Digital Referral Prescription Implementation Guide
1.0.0 - STU Belgium flag

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

Resource Profile: BeReferralServiceRequest

Official URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-referral-servicerequest Version: 1.0.0
Active as of 2025-10-10 Computable Name: BeReferralServiceRequest

The common structure for referral prescription.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* ServiceRequest A request for a service to be performed
Constraints: prr-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:feedback S 0..1 boolean Whether prescriber requests feedback
URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-feedback-to-prescriber
.... extension:validity S 1..1 Period Validity period of the prescription
URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-validity-period
.... extension:latest S 0..1 dateTime Request must be executed before
URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-latest-end-date
.... extension:performerType S 0..* CodeableConcept Discipline of provider. Replaces .performerType because of insufficient cardinality
URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-performer-type
Binding: BeVSCdHcParty (extensible)
.... extension:statusReason S 0..1 (Complex) Reason for current status
URL: http://hl7.org/fhir/StructureDefinition/request-statusReason
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/request-statusReason"
..... value[x] 1..1 CodeableConcept Value of extension
Binding: BeVSPrescriptionStatusReason (example)
.... extension:device S 0..* (Complex) BeExtCodeableReference
URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeable-reference
..... Slices for extension Content/Rules for all slices
...... extension:reference 0..1 Extension Extension
....... extension 0..0
....... url 1..1 uri "reference"
....... value[x] 0..1 Reference(DeviceDefinition) Value of extension
...... extension:concept 0..1 Extension Extension
....... extension 0..0
....... url 1..1 uri "concept"
..... url 1..1 uri "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeable-reference"
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... identifier:UHMEP SΣ 0..1 Identifier Reference ID of the UHMEP once available there
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/NamingSystem/uhmep
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:SHORT SΣC 0..1 Identifier Patient friendly ID (UHMEP SHORT)
Constraints: be-inv-uhmep-short
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/NamingSystem/uhmep-short
..... value Σ 1..1 string The value that is unique
Example General: 123456
... basedOn SΣ 0..* Reference(CarePlan | ServiceRequest | MedicationRequest) What request fulfills
... status ?!SΣ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.
... intent ?!SΣ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet.
... category SΣ 1..1 CodeableConcept Classification of service
Binding: BeReferralCategory (example): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet.
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code SΣ 1..1 CodeableConcept What is being requested/ordered
Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service.
... orderDetail SΣC 0..* CodeableConcept Additional order information
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
... subject SΣ 1..1 Reference(BePatient(2.1.2)) Individual or Entity the service is ordered for
... 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
... authoredOn SΣC 1..1 dateTime Date request signed
Constraints: be-inv-long-date
... requester SΣ 1..1 Reference(BePractitionerRole(2.1.2)) Prescriber of the requested service
... reasonCode SΣ 0..* CodeableConcept Explanation/Justification for procedure or service
Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
... supportingInfo S 0..* Reference(Resource) Additional clinical information
... bodySite SΣ 0..* CodeableConcept Location on Body
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
.... Slices for extension Content/Rules for all slices
..... extension:bodyLaterality 0..1 Coding BeExtLaterality
URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-laterality
Binding: Laterality (required)
... note S 0..* BeCodedAnnotation Comments
.... Slices for extension Content/Rules for all slices
..... extension:code 0..1 (Complex) Code
URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept
...... extension 0..0
...... url 1..1 uri "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept"
...... value[x] 0..1 CodeableConcept Value of extension
Binding: BeVSRequestNoteType (example)
.... text Σ 1..1 markdown The annotation - plain text without markdown is strongly recommended

doco Documentation for this format

Terminology Bindings

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

Constraints

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

This structure is derived from ServiceRequest

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

doco Documentation for this format

Terminology Bindings (Differential)

