Digital Referral Prescription
1.0.0 - STU
Digital Referral Prescription
1.0.0 - STU
This page is part of the HL7 BE Digital referral prescription IG (v1.0.0: STU 1) based on FHIR (HL7® FHIR® Standard) R4. No current official version has been published yet. For a full list of available versions, see the Directory of published versions
<ServiceRequest xmlns="http://hl7.org/fhir">
<id value="laboratory-order-example1"/>
<meta>
<profile
value="https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-lab-prescription"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ServiceRequest laboratory-order-example1</b></p><a name="laboratory-order-example1"> </a><a name="hclaboratory-order-example1"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-be-lab-prescription.html">BeLabPrescription</a></p></div><p><b>BeFeedbackToPrescriber</b>: true</p><p><b>BeValidityPeriod</b>: 2021-10-10 --> (ongoing)</p><p><b>Request status reason</b>: <span title="Codes:{https://www.ehealth.fgov.be/standards/fhir/drp/CodeSystem/be-prescription-status-reason inProgress}">In progress</span></p><blockquote><p><b>BeUrgentCommunication</b></p><blockquote><p><b>url</b></p>party</blockquote><p><b>value</b>: <a href="#hclaboratory-order-example1/Requester1">Practitioner Henry Seven (official)</a></p><blockquote><p><b>url</b></p>instructions</blockquote><p><b>value</b>: Send the requester an email, when the test is done.</p><p><b>contactSystem</b>: <span title="Codes:{http://hl7.org/fhir/contact-point-system email}">email</span></p><p><b>contactSystemValue</b>: doctor@mycabinet.be</p><blockquote><p><b>url</b></p>contactway</blockquote></blockquote><p><b>identifier</b>: <a href="NamingSystem-be-ns-uhmep.html" title="UHMEP naming system">BeUnadressedHealthMessageExchangePlatform</a>/XXXXXX</p><p><b>status</b>: Active</p><p><b>intent</b>: Original Order</p><p><b>category</b>: <span title="Codes:{http://snomed.info/sct 15220000}">Laboratory test</span></p><p><b>priority</b>: STAT</p><p><b>code</b>: <span title="Codes:{http://loinc.org 18723-7}">Hematology studies (set)</span></p><p><b>orderDetail</b>: <span title="Codes:{http://loinc.org 30341-2}">Erythrocyte sedimentation rate</span>, <span title="Codes:{http://loinc.org 789-8}">Erythrocytes [#/volume] in Blood by Automated count</span>, <span title="Codes:{http://loinc.org 20563-3}">Carboxyhemoglobin/Hemoglobin.total in Blood</span>, <span title="Codes:">Test described in text only</span></p><p><b>subject</b>: <a href="#hclaboratory-order-example1/patient1">Jane Doe Female, DoB: 1956-05-27 ( https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin#BeSSINNamingSystem#99999999991 (use: official, ))</a></p><p><b>authoredOn</b>: 2015-11-01 00:00:00+0100</p><p><b>requester</b>: <a href="#hclaboratory-order-example1/requesterrole1">PractitionerRole physician</a></p><p><b>performer</b>: <a href="#hclaboratory-order-example1/practitionerrole1">PractitionerRole physician</a></p><p><b>reasonCode</b>: <span title="Codes:{https://www.SOME_NOMENCLATURE_SYSTEM.be/ 123}">TheJustification</span></p><p><b>supportingInfo</b>: </p><ul><li><a href="#hclaboratory-order-example1/observation1">Observation Heart rate</a></li><li><a href="#hclaboratory-order-example1/condition1">Condition </a></li><li><a href="#hclaboratory-order-example1/media1">DocumentReference: status = current</a></li></ul><p><b>specimen</b>: <a href="#hclaboratory-order-example1/specimen1">Specimen: identifier = https://www.GTL-LABO.be/#1; type = Blood specimen; note = Some extra relevant information concerning the specimen</a></p><p><b>note</b>: </p><blockquote><div><p>Some free text explaining about these tests that are ordered.</p>
