MII IG Kerndatensatz-Modul Molekulares Tumorboard
2027.0.0-ballot.1 - Germany

This page is part of the MII Implementation Guide Molecular Tumor Board (v2027.0.0-ballot.1: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: MII PR MTB Studieneinschluss Anfrage

Official URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-studieneinschluss-anfrage Version: 2027.0.0-ballot.1
Active as of 2026-09-15 Computable Name: MII_PR_MTB_Studieneinschluss_Anfrage

Anfrage zum Studieneinschluss

Content

This profile describes a request for study inclusion as part of the study inclusion recommendation.

Status

The status of a request for study inclusion refers to its implementation state. It is recommended to use the following status values for the described situations:

Value of status Description
draft Request not yet sent
active Request sent, decision pending
revoked Request sent, no study inclusion (rejected or deceased, reason given under statusReason
completed Patient successfully included

Note: The status should be semantically aligned with that of the decided Therapieplan (therapy plan) (see Therapieplan).

The study request links via ServiceRequest.reasonsReference to the oncological diagnosis. The corresponding study can point via a reference to a ResearchStudy with details on the actual study project.

The extension Priorität refers to the prioritization of a study inclusion recommendation in relation to other therapy recommendations. It is conceivable that the priority is adjusted dynamically when other therapy options cease to apply, while the priority on the therapy recommendations can persist unchanged.

The extension Publikation refers to relevant material related to the study project. This can be the results study (particularly when integrating therapy course data that dates back some time). At the same time, study protocols or similar can already be referenced here during the study's runtime.

Content

Mapping dataset to FHIR

TODO: adapt FHIR LM to profile

Search parameters

The following search parameters are relevant for this module, including in combination:

  1. The search parameter "_id" MUST be supported:

    Examples:

    GET [base]/ServiceRequest?_id=12345

    Usage notes: Further information on searching by "_id" can be found in the FHIR base specification - section "Parameters for all resources".

  2. The search parameter "_profile" MUST be supported:

    Examples:

    GET [base]/ServiceRequest?_profile=https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-biopsie-auftrag

    Usage notes: Further information on searching by "_profile" can be found in the FHIR base specification - section "Parameters for all resources".

  3. The search parameter "status" MUST be supported:

    Examples:

    GET [base]/ServiceRequest?status=active

    Usage notes: Further information on searching by "status" can be found in the FHIR base specification - section "token"

  4. The search parameter "intent" MUST be supported:

    Examples:

    GET [base]/ServiceRequest?status=proposal

    Usage notes: Further information on searching by "intent" can be found in the FHIR base specification - section "token"

  5. The search parameter "category" MUST be supported:

    Examples:

    GET [base]/ServiceRequest?category=110465008

    Usage notes: Further information on searching by "category" can be found in the FHIR base specification - section "token"

  6. The search parameter "code" MUST be supported:

    Examples:

    GET [base]/ServiceRequest?code=02475000

    Usage notes: Further information on searching by "code" can be found in the FHIR base specification - section "token"

  7. The search parameter "reason-reference" MUST be supported:

    Examples:

    GET [base]/ServiceRequest?reason-reference=MII_PR_MTB_Diagnose_Primaertumor/example

    Usage notes: Further information on searching by "reason-reference" can be found in the FHIR base specification - section "reference"

  8. The search parameter "supporting-info" MUST be supported:

    Examples:

    GET [base]/ServiceRequest?supporting-info=ResearchStudy/example

    Usage notes: Further information on searching by "supporting-info" can be found in the FHIR base specification - section "reference"

Examples

Example: Study inclusion request for Kim Musterperson dated 2023-03-28 (see Scenarios)

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots, and their representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* ServiceRequest A request for a service to be performed
Constraints: prr-1
... meta SΣ 0..1 Meta Metadata about the resource
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:statusReason S 0..1 CodeableConcept Reason for Rejection
URL: http://hl7.org/fhir/StructureDefinition/request-statusReason
Binding Description: (example): Codes identifying the reason for the current state of an event.
.... extension:Prioritaet S 0..1 decimal MII EX MTB Empfehlung Priorität
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-prioritaet
.... extension:Publikation S 0..* Identifier MII EX MTB Empfehlung Publikation
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-publikation
... 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 ?!Σ 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: proposal
... category SΣ 1..1 CodeableConcept Classification of service
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.

