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: Praxis Therapeutic Remedy DE

Official URL: https://fhir.cognovis.de/praxis/StructureDefinition/praxis-therapeutic-remedy-de Version: 0.90.0
Active as of 2026-07-29 Computable Name: PraxisTherapeuticRemedyDE
Other Identifiers: OID:2.16.840.1.113883.3.7985.42.327

Heilmittelverordnung (Muster 13) als ServiceRequest — Verordnung eines Heilmittels (Physio, Ergo, Logo, Podo, Ernaehrung), nicht als Ueberweisung. Bindet gevko eHeilmittelverordnung-Terminologie (EVO_VS_HLM_*) und KBV Heilmittel-Diagnosegruppe.

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
.. 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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code Status der Heilmittelverordnung
Binding: RequestStatus (required): The status of a service order.
... Slices for category SΣ 1..* CodeableConcept Classification of service
Slice: Unordered, Closed by pattern:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
.... category:therapeuticRemedy SΣ 1..1 CodeableConcept Therapeutic remedy order discriminator (eHLM)
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: https://fhir.gevko.de/CodeSystem/EVO_CS_FOR_FormularArt
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: e13
...... display 1..1 string Representation defined by the system
Fixed Value: eHLM elektronische Heilmittelverordnung
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code SΣ 0..1 CodeableConcept Verordnetes Heilmittel / Positionsnummer aus Heilmittelkatalog
Binding: Heilmittelkatalog (example)
.... coding SΣ 1..* Coding Code defined by a terminology system
..... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://fhir.gevko.de/CodeSystem/EVO_CS_HLM_Katalog
..... code SΣ 1..1 code Symbol in syntax defined by the system
... Slices for orderDetail SΣC 0..* CodeableConcept Additional order information
Slice: Unordered, Open by value:coding.system
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
.... orderDetail:diagnosegruppe SΣC 0..1 CodeableConcept Heilmittel-Diagnosegruppe (KBV Schluesseltabelle)
Binding: KBV_VS_SFHIR_HM_DIAGNOSEGRUPPE (required)
..... coding SΣ 1..* Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_HM_DIAGNOSEGRUPPE
.... orderDetail:leitsymptomatik SΣC 0..1 CodeableConcept Leitsymptomatik nach Heilmittelkatalog
Binding: Patientenindividuellen Leitsymptomatik (required)
..... coding SΣ 1..* Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: https://fhir.gevko.de/CodeSystem/EVO_CS_HLM_Leitsymptomatik
.... orderDetail:anlageTyp SΣC 0..1 CodeableConcept Heilmittel oder ergaenzendes Heilmittel
Binding: HLM oder ergänzendes HLM (required)
..... coding SΣ 1..* Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: https://fhir.gevko.de/CodeSystem/EVO_CS_HLM_Section_Type
.... orderDetail:heilmittelbereich SΣC 0..1 CodeableConcept Heilmittelbereich (Physio, Ergo, Logo, Podo, Ernaehrung)
Binding: Heilmittelbereich (required)
..... coding SΣ 1..* Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: https://fhir.gevko.de/CodeSystem/EVO_CS_HLM_Heilmittelbereich
.... orderDetail:hausbesuch SΣC 0..1 CodeableConcept Hausbesuch angezeigt
Binding: Hausbesuch (extensible)
..... coding SΣ 1..* Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: https://fhir.gevko.de/CodeSystem/EVO_CS_HLM_Hausbesuch
... quantity[x] SΣ 0..1 Verordnete Menge (z.B. Behandlungseinheiten)
.... quantityQuantity Quantity
.... quantityRatio Ratio
.... quantityRange Range
... subject SΣ 1..1 Reference(Patient) Patient mit Heilmittelbedarf
... occurrence[x] SΣ 0..1 Behandlungsfrequenz / Zeitplan
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
... authoredOn SΣ 0..1 dateTime Verordnungsdatum
... requester SΣ 0..1 Reference(PractitionerRole | Practitioner | Organization) Verordnender Arzt (LANR) bzw. Betriebsstaette (BSNR)
... Slices for reasonCode SΣ 0..* CodeableConcept Explanation/Justification for procedure or service
Slice: Unordered, Open by value:coding.system
Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
.... reasonCode:icd10gm SΣ 0..* CodeableConcept ICD-10-GM Indikation / Diagnose fuer die Heilmittelverordnung
Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
..... coding SΣ 1..* Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... code SΣ 1..1 code Symbol in syntax defined by the system
... insurance S 0..* Reference(FPDE Coverage GKV | FPDE Coverage Privat) Versicherungsreferenz (GKV oder Privat)

