Digital Referral Prescription Implementation Guide
1.0.0 - STU
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
| Official URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-annex-81 | Version: 1.0.0 | ||||
| Active as of 2026-11-01 | Computable Name: BeAnnex81 | ||||
Annex81 proposal and approval
Usages:
You can also check for usages in the FHIR IG Statistics
Description Differentials, Snapshots, and other representations.
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() |
|---|---|---|---|---|
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C | 0..* | ServiceRequest | A request for a service to be performed Constraints: prr-1, be-inv-annex-81-based-on |
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0..1 | uri | A set of rules under which this content was created | |
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1..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
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1..1 | Period | Validity period of the prescription URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-validity-period | |
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0..1 | dateTime | Request must be executed before URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-latest-end-date | |
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0..1 | (Complex) | Reason for current status URL: http://hl7.org/fhir/StructureDefinition/request-statusReason | |
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0..0 | Extension Slice: Unordered, Open by value:url | ||
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1..1 | uri | "http://hl7.org/fhir/StructureDefinition/request-statusReason" | |
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1..1 | CodeableConcept | Value of extension Binding: BeVSPrescriptionStatusReason (example): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet. | |
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0..* | Extension | Extensions that cannot be ignored | |
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0..* | Identifier | Identifiers assigned to this order Slice: Unordered, Open by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
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0..1 | Identifier | Reference ID of the UHMEP once available there | |
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0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |
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1..1 | uri | The namespace for the identifier value Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/NamingSystem/uhmep (no extensions allowed) | |
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1..1 | string | The value that is unique Example General: 123456 | |
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C | 0..1 | Identifier | Patient friendly ID (UHMEP SHORT) Constraints: be-inv-uhmep-short |
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0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |
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1..1 | uri | The namespace for the identifier value Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/NamingSystem/uhmep-short (no extensions allowed) | |
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1..1 | string | The value that is unique Example General: 123456 | |
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0..* | Reference(BeAnnex81) | What request fulfills | |
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1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. | |
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1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. | |
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0..* | CodeableConcept | Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. | |
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0..1 | boolean | True if service/procedure should not be performed | |
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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. For laboratory, LOINC is preferred. Required Pattern: | |
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1..1 | Reference(Patient | Group | Location | Device) | Individual or Entity the service is ordered for | |
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0..1 | When service should occur Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view | ||
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dateTime | |||
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Period | |||
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Timing | |||
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0..1 | Timing | When service should occur | |
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0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
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C | 1..1 | dateTime | Date request signed Constraints: be-inv-long-date |
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1..1 | Reference(BePractitionerRole(2.1.2)) | Who/what is requesting service | |
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1..* | CodeableConcept | Explanation/Justification for procedure or service Binding: BeVSAnnex81ReasonCode (example): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet. | |
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0..* | BeCodedAnnotation | Comments | |
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Content/Rules for all slices | |||
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0..1 | (Complex) | Code URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept | |
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0..0 | Extension Slice: Unordered, Open by value:url | ||
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1..1 | uri | "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept" | |
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0..1 | CodeableConcept | Value of extension Binding: BeVSRequestNoteType (example): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet. | |
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1..1 | markdown | The annotation - plain text without markdown is strongly recommended | |
Documentation for this format | ||||
| 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 | Service Request Category Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.code | Base | example | Procedure Codes (SNOMED CT) | 📍4.0.1 | FHIR Std. |
| ServiceRequest.reasonCode | Base | example | BeVSAnnex81ReasonCode | 📦1.0.0 | This IG |
