German Practice Management FHIR Profiles (R4)
0.90.0 - STU1 Germany

German Practice Management FHIR Profiles (R4) - Local Development build (v0.90.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: e16H Medical Aid Request

Official URL: https://fhir.cognovis.de/praxis/StructureDefinition/fpde-e16h-medical-aid-request Version: 0.90.0
Active as of 2026-07-29 Computable Name: FPDEE16HMedicalAidRequest
Other Identifiers: OID:2.16.840.1.113883.3.7985.42.347

Patient-focused request for a medical aid with indication, optional supporting measurements, quantity or customization parameters, and coverage context.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DeviceRequest 0..* DeviceRequest Medical device request
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 1..* Identifier External Request identifier
... intent ?!Σ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of diagnostic request.
Required Pattern: order
... code[x] SΣ 1..1 CodeableConcept Device requested
Binding: FHIRDeviceTypes (example): Codes for devices that can be requested.
... parameter S 1..* BackboneElement Device details
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
... subject SΣ 1..1 Reference(Patient) Focus of request
... authoredOn SΣ 1..1 dateTime When recorded
... requester SΣ 1..1 Reference(Practitioner | PractitionerRole) Who/what is requesting diagnostics
... reasonReference SΣ 1..* Reference(Condition) Linked Reason for request
... insurance S 1..* Reference(Coverage) Associated insurance coverage
... supportingInfo S 0..* Reference(Observation | Condition) Additional clinical information

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DeviceRequest.status Base required RequestStatus 📍4.0.1 FHIR Std.
DeviceRequest.intent Base required RequestIntent 📍4.0.1 FHIR Std.
DeviceRequest.code[x] Base example FHIR Device Types 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error DeviceRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DeviceRequest 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 DeviceRequest 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 DeviceRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DeviceRequest 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()

This structure is derived from DeviceRequest

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DeviceRequest 0..* DeviceRequest Medical device request
... identifier S 1..* Identifier External Request identifier
... status S 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
... intent 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Required Pattern: order
... parameter S 1..* BackboneElement Device details
... subject S 1..1 Reference(Patient) Focus of request
... authoredOn S 1..1 dateTime When recorded
... requester S 1..1 Reference(Practitioner | PractitionerRole) Who/what is requesting diagnostics
... reasonReference S 1..* Reference(Condition) Linked Reason for request
... insurance S 1..* Reference(Coverage) Associated insurance coverage
... supportingInfo S 0..* Reference(Observation | Condition) Additional clinical information

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DeviceRequest 0..* DeviceRequest Medical device request
... 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
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 1..* Identifier External Request identifier
... instantiatesCanonical Σ 0..* canonical(ActivityDefinition | PlanDefinition) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(Resource) What request fulfills
... priorRequest Σ 0..* Reference(Resource) What request replaces
... groupIdentifier Σ 0..1 Identifier Identifier of composite request
... status ?!SΣ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): Codes representing the status of the request.
... intent ?!Σ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of diagnostic request.
Required Pattern: order
... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
... code[x] SΣ 1..1 CodeableConcept Device requested
Binding: FHIRDeviceTypes (example): Codes for devices that can be requested.
... parameter S 1..* BackboneElement Device details
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 0..1 CodeableConcept Device detail
Binding Description: (example): A code that identifies the device detail.
.... value[x] 0..1 Value of detail
..... valueCodeableConcept CodeableConcept
..... valueQuantity Quantity
..... valueRange Range
..... valueBoolean boolean
... subject SΣ 1..1 Reference(Patient) Focus of request
... encounter Σ 0..1 Reference(Encounter) Encounter motivating request
... occurrence[x] Σ 0..1 Desired time or schedule for use
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
... authoredOn SΣ 1..1 dateTime When recorded
... requester SΣ 1..1 Reference(Practitioner | PractitionerRole) Who/what is requesting diagnostics
... performerType Σ 0..1 CodeableConcept Filler 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..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Requested Filler
... reasonCode Σ 0..* CodeableConcept Coded Reason for request
Binding: Condition/Problem/DiagnosisCodes (example): Diagnosis or problem codes justifying the reason for requesting the device.
... reasonReference SΣ 1..* Reference(Condition) Linked Reason for request
... insurance S 1..* Reference(Coverage) Associated insurance coverage
... supportingInfo S 0..* Reference(Observation | Condition) Additional clinical information
... note 0..* Annotation Notes or comments
... relevantHistory 0..* Reference(Provenance) Request provenance

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DeviceRequest.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DeviceRequest.status Base required RequestStatus 📍4.0.1 FHIR Std.
DeviceRequest.intent Base required RequestIntent 📍4.0.1 FHIR Std.
DeviceRequest.priority Base required Request priority 📍4.0.1 FHIR Std.
DeviceRequest.code[x] Base example FHIR Device Types 📍4.0.1 FHIR Std.
DeviceRequest.parameter.​code Base example Not State Unknown
DeviceRequest.performerType Base example Participant Roles 📍4.0.1 FHIR Std.
DeviceRequest.reasonCode Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error DeviceRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DeviceRequest 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 DeviceRequest 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 DeviceRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DeviceRequest 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()