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:therapeuticRemedy Base example Service Request Category Codes 📍4.0.1 FHIR Std.
ServiceRequest.code Base example Heilmittelkatalog 📦1.0 Heilmittel Terminology v1.0
ServiceRequest.orderDetail Base example Service Request Order Details Codes 📍4.0.1 FHIR Std.
ServiceRequest.orderDetail:diagnosegruppe Base required KBV_VS_SFHIR_HM_DIAGNOSEGRUPPE 📦1.08 KBV Terminologies v1.0
ServiceRequest.orderDetail:leitsymptomatik Base required Patientenindividuellen Leitsymptomatik 📦1.3 Heilmittel Terminology v1.0
ServiceRequest.orderDetail:anlageTyp Base required HLM oder ergänzendes HLM 📦1.3 Heilmittel Terminology v1.0
ServiceRequest.orderDetail:heilmittelbereich Base required Heilmittelbereich 📦1.3 Heilmittel Terminology v1.0
ServiceRequest.orderDetail:hausbesuch Base extensible Hausbesuch 📦1.3 Heilmittel Terminology v1.0
ServiceRequest.reasonCode Base example Procedure Reason Codes 📍4.0.1 FHIR Std.
ServiceRequest.reasonCode:icd10gm 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()

This structure is derived from ServiceRequest

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest 0..* ServiceRequest A request for a service to be performed
... status S 1..1 code Status der Heilmittelverordnung
... intent S 1..1 code order — eine Heilmittelverordnung ist eine Auftragsleistung
Required Pattern: order
... Slices for category S 1..* CodeableConcept Classification of service
Slice: Unordered, Closed by pattern:$this
.... category:therapeuticRemedy S 1..1 CodeableConcept Therapeutic remedy order discriminator (eHLM)
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: https://fhir.gevko.de/CodeSystem/EVO_CS_FOR_FormularArt
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: e13
...... display 1..1 string Representation defined by the system
Fixed Value: eHLM elektronische Heilmittelverordnung
.... coding S 1..* Coding Code defined by a terminology system
..... system S 1..1 uri Identity of the terminology system
Required Pattern: https://fhir.gevko.de/CodeSystem/EVO_CS_HLM_Katalog
..... code S 1..1 code Symbol in syntax defined by the system
... Slices for orderDetail S 0..* CodeableConcept Additional order information
Slice: Unordered, Open by value:coding.system
.... orderDetail:diagnosegruppe S 0..1 CodeableConcept Heilmittel-Diagnosegruppe (KBV Schluesseltabelle)
Binding: KBV_VS_SFHIR_HM_DIAGNOSEGRUPPE (required)
..... coding S 1..* Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
Required Pattern: https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_HM_DIAGNOSEGRUPPE
.... orderDetail:leitsymptomatik S 0..1 CodeableConcept Leitsymptomatik nach Heilmittelkatalog
Binding: Patientenindividuellen Leitsymptomatik (required)
..... coding S 1..* Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
Required Pattern: https://fhir.gevko.de/CodeSystem/EVO_CS_HLM_Leitsymptomatik
.... orderDetail:anlageTyp S 0..1 CodeableConcept Heilmittel oder ergaenzendes Heilmittel
Binding: HLM oder ergänzendes HLM (required)
..... coding S 1..* Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
Required Pattern: https://fhir.gevko.de/CodeSystem/EVO_CS_HLM_Section_Type
.... orderDetail:heilmittelbereich S 0..1 CodeableConcept Heilmittelbereich (Physio, Ergo, Logo, Podo, Ernaehrung)
Binding: Heilmittelbereich (required)
..... coding S 1..* Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
Required Pattern: https://fhir.gevko.de/CodeSystem/EVO_CS_HLM_Heilmittelbereich
.... orderDetail:hausbesuch S 0..1 CodeableConcept Hausbesuch angezeigt
Binding: Hausbesuch (extensible)
..... coding S 1..* Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
Required Pattern: https://fhir.gevko.de/CodeSystem/EVO_CS_HLM_Hausbesuch
... quantity[x] S 0..1 Quantity, Ratio, Range Verordnete Menge (z.B. Behandlungseinheiten)
... subject S 1..1 Reference(Patient) Patient mit Heilmittelbedarf
... occurrence[x] S 0..1 dateTime, Period, Timing Behandlungsfrequenz / Zeitplan
... authoredOn S 0..1 dateTime Verordnungsdatum
... requester S 0..1 Reference(PractitionerRole | Practitioner | Organization) Verordnender Arzt (LANR) bzw. Betriebsstaette (BSNR)