| ServiceRequest.note.extension:code.value[x] | Base | example | BeVSRequestNoteType | 📦1.0.0 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| be-inv-annex-81-based-on | error | ServiceRequest | An approved Annex81 is always based on a request by a nurse |
intent = 'order' implies basedOn.exists()
|
| 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
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() |
|---|---|---|---|---|
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C | 0..* | ServiceRequest | A request for a service to be performed Constraints: be-inv-annex-81-based-on |
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1..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
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1..1 | Period | Validity period of the prescription URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-validity-period | |
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0..1 | dateTime | Request must be executed before URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-latest-end-date | |
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0..1 | (Complex) | Reason for current status URL: http://hl7.org/fhir/StructureDefinition/request-statusReason | |
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1..1 | CodeableConcept | Value of extension Binding: BeVSPrescriptionStatusReason (example): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet. | |
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0..* | Identifier | Identifiers assigned to this order Slice: Unordered, Open by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
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0..1 | Identifier | Reference ID of the UHMEP once available there | |
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1..1 | uri | The namespace for the identifier value Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/NamingSystem/uhmep (no extensions allowed) | |
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1..1 | string | The value that is unique | |
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C | 0..1 | Identifier | Patient friendly ID (UHMEP SHORT) Constraints: be-inv-uhmep-short |
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1..1 | uri | The namespace for the identifier value Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/NamingSystem/uhmep-short (no extensions allowed) | |
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1..1 | string | The value that is unique | |
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0..* | Reference(BeAnnex81) | What request fulfills | |
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1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown | |
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1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option | |
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0..* | CodeableConcept | Classification of service | |
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||||
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0..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct (no extensions allowed) | |
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0..1 | code | Symbol in syntax defined by the system Fixed Value: 9632001 (no extensions allowed) | |
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1..1 | CodeableConcept | What is being requested/ordered Required Pattern: | |
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1..1 | Reference(Patient | Group | Location | Device) | Individual or Entity the service is ordered for | |
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0..1 | dateTime, Period, Timing | When service should occur Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view | |
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0..1 | Timing | When service should occur | |
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0..1 | positiveInt | Event occurs frequency times per period Required Pattern: 1 (extensions allowed) | |
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0..1 | decimal | Event occurs frequency times per period Required Pattern: 1 (extensions allowed) | |
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0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Required Pattern: wk (extensions allowed) | |
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C | 1..1 | dateTime | Date request signed Constraints: be-inv-long-date |
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1..1 | Reference(BePractitionerRole(2.1.2)) | Who/what is requesting service | |
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1..* | CodeableConcept | Explanation/Justification for procedure or service Binding: BeVSAnnex81ReasonCode (example): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet. | |
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0..* | BeCodedAnnotation | Comments | |
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Content/Rules for all slices | |||
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0..1 | BeExtCodeableConcept | Code | |
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0..1 | CodeableConcept | Value of extension Binding: BeVSRequestNoteType (example): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet. | |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| ServiceRequest.extension:statusReason.value[x] | Base | example | BeVSPrescriptionStatusReason | 📦1.0.0 | This IG |
| ServiceRequest.reasonCode | Base | example | BeVSAnnex81ReasonCode | 📦1.0.0 | This IG |
| ServiceRequest.note.extension:code.value[x] | Base | example | BeVSRequestNoteType | 📦1.0.0 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| be-inv-annex-81-based-on | error | ServiceRequest | An approved Annex81 is always based on a request by a nurse |
intent = 'order' implies basedOn.exists()
|
| 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()
|
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() | ||||
|---|---|---|---|---|---|---|---|---|
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C | 0..* | ServiceRequest | A request for a service to be performed Constraints: prr-1, be-inv-annex-81-based-on | ||||
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0..1 | id | Logical id of this artifact | |||||
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0..1 | Meta | Metadata about the resource | |||||
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0..1 | uri | A set of rules under which this content was created | |||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