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

Constraints

Id Grade Path(s) Description Expression
be-inv-long-date warning ServiceRequest.authoredOn date SHALL contain a long date (YYYY-MM-DDThh:mm:ss+zz:zz) empty() or toString().length()=25
be-inv-uhmep-short warning ServiceRequest.identifier:SHORT The format of UHMEP-SHORT is 6 capital alphanumerics, without O Identifier.where(system = 'https://www.ehealth.fgov.be/standards/fhir/referral/NamingSystem/uhmep-short').where(value.extension.empty() or value.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization').empty()).value.select($this.matches('[A-NP-Z0-9]{6}')).allTrue()
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* ServiceRequest A request for a service to be performed
Constraints: prr-1
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:feedback S 0..1 boolean Whether prescriber requests feedback
URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-feedback-to-prescriber
.... extension:validity S 1..1 Period Validity period of the prescription
URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-validity-period
.... extension:latest S 0..1 dateTime Request must be executed before
URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-latest-end-date
.... extension:performerType S 0..* CodeableConcept Discipline of provider. Replaces .performerType because of insufficient cardinality
URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-performer-type
Binding: BeVSCdHcParty (extensible)
.... extension:statusReason S 0..1 (Complex) Reason for current status
URL: http://hl7.org/fhir/StructureDefinition/request-statusReason
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/request-statusReason"
..... value[x] 1..1 CodeableConcept Value of extension
Binding: BeVSPrescriptionStatusReason (example)
.... extension:device S 0..* (Complex) BeExtCodeableReference
URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeable-reference
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... extension:reference 0..1 Extension Extension
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... 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 SΣ 0..1 Identifier Reference ID of the UHMEP once available there
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/NamingSystem/uhmep
..... value Σ 1..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:SHORT SΣC 0..1 Identifier Patient friendly ID (UHMEP SHORT)
Constraints: be-inv-uhmep-short
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/NamingSystem/uhmep-short
..... value Σ 1..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... instantiatesCanonical Σ 0..* canonical(ActivityDefinition | PlanDefinition) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn 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: RequestIntent (required): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet.
... category SΣ 1..1 CodeableConcept Classification of service
Binding: BeReferralCategory (example): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet.
... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code SΣ 1..1 CodeableConcept What is being requested/ordered
Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service.
... orderDetail 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 Reference(BePatient(2.1.2)) Individual or Entity the service is ordered for
... encounter Σ 0..1 Reference(Encounter) Encounter in which the request was created
... occurrence[x] 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] Σ 0..1 Preconditions for service
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
.... asNeededBoolean boolean
.... asNeededCodeableConcept CodeableConcept
... authoredOn SΣC 1..1 dateTime Date request signed
Constraints: be-inv-long-date
... requester SΣ 1..1 Reference(BePractitionerRole(2.1.2)) Prescriber of the requested service
... locationCode Σ 0..* CodeableConcept Requested location
Binding: ServiceDeliveryLocationRoleType (3.0.0) (example): A location type where services are delivered.
... locationReference Σ 0..* Reference(Location) Requested location
... reasonCode SΣ 0..* CodeableConcept Explanation/Justification for procedure or service
Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
... reasonReference Σ 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Explanation/Justification for service or service
... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... supportingInfo S 0..* Reference(Resource) Additional clinical information
... specimen Σ 0..* Reference(Specimen) Procedure Samples
... bodySite 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
..... extension:bodyLaterality 0..1 Coding BeExtLaterality
URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-laterality
Binding: Laterality (required)
.... coding Σ 0..* Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... note S 0..* BeCodedAnnotation Comments
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:code 0..1 (Complex) Code
URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..0
...... url 1..1 uri "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept"
...... value[x] 0..1 CodeableConcept Value of extension
Binding: BeVSRequestNoteType (example)
.... author[x] Σ 0..1 Individual responsible for the annotation
..... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
..... authorString string
.... time Σ 0..1 dateTime When the annotation was made
.... text Σ 1..1 markdown The annotation - plain text without markdown is strongly recommended
... patientInstruction Σ 0..1 string Patient or consumer-oriented instructions
... relevantHistory 0..* Reference(Provenance) Request provenance

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ServiceRequest.language Base preferred Common Languages 📍4.0.1 FHIR Std.
ServiceRequest.extension:statusReason.​value[x] Base example BeVSPrescriptionStatusReason 📦1.0.0 This IG
ServiceRequest.identifier:UHMEP.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
ServiceRequest.identifier:UHMEP.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
ServiceRequest.identifier:SHORT.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
ServiceRequest.identifier:SHORT.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
ServiceRequest.status Base required RequestStatus 📍4.0.1 FHIR Std.
ServiceRequest.intent Base required RequestIntent 📍4.0.1 FHIR Std.
ServiceRequest.category Base example BeReferralCategory 📦1.0.0 This IG
ServiceRequest.priority Base required Request priority 📍4.0.1 FHIR Std.
ServiceRequest.code Base example Procedure Codes (SNOMED CT) 📦4.0.1 FHIR Std.
ServiceRequest.orderDetail Base example Service Request Order Details Codes 📍4.0.1 FHIR Std.
ServiceRequest.asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
ServiceRequest.locationCode Base example ServiceDeliveryLocationRoleType 📍3.0.0 THO v6.5
ServiceRequest.reasonCode Base example Procedure Reason Codes 📍4.0.1 FHIR Std.
ServiceRequest.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
ServiceRequest.note.​extension:code.value[x] Base example BeVSRequestNoteType 📦1.0.0 This IG

