MII IG Kerndatensatz-Modul Seltene Erkrankungen
2027.0.0-ballot - Germany

This page is part of the MII Implementation Guide Seltene Erkrankungen (v2027.0.0-ballot: 2027 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Ressourcenprofil: MII PR SE Therapieempfehlung Nicht-Medikamentös

Offizielle URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-pr-seltene-therapieempfehlung-nicht-medikamentoes Version: 2027.0.0-ballot
Active Stand: 2026-09-14 Maschinenlesbarer Name: MII_PR_Seltene_TherapieempfehlungNichtMedikamentoes

Therapieempfehlung für nicht-medikamentöse Interventionen bei seltenen Erkrankungen (z.B. Ernährungstherapie, Gentherapie, Prophylaxe, Früherkennung)

Dieses Profil beschreibt eine nicht-medikamentöse Therapieempfehlung für Patienten mit Seltenen Erkrankungen. Es basiert auf der FHIR-Ressource ServiceRequest und umfasst operative Eingriffe, Ernährungstherapien, Physiotherapie, genetische Beratung und weitere nicht-medikamentöse Interventionen.

Anwendungsfälle

Nicht-medikamentöse Therapieempfehlungen umfassen:

  • Operative Eingriffe: Chirurgische Interventionen (z.B. Aortenwurzelersatz bei Marfan-Syndrom)
  • Ernährungstherapie: Spezielle Diäten bei Stoffwechselerkrankungen
  • Physiotherapie: Bewegungstherapie zur Erhaltung der Mobilität
  • Ergotherapie: Förderung der Alltagsfähigkeiten
  • Logopädie: Bei Schluck- und Sprachstörungen
  • Psychologische Betreuung: Psychotherapie und Beratung
  • Genetische Beratung: Humangenetische Konsultation
  • Prophylaxe: Präventive Maßnahmen ohne Medikamente
  • Früherkennungsuntersuchungen: Regelmäßige Screening-Untersuchungen

Implementierungshinweise

Kodierung von Prozeduren

  • OPS-Codes für operative und interventionelle Eingriffe in Deutschland
  • SNOMED CT für internationale Kompatibilität
  • LOINC für diagnostische Verfahren
  • Lokale Codes für spezielle Therapieverfahren

Status und Intent

  • status: Typischerweise "draft" für Empfehlungen, "active" nach Genehmigung
  • intent: "proposal" für Therapieempfehlungen, "order" bei Umsetzung
  • priority: Dringlichkeit der Intervention (routine, urgent, asap, stat)

Zeitplanung

  • occurrence[x]: Zeitpunkt oder Zeitraum der geplanten Intervention
  • authoredOn: Datum der Empfehlung

Begründung

  • Verknüpfung zur Diagnose über reasonReference
  • Klinische Indikation über reasonCode

Suchparameter

Folgende Suchparameter sind für nicht-medikamentöse Therapieempfehlungen relevant:

  1. _id: Suche nach ID der Ressource GET [base]/ServiceRequest?_id=1234

  2. _profile: Suche nach Profil GET [base]/ServiceRequest?_profile=https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-pr-seltene-therapieempfehlung-nicht-medikamentoes

  3. subject: Suche nach Patient GET [base]/ServiceRequest?subject=Patient/example

  4. status: Suche nach Status GET [base]/ServiceRequest?status=active

  5. intent: Suche nach Intent GET [base]/ServiceRequest?intent=proposal

  6. code: Suche nach Prozedur-Code GET [base]/ServiceRequest?code=http://fhir.de/CodeSystem/dimdi/ops-2024|5-354.09

  7. authored: Suche nach Erstellungsdatum GET [base]/ServiceRequest?authored=2024-02-08

  8. priority: Suche nach Priorität GET [base]/ServiceRequest?priority=urgent

Beispielinstanzen sind auf der Profilseite im Abschnitt „Examples" verlinkt.

