Referral Prescription
1.0.0 - STU Belgium flag

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

Resource Profile: BeLabPrescription

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

This is the Belgian profile for a laboratory order.

Initially, this profile is created for the unadressed flow for laboratory orders. These existing channels: via a specialized laboratory application, running on the environment of the ordering party, via the own application of the ordering party in which that own application places the order directly at the laboratory using a custom protocol, via the website of a laboratory or via a paper channel are initially out of scope for use of this profile. They might however benefit from using this format in the future.

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..* BeReferralPrescription 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
... text S 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
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... 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 (extensible)
.... extension:feedback S 1..1 boolean Give feedback to the prescriber
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-feedback-to-prescriber
.... extension:coprescriber S 0..1 (Complex) Info about the other parties that have to take part in the prescription.
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-co-prescriber-info
.... extension:validity S 1..1 Period Validity period of the prescription
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-validity-period
.... extension:latest S 0..1 BeYearMonthDay Request must be executed before
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-latest-end-date
.... extension:latestDraft S 0..1 BeYearMonthDay The prescription must have left the draft status befor this moment
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-latest-draft-date
.... extension:proposalType S 0..1 CodeableConcept BeProposalType
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-proposal-type
Binding: BeVsProposalType (required)
.... extension:pss S 0..1 (Complex) BePSSInfo
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-pss-info
.... extension:recorder S 0..1 Reference(BePatient(2.1.2) | BePractitioner(2.1.2) | BeOrganization(2.1.2) | BePractitionerRole(2.1.2)) The person responsable for this information, not necessarily the person who recorded the information
URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-recorder
.... extension:performerType S 0..* CodeableConcept Discipline of provider. Replaces .performerType because of wrong cardinality
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-performer-type
Binding: BeVSCdHcParty (extensible)
.... extension:urgentCommunication 0..1 (Complex) when needed to communicate urgently any results
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-urgent-communication
... Slices for identifier SΣ 0..* Identifier Identifiers assigned to this order
Slice: Unordered, Open by value:system
.... identifier:UHMEP Σ 0..1 Identifier Reference ID of the UHMEP once available there
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: https://www.ehealth.fgov.be/standards/fhir/referral/NamingSystem/uhmep
..... value Σ 1..1 string The value that is unique
Example General: 123456
... basedOn SΣ 0..* Reference(CarePlan | ServiceRequest | MedicationRequest) What request fulfills - could be a different lab order for example in case of sub orders.
... replaces SΣ 0..* Reference(ServiceRequest) What request replaces
... requisition SΣ 0..1 Identifier If needed to have a common identifier among different prescriptions.
... status ?!SΣ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.
... intent ?!SΣ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: BeVsRequestIntent (required)
... category SΣ 1..1 CodeableConcept Classification of service
Binding: BeReferralCategory (extensible)
... priority SΣ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code SΣ 0..1 BeObservationCodeableConcept High level code to describe the tests - if needed to detail within orderDetail - consult comment for more detail.
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..* BeObservationCodeableConcept Additional order information - consult comment for more information
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
... subject SΣ 1..1 BeContainedOrLogicalReference(BePatient(2.1.2)) Individual or Entity the service is ordered for
... authoredOn SΣC 1..1 dateTime Date request signed
Constraints: be-inv-long-date
... requester SΣ 1..1 BeContainedOrLogicalReference(BePractitionerRole(2.1.2)) Prescriber of the requested service
... performer SΣ 0..* BeContainedOrLogicalReference(BePractitionerRole(2.1.2)) Requested performer - typically reference to practitionerroles
... reasonCode SΣ 0..1 CodeableConcept Explanation/Justification for procedure or service. Based on nomenclature codes.
Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
... supportingInfo S 0..* Reference(Resource) Additional clinical information - e.g. an Observation or Condition or a link to a supporting image.
... specimen SΣ 0..* Reference(Specimen) Procedure Samples
... 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"
.... text Σ 1..1 markdown The annotation - plain text without markdown is strongly recommended
... patientInstruction SΣ 0..1 string Patient or consumer-oriented instructions

