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

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
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• TTL

Resource Profile: BeReferralServiceRequestDiagnosticImaging

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

Usage:

• Examples for this Resource Profile: ServiceRequest/example-a, ServiceRequest/example-b and ServiceRequest/example-c

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
Slices for extension				Content/Rules for all slices
relevantSupportingInformationAsAnnotationOrCodeableConcept	S	0..*	Annotation, CodeableConcept	Relevant clinical information in the context of this prescription concerning for example allergies, kidney function, diabetic. This extension allows the use of a codeableConcept or Annotation but when more detailed information can be given, it is RECOMMENDED to express it as structured as possible using the appropriate elements (for general relevant supporting information, this means the use of the .supportingInfo element.) ContraIndications SHALL be expressed using the contraIndication modifierExtension. URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-supporting-info
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: 363679005
reasonCode		0..1	CodeableConcept	Diagnostic question, explanation/Justification for procedure or service
supportingInfo		0..*	Reference(Resource)	Relevant information in the context of this prescription concerning for example allergies, kidney function, diabetic. When detailed information can be given, it is RECOMMENDED to express it as structured as possible. ContraIndications SHALL be expressed using the contraIndication modifierExtension
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	BeReferralServiceRequest	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
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
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"
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"
relevantSupportingInformationAsAnnotationOrCodeableConcept	S	0..*	Annotation, CodeableConcept	Relevant clinical information in the context of this prescription concerning for example allergies, kidney function, diabetic. This extension allows the use of a codeableConcept or Annotation but when more detailed information can be given, it is RECOMMENDED to express it as structured as possible using the appropriate elements (for general relevant supporting information, this means the use of the .supportingInfo element.) ContraIndications SHALL be expressed using the contraIndication modifierExtension. URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-supporting-info ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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
Slices for identifier	SΣ	0..*	Identifier	Identifiers assigned to this order Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
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
identifier:SHORT	ΣC	0..1	Identifier	Patient friendly ID (UHMEP SHORT) ele-1: All FHIR elements must have a @value or children 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 . 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-short
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
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	BeNoContainedReference(BePatient)	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	BeNoContainedReference(BePractitionerRole)	Prescriber of the requested service ele-1: All FHIR elements must have a @value or children
reasonCode	SΣ	0..1	CodeableConcept	Diagnostic question, 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)	Relevant information in the context of this prescription concerning for example allergies, kidney function, diabetic. When detailed information can be given, it is RECOMMENDED to express it as structured as possible. ContraIndications SHALL be expressed using the contraIndication modifierExtension 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"
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
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	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
ServiceRequest.orderDetail	example	ServiceRequestOrderDetailsCodes http://hl7.org/fhir/ValueSet/servicerequest-orderdetail 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()

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
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
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
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"
relevantSupportingInformationAsAnnotationOrCodeableConcept	S	0..*	Annotation, CodeableConcept	Relevant clinical information in the context of this prescription concerning for example allergies, kidney function, diabetic. This extension allows the use of a codeableConcept or Annotation but when more detailed information can be given, it is RECOMMENDED to express it as structured as possible using the appropriate elements (for general relevant supporting information, this means the use of the .supportingInfo element.) ContraIndications SHALL be expressed using the contraIndication modifierExtension. URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-supporting-info
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)
identifier:SHORT	ΣC	0..1	Identifier	Patient friendly ID (UHMEP SHORT) be-inv-uhmep-short: The format of UHMEP-SHORT is 6 capital alphanumerics, without O
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://www.ehealth.fgov.be/standards/fhir/referral/NamingSystem/uhmep-short
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
instantiatesCanonical	Σ	0..*	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	SΣ	0..*	Reference(CarePlan | ServiceRequest | MedicationRequest)	What request fulfills
replaces	Σ	0..*	Reference(ServiceRequest)	What request replaces
requisition	Σ	0..1	Identifier	Composite Request ID
status	?!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)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Fixed Value: 363679005
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	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	BeNoContainedReference(BePatient)	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	BeNoContainedReference(BePractitionerRole)	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	Diagnostic question, 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)	Relevant information in the context of this prescription concerning for example allergies, kidney function, diabetic. When detailed information can be given, it is RECOMMENDED to express it as structured as possible. ContraIndications SHALL be expressed using the contraIndication modifierExtension
specimen	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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ServiceRequest.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
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:UHMEP.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type 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.identifier:SHORT.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type 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.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
ServiceRequest.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
ServiceRequest.orderDetail	example	ServiceRequestOrderDetailsCodes http://hl7.org/fhir/ValueSet/servicerequest-orderdetail from the FHIR Standard
ServiceRequest.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
ServiceRequest.locationCode	example	ServiceDeliveryLocationRoleType http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
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
ServiceRequest.note.extension:code.value[x]	required	BeVSRequestNoteType https://www.ehealth.fgov.be/standards/fhir/referral/ValueSet/be-vs-request-note-type from this IG

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()

This structure is derived from BeReferralServiceRequest

Summary

Must-Support: 1 element
Fixed: 2 elements

Extensions

This structure refers to these extensions:

• https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-supporting-info

Differential View

This structure is derived from BeReferralServiceRequest

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest		0..*	BeReferralServiceRequest	A request for a service to be performed
Slices for extension				Content/Rules for all slices
relevantSupportingInformationAsAnnotationOrCodeableConcept	S	0..*	Annotation, CodeableConcept	Relevant clinical information in the context of this prescription concerning for example allergies, kidney function, diabetic. This extension allows the use of a codeableConcept or Annotation but when more detailed information can be given, it is RECOMMENDED to express it as structured as possible using the appropriate elements (for general relevant supporting information, this means the use of the .supportingInfo element.) ContraIndications SHALL be expressed using the contraIndication modifierExtension. URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-supporting-info
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: 363679005
reasonCode		0..1	CodeableConcept	Diagnostic question, explanation/Justification for procedure or service
supportingInfo		0..*	Reference(Resource)	Relevant information in the context of this prescription concerning for example allergies, kidney function, diabetic. When detailed information can be given, it is RECOMMENDED to express it as structured as possible. ContraIndications SHALL be expressed using the contraIndication modifierExtension
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	BeReferralServiceRequest	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
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
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"
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"
relevantSupportingInformationAsAnnotationOrCodeableConcept	S	0..*	Annotation, CodeableConcept	Relevant clinical information in the context of this prescription concerning for example allergies, kidney function, diabetic. This extension allows the use of a codeableConcept or Annotation but when more detailed information can be given, it is RECOMMENDED to express it as structured as possible using the appropriate elements (for general relevant supporting information, this means the use of the .supportingInfo element.) ContraIndications SHALL be expressed using the contraIndication modifierExtension. URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-supporting-info ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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
Slices for identifier	SΣ	0..*	Identifier	Identifiers assigned to this order Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
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
identifier:SHORT	ΣC	0..1	Identifier	Patient friendly ID (UHMEP SHORT) ele-1: All FHIR elements must have a @value or children 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 . 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-short
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
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	BeNoContainedReference(BePatient)	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	BeNoContainedReference(BePractitionerRole)	Prescriber of the requested service ele-1: All FHIR elements must have a @value or children
reasonCode	SΣ	0..1	CodeableConcept	Diagnostic question, 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)	Relevant information in the context of this prescription concerning for example allergies, kidney function, diabetic. When detailed information can be given, it is RECOMMENDED to express it as structured as possible. ContraIndications SHALL be expressed using the contraIndication modifierExtension 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"
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
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	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
ServiceRequest.orderDetail	example	ServiceRequestOrderDetailsCodes http://hl7.org/fhir/ValueSet/servicerequest-orderdetail 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()

Snapshot View

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
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
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
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"
relevantSupportingInformationAsAnnotationOrCodeableConcept	S	0..*	Annotation, CodeableConcept	Relevant clinical information in the context of this prescription concerning for example allergies, kidney function, diabetic. This extension allows the use of a codeableConcept or Annotation but when more detailed information can be given, it is RECOMMENDED to express it as structured as possible using the appropriate elements (for general relevant supporting information, this means the use of the .supportingInfo element.) ContraIndications SHALL be expressed using the contraIndication modifierExtension. URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-supporting-info
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)
identifier:SHORT	ΣC	0..1	Identifier	Patient friendly ID (UHMEP SHORT) be-inv-uhmep-short: The format of UHMEP-SHORT is 6 capital alphanumerics, without O
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://www.ehealth.fgov.be/standards/fhir/referral/NamingSystem/uhmep-short
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
instantiatesCanonical	Σ	0..*	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	SΣ	0..*	Reference(CarePlan | ServiceRequest | MedicationRequest)	What request fulfills
replaces	Σ	0..*	Reference(ServiceRequest)	What request replaces
requisition	Σ	0..1	Identifier	Composite Request ID
status	?!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)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Fixed Value: 363679005
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	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	BeNoContainedReference(BePatient)	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	BeNoContainedReference(BePractitionerRole)	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	Diagnostic question, 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)	Relevant information in the context of this prescription concerning for example allergies, kidney function, diabetic. When detailed information can be given, it is RECOMMENDED to express it as structured as possible. ContraIndications SHALL be expressed using the contraIndication modifierExtension
specimen	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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ServiceRequest.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
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:UHMEP.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type 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.identifier:SHORT.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type 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.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
ServiceRequest.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
ServiceRequest.orderDetail	example	ServiceRequestOrderDetailsCodes http://hl7.org/fhir/ValueSet/servicerequest-orderdetail from the FHIR Standard
ServiceRequest.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
ServiceRequest.locationCode	example	ServiceDeliveryLocationRoleType http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
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
ServiceRequest.note.extension:code.value[x]	required	BeVSRequestNoteType https://www.ehealth.fgov.be/standards/fhir/referral/ValueSet/be-vs-request-note-type from this IG

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()

This structure is derived from BeReferralServiceRequest

Summary

Must-Support: 1 element
Fixed: 2 elements

Extensions

This structure refers to these extensions:

• https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-supporting-info

Other representations of profile: CSV, Excel, Schematron