This structure is derived from DeviceRequest

Summary

Mandatory: 7 elements
Must-Support: 10 elements

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DeviceRequest 0..* DeviceRequest Medical device request
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 1..* Identifier External Request identifier
... intent ?!Σ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of diagnostic request.
Required Pattern: order
... code[x] SΣ 1..1 CodeableConcept Device requested
Binding: FHIRDeviceTypes (example): Codes for devices that can be requested.
... parameter S 1..* BackboneElement Device details
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
... subject SΣ 1..1 Reference(Patient) Focus of request
... authoredOn SΣ 1..1 dateTime When recorded
... requester SΣ 1..1 Reference(Practitioner | PractitionerRole) Who/what is requesting diagnostics
... reasonReference SΣ 1..* Reference(Condition) Linked Reason for request
... insurance S 1..* Reference(Coverage) Associated insurance coverage
... supportingInfo S 0..* Reference(Observation | Condition) Additional clinical information

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DeviceRequest.status Base required RequestStatus 📍4.0.1 FHIR Std.
DeviceRequest.intent Base required RequestIntent 📍4.0.1 FHIR Std.
DeviceRequest.code[x] Base example FHIR Device Types 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error DeviceRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DeviceRequest 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 DeviceRequest 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 DeviceRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DeviceRequest 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()

Differential View

This structure is derived from DeviceRequest

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DeviceRequest 0..* DeviceRequest Medical device request
... identifier S 1..* Identifier External Request identifier
... status S 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
... intent 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Required Pattern: order
... parameter S 1..* BackboneElement Device details
... subject S 1..1 Reference(Patient) Focus of request
... authoredOn S 1..1 dateTime When recorded
... requester S 1..1 Reference(Practitioner | PractitionerRole) Who/what is requesting diagnostics
... reasonReference S 1..* Reference(Condition) Linked Reason for request
... insurance S 1..* Reference(Coverage) Associated insurance coverage
... supportingInfo S 0..* Reference(Observation | Condition) Additional clinical information

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DeviceRequest 0..* DeviceRequest Medical device request
... 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
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 1..* Identifier External Request identifier
... instantiatesCanonical Σ 0..* canonical(ActivityDefinition | PlanDefinition) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(Resource) What request fulfills
... priorRequest Σ 0..* Reference(Resource) What request replaces
... groupIdentifier Σ 0..1 Identifier Identifier of composite request
... status ?!SΣ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): Codes representing the status of the request.
... intent ?!Σ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of diagnostic request.
Required Pattern: order
... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
... code[x] SΣ 1..1 CodeableConcept Device requested
Binding: FHIRDeviceTypes (example): Codes for devices that can be requested.
... parameter S 1..* BackboneElement Device details
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 0..1 CodeableConcept Device detail
Binding Description: (example): A code that identifies the device detail.
.... value[x] 0..1 Value of detail
..... valueCodeableConcept CodeableConcept
..... valueQuantity Quantity
..... valueRange Range
..... valueBoolean boolean
... subject SΣ 1..1 Reference(Patient) Focus of request
... encounter Σ 0..1 Reference(Encounter) Encounter motivating request
... occurrence[x] Σ 0..1 Desired time or schedule for use
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
... authoredOn SΣ 1..1 dateTime When recorded
... requester SΣ 1..1 Reference(Practitioner | PractitionerRole) Who/what is requesting diagnostics
... performerType Σ 0..1 CodeableConcept Filler 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..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Requested Filler
... reasonCode Σ 0..* CodeableConcept Coded Reason for request
Binding: Condition/Problem/DiagnosisCodes (example): Diagnosis or problem codes justifying the reason for requesting the device.
... reasonReference SΣ 1..* Reference(Condition) Linked Reason for request
... insurance S 1..* Reference(Coverage) Associated insurance coverage
... supportingInfo S 0..* Reference(Observation | Condition) Additional clinical information
... note 0..* Annotation Notes or comments
... relevantHistory 0..* Reference(Provenance) Request provenance

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DeviceRequest.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DeviceRequest.status Base required RequestStatus 📍4.0.1 FHIR Std.
DeviceRequest.intent Base required RequestIntent 📍4.0.1 FHIR Std.
DeviceRequest.priority Base required Request priority 📍4.0.1 FHIR Std.
DeviceRequest.code[x] Base example FHIR Device Types 📍4.0.1 FHIR Std.
DeviceRequest.parameter.​code Base example Not State Unknown
DeviceRequest.performerType Base example Participant Roles 📍4.0.1 FHIR Std.
DeviceRequest.reasonCode Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error DeviceRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DeviceRequest 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 DeviceRequest 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 DeviceRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DeviceRequest 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()

This structure is derived from DeviceRequest

Summary

Mandatory: 7 elements
Must-Support: 10 elements

 

Other representations of profile: CSV, Excel, Schematron