Fixed Value: As shown
.... id 0..0 string Unique id for inter-element referencing
.... extension 0..0 Extension Additional content defined by implementations
.... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..0 string Unique id for inter-element referencing
..... extension 0..0 Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version 0..0 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 110465008
..... display 1..1 string Representation defined by the system
Fixed Value: Clinical trial (procedure)
..... userSelected 0..0 boolean If this coding was chosen directly by the user
.... text 0..0 string Plain text representation of the concept
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code SΣ 1..1 CodeableConcept Study Enrollment Recommendation
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.
Fixed Value: As shown
.... id 0..0 string Unique id for inter-element referencing
.... extension 0..0 Extension Additional content defined by implementations
.... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..0 string Unique id for inter-element referencing
..... extension 0..0 Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version 0..0 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 702475000
..... display 1..1 string Representation defined by the system
Fixed Value: Referral to clinical trial (procedure)
..... userSelected 0..0 boolean If this coding was chosen directly by the user
.... text 0..0 string Plain text representation of the concept
... subject Σ 1..1 Reference(Patient | Group | Location | Device) Individual or Entity the service is ordered for
... reasonReference SΣ 0..* Reference(MII PR MTB Diagnose Primärtumor | Condition) Explanation/Justification for service or service
... Slices for supportingInfo S 0..* Reference(Resource) Additional clinical information
Slice: Unordered, Open by profile:resolve()
.... supportingInfo:Studie S 0..* Reference(MII PR MTB Studie | MII PR Studie Studie | ResearchStudy) Additional clinical information

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ServiceRequest.status Base required RequestStatus 📍4.0.1 FHIR Std.
ServiceRequest.intent Base required RequestIntent 📍4.0.1 FHIR Std.
ServiceRequest.category Base example Service Request Category Codes 📍4.0.1 FHIR Std.
ServiceRequest.code Base example Procedure Codes (SNOMED CT) 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest 0..* ServiceRequest A request for a service to be performed
... meta S 0..1 Meta Metadata about the resource
.... profile S 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:statusReason S 0..1 CodeableConcept Reason for Rejection
URL: http://hl7.org/fhir/StructureDefinition/request-statusReason
Binding Description: (example): Codes identifying the reason for the current state of an event.
.... extension:Prioritaet S 0..1 decimal MII EX MTB Empfehlung Priorität
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-prioritaet
.... extension:Publikation S 0..* Identifier MII EX MTB Empfehlung Publikation
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-publikation
... status S 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
... category S 1..1 CodeableConcept Classification of service
Fixed Value: As shown
.... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
..... 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
Fixed Value: 110465008
..... display 1..1 string Representation defined by the system
Fixed Value: Clinical trial (procedure)
... code S 1..1 CodeableConcept Study Enrollment Recommendation
Fixed Value: As shown
.... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
..... 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
Fixed Value: 702475000
..... display 1..1 string Representation defined by the system
Fixed Value: Referral to clinical trial (procedure)
... reasonReference S 0..* Reference(MII PR MTB Diagnose Primärtumor | Condition) Explanation/Justification for service or service
... Slices for supportingInfo S 0..* Reference(Resource) Additional clinical information
Slice: Unordered, Open by profile:resolve()
.... supportingInfo:Studie S 0..* Reference(MII PR MTB Studie | MII PR Studie Studie | ResearchStudy) Additional clinical information

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* ServiceRequest A request for a service to be performed
Constraints: prr-1
... id Σ 0..1 id Logical id of this artifact
... meta SΣ 0..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 SΣ 0..* 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 BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:statusReason S 0..1 CodeableConcept Reason for Rejection
URL: http://hl7.org/fhir/StructureDefinition/request-statusReason
Binding Description: (example): Codes identifying the reason for the current state of an event.
.... extension:Prioritaet S 0..1 decimal MII EX MTB Empfehlung Priorität
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-prioritaet
.... extension:Publikation S 0..* Identifier MII EX MTB Empfehlung Publikation
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-publikation
... 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.
... intent ?!Σ 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: proposal
... category SΣ 1..1 CodeableConcept Classification of service
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.

