This page is part of the HL7 Belgium FHIR Implementation Guide - MyCareNet profiles (v2.0.0: Trial Use) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.1.0. For a full list of available versions, see the Directory of published versions

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Resource Profile: MyCareNet eAgreement ServiceRequest BE profile

The ServiceRequest profile for use in the different eAgreement flows from MyCareNet.

Usage:

• Use this Resource Profile: MyCareNet eAgreement Demand Bundle BE profile

Formal Views of Profile Content

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

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

This structure is derived from ServiceRequest

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed mcn-1: If identifier is present: (category, code, quantityQuantity, supportingInfo, authoredOn and contained) SHALL not be present. mcn-2: If identifier is not present: (category, code, quantityQuantity, supportingInfo, authoredOn and contained) SHALL be present.
id	S	1..1	id	Logical id of this artifact
meta	S	1..1	Meta	Metadata about the resource
profile		1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to
contained	S	0..1	BeMyCareNetEagreementServiceRequestBinary	Pure binary content defined by a format other than FHIR
status	S	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Fixed Value: active
intent	S	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Fixed Value: order
category	S	0..1	CodeableConcept	Classification of service
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system
code	S	0..1	CodeableConcept	What is being requested/ordered
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system
quantity[x]	S	0..1	Quantity	Service amount
subject	S	1..1	Reference(Patient core BE profile)	Individual or Entity the service is ordered for
authoredOn	S	0..1	dateTime	Date request signed
requester	S	0..1	Reference(Practitioner role core BE profile | Practitioner core BE profile)	Who/what is requesting service
supportingInfo	S	0..1	Reference(Resource)	Additional clinical information
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
mcn-1	error	ServiceRequest	If identifier is present: (category, code, quantityQuantity, supportingInfo, authoredOn and contained) SHALL not be present. : identifier.exists() implies (category.empty() and code.empty() and quantityQuantity.empty() and authoredOn.empty() and supportingInfo.empty() and contained.empty())
mcn-2	error	ServiceRequest	If identifier is not present: (category, code, quantityQuantity, supportingInfo, authoredOn and contained) SHALL be present. : identifier.empty() implies (category.exists() and code.exists() and quantityQuantity.exists() and authoredOn.exists() and supportingInfo.exists() and contained.exists())

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed mcn-1: If identifier is present: (category, code, quantityQuantity, supportingInfo, authoredOn and contained) SHALL not be present. mcn-2: If identifier is not present: (category, code, quantityQuantity, supportingInfo, authoredOn and contained) SHALL be present.
id	SΣ	1..1	id	Logical id of this artifact
meta	SΣ	1..1	Meta	Metadata about the resource
profile	Σ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained	S	0..1	BeMyCareNetEagreementServiceRequestBinary	Pure binary content defined by a format other than FHIR
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. Fixed Value: active
intent	?!SΣ	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. Fixed Value: order
category	SΣ	0..1	CodeableConcept	Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	SΣ	0..1	CodeableConcept	What is being requested/ordered Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred and a valueset using LOINC Order codes is available here.
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system
quantity[x]	SΣ	0..1	Quantity	Service amount
subject	SΣ	1..1	Reference(Patient core BE profile)	Individual or Entity the service is ordered for
authoredOn	SΣ	0..1	dateTime	Date request signed
requester	SΣ	0..1	Reference(Practitioner role core BE profile | Practitioner core BE profile)	Who/what is requesting service
supportingInfo	S	0..1	Reference(Resource)	Additional clinical information
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
ServiceRequest.status	required	Fixed Value: active
ServiceRequest.intent	required	Fixed Value: order
ServiceRequest.category	example	ServiceRequestCategoryCodes
ServiceRequest.code	example	ProcedureCodes(SNOMEDCT)