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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 | |||||
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0..* | Resource | Contained, inline Resources | |||||
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1..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
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1..1 | Period | Validity period of the prescription URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-validity-period | |||||
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0..1 | dateTime | Request must be executed before URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-latest-end-date | |||||
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0..1 | (Complex) | Reason for current status URL: http://hl7.org/fhir/StructureDefinition/request-statusReason | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..0 | Extension Slice: Unordered, Open by value:url | ||||||
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1..1 | uri | "http://hl7.org/fhir/StructureDefinition/request-statusReason" | |||||
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1..1 | CodeableConcept | Value of extension Binding: BeVSPrescriptionStatusReason (example): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet. | |||||
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0..* | Extension | Extensions that cannot be ignored | |||||
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0..* | Identifier | Identifiers assigned to this order Slice: Unordered, Open by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
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0..1 | Identifier | Reference ID of the UHMEP once available there | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |||||
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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. | |||||
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1..1 | uri | The namespace for the identifier value Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/NamingSystem/uhmep (no extensions allowed) | |||||
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1..1 | string | The value that is unique Example General: 123456 | |||||
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0..1 | Period | Time period when id is/was valid for use | |||||
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0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
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C | 0..1 | Identifier | Patient friendly ID (UHMEP SHORT) Constraints: be-inv-uhmep-short | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |||||
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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. | |||||
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1..1 | uri | The namespace for the identifier value Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/NamingSystem/uhmep-short (no extensions allowed) | |||||
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1..1 | string | The value that is unique Example General: 123456 | |||||
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0..1 | Period | Time period when id is/was valid for use | |||||
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0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
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0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition | |||||
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0..* | uri | Instantiates external protocol or definition | |||||
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0..* | Reference(BeAnnex81) | What request fulfills | |||||
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0..* | Reference(ServiceRequest) | What request replaces | |||||
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0..1 | Identifier | Composite Request ID | |||||
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1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. | |||||
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1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. | |||||
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0..* | CodeableConcept | Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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0..* | Coding | Code defined by a terminology system | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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0..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct (no extensions allowed) | |||||
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0..1 | string | Version of the system - if relevant | |||||
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0..1 | code | Symbol in syntax defined by the system Fixed Value: 9632001 (no extensions allowed) | |||||
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0..1 | string | Representation defined by the system | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | |||||
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0..1 | boolean | True if service/procedure should not be performed | |||||
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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. For laboratory, LOINC is preferred. Required Pattern: | |||||
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C | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context. | ||||
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0..1 | Service amount | ||||||
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Quantity | |||||||
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Ratio | |||||||
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Range | |||||||
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1..1 | Reference(Patient | Group | Location | Device) | Individual or Entity the service is ordered for | |||||
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0..1 | Reference(Encounter) | Encounter in which the request was created | |||||
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0..1 | When service should occur Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view | ||||||
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dateTime | |||||||
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Period | |||||||
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Timing | |||||||
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0..1 | Timing | When service should occur | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