... Slices for reasonCode S 0..* CodeableConcept Explanation/Justification for procedure or service
Slice: Unordered, Open by value:coding.system
.... reasonCode:icd10gm S 0..* CodeableConcept ICD-10-GM Indikation / Diagnose fuer die Heilmittelverordnung
..... coding S 1..* Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
Required Pattern: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... code S 1..1 code Symbol in syntax defined by the system
... insurance S 0..* Reference(FPDE Coverage GKV | FPDE Coverage Privat) Versicherungsreferenz (GKV oder Privat)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
ServiceRequest.code Base example Heilmittelkatalog 📦1.0 Heilmittel Terminology v1.0
ServiceRequest.orderDetail:diagnosegruppe Base required KBV_VS_SFHIR_HM_DIAGNOSEGRUPPE 📦1.08 KBV Terminologies v1.0
ServiceRequest.orderDetail:leitsymptomatik Base required Patientenindividuellen Leitsymptomatik 📦1.3 Heilmittel Terminology v1.0
ServiceRequest.orderDetail:anlageTyp Base required HLM oder ergänzendes HLM 📦1.3 Heilmittel Terminology v1.0
ServiceRequest.orderDetail:heilmittelbereich Base required Heilmittelbereich 📦1.3 Heilmittel Terminology v1.0
ServiceRequest.orderDetail:hausbesuch Base extensible Hausbesuch 📦1.3 Heilmittel Terminology v1.0
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
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Identifiers assigned to this order
... instantiatesCanonical Σ 0..* canonical(ActivityDefinition | PlanDefinition) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(CarePlan | ServiceRequest | MedicationRequest) What request fulfills
... replaces Σ 0..* Reference(ServiceRequest) What request replaces
... requisition Σ 0..1 Identifier Composite Request ID
... status ?!SΣ 1..1 code Status der Heilmittelverordnung
Binding: RequestStatus (required): The status of a service order.
... intent ?!SΣ 1..1 code order — eine Heilmittelverordnung ist eine Auftragsleistung
Binding: RequestIntent (required): The kind of service request.
Required Pattern: order
... Slices for category SΣ 1..* CodeableConcept Classification of service
Slice: Unordered, Closed by pattern:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
.... category:therapeuticRemedy SΣ 1..1 CodeableConcept Therapeutic remedy order discriminator (eHLM)
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: https://fhir.gevko.de/CodeSystem/EVO_CS_FOR_FormularArt
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: e13
...... display 1..1 string Representation defined by the system
Fixed Value: eHLM elektronische Heilmittelverordnung
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code SΣ 0..1 CodeableConcept Verordnetes Heilmittel / Positionsnummer aus Heilmittelkatalog
Binding: Heilmittelkatalog (example)
.... 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 SΣ 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 SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://fhir.gevko.de/CodeSystem/EVO_CS_HLM_Katalog
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 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
... Slices for orderDetail SΣC 0..* CodeableConcept Additional order information
Slice: Unordered, Open by value:coding.system
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
.... orderDetail:diagnosegruppe SΣC 0..1 CodeableConcept Heilmittel-Diagnosegruppe (KBV Schluesseltabelle)
Binding: KBV_VS_SFHIR_HM_DIAGNOSEGRUPPE (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 SΣ 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://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_HM_DIAGNOSEGRUPPE
...... 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 Σ 0..1 string Plain text representation of the concept
.... orderDetail:leitsymptomatik SΣC 0..1 CodeableConcept Leitsymptomatik nach Heilmittelkatalog
Binding: Patientenindividuellen Leitsymptomatik (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 SΣ 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://fhir.gevko.de/CodeSystem/EVO_CS_HLM_Leitsymptomatik
...... 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 Σ 0..1 string Plain text representation of the concept
