description: Das Profil **MII PR Patho Service Request** der Ressource [ServiceRequest](http://hl7.org/fhir/R4/servicerequest.html) stellt die Beschreibung des Auftrags des Klinikers an die Pathologieeinrichtung dar. Dieser ist in der Regel unspezifisch gehalten (“Histologie erbeten”, dies entspricht enem Auftrag zur konsiliarischen Begutachtung), kann aber durch spezielle Fragen untersetzt sein (z.B. “FISH für Her2”, entspricht einem Zielauftrag). Falls mehrere konkrete Untersuchungen beauftragt werden sollen, so muss pro Untersuchung ein **MII PR Patho Service Request** ausgelöst werden, die alle zusammen in der `ServiceRequest.requisition` (entspricht einer Placer Order Group) zusammengefasst werden.\n\nEin Untersuchungsauftrag ist immer an eine (oder mehrere) Probe(n) gebunden, zu denen detaillierte Beschreibungen des Einsenders vorliegen können. Ein Untersuchungsauftrag begründet in der Regel einen Fall (Einsendung, \"Accession\") der Pathologieeinrichtung. Wenn eine `ServiceRequest.requisition` vorliegt, bildet diese in der Regel den Fall (Einsendung, Accession). Durch die den Untersuchungsauftrag abarbeitende Pathologieeinrichtung kann eine Zusammenfassung oder Aufteilung von Untersuchungsanträgen entsprechend den laborinternen Erfordernissen zu einem Fall oder mehreren Fällen erfolgen.
package_name: de.medizininformatikinitiative.kerndatensatz.patho
derivation: constraint
name: MII_PR_Patho_Service_Request
type: ServiceRequest
elements:
  category:
    short: Kategorie
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Kategorie des Untersuchungsauftrags}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Category of the examination request}
    mustSupport: true
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Kategorie}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Category}
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: '726007', system: 'http://snomed.info/sct', display: 'Pathology consultation, comprehensive, records and specimen with report'}
    index: 24
  meta:
    elements:
      lastUpdated: {mustSupport: true, index: 0}
      source: {mustSupport: true, index: 1}
      profile: {mustSupport: true, index: 2}
  supportingInfo:
    short: Reference to history of present illness (anamnesis), active problems and diagnostic data
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Zusätzliche Informationen}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Supporting info}
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Unterstützende klinische Informationen}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Supporting clinical information}
    mustSupport: true
    index: 31
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: reference, type: type}
      - {path: resolve(), type: profile}
      min: null
      slices:
        codedCondition:
          match: {}
          schema:
            short: Reference to coded conditions
            _definition:
              extension:
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: de-DE}
                - {url: content, valueString: Verweis auf kodierte Diagnosen}
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: en-US}
                - {url: content, valueString: Reference to coded diagnoses}
            refers: ['http://hl7.org/fhir/StructureDefinition/Condition']
            type: Reference
            mustSupport: true
            _short:
              extension:
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: de-DE}
                - {url: content, valueString: Kodierte Diagnose}
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: en-US}
                - {url: content, valueString: Coded condition}
            array: true
            index: 32
          min: 0
        anamnesis:
          match: {}
          schema:
            short: Reference to history of present illness
            _definition:
              extension:
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: de-DE}
                - {url: content, valueString: Verweis auf die Anamnese}
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: en-US}
                - {url: content, valueString: Reference to anamnesis}
            refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-history-of-present-illness']
            type: Reference
            mustSupport: true
            _short:
              extension:
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: de-DE}
                - {url: content, valueString: Anamnese}
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: en-US}
                - {url: content, valueString: Anamnesis}
            array: true
            index: 33
          min: 0
        activeProblems:
          match: {}
          schema:
            short: List of possible problems that should be analyzed
            _definition:
              extension:
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: de-DE}
                - {url: content, valueString: Verweis auf aktive Probleme}
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: en-US}
                - {url: content, valueString: Reference to active problems}
            refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-active-problems-list']
            type: Reference
            mustSupport: true
            _short:
              extension:
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: de-DE}
                - {url: content, valueString: Aktive Probleme}
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: en-US}
                - {url: content, valueString: Active problems}
            array: true
            index: 34
          min: 0
        observations:
          match: {}
          schema:
            short: Reference to observation measurements like PSA
            _definition:
              extension:
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: de-DE}
                - {url: content, valueString: Verweis auf Messwerte und Beobachtungen}
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: en-US}
                - {url: content, valueString: Reference to measurements and observations}
            refers: ['http://hl7.org/fhir/StructureDefinition/Observation']
            type: Reference
            mustSupport: true
            _short:
              extension:
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: de-DE}
                - {url: content, valueString: Beobachtungen}
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: en-US}
                - {url: content, valueString: Observations}
            array: true
            index: 35
          min: 0
  encounter:
    short: Fall
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Fall}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Encounter}
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Verweis auf den Behandlungsfall}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Reference to the treatment case}
    mustSupport: true
    index: 27
  specimen:
    short: Probe
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Probe}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Specimen}
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Verweis auf die zu untersuchende Probe}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Reference to the specimen to be examined}
    mustSupport: true
    index: 36
  reasonCode:
    short: Begründungscode
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Begründungscode}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Reason code}
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Kodierter Grund für die Überweisung}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Coded reason for referral}
    mustSupport: true
    index: 30
  requisition:
    short: Composite or group identifier
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Auftragsgruppen-ID}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Requisition}
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Identifikator für Auftragsgruppen}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Identifier for request groups}
    mustSupport: true
    index: 18
    elements:
      type:
        mustSupport: true
        pattern:
          type: CodeableConcept
          value:
            coding:
            - {code: PGN, system: 'http://terminology.hl7.org/CodeSystem/v2-0203', display: Placer Group Number}
        index: 19
      system: {mustSupport: true, index: 20}
      value: {mustSupport: true, index: 21}
    required: [value, type, system]
  requester:
    short: Anforderer
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Person oder Organisation die den Auftrag stellt}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Person or organization placing the request}
    refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'http://hl7.org/fhir/StructureDefinition/Practitioner']
    type: Reference
    mustSupport: true
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Anforderer}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Requester}
    index: 28
  status:
    short: Status
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Status}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Status}
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Status des Auftrags}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Status of the request}
    mustSupport: true
    index: 22
  code:
    short: Code
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Code}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Code}
    binding: {strength: extensible, valueSet: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/ValueSet/mii-vs-patho-service-request-code'}
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Code für die angeforderte Leistung}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Code for the requested service}
    mustSupport: true
    index: 25
  identifier:
    short: Identifikator
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Eindeutiger Identifikator des Auftrags}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Unique identifier of the request}
    mustSupport: true
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Identifikator}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Identifier}
    index: 3
    slicing:
      rules: open
      description: Contains slices for the request's placer- and filler IDs based on type.coding pattern
      discriminator:
      - {path: $this.type, type: pattern}
      min: 1
      slices:
        Placer-ID:
          match:
            $this: {type: null}
          schema:
            short: Placer identifier
            _definition:
              extension:
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: de-DE}
                - {url: content, valueString: Identifikator des Auftraggebers}
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: en-US}
                - {url: content, valueString: Identifier of the placer}
            mustSupport: true
            _short:
              extension:
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: de-DE}
                - {url: content, valueString: Auftraggeber-ID}
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: en-US}
                - {url: content, valueString: Placer ID}
            index: 4
            elements:
              type:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: PLAC, system: 'http://terminology.hl7.org/CodeSystem/v2-0203'}
                index: 5
                elements:
                  coding:
                    mustSupport: true
                    index: 6
                    elements:
                      system: {mustSupport: true, index: 7}
                      code: {mustSupport: true, index: 8}
                    required: [system, code]
              system: {mustSupport: true, index: 9}
              value: {mustSupport: true, index: 10}
            required: [value, type, system]
        Filler-ID:
          match:
            $this: {type: null}
          schema:
            short: Filler Identifier
            _definition:
              extension:
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: de-DE}
                - {url: content, valueString: Identifikator des Auftragnehmers}
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: en-US}
                - {url: content, valueString: Identifier of the filler}
            mustSupport: true
            _short:
              extension:
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: de-DE}
                - {url: content, valueString: Auftragnehmer-ID}
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: en-US}
                - {url: content, valueString: Filler ID}
            index: 11
            elements:
              type:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: FILL, system: 'http://terminology.hl7.org/CodeSystem/v2-0203'}
                index: 12
                elements:
                  coding:
                    mustSupport: true
                    index: 13
                    elements:
                      system: {mustSupport: true, index: 14}
                      code: {mustSupport: true, index: 15}
                    required: [system, code]
              system: {mustSupport: true, index: 16}
              value: {mustSupport: true, index: 17}
            required: [value, type, system]
  intent:
    short: Absicht
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Absicht}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Intent}
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Absicht des Auftrags}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Intent of the request}
    mustSupport: true
    pattern: {type: Code, value: order}
    index: 23
  subject:
    short: Patient
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Verweis auf den Patienten}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Reference to the patient}
    refers: ['http://hl7.org/fhir/StructureDefinition/Patient']
    type: Reference
    mustSupport: true
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Patient}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Subject}
    index: 26
  performer:
    short: Durchführer
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Person die die Untersuchung durchführt}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Person who performs the examination}
    refers: ['http://hl7.org/fhir/StructureDefinition/Practitioner']
    type: Reference
    mustSupport: true
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Durchführer}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Performer}
    index: 29
package_version: 2027.0.0-ballot.rc2
class: profile
kind: resource
url: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-service-request
base: http://hl7.org/fhir/StructureDefinition/ServiceRequest
version: 2027.0.0-ballot.rc2
required: [requester, encounter, identifier, category]