-long-date: date SHALL contain a long date (YYYY-MM-DDThh:mm:ss+zz:zz)
... reasonCode SΣ 1..* CodeableConcept Explanation/Justification for procedure or service
Binding: BeVSAnnex81ReasonCode (required)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
ServiceRequest.extension:performerType.value[x]extensibleBeVSCdHcParty
https://www.ehealth.fgov.be/standards/fhir/core/ValueSet/be-vs-cd-hcparty
ServiceRequest.identifier:UHMEP.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.identifier:SHORT.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.intentrequiredRequestIntent
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
from the FHIR Standard
ServiceRequest.codeexamplePattern: tmp-prep-x081-2
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard
ServiceRequest.reasonCoderequiredBeVSAnnex81ReasonCode
https://www.ehealth.fgov.be/standards/fhir/referral/ValueSet/be-vs-annex-81-reason-code
from this IG

Constraints

IdGradePath(s)DetailsRequirements
be-inv-annex-81-based-onerrorServiceRequestAn approved Annex81 is always based on a request by a nurse
: intent = 'order' implies basedOn.exists()
be-inv-long-dateerrorServiceRequest.authoredOndate SHALL contain a long date (YYYY-MM-DDThh:mm:ss+zz:zz)
: empty() or toString().length()=25
be-inv-uhmep-shorterrorServiceRequest.identifier:SHORTThe 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-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 C 0..* ServiceRequest A request for a service to be performed
prr-1: orderDetail SHALL only be present if code is present
be-inv-annex-81-based-on: An approved Annex81 is always based on a request by a nurse
... 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 BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... feedback S 0..1 boolean Give feedback to the prescriber
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-feedback-to-prescriber
.... coprescriber S 0..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 S 1..1 Period Validity period of the prescription
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-validity-period
.... latest S 0..1 BeYearMonthDay Request must be executed before
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-latest-end-date
.... proposalType S 0..1 CodeableConcept BeProposalType
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-proposal-type
Binding: BeVSProposalType (required)
.... pss S 0..1 (Complex) BePSSInfo
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-pss-info
.... performerType S 0..* (Complex) Discipline of provider. Replaces .performerType because of wrong cardinality
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-performer-type
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-performer-type"
..... value[x] S 0..1 CodeableConcept Value of extension
Binding: BeVSCdHcParty (extensible)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 0..1 uri Identity of the terminology system
Required Pattern: https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier Σ 0..* Identifier Identifiers assigned to this order
Slice: Unordered, Open by value:system
.... identifier:UHMEP 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/referral/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 ΣC 0..1 Identifier Patient friendly ID (UHMEP SHORT)
be-inv-uhmep-short: The format of UHMEP-SHORT is 6 capital alphanumerics, without O
..... 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/referral/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 Σ 0..* Reference(BeAnnex81) What request fulfills
... replaces Σ 0..* Reference(ServiceRequest) What request replaces
... requisition Σ 0..1 Identifier Composite Request ID
... status ?!Σ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.

... intent ?!Σ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.

... category Σ 0..* CodeableConcept Classification of service
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.


.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 0..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version Σ 0..1 string Version of the system - if relevant
..... code Σ 0..1 code Symbol in syntax defined by the system
Fixed Value: 9632001
..... display Σ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... 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 Σ 0..1 CodeableConcept What is being requested/ordered
Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is (preferred)[http://build.fhir.org/terminologies.html#preferred] and a valueset using LOINC Order codes is available here.


Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: https://www.ehealth.fgov.be/standards/fhir/referral/CodeSystem/be-cs-temp-requested-service
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: tmp-prep-x081-2
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... orderDetail ΣC 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 Σ 1..1 Reference(Patient | Group | Location | Device) Individual or Entity the service is ordered for
... encounter Σ 0..1 Reference(Encounter) Encounter in which the request was created
... Slices for occurrence[x] Σ 0..1 When service should occur
Slice: Unordered, Open by type:$this
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
.... occurrence[x]:occurrenceTiming Σ 0..1 Timing When service should occur
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... event Σ 0..* dateTime When the event occurs
..... repeat ΣC 0..1 Element When the event is to occur
tim-1: if there's a duration, there needs to be duration units
tim-2: if there's a period, there needs to be period units
tim-4: duration SHALL be a non-negative value
tim-5: period SHALL be a non-negative value
tim-6: If there's a periodMax, there must be a period
tim-7: If there's a durationMax, there must be a duration
tim-8: If there's a countMax, there must be a count
tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV)
tim-10: If there's a timeOfDay, there cannot be a when, or vice versa
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... bounds[x] Σ 0..1 Length/Range of lengths, or (Start and/or end) limits
....... boundsDuration Duration
....... boundsRange Range
....... boundsPeriod Period
...... count Σ 0..1 positiveInt Number of times to repeat
...... countMax Σ 0..1 positiveInt Maximum number of times to repeat
...... duration Σ 0..1 decimal How long when it happens
...... durationMax Σ 0..1 decimal How long when it happens (Max)
...... durationUnit Σ 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).

...... frequency Σ 0..1 positiveInt Event occurs frequency times per period
Required Pattern: 1
...... frequencyMax Σ 0..1 positiveInt Event occurs up to frequencyMax times per period
...... period Σ 0..1 decimal Event occurs frequency times per period
Required Pattern: 1
...... periodMax Σ 0..1 decimal Upper limit of period (3-4 hours)
...... periodUnit Σ 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).


Required Pattern: wk
...... dayOfWeek Σ 0..* code mon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required)
...... timeOfDay Σ 0..* time Time of day for action
...... when Σ 0..* code Code for time period of occurrence
Binding: EventTiming (required): Real world event relating to the schedule.


...... offset Σ 0..1 unsignedInt Minutes from event (before or after)
..... code Σ 0..1 CodeableConcept BID | TID | QID | AM | PM | QD | QOD | +
Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.

... asNeeded[x] Σ 0..1 Preconditions for service
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.

.... asNeededBoolean boolean
.... asNeededCodeableConcept CodeableConcept
... authoredOn SΣC 1..1 dateTime Date request signed
be-inv-long-date: date SHALL contain a long date (YYYY-MM-DDThh:mm:ss+zz:zz)
... requester Σ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/what is requesting service
... performerType Σ 0..1 CodeableConcept Performer role
Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.

... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Requested performer
... locationCode Σ 0..* CodeableConcept Requested location
Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.


... locationReference Σ 0..* Reference(Location) Requested location
... reasonCode SΣ 1..* CodeableConcept Explanation/Justification for procedure or service
Binding: BeVSAnnex81ReasonCode (required)
... reasonReference Σ 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Explanation/Justification for service or service
... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... supportingInfo 0..* Reference(Resource) Additional clinical information
... specimen Σ 0..* Reference(Specimen) Procedure Samples
... bodySite Σ 0..* CodeableConcept Location on Body
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


... note 0..* Annotation Comments
... patientInstruction Σ 0..1 string Patient or consumer-oriented instructions
... relevantHistory 0..* Reference(Provenance) Request provenance

