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: BeReferralServiceRequest

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

The common structure for referral prescription.

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-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
... 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
.... latestDraft S 0..1 BeYearMonthDay The prescription must have left the draft status befor this moment
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-latest-draft-date
.... proposalType 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
..... 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
....... 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 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
... 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: BeVsRequestIntent (required)
... category S 1..1 CodeableConcept Classification of service
Binding: BeReferralCategory (extensible)
... code S 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.

... orderDetail S 0..* CodeableConcept Additional order information
... subject S 1..1 BeContainedOrLogicalReference(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.
... asNeeded[x] S 0..1 boolean, CodeableConcept Preconditions for service
... 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)
... requester S 1..1 BeContainedOrLogicalReference(BePractitionerRole(2.1.2)) Prescriber of the requested service
... performerType S 0..0
... performer S 0..0
... reasonCode S 0..1 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
..... 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
..... extension:code 0..1 BeExtCodeableConcept Code
...... value[x] 0..1 CodeableConcept Value of extension
Binding: BeVSRequestNoteType (required)
... patientInstruction S 0..1 string Patient or consumer-oriented instructions

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
ServiceRequest.extension:statusReason.value[x]extensibleBeVSPrescriptionStatusReason (a valid code from BePrescriptionStatusReason)
https://www.ehealth.fgov.be/standards/fhir/referral/ValueSet/be-vs-prescription-status-reason
from this IG
ServiceRequest.intentrequiredBeVsRequestIntent
https://www.ehealth.fgov.be/standards/fhir/referral/ValueSet/be-vs-request-intent
from this IG
ServiceRequest.categoryextensibleBeReferralCategory
https://www.ehealth.fgov.be/standards/fhir/referral/ValueSet/be-vs-referral-category
from this IG
ServiceRequest.codeexampleProcedureCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard
ServiceRequest.note.extension:code.value[x]requiredBeVSRequestNoteType
https://www.ehealth.fgov.be/standards/fhir/referral/ValueSet/be-vs-request-note-type
from this IG

Constraints

IdGradePath(s)DetailsRequirements
be-inv-body-siteerrorServiceRequestif 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-dateerrorServiceRequest.authoredOndate SHALL contain a long date (YYYY-MM-DDThh:mm:ss+zz:zz)
: empty() or toString().length()=25
NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C 0..* ServiceRequest A request for a service to be performed
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: 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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
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
ele-1: All FHIR elements must have a @value or children
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... 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
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... 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
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... validity S 1..1 Period Validity period of the prescription
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-validity-period
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... 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
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... latestDraft S 0..1 BeYearMonthDay The prescription must have left the draft status befor this moment
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-latest-draft-date
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... proposalType S 0..1 CodeableConcept BeProposalType
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-proposal-type
Binding: BeVsProposalType (required)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... pss S 0..1 (Complex) BePSSInfo
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-pss-info
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... 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)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... statusReason S 0..1 (Complex) Reason for current status
URL: http://hl7.org/fhir/StructureDefinition/request-statusReason
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... 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)
ele-1: All FHIR elements must have a @value or children
.... device S 0..* (Complex) BeExtCodeableReference
URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeable-reference
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... Slices for extension Content/Rules for all slices
...... extension:reference 0..1 Extension Extension
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... extension 0..0
....... url 1..1 uri "reference"
....... value[x] 0..1 Reference(DeviceDefinition) Value of extension
ele-1: All FHIR elements must have a @value or children
...... extension:concept 0..1 Extension Extension
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... 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
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... identifier:UHMEP Σ 0..1 Identifier Reference ID of the UHMEP once available there
ele-1: All FHIR elements must have a @value or children
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


ele-1: All FHIR elements must have a @value or children
..... system Σ 1..1 uri The namespace for the identifier value
ele-1: All FHIR elements must have a @value or children
Fixed Value: https://www.ehealth.fgov.be/standards/fhir/referral/NamingSystem/uhmep
..... value Σ 1..1 string The value that is unique
ele-1: All FHIR elements must have a @value or children
Example General: 123456
... basedOn SΣ 0..* Reference(CarePlan | ServiceRequest | MedicationRequest) What request fulfills
ele-1: All FHIR elements must have a @value or children
... requisition SΣ 0..1 Identifier If needed to have a common identifier among different prescriptions.
ele-1: All FHIR elements must have a @value or children
... status ?!SΣ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.