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0..* | dateTime | When the event occurs | |||||
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C | 0..1 | Element | When the event is to occur Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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0..1 | Length/Range of lengths, or (Start and/or end) limits | ||||||
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Duration | |||||||
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Range | |||||||
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Period | |||||||
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0..1 | positiveInt | Number of times to repeat | |||||
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0..1 | positiveInt | Maximum number of times to repeat | |||||
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0..1 | decimal | How long when it happens | |||||
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0..1 | decimal | How long when it happens (Max) | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM). | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | positiveInt | Event occurs frequency times per period Required Pattern: 1 (extensions allowed) | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | positiveInt | Event occurs up to frequencyMax times per period | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | decimal | Event occurs frequency times per period Required Pattern: 1 (extensions allowed) | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | decimal | Upper limit of period (3-4 hours) | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM). Required Pattern: wk (extensions allowed) | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required) | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | time | Time of day for action | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | code | Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule. | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | unsignedInt | Minutes from event (before or after) | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | BID | TID | QID | AM | PM | QD | QOD | + Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern. | |||||
![]() ![]() |
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. | ||||||
![]() ![]() ![]() |
boolean | |||||||
![]() ![]() ![]() |
CodeableConcept | |||||||
![]() ![]() |
C | 1..1 | dateTime | Date request signed Constraints: be-inv-long-date | ||||
![]() ![]() |
1..1 | Reference(BePractitionerRole(2.1.2)) | Who/what is requesting service | |||||
![]() ![]() |
0..1 | CodeableConcept | Performer role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. | |||||
![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | Requested performer | |||||
![]() ![]() |
0..* | CodeableConcept | Requested location Binding: ServiceDeliveryLocationRoleType (3.0.0) (example): A location type where services are delivered. | |||||
![]() ![]() |
0..* | Reference(Location) | Requested location | |||||
![]() ![]() |
1..* | CodeableConcept | Explanation/Justification for procedure or service Binding: BeVSAnnex81ReasonCode (example): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet. | |||||
![]() ![]() |
0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service | |||||
![]() ![]() |
0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
![]() ![]() |
0..* | Reference(Resource) | Additional clinical information | |||||
![]() ![]() |
0..* | Reference(Specimen) | Procedure Samples | |||||
![]() ![]() |
0..* | CodeableConcept | Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
![]() ![]() |
0..* | BeCodedAnnotation | Comments | |||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() |
0..1 | (Complex) | Code URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept" | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Value of extension Binding: BeVSRequestNoteType (example): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet. | |||||
![]() ![]() ![]() |
0..1 | Individual responsible for the annotation | ||||||
![]() ![]() ![]() ![]() |
Reference(Practitioner | Patient | RelatedPerson | Organization) | |||||||
![]() ![]() ![]() ![]() |
string | |||||||
![]() ![]() ![]() |
0..1 | dateTime | When the annotation was made | |||||
![]() ![]() ![]() |
1..1 | markdown | The annotation - plain text without markdown is strongly recommended | |||||
![]() ![]() |
0..1 | string | Patient or consumer-oriented instructions | |||||
![]() ![]() |
0..* | Reference(Provenance) | Request provenance | |||||
Documentation for this format | ||||||||
| 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 | Service Request Category Codes | 📍4.0.1 | FHIR Std. |
| 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.occurrence[x]:occurrenceTiming.repeat.durationUnit | Base | required | UnitsOfTime | 📍4.0.1 | FHIR Std. |
| ServiceRequest.occurrence[x]:occurrenceTiming.repeat.periodUnit | Base | required | UnitsOfTime | 📍4.0.1 | FHIR Std. |
| ServiceRequest.occurrence[x]:occurrenceTiming.repeat.dayOfWeek | Base | required | DaysOfWeek | 📍4.0.1 | FHIR Std. |
| ServiceRequest.occurrence[x]:occurrenceTiming.repeat.when | Base | required | EventTiming | 📍4.0.1 | FHIR Std. |
| ServiceRequest.occurrence[x]:occurrenceTiming.code | Base | preferred | TimingAbbreviation | 📍4.0.1 | FHIR Std. |
| ServiceRequest.asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.performerType | Base | example | Participant Roles | 📍4.0.1 | FHIR Std. |
| ServiceRequest.locationCode | Base | example | ServiceDeliveryLocationRoleType | 📍3.0.0 | THO v7.5 |
| ServiceRequest.reasonCode | Base | example | BeVSAnnex81ReasonCode | 📦1.0.0 | This IG |
| 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 |
| Id | Grade | Path(s) | Description | Expression |
| be-inv-annex-81-based-on | error | ServiceRequest | An approved Annex81 is always based on a request by a nurse |
intent = 'order' implies basedOn.exists()
|
| 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()
|
| tim-1 | error | ServiceRequest.occurrence[x]:occurrenceTiming.repeat | if there's a duration, there needs to be duration units |
duration.empty() or durationUnit.exists()
|
| tim-2 | error | ServiceRequest.occurrence[x]:occurrenceTiming.repeat | if there's a period, there needs to be period units |
period.empty() or periodUnit.exists()
|
| tim-4 | error | ServiceRequest.occurrence[x]:occurrenceTiming.repeat | duration SHALL be a non-negative value |
duration.exists() implies duration >= 0
|
