BeReferralServiceRequestNursing - Referral Prescription v1.0.0

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: BeReferralServiceRequestNursing

Official URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-referral-servicerequest-nursing				Version: 1.0.0
Draft as of 2021-07-15				Computable Name: BeReferralServiceRequestNursing

The nursing profile, generic version. Please note the nursing referral for medication does NOT depend on this generic version but is a FHIR prodfile on a different FHIR resource (MedicationRequest)

Usage:

Examples for this Resource Profile: ServiceRequest/example01-care02-colon-cleansing, ServiceRequest/example02-referralprescription-nursing-digestive-system-care, ServiceRequest/example03-referralprescription-nursing-compressiontherapy, ServiceRequest/example04-referralprescription-nursing-bladder-care... Show 22 more

Formal Views of Profile Content

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

Differential Table
Key Elements Table
Snapshot Table
Statistics/References
All

This structure is derived from BeReferralServiceRequest

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest		0..*	BeReferralServiceRequest	A request for a service to be performed
category
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		1..1	CodeableConcept	What is being requested/ordered Binding: BeVSRequestedServicesNurse (required)
orderDetail		0..*	CodeableConcept	Details of the nursing activity Binding: BeVSRequestedServicesNurseDetail (required)
Slices for quantity[x]		0..1	Quantity, Ratio, Range	Service amount Slice: Unordered, Open by type:$this
quantity[x]:quantityQuantity		0..1	Quantity	Service amount
value	S	0..1	decimal	Numerical value (with implicit precision)
system	S	0..1	uri	System that defines coded unit form
code	S	0..1	code	Coded form of the unit
Slices for occurrence[x]		0..1	Timing	When service shall occur - once this is past, this prescription is no longer valid and the status shall reflect this. Slice: Unordered, Open by type:$this
occurrence[x]:occurrenceTiming	S	0..1	Timing	When service shall occur - once this is past, this prescription is no longer valid and the status shall reflect this.
repeat
Slices for bounds[x]		0..1	Duration, Range, Period	Length/Range of lengths, or (Start and/or end) limits Slice: Unordered, Open by type:$this
bounds[x]:boundsDuration	S	0..1	Duration	Length/Range of lengths, or (Start and/or end) limits
count	S	0..1	positiveInt	Number of times to repeat
duration	S	0..1	decimal	How long when it happens
durationUnit	S	0..1	code	s \| min \| h \| d \| wk \| mo \| a - unit of time (UCUM)
frequency	S	0..1	positiveInt	Event occurs frequency times per period
when	S	0..*	code	Code for time period of occurrence
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ServiceRequest.code	required	BeVSRequestedServicesNurse `https://www.ehealth.fgov.be/standards/fhir/referral/ValueSet/be-vs-requested-services-nurse` from this IG
ServiceRequest.orderDetail	required	BeVSRequestedServicesNurseDetail `https://www.ehealth.fgov.be/standards/fhir/referral/ValueSet/be-vs-requested-services-nurse-detail` from this IG