Fixed Value: As shown
.... id 0..0 string Unique id for inter-element referencing
.... extension 0..0 Extension Additional content defined by implementations
.... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..0 string Unique id for inter-element referencing
..... extension 0..0 Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version 0..0 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 110465008
..... display 1..1 string Representation defined by the system
Fixed Value: Clinical trial (procedure)
..... userSelected 0..0 boolean If this coding was chosen directly by the user
.... text 0..0 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 1..1 CodeableConcept Study Enrollment Recommendation
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.
Fixed Value: As shown
.... id 0..0 string Unique id for inter-element referencing
.... extension 0..0 Extension Additional content defined by implementations
.... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..0 string Unique id for inter-element referencing
..... extension 0..0 Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version 0..0 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 702475000
..... display 1..1 string Representation defined by the system
Fixed Value: Referral to clinical trial (procedure)
..... userSelected 0..0 boolean If this coding was chosen directly by the user
.... text 0..0 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] Σ 0..1 Service amount
.... quantityQuantity Quantity
.... quantityRatio Ratio
.... quantityRange Range
... subject Σ 1..1 Reference(Patient | Group | Location | Device) 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 Σ 0..1 dateTime Date request signed
... requester Σ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) 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 SΣ 0..* Reference(MII PR MTB Diagnose Primärtumor | Condition) Explanation/Justification for service or service
... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... Slices for supportingInfo S 0..* Reference(Resource) Additional clinical information
Slice: Unordered, Open by profile:resolve()
.... supportingInfo:Studie S 0..* Reference(MII PR MTB Studie | MII PR Studie Studie | ResearchStudy) Additional clinical information
... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ServiceRequest.meta.​security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
ServiceRequest.meta.​tag Base example Common Tags 📍4.0.1 FHIR Std.
ServiceRequest.language Base preferred Common Languages 📍4.0.1 FHIR Std.
ServiceRequest.status Base required RequestStatus 📍4.0.1 FHIR Std.
ServiceRequest.intent Base required RequestIntent 📍4.0.1 FHIR Std.
ServiceRequest.category Base example Service Request Category Codes 📍4.0.1 FHIR Std.
ServiceRequest.priority Base required Request priority 📍4.0.1 FHIR Std.
ServiceRequest.code Base example Procedure Codes (SNOMED CT) 📍4.0.1 FHIR Std.
ServiceRequest.orderDetail Base example Service Request Order Details Codes 📍4.0.1 FHIR Std.
ServiceRequest.asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
ServiceRequest.performerType Base example Participant Roles 📍4.0.1 FHIR Std.
ServiceRequest.locationCode Base example ServiceDeliveryLocationRoleType 📦3.0.0 THO v7.3
ServiceRequest.reasonCode Base example Procedure Reason Codes 📍4.0.1 FHIR Std.
ServiceRequest.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error ServiceRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ServiceRequest If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error ServiceRequest If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error ServiceRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice ServiceRequest A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
prr-1 error ServiceRequest orderDetail SHALL only be present if code is present orderDetail.empty() or code.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* ServiceRequest A request for a service to be performed
Constraints: prr-1
... meta SΣ 0..1 Meta Metadata about the resource
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:statusReason S 0..1 CodeableConcept Reason for Rejection
URL: http://hl7.org/fhir/StructureDefinition/request-statusReason
Binding Description: (example): Codes identifying the reason for the current state of an event.
.... extension:Prioritaet S 0..1 decimal MII EX MTB Empfehlung Priorität
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-prioritaet
.... extension:Publikation S 0..* Identifier MII EX MTB Empfehlung Publikation
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-publikation
... 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 ?!Σ 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: proposal
... category SΣ 1..1 CodeableConcept Classification of service
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.

Fixed Value: As shown
.... id 0..0 string Unique id for inter-element referencing
.... extension 0..0 Extension Additional content defined by implementations
.... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..0 string Unique id for inter-element referencing
..... extension 0..0 Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version 0..0 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 110465008
..... display 1..1 string Representation defined by the system
Fixed Value: Clinical trial (procedure)
..... userSelected 0..0 boolean If this coding was chosen directly by the user
.... text 0..0 string Plain text representation of the concept
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code SΣ 1..1 CodeableConcept Study Enrollment Recommendation
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.
Fixed Value: As shown
.... id 0..0 string Unique id for inter-element referencing
.... extension 0..0 Extension Additional content defined by implementations
.... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..0 string Unique id for inter-element referencing
..... extension 0..0 Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version 0..0 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 702475000
..... display 1..1 string Representation defined by the system
Fixed Value: Referral to clinical trial (procedure)
..... userSelected 0..0 boolean If this coding was chosen directly by the user
.... text 0..0 string Plain text representation of the concept
... subject Σ 1..1 Reference(Patient | Group | Location | Device) Individual or Entity the service is ordered for
... reasonReference SΣ 0..* Reference(MII PR MTB Diagnose Primärtumor | Condition) Explanation/Justification for service or service
... Slices for supportingInfo S 0..* Reference(Resource) Additional clinical information
Slice: Unordered, Open by profile:resolve()
.... supportingInfo:Studie S 0..* Reference(MII PR MTB Studie | MII PR Studie Studie | ResearchStudy) Additional clinical information

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ServiceRequest.status Base required RequestStatus 📍4.0.1 FHIR Std.
ServiceRequest.intent Base required RequestIntent 📍4.0.1 FHIR Std.
ServiceRequest.category Base example Service Request Category Codes 📍4.0.1 FHIR Std.
ServiceRequest.code Base example Procedure Codes (SNOMED CT) 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest 0..* ServiceRequest A request for a service to be performed
... meta S 0..1 Meta Metadata about the resource
.... profile S 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:statusReason S 0..1 CodeableConcept Reason for Rejection
URL: http://hl7.org/fhir/StructureDefinition/request-statusReason
Binding Description: (example): Codes identifying the reason for the current state of an event.
.... extension:Prioritaet S 0..1 decimal MII EX MTB Empfehlung Priorität
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-prioritaet
.... extension:Publikation S 0..* Identifier MII EX MTB Empfehlung Publikation
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-publikation
... status S 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
... category S 1..1 CodeableConcept Classification of service
Fixed Value: As shown
.... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
..... 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
Fixed Value: 110465008
..... display 1..1 string Representation defined by the system
Fixed Value: Clinical trial (procedure)
... code S 1..1 CodeableConcept Study Enrollment Recommendation
Fixed Value: As shown
.... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
..... 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
Fixed Value: 702475000
..... display 1..1 string Representation defined by the system
Fixed Value: Referral to clinical trial (procedure)
... reasonReference S 0..* Reference(MII PR MTB Diagnose Primärtumor | Condition) Explanation/Justification for service or service
... Slices for supportingInfo S 0..* Reference(Resource) Additional clinical information
Slice: Unordered, Open by profile:resolve()
.... supportingInfo:Studie S 0..* Reference(MII PR MTB Studie | MII PR Studie Studie | ResearchStudy) Additional clinical information

doco Documentation for this format

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* ServiceRequest A request for a service to be performed
Constraints: prr-1
... id Σ 0..1 id Logical id of this artifact
... meta SΣ 0..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 SΣ 0..* 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 BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:statusReason S 0..1 CodeableConcept Reason for Rejection
URL: http://hl7.org/fhir/StructureDefinition/request-statusReason
Binding Description: (example): Codes identifying the reason for the current state of an event.
.... extension:Prioritaet S 0..1 decimal MII EX MTB Empfehlung Priorität
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-prioritaet
.... extension:Publikation S 0..* Identifier MII EX MTB Empfehlung Publikation
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-publikation
... 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.
... intent ?!Σ 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: proposal
... category SΣ 1..1 CodeableConcept Classification of service
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.

Fixed Value: As shown
.... id 0..0 string Unique id for inter-element referencing
.... extension 0..0 Extension Additional content defined by implementations
.... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..0 string Unique id for inter-element referencing
..... extension 0..0 Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version 0..0 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 110465008
..... display 1..1 string Representation defined by the system
Fixed Value: Clinical trial (procedure)
..... userSelected 0..0 boolean If this coding was chosen directly by the user
.... text 0..0 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 1..1 CodeableConcept Study Enrollment Recommendation
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.
Fixed Value: As shown
.... id 0..0 string Unique id for inter-element referencing
.... extension 0..0 Extension Additional content defined by implementations
.... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..0 string Unique id for inter-element referencing
..... extension 0..0 Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version 0..0 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 702475000
..... display 1..1 string Representation defined by the system
Fixed Value: Referral to clinical trial (procedure)
..... userSelected 0..0 boolean If this coding was chosen directly by the user
.... text 0..0 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] Σ 0..1 Service amount
.... quantityQuantity Quantity
.... quantityRatio Ratio
.... quantityRange Range
... subject Σ 1..1 Reference(Patient | Group | Location | Device) 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 Σ 0..1 dateTime Date request signed
... requester Σ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) 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 SΣ 0..* Reference(MII PR MTB Diagnose Primärtumor | Condition) Explanation/Justification for service or service
... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... Slices for supportingInfo S 0..* Reference(Resource) Additional clinical information
Slice: Unordered, Open by profile:resolve()
.... supportingInfo:Studie S 0..* Reference(MII PR MTB Studie | MII PR Studie Studie | ResearchStudy) Additional clinical information
... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ServiceRequest.meta.​security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
ServiceRequest.meta.​tag Base example Common Tags 📍4.0.1 FHIR Std.
ServiceRequest.language Base preferred Common Languages 📍4.0.1 FHIR Std.
ServiceRequest.status Base required RequestStatus 📍4.0.1 FHIR Std.
ServiceRequest.intent Base required RequestIntent 📍4.0.1 FHIR Std.
ServiceRequest.category Base example Service Request Category Codes 📍4.0.1 FHIR Std.
ServiceRequest.priority Base required Request priority 📍4.0.1 FHIR Std.
ServiceRequest.code Base example Procedure Codes (SNOMED CT) 📍4.0.1 FHIR Std.
ServiceRequest.orderDetail Base example Service Request Order Details Codes 📍4.0.1 FHIR Std.
ServiceRequest.asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
ServiceRequest.performerType Base example Participant Roles 📍4.0.1 FHIR Std.
ServiceRequest.locationCode Base example ServiceDeliveryLocationRoleType 📦3.0.0 THO v7.3
ServiceRequest.reasonCode Base example Procedure Reason Codes 📍4.0.1 FHIR Std.
ServiceRequest.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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()

 

Other representations of profile: CSV, Excel, Schematron