| tim-5 | error | ServiceRequest.occurrence[x]:occurrenceTiming.repeat | period SHALL be a non-negative value |
period.exists() implies period >= 0
|
| tim-6 | error | ServiceRequest.occurrence[x]:occurrenceTiming.repeat | If there's a periodMax, there must be a period |
periodMax.empty() or period.exists()
|
| tim-7 | error | ServiceRequest.occurrence[x]:occurrenceTiming.repeat | If there's a durationMax, there must be a duration |
durationMax.empty() or duration.exists()
|
| tim-8 | error | ServiceRequest.occurrence[x]:occurrenceTiming.repeat | If there's a countMax, there must be a count |
countMax.empty() or count.exists()
|
| tim-9 | error | ServiceRequest.occurrence[x]:occurrenceTiming.repeat | If there's an offset, there must be a when (and not C, CM, CD, CV) |
offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
|
| tim-10 | error | ServiceRequest.occurrence[x]:occurrenceTiming.repeat | If there's a timeOfDay, there cannot be a when, or vice versa |
timeOfDay.empty() or when.empty()
|
This structure is derived from ServiceRequest
Summary
Mandatory: 6 elements(4 nested mandatory elements)
Must-Support: 16 elements
Fixed: 4 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() |
|---|---|---|---|---|
![]() |
C | 0..* | ServiceRequest | A request for a service to be performed Constraints: prr-1, be-inv-annex-81-based-on |
![]() ![]() |
0..1 | uri | A set of rules under which this content was created | |
![]() ![]() |
1..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
![]() ![]() ![]() |
1..1 | Period | Validity period of the prescription URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-validity-period | |
![]() ![]() ![]() |
0..1 | dateTime | Request must be executed before URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-latest-end-date | |
![]() ![]() ![]() |
0..1 | (Complex) | Reason for current status URL: http://hl7.org/fhir/StructureDefinition/request-statusReason | |
![]() ![]() ![]() ![]() |
0..0 | Extension Slice: Unordered, Open by value:url | ||
![]() ![]() ![]() ![]() |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/request-statusReason" | |
![]() ![]() ![]() ![]() |
1..1 | CodeableConcept | Value of extension Binding: BeVSPrescriptionStatusReason (example): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet. | |
![]() ![]() |
0..* | Extension | Extensions that cannot be ignored | |
![]() ![]() |
0..* | Identifier | Identifiers assigned to this order Slice: Unordered, Open by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
![]() ![]() ![]() |
0..1 | Identifier | Reference ID of the UHMEP once available there | |
![]() ![]() ![]() ![]() |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |
![]() ![]() ![]() ![]() |
1..1 | uri | The namespace for the identifier value Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/NamingSystem/uhmep (no extensions allowed) | |
![]() ![]() ![]() ![]() |
1..1 | string | The value that is unique Example General: 123456 | |
![]() ![]() ![]() |
C | 0..1 | Identifier | Patient friendly ID (UHMEP SHORT) Constraints: be-inv-uhmep-short |
![]() ![]() ![]() ![]() |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |
![]() ![]() ![]() ![]() |
1..1 | uri | The namespace for the identifier value Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/NamingSystem/uhmep-short (no extensions allowed) | |
![]() ![]() ![]() ![]() |
1..1 | string | The value that is unique Example General: 123456 | |
![]() ![]() |
0..* | Reference(BeAnnex81) | What request fulfills | |
![]() ![]() |
1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. | |
![]() ![]() |
1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. | |
![]() ![]() |
0..* | CodeableConcept | Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. | |
![]() ![]() |
0..1 | boolean | True if service/procedure should not be performed | |
![]() ![]() |
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. For laboratory, LOINC is preferred. Required Pattern: | |
![]() ![]() |
1..1 | Reference(Patient | Group | Location | Device) | Individual or Entity the service is ordered for | |
![]() ![]() |
0..1 | When service should occur Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view | ||
![]() ![]() ![]() |
dateTime | |||
![]() ![]() ![]() |
Period | |||
![]() ![]() ![]() |
Timing | |||
![]() ![]() ![]() |
0..1 | Timing | When service should occur | |
![]() ![]() ![]() ![]() |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
![]() ![]() |
C | 1..1 | dateTime | Date request signed Constraints: be-inv-long-date |
![]() ![]() |
1..1 | Reference(BePractitionerRole(2.1.2)) | Who/what is requesting service | |
![]() ![]() |
1..* | CodeableConcept | Explanation/Justification for procedure or service Binding: BeVSAnnex81ReasonCode (example): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet. | |
![]() ![]() |
0..* | BeCodedAnnotation | Comments | |
![]() ![]() ![]() |
Content/Rules for all slices | |||
![]() ![]() ![]() ![]() |
0..1 | (Complex) | Code URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept | |
![]() ![]() ![]() ![]() ![]() |
0..0 | Extension Slice: Unordered, Open by value:url | ||
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept" | |
![]() ![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Value of extension Binding: BeVSRequestNoteType (example): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet. | |
![]() ![]() ![]() |
1..1 | markdown | The annotation - plain text without markdown is strongly recommended | |
Documentation for this format | ||||
| 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 | Service Request Category Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.code | Base | example | Procedure Codes (SNOMED CT) | 📍4.0.1 | FHIR Std. |
| ServiceRequest.reasonCode | Base | example | BeVSAnnex81ReasonCode | 📦1.0.0 | This IG |
| ServiceRequest.note.extension:code.value[x] | Base | example | BeVSRequestNoteType | 📦1.0.0 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| be-inv-annex-81-based-on | error | ServiceRequest | An approved Annex81 is always based on a request by a nurse |
intent = 'order' implies basedOn.exists()
|
| 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
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() |
|---|---|---|---|---|
![]() |
C | 0..* | ServiceRequest | A request for a service to be performed Constraints: be-inv-annex-81-based-on |
![]() ![]() |
1..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
![]() ![]() ![]() |
1..1 | Period | Validity period of the prescription URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-validity-period | |
![]() ![]() ![]() |