ele-1: All FHIR elements must have a @value or children
... intent ?!SΣ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: BeVsRequestIntent (required)
ele-1: All FHIR elements must have a @value or children
... category SΣ 1..1 CodeableConcept Classification of service
Binding: BeReferralCategory (extensible)
ele-1: All FHIR elements must have a @value or children
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
ele-1: All FHIR elements must have a @value or children
... code SΣ 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.


ele-1: All FHIR elements must have a @value or children
... orderDetail SΣC 0..* CodeableConcept Additional order information
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.


ele-1: All FHIR elements must have a @value or children
... subject SΣ 1..1 BeContainedOrLogicalReference(BePatient(2.1.2)) Individual or Entity the service is ordered for
ele-1: All FHIR elements must have a @value or children
... occurrence[x] SΣ 0..1 When service shall occur - once this is past, this prescription is no longer valid and the status shall reflect this.
ele-1: All FHIR elements must have a @value or children
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
... 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.


ele-1: All FHIR elements must have a @value or children
.... asNeededBoolean boolean
.... asNeededCodeableConcept CodeableConcept
... authoredOn SΣC 1..1 dateTime Date request signed
ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
... 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.


ele-1: All FHIR elements must have a @value or children
... supportingInfo S 0..* Reference(Resource) Additional clinical information
ele-1: All FHIR elements must have a @value or children
... bodySite SΣ 0..* CodeableConcept Location on Body
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


ele-1: All FHIR elements must have a @value or children
.... 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)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... note S 0..* BeCodedAnnotation Text node with attribution
ele-1: All FHIR elements must have a @value or children
.... 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
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
...... extension 0..0
...... 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 (required)
ele-1: All FHIR elements must have a @value or children
.... text Σ 1..1 markdown The annotation - plain text without markdown is strongly recommended
ele-1: All FHIR elements must have a @value or children
... patientInstruction SΣ 0..1 string Patient or consumer-oriented instructions
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

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

Constraints

IdGradePath(s)DetailsRequirements
be-inv-body-siteerrorServiceRequestif 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-dateerrorServiceRequest.authoredOndate SHALL contain a long date (YYYY-MM-DDThh:mm:ss+zz:zz)
: empty() or toString().length()=25
dom-2errorServiceRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorServiceRequestIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorServiceRequestIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorServiceRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceServiceRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
prr-1errorServiceRequestorderDetail SHALL only be present if code is present
: orderDetail.empty() or code.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C 0..* ServiceRequest 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
... 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
.... latestDraft S 0..1 BeYearMonthDay The prescription must have left the draft status befor this moment
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-latest-draft-date
.... proposalType 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
..... id 0..1 id Unique id for inter-element referencing
..... 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
..... 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
....... 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
....... 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 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
..... 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)
... instantiatesCanonical Σ 0..* canonical(ActivityDefinition | PlanDefinition) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn SΣ 0..* Reference(CarePlan | ServiceRequest | MedicationRequest) What request fulfills
... replaces Σ 0..* Reference(ServiceRequest) What request replaces
... requisition SΣ 0..1 Identifier If needed to have a common identifier among different prescriptions.
... 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)
... 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 SΣ 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.