Verwandte Profile

Usages:

You can also check for usages in the FHIR IG Statistics

Formale Ansichten des Profilinhalts

Beschreibung von Profilen, Differentials, Snapshots und deren Repräsentationen.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* ServiceRequest 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
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:Prioritaet S 0..1 decimal MII EX SE Empfehlung Priorität
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-ex-seltene-empfehlung-prioritaet
.... extension:Publikation S 0..* Identifier MII EX SE Empfehlung Publikation
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-ex-seltene-empfehlung-publikation
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... intent ?!SΣ 1..1 code proposal
Binding: RequestIntent (required): The kind of service request.
Required Pattern: proposal
... Slices for category SΣ 1..* CodeableConcept Classification of service
Slice: Unordered, Open by value:coding.system
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
.... category:MVGenomSeqTherapieStrategie SΣ 0..1 CodeableConcept Modellvorhaben GenomSeq Therapiestrategie-Typ (Nicht-Medikamentös)
Binding: MII VS SE Therapieempfehlung Strategie - Nicht-Medikamentös (required)
..... coding Σ 1..1 Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/CodeSystem/mii-cs-seltene-therapieempfehlung-strategie
...... code Σ 1..1 code Symbol in syntax defined by the system
.... category:MVGenomSeqTherapieTyp SΣ 0..1 CodeableConcept Modellvorhaben GenomSeq Therapietyp (Kausal/Symptomatisch)
Binding: MII VS SE Therapieempfehlung Typ (required)
..... coding Σ 1..1 Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/CodeSystem/mii-cs-seltene-therapieempfehlung-typ
...... code Σ 1..1 code Symbol in syntax defined by the system
... priority SΣ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code SΣ 1..1 CodeableConcept Art der nicht-medikamentösen Intervention
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.
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:system
..... coding:snomed SΣ 0..1 Coding Code defined by a terminology system
Binding: ProcedureCodes(SNOMEDCT) (extensible)
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
..... coding:ops SΣ 0..1 Coding Code defined by a terminology system
Binding: Operationen- und Prozedurenschlüssel . (extensible)
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://fhir.de/CodeSystem/bfarm/ops
..... coding:loinc SΣ 0..1 Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
.... text SΣ 1..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(Patient) Patient, für den die Therapie empfohlen wird
... encounter SΣ 0..1 Reference(Encounter) Behandlungskontext der Empfehlung
... occurrence[x] SΣ 0..1 Empfohlener Zeitpunkt oder Zeitraum für die Intervention
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
... requester SΣ 0..1 Reference(Practitioner | PractitionerRole | Organization) Empfehlender Arzt/Einrichtung
... performer SΣ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Vorgesehener Durchführender der Intervention
... reasonCode SΣ 0..* CodeableConcept Grund für die Therapieempfehlung (codiert)
Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
... reasonReference SΣ 0..* Reference(Condition | Observation | DiagnosticReport) Verweis auf zugrundeliegende Diagnose oder Befund
... supportingInfo S 0..* Reference(DocumentReference | Observation | DiagnosticReport) Unterstützende Informationen zur Empfehlung
... note S 0..* Annotation Zusätzliche Anmerkungen zur Therapieempfehlung

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.category:MVGenomSeqTherapieStrategie Base required MII VS SE Therapieempfehlung Strategie - Nicht-Medikamentös 📦2027.0.0-ballot This IG
ServiceRequest.category:MVGenomSeqTherapieTyp Base required MII VS SE Therapieempfehlung Typ 📦2027.0.0-ballot 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.code.​coding:snomed Base extensible Procedure Codes (SNOMED CT) 📦4.0.1 FHIR Std.
ServiceRequest.code.​coding:ops Base extensible Operationen- und Prozedurenschlüssel . ⏿2026 127.0.0.1
ServiceRequest.reasonCode Base example Procedure Reason Codes 📍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()