.... orderDetail:anlageTyp SΣC 0..1 CodeableConcept Heilmittel oder ergaenzendes Heilmittel
Binding: HLM oder ergänzendes HLM (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 SΣ 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://fhir.gevko.de/CodeSystem/EVO_CS_HLM_Section_Type
...... 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 Σ 0..1 string Plain text representation of the concept
.... orderDetail:heilmittelbereich SΣC 0..1 CodeableConcept Heilmittelbereich (Physio, Ergo, Logo, Podo, Ernaehrung)
Binding: Heilmittelbereich (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 SΣ 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://fhir.gevko.de/CodeSystem/EVO_CS_HLM_Heilmittelbereich
...... 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 Σ 0..1 string Plain text representation of the concept
.... orderDetail:hausbesuch SΣC 0..1 CodeableConcept Hausbesuch angezeigt
Binding: Hausbesuch (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
..... coding SΣ 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://fhir.gevko.de/CodeSystem/EVO_CS_HLM_Hausbesuch
...... 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 Σ 0..1 string Plain text representation of the concept
... quantity[x] SΣ 0..1 Verordnete Menge (z.B. Behandlungseinheiten)
.... quantityQuantity Quantity
.... quantityRatio Ratio
.... quantityRange Range
... subject SΣ 1..1 Reference(Patient) Patient mit Heilmittelbedarf
... encounter Σ 0..1 Reference(Encounter) Encounter in which the request was created
... occurrence[x] SΣ 0..1 Behandlungsfrequenz / Zeitplan
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
... asNeeded[x] Σ 0..1 Preconditions for service
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
.... asNeededBoolean boolean
.... asNeededCodeableConcept CodeableConcept
... authoredOn SΣ 0..1 dateTime Verordnungsdatum
... requester SΣ 0..1 Reference(PractitionerRole | Practitioner | Organization) Verordnender Arzt (LANR) bzw. Betriebsstaette (BSNR)
... 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
... Slices for reasonCode SΣ 0..* CodeableConcept Explanation/Justification for procedure or service
Slice: Unordered, Open by value:coding.system
Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
.... reasonCode:icd10gm SΣ 0..* CodeableConcept ICD-10-GM Indikation / Diagnose fuer die Heilmittelverordnung
Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
..... 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 SΣ 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://fhir.de/CodeSystem/bfarm/icd-10-gm
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 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
... reasonReference Σ 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Explanation/Justification for service or service
... insurance S 0..* Reference(FPDE Coverage GKV | FPDE Coverage Privat) Versicherungsreferenz (GKV oder Privat)
... supportingInfo 0..* Reference(Resource) 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.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:therapeuticRemedy 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 Heilmittelkatalog 📦1.0 Heilmittel Terminology v1.0
ServiceRequest.orderDetail Base example Service Request Order Details Codes 📍4.0.1 FHIR Std.
ServiceRequest.orderDetail:diagnosegruppe Base required KBV_VS_SFHIR_HM_DIAGNOSEGRUPPE 📦1.08 KBV Terminologies v1.0
ServiceRequest.orderDetail:leitsymptomatik Base required Patientenindividuellen Leitsymptomatik 📦1.3 Heilmittel Terminology v1.0
ServiceRequest.orderDetail:anlageTyp Base required HLM oder ergänzendes HLM 📦1.3 Heilmittel Terminology v1.0
ServiceRequest.orderDetail:heilmittelbereich Base required Heilmittelbereich 📦1.3 Heilmittel Terminology v1.0
ServiceRequest.orderDetail:hausbesuch Base extensible Hausbesuch 📦1.3 Heilmittel Terminology v1.0
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 v7.2
ServiceRequest.reasonCode Base example Procedure Reason Codes 📍4.0.1 FHIR Std.
ServiceRequest.reasonCode:icd10gm 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()