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
ServiceRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
ServiceRequest.extension:performerType.value[x]extensibleBeVSCdHcParty
https://www.ehealth.fgov.be/standards/fhir/core/ValueSet/be-vs-cd-hcparty
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.identifier:SHORT.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.identifier:SHORT.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.intentrequiredRequestIntent
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
from the FHIR Standard
ServiceRequest.categoryexampleServiceRequestCategoryCodes
http://hl7.org/fhir/ValueSet/servicerequest-category
from the FHIR Standard
ServiceRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
ServiceRequest.codeexamplePattern: tmp-prep-x081-2
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.occurrence[x]:occurrenceTiming.repeat.durationUnitrequiredUnitsOfTime
http://hl7.org/fhir/ValueSet/units-of-time|4.0.1
from the FHIR Standard
ServiceRequest.occurrence[x]:occurrenceTiming.repeat.periodUnitrequiredPattern: wk
http://hl7.org/fhir/ValueSet/units-of-time|4.0.1
from the FHIR Standard
ServiceRequest.occurrence[x]:occurrenceTiming.repeat.dayOfWeekrequiredDaysOfWeek
http://hl7.org/fhir/ValueSet/days-of-week|4.0.1
from the FHIR Standard
ServiceRequest.occurrence[x]:occurrenceTiming.repeat.whenrequiredEventTiming
http://hl7.org/fhir/ValueSet/event-timing|4.0.1
from the FHIR Standard
ServiceRequest.occurrence[x]:occurrenceTiming.codepreferredTimingAbbreviation
http://hl7.org/fhir/ValueSet/timing-abbreviation
from the FHIR Standard
ServiceRequest.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
ServiceRequest.performerTypeexampleParticipantRoles
http://hl7.org/fhir/ValueSet/participant-role
from the FHIR Standard
ServiceRequest.locationCodeexampleServiceDeliveryLocationRoleType
http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reasonCoderequiredBeVSAnnex81ReasonCode
https://www.ehealth.fgov.be/standards/fhir/referral/ValueSet/be-vs-annex-81-reason-code
from this IG
ServiceRequest.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
be-inv-annex-81-based-onerrorServiceRequestAn approved Annex81 is always based on a request by a nurse
: intent = 'order' implies basedOn.exists()
be-inv-long-dateerrorServiceRequest.authoredOndate SHALL contain a long date (YYYY-MM-DDThh:mm:ss+zz:zz)
: empty() or toString().length()=25
be-inv-uhmep-shorterrorServiceRequest.identifier:SHORTThe 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-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()
tim-1errorServiceRequest.occurrence[x]:occurrenceTiming.repeatif there's a duration, there needs to be duration units
: duration.empty() or durationUnit.exists()
tim-2errorServiceRequest.occurrence[x]:occurrenceTiming.repeatif there's a period, there needs to be period units
: period.empty() or periodUnit.exists()
tim-4errorServiceRequest.occurrence[x]:occurrenceTiming.repeatduration SHALL be a non-negative value
: duration.exists() implies duration >= 0
tim-5errorServiceRequest.occurrence[x]:occurrenceTiming.repeatperiod SHALL be a non-negative value
: period.exists() implies period >= 0
tim-6errorServiceRequest.occurrence[x]:occurrenceTiming.repeatIf there's a periodMax, there must be a period
: periodMax.empty() or period.exists()
tim-7errorServiceRequest.occurrence[x]:occurrenceTiming.repeatIf there's a durationMax, there must be a duration
: durationMax.empty() or duration.exists()
tim-8errorServiceRequest.occurrence[x]:occurrenceTiming.repeatIf there's a countMax, there must be a count
: countMax.empty() or count.exists()
tim-9errorServiceRequest.occurrence[x]:occurrenceTiming.repeatIf there's an offset, there must be a when (and not C, CM, CD, CV)
: offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10errorServiceRequest.occurrence[x]:occurrenceTiming.repeatIf there's a timeOfDay, there cannot be a when, or vice versa
: timeOfDay.empty() or when.empty()