0..1 | dateTime | Request must be executed before URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-latest-end-date | |
![]() ![]() ![]() |
0..1 | (Complex) | Reason for current status URL: http://hl7.org/fhir/StructureDefinition/request-statusReason | |
![]() ![]() ![]() ![]() |
1..1 | CodeableConcept | Value of extension Binding: BeVSPrescriptionStatusReason (example): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet. | |
![]() ![]() |
0..* | Identifier | Identifiers assigned to this order Slice: Unordered, Open by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
![]() ![]() ![]() |
0..1 | Identifier | Reference ID of the UHMEP once available there | |
![]() ![]() ![]() ![]() |
1..1 | uri | The namespace for the identifier value Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/NamingSystem/uhmep (no extensions allowed) | |
![]() ![]() ![]() ![]() |
1..1 | string | The value that is unique | |
![]() ![]() ![]() |
C | 0..1 | Identifier | Patient friendly ID (UHMEP SHORT) Constraints: be-inv-uhmep-short |
![]() ![]() ![]() ![]() |
1..1 | uri | The namespace for the identifier value Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/NamingSystem/uhmep-short (no extensions allowed) | |
![]() ![]() ![]() ![]() |
1..1 | string | The value that is unique | |
![]() ![]() |
0..* | Reference(BeAnnex81) | What request fulfills | |
![]() ![]() |
1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown | |
![]() ![]() |
1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option | |
![]() ![]() |
0..* | CodeableConcept | Classification of service | |
![]() ![]() ![]() |
||||
![]() ![]() ![]() ![]() |
0..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct (no extensions allowed) | |
![]() ![]() ![]() ![]() |
0..1 | code | Symbol in syntax defined by the system Fixed Value: 9632001 (no extensions allowed) | |
![]() ![]() |
1..1 | CodeableConcept | What is being requested/ordered Required Pattern: | |
![]() ![]() |
1..1 | Reference(Patient | Group | Location | Device) | Individual or Entity the service is ordered for | |
![]() ![]() |
0..1 | dateTime, Period, Timing | When service should occur Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view | |
![]() ![]() ![]() |
0..1 | Timing | When service should occur | |
![]() ![]() ![]() ![]() |
||||
![]() ![]() ![]() ![]() ![]() |
0..1 | positiveInt | Event occurs frequency times per period Required Pattern: 1 (extensions allowed) | |
![]() ![]() ![]() ![]() ![]() |
0..1 | decimal | Event occurs frequency times per period Required Pattern: 1 (extensions allowed) | |
![]() ![]() ![]() ![]() ![]() |
0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Required Pattern: wk (extensions allowed) | |
![]() ![]() |
C | 1..1 | dateTime | Date request signed Constraints: be-inv-long-date |
![]() ![]() |
1..1 | Reference(BePractitionerRole(2.1.2)) | Who/what is requesting service | |
![]() ![]() |
1..* | CodeableConcept | Explanation/Justification for procedure or service Binding: BeVSAnnex81ReasonCode (example): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet. | |
![]() ![]() |
0..* | BeCodedAnnotation | Comments | |
![]() ![]() ![]() |
Content/Rules for all slices | |||
![]() ![]() ![]() ![]() |
0..1 | BeExtCodeableConcept | Code | |
![]() ![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Value of extension Binding: BeVSRequestNoteType (example): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet. | |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| ServiceRequest.extension:statusReason.value[x] | Base | example | BeVSPrescriptionStatusReason | 📦1.0.0 | This IG |
| ServiceRequest.reasonCode | Base | example | BeVSAnnex81ReasonCode | 📦1.0.0 | This IG |
| ServiceRequest.note.extension:code.value[x] | Base | example | BeVSRequestNoteType | 📦1.0.0 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| be-inv-annex-81-based-on | error | ServiceRequest | An approved Annex81 is always based on a request by a nurse |
intent = 'order' implies basedOn.exists()
|
| 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 ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() | ||||
|---|---|---|---|---|---|---|---|---|
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C | 0..* | ServiceRequest | A request for a service to be performed Constraints: prr-1, be-inv-annex-81-based-on | ||||
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0..1 | id | Logical id of this artifact | |||||
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0..1 | Meta | Metadata about the resource | |||||
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0..1 | uri | A set of rules under which this content was created | |||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
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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 | |||||
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0..* | Resource | Contained, inline Resources | |||||
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1..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
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1..1 | Period | Validity period of the prescription URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-validity-period | |||||
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0..1 | dateTime | Request must be executed before URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-latest-end-date | |||||
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0..1 | (Complex) | Reason for current status URL: http://hl7.org/fhir/StructureDefinition/request-statusReason | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..0 | Extension Slice: Unordered, Open by value:url | ||||||
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1..1 | uri | "http://hl7.org/fhir/StructureDefinition/request-statusReason" | |||||
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1..1 | CodeableConcept | Value of extension Binding: BeVSPrescriptionStatusReason (example): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet. | |||||
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0..* | Extension | Extensions that cannot be ignored | |||||
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0..* | Identifier | Identifiers assigned to this order Slice: Unordered, Open by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
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0..1 | Identifier | Reference ID of the UHMEP once available there | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |||||