</div></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Patient #patient1</b></p><a name="laboratory-order-example1/patient1"> </a><a name="hclaboratory-order-example1/patient1"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="https://www.ehealth.fgov.be/standards/fhir/core/2.1.2/StructureDefinition-be-patient.html">BePatient</a></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Jane Doe Female, DoB: 1956-05-27 ( https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin#BeSSINNamingSystem#99999999991 (use: official, ))</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3"><ul><li>ph: 322672299(Home)</li><li>Labradorstraat 26, 1000 Brussel(home)</li></ul></td></tr></table></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Observation #observation1</b></p><a name="laboratory-order-example1/observation1"> </a><a name="hclaboratory-order-example1/observation1"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}">Vital Signs</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 8867-4}, {http://snomed.info/sct 364075005}">Heart rate</span></p><p><b>subject</b>: <a href="#hclaboratory-order-example1/patient1">Jane Doe Female, DoB: 1956-05-27 ( https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin#BeSSINNamingSystem#99999999991 (use: official, ))</a></p><p><b>effective</b>: 1999-07-02</p><p><b>performer</b>: <a href="#hclaboratory-order-example1/Requester1">Practitioner Henry Seven (official)</a></p><p><b>value</b>: 51 beats/minute<span style="background: LightGoldenRodYellow"> (Details: UCUM code/min = '/min')</span></p></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Condition #condition1</b></p><a name="laboratory-order-example1/condition1"> </a><a name="hclaboratory-order-example1/condition1"> </a><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}">Active</span></p><p><b>verificationStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status provisional}">Provisional</span></p><p><b>code</b>: <span title="Codes:">bradycardie</span></p><p><b>subject</b>: <a href="#hclaboratory-order-example1/patient1">Jane Doe Female, DoB: 1956-05-27 ( https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin#BeSSINNamingSystem#99999999991 (use: official, ))</a></p><p><b>note</b>: </p><blockquote><div><p>This is a suspicion</p>
</div></blockquote></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: DocumentReference #media1</b></p><a name="laboratory-order-example1/media1"> </a><a name="hclaboratory-order-example1/media1"> </a><p><b>status</b>: Current</p><blockquote><p><b>content</b></p><h3>Attachments</h3><table class="grid"><tr><td style="display: none">-</td><td><b>ContentType</b></td><td><b>Data</b></td></tr><tr><td style="display: none">*</td><td>image/gif</td><td><code>iVBORw0KGgoAAAANSUhEUgAAA+MAAACnCAYAAAB6pY03AAAAAXNSR0IArs4c6QAAAARnQU1BAACx jwv8YQUAAAAJcEhZcwAAEnMAABJzAYwiuQcAADBZSURBVHhe7d09rty218fxrOFfZj/ZQHZgwEiZ gg==</code></td></tr></table></blockquote></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Practitioner #Requester1</b></p><a name="laboratory-order-example1/Requester1"> </a><a name="hclaboratory-order-example1/Requester1"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="https://www.ehealth.fgov.be/standards/fhir/core/2.1.2/StructureDefinition-be-practitioner.html">BePractitioner</a></p></div><p><b>identifier</b>: BeNIHDINamingSystem/88888888881 (use: official, )</p><p><b>name</b>: Henry Seven (Official)</p><p><b>telecom</b>: ph: 322882299(Home)</p><p><b>address</b>: Werkstraat 26, 1000 Brussel(work)</p></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Specimen #specimen1</b></p><a name="laboratory-order-example1/specimen1"> </a><a name="hclaboratory-order-example1/specimen1"> </a><p><b>identifier</b>: <code>https://www.GTL-LABO.be/</code>/1</p><p><b>type</b>: <span title="Codes:{http://snomed.info/sct 119297000}">A string can be added to nuance or explain.</span></p><h3>Collections</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Collected[x]</b></td><td><b>Method</b></td><td><b>BodySite</b></td></tr><tr><td style="display: none">*</td><td>2015-11-03</td><td><span title="Codes:{http://snomed.info/sct 28520004}">Venipuncture for blood test (procedure)</span></td><td><span title="Codes:{http://snomed.info/sct 368208006}">Left upper arm structure (body structure)</span></td></tr></table><p><b>note</b>: </p><blockquote><div><p>Some extra relevant information concerning the specimen</p>