This structure is derived from ServiceRequest

Summary

Mandatory: 2 elements(16 nested mandatory elements)
Must-Support: 29 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of ServiceRequest.category (Closed)
  • The element 1 is sliced based on the value of ServiceRequest.orderDetail
  • The element 1 is sliced based on the value of ServiceRequest.reasonCode

Key Elements View

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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code Status der Heilmittelverordnung
Binding: RequestStatus (required): The status of a service order.
... Slices for category SΣ 1..* CodeableConcept Classification of service
Slice: Unordered, Closed by pattern:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
.... category:therapeuticRemedy SΣ 1..1 CodeableConcept Therapeutic remedy order discriminator (eHLM)
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: https://fhir.gevko.de/CodeSystem/EVO_CS_FOR_FormularArt
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: e13
...... display 1..1 string Representation defined by the system
Fixed Value: eHLM elektronische Heilmittelverordnung
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code SΣ 0..1 CodeableConcept Verordnetes Heilmittel / Positionsnummer aus Heilmittelkatalog
Binding: Heilmittelkatalog (example)
.... coding SΣ 1..* Coding Code defined by a terminology system
..... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://fhir.gevko.de/CodeSystem/EVO_CS_HLM_Katalog
..... code SΣ 1..1 code Symbol in syntax defined by the system
... Slices for orderDetail SΣC 0..* CodeableConcept Additional order information
Slice: Unordered, Open by value:coding.system
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
.... orderDetail:diagnosegruppe SΣC 0..1 CodeableConcept Heilmittel-Diagnosegruppe (KBV Schluesseltabelle)
Binding: KBV_VS_SFHIR_HM_DIAGNOSEGRUPPE (required)
..... coding SΣ 1..* Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_HM_DIAGNOSEGRUPPE
.... orderDetail:leitsymptomatik SΣC 0..1 CodeableConcept Leitsymptomatik nach Heilmittelkatalog
Binding: Patientenindividuellen Leitsymptomatik (required)
..... coding SΣ 1..* Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: https://fhir.gevko.de/CodeSystem/EVO_CS_HLM_Leitsymptomatik
.... orderDetail:anlageTyp SΣC 0..1 CodeableConcept Heilmittel oder ergaenzendes Heilmittel
Binding: HLM oder ergänzendes HLM (required)
..... coding SΣ 1..* Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: https://fhir.gevko.de/CodeSystem/EVO_CS_HLM_Section_Type
.... orderDetail:heilmittelbereich SΣC 0..1 CodeableConcept Heilmittelbereich (Physio, Ergo, Logo, Podo, Ernaehrung)
Binding: Heilmittelbereich (required)
..... coding SΣ 1..* Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: https://fhir.gevko.de/CodeSystem/EVO_CS_HLM_Heilmittelbereich
.... orderDetail:hausbesuch SΣC 0..1 CodeableConcept Hausbesuch angezeigt
Binding: Hausbesuch (extensible)
..... coding SΣ 1..* Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: https://fhir.gevko.de/CodeSystem/EVO_CS_HLM_Hausbesuch
... quantity[x] SΣ 0..1 Verordnete Menge (z.B. Behandlungseinheiten)
.... quantityQuantity Quantity
.... quantityRatio Ratio
.... quantityRange Range
... subject SΣ 1..1 Reference(Patient) Patient mit Heilmittelbedarf
... occurrence[x] SΣ 0..1 Behandlungsfrequenz / Zeitplan
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
... authoredOn SΣ 0..1 dateTime Verordnungsdatum
... requester SΣ 0..1 Reference(PractitionerRole | Practitioner | Organization) Verordnender Arzt (LANR) bzw. Betriebsstaette (BSNR)
... Slices for reasonCode SΣ 0..* CodeableConcept Explanation/Justification for procedure or service
Slice: Unordered, Open by value:coding.system
Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
.... reasonCode:icd10gm SΣ 0..* CodeableConcept ICD-10-GM Indikation / Diagnose fuer die Heilmittelverordnung
Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
..... coding SΣ 1..* Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... code SΣ 1..1 code Symbol in syntax defined by the system
... insurance S 0..* Reference(FPDE Coverage GKV | FPDE Coverage Privat) Versicherungsreferenz (GKV oder Privat)