... orderDetail SΣC 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 SΣ 1..1 BeContainedOrLogicalReference(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] SΣ 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] 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
... 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 0..1 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 SΣ 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
..... 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 Text node with attribution
.... 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
..... 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
...... 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 (required)
.... 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 SΣ 0..1 string Patient or consumer-oriented instructions
... relevantHistory 0..* Reference(Provenance) Request provenance

doco Documentation for this format

Terminology Bindings

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

Constraints

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

This structure is derived from ServiceRequest

Summary

Mandatory: 5 elements(2 nested mandatory elements)
Must-Support: 30 elements
Fixed: 1 element
Prohibited: 2 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

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

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-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
... 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
.... latestDraft S 0..1 BeYearMonthDay The prescription must have left the draft status befor this moment
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-latest-draft-date
.... proposalType 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
..... 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
....... 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 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
... 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: BeVsRequestIntent (required)
... category S 1..1 CodeableConcept Classification of service
Binding: BeReferralCategory (extensible)
... code S 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.

... orderDetail S 0..* CodeableConcept Additional order information
... subject S 1..1 BeContainedOrLogicalReference(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.
... asNeeded[x] S 0..1 boolean, CodeableConcept Preconditions for service
... 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)
... requester S 1..1 BeContainedOrLogicalReference(BePractitionerRole(2.1.2)) Prescriber of the requested service
... performerType S 0..0
... performer S 0..0
... reasonCode S 0..1 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
..... 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
..... extension:code 0..1 BeExtCodeableConcept Code
...... value[x] 0..1 CodeableConcept Value of extension
Binding: BeVSRequestNoteType (required)
... patientInstruction S 0..1 string Patient or consumer-oriented instructions

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
ServiceRequest.extension:statusReason.value[x]extensibleBeVSPrescriptionStatusReason (a valid code from BePrescriptionStatusReason)
https://www.ehealth.fgov.be/standards/fhir/referral/ValueSet/be-vs-prescription-status-reason
from this IG
ServiceRequest.intentrequiredBeVsRequestIntent
https://www.ehealth.fgov.be/standards/fhir/referral/ValueSet/be-vs-request-intent
from this IG
ServiceRequest.categoryextensibleBeReferralCategory
https://www.ehealth.fgov.be/standards/fhir/referral/ValueSet/be-vs-referral-category
from this IG
ServiceRequest.codeexampleProcedureCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard
ServiceRequest.note.extension:code.value[x]requiredBeVSRequestNoteType
https://www.ehealth.fgov.be/standards/fhir/referral/ValueSet/be-vs-request-note-type
from this IG

Constraints

IdGradePath(s)DetailsRequirements
be-inv-body-siteerrorServiceRequestif 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-dateerrorServiceRequest.authoredOndate SHALL contain a long date (YYYY-MM-DDThh:mm:ss+zz:zz)
: empty() or toString().length()=25

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C 0..* ServiceRequest A request for a service to be performed
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: 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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
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
ele-1: All FHIR elements must have a @value or children
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... 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
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... 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
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... validity S 1..1 Period Validity period of the prescription
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-validity-period
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... 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
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... latestDraft S 0..1 BeYearMonthDay The prescription must have left the draft status befor this moment
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-latest-draft-date
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... proposalType S 0..1 CodeableConcept BeProposalType
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-proposal-type
Binding: BeVsProposalType (required)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... pss S 0..1 (Complex) BePSSInfo
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-pss-info
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... 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)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... statusReason S 0..1 (Complex) Reason for current status
URL: http://hl7.org/fhir/StructureDefinition/request-statusReason
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... 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)
ele-1: All FHIR elements must have a @value or children
.... device S 0..* (Complex) BeExtCodeableReference
URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeable-reference
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... Slices for extension Content/Rules for all slices
...... extension:reference 0..1 Extension Extension
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... extension 0..0
....... url 1..1 uri "reference"
....... value[x] 0..1 Reference(DeviceDefinition) Value of extension
ele-1: All FHIR elements must have a @value or children
...... extension:concept 0..1 Extension Extension
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... 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
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... identifier:UHMEP Σ 0..1 Identifier Reference ID of the UHMEP once available there
ele-1: All FHIR elements must have a @value or children
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


ele-1: All FHIR elements must have a @value or children
..... system Σ 1..1 uri The namespace for the identifier value
ele-1: All FHIR elements must have a @value or children
Fixed Value: https://www.ehealth.fgov.be/standards/fhir/referral/NamingSystem/uhmep
..... value Σ 1..1 string The value that is unique
ele-1: All FHIR elements must have a @value or children
Example General: 123456
... basedOn SΣ 0..* Reference(CarePlan | ServiceRequest | MedicationRequest) What request fulfills
ele-1: All FHIR elements must have a @value or children
... requisition SΣ 0..1 Identifier If needed to have a common identifier among different prescriptions.
ele-1: All FHIR elements must have a @value or children
... status ?!SΣ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.