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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. | |||||
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1..1 | uri | The namespace for the identifier value Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/NamingSystem/uhmep (no extensions allowed) | |||||
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1..1 | string | The value that is unique Example General: 123456 | |||||
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0..1 | Period | Time period when id is/was valid for use | |||||
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0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
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C | 0..1 | Identifier | Patient friendly ID (UHMEP SHORT) Constraints: be-inv-uhmep-short | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |||||
![]() ![]() ![]() ![]() |
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. | |||||
![]() ![]() ![]() ![]() |
1..1 | uri | The namespace for the identifier value Fixed Value: https://www.ehealth.fgov.be/standards/fhir/drp/NamingSystem/uhmep-short (no extensions allowed) | |||||
![]() ![]() ![]() ![]() |
1..1 | string | The value that is unique Example General: 123456 | |||||
![]() ![]() ![]() ![]() |
0..1 | Period | Time period when id is/was valid for use | |||||
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0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
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0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition | |||||
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0..* | uri | Instantiates external protocol or definition | |||||
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0..* | Reference(BeAnnex81) | What request fulfills | |||||
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0..* | Reference(ServiceRequest) | What request replaces | |||||
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0..1 | Identifier | Composite Request ID | |||||
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1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. | |||||
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1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. | |||||
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0..* | CodeableConcept | Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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0..* | Coding | Code defined by a terminology system | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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0..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct (no extensions allowed) | |||||
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0..1 | string | Version of the system - if relevant | |||||
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0..1 | code | Symbol in syntax defined by the system Fixed Value: 9632001 (no extensions allowed) | |||||
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0..1 | string | Representation defined by the system | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | |||||
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0..1 | boolean | True if service/procedure should not be performed | |||||
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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. For laboratory, LOINC is preferred. Required Pattern: | |||||
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C | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context. | ||||
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0..1 | Service amount | ||||||
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Quantity | |||||||
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Ratio | |||||||
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Range | |||||||
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1..1 | Reference(Patient | Group | Location | Device) | Individual or Entity the service is ordered for | |||||
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0..1 | Reference(Encounter) | Encounter in which the request was created | |||||
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0..1 | When service should occur Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view | ||||||
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dateTime | |||||||
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Period | |||||||
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Timing | |||||||
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0..1 | Timing | When service should occur | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
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0..* | dateTime | When the event occurs | |||||
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C | 0..1 | Element | When the event is to occur Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | Length/Range of lengths, or (Start and/or end) limits | ||||||
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Duration | |||||||
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Range | |||||||
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Period | |||||||
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0..1 | positiveInt | Number of times to repeat | |||||
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0..1 | positiveInt | Maximum number of times to repeat | |||||
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0..1 | decimal | How long when it happens | |||||
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0..1 | decimal | How long when it happens (Max) | |||||
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0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM). | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | positiveInt | Event occurs frequency times per period Required Pattern: 1 (extensions allowed) | |||||
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0..1 | positiveInt | Event occurs up to frequencyMax times per period | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | decimal | Event occurs frequency times per period Required Pattern: 1 (extensions allowed) | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | decimal | Upper limit of period (3-4 hours) | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM). Required Pattern: wk (extensions allowed) | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required) | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | time | Time of day for action | |||||