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	BeReferralServiceRequest	A request for a service to be performed prr-1: orderDetail SHALL only be present if code is present be-inv-body-site: if the category of the request is SNOMED-CT 9632001 (Nursing Procedure) then the bodySite will be member of the ValueSet be-vs-bodysite-nursing
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..*	CodeableConcept	Discipline of provider. Replaces .performerType because of wrong cardinality URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-performer-type Binding: BeVSCdHcParty (extensible)
statusReason	S	0..1	(Complex)	Reason for current status URL: http://hl7.org/fhir/StructureDefinition/request-statusReason
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/request-statusReason"
value[x]		1..1	CodeableConcept	Value of extension Binding: BeVSPrescriptionStatusReason (extensible)
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
url		1..1	uri	"reference"
extension:concept		0..1	Extension	Extension
extension		0..0
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	SΣ	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
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	SΣ	0..*	Reference(CarePlan \| ServiceRequest \| MedicationRequest)	What request fulfills
status	?!SΣ	1..1	code	draft \| active \| on-hold \| revoked \| completed \| entered-in-error \| unknown Binding: RequestStatus (required): The status of a service order.
intent	?!SΣ	1..1	code	proposal \| plan \| directive \| order \| original-order \| reflex-order \| filler-order \| instance-order \| option Binding: BeVSRequestIntent (required)
category	SΣ	1..1	CodeableConcept	Classification of service Binding: BeReferralCategory (extensible)
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	SΣ	1..1	CodeableConcept	What is being requested/ordered Binding: BeVSRequestedServicesNurse (required)
orderDetail	SΣC	0..*	CodeableConcept	Details of the nursing activity Binding: BeVSRequestedServicesNurseDetail (required)
Slices for quantity[x]	Σ	0..1		Service amount Slice: Unordered, Open by type:$this
quantityQuantity			Quantity
quantityRatio			Ratio
quantityRange			Range
quantity[x]:quantityQuantity	Σ	0..1	Quantity	Service amount
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< \| <= \| >= \| > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
system	SΣC	0..1	uri	System that defines coded unit form
code	SΣ	0..1	code	Coded form of the unit
subject	SΣ	1..1	BeContainedOrLogicalReference(BePatient(2.1.2))	Individual or Entity the service is ordered for
Slices for occurrence[x]	SΣ	0..1	Timing	When service shall occur - once this is past, this prescription is no longer valid and the status shall reflect this. Slice: Unordered, Closed by type:$this
occurrence[x]:occurrenceTiming	SΣ	0..1	Timing	When service shall occur - once this is past, this prescription is no longer valid and the status shall reflect this.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
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
Slices for bounds[x]	Σ	0..1		Length/Range of lengths, or (Start and/or end) limits Slice: Unordered, Open by type:$this
boundsDuration			Duration
boundsRange			Range
boundsPeriod			Period
bounds[x]:boundsDuration	SΣ	0..1	Duration	Length/Range of lengths, or (Start and/or end) limits
count	SΣ	0..1	positiveInt	Number of times to repeat
duration	SΣ	0..1	decimal	How long when it happens
durationUnit	SΣ	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	SΣ	0..1	positiveInt	Event occurs frequency times per period
when	SΣ	0..*	code	Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule.
asNeeded[x]	SΣ	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	SΣ	1..1	BeContainedOrLogicalReference(BePractitionerRole(2.1.2))	Prescriber of the requested service
reasonCode	SΣ	0..1	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	SΣ	0..*	CodeableConcept	Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Slices for extension				Content/Rules for all slices
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	Text node with attribution
Slices for extension				Content/Rules for all slices
code		0..1	(Complex)	Code URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept
extension		0..0
url		1..1	uri	"https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept"
text	Σ	1..1	markdown	The annotation - plain text without markdown is strongly recommended
patientInstruction	SΣ	0..1	string	Patient or consumer-oriented instructions
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ServiceRequest.extension:statusReason.value[x]	extensible	BeVSPrescriptionStatusReason (a valid code from BePrescriptionStatusReason) `https://www.ehealth.fgov.be/standards/fhir/referral/ValueSet/be-vs-prescription-status-reason` from this IG