Diese Struktur ist abgeleitet von ServiceRequest

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest 0..* ServiceRequest A request for a service to be performed
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:Prioritaet S 0..1 decimal MII EX SE Empfehlung Priorität
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-ex-seltene-empfehlung-prioritaet
.... extension:Publikation S 0..* Identifier MII EX SE Empfehlung Publikation
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-ex-seltene-empfehlung-publikation
... status S 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
... intent S 1..1 code proposal
Required Pattern: proposal
.... category:MVGenomSeqTherapieStrategie S 0..1 CodeableConcept Modellvorhaben GenomSeq Therapiestrategie-Typ (Nicht-Medikamentös)
Binding: MII VS SE Therapieempfehlung Strategie - Nicht-Medikamentös (required)
..... coding 1..1 Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/CodeSystem/mii-cs-seltene-therapieempfehlung-strategie
...... code 1..1 code Symbol in syntax defined by the system
.... category:MVGenomSeqTherapieTyp S 0..1 CodeableConcept Modellvorhaben GenomSeq Therapietyp (Kausal/Symptomatisch)
Binding: MII VS SE Therapieempfehlung Typ (required)
..... coding 1..1 Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/CodeSystem/mii-cs-seltene-therapieempfehlung-typ
...... code 1..1 code Symbol in syntax defined by the system
... priority S 0..1 code routine | urgent | asap | stat
... code S 1..1 CodeableConcept Art der nicht-medikamentösen Intervention
.... Slices for coding 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:system
..... coding:snomed S 0..1 Coding Code defined by a terminology system
Binding: ProcedureCodes(SNOMEDCT) (extensible)
...... system 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
..... coding:ops S 0..1 Coding Code defined by a terminology system
Binding: Operationen- und Prozedurenschlüssel . (extensible)
...... system 1..1 uri Identity of the terminology system
Required Pattern: http://fhir.de/CodeSystem/bfarm/ops
..... coding:loinc S 0..1 Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
.... text S 1..1 string Plain text representation of the concept
... subject S 1..1 Reference(Patient) Patient, für den die Therapie empfohlen wird
... encounter S 0..1 Reference(Encounter) Behandlungskontext der Empfehlung
... occurrence[x] S 0..1 dateTime, Period, Timing Empfohlener Zeitpunkt oder Zeitraum für die Intervention
... requester S 0..1 Reference(Practitioner | PractitionerRole | Organization) Empfehlender Arzt/Einrichtung
... performer S 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Vorgesehener Durchführender der Intervention
... reasonCode S 0..* CodeableConcept Grund für die Therapieempfehlung (codiert)
... reasonReference S 0..* Reference(Condition | Observation | DiagnosticReport) Verweis auf zugrundeliegende Diagnose oder Befund
... supportingInfo S 0..* Reference(DocumentReference | Observation | DiagnosticReport) Unterstützende Informationen zur Empfehlung
... note S 0..* Annotation Zusätzliche Anmerkungen zur Therapieempfehlung

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
ServiceRequest.category:MVGenomSeqTherapieStrategie Base required MII VS SE Therapieempfehlung Strategie - Nicht-Medikamentös 📦2027.0.0-ballot This IG
ServiceRequest.category:MVGenomSeqTherapieTyp Base required MII VS SE Therapieempfehlung Typ 📦2027.0.0-ballot This IG
ServiceRequest.code.​coding:snomed Base extensible Procedure Codes (SNOMED CT) 📦4.0.1 FHIR Std.
ServiceRequest.code.​coding:ops Base extensible Operationen- und Prozedurenschlüssel . ⏿2026 127.0.0.1
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 Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 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:Prioritaet S 0..1 decimal MII EX SE Empfehlung Priorität
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-ex-seltene-empfehlung-prioritaet
.... extension:Publikation S 0..* Identifier MII EX SE Empfehlung Publikation
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-ex-seltene-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 ?!SΣ 1..1 code proposal
Binding: RequestIntent (required): The kind of service request.
Required Pattern: proposal
... Slices for category SΣ 1..* CodeableConcept Classification of service
Slice: Unordered, Open by value:coding.system
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
.... category:MVGenomSeqTherapieStrategie SΣ 0..1 CodeableConcept Modellvorhaben GenomSeq Therapiestrategie-Typ (Nicht-Medikamentös)
Binding: MII VS SE Therapieempfehlung Strategie - Nicht-Medikamentös (required)
..... 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
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/CodeSystem/mii-cs-seltene-therapieempfehlung-strategie
...... 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
.... category:MVGenomSeqTherapieTyp SΣ 0..1 CodeableConcept Modellvorhaben GenomSeq Therapietyp (Kausal/Symptomatisch)
Binding: MII VS SE Therapieempfehlung Typ (required)
..... 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
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/CodeSystem/mii-cs-seltene-therapieempfehlung-typ
...... 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 SΣ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code SΣ 1..1 CodeableConcept Art der nicht-medikamentösen Intervention
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.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:system
..... coding:snomed SΣ 0..1 Coding Code defined by a terminology system
Binding: ProcedureCodes(SNOMEDCT) (extensible)
...... 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
Required Pattern: http://snomed.info/sct
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..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
..... coding:ops SΣ 0..1 Coding Code defined by a terminology system
Binding: Operationen- und Prozedurenschlüssel . (extensible)
...... 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
Required Pattern: http://fhir.de/CodeSystem/bfarm/ops
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..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
..... coding:loinc SΣ 0..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
Required Pattern: http://loinc.org
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..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 SΣ 1..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] Σ 0..1 Service amount
.... quantityQuantity Quantity
.... quantityRatio Ratio
.... quantityRange Range
... subject SΣ 1..1 Reference(Patient) Patient, für den die Therapie empfohlen wird
... encounter SΣ 0..1 Reference(Encounter) Behandlungskontext der Empfehlung
... occurrence[x] SΣ 0..1 Empfohlener Zeitpunkt oder Zeitraum für die Intervention
.... 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 SΣ 0..1 Reference(Practitioner | PractitionerRole | Organization) Empfehlender Arzt/Einrichtung
... 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 SΣ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Vorgesehener Durchführender der Intervention
... locationCode Σ 0..* CodeableConcept Requested location
Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
... locationReference Σ 0..* Reference(Location) Requested location
... reasonCode SΣ 0..* CodeableConcept Grund für die Therapieempfehlung (codiert)
Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
... reasonReference SΣ 0..* Reference(Condition | Observation | DiagnosticReport) Verweis auf zugrundeliegende Diagnose oder Befund
... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... supportingInfo S 0..* Reference(DocumentReference | Observation | DiagnosticReport) Unterstützende Informationen zur Empfehlung
... 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 S 0..* Annotation Zusätzliche Anmerkungen zur Therapieempfehlung
... 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.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.category:MVGenomSeqTherapieStrategie Base required MII VS SE Therapieempfehlung Strategie - Nicht-Medikamentös 📦2027.0.0-ballot This IG
ServiceRequest.category:MVGenomSeqTherapieTyp Base required MII VS SE Therapieempfehlung Typ 📦2027.0.0-ballot 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.code.​coding:snomed Base extensible Procedure Codes (SNOMED CT) 📦4.0.1 FHIR Std.
ServiceRequest.code.​coding:ops Base extensible Operationen- und Prozedurenschlüssel . ⏿2026 127.0.0.1
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()