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ServiceRequest.extension:statusReason.​value[x] Base extensible BeVSPrescriptionStatusReason 📦1.0.0 This IG
ServiceRequest.identifier:UHMEP.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
ServiceRequest.status Base required RequestStatus 📍4.0.1 FHIR Std.
ServiceRequest.intent Base required BeVsRequestIntent 📦1.0.0 This IG
ServiceRequest.category Base extensible 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.reasonCode Base example Procedure Reason Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
be-inv-long-date error ServiceRequest.authoredOn date SHALL contain a long date (YYYY-MM-DDThh:mm:ss+zz:zz) empty() or toString().length()=25
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 BeReferralPrescription

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest 0..* BeReferralPrescription A request for a service to be performed
... text S 0..1 Narrative Text summary of the resource, for human interpretation
... Slices for extension Content/Rules for all slices
.... extension:urgentCommunication 0..1 (Complex) when needed to communicate urgently any results
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-urgent-communication
... basedOn 0..* Reference(CarePlan | ServiceRequest | MedicationRequest) What request fulfills - could be a different lab order for example in case of sub orders.
... priority S 0..1 code routine | urgent | asap | stat
... code 0..1 BeObservationCodeableConcept High level code to describe the tests - if needed to detail within orderDetail - consult comment for more detail.
... orderDetail 0..* BeObservationCodeableConcept Additional order information - consult comment for more information
... occurrence[x] 0..0
... reasonCode 0..1 CodeableConcept Explanation/Justification for procedure or service. Based on nomenclature codes.
... supportingInfo 0..* Reference(Resource) Additional clinical information - e.g. an Observation or Condition or a link to a supporting image.
... specimen S 0..* Reference(Specimen) Procedure Samples
... bodySite 0..0

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* BeReferralPrescription 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 S 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 2..* Extension Extension
Slice: Unordered, Open by value:url
.... 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 (extensible)
.... extension:feedback S 1..1 boolean Give feedback to the prescriber
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-feedback-to-prescriber
.... extension:coprescriber S 0..1 (Complex) Info about the other parties that have to take part in the prescription.
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-co-prescriber-info
.... extension:validity S 1..1 Period Validity period of the prescription
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-validity-period
.... extension:latest S 0..1 BeYearMonthDay Request must be executed before
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-latest-end-date
.... extension:latestDraft S 0..1 BeYearMonthDay The prescription must have left the draft status befor this moment
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-latest-draft-date
.... extension:proposalType S 0..1 CodeableConcept BeProposalType
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-proposal-type
Binding: BeVsProposalType (required)
.... extension:pss S 0..1 (Complex) BePSSInfo
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-pss-info
.... extension:recorder S 0..1 Reference(BePatient(2.1.2) | BePractitioner(2.1.2) | BeOrganization(2.1.2) | BePractitionerRole(2.1.2)) The person responsable for this information, not necessarily the person who recorded the information
URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-recorder
.... extension:performerType S 0..* CodeableConcept Discipline of provider. Replaces .performerType because of wrong cardinality
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-performer-type
Binding: BeVSCdHcParty (extensible)
.... extension:urgentCommunication 0..1 (Complex) when needed to communicate urgently any results
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-urgent-communication
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier SΣ 0..* Identifier Identifiers assigned to this order
Slice: Unordered, Open by value:system
.... identifier:UHMEP Σ 0..1 Identifier Reference ID of the UHMEP once available there
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: https://www.ehealth.fgov.be/standards/fhir/referral/NamingSystem/uhmep
..... value Σ 1..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... instantiatesCanonical Σ 0..* canonical(ActivityDefinition | PlanDefinition) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn SΣ 0..* Reference(CarePlan | ServiceRequest | MedicationRequest) What request fulfills - could be a different lab order for example in case of sub orders.
... replaces SΣ 0..* Reference(ServiceRequest) What request replaces
... requisition SΣ 0..1 Identifier If needed to have a common identifier among different prescriptions.
... status ?!SΣ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.
... intent ?!SΣ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: BeVsRequestIntent (required)
... category SΣ 1..1 CodeableConcept Classification of service
Binding: BeReferralCategory (extensible)
... priority SΣ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code SΣ 0..1 BeObservationCodeableConcept High level code to describe the tests - if needed to detail within orderDetail - consult comment for more detail.
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..* BeObservationCodeableConcept Additional order information - consult comment for more information
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
... quantity[x] Σ 0..1 Service amount
.... quantityQuantity Quantity
.... quantityRatio Ratio
.... quantityRange Range
... subject SΣ 1..1 BeContainedOrLogicalReference(BePatient(2.1.2)) Individual or Entity the service is ordered for
... encounter Σ 0..1 Reference(Encounter) Encounter in which the request was created
... 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 BeContainedOrLogicalReference(BePractitionerRole(2.1.2)) Prescriber of the requested service
... performer SΣ 0..* BeContainedOrLogicalReference(BePractitionerRole(2.1.2)) Requested performer - typically reference to practitionerroles
... locationCode Σ 0..* CodeableConcept Requested location
Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
... locationReference Σ 0..* Reference(Location) Requested location
... reasonCode SΣ 0..1 CodeableConcept Explanation/Justification for procedure or service. Based on nomenclature codes.
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 - e.g. an Observation or Condition or a link to a supporting image.
... specimen SΣ 0..* Reference(Specimen) Procedure Samples
... 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 (required)
.... author[x] Σ 0..1 Individual responsible for the annotation
..... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
..... authorString string
.... time Σ 0..1 dateTime When the annotation was made
.... text Σ 1..1 markdown The annotation - plain text without markdown is strongly recommended
... patientInstruction SΣ 0..1 string Patient or consumer-oriented instructions
... relevantHistory 0..* Reference(Provenance) Request provenance