Differential View

This structure is derived from ServiceRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C 0..* ServiceRequest A request for a service to be performed
be-inv-annex-81-based-on: An approved Annex81 is always based on a request by a nurse
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... feedback S 0..1 boolean Give feedback to the prescriber
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-feedback-to-prescriber
.... coprescriber S 0..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 S 1..1 Period Validity period of the prescription
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-validity-period
.... latest S 0..1 BeYearMonthDay Request must be executed before
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-latest-end-date
.... proposalType S 0..1 CodeableConcept BeProposalType
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-proposal-type
Binding: BeVSProposalType (required)
.... pss S 0..1 (Complex) BePSSInfo
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-pss-info
.... performerType S 0..* (Complex) Discipline of provider. Replaces .performerType because of wrong cardinality
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-performer-type
..... value[x]
...... coding
....... system 0..1 uri Identity of the terminology system
Required Pattern: https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty
... Slices for identifier 0..* Identifier Identifiers assigned to this order
Slice: Unordered, Open by value:system
.... identifier:UHMEP 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/referral/NamingSystem/uhmep
..... value 1..1 string The value that is unique
.... identifier:SHORT C 0..1 Identifier Patient friendly ID (UHMEP SHORT)
be-inv-uhmep-short: The format of UHMEP-SHORT is 6 capital alphanumerics, without O
..... system 1..1 uri The namespace for the identifier value
Fixed Value: https://www.ehealth.fgov.be/standards/fhir/referral/NamingSystem/uhmep-short
..... value 1..1 string The value that is unique
... basedOn 0..* Reference(BeAnnex81) What request fulfills
.... coding
..... system 0..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 0..1 code Symbol in syntax defined by the system
Fixed Value: 9632001
... code 0..1 CodeableConcept What is being requested/ordered
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: https://www.ehealth.fgov.be/standards/fhir/referral/CodeSystem/be-cs-temp-requested-service
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: tmp-prep-x081-2
... Slices for occurrence[x] 0..1 dateTime, Period, Timing When service should occur
Slice: Unordered, Open by type:$this
.... occurrence[x]:occurrenceTiming 0..1 Timing When service should occur
..... repeat
...... frequency 0..1 positiveInt Event occurs frequency times per period
Required Pattern: 1
...... period 0..1 decimal Event occurs frequency times per period
Required Pattern: 1
...... periodUnit 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
Required Pattern: wk
... authoredOn SC 1..1 dateTime Date request signed
be-inv-long-date: date SHALL contain a long date (YYYY-MM-DDThh:mm:ss+zz:zz)
... reasonCode S 1..* CodeableConcept Explanation/Justification for procedure or service
Binding: BeVSAnnex81ReasonCode (required)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
ServiceRequest.reasonCoderequiredBeVSAnnex81ReasonCode
https://www.ehealth.fgov.be/standards/fhir/referral/ValueSet/be-vs-annex-81-reason-code
from this IG

Constraints

IdGradePath(s)DetailsRequirements
be-inv-annex-81-based-onerrorServiceRequestAn approved Annex81 is always based on a request by a nurse
: intent = 'order' implies basedOn.exists()
be-inv-long-dateerrorServiceRequest.authoredOndate SHALL contain a long date (YYYY-MM-DDThh:mm:ss+zz:zz)
: empty() or toString().length()=25
be-inv-uhmep-shorterrorServiceRequest.identifier:SHORTThe 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()

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C 0..* ServiceRequest A request for a service to be performed
prr-1: orderDetail SHALL only be present if code is present
be-inv-annex-81-based-on: An approved Annex81 is always based on a request by a nurse
... 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
.... feedback S 0..1 boolean Give feedback to the prescriber
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-feedback-to-prescriber
.... coprescriber S 0..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 S 1..1 Period Validity period of the prescription
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-validity-period
.... latest S 0..1 BeYearMonthDay Request must be executed before
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-latest-end-date
.... proposalType S 0..1 CodeableConcept BeProposalType
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-proposal-type
Binding: BeVSProposalType (required)
.... pss S 0..1 (Complex) BePSSInfo
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-pss-info
.... performerType S 0..* (Complex) Discipline of provider. Replaces .performerType because of wrong cardinality
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-performer-type
..... extension 0..0
..... url 1..1 uri "https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-performer-type"
..... value[x] S 0..1 CodeableConcept Value of extension
Binding: BeVSCdHcParty (extensible)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... identifier:UHMEP 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/referral/NamingSystem/uhmep
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:SHORT ΣC 0..1 Identifier Patient friendly ID (UHMEP SHORT)
be-inv-uhmep-short: The format of UHMEP-SHORT is 6 capital alphanumerics, without O
..... 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/referral/NamingSystem/uhmep-short
..... value Σ 1..1 string The value that is unique
Example General: 123456
... basedOn Σ 0..* Reference(BeAnnex81) What request fulfills
... status ?!Σ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.