Diese Struktur ist abgeleitet von ServiceRequest

Summary

Mandatory: 3 elements(9 nested mandatory elements)
Must-Support: 22 elements

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of ServiceRequest.category
  • The element 1 is sliced based on the value of ServiceRequest.code.coding

Schlüsselelemente-Ansicht

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* ServiceRequest 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
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:Prioritaet S 0..1 decimal MII EX SE Empfehlung Priorität
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-ex-seltene-empfehlung-prioritaet
.... extension:Publikation S 0..* Identifier MII EX SE Empfehlung Publikation
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-ex-seltene-empfehlung-publikation
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... intent ?!SΣ 1..1 code proposal
Binding: RequestIntent (required): The kind of service request.
Required Pattern: proposal
... Slices for category SΣ 1..* CodeableConcept Classification of service
Slice: Unordered, Open by value:coding.system
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
.... category:MVGenomSeqTherapieStrategie SΣ 0..1 CodeableConcept Modellvorhaben GenomSeq Therapiestrategie-Typ (Nicht-Medikamentös)
Binding: MII VS SE Therapieempfehlung Strategie - Nicht-Medikamentös (required)
..... coding Σ 1..1 Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/CodeSystem/mii-cs-seltene-therapieempfehlung-strategie
...... code Σ 1..1 code Symbol in syntax defined by the system
.... category:MVGenomSeqTherapieTyp SΣ 0..1 CodeableConcept Modellvorhaben GenomSeq Therapietyp (Kausal/Symptomatisch)
Binding: MII VS SE Therapieempfehlung Typ (required)
..... coding Σ 1..1 Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/CodeSystem/mii-cs-seltene-therapieempfehlung-typ
...... code Σ 1..1 code Symbol in syntax defined by the system
... priority SΣ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code SΣ 1..1 CodeableConcept Art der nicht-medikamentösen Intervention
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.
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:system
..... coding:snomed SΣ 0..1 Coding Code defined by a terminology system
Binding: ProcedureCodes(SNOMEDCT) (extensible)
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
..... coding:ops SΣ 0..1 Coding Code defined by a terminology system
Binding: Operationen- und Prozedurenschlüssel . (extensible)
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://fhir.de/CodeSystem/bfarm/ops
..... coding:loinc SΣ 0..1 Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
.... text SΣ 1..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(Patient) Patient, für den die Therapie empfohlen wird
... encounter SΣ 0..1 Reference(Encounter) Behandlungskontext der Empfehlung
... occurrence[x] SΣ 0..1 Empfohlener Zeitpunkt oder Zeitraum für die Intervention
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
... requester SΣ 0..1 Reference(Practitioner | PractitionerRole | Organization) Empfehlender Arzt/Einrichtung
... performer SΣ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Vorgesehener Durchführender der Intervention
... reasonCode SΣ 0..* CodeableConcept Grund für die Therapieempfehlung (codiert)
Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
... reasonReference SΣ 0..* Reference(Condition | Observation | DiagnosticReport) Verweis auf zugrundeliegende Diagnose oder Befund
... supportingInfo S 0..* Reference(DocumentReference | Observation | DiagnosticReport) Unterstützende Informationen zur Empfehlung
... note S 0..* Annotation Zusätzliche Anmerkungen zur Therapieempfehlung