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:therapeuticRemedy Base example Service Request Category Codes 📍4.0.1 FHIR Std.
ServiceRequest.code Base example Heilmittelkatalog 📦1.0 Heilmittel Terminology v1.0
ServiceRequest.orderDetail Base example Service Request Order Details Codes 📍4.0.1 FHIR Std.
ServiceRequest.orderDetail:diagnosegruppe Base required KBV_VS_SFHIR_HM_DIAGNOSEGRUPPE 📦1.08 KBV Terminologies v1.0
ServiceRequest.orderDetail:leitsymptomatik Base required Patientenindividuellen Leitsymptomatik 📦1.3 Heilmittel Terminology v1.0
ServiceRequest.orderDetail:anlageTyp Base required HLM oder ergänzendes HLM 📦1.3 Heilmittel Terminology v1.0
ServiceRequest.orderDetail:heilmittelbereich Base required Heilmittelbereich 📦1.3 Heilmittel Terminology v1.0
ServiceRequest.orderDetail:hausbesuch Base extensible Hausbesuch 📦1.3 Heilmittel Terminology v1.0
ServiceRequest.reasonCode Base example Procedure Reason Codes 📍4.0.1 FHIR Std.
ServiceRequest.reasonCode:icd10gm 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 View

This structure is derived from ServiceRequest

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest 0..* ServiceRequest A request for a service to be performed
... status S 1..1 code Status der Heilmittelverordnung
... intent S 1..1 code order — eine Heilmittelverordnung ist eine Auftragsleistung
Required Pattern: order
... Slices for category S 1..* CodeableConcept Classification of service
Slice: Unordered, Closed by pattern:$this
.... category:therapeuticRemedy S 1..1 CodeableConcept Therapeutic remedy order discriminator (eHLM)
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: https://fhir.gevko.de/CodeSystem/EVO_CS_FOR_FormularArt
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: e13
...... display 1..1 string Representation defined by the system
Fixed Value: eHLM elektronische Heilmittelverordnung
.... coding S 1..* Coding Code defined by a terminology system
..... system S 1..1 uri Identity of the terminology system
Required Pattern: https://fhir.gevko.de/CodeSystem/EVO_CS_HLM_Katalog
..... code S 1..1 code Symbol in syntax defined by the system
... Slices for orderDetail S 0..* CodeableConcept Additional order information
Slice: Unordered, Open by value:coding.system
.... orderDetail:diagnosegruppe S 0..1 CodeableConcept Heilmittel-Diagnosegruppe (KBV Schluesseltabelle)
Binding: KBV_VS_SFHIR_HM_DIAGNOSEGRUPPE (required)
..... coding S 1..* Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
Required Pattern: https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_HM_DIAGNOSEGRUPPE
.... orderDetail:leitsymptomatik S 0..1 CodeableConcept Leitsymptomatik nach Heilmittelkatalog
Binding: Patientenindividuellen Leitsymptomatik (required)
..... coding S 1..* Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
Required Pattern: https://fhir.gevko.de/CodeSystem/EVO_CS_HLM_Leitsymptomatik
.... orderDetail:anlageTyp S 0..1 CodeableConcept Heilmittel oder ergaenzendes Heilmittel
Binding: HLM oder ergänzendes HLM (required)
..... coding S 1..* Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
Required Pattern: https://fhir.gevko.de/CodeSystem/EVO_CS_HLM_Section_Type
.... orderDetail:heilmittelbereich S 0..1 CodeableConcept Heilmittelbereich (Physio, Ergo, Logo, Podo, Ernaehrung)
Binding: Heilmittelbereich (required)
..... coding S 1..* Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
Required Pattern: https://fhir.gevko.de/CodeSystem/EVO_CS_HLM_Heilmittelbereich
.... orderDetail:hausbesuch S 0..1 CodeableConcept Hausbesuch angezeigt
Binding: Hausbesuch (extensible)
..... coding S 1..* Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
Required Pattern: https://fhir.gevko.de/CodeSystem/EVO_CS_HLM_Hausbesuch
... quantity[x] S 0..1 Quantity, Ratio, Range Verordnete Menge (z.B. Behandlungseinheiten)
... subject S 1..1 Reference(Patient) Patient mit Heilmittelbedarf
... occurrence[x] S 0..1 dateTime, Period, Timing Behandlungsfrequenz / Zeitplan
... authoredOn S 0..1 dateTime Verordnungsdatum
... requester S 0..1 Reference(PractitionerRole | Practitioner | Organization) Verordnender Arzt (LANR) bzw. Betriebsstaette (BSNR)
... Slices for reasonCode S 0..* CodeableConcept Explanation/Justification for procedure or service
Slice: Unordered, Open by value:coding.system
.... reasonCode:icd10gm S 0..* CodeableConcept ICD-10-GM Indikation / Diagnose fuer die Heilmittelverordnung
..... coding S 1..* Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
Required Pattern: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... code S 1..1 code Symbol in syntax defined by the system
... insurance S 0..* Reference(FPDE Coverage GKV | FPDE Coverage Privat) Versicherungsreferenz (GKV oder Privat)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
ServiceRequest.code Base example Heilmittelkatalog 📦1.0 Heilmittel Terminology v1.0
ServiceRequest.orderDetail:diagnosegruppe Base required KBV_VS_SFHIR_HM_DIAGNOSEGRUPPE 📦1.08 KBV Terminologies v1.0
ServiceRequest.orderDetail:leitsymptomatik Base required Patientenindividuellen Leitsymptomatik 📦1.3 Heilmittel Terminology v1.0
ServiceRequest.orderDetail:anlageTyp Base required HLM oder ergänzendes HLM 📦1.3 Heilmittel Terminology v1.0
ServiceRequest.orderDetail:heilmittelbereich Base required Heilmittelbereich 📦1.3 Heilmittel Terminology v1.0
ServiceRequest.orderDetail:hausbesuch Base extensible Hausbesuch 📦1.3 Heilmittel Terminology v1.0