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ServiceRequest.language Base preferred Common Languages 📍4.0.1 FHIR Std.
ServiceRequest.extension:statusReason.​value[x] Base extensible 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.status Base required RequestStatus 📍4.0.1 FHIR Std.
ServiceRequest.intent Base required BeVsRequestIntent 📦1.0.0 This IG
ServiceRequest.category Base extensible 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.note.​extension:code.value[x] Base required BeVSRequestNoteType 📦1.0.0 This IG

Constraints

Id Grade Path(s) Description Expression
be-inv-long-date error ServiceRequest.authoredOn date SHALL contain a long date (YYYY-MM-DDThh:mm:ss+zz:zz) empty() or toString().length()=25
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 BeReferralPrescription

Summary

Must-Support: 4 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* BeReferralPrescription 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
... text S 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
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... 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 (extensible)
.... extension:feedback S 1..1 boolean Give feedback to the prescriber
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-feedback-to-prescriber
.... extension:coprescriber S 0..1 (Complex) Info about the other parties that have to take part in the prescription.
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-co-prescriber-info
.... extension:validity S 1..1 Period Validity period of the prescription
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-validity-period
.... extension:latest S 0..1 BeYearMonthDay Request must be executed before
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-latest-end-date
.... extension:latestDraft S 0..1 BeYearMonthDay The prescription must have left the draft status befor this moment
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-latest-draft-date
.... extension:proposalType S 0..1 CodeableConcept BeProposalType
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-proposal-type
Binding: BeVsProposalType (required)
.... extension:pss S 0..1 (Complex) BePSSInfo
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-pss-info
.... extension:recorder S 0..1 Reference(BePatient(2.1.2) | BePractitioner(2.1.2) | BeOrganization(2.1.2) | BePractitionerRole(2.1.2)) The person responsable for this information, not necessarily the person who recorded the information
URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-recorder
.... extension:performerType S 0..* CodeableConcept Discipline of provider. Replaces .performerType because of wrong cardinality
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-performer-type
Binding: BeVSCdHcParty (extensible)
.... extension:urgentCommunication 0..1 (Complex) when needed to communicate urgently any results
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-urgent-communication
... Slices for identifier SΣ 0..* Identifier Identifiers assigned to this order
Slice: Unordered, Open by value:system
.... identifier:UHMEP Σ 0..1 Identifier Reference ID of the UHMEP once available there
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: https://www.ehealth.fgov.be/standards/fhir/referral/NamingSystem/uhmep
..... value Σ 1..1 string The value that is unique
Example General: 123456
... basedOn SΣ 0..* Reference(CarePlan | ServiceRequest | MedicationRequest) What request fulfills - could be a different lab order for example in case of sub orders.
... replaces SΣ 0..* Reference(ServiceRequest) What request replaces
... requisition SΣ 0..1 Identifier If needed to have a common identifier among different prescriptions.
... status ?!SΣ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.
... intent ?!SΣ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: BeVsRequestIntent (required)
... category SΣ 1..1 CodeableConcept Classification of service
Binding: BeReferralCategory (extensible)
... priority SΣ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code SΣ 0..1 BeObservationCodeableConcept High level code to describe the tests - if needed to detail within orderDetail - consult comment for more detail.
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..* BeObservationCodeableConcept Additional order information - consult comment for more information
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
... subject SΣ 1..1 BeContainedOrLogicalReference(BePatient(2.1.2)) Individual or Entity the service is ordered for
... authoredOn SΣC 1..1 dateTime Date request signed
Constraints: be-inv-long-date
... requester SΣ 1..1 BeContainedOrLogicalReference(BePractitionerRole(2.1.2)) Prescriber of the requested service
... performer SΣ 0..* BeContainedOrLogicalReference(BePractitionerRole(2.1.2)) Requested performer - typically reference to practitionerroles
... reasonCode SΣ 0..1 CodeableConcept Explanation/Justification for procedure or service. Based on nomenclature codes.
Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
... supportingInfo S 0..* Reference(Resource) Additional clinical information - e.g. an Observation or Condition or a link to a supporting image.
... specimen SΣ 0..* Reference(Specimen) Procedure Samples
... 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"
.... text Σ 1..1 markdown The annotation - plain text without markdown is strongly recommended
... patientInstruction SΣ 0..1 string Patient or consumer-oriented instructions