... intent ?!Σ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.

... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code Σ 0..1 CodeableConcept What is being requested/ordered
Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is (preferred)[http://build.fhir.org/terminologies.html#preferred] and a valueset using LOINC Order codes is available here.


Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: https://www.ehealth.fgov.be/standards/fhir/referral/CodeSystem/be-cs-temp-requested-service
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: tmp-prep-x081-2
... subject Σ 1..1 Reference(Patient | Group | Location | Device) Individual or Entity the service is ordered for
... Slices for occurrence[x] Σ 0..1 When service should occur
Slice: Unordered, Open by type:$this
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
.... occurrence[x]:occurrenceTiming Σ 0..1 Timing When service should occur
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
... authoredOn SΣC 1..1 dateTime Date request signed
be-inv-long-date: date SHALL contain a long date (YYYY-MM-DDThh:mm:ss+zz:zz)
... reasonCode SΣ 1..* CodeableConcept Explanation/Justification for procedure or service
Binding: BeVSAnnex81ReasonCode (required)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
ServiceRequest.extension:performerType.value[x]extensibleBeVSCdHcParty
https://www.ehealth.fgov.be/standards/fhir/core/ValueSet/be-vs-cd-hcparty
ServiceRequest.identifier:UHMEP.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.identifier:SHORT.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.intentrequiredRequestIntent
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
from the FHIR Standard
ServiceRequest.codeexamplePattern: tmp-prep-x081-2
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard
ServiceRequest.reasonCoderequiredBeVSAnnex81ReasonCode
https://www.ehealth.fgov.be/standards/fhir/referral/ValueSet/be-vs-annex-81-reason-code
from this IG

Constraints

IdGradePath(s)DetailsRequirements
be-inv-annex-81-based-onerrorServiceRequestAn approved Annex81 is always based on a request by a nurse
: intent = 'order' implies basedOn.exists()
be-inv-long-dateerrorServiceRequest.authoredOndate SHALL contain a long date (YYYY-MM-DDThh:mm:ss+zz:zz)
: empty() or toString().length()=25
be-inv-uhmep-shorterrorServiceRequest.identifier:SHORTThe 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-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 C 0..* ServiceRequest A request for a service to be performed
prr-1: orderDetail SHALL only be present if code is present
be-inv-annex-81-based-on: An approved Annex81 is always based on a request by a nurse
... 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 BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... feedback S 0..1 boolean Give feedback to the prescriber
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-feedback-to-prescriber
.... coprescriber S 0..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 S 1..1 Period Validity period of the prescription
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-validity-period
.... latest S 0..1 BeYearMonthDay Request must be executed before
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-latest-end-date
.... proposalType S 0..1 CodeableConcept BeProposalType
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-proposal-type
Binding: BeVSProposalType (required)
.... pss S 0..1 (Complex) BePSSInfo
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-pss-info
.... performerType S 0..* (Complex) Discipline of provider. Replaces .performerType because of wrong cardinality
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-performer-type
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-performer-type"
..... value[x] S 0..1 CodeableConcept Value of extension
Binding: BeVSCdHcParty (extensible)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 0..1 uri Identity of the terminology system
Required Pattern: https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier Σ 0..* Identifier Identifiers assigned to this order
Slice: Unordered, Open by value:system
.... identifier:UHMEP 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/referral/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 ΣC 0..1 Identifier Patient friendly ID (UHMEP SHORT)
be-inv-uhmep-short: The format of UHMEP-SHORT is 6 capital alphanumerics, without O
..... 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/referral/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 Σ 0..* Reference(BeAnnex81) What request fulfills
... replaces Σ 0..* Reference(ServiceRequest) What request replaces
... requisition Σ 0..1 Identifier Composite Request ID
... status ?!Σ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.

... intent ?!Σ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.

... category Σ 0..* CodeableConcept Classification of service
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.