Snapshot View

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
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Identifiers assigned to this order
... instantiatesCanonical Σ 0..* canonical(ActivityDefinition | PlanDefinition) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(CarePlan | ServiceRequest | MedicationRequest) What request fulfills
... replaces Σ 0..* Reference(ServiceRequest) What request replaces
... requisition Σ 0..1 Identifier Composite Request ID
... status ?!SΣ 1..1 code Status der Heilmittelverordnung
Binding: RequestStatus (required): The status of a service order.
... intent ?!SΣ 1..1 code order — eine Heilmittelverordnung ist eine Auftragsleistung
Binding: RequestIntent (required): The kind of service request.
Required Pattern: order
... Slices for category SΣ 1..* CodeableConcept Classification of service
Slice: Unordered, Closed by pattern:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
.... category:therapeuticRemedy SΣ 1..1 CodeableConcept Therapeutic remedy order discriminator (eHLM)
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: https://fhir.gevko.de/CodeSystem/EVO_CS_FOR_FormularArt
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: e13
...... display 1..1 string Representation defined by the system
Fixed Value: eHLM elektronische Heilmittelverordnung
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code SΣ 0..1 CodeableConcept Verordnetes Heilmittel / Positionsnummer aus Heilmittelkatalog
Binding: Heilmittelkatalog (example)
.... 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 SΣ 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 SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://fhir.gevko.de/CodeSystem/EVO_CS_HLM_Katalog
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 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
... Slices for orderDetail SΣC 0..* CodeableConcept Additional order information
Slice: Unordered, Open by value:coding.system
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
.... orderDetail:diagnosegruppe SΣC 0..1 CodeableConcept Heilmittel-Diagnosegruppe (KBV Schluesseltabelle)
Binding: KBV_VS_SFHIR_HM_DIAGNOSEGRUPPE (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 SΣ 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://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_HM_DIAGNOSEGRUPPE
...... 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 Σ 0..1 string Plain text representation of the concept
.... orderDetail:leitsymptomatik SΣC 0..1 CodeableConcept Leitsymptomatik nach Heilmittelkatalog
Binding: Patientenindividuellen Leitsymptomatik (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 SΣ 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://fhir.gevko.de/CodeSystem/EVO_CS_HLM_Leitsymptomatik
...... 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 Σ 0..1 string Plain text representation of the concept
.... orderDetail:anlageTyp SΣC 0..1 CodeableConcept Heilmittel oder ergaenzendes Heilmittel
Binding: HLM oder ergänzendes HLM (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 SΣ 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://fhir.gevko.de/CodeSystem/EVO_CS_HLM_Section_Type
...... 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 Σ 0..1 string Plain text representation of the concept
.... orderDetail:heilmittelbereich SΣC 0..1 CodeableConcept Heilmittelbereich (Physio, Ergo, Logo, Podo, Ernaehrung)
Binding: Heilmittelbereich (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 SΣ 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://fhir.gevko.de/CodeSystem/EVO_CS_HLM_Heilmittelbereich
...... 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 Σ 0..1 string Plain text representation of the concept