</div></blockquote></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: PractitionerRole #practitionerrole1</b></p><a name="laboratory-order-example1/practitionerrole1"> </a><a name="hclaboratory-order-example1/practitionerrole1"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="https://www.ehealth.fgov.be/standards/fhir/core/2.1.2/StructureDefinition-be-practitionerrole.html">BePractitionerRole</a></p></div><p><b>identifier</b>: <code>http://www.acme.org/practitioners</code>/23</p><p><b>active</b>: true</p><p><b>period</b>: 2019-08-01 00:00:00+0000 --> 2019-12-01 00:00:00+0000</p><p><b>practitioner</b>: <a href="Practitioner-Performer1.html">Dr Katherine Pulaski</a></p><p><b>code</b>: <span title="Codes:{https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty persphysician}">physician</span></p><p><b>specialty</b>: <span title="Codes:{http://snomed.info/sct 419772000}">Family practice</span></p><blockquote><p><b>availableTime</b></p><p><b>daysOfWeek</b>: Monday, Tuesday, Wednesday</p><p><b>availableStartTime</b>: 09:00:00</p><p><b>availableEndTime</b>: 16:30:00</p></blockquote><blockquote><p><b>availableTime</b></p><p><b>daysOfWeek</b>: Thursday, Friday</p><p><b>availableStartTime</b>: 09:00:00</p><p><b>availableEndTime</b>: 12:00:00</p></blockquote><h3>NotAvailables</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Description</b></td><td><b>During</b></td></tr><tr><td style="display: none">*</td><td>Katherine will be on extended leave during August 2020</td><td>2020-08-01 00:00:00+0000 --> 2020-08-20 00:00:00+0000</td></tr></table><p><b>availabilityExceptions</b>: Katherine is generally unavailable on public holidays and during the Christmas/New Year break</p></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: PractitionerRole #requesterrole1</b></p><a name="laboratory-order-example1/requesterrole1"> </a><a name="hclaboratory-order-example1/requesterrole1"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="https://www.ehealth.fgov.be/standards/fhir/core/2.1.2/StructureDefinition-be-practitionerrole.html">BePractitionerRole</a></p></div><p><b>practitioner</b>: <a href="#hclaboratory-order-example1/Requester1">Practitioner Henry Seven (official)</a></p><p><b>code</b>: <span title="Codes:{https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty persphysician}">physician</span></p></blockquote></div>
</text>
<contained>
<Patient>
<id value="patient1"/>
<meta>
<profile
value="https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient"/>
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<identifier>
<use value="official"/>
<system
value="https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin"/>
<value value="99999999991"/>
</identifier>
<name>
<family value="Doe"/>
<given value="Jane"/>
</name>
<telecom>
<system value="phone"/>
<value value="322672299"/>
<use value="home"/>
</telecom>
<gender value="female"/>
<birthDate value="1956-05-27"/>
<address>
<use value="home"/>
<type value="both"/>
<text value="Labradorstraat 26, 1000 Brussel"/>
<line value="Labradorstraat 26"/>
<city value="Brussel"/>
<postalCode value="1000"/>
<country value="BE"/>
</address>
</Patient>
</contained>
<contained>
<Observation>
<id value="observation1"/>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="vital-signs"/>
<display value="Vital Signs"/>
</coding>
<text value="Vital Signs"/>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8867-4"/>
<display value="Heart rate"/>
</coding>
<coding>
<system value="http://snomed.info/sct"/>
<version value="http://snomed.info/sct/11000172109"/>
<code value="364075005"/>
<display value="Heart rate (observable entity)"/>
</coding>
<text value="Heart rate"/>
</code>
<subject>
