Referral Prescription
1.0.0 - STU

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:

- Examples for this Profile: ServiceRequest/laboratory-order-example1

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.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | S Σ | 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 | S Σ | 0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills - could be a different lab order for example in case of sub orders.
replaces | S Σ | 0..* | Reference(ServiceRequest) | What request replaces
requisition | S Σ | 0..1 | Identifier | If needed to have a common identifier among different prescriptions.
status | ?!S Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent | ?!S Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: BeVsRequestIntent (required)
category | S Σ | 1..1 | CodeableConcept | Classification of service Binding: BeReferralCategory (extensible)
priority | S Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed
code | S Σ | 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 | S Σ C | 0..* | BeObservationCodeableConcept | Additional order information - consult comment for more information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
subject | S Σ | 1..1 | BeContainedOrLogicalReference(BePatient(2.1.2)) | Individual or Entity the service is ordered for
authoredOn | S Σ C | 1..1 | dateTime | Date request signed Constraints: be-inv-long-date
requester | S Σ | 1..1 | BeContainedOrLogicalReference(BePractitionerRole(2.1.2)) | Prescriber of the requested service
performer | S Σ | 0..* | BeContainedOrLogicalReference(BePractitionerRole(2.1.2)) | Requested performer - typically reference to practitionerroles
reasonCode | S Σ | 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 | S Σ | 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 | S Σ | 0..1 | string | Patient or consumer-oriented instructions
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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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.
replaces | S | 0..* | Reference(ServiceRequest) | What request replaces
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 |  |
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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 Bindings | Purpose
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 | S Σ | 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 | S Σ | 0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills - could be a different lab order for example in case of sub orders.
replaces | S Σ | 0..* | Reference(ServiceRequest) | What request replaces
requisition | S Σ | 0..1 | Identifier | If needed to have a common identifier among different prescriptions.
status | ?!S Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent | ?!S Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: BeVsRequestIntent (required)
category | S Σ | 1..1 | CodeableConcept | Classification of service Binding: BeReferralCategory (extensible)
priority | S Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed
code | S Σ | 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 | S Σ C | 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 | S Σ | 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 | S Σ C | 1..1 | dateTime | Date request signed Constraints: be-inv-long-date
requester | S Σ | 1..1 | BeContainedOrLogicalReference(BePractitionerRole(2.1.2)) | Prescriber of the requested service
performer | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 0..1 | string | Patient or consumer-oriented instructions
relevantHistory |  | 0..* | Reference(Provenance) | Request provenance
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:

- BeObservationCodeableConcept (https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-observationcodeableconcept)

Extensions

This structure refers to these extensions:

- https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-urgent-communication

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | S Σ | 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 | S Σ | 0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills - could be a different lab order for example in case of sub orders.
replaces | S Σ | 0..* | Reference(ServiceRequest) | What request replaces
requisition | S Σ | 0..1 | Identifier | If needed to have a common identifier among different prescriptions.
status | ?!S Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent | ?!S Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: BeVsRequestIntent (required)
category | S Σ | 1..1 | CodeableConcept | Classification of service Binding: BeReferralCategory (extensible)
priority | S Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed
code | S Σ | 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 | S Σ C | 0..* | BeObservationCodeableConcept | Additional order information - consult comment for more information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
subject | S Σ | 1..1 | BeContainedOrLogicalReference(BePatient(2.1.2)) | Individual or Entity the service is ordered for
authoredOn | S Σ C | 1..1 | dateTime | Date request signed Constraints: be-inv-long-date
requester | S Σ | 1..1 | BeContainedOrLogicalReference(BePractitionerRole(2.1.2)) | Prescriber of the requested service
performer | S Σ | 0..* | BeContainedOrLogicalReference(BePractitionerRole(2.1.2)) | Requested performer - typically reference to practitionerroles
reasonCode | S Σ | 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 | S Σ | 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 | S Σ | 0..1 | string | Patient or consumer-oriented instructions
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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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.
replaces | S | 0..* | Reference(ServiceRequest) | What request replaces
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 |  |
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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 Bindings | Purpose
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 | S Σ | 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 | S Σ | 0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills - could be a different lab order for example in case of sub orders.
replaces | S Σ | 0..* | Reference(ServiceRequest) | What request replaces
requisition | S Σ | 0..1 | Identifier | If needed to have a common identifier among different prescriptions.
status | ?!S Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent | ?!S Σ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: BeVsRequestIntent (required)
category | S Σ | 1..1 | CodeableConcept | Classification of service Binding: BeReferralCategory (extensible)
priority | S Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed
code | S Σ | 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 | S Σ C | 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 | S Σ | 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 | S Σ C | 1..1 | dateTime | Date request signed Constraints: be-inv-long-date
requester | S Σ | 1..1 | BeContainedOrLogicalReference(BePractitionerRole(2.1.2)) | Prescriber of the requested service
performer | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 0..1 | string | Patient or consumer-oriented instructions
relevantHistory |  | 0..* | Reference(Provenance) | Request provenance
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:

- BeObservationCodeableConcept (https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-observationcodeableconcept)

Extensions

This structure refers to these extensions:

- https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-urgent-communication

Other representations of profile: CSV, Excel, Schematron