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.category:MVGenomSeqTherapieStrategie Base required MII VS SE Therapieempfehlung Strategie - Nicht-Medikamentös 📦2027.0.0-ballot This IG
ServiceRequest.category:MVGenomSeqTherapieTyp Base required MII VS SE Therapieempfehlung Typ 📦2027.0.0-ballot 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.code.​coding:snomed Base extensible Procedure Codes (SNOMED CT) 📦4.0.1 FHIR Std.
ServiceRequest.code.​coding:ops Base extensible Operationen- und Prozedurenschlüssel . ⏿2026 127.0.0.1
ServiceRequest.reasonCode Base example Procedure Reason Codes 📍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-Ansicht

Diese Struktur ist abgeleitet von ServiceRequest

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest 0..* ServiceRequest A request for a service to be performed
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:Prioritaet S 0..1 decimal MII EX SE Empfehlung Priorität
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-ex-seltene-empfehlung-prioritaet
.... extension:Publikation S 0..* Identifier MII EX SE Empfehlung Publikation
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-ex-seltene-empfehlung-publikation
... status S 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
... intent S 1..1 code proposal
Required Pattern: proposal
.... category:MVGenomSeqTherapieStrategie S 0..1 CodeableConcept Modellvorhaben GenomSeq Therapiestrategie-Typ (Nicht-Medikamentös)
Binding: MII VS SE Therapieempfehlung Strategie - Nicht-Medikamentös (required)
..... coding 1..1 Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/CodeSystem/mii-cs-seltene-therapieempfehlung-strategie
...... code 1..1 code Symbol in syntax defined by the system
.... category:MVGenomSeqTherapieTyp S 0..1 CodeableConcept Modellvorhaben GenomSeq Therapietyp (Kausal/Symptomatisch)
Binding: MII VS SE Therapieempfehlung Typ (required)
..... coding 1..1 Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/CodeSystem/mii-cs-seltene-therapieempfehlung-typ
...... code 1..1 code Symbol in syntax defined by the system
... priority S 0..1 code routine | urgent | asap | stat
... code S 1..1 CodeableConcept Art der nicht-medikamentösen Intervention
.... Slices for coding 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:system
..... coding:snomed S 0..1 Coding Code defined by a terminology system
Binding: ProcedureCodes(SNOMEDCT) (extensible)
...... system 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
..... coding:ops S 0..1 Coding Code defined by a terminology system
Binding: Operationen- und Prozedurenschlüssel . (extensible)
...... system 1..1 uri Identity of the terminology system
Required Pattern: http://fhir.de/CodeSystem/bfarm/ops
..... coding:loinc S 0..1 Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
.... text S 1..1 string Plain text representation of the concept
... subject S 1..1 Reference(Patient) Patient, für den die Therapie empfohlen wird
... encounter S 0..1 Reference(Encounter) Behandlungskontext der Empfehlung
... occurrence[x] S 0..1 dateTime, Period, Timing Empfohlener Zeitpunkt oder Zeitraum für die Intervention
... requester S 0..1 Reference(Practitioner | PractitionerRole | Organization) Empfehlender Arzt/Einrichtung
... performer S 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Vorgesehener Durchführender der Intervention
... reasonCode S 0..* CodeableConcept Grund für die Therapieempfehlung (codiert)
... reasonReference S 0..* Reference(Condition | Observation | DiagnosticReport) Verweis auf zugrundeliegende Diagnose oder Befund
... supportingInfo S 0..* Reference(DocumentReference | Observation | DiagnosticReport) Unterstützende Informationen zur Empfehlung
... note S 0..* Annotation Zusätzliche Anmerkungen zur Therapieempfehlung