<reference value="#patient1"/>
</subject>
<effectiveDateTime value="1999-07-02"/>
<performer>
<reference value="#Requester1"/>
</performer>
<valueQuantity>
<value value="51"/>
<unit value="beats/minute"/>
<system value="http://unitsofmeasure.org"/>
<code value="/min"/>
</valueQuantity>
</Observation>
</contained>
<contained>
<Condition>
<id value="condition1"/>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="active"/>
</coding>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
<code value="provisional"/>
</coding>
</verificationStatus>
<code>
<text value="bradycardie"/>
</code>
<subject>
<reference value="#patient1"/>
</subject>
<note>
<text value="This is a suspicion"/>
</note>
</Condition>
</contained>
<contained>
<DocumentReference>
<id value="media1"/>
<status value="current"/>
<content>
<attachment>
<contentType value="image/gif"/>
<data
value="iVBORw0KGgoAAAANSUhEUgAAA+MAAACnCAYAAAB6pY03AAAAAXNSR0IArs4c6QAAAARnQU1BAACx jwv8YQUAAAAJcEhZcwAAEnMAABJzAYwiuQcAADBZSURBVHhe7d09rty218fxrOFfZj/ZQHZgwEiZ gg=="/>
</attachment>
</content>
</DocumentReference>
</contained>
<contained>
<Practitioner>
<id value="Requester1"/>
<meta>
<profile
value="https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner"/>
</meta>
<identifier>
<use value="official"/>
<system
value="https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi"/>
<value value="88888888881"/>
</identifier>
<name>
<use value="official"/>
<family value="Seven"/>
<given value="Henry"/>
</name>
<telecom>
<system value="phone"/>
<value value="322882299"/>
<use value="home"/>
</telecom>
<address>
<use value="work"/>
<type value="both"/>
<text value="Werkstraat 26, 1000 Brussel"/>
<line value="Werkstraat 26"/>
<city value="Brussel"/>
<postalCode value="1000"/>
<country value="BE"/>
</address>
</Practitioner>
</contained>
<contained>
<Specimen>
<id value="specimen1"/>
<identifier>
<system value="https://www.GTL-LABO.be/"/>
<value value="1"/>
</identifier>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<version value="http://snomed.info/sct/11000172109"/>
<code value="119297000"/>
<display value="Blood specimen"/>
</coding>
<text value="A string can be added to nuance or explain."/>
</type>
<collection>
<collectedDateTime value="2015-11-03"/>
<method>
<coding>
<system value="http://snomed.info/sct"/>
<version value="http://snomed.info/sct/11000172109"/>
<code value="28520004"/>
<display value="Venipuncture for blood test (procedure)"/>
</coding>
</method>
<bodySite>
<coding>
<system value="http://snomed.info/sct"/>
<version value="http://snomed.info/sct/11000172109"/>
<code value="368208006"/>
<display value="Left upper arm structure (body structure)"/>
</coding>
</bodySite>
</collection>
<note>
<text
value="Some extra relevant information concerning the specimen"/>
</note>
</Specimen>
</contained>
<contained>
<PractitionerRole>
<id value="practitionerrole1"/>
<meta>
<profile
value="https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole"/>
</meta>
<identifier>
<system value="http://www.acme.org/practitioners"/>
<value value="23"/>
</identifier>
<active value="true"/>
<period>
<start value="2019-08-01T00:00:00.000Z"/>
<end value="2019-12-01T00:00:00.000Z"/>
</period>
<practitioner>🔗
<reference value="Practitioner/Performer1"/>
<display value="Dr Katherine Pulaski"/>
</practitioner>
<code>
<coding>
<system
value="https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty"/>
<code value="persphysician"/>
<display value="physician"/>
</coding>
</code>
<specialty>
<coding>
<system value="http://snomed.info/sct"/>
<version value="http://snomed.info/sct/11000172109"/>
<code value="419772000"/>
<display value="Family practice"/>
</coding>
</specialty>
<availableTime>
<daysOfWeek value="mon"/>
<daysOfWeek value="tue"/>
<daysOfWeek value="wed"/>
<availableStartTime value="09:00:00"/>
<availableEndTime value="16:30:00"/>
</availableTime>
<availableTime>
<daysOfWeek value="thu"/>
<daysOfWeek value="fri"/>