.... orderDetail:hausbesuch SΣC 0..1 CodeableConcept Hausbesuch angezeigt
Binding: Hausbesuch (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
..... coding SΣ 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://fhir.gevko.de/CodeSystem/EVO_CS_HLM_Hausbesuch
...... 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 Σ 0..1 string Plain text representation of the concept
... quantity[x] SΣ 0..1 Verordnete Menge (z.B. Behandlungseinheiten)
.... quantityQuantity Quantity
.... quantityRatio Ratio
.... quantityRange Range
... subject SΣ 1..1 Reference(Patient) Patient mit Heilmittelbedarf
... encounter Σ 0..1 Reference(Encounter) Encounter in which the request was created
... occurrence[x] SΣ 0..1 Behandlungsfrequenz / Zeitplan
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
... asNeeded[x] Σ 0..1 Preconditions for service
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
.... asNeededBoolean boolean
.... asNeededCodeableConcept CodeableConcept
... authoredOn SΣ 0..1 dateTime Verordnungsdatum
... requester SΣ 0..1 Reference(PractitionerRole | Practitioner | Organization) Verordnender Arzt (LANR) bzw. Betriebsstaette (BSNR)
... 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
... Slices for reasonCode SΣ 0..* CodeableConcept Explanation/Justification for procedure or service
Slice: Unordered, Open by value:coding.system
Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
.... reasonCode:icd10gm SΣ 0..* CodeableConcept ICD-10-GM Indikation / Diagnose fuer die Heilmittelverordnung
Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
..... 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 SΣ 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://fhir.de/CodeSystem/bfarm/icd-10-gm
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 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
... reasonReference Σ 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Explanation/Justification for service or service
... insurance S 0..* Reference(FPDE Coverage GKV | FPDE Coverage Privat) Versicherungsreferenz (GKV oder Privat)
... supportingInfo 0..* Reference(Resource) 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.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:therapeuticRemedy 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 Heilmittelkatalog 📦1.0 Heilmittel Terminology v1.0
ServiceRequest.orderDetail Base example Service Request Order Details Codes 📍4.0.1 FHIR Std.
ServiceRequest.orderDetail:diagnosegruppe Base required KBV_VS_SFHIR_HM_DIAGNOSEGRUPPE 📦1.08 KBV Terminologies v1.0
ServiceRequest.orderDetail:leitsymptomatik Base required Patientenindividuellen Leitsymptomatik 📦1.3 Heilmittel Terminology v1.0
ServiceRequest.orderDetail:anlageTyp Base required HLM oder ergänzendes HLM 📦1.3 Heilmittel Terminology v1.0
ServiceRequest.orderDetail:heilmittelbereich Base required Heilmittelbereich 📦1.3 Heilmittel Terminology v1.0
ServiceRequest.orderDetail:hausbesuch Base extensible Hausbesuch 📦1.3 Heilmittel Terminology v1.0
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 v7.2
ServiceRequest.reasonCode Base example Procedure Reason Codes 📍4.0.1 FHIR Std.
ServiceRequest.reasonCode:icd10gm 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()

This structure is derived from ServiceRequest

Summary

Mandatory: 2 elements(16 nested mandatory elements)
Must-Support: 29 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of ServiceRequest.category (Closed)
  • The element 1 is sliced based on the value of ServiceRequest.orderDetail
  • The element 1 is sliced based on the value of ServiceRequest.reasonCode

 

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