Constraints

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

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* ServiceRequest A request for a service to be performed
Constraints: prr-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:feedback S 0..1 boolean Whether prescriber requests feedback
URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-feedback-to-prescriber
.... extension:validity S 1..1 Period Validity period of the prescription
URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-validity-period
.... extension:latest S 0..1 dateTime Request must be executed before
URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-latest-end-date
.... extension:performerType S 0..* CodeableConcept Discipline of provider. Replaces .performerType because of insufficient cardinality
URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-performer-type
Binding: BeVSCdHcParty (extensible)
.... extension:statusReason S 0..1 (Complex) Reason for current status
URL: http://hl7.org/fhir/StructureDefinition/request-statusReason
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/request-statusReason"
..... value[x] 1..1 CodeableConcept Value of extension
Binding: BeVSPrescriptionStatusReason (example)
.... extension:device S 0..* (Complex) BeExtCodeableReference
URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeable-reference
..... Slices for extension Content/Rules for all slices
...... extension:reference 0..1 Extension Extension
....... extension 0..0
....... url 1..1 uri "reference"
....... value[x] 0..1 Reference(DeviceDefinition) Value of extension
...... extension:concept 0..1 Extension Extension
....... extension 0..0
....... url 1..1 uri "concept"
..... url 1..1 uri "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeable-reference"
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... identifier:UHMEP SΣ 0..1 Identifier Reference ID of the UHMEP once available there
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/NamingSystem/uhmep
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:SHORT SΣC 0..1 Identifier Patient friendly ID (UHMEP SHORT)
Constraints: be-inv-uhmep-short
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/NamingSystem/uhmep-short
..... value Σ 1..1 string The value that is unique
Example General: 123456
... basedOn SΣ 0..* Reference(CarePlan | ServiceRequest | MedicationRequest) What request fulfills
... status ?!SΣ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.
... intent ?!SΣ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet.
... category SΣ 1..1 CodeableConcept Classification of service
Binding: BeReferralCategory (example): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet.
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code SΣ 1..1 CodeableConcept What is being requested/ordered
Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service.
... orderDetail SΣC 0..* CodeableConcept Additional order information
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
... subject SΣ 1..1 Reference(BePatient(2.1.2)) Individual or Entity the service is ordered for
... 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
... authoredOn SΣC 1..1 dateTime Date request signed
Constraints: be-inv-long-date
... requester SΣ 1..1 Reference(BePractitionerRole(2.1.2)) Prescriber of the requested service
... reasonCode SΣ 0..* CodeableConcept Explanation/Justification for procedure or service
Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
... supportingInfo S 0..* Reference(Resource) Additional clinical information
... bodySite SΣ 0..* CodeableConcept Location on Body
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
.... Slices for extension Content/Rules for all slices
..... extension:bodyLaterality 0..1 Coding BeExtLaterality
URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-laterality
Binding: Laterality (required)
... note S 0..* BeCodedAnnotation Comments
.... Slices for extension Content/Rules for all slices
..... extension:code 0..1 (Complex) Code
URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept
...... extension 0..0
...... url 1..1 uri "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept"
...... value[x] 0..1 CodeableConcept Value of extension
Binding: BeVSRequestNoteType (example)
.... text Σ 1..1 markdown The annotation - plain text without markdown is strongly recommended

doco Documentation for this format

Terminology Bindings

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

Constraints

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

Differential View

This structure is derived from ServiceRequest

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

doco Documentation for this format

Terminology Bindings (Differential)

