{
  "description": "Dieses Profil enthält Informationen zur Beauftragung der Probenuntersuchung. Darunter fallen insbesondere die Gründe der Untersuchung. Wird Außerdem verwendet zur Verknüpfung der mikrobiologischen Daten mit den Einsenderinformationen.",
  "_filename": "StructureDefinition-ServiceRequest.json",
  "package_name": "rki.demis.ars",
  "date": "2024-09-27",
  "derivation": "constraint",
  "publisher": "ARS@rki.de",
  "fhirVersion": "4.0.1",
  "name": "ServiceRequest",
  "abstract": false,
  "type": "ServiceRequest",
  "experimental": "false",
  "resourceType": "StructureDefinition",
  "title": "Laborauftrag",
  "package_version": "1.0.0-alpha.1",
  "status": "draft",
  "id": "453b49f5-586f-42e9-bd69-c9726ecd3e09",
  "kind": "resource",
  "url": "https://demis.rki.de/fhir/ars/StructureDefinition/ServiceRequest",
  "version": "1.0.0",
  "differential": {
    "element": [ {
      "id": "ServiceRequest",
      "path": "ServiceRequest",
      "constraint": [ {
        "key": "exactly-one-requester-encounter",
        "human": "Genau eins von ServiceRequest.requester oder ServiceRequest.encounter muss gefüllt sein",
        "source": "https://demis.rki.de/fhir/ars/StructureDefinition/ServiceRequest",
        "severity": "error",
        "expression": "(requester.exists() or encounter.exists()) and (requester.exists() and encounter.exists()).not()"
      } ]
    }, {
      "id": "ServiceRequest.id",
      "min": 1,
      "path": "ServiceRequest.id",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.identifier",
      "max": "0",
      "path": "ServiceRequest.identifier"
    }, {
      "id": "ServiceRequest.instantiatesCanonical",
      "max": "0",
      "path": "ServiceRequest.instantiatesCanonical"
    }, {
      "id": "ServiceRequest.instantiatesUri",
      "max": "0",
      "path": "ServiceRequest.instantiatesUri"
    }, {
      "id": "ServiceRequest.basedOn",
      "max": "0",
      "path": "ServiceRequest.basedOn"
    }, {
      "id": "ServiceRequest.replaces",
      "max": "0",
      "path": "ServiceRequest.replaces"
    }, {
      "id": "ServiceRequest.requisition",
      "max": "0",
      "path": "ServiceRequest.requisition"
    }, {
      "id": "ServiceRequest.intent",
      "path": "ServiceRequest.intent",
      "comment": "Vorgeschlagener Defautl-Code ist 'order' für eine Anforderung die von einer behandelden Stelle kommt."
    }, {
      "id": "ServiceRequest.category",
      "max": "0",
      "path": "ServiceRequest.category"
    }, {
      "id": "ServiceRequest.priority",
      "max": "0",
      "path": "ServiceRequest.priority"
    }, {
      "id": "ServiceRequest.doNotPerform",
      "max": "0",
      "path": "ServiceRequest.doNotPerform"
    }, {
      "id": "ServiceRequest.code",
      "min": 1,
      "path": "ServiceRequest.code",
      "short": "Unterscheidung Diagnose/Screening",
      "definition": "Unterscheidung zwischen einer Probe zur klinischen Diagnostik und einer Screening-Probe. Diese Angabe soll für jede Probe gemacht werden.",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.code.coding",
      "max": "1",
      "min": 1,
      "path": "ServiceRequest.code.coding",
      "binding": {
        "strength": "required",
        "valueSet": "https://demis.rki.de/fhir/ars/ValueSet/anforderungSNOMED"
      },
      "mustSupport": true
    }, {
      "id": "ServiceRequest.code.coding.system",
      "min": 1,
      "path": "ServiceRequest.code.coding.system",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.code.coding.version",
      "min": 1,
      "path": "ServiceRequest.code.coding.version",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.code.coding.code",
      "min": 1,
      "path": "ServiceRequest.code.coding.code",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.code.text",
      "max": "0",
      "path": "ServiceRequest.code.text"
    }, {
      "id": "ServiceRequest.quantity[x]",
      "max": "0",
      "path": "ServiceRequest.quantity[x]"
    }, {
      "id": "ServiceRequest.subject",
      "path": "ServiceRequest.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://demis.rki.de/fhir/ars/StructureDefinition/Patient" ]
      } ],
      "mustSupport": true
    }, {
      "id": "ServiceRequest.subject.reference",
      "min": 1,
      "path": "ServiceRequest.subject.reference",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.subject.type",
      "max": "0",
      "path": "ServiceRequest.subject.type"
    }, {
      "id": "ServiceRequest.subject.identifier",
      "max": "0",
      "path": "ServiceRequest.subject.identifier"
    }, {
      "id": "ServiceRequest.subject.display",
      "max": "0",
      "path": "ServiceRequest.subject.display"
    }, {
      "id": "ServiceRequest.encounter",
      "path": "ServiceRequest.encounter",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://demis.rki.de/fhir/ars/StructureDefinition/Encounter" ]
      } ],
      "mustSupport": true
    }, {
      "id": "ServiceRequest.encounter.reference",
      "min": 1,
      "path": "ServiceRequest.encounter.reference",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.encounter.type",
      "max": "0",
      "path": "ServiceRequest.encounter.type"
    }, {
      "id": "ServiceRequest.encounter.identifier",
      "max": "0",
      "path": "ServiceRequest.encounter.identifier"
    }, {
      "id": "ServiceRequest.encounter.display",
      "max": "0",
      "path": "ServiceRequest.encounter.display"
    }, {
      "id": "ServiceRequest.occurrence[x]",
      "max": "0",
      "path": "ServiceRequest.occurrence[x]"
    }, {
      "id": "ServiceRequest.asNeeded[x]",
      "max": "0",
      "path": "ServiceRequest.asNeeded[x]"
    }, {
      "id": "ServiceRequest.authoredOn",
      "max": "0",
      "path": "ServiceRequest.authoredOn"
    }, {
      "id": "ServiceRequest.requester",
      "path": "ServiceRequest.requester",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://demis.rki.de/fhir/ars/StructureDefinition/PractitionerRole" ]
      } ],
      "mustSupport": true
    }, {
      "id": "ServiceRequest.requester.reference",
      "min": 1,
      "path": "ServiceRequest.requester.reference",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.requester.type",
      "max": "0",
      "path": "ServiceRequest.requester.type"
    }, {
      "id": "ServiceRequest.requester.identifier",
      "max": "0",
      "path": "ServiceRequest.requester.identifier"
    }, {
      "id": "ServiceRequest.requester.display",
      "max": "0",
      "path": "ServiceRequest.requester.display"
    }, {
      "id": "ServiceRequest.performerType",
      "max": "0",
      "path": "ServiceRequest.performerType"
    }, {
      "id": "ServiceRequest.performer",
      "max": "0",
      "path": "ServiceRequest.performer"
    }, {
      "id": "ServiceRequest.locationCode",
      "max": "0",
      "path": "ServiceRequest.locationCode"
    }, {
      "id": "ServiceRequest.locationReference",
      "max": "0",
      "path": "ServiceRequest.locationReference"
    }, {
      "id": "ServiceRequest.reasonCode",
      "path": "ServiceRequest.reasonCode",
      "short": "Anforderung Sentinel-Systeme",
      "comment": "Sollten Angaben für einen anderen Erreger als die beiden Genannten gemacht werden, werde diese nach Übermittlung an das RKI aus der Rohdatenbank entfernt und stehen für die weitere Datenverarbeitung am RKI nicht zur Verfügung.",
      "definition": "Bei Diagnostik zu Chlamydia trachomatis und Masern spezielle Anforderungen der Diagnostik erfasst werden. Es stehen für die beiden genannten Erreger value-sets zur Erfassung der Anforderungen bereit. Hintergrund für die Erhebung dieser Angaben ist die Integration des Chlamydien-Sentinels und des Masern-Sentinels in die Übermittlung für ARS. Siehe hierzu Kapitel 'Integration von Sentinel-Systemen' im Implementierungsleitfaden.",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.reasonCode.coding",
      "max": "1",
      "min": 1,
      "path": "ServiceRequest.reasonCode.coding",
      "binding": {
        "strength": "required",
        "valueSet": "https://demis.rki.de/fhir/ars/ValueSet/anforderungSentinelSNOMED"
      },
      "mustSupport": true
    }, {
      "id": "ServiceRequest.reasonCode.coding.system",
      "min": 1,
      "path": "ServiceRequest.reasonCode.coding.system",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.reasonCode.coding.version",
      "min": 1,
      "path": "ServiceRequest.reasonCode.coding.version",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.reasonCode.coding.code",
      "min": 1,
      "path": "ServiceRequest.reasonCode.coding.code",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.reasonCode.text",
      "max": "0",
      "path": "ServiceRequest.reasonCode.text"
    }, {
      "id": "ServiceRequest.reasonReference",
      "max": "0",
      "path": "ServiceRequest.reasonReference"
    }, {
      "id": "ServiceRequest.insurance",
      "max": "1",
      "path": "ServiceRequest.insurance",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://demis.rki.de/fhir/ars/StructureDefinition/Coverage" ]
      } ],
      "mustSupport": true
    }, {
      "id": "ServiceRequest.insurance.reference",
      "min": 1,
      "path": "ServiceRequest.insurance.reference",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.insurance.type",
      "max": "0",
      "path": "ServiceRequest.insurance.type"
    }, {
      "id": "ServiceRequest.insurance.identifier",
      "max": "0",
      "path": "ServiceRequest.insurance.identifier"
    }, {
      "id": "ServiceRequest.insurance.display",
      "max": "0",
      "path": "ServiceRequest.insurance.display"
    }, {
      "id": "ServiceRequest.supportingInfo",
      "max": "0",
      "path": "ServiceRequest.supportingInfo"
    }, {
      "id": "ServiceRequest.specimen",
      "path": "ServiceRequest.specimen",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://demis.rki.de/fhir/ars/StructureDefinition/Specimen" ]
      } ],
      "mustSupport": true
    }, {
      "id": "ServiceRequest.specimen.reference",
      "min": 1,
      "path": "ServiceRequest.specimen.reference",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.specimen.type",
      "max": "0",
      "path": "ServiceRequest.specimen.type"
    }, {
      "id": "ServiceRequest.specimen.identifier",
      "max": "0",
      "path": "ServiceRequest.specimen.identifier"
    }, {
      "id": "ServiceRequest.specimen.display",
      "max": "0",
      "path": "ServiceRequest.specimen.display"
    }, {
      "id": "ServiceRequest.bodySite",
      "max": "0",
      "path": "ServiceRequest.bodySite"
    }, {
      "id": "ServiceRequest.note",
      "max": "0",
      "path": "ServiceRequest.note"
    }, {
      "id": "ServiceRequest.patientInstruction",
      "max": "0",
      "path": "ServiceRequest.patientInstruction"
    }, {
      "id": "ServiceRequest.relevantHistory",
      "max": "0",
      "path": "ServiceRequest.relevantHistory"
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest"
}