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ServiceRequest.extension:statusReason.​value[x] Base extensible BeVSPrescriptionStatusReason 📦1.0.0 This IG
ServiceRequest.identifier:UHMEP.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
ServiceRequest.status Base required RequestStatus 📍4.0.1 FHIR Std.
ServiceRequest.intent Base required BeVsRequestIntent 📦1.0.0 This IG
ServiceRequest.category Base extensible 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.reasonCode Base example Procedure Reason Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
be-inv-long-date error ServiceRequest.authoredOn date SHALL contain a long date (YYYY-MM-DDThh:mm:ss+zz:zz) empty() or toString().length()=25
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 BeReferralPrescription

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest 0..* BeReferralPrescription A request for a service to be performed
... text S 0..1 Narrative Text summary of the resource, for human interpretation
... Slices for extension Content/Rules for all slices
.... extension:urgentCommunication 0..1 (Complex) when needed to communicate urgently any results
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-urgent-communication
... basedOn 0..* Reference(CarePlan | ServiceRequest | MedicationRequest) What request fulfills - could be a different lab order for example in case of sub orders.
... priority S 0..1 code routine | urgent | asap | stat
... code 0..1 BeObservationCodeableConcept High level code to describe the tests - if needed to detail within orderDetail - consult comment for more detail.
... orderDetail 0..* BeObservationCodeableConcept Additional order information - consult comment for more information
... occurrence[x] 0..0
... reasonCode 0..1 CodeableConcept Explanation/Justification for procedure or service. Based on nomenclature codes.
... supportingInfo 0..* Reference(Resource) Additional clinical information - e.g. an Observation or Condition or a link to a supporting image.
... specimen S 0..* Reference(Specimen) Procedure Samples
... bodySite 0..0

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* BeReferralPrescription 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 S 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 2..* Extension Extension
Slice: Unordered, Open by value:url
.... 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 (extensible)
.... extension:feedback S 1..1 boolean Give feedback to the prescriber
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-feedback-to-prescriber
.... extension:coprescriber S 0..1 (Complex) Info about the other parties that have to take part in the prescription.
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-co-prescriber-info
.... extension:validity S 1..1 Period Validity period of the prescription
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-validity-period
.... extension:latest S 0..1 BeYearMonthDay Request must be executed before
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-latest-end-date
.... extension:latestDraft S 0..1 BeYearMonthDay The prescription must have left the draft status befor this moment
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-latest-draft-date
.... extension:proposalType S 0..1 CodeableConcept BeProposalType
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-proposal-type
Binding: BeVsProposalType (required)
.... extension:pss S 0..1 (Complex) BePSSInfo
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-pss-info
.... extension:recorder S 0..1 Reference(BePatient(2.1.2) | BePractitioner(2.1.2) | BeOrganization(2.1.2) | BePractitionerRole(2.1.2)) The person responsable for this information, not necessarily the person who recorded the information
URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-recorder
.... extension:performerType S 0..* CodeableConcept Discipline of provider. Replaces .performerType because of wrong cardinality
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-performer-type
Binding: BeVSCdHcParty (extensible)
.... extension:urgentCommunication 0..1 (Complex) when needed to communicate urgently any results
URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-urgent-communication
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier SΣ 0..* Identifier Identifiers assigned to this order
Slice: Unordered, Open by value:system
.... identifier:UHMEP Σ 0..1 Identifier Reference ID of the UHMEP once available there
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: https://www.ehealth.fgov.be/standards/fhir/referral/NamingSystem/uhmep
..... value Σ 1..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... instantiatesCanonical Σ 0..* canonical(ActivityDefinition | PlanDefinition) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn SΣ 0..* Reference(CarePlan | ServiceRequest | MedicationRequest) What request fulfills - could be a different lab order for example in case of sub orders.
... replaces SΣ 0..* Reference(ServiceRequest) What request replaces
... requisition SΣ 0..1 Identifier If needed to have a common identifier among different prescriptions.
... status ?!SΣ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.
... intent ?!SΣ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: BeVsRequestIntent (required)
... category SΣ 1..1 CodeableConcept Classification of service
Binding: BeReferralCategory (extensible)
... priority SΣ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code SΣ 0..1 BeObservationCodeableConcept High level code to describe the tests - if needed to detail within orderDetail - consult comment for more detail.
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..* BeObservationCodeableConcept Additional order information - consult comment for more information
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
... quantity[x] Σ 0..1 Service amount
.... quantityQuantity Quantity
.... quantityRatio Ratio
.... quantityRange Range
... subject SΣ 1..1 BeContainedOrLogicalReference(BePatient(2.1.2)) Individual or Entity the service is ordered for
... encounter Σ 0..1 Reference(Encounter) Encounter in which the request was created
... 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 BeContainedOrLogicalReference(BePractitionerRole(2.1.2)) Prescriber of the requested service
... performer SΣ 0..* BeContainedOrLogicalReference(BePractitionerRole(2.1.2)) Requested performer - typically reference to practitionerroles
... locationCode Σ 0..* CodeableConcept Requested location
Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
... locationReference Σ 0..* Reference(Location) Requested location
... reasonCode SΣ 0..1 CodeableConcept Explanation/Justification for procedure or service. Based on nomenclature codes.
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 - e.g. an Observation or Condition or a link to a supporting image.
... specimen SΣ 0..* Reference(Specimen) Procedure Samples
... 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 (required)
.... author[x] Σ 0..1 Individual responsible for the annotation
..... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
..... authorString string
.... time Σ 0..1 dateTime When the annotation was made
.... text Σ 1..1 markdown The annotation - plain text without markdown is strongly recommended
... patientInstruction SΣ 0..1 string Patient or consumer-oriented instructions
... relevantHistory 0..* Reference(Provenance) Request provenance

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ServiceRequest.language Base preferred Common Languages 📍4.0.1 FHIR Std.
ServiceRequest.extension:statusReason.​value[x] Base extensible 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.status Base required RequestStatus 📍4.0.1 FHIR Std.
ServiceRequest.intent Base required BeVsRequestIntent 📦1.0.0 This IG
ServiceRequest.category Base extensible 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.note.​extension:code.value[x] Base required BeVSRequestNoteType 📦1.0.0 This IG

Constraints

Id Grade Path(s) Description Expression
be-inv-long-date error ServiceRequest.authoredOn date SHALL contain a long date (YYYY-MM-DDThh:mm:ss+zz:zz) empty() or toString().length()=25
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 BeReferralPrescription

Summary

Must-Support: 4 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

 

Other representations of profile: CSV, Excel, Schematron