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

Constraints

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

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* ServiceRequest A request for a service to be performed
Constraints: prr-1
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:feedback S 0..1 boolean Whether prescriber requests feedback
URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-feedback-to-prescriber
.... extension:validity S 1..1 Period Validity period of the prescription
URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-validity-period
.... extension:latest S 0..1 dateTime Request must be executed before
URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-latest-end-date
.... extension:performerType S 0..* CodeableConcept Discipline of provider. Replaces .performerType because of insufficient cardinality
URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-performer-type
Binding: BeVSCdHcParty (extensible)
.... extension:statusReason S 0..1 (Complex) Reason for current status
URL: http://hl7.org/fhir/StructureDefinition/request-statusReason
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/request-statusReason"
..... value[x] 1..1 CodeableConcept Value of extension
Binding: BeVSPrescriptionStatusReason (example)
.... extension:device S 0..* (Complex) BeExtCodeableReference
URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeable-reference
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... extension:reference 0..1 Extension Extension
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... 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 SΣ 0..1 Identifier Reference ID of the UHMEP once available there
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/NamingSystem/uhmep
..... value Σ 1..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:SHORT SΣC 0..1 Identifier Patient friendly ID (UHMEP SHORT)
Constraints: be-inv-uhmep-short
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/NamingSystem/uhmep-short
..... value Σ 1..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... instantiatesCanonical Σ 0..* canonical(ActivityDefinition | PlanDefinition) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn 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: RequestIntent (required): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet.
... category SΣ 1..1 CodeableConcept Classification of service
Binding: BeReferralCategory (example): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet.
... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code SΣ 1..1 CodeableConcept What is being requested/ordered
Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service.
... orderDetail 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 Reference(BePatient(2.1.2)) Individual or Entity the service is ordered for
... encounter Σ 0..1 Reference(Encounter) Encounter in which the request was created
... occurrence[x] 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] Σ 0..1 Preconditions for service
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
.... asNeededBoolean boolean
.... asNeededCodeableConcept CodeableConcept
... authoredOn SΣC 1..1 dateTime Date request signed
Constraints: be-inv-long-date
... requester SΣ 1..1 Reference(BePractitionerRole(2.1.2)) Prescriber of the requested service
... locationCode Σ 0..* CodeableConcept Requested location
Binding: ServiceDeliveryLocationRoleType (3.0.0) (example): A location type where services are delivered.
... locationReference Σ 0..* Reference(Location) Requested location
... reasonCode SΣ 0..* CodeableConcept Explanation/Justification for procedure or service
Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
... reasonReference Σ 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Explanation/Justification for service or service
... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... supportingInfo S 0..* Reference(Resource) Additional clinical information
... specimen Σ 0..* Reference(Specimen) Procedure Samples
... bodySite 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
..... extension:bodyLaterality 0..1 Coding BeExtLaterality
URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-laterality
Binding: Laterality (required)
.... coding Σ 0..* Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... note S 0..* BeCodedAnnotation Comments
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:code 0..1 (Complex) Code
URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..0
...... url 1..1 uri "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept"
...... value[x] 0..1 CodeableConcept Value of extension
Binding: BeVSRequestNoteType (example)
.... author[x] Σ 0..1 Individual responsible for the annotation
..... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
..... authorString string
.... time Σ 0..1 dateTime When the annotation was made
.... text Σ 1..1 markdown The annotation - plain text without markdown is strongly recommended
... patientInstruction Σ 0..1 string Patient or consumer-oriented instructions
... relevantHistory 0..* Reference(Provenance) Request provenance

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ServiceRequest.language Base preferred Common Languages 📍4.0.1 FHIR Std.
ServiceRequest.extension:statusReason.​value[x] Base example BeVSPrescriptionStatusReason 📦1.0.0 This IG
ServiceRequest.identifier:UHMEP.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
ServiceRequest.identifier:UHMEP.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
ServiceRequest.identifier:SHORT.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
ServiceRequest.identifier:SHORT.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
ServiceRequest.status Base required RequestStatus 📍4.0.1 FHIR Std.
ServiceRequest.intent Base required RequestIntent 📍4.0.1 FHIR Std.
ServiceRequest.category Base example BeReferralCategory 📦1.0.0 This IG
ServiceRequest.priority Base required Request priority 📍4.0.1 FHIR Std.
ServiceRequest.code Base example Procedure Codes (SNOMED CT) 📦4.0.1 FHIR Std.
ServiceRequest.orderDetail Base example Service Request Order Details Codes 📍4.0.1 FHIR Std.
ServiceRequest.asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
ServiceRequest.locationCode Base example ServiceDeliveryLocationRoleType 📍3.0.0 THO v6.5
ServiceRequest.reasonCode Base example Procedure Reason Codes 📍4.0.1 FHIR Std.
ServiceRequest.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
ServiceRequest.note.​extension:code.value[x] Base example BeVSRequestNoteType 📦1.0.0 This IG

Constraints

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

 

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