.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 0..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version Σ 0..1 string Version of the system - if relevant
..... code Σ 0..1 code Symbol in syntax defined by the system
Fixed Value: 9632001
..... display Σ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... 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 Σ 0..1 CodeableConcept What is being requested/ordered
Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is (preferred)[http://build.fhir.org/terminologies.html#preferred] and a valueset using LOINC Order codes is available here.


Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: https://www.ehealth.fgov.be/standards/fhir/referral/CodeSystem/be-cs-temp-requested-service
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: tmp-prep-x081-2
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... orderDetail ΣC 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 Σ 1..1 Reference(Patient | Group | Location | Device) Individual or Entity the service is ordered for
... encounter Σ 0..1 Reference(Encounter) Encounter in which the request was created
... Slices for occurrence[x] Σ 0..1 When service should occur
Slice: Unordered, Open by type:$this
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
.... occurrence[x]:occurrenceTiming Σ 0..1 Timing When service should occur
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... event Σ 0..* dateTime When the event occurs
..... repeat ΣC 0..1 Element When the event is to occur
tim-1: if there's a duration, there needs to be duration units
tim-2: if there's a period, there needs to be period units
tim-4: duration SHALL be a non-negative value
tim-5: period SHALL be a non-negative value
tim-6: If there's a periodMax, there must be a period
tim-7: If there's a durationMax, there must be a duration
tim-8: If there's a countMax, there must be a count
tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV)
tim-10: If there's a timeOfDay, there cannot be a when, or vice versa
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... bounds[x] Σ 0..1 Length/Range of lengths, or (Start and/or end) limits
....... boundsDuration Duration
....... boundsRange Range
....... boundsPeriod Period
...... count Σ 0..1 positiveInt Number of times to repeat
...... countMax Σ 0..1 positiveInt Maximum number of times to repeat
...... duration Σ 0..1 decimal How long when it happens
...... durationMax Σ 0..1 decimal How long when it happens (Max)
...... durationUnit Σ 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).

...... frequency Σ 0..1 positiveInt Event occurs frequency times per period
Required Pattern: 1
...... frequencyMax Σ 0..1 positiveInt Event occurs up to frequencyMax times per period
...... period Σ 0..1 decimal Event occurs frequency times per period
Required Pattern: 1
...... periodMax Σ 0..1 decimal Upper limit of period (3-4 hours)
...... periodUnit Σ 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).


Required Pattern: wk
...... dayOfWeek Σ 0..* code mon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required)
...... timeOfDay Σ 0..* time Time of day for action
...... when Σ 0..* code Code for time period of occurrence
Binding: EventTiming (required): Real world event relating to the schedule.


...... offset Σ 0..1 unsignedInt Minutes from event (before or after)
..... code Σ 0..1 CodeableConcept BID | TID | QID | AM | PM | QD | QOD | +
Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.

... asNeeded[x] Σ 0..1 Preconditions for service
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.

.... asNeededBoolean boolean
.... asNeededCodeableConcept CodeableConcept
... authoredOn SΣC 1..1 dateTime Date request signed
be-inv-long-date: date SHALL contain a long date (YYYY-MM-DDThh:mm:ss+zz:zz)
... requester Σ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/what is requesting service
... performerType Σ 0..1 CodeableConcept Performer role
Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.

... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Requested performer
... locationCode Σ 0..* CodeableConcept Requested location
Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.


... locationReference Σ 0..* Reference(Location) Requested location
... reasonCode SΣ 1..* CodeableConcept Explanation/Justification for procedure or service
Binding: BeVSAnnex81ReasonCode (required)
... reasonReference Σ 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Explanation/Justification for service or service
... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... supportingInfo 0..* Reference(Resource) Additional clinical information
... specimen Σ 0..* Reference(Specimen) Procedure Samples
... bodySite Σ 0..* CodeableConcept Location on Body
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


... note 0..* Annotation Comments
... patientInstruction Σ 0..1 string Patient or consumer-oriented instructions
... relevantHistory 0..* Reference(Provenance) Request provenance

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
ServiceRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
ServiceRequest.extension:performerType.value[x]extensibleBeVSCdHcParty
https://www.ehealth.fgov.be/standards/fhir/core/ValueSet/be-vs-cd-hcparty
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.identifier:SHORT.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.identifier:SHORT.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.intentrequiredRequestIntent
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
from the FHIR Standard
ServiceRequest.categoryexampleServiceRequestCategoryCodes
http://hl7.org/fhir/ValueSet/servicerequest-category
from the FHIR Standard
ServiceRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
ServiceRequest.codeexamplePattern: tmp-prep-x081-2
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.occurrence[x]:occurrenceTiming.repeat.durationUnitrequiredUnitsOfTime
http://hl7.org/fhir/ValueSet/units-of-time|4.0.1
from the FHIR Standard
ServiceRequest.occurrence[x]:occurrenceTiming.repeat.periodUnitrequiredPattern: wk
http://hl7.org/fhir/ValueSet/units-of-time|4.0.1
from the FHIR Standard
ServiceRequest.occurrence[x]:occurrenceTiming.repeat.dayOfWeekrequiredDaysOfWeek
http://hl7.org/fhir/ValueSet/days-of-week|4.0.1
from the FHIR Standard
ServiceRequest.occurrence[x]:occurrenceTiming.repeat.whenrequiredEventTiming
http://hl7.org/fhir/ValueSet/event-timing|4.0.1
from the FHIR Standard
ServiceRequest.occurrence[x]:occurrenceTiming.codepreferredTimingAbbreviation
http://hl7.org/fhir/ValueSet/timing-abbreviation
from the FHIR Standard
ServiceRequest.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
ServiceRequest.performerTypeexampleParticipantRoles
http://hl7.org/fhir/ValueSet/participant-role
from the FHIR Standard
ServiceRequest.locationCodeexampleServiceDeliveryLocationRoleType
http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reasonCoderequiredBeVSAnnex81ReasonCode
https://www.ehealth.fgov.be/standards/fhir/referral/ValueSet/be-vs-annex-81-reason-code
from this IG
ServiceRequest.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
be-inv-annex-81-based-onerrorServiceRequestAn approved Annex81 is always based on a request by a nurse
: intent = 'order' implies basedOn.exists()
be-inv-long-dateerrorServiceRequest.authoredOndate SHALL contain a long date (YYYY-MM-DDThh:mm:ss+zz:zz)
: empty() or toString().length()=25
be-inv-uhmep-shorterrorServiceRequest.identifier:SHORTThe 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-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()
tim-1errorServiceRequest.occurrence[x]:occurrenceTiming.repeatif there's a duration, there needs to be duration units
: duration.empty() or durationUnit.exists()
tim-2errorServiceRequest.occurrence[x]:occurrenceTiming.repeatif there's a period, there needs to be period units
: period.empty() or periodUnit.exists()
tim-4errorServiceRequest.occurrence[x]:occurrenceTiming.repeatduration SHALL be a non-negative value
: duration.exists() implies duration >= 0
tim-5errorServiceRequest.occurrence[x]:occurrenceTiming.repeatperiod SHALL be a non-negative value
: period.exists() implies period >= 0
tim-6errorServiceRequest.occurrence[x]:occurrenceTiming.repeatIf there's a periodMax, there must be a period
: periodMax.empty() or period.exists()
tim-7errorServiceRequest.occurrence[x]:occurrenceTiming.repeatIf there's a durationMax, there must be a duration
: durationMax.empty() or duration.exists()
tim-8errorServiceRequest.occurrence[x]:occurrenceTiming.repeatIf there's a countMax, there must be a count
: countMax.empty() or count.exists()
tim-9errorServiceRequest.occurrence[x]:occurrenceTiming.repeatIf there's an offset, there must be a when (and not C, CM, CD, CV)
: offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10errorServiceRequest.occurrence[x]:occurrenceTiming.repeatIf there's a timeOfDay, there cannot be a when, or vice versa
: timeOfDay.empty() or when.empty()

 

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