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
ServiceRequest.category:MVGenomSeqTherapieStrategie Base required MII VS SE Therapieempfehlung Strategie - Nicht-Medikamentös 📦2027.0.0-ballot This IG
ServiceRequest.category:MVGenomSeqTherapieTyp Base required MII VS SE Therapieempfehlung Typ 📦2027.0.0-ballot This IG
ServiceRequest.code.​coding:snomed Base extensible Procedure Codes (SNOMED CT) 📦4.0.1 FHIR Std.
ServiceRequest.code.​coding:ops Base extensible Operationen- und Prozedurenschlüssel . ⏿2026 127.0.0.1

Snapshot-AnsichtView

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 Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 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:Prioritaet S 0..1 decimal MII EX SE Empfehlung Priorität
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-ex-seltene-empfehlung-prioritaet
.... extension:Publikation S 0..* Identifier MII EX SE Empfehlung Publikation
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-ex-seltene-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 ?!SΣ 1..1 code proposal
Binding: RequestIntent (required): The kind of service request.
Required Pattern: proposal
... Slices for category SΣ 1..* CodeableConcept Classification of service
Slice: Unordered, Open by value:coding.system
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
.... category:MVGenomSeqTherapieStrategie SΣ 0..1 CodeableConcept Modellvorhaben GenomSeq Therapiestrategie-Typ (Nicht-Medikamentös)
Binding: MII VS SE Therapieempfehlung Strategie - Nicht-Medikamentös (required)
..... 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
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/CodeSystem/mii-cs-seltene-therapieempfehlung-strategie
...... 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
.... category:MVGenomSeqTherapieTyp SΣ 0..1 CodeableConcept Modellvorhaben GenomSeq Therapietyp (Kausal/Symptomatisch)
Binding: MII VS SE Therapieempfehlung Typ (required)
..... 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
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/CodeSystem/mii-cs-seltene-therapieempfehlung-typ
...... 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 SΣ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code SΣ 1..1 CodeableConcept Art der nicht-medikamentösen Intervention
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.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:system
..... coding:snomed SΣ 0..1 Coding Code defined by a terminology system
Binding: ProcedureCodes(SNOMEDCT) (extensible)
...... 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
Required Pattern: http://snomed.info/sct
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..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
..... coding:ops SΣ 0..1 Coding Code defined by a terminology system
Binding: Operationen- und Prozedurenschlüssel . (extensible)
...... 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
Required Pattern: http://fhir.de/CodeSystem/bfarm/ops
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..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
..... coding:loinc SΣ 0..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
Required Pattern: http://loinc.org
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..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 SΣ 1..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] Σ 0..1 Service amount
.... quantityQuantity Quantity
.... quantityRatio Ratio
.... quantityRange Range
... subject SΣ 1..1 Reference(Patient) Patient, für den die Therapie empfohlen wird
... encounter SΣ 0..1 Reference(Encounter) Behandlungskontext der Empfehlung
... occurrence[x] SΣ 0..1 Empfohlener Zeitpunkt oder Zeitraum für die Intervention
.... 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 SΣ 0..1 Reference(Practitioner | PractitionerRole | Organization) Empfehlender Arzt/Einrichtung
... 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 SΣ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Vorgesehener Durchführender der Intervention
... locationCode Σ 0..* CodeableConcept Requested location
Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
... locationReference Σ 0..* Reference(Location) Requested location
... reasonCode SΣ 0..* CodeableConcept Grund für die Therapieempfehlung (codiert)
Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
... reasonReference SΣ 0..* Reference(Condition | Observation | DiagnosticReport) Verweis auf zugrundeliegende Diagnose oder Befund
... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... supportingInfo S 0..* Reference(DocumentReference | Observation | DiagnosticReport) Unterstützende Informationen zur Empfehlung
... 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 S 0..* Annotation Zusätzliche Anmerkungen zur Therapieempfehlung
... 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.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.category:MVGenomSeqTherapieStrategie Base required MII VS SE Therapieempfehlung Strategie - Nicht-Medikamentös 📦2027.0.0-ballot This IG
ServiceRequest.category:MVGenomSeqTherapieTyp Base required MII VS SE Therapieempfehlung Typ 📦2027.0.0-ballot 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.code.​coding:snomed Base extensible Procedure Codes (SNOMED CT) 📦4.0.1 FHIR Std.
ServiceRequest.code.​coding:ops Base extensible Operationen- und Prozedurenschlüssel . ⏿2026 127.0.0.1
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()

Diese Struktur ist abgeleitet von ServiceRequest

Summary

Mandatory: 3 elements(9 nested mandatory elements)
Must-Support: 22 elements

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of ServiceRequest.category
  • The element 1 is sliced based on the value of ServiceRequest.code.coding

 

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