ServiceRequest.identifier:UHMEP.use	required	IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use\|4.0.1` from the FHIR Standard
ServiceRequest.identifier:SHORT.use	required	IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use\|4.0.1` from the FHIR Standard
ServiceRequest.status	required	RequestStatus `http://hl7.org/fhir/ValueSet/request-status\|4.0.1` from the FHIR Standard
ServiceRequest.intent	required	BeVSRequestIntent `https://www.ehealth.fgov.be/standards/fhir/referral/ValueSet/be-vs-request-intent` from this IG
ServiceRequest.category	extensible	BeReferralCategory `https://www.ehealth.fgov.be/standards/fhir/referral/ValueSet/be-vs-referral-category` from this IG
ServiceRequest.code	required	BeVSRequestedServicesNurse `https://www.ehealth.fgov.be/standards/fhir/referral/ValueSet/be-vs-requested-services-nurse` from this IG
ServiceRequest.orderDetail	required	BeVSRequestedServicesNurseDetail `https://www.ehealth.fgov.be/standards/fhir/referral/ValueSet/be-vs-requested-services-nurse-detail` from this IG
ServiceRequest.quantity[x]:quantityQuantity.comparator	required	QuantityComparator `http://hl7.org/fhir/ValueSet/quantity-comparator\|4.0.1` from the FHIR Standard
ServiceRequest.occurrence[x]:occurrenceTiming.repeat.durationUnit	required	UnitsOfTime `http://hl7.org/fhir/ValueSet/units-of-time\|4.0.1` from the FHIR Standard
ServiceRequest.occurrence[x]:occurrenceTiming.repeat.when	required	EventTiming `http://hl7.org/fhir/ValueSet/event-timing\|4.0.1` from the FHIR Standard
ServiceRequest.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes `http://hl7.org/fhir/ValueSet/medication-as-needed-reason` from the FHIR Standard
ServiceRequest.reasonCode	example	ProcedureReasonCodes `http://hl7.org/fhir/ValueSet/procedure-reason` from the FHIR Standard
ServiceRequest.bodySite	example	SNOMEDCTBodyStructures `http://hl7.org/fhir/ValueSet/body-site` from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
be-inv-body-site	error	ServiceRequest	if the category of the request is SNOMED-CT 9632001 (Nursing Procedure) then the bodySite will be member of the ValueSet be-vs-bodysite-nursing : bodySite.empty() or category.coding.where(system = 'http://snomed.info/sct' and code = '9632001').exists() implies bodySite.select($this.memberOf('https://www.ehealth.fgov.be/standards/fhir/referral/ValueSet/be-vs-bodysite-nursing')).allTrue()
be-inv-long-date	error	ServiceRequest.authoredOn	date SHALL contain a long date (YYYY-MM-DDThh:mm:ss+zz:zz) : empty() or toString().length()=25
be-inv-uhmep-short	error	ServiceRequest.identifier:SHORT	The format of UHMEP-SHORT is 6 capital alphanumerics, without O : Identifier.where(system = 'https://www.ehealth.fgov.be/standards/fhir/referral/NamingSystem/uhmep-short').where(value.extension.empty() or value.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization').empty()).value.select($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()
tim-1	error	ServiceRequest.occurrence[x]:occurrenceTiming.repeat	if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists()
tim-2	error	ServiceRequest.occurrence[x]:occurrenceTiming.repeat	if there's a period, there needs to be period units : period.empty() or periodUnit.exists()
tim-4	error	ServiceRequest.occurrence[x]:occurrenceTiming.repeat	duration SHALL be a non-negative value : duration.exists() implies duration >= 0
tim-5	error	ServiceRequest.occurrence[x]:occurrenceTiming.repeat	period SHALL be a non-negative value : period.exists() implies period >= 0
tim-6	error	ServiceRequest.occurrence[x]:occurrenceTiming.repeat	If there's a periodMax, there must be a period : periodMax.empty() or period.exists()
tim-7	error	ServiceRequest.occurrence[x]:occurrenceTiming.repeat	If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists()
tim-8	error	ServiceRequest.occurrence[x]:occurrenceTiming.repeat	If there's a countMax, there must be a count : countMax.empty() or count.exists()
tim-9	error	ServiceRequest.occurrence[x]:occurrenceTiming.repeat	If 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-10	error	ServiceRequest.occurrence[x]:occurrenceTiming.repeat	If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty()

Description & Constraints

ServiceRequest

0..*

BeReferralServiceRequest

A request for a service to be performed
prr-1: orderDetail SHALL only be present if code is present
be-inv-body-site: if the category of the request is SNOMED-CT 9632001 (Nursing Procedure) then the bodySite will be member of the ValueSet be-vs-bodysite-nursing

0..1

Logical id of this artifact