ele-1: All FHIR elements must have a @value or children
... intent ?!SΣ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: BeVsRequestIntent (required)
ele-1: All FHIR elements must have a @value or children
... category SΣ 1..1 CodeableConcept Classification of service
Binding: BeReferralCategory (extensible)
ele-1: All FHIR elements must have a @value or children
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
ele-1: All FHIR elements must have a @value or children
... code SΣ 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.


ele-1: All FHIR elements must have a @value or children
... orderDetail SΣC 0..* CodeableConcept Additional order information
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.


ele-1: All FHIR elements must have a @value or children
... subject SΣ 1..1 BeContainedOrLogicalReference(BePatient(2.1.2)) Individual or Entity the service is ordered for
ele-1: All FHIR elements must have a @value or children
... occurrence[x] SΣ 0..1 When service shall occur - once this is past, this prescription is no longer valid and the status shall reflect this.
ele-1: All FHIR elements must have a @value or children
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
... 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.


ele-1: All FHIR elements must have a @value or children
.... asNeededBoolean boolean
.... asNeededCodeableConcept CodeableConcept
... authoredOn SΣC 1..1 dateTime Date request signed
ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
... 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.


ele-1: All FHIR elements must have a @value or children
... supportingInfo S 0..* Reference(Resource) Additional clinical information
ele-1: All FHIR elements must have a @value or children
... bodySite SΣ 0..* CodeableConcept Location on Body
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


ele-1: All FHIR elements must have a @value or children
.... 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)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... note S 0..* BeCodedAnnotation Text node with attribution
ele-1: All FHIR elements must have a @value or children
.... 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
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
...... extension 0..0
...... 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 (required)
ele-1: All FHIR elements must have a @value or children
.... text Σ 1..1 markdown The annotation - plain text without markdown is strongly recommended
ele-1: All FHIR elements must have a @value or children
... patientInstruction SΣ 0..1 string Patient or consumer-oriented instructions
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

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

Constraints

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

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C 0..* ServiceRequest 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
... 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
.... latestDraft S 0..1 BeYearMonthDay The prescription must have left the draft status befor this moment
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-latest-draft-date
.... proposalType 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
..... id 0..1 id Unique id for inter-element referencing
..... 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
..... 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
....... 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
....... 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 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
..... 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)
... instantiatesCanonical Σ 0..* canonical(ActivityDefinition | PlanDefinition) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn SΣ 0..* Reference(CarePlan | ServiceRequest | MedicationRequest) What request fulfills
... replaces Σ 0..* Reference(ServiceRequest) What request replaces
... requisition SΣ 0..1 Identifier If needed to have a common identifier among different prescriptions.
... 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)
... 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 SΣ 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.

... orderDetail SΣC 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 SΣ 1..1 BeContainedOrLogicalReference(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] SΣ 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] 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
... 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 0..1 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 SΣ 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
..... 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 Text node with attribution
.... 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
..... 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
...... 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 (required)
.... 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 SΣ 0..1 string Patient or consumer-oriented instructions
... relevantHistory 0..* Reference(Provenance) Request provenance

doco Documentation for this format

Terminology Bindings

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

Constraints

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

This structure is derived from ServiceRequest

Summary

Mandatory: 5 elements(2 nested mandatory elements)
Must-Support: 30 elements
Fixed: 1 element
Prohibited: 2 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

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

 

Other representations of profile: CSV, Excel, Schematron