<availableStartTime value="09:00:00"/>
<availableEndTime value="12:00:00"/>
</availableTime>
<notAvailable>
<description
value="Katherine will be on extended leave during August 2020"/>
<during>
<start value="2020-08-01T00:00:00.000Z"/>
<end value="2020-08-20T00:00:00.000Z"/>
</during>
</notAvailable>
<availabilityExceptions
value="Katherine is generally unavailable on public holidays and during the Christmas/New Year break"/>
</PractitionerRole>
</contained>
<contained>
<PractitionerRole>
<id value="requesterrole1"/>
<meta>
<profile
value="https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole"/>
</meta>
<practitioner>
<reference value="#Requester1"/>
</practitioner>
<code>
<coding>
<system
value="https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty"/>
<code value="persphysician"/>
<display value="physician"/>
</coding>
</code>
</PractitionerRole>
</contained>
<extension
url="https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-feedback-to-prescriber">
<valueBoolean value="true"/>
</extension>
<extension
url="https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-validity-period">
<valuePeriod>
<start value="2021-10-10"/>
</valuePeriod>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/request-statusReason">
<valueCodeableConcept>
<coding>
<system
value="https://www.ehealth.fgov.be/standards/fhir/drp/CodeSystem/be-prescription-status-reason"/>
<code value="inProgress"/>
<display value="In progress"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-urgent-communication">
<extension url="party">
<valueReference>
<reference value="#Requester1"/>
</valueReference>
</extension>
<extension url="instructions">
<valueString
value="Send the requester an email, when the test is done."/>
</extension>
<extension url="contactway">
<extension url="contactSystem">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/contact-point-system"/>
<code value="email"/>
<display value="email"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="contactSystemValue">
<valueString value="doctor@mycabinet.be"/>
</extension>
</extension>
</extension>
<identifier>
<system
value="https://www.ehealth.fgov.be/standards/fhir/drp/NamingSystem/uhmep"/>
<value value="XXXXXX"/>
</identifier>
<status value="active"/>
<intent value="original-order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<version value="http://snomed.info/sct/11000172109"/>
<code value="15220000"/>
<display value="Laboratory test"/>
</coding>
</category>
<priority value="stat"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="18723-7"/>
<display value="Hematology studies (set)"/>
</coding>
</code>
<orderDetail>
<coding>
<system value="http://loinc.org"/>
<code value="30341-2"/>
<display value="Erythrocyte sedimentation rate"/>
</coding>
</orderDetail>
<orderDetail>
<coding>
<system value="http://loinc.org"/>
<code value="789-8"/>
<display value="Erythrocytes [#/volume] in Blood by Automated count"/>
</coding>
</orderDetail>
<orderDetail>
<coding>
<system value="http://loinc.org"/>
<code value="20563-3"/>
<display value="Carboxyhemoglobin/Hemoglobin.total in Blood"/>
</coding>
</orderDetail>
<orderDetail>
<text value="Test described in text only"/>
</orderDetail>
<subject>
<reference value="#patient1"/>
</subject>
<authoredOn value="2015-11-01T00:00:00+01:00"/>
<requester>
<reference value="#requesterrole1"/>
</requester>
<performer>
<reference value="#practitionerrole1"/>
</performer>
<reasonCode>
<coding>
<system value="https://www.SOME_NOMENCLATURE_SYSTEM.be/"/>
<code value="123"/>
<display value="TheJustification"/>
</coding>
</reasonCode>
<supportingInfo>
<reference value="#observation1"/>
</supportingInfo>
<supportingInfo>
<reference value="#condition1"/>
</supportingInfo>
<supportingInfo>
<reference value="#media1"/>
</supportingInfo>
<specimen>
<reference value="#specimen1"/>
</specimen>
<note>
<text
value="Some free text explaining about these tests that are ordered."/>
</note>
</ServiceRequest>