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
mcn-1	error	ServiceRequest	If identifier is present: (category, code, quantityQuantity, supportingInfo, authoredOn and contained) SHALL not be present. : identifier.exists() implies (category.empty() and code.empty() and quantityQuantity.empty() and authoredOn.empty() and supportingInfo.empty() and contained.empty())
mcn-2	error	ServiceRequest	If identifier is not present: (category, code, quantityQuantity, supportingInfo, authoredOn and contained) SHALL be present. : identifier.empty() implies (category.exists() and code.exists() and quantityQuantity.exists() and authoredOn.exists() and supportingInfo.exists() and contained.exists())
prr-1	error	ServiceRequest	orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists()

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed mcn-1: If identifier is present: (category, code, quantityQuantity, supportingInfo, authoredOn and contained) SHALL not be present. mcn-2: If identifier is not present: (category, code, quantityQuantity, supportingInfo, authoredOn and contained) SHALL be present.
id	SΣ	1..1	id	Logical id of this artifact
meta	SΣ	1..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained	S	0..1	BeMyCareNetEagreementServiceRequestBinary	Pure binary content defined by a format other than FHIR
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifiers assigned to this order
instantiatesCanonical	Σ	0..*	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest | MedicationRequest)	What request fulfills
replaces	Σ	0..*	Reference(ServiceRequest)	What request replaces
requisition	Σ	0..1	Identifier	Composite Request ID
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. Fixed Value: active
intent	?!SΣ	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. Fixed Value: order
category	SΣ	0..1	CodeableConcept	Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	SΣ	0..1	CodeableConcept	What is being requested/ordered Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred and a valueset using LOINC Order codes is available here.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
orderDetail	ΣC	0..*	CodeableConcept	Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
quantity[x]	SΣ	0..1	Quantity	Service amount
subject	SΣ	1..1	Reference(Patient core BE profile)	Individual or Entity the service is ordered for
encounter	Σ	0..1	Reference(Encounter)	Encounter in which the request was created
occurrence[x]	Σ	0..1		When service should occur
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
asNeeded[x]	Σ	0..1		Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
authoredOn	SΣ	0..1	dateTime	Date request signed
requester	SΣ	0..1	Reference(Practitioner role core BE profile | Practitioner core BE profile)	Who/what is requesting service
performerType	Σ	0..1	CodeableConcept	Performer role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)	Requested performer
locationCode	Σ	0..*	CodeableConcept	Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
locationReference	Σ	0..*	Reference(Location)	Requested location
reasonCode	Σ	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
reasonReference	Σ	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Explanation/Justification for service or service
insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
supportingInfo	S	0..1	Reference(Resource)	Additional clinical information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
specimen	Σ	0..*	Reference(Specimen)	Procedure Samples
bodySite	Σ	0..*	CodeableConcept	Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
note		0..*	Annotation	Comments
patientInstruction	Σ	0..1	string	Patient or consumer-oriented instructions
relevantHistory		0..*	Reference(Provenance)	Request provenance
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
ServiceRequest.meta.security	extensible	All Security Labels
ServiceRequest.meta.tag	example	CommonTags
ServiceRequest.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
ServiceRequest.status	required	Fixed Value: active
ServiceRequest.intent	required	Fixed Value: order
ServiceRequest.category	example	ServiceRequestCategoryCodes
ServiceRequest.priority	required	RequestPriority
ServiceRequest.code	example	ProcedureCodes(SNOMEDCT)
ServiceRequest.orderDetail	example	ServiceRequestOrderDetailsCodes
ServiceRequest.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes
ServiceRequest.performerType	example	ParticipantRoles
ServiceRequest.locationCode	example	ServiceDeliveryLocationRoleType
ServiceRequest.reasonCode	example	ProcedureReasonCodes
ServiceRequest.supportingInfo.type	extensible	ResourceType
ServiceRequest.bodySite	example	SNOMEDCTBodyStructures

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

This structure is derived from ServiceRequest

Summary

Mandatory: 3 elements (7 nested mandatory elements)
Must-Support: 13 elements
Fixed Value: 4 elements

Structures

This structure refers to these other structures:

• MyCareNet eAgreement Service Request Binary BE profile (https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-eagreementservicerequest-binary)
• Patient core BE profile (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient)
• Practitioner role core BE profile (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole)
• Practitioner core BE profile (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner)

Differential View

This structure is derived from ServiceRequest

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed mcn-1: If identifier is present: (category, code, quantityQuantity, supportingInfo, authoredOn and contained) SHALL not be present. mcn-2: If identifier is not present: (category, code, quantityQuantity, supportingInfo, authoredOn and contained) SHALL be present.
id	S	1..1	id	Logical id of this artifact
meta	S	1..1	Meta	Metadata about the resource
profile		1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to
contained	S	0..1	BeMyCareNetEagreementServiceRequestBinary	Pure binary content defined by a format other than FHIR
status	S	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Fixed Value: active
intent	S	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Fixed Value: order
category	S	0..1	CodeableConcept	Classification of service
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system
code	S	0..1	CodeableConcept	What is being requested/ordered
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system
quantity[x]	S	0..1	Quantity	Service amount
subject	S	1..1	Reference(Patient core BE profile)	Individual or Entity the service is ordered for
authoredOn	S	0..1	dateTime	Date request signed
requester	S	0..1	Reference(Practitioner role core BE profile | Practitioner core BE profile)	Who/what is requesting service
supportingInfo	S	0..1	Reference(Resource)	Additional clinical information
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
mcn-1	error	ServiceRequest	If identifier is present: (category, code, quantityQuantity, supportingInfo, authoredOn and contained) SHALL not be present. : identifier.exists() implies (category.empty() and code.empty() and quantityQuantity.empty() and authoredOn.empty() and supportingInfo.empty() and contained.empty())
mcn-2	error	ServiceRequest	If identifier is not present: (category, code, quantityQuantity, supportingInfo, authoredOn and contained) SHALL be present. : identifier.empty() implies (category.exists() and code.exists() and quantityQuantity.exists() and authoredOn.exists() and supportingInfo.exists() and contained.exists())

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed mcn-1: If identifier is present: (category, code, quantityQuantity, supportingInfo, authoredOn and contained) SHALL not be present. mcn-2: If identifier is not present: (category, code, quantityQuantity, supportingInfo, authoredOn and contained) SHALL be present.
id	SΣ	1..1	id	Logical id of this artifact
meta	SΣ	1..1	Meta	Metadata about the resource
profile	Σ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained	S	0..1	BeMyCareNetEagreementServiceRequestBinary	Pure binary content defined by a format other than FHIR
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. Fixed Value: active
intent	?!SΣ	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. Fixed Value: order
category	SΣ	0..1	CodeableConcept	Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	SΣ	0..1	CodeableConcept	What is being requested/ordered Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred and a valueset using LOINC Order codes is available here.
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system
quantity[x]	SΣ	0..1	Quantity	Service amount
subject	SΣ	1..1	Reference(Patient core BE profile)	Individual or Entity the service is ordered for
authoredOn	SΣ	0..1	dateTime	Date request signed
requester	SΣ	0..1	Reference(Practitioner role core BE profile | Practitioner core BE profile)	Who/what is requesting service
supportingInfo	S	0..1	Reference(Resource)	Additional clinical information
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
ServiceRequest.status	required	Fixed Value: active
ServiceRequest.intent	required	Fixed Value: order
ServiceRequest.category	example	ServiceRequestCategoryCodes
ServiceRequest.code	example	ProcedureCodes(SNOMEDCT)

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
mcn-1	error	ServiceRequest	If identifier is present: (category, code, quantityQuantity, supportingInfo, authoredOn and contained) SHALL not be present. : identifier.exists() implies (category.empty() and code.empty() and quantityQuantity.empty() and authoredOn.empty() and supportingInfo.empty() and contained.empty())
mcn-2	error	ServiceRequest	If identifier is not present: (category, code, quantityQuantity, supportingInfo, authoredOn and contained) SHALL be present. : identifier.empty() implies (category.exists() and code.exists() and quantityQuantity.exists() and authoredOn.exists() and supportingInfo.exists() and contained.exists())
prr-1	error	ServiceRequest	orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed mcn-1: If identifier is present: (category, code, quantityQuantity, supportingInfo, authoredOn and contained) SHALL not be present. mcn-2: If identifier is not present: (category, code, quantityQuantity, supportingInfo, authoredOn and contained) SHALL be present.
id	SΣ	1..1	id	Logical id of this artifact
meta	SΣ	1..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained	S	0..1	BeMyCareNetEagreementServiceRequestBinary	Pure binary content defined by a format other than FHIR
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifiers assigned to this order
instantiatesCanonical	Σ	0..*	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest | MedicationRequest)	What request fulfills
replaces	Σ	0..*	Reference(ServiceRequest)	What request replaces
requisition	Σ	0..1	Identifier	Composite Request ID
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. Fixed Value: active
intent	?!SΣ	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. Fixed Value: order
category	SΣ	0..1	CodeableConcept	Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	SΣ	0..1	CodeableConcept	What is being requested/ordered Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred and a valueset using LOINC Order codes is available here.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
orderDetail	ΣC	0..*	CodeableConcept	Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
quantity[x]	SΣ	0..1	Quantity	Service amount
subject	SΣ	1..1	Reference(Patient core BE profile)	Individual or Entity the service is ordered for
encounter	Σ	0..1	Reference(Encounter)	Encounter in which the request was created
occurrence[x]	Σ	0..1		When service should occur
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
asNeeded[x]	Σ	0..1		Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
authoredOn	SΣ	0..1	dateTime	Date request signed
requester	SΣ	0..1	Reference(Practitioner role core BE profile | Practitioner core BE profile)	Who/what is requesting service
performerType	Σ	0..1	CodeableConcept	Performer role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)	Requested performer
locationCode	Σ	0..*	CodeableConcept	Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
locationReference	Σ	0..*	Reference(Location)	Requested location
reasonCode	Σ	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
reasonReference	Σ	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Explanation/Justification for service or service
insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
supportingInfo	S	0..1	Reference(Resource)	Additional clinical information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
specimen	Σ	0..*	Reference(Specimen)	Procedure Samples
bodySite	Σ	0..*	CodeableConcept	Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
note		0..*	Annotation	Comments
patientInstruction	Σ	0..1	string	Patient or consumer-oriented instructions
relevantHistory		0..*	Reference(Provenance)	Request provenance
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
ServiceRequest.meta.security	extensible	All Security Labels
ServiceRequest.meta.tag	example	CommonTags
ServiceRequest.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
ServiceRequest.status	required	Fixed Value: active
ServiceRequest.intent	required	Fixed Value: order
ServiceRequest.category	example	ServiceRequestCategoryCodes
ServiceRequest.priority	required	RequestPriority
ServiceRequest.code	example	ProcedureCodes(SNOMEDCT)
ServiceRequest.orderDetail	example	ServiceRequestOrderDetailsCodes
ServiceRequest.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes
ServiceRequest.performerType	example	ParticipantRoles
ServiceRequest.locationCode	example	ServiceDeliveryLocationRoleType
ServiceRequest.reasonCode	example	ProcedureReasonCodes
ServiceRequest.supportingInfo.type	extensible	ResourceType
ServiceRequest.bodySite	example	SNOMEDCTBodyStructures

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

This structure is derived from ServiceRequest

Summary

Mandatory: 3 elements (7 nested mandatory elements)
Must-Support: 13 elements
Fixed Value: 4 elements

Structures

This structure refers to these other structures:

• MyCareNet eAgreement Service Request Binary BE profile (https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-eagreementservicerequest-binary)
• Patient core BE profile (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient)
• Practitioner role core BE profile (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole)
• Practitioner core BE profile (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner)

Other representations of profile: CSV, Excel, Schematron