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0..* | code | Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule. | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | unsignedInt | Minutes from event (before or after) | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | BID | TID | QID | AM | PM | QD | QOD | + Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern. | |||||
![]() ![]() |
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. | ||||||
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boolean | |||||||
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CodeableConcept | |||||||
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C | 1..1 | dateTime | Date request signed Constraints: be-inv-long-date | ||||
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1..1 | Reference(BePractitionerRole(2.1.2)) | Who/what is requesting service | |||||
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0..1 | CodeableConcept | Performer role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. | |||||
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0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | Requested performer | |||||
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0..* | CodeableConcept | Requested location Binding: ServiceDeliveryLocationRoleType (3.0.0) (example): A location type where services are delivered. | |||||
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0..* | Reference(Location) | Requested location | |||||
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1..* | CodeableConcept | Explanation/Justification for procedure or service Binding: BeVSAnnex81ReasonCode (example): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet. | |||||
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0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service | |||||
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0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
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0..* | Reference(Resource) | Additional clinical information | |||||
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0..* | Reference(Specimen) | Procedure Samples | |||||
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0..* | CodeableConcept | Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
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0..* | BeCodedAnnotation | Comments | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() |
0..1 | (Complex) | Code URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept" | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Value of extension Binding: BeVSRequestNoteType (example): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet. | |||||
![]() ![]() ![]() |
0..1 | Individual responsible for the annotation | ||||||
![]() ![]() ![]() ![]() |
Reference(Practitioner | Patient | RelatedPerson | Organization) | |||||||
![]() ![]() ![]() ![]() |
string | |||||||
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0..1 | dateTime | When the annotation was made | |||||
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1..1 | markdown | The annotation - plain text without markdown is strongly recommended | |||||
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0..1 | string | Patient or consumer-oriented instructions | |||||
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0..* | Reference(Provenance) | Request provenance | |||||
Documentation for this format | ||||||||
| 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 | Service Request Category Codes | 📍4.0.1 | FHIR Std. |
| 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.occurrence[x]:occurrenceTiming.repeat.durationUnit | Base | required | UnitsOfTime | 📍4.0.1 | FHIR Std. |
| ServiceRequest.occurrence[x]:occurrenceTiming.repeat.periodUnit | Base | required | UnitsOfTime | 📍4.0.1 | FHIR Std. |
| ServiceRequest.occurrence[x]:occurrenceTiming.repeat.dayOfWeek | Base | required | DaysOfWeek | 📍4.0.1 | FHIR Std. |
| ServiceRequest.occurrence[x]:occurrenceTiming.repeat.when | Base | required | EventTiming | 📍4.0.1 | FHIR Std. |
| ServiceRequest.occurrence[x]:occurrenceTiming.code | Base | preferred | TimingAbbreviation | 📍4.0.1 | FHIR Std. |
| ServiceRequest.asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📍4.0.1 | FHIR Std. |
| ServiceRequest.performerType | Base | example | Participant Roles | 📍4.0.1 | FHIR Std. |
| ServiceRequest.locationCode | Base | example | ServiceDeliveryLocationRoleType | 📍3.0.0 | THO v7.5 |
| ServiceRequest.reasonCode | Base | example | BeVSAnnex81ReasonCode | 📦1.0.0 | This IG |
| 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 |
| Id | Grade | Path(s) | Description | Expression |
| be-inv-annex-81-based-on | error | ServiceRequest | An approved Annex81 is always based on a request by a nurse |
intent = 'order' implies basedOn.exists()
|
| 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()
|
| tim-1 | error | ServiceRequest.occurrence[x]:occurrenceTiming.repeat | if there's a duration, there needs to be duration units |
duration.empty() or durationUnit.exists()
|
| tim-2 | error | ServiceRequest.occurrence[x]:occurrenceTiming.repeat | if there's a period, there needs to be period units |
period.empty() or periodUnit.exists()
|
| tim-4 | error | ServiceRequest.occurrence[x]:occurrenceTiming.repeat | duration SHALL be a non-negative value |
duration.exists() implies duration >= 0
|
| tim-5 | error | ServiceRequest.occurrence[x]:occurrenceTiming.repeat | period SHALL be a non-negative value |
period.exists() implies period >= 0
|
| tim-6 | error | ServiceRequest.occurrence[x]:occurrenceTiming.repeat | If there's a periodMax, there must be a period |
periodMax.empty() or period.exists()
|
| tim-7 | error | ServiceRequest.occurrence[x]:occurrenceTiming.repeat | If there's a durationMax, there must be a duration |
durationMax.empty() or duration.exists()
|
| tim-8 | error | ServiceRequest.occurrence[x]:occurrenceTiming.repeat | If there's a countMax, there must be a count |
countMax.empty() or count.exists()
|
| tim-9 | error | ServiceRequest.occurrence[x]:occurrenceTiming.repeat | If there's an offset, there must be a when (and not C, CM, CD, CV) |
offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
|
| tim-10 | error | ServiceRequest.occurrence[x]:occurrenceTiming.repeat | If there's a timeOfDay, there cannot be a when, or vice versa |
timeOfDay.empty() or when.empty()
|
This structure is derived from ServiceRequest
Summary
Mandatory: 6 elements(4 nested mandatory elements)
Must-Support: 16 elements
Fixed: 4 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron