Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed Constraints: prr-1, servicerequest-prescription-request-1, servicerequest-prescription-request-2, servicerequest-prescription-request-3, servicerequest-prescription-request-4, servicerequest-prescription-request-5
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:EPrescriptionToken	S	0..*	ERPServiceRequestEPrescriptionToken	Here the e-prescription token(s) can be made available for processing in a pharmacy. URL: https://gematik.de/fhir/erp-servicerequest/StructureDefinition/eprescription-token-ex
Slices for modifierExtension	?!	0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension:medicationChanged	?!S	0..1	boolean	Indicates whether the medication has been changed by the prescriber. URL: https://gematik.de/fhir/erp-servicerequest/StructureDefinition/changed-medication-ex
modifierExtension:redeemByPatient	?!S	0..1	boolean	Redeem By Patient URL: https://gematik.de/fhir/erp-servicerequest/StructureDefinition/redeem-by-patient-ex
Slices for identifier	SΣ	1..*	Identifier	Defines identifiers to be used in this profile. Slice: Unordered, Open by pattern:system
identifier:requestId	Σ	1..1	ERPServiceRequestRequestIdentifier	Identifier that uniquely references a ServiceRequest.
basedOn	SΣ	1..1	Reference(ERP Service Request Medikationsanforderung)	Requested or fulfilled MedicationRequest.
requisition	SΣ	1..1	ERPServiceRequestProcedureIdentifier	Identifier of the overall process. Multiple ServiceRequests within a process are allocated the same ID.
status	?!SΣ	1..1	code	Indicates the processing status of a service request. Binding: Status des ServiceRequests (required)
intent	?!SΣ	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. Fixed Value: order
priority	SΣ	0..1	code	Indicates the urgency of the request. Binding: Service Request Priorität VS (required)
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	SΣ	1..1	CodeableConcept	Indicates the type of service request. Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred.
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:request-type	SΣ	1..1	Coding	Indicates the type of service request. Binding: Art des ServiceRequests (VS) (required) Required Pattern: At least the following
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://gematik.de/fhir/erp-servicerequest/CodeSystem/service-request-type-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: prescription-request
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
subject	SΣ	1..1	Reference(ERP Service Request Patient)	Patient for whom a prescription is requested on behalf of the patient.
occurrence[x]	SΣ	0..1	dateTime	Specifies the date on which the prescription is to be issued (Bedarfszeitraum).
authoredOn	SΣ	1..1	dateTime	Creation date of the request.
requester	SΣ	0..1	Reference(ERP Service Request Organisation)	Inquiring facility or practitioner.
performer	SΣ	0..*	Reference(ERP Service Request Leistungserbringer)	Doctor who is to issue the prescription.
reasonCode	SΣ	0..*	CodeableConcept	Reason for the prescription request. Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:remainingSupply	S	0..1	Quantity	Remaining supply URL: https://gematik.de/fhir/erp-servicerequest/StructureDefinition/remaining-supply-ex
extension:remainingSupplyFreeText	S	0..1	string	Remaining supply as free text URL: https://gematik.de/fhir/erp-servicerequest/StructureDefinition/remaining-supply-free-text-ex
coding	SΣ	0..1	Coding	Code defined by a terminology system Binding: Grund für Medikationsanforderung (VS) (required)
text	SΣ	0..1	string	Plain text representation of the concept
Slices for supportingInfo	S	0..*	Reference(Resource)	Additional clinical information Slice: Unordered, Open by pattern:type
supportingInfo:pflegeeinrichtungKopie	S	0..1	Reference(ERP Service Request Organisation)	Reference to the care facility that receives a copy of the prescription.
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: Organization
note	S	0..*	Annotation	Further information on the prescription request.
time	SΣ	1..1	dateTime	When the annotation was made
text	Σ	1..1	markdown	The annotation - text content (as markdown)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ServiceRequest.status	required	ServiceRequestStatusVS https://gematik.de/fhir/erp-servicerequest/ValueSet/service-request-status-vs From this IG
ServiceRequest.intent	required	Fixed Value: order http://hl7.org/fhir/ValueSet/request-intent|4.0.1 From the FHIR Standard
ServiceRequest.priority	required	ServiceRequestPriorityVS https://gematik.de/fhir/erp-servicerequest/ValueSet/service-request-priority-vs From this IG
ServiceRequest.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code From the FHIR Standard
ServiceRequest.code.coding:request-type	required	Pattern Value: prescription-request https://gematik.de/fhir/erp-servicerequest/ValueSet/service-request-type-vs From this IG
ServiceRequest.reasonCode	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason From the FHIR Standard
ServiceRequest.reasonCode.coding	required	MedicationRequestReasonVS(a valid code from Grund für Medikationsanforderung (CS)) https://gematik.de/fhir/erp-servicerequest/ValueSet/medication-request-reason-vs From this IG
ServiceRequest.supportingInfo:pflegeeinrichtungKopie.type	extensible	Pattern Value: Organization http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
servicerequest-prescription-request-1	error	ServiceRequest	Wenn der Status aktiv ist, muss der Anforderer vorhanden sein. : status = 'active' implies requester.exists()
servicerequest-prescription-request-2	error	ServiceRequest	Wenn der Status abgeschlossen ist und das Rezept vom Patienten eingelöst werden soll, darf der E-Rezept-Token nicht vorhanden sein. : (status = 'completed' and modifierExtension.where(url = 'https://gematik.de/fhir/erp-servicerequest/StructureDefinition/redeem-by-patient-ex').exists() and modifierExtension.where(url = 'https://gematik.de/fhir/erp-servicerequest/StructureDefinition/redeem-by-patient-ex').value = true) implies extension.where(url = 'https://gematik.de/fhir/erp-servicerequest/StructureDefinition/eprescription-token-ex').exists().not()
servicerequest-prescription-request-3	error	ServiceRequest	Wenn der Status widerrufen oder fehlerhaft eingegeben ist, muss der Grund oder eine Notiz vorhanden sein. : (status = 'revoked' or status = 'entered-in-error') implies (reasonCode.text.exists() or note.exists())
servicerequest-prescription-request-4	error	ServiceRequest	Wenn der Status abgeschlossen ist, muss der Durchführende vorhanden sein. : status = 'completed' implies performer.exists()
servicerequest-prescription-request-5	error	ServiceRequest	Wenn der Status abgeschlossen ist und das Rezept nicht vom Patienten eingelöst werden soll, muss der E-Rezept-Token vorhanden sein. : (status = 'completed' and (modifierExtension.where(url = 'https://gematik.de/fhir/erp-servicerequest/StructureDefinition/redeem-by-patient-ex').value = false or modifierExtension.where(url = 'https://gematik.de/fhir/erp-servicerequest/StructureDefinition/redeem-by-patient-ex').exists().not())) implies extension.where(url = 'https://gematik.de/fhir/erp-servicerequest/StructureDefinition/eprescription-token-ex').exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed Constraints: servicerequest-prescription-request-1, servicerequest-prescription-request-2, servicerequest-prescription-request-3, servicerequest-prescription-request-4, servicerequest-prescription-request-5
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:EPrescriptionToken	S	0..*	ERPServiceRequestEPrescriptionToken	Here the e-prescription token(s) can be made available for processing in a pharmacy. URL: https://gematik.de/fhir/erp-servicerequest/StructureDefinition/eprescription-token-ex
Slices for modifierExtension		0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension:medicationChanged	S	0..1	boolean	Indicates whether the medication has been changed by the prescriber. URL: https://gematik.de/fhir/erp-servicerequest/StructureDefinition/changed-medication-ex
modifierExtension:redeemByPatient	S	0..1	boolean	Redeem By Patient URL: https://gematik.de/fhir/erp-servicerequest/StructureDefinition/redeem-by-patient-ex
Slices for identifier	S	1..*	Identifier	Defines identifiers to be used in this profile. Slice: Unordered, Open by pattern:system
identifier:requestId		1..1	ERPServiceRequestRequestIdentifier	Identifier that uniquely references a ServiceRequest.
basedOn	S	1..1	Reference(ERP Service Request Medikationsanforderung)	Requested or fulfilled MedicationRequest.
requisition	S	1..1	ERPServiceRequestProcedureIdentifier	Identifier of the overall process. Multiple ServiceRequests within a process are allocated the same ID.
status	S	1..1	code	Indicates the processing status of a service request. Binding: Status des ServiceRequests (required)
intent	S	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Fixed Value: order
priority	S	0..1	code	Indicates the urgency of the request. Binding: Service Request Priorität VS (required)
code	S	1..1	CodeableConcept	Indicates the type of service request.
Slices for coding	S	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:request-type	S	1..1	Coding	Indicates the type of service request. Binding: Art des ServiceRequests (VS) (required) Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: https://gematik.de/fhir/erp-servicerequest/CodeSystem/service-request-type-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: prescription-request
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
subject	S	1..1	Reference(ERP Service Request Patient)	Patient for whom a prescription is requested on behalf of the patient.
occurrence[x]	S	0..1	dateTime	Specifies the date on which the prescription is to be issued (Bedarfszeitraum).
authoredOn	S	1..1	dateTime	Creation date of the request.
requester	S	0..1	Reference(ERP Service Request Organisation)	Inquiring facility or practitioner.
performer	S	0..*	Reference(ERP Service Request Leistungserbringer)	Doctor who is to issue the prescription.
reasonCode	S	0..*	CodeableConcept	Reason for the prescription request.
extension	S	0..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:remainingSupply	S	0..1	Quantity	Remaining supply URL: https://gematik.de/fhir/erp-servicerequest/StructureDefinition/remaining-supply-ex
extension:remainingSupplyFreeText	S	0..1	string	Remaining supply as free text URL: https://gematik.de/fhir/erp-servicerequest/StructureDefinition/remaining-supply-free-text-ex
coding	S	0..1	Coding	Code defined by a terminology system Binding: Grund für Medikationsanforderung (VS) (required)
text	S	0..1	string	Plain text representation of the concept
Slices for supportingInfo	S	0..*	Reference(Resource)	Additional clinical information Slice: Unordered, Open by pattern:type
supportingInfo:pflegeeinrichtungKopie	S	0..1	Reference(ERP Service Request Organisation)	Reference to the care facility that receives a copy of the prescription.
type		1..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: Organization
note	S	0..*	Annotation	Further information on the prescription request.
time	S	1..1	dateTime	When the annotation was made
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet / Code	URI
ServiceRequest.status	required	ServiceRequestStatusVS https://gematik.de/fhir/erp-servicerequest/ValueSet/service-request-status-vs From this IG
ServiceRequest.priority	required	ServiceRequestPriorityVS https://gematik.de/fhir/erp-servicerequest/ValueSet/service-request-priority-vs From this IG
ServiceRequest.code.coding:request-type	required	Pattern Value: prescription-request https://gematik.de/fhir/erp-servicerequest/ValueSet/service-request-type-vs From this IG
ServiceRequest.reasonCode.coding	required	MedicationRequestReasonVS(a valid code from Grund für Medikationsanforderung (CS)) https://gematik.de/fhir/erp-servicerequest/ValueSet/medication-request-reason-vs From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
servicerequest-prescription-request-1	error	ServiceRequest	Wenn der Status aktiv ist, muss der Anforderer vorhanden sein. : status = 'active' implies requester.exists()
servicerequest-prescription-request-2	error	ServiceRequest	Wenn der Status abgeschlossen ist und das Rezept vom Patienten eingelöst werden soll, darf der E-Rezept-Token nicht vorhanden sein. : (status = 'completed' and modifierExtension.where(url = 'https://gematik.de/fhir/erp-servicerequest/StructureDefinition/redeem-by-patient-ex').exists() and modifierExtension.where(url = 'https://gematik.de/fhir/erp-servicerequest/StructureDefinition/redeem-by-patient-ex').value = true) implies extension.where(url = 'https://gematik.de/fhir/erp-servicerequest/StructureDefinition/eprescription-token-ex').exists().not()
servicerequest-prescription-request-3	error	ServiceRequest	Wenn der Status widerrufen oder fehlerhaft eingegeben ist, muss der Grund oder eine Notiz vorhanden sein. : (status = 'revoked' or status = 'entered-in-error') implies (reasonCode.text.exists() or note.exists())
servicerequest-prescription-request-4	error	ServiceRequest	Wenn der Status abgeschlossen ist, muss der Durchführende vorhanden sein. : status = 'completed' implies performer.exists()
servicerequest-prescription-request-5	error	ServiceRequest	Wenn der Status abgeschlossen ist und das Rezept nicht vom Patienten eingelöst werden soll, muss der E-Rezept-Token vorhanden sein. : (status = 'completed' and (modifierExtension.where(url = 'https://gematik.de/fhir/erp-servicerequest/StructureDefinition/redeem-by-patient-ex').value = false or modifierExtension.where(url = 'https://gematik.de/fhir/erp-servicerequest/StructureDefinition/redeem-by-patient-ex').exists().not())) implies extension.where(url = 'https://gematik.de/fhir/erp-servicerequest/StructureDefinition/eprescription-token-ex').exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed Constraints: prr-1, servicerequest-prescription-request-1, servicerequest-prescription-request-2, servicerequest-prescription-request-3, servicerequest-prescription-request-4, servicerequest-prescription-request-5
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 Bindings Purpose 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
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:EPrescriptionToken	S	0..*	ERPServiceRequestEPrescriptionToken	Here the e-prescription token(s) can be made available for processing in a pharmacy. URL: https://gematik.de/fhir/erp-servicerequest/StructureDefinition/eprescription-token-ex
Slices for modifierExtension	?!	0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension:medicationChanged	?!S	0..1	boolean	Indicates whether the medication has been changed by the prescriber. URL: https://gematik.de/fhir/erp-servicerequest/StructureDefinition/changed-medication-ex
modifierExtension:redeemByPatient	?!S	0..1	boolean	Redeem By Patient URL: https://gematik.de/fhir/erp-servicerequest/StructureDefinition/redeem-by-patient-ex
Slices for identifier	SΣ	1..*	Identifier	Defines identifiers to be used in this profile. Slice: Unordered, Open by pattern:system
identifier:requestId	Σ	1..1	ERPServiceRequestRequestIdentifier	Identifier that uniquely references a ServiceRequest.
instantiatesCanonical	Σ	0..*	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	SΣ	1..1	Reference(ERP Service Request Medikationsanforderung)	Requested or fulfilled MedicationRequest.
replaces	Σ	0..*	Reference(ServiceRequest)	What request replaces
requisition	SΣ	1..1	ERPServiceRequestProcedureIdentifier	Identifier of the overall process. Multiple ServiceRequests within a process are allocated the same ID.
status	?!SΣ	1..1	code	Indicates the processing status of a service request. Binding: Status des ServiceRequests (required)
intent	?!SΣ	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. Fixed Value: order
category	Σ	0..*	CodeableConcept	Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
priority	SΣ	0..1	code	Indicates the urgency of the request. Binding: Service Request Priorität VS (required)
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	SΣ	1..1	CodeableConcept	Indicates the type of service request. Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:request-type	SΣ	1..1	Coding	Indicates the type of service request. Binding: Art des ServiceRequests (VS) (required) Required Pattern: At least the following
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://gematik.de/fhir/erp-servicerequest/CodeSystem/service-request-type-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: prescription-request
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
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
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	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
orderDetail	ΣC	0..*	CodeableConcept	Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
quantity[x]	Σ	0..1		Service amount
quantityQuantity			Quantity
quantityRatio			Ratio
quantityRange			Range
subject	SΣ	1..1	Reference(ERP Service Request Patient)	Patient for whom a prescription is requested on behalf of the patient.
encounter	Σ	0..1	Reference(Encounter)	Encounter in which the request was created
occurrence[x]	SΣ	0..1	dateTime	Specifies the date on which the prescription is to be issued (Bedarfszeitraum).
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	1..1	dateTime	Creation date of the request.
requester	SΣ	0..1	Reference(ERP Service Request Organisation)	Inquiring facility or practitioner.
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	SΣ	0..*	Reference(ERP Service Request Leistungserbringer)	Doctor who is to issue the prescription.
locationCode	Σ	0..*	CodeableConcept	Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
locationReference	Σ	0..*	Reference(Location)	Requested location
reasonCode	SΣ	0..*	CodeableConcept	Reason for the prescription request. 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
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:remainingSupply	S	0..1	Quantity	Remaining supply URL: https://gematik.de/fhir/erp-servicerequest/StructureDefinition/remaining-supply-ex
extension:remainingSupplyFreeText	S	0..1	string	Remaining supply as free text URL: https://gematik.de/fhir/erp-servicerequest/StructureDefinition/remaining-supply-free-text-ex
coding	SΣ	0..1	Coding	Code defined by a terminology system Binding: Grund für Medikationsanforderung (VS) (required)
text	SΣ	0..1	string	Plain text representation of the concept
reasonReference	Σ	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Explanation/Justification for service or service
insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
Slices for supportingInfo	S	0..*	Reference(Resource)	Additional clinical information Slice: Unordered, Open by pattern:type
supportingInfo:pflegeeinrichtungKopie	S	0..1	Reference(ERP Service Request Organisation)	Reference to the care facility that receives a copy of the prescription.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: Organization
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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	S	0..*	Annotation	Further information on the prescription request.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	SΣ	1..1	dateTime	When the annotation was made
text	Σ	1..1	markdown	The annotation - text content (as markdown)
patientInstruction	Σ	0..1	string	Patient or consumer-oriented instructions
relevantHistory		0..*	Reference(Provenance)	Request provenance
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ServiceRequest.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
ServiceRequest.status	required	ServiceRequestStatusVS https://gematik.de/fhir/erp-servicerequest/ValueSet/service-request-status-vs From this IG
ServiceRequest.intent	required	Fixed Value: order http://hl7.org/fhir/ValueSet/request-intent|4.0.1 From the FHIR Standard
ServiceRequest.category	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category From the FHIR Standard
ServiceRequest.priority	required	ServiceRequestPriorityVS https://gematik.de/fhir/erp-servicerequest/ValueSet/service-request-priority-vs From this IG
ServiceRequest.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code From the FHIR Standard
ServiceRequest.code.coding:request-type	required	Pattern Value: prescription-request https://gematik.de/fhir/erp-servicerequest/ValueSet/service-request-type-vs From this IG
ServiceRequest.orderDetail	example	ServiceRequestOrderDetailsCodes http://hl7.org/fhir/ValueSet/servicerequest-orderdetail From the FHIR Standard
ServiceRequest.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason From the FHIR Standard
ServiceRequest.performerType	example	ParticipantRoles http://hl7.org/fhir/ValueSet/participant-role From the FHIR Standard
ServiceRequest.locationCode	example	ServiceDeliveryLocationRoleType http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reasonCode	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason From the FHIR Standard
ServiceRequest.reasonCode.coding	required	MedicationRequestReasonVS(a valid code from Grund für Medikationsanforderung (CS)) https://gematik.de/fhir/erp-servicerequest/ValueSet/medication-request-reason-vs From this IG
ServiceRequest.supportingInfo:pflegeeinrichtungKopie.type	extensible	Pattern Value: Organization http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
ServiceRequest.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
servicerequest-prescription-request-1	error	ServiceRequest	Wenn der Status aktiv ist, muss der Anforderer vorhanden sein. : status = 'active' implies requester.exists()
servicerequest-prescription-request-2	error	ServiceRequest	Wenn der Status abgeschlossen ist und das Rezept vom Patienten eingelöst werden soll, darf der E-Rezept-Token nicht vorhanden sein. : (status = 'completed' and modifierExtension.where(url = 'https://gematik.de/fhir/erp-servicerequest/StructureDefinition/redeem-by-patient-ex').exists() and modifierExtension.where(url = 'https://gematik.de/fhir/erp-servicerequest/StructureDefinition/redeem-by-patient-ex').value = true) implies extension.where(url = 'https://gematik.de/fhir/erp-servicerequest/StructureDefinition/eprescription-token-ex').exists().not()
servicerequest-prescription-request-3	error	ServiceRequest	Wenn der Status widerrufen oder fehlerhaft eingegeben ist, muss der Grund oder eine Notiz vorhanden sein. : (status = 'revoked' or status = 'entered-in-error') implies (reasonCode.text.exists() or note.exists())
servicerequest-prescription-request-4	error	ServiceRequest	Wenn der Status abgeschlossen ist, muss der Durchführende vorhanden sein. : status = 'completed' implies performer.exists()
servicerequest-prescription-request-5	error	ServiceRequest	Wenn der Status abgeschlossen ist und das Rezept nicht vom Patienten eingelöst werden soll, muss der E-Rezept-Token vorhanden sein. : (status = 'completed' and (modifierExtension.where(url = 'https://gematik.de/fhir/erp-servicerequest/StructureDefinition/redeem-by-patient-ex').value = false or modifierExtension.where(url = 'https://gematik.de/fhir/erp-servicerequest/StructureDefinition/redeem-by-patient-ex').exists().not())) implies extension.where(url = 'https://gematik.de/fhir/erp-servicerequest/StructureDefinition/eprescription-token-ex').exists()

Summary

Mandatory: 10 elements(2 nested mandatory elements)
Must-Support: 28 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

• ERP Service Request Request Identifier (https://gematik.de/fhir/erp-servicerequest/StructureDefinition/erp-service-request-request-identifier)
• ERP Service Request Medikationsanforderung (https://gematik.de/fhir/erp-servicerequest/StructureDefinition/erp-service-request-medication-request)
• ERP Service Request Procedure Identifier (https://gematik.de/fhir/erp-servicerequest/StructureDefinition/erp-service-request-procedure-identifier)
• ERP Service Request Patient (https://gematik.de/fhir/erp-servicerequest/StructureDefinition/erp-service-request-patient)
• ERP Service Request Organisation (https://gematik.de/fhir/erp-servicerequest/StructureDefinition/erp-service-request-organization)
• ERP Service Request Leistungserbringer (https://gematik.de/fhir/erp-servicerequest/StructureDefinition/erp-service-request-practitioner)

Extensions

This structure refers to these extensions:

• https://gematik.de/fhir/erp-servicerequest/StructureDefinition/eprescription-token-ex
• https://gematik.de/fhir/erp-servicerequest/StructureDefinition/changed-medication-ex (Modifier)
• https://gematik.de/fhir/erp-servicerequest/StructureDefinition/redeem-by-patient-ex (Modifier)
• https://gematik.de/fhir/erp-servicerequest/StructureDefinition/remaining-supply-ex
• https://gematik.de/fhir/erp-servicerequest/StructureDefinition/remaining-supply-free-text-ex

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of ServiceRequest.identifier
• The element 1 is sliced based on the value of ServiceRequest.code.coding
• The element 1 is sliced based on the value of ServiceRequest.supportingInfo

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed Constraints: prr-1, servicerequest-prescription-request-1, servicerequest-prescription-request-2, servicerequest-prescription-request-3, servicerequest-prescription-request-4, servicerequest-prescription-request-5
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:EPrescriptionToken	S	0..*	ERPServiceRequestEPrescriptionToken	Here the e-prescription token(s) can be made available for processing in a pharmacy. URL: https://gematik.de/fhir/erp-servicerequest/StructureDefinition/eprescription-token-ex
Slices for modifierExtension	?!	0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension:medicationChanged	?!S	0..1	boolean	Indicates whether the medication has been changed by the prescriber. URL: https://gematik.de/fhir/erp-servicerequest/StructureDefinition/changed-medication-ex
modifierExtension:redeemByPatient	?!S	0..1	boolean	Redeem By Patient URL: https://gematik.de/fhir/erp-servicerequest/StructureDefinition/redeem-by-patient-ex
Slices for identifier	SΣ	1..*	Identifier	Defines identifiers to be used in this profile. Slice: Unordered, Open by pattern:system
identifier:requestId	Σ	1..1	ERPServiceRequestRequestIdentifier	Identifier that uniquely references a ServiceRequest.
basedOn	SΣ	1..1	Reference(ERP Service Request Medikationsanforderung)	Requested or fulfilled MedicationRequest.
requisition	SΣ	1..1	ERPServiceRequestProcedureIdentifier	Identifier of the overall process. Multiple ServiceRequests within a process are allocated the same ID.
status	?!SΣ	1..1	code	Indicates the processing status of a service request. Binding: Status des ServiceRequests (required)
intent	?!SΣ	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. Fixed Value: order
priority	SΣ	0..1	code	Indicates the urgency of the request. Binding: Service Request Priorität VS (required)
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	SΣ	1..1	CodeableConcept	Indicates the type of service request. Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred.
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:request-type	SΣ	1..1	Coding	Indicates the type of service request. Binding: Art des ServiceRequests (VS) (required) Required Pattern: At least the following
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://gematik.de/fhir/erp-servicerequest/CodeSystem/service-request-type-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: prescription-request
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
subject	SΣ	1..1	Reference(ERP Service Request Patient)	Patient for whom a prescription is requested on behalf of the patient.
occurrence[x]	SΣ	0..1	dateTime	Specifies the date on which the prescription is to be issued (Bedarfszeitraum).
authoredOn	SΣ	1..1	dateTime	Creation date of the request.
requester	SΣ	0..1	Reference(ERP Service Request Organisation)	Inquiring facility or practitioner.
performer	SΣ	0..*	Reference(ERP Service Request Leistungserbringer)	Doctor who is to issue the prescription.
reasonCode	SΣ	0..*	CodeableConcept	Reason for the prescription request. Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:remainingSupply	S	0..1	Quantity	Remaining supply URL: https://gematik.de/fhir/erp-servicerequest/StructureDefinition/remaining-supply-ex
extension:remainingSupplyFreeText	S	0..1	string	Remaining supply as free text URL: https://gematik.de/fhir/erp-servicerequest/StructureDefinition/remaining-supply-free-text-ex
coding	SΣ	0..1	Coding	Code defined by a terminology system Binding: Grund für Medikationsanforderung (VS) (required)
text	SΣ	0..1	string	Plain text representation of the concept
Slices for supportingInfo	S	0..*	Reference(Resource)	Additional clinical information Slice: Unordered, Open by pattern:type
supportingInfo:pflegeeinrichtungKopie	S	0..1	Reference(ERP Service Request Organisation)	Reference to the care facility that receives a copy of the prescription.
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: Organization
note	S	0..*	Annotation	Further information on the prescription request.
time	SΣ	1..1	dateTime	When the annotation was made
text	Σ	1..1	markdown	The annotation - text content (as markdown)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ServiceRequest.status	required	ServiceRequestStatusVS https://gematik.de/fhir/erp-servicerequest/ValueSet/service-request-status-vs From this IG
ServiceRequest.intent	required	Fixed Value: order http://hl7.org/fhir/ValueSet/request-intent|4.0.1 From the FHIR Standard
ServiceRequest.priority	required	ServiceRequestPriorityVS https://gematik.de/fhir/erp-servicerequest/ValueSet/service-request-priority-vs From this IG
ServiceRequest.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code From the FHIR Standard
ServiceRequest.code.coding:request-type	required	Pattern Value: prescription-request https://gematik.de/fhir/erp-servicerequest/ValueSet/service-request-type-vs From this IG
ServiceRequest.reasonCode	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason From the FHIR Standard
ServiceRequest.reasonCode.coding	required	MedicationRequestReasonVS(a valid code from Grund für Medikationsanforderung (CS)) https://gematik.de/fhir/erp-servicerequest/ValueSet/medication-request-reason-vs From this IG
ServiceRequest.supportingInfo:pflegeeinrichtungKopie.type	extensible	Pattern Value: Organization http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
servicerequest-prescription-request-1	error	ServiceRequest	Wenn der Status aktiv ist, muss der Anforderer vorhanden sein. : status = 'active' implies requester.exists()
servicerequest-prescription-request-2	error	ServiceRequest	Wenn der Status abgeschlossen ist und das Rezept vom Patienten eingelöst werden soll, darf der E-Rezept-Token nicht vorhanden sein. : (status = 'completed' and modifierExtension.where(url = 'https://gematik.de/fhir/erp-servicerequest/StructureDefinition/redeem-by-patient-ex').exists() and modifierExtension.where(url = 'https://gematik.de/fhir/erp-servicerequest/StructureDefinition/redeem-by-patient-ex').value = true) implies extension.where(url = 'https://gematik.de/fhir/erp-servicerequest/StructureDefinition/eprescription-token-ex').exists().not()
servicerequest-prescription-request-3	error	ServiceRequest	Wenn der Status widerrufen oder fehlerhaft eingegeben ist, muss der Grund oder eine Notiz vorhanden sein. : (status = 'revoked' or status = 'entered-in-error') implies (reasonCode.text.exists() or note.exists())
servicerequest-prescription-request-4	error	ServiceRequest	Wenn der Status abgeschlossen ist, muss der Durchführende vorhanden sein. : status = 'completed' implies performer.exists()
servicerequest-prescription-request-5	error	ServiceRequest	Wenn der Status abgeschlossen ist und das Rezept nicht vom Patienten eingelöst werden soll, muss der E-Rezept-Token vorhanden sein. : (status = 'completed' and (modifierExtension.where(url = 'https://gematik.de/fhir/erp-servicerequest/StructureDefinition/redeem-by-patient-ex').value = false or modifierExtension.where(url = 'https://gematik.de/fhir/erp-servicerequest/StructureDefinition/redeem-by-patient-ex').exists().not())) implies extension.where(url = 'https://gematik.de/fhir/erp-servicerequest/StructureDefinition/eprescription-token-ex').exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed Constraints: servicerequest-prescription-request-1, servicerequest-prescription-request-2, servicerequest-prescription-request-3, servicerequest-prescription-request-4, servicerequest-prescription-request-5
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:EPrescriptionToken	S	0..*	ERPServiceRequestEPrescriptionToken	Here the e-prescription token(s) can be made available for processing in a pharmacy. URL: https://gematik.de/fhir/erp-servicerequest/StructureDefinition/eprescription-token-ex
Slices for modifierExtension		0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension:medicationChanged	S	0..1	boolean	Indicates whether the medication has been changed by the prescriber. URL: https://gematik.de/fhir/erp-servicerequest/StructureDefinition/changed-medication-ex
modifierExtension:redeemByPatient	S	0..1	boolean	Redeem By Patient URL: https://gematik.de/fhir/erp-servicerequest/StructureDefinition/redeem-by-patient-ex
Slices for identifier	S	1..*	Identifier	Defines identifiers to be used in this profile. Slice: Unordered, Open by pattern:system
identifier:requestId		1..1	ERPServiceRequestRequestIdentifier	Identifier that uniquely references a ServiceRequest.
basedOn	S	1..1	Reference(ERP Service Request Medikationsanforderung)	Requested or fulfilled MedicationRequest.
requisition	S	1..1	ERPServiceRequestProcedureIdentifier	Identifier of the overall process. Multiple ServiceRequests within a process are allocated the same ID.
status	S	1..1	code	Indicates the processing status of a service request. Binding: Status des ServiceRequests (required)
intent	S	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Fixed Value: order
priority	S	0..1	code	Indicates the urgency of the request. Binding: Service Request Priorität VS (required)
code	S	1..1	CodeableConcept	Indicates the type of service request.
Slices for coding	S	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:request-type	S	1..1	Coding	Indicates the type of service request. Binding: Art des ServiceRequests (VS) (required) Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: https://gematik.de/fhir/erp-servicerequest/CodeSystem/service-request-type-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: prescription-request
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
subject	S	1..1	Reference(ERP Service Request Patient)	Patient for whom a prescription is requested on behalf of the patient.
occurrence[x]	S	0..1	dateTime	Specifies the date on which the prescription is to be issued (Bedarfszeitraum).
authoredOn	S	1..1	dateTime	Creation date of the request.
requester	S	0..1	Reference(ERP Service Request Organisation)	Inquiring facility or practitioner.
performer	S	0..*	Reference(ERP Service Request Leistungserbringer)	Doctor who is to issue the prescription.
reasonCode	S	0..*	CodeableConcept	Reason for the prescription request.
extension	S	0..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:remainingSupply	S	0..1	Quantity	Remaining supply URL: https://gematik.de/fhir/erp-servicerequest/StructureDefinition/remaining-supply-ex
extension:remainingSupplyFreeText	S	0..1	string	Remaining supply as free text URL: https://gematik.de/fhir/erp-servicerequest/StructureDefinition/remaining-supply-free-text-ex
coding	S	0..1	Coding	Code defined by a terminology system Binding: Grund für Medikationsanforderung (VS) (required)
text	S	0..1	string	Plain text representation of the concept
Slices for supportingInfo	S	0..*	Reference(Resource)	Additional clinical information Slice: Unordered, Open by pattern:type
supportingInfo:pflegeeinrichtungKopie	S	0..1	Reference(ERP Service Request Organisation)	Reference to the care facility that receives a copy of the prescription.
type		1..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: Organization
note	S	0..*	Annotation	Further information on the prescription request.
time	S	1..1	dateTime	When the annotation was made
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet / Code	URI
ServiceRequest.status	required	ServiceRequestStatusVS https://gematik.de/fhir/erp-servicerequest/ValueSet/service-request-status-vs From this IG
ServiceRequest.priority	required	ServiceRequestPriorityVS https://gematik.de/fhir/erp-servicerequest/ValueSet/service-request-priority-vs From this IG
ServiceRequest.code.coding:request-type	required	Pattern Value: prescription-request https://gematik.de/fhir/erp-servicerequest/ValueSet/service-request-type-vs From this IG
ServiceRequest.reasonCode.coding	required	MedicationRequestReasonVS(a valid code from Grund für Medikationsanforderung (CS)) https://gematik.de/fhir/erp-servicerequest/ValueSet/medication-request-reason-vs From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
servicerequest-prescription-request-1	error	ServiceRequest	Wenn der Status aktiv ist, muss der Anforderer vorhanden sein. : status = 'active' implies requester.exists()
servicerequest-prescription-request-2	error	ServiceRequest	Wenn der Status abgeschlossen ist und das Rezept vom Patienten eingelöst werden soll, darf der E-Rezept-Token nicht vorhanden sein. : (status = 'completed' and modifierExtension.where(url = 'https://gematik.de/fhir/erp-servicerequest/StructureDefinition/redeem-by-patient-ex').exists() and modifierExtension.where(url = 'https://gematik.de/fhir/erp-servicerequest/StructureDefinition/redeem-by-patient-ex').value = true) implies extension.where(url = 'https://gematik.de/fhir/erp-servicerequest/StructureDefinition/eprescription-token-ex').exists().not()
servicerequest-prescription-request-3	error	ServiceRequest	Wenn der Status widerrufen oder fehlerhaft eingegeben ist, muss der Grund oder eine Notiz vorhanden sein. : (status = 'revoked' or status = 'entered-in-error') implies (reasonCode.text.exists() or note.exists())
servicerequest-prescription-request-4	error	ServiceRequest	Wenn der Status abgeschlossen ist, muss der Durchführende vorhanden sein. : status = 'completed' implies performer.exists()
servicerequest-prescription-request-5	error	ServiceRequest	Wenn der Status abgeschlossen ist und das Rezept nicht vom Patienten eingelöst werden soll, muss der E-Rezept-Token vorhanden sein. : (status = 'completed' and (modifierExtension.where(url = 'https://gematik.de/fhir/erp-servicerequest/StructureDefinition/redeem-by-patient-ex').value = false or modifierExtension.where(url = 'https://gematik.de/fhir/erp-servicerequest/StructureDefinition/redeem-by-patient-ex').exists().not())) implies extension.where(url = 'https://gematik.de/fhir/erp-servicerequest/StructureDefinition/eprescription-token-ex').exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed Constraints: prr-1, servicerequest-prescription-request-1, servicerequest-prescription-request-2, servicerequest-prescription-request-3, servicerequest-prescription-request-4, servicerequest-prescription-request-5
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 Bindings Purpose 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
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:EPrescriptionToken	S	0..*	ERPServiceRequestEPrescriptionToken	Here the e-prescription token(s) can be made available for processing in a pharmacy. URL: https://gematik.de/fhir/erp-servicerequest/StructureDefinition/eprescription-token-ex
Slices for modifierExtension	?!	0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension:medicationChanged	?!S	0..1	boolean	Indicates whether the medication has been changed by the prescriber. URL: https://gematik.de/fhir/erp-servicerequest/StructureDefinition/changed-medication-ex
modifierExtension:redeemByPatient	?!S	0..1	boolean	Redeem By Patient URL: https://gematik.de/fhir/erp-servicerequest/StructureDefinition/redeem-by-patient-ex
Slices for identifier	SΣ	1..*	Identifier	Defines identifiers to be used in this profile. Slice: Unordered, Open by pattern:system
identifier:requestId	Σ	1..1	ERPServiceRequestRequestIdentifier	Identifier that uniquely references a ServiceRequest.
instantiatesCanonical	Σ	0..*	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	SΣ	1..1	Reference(ERP Service Request Medikationsanforderung)	Requested or fulfilled MedicationRequest.
replaces	Σ	0..*	Reference(ServiceRequest)	What request replaces
requisition	SΣ	1..1	ERPServiceRequestProcedureIdentifier	Identifier of the overall process. Multiple ServiceRequests within a process are allocated the same ID.
status	?!SΣ	1..1	code	Indicates the processing status of a service request. Binding: Status des ServiceRequests (required)
intent	?!SΣ	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. Fixed Value: order
category	Σ	0..*	CodeableConcept	Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
priority	SΣ	0..1	code	Indicates the urgency of the request. Binding: Service Request Priorität VS (required)
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	SΣ	1..1	CodeableConcept	Indicates the type of service request. Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:request-type	SΣ	1..1	Coding	Indicates the type of service request. Binding: Art des ServiceRequests (VS) (required) Required Pattern: At least the following
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://gematik.de/fhir/erp-servicerequest/CodeSystem/service-request-type-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: prescription-request
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
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
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	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
orderDetail	ΣC	0..*	CodeableConcept	Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
quantity[x]	Σ	0..1		Service amount
quantityQuantity			Quantity
quantityRatio			Ratio
quantityRange			Range
subject	SΣ	1..1	Reference(ERP Service Request Patient)	Patient for whom a prescription is requested on behalf of the patient.
encounter	Σ	0..1	Reference(Encounter)	Encounter in which the request was created
occurrence[x]	SΣ	0..1	dateTime	Specifies the date on which the prescription is to be issued (Bedarfszeitraum).
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	1..1	dateTime	Creation date of the request.
requester	SΣ	0..1	Reference(ERP Service Request Organisation)	Inquiring facility or practitioner.
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	SΣ	0..*	Reference(ERP Service Request Leistungserbringer)	Doctor who is to issue the prescription.
locationCode	Σ	0..*	CodeableConcept	Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
locationReference	Σ	0..*	Reference(Location)	Requested location
reasonCode	SΣ	0..*	CodeableConcept	Reason for the prescription request. 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
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:remainingSupply	S	0..1	Quantity	Remaining supply URL: https://gematik.de/fhir/erp-servicerequest/StructureDefinition/remaining-supply-ex
extension:remainingSupplyFreeText	S	0..1	string	Remaining supply as free text URL: https://gematik.de/fhir/erp-servicerequest/StructureDefinition/remaining-supply-free-text-ex
coding	SΣ	0..1	Coding	Code defined by a terminology system Binding: Grund für Medikationsanforderung (VS) (required)
text	SΣ	0..1	string	Plain text representation of the concept
reasonReference	Σ	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Explanation/Justification for service or service
insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
Slices for supportingInfo	S	0..*	Reference(Resource)	Additional clinical information Slice: Unordered, Open by pattern:type
supportingInfo:pflegeeinrichtungKopie	S	0..1	Reference(ERP Service Request Organisation)	Reference to the care facility that receives a copy of the prescription.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: Organization
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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	S	0..*	Annotation	Further information on the prescription request.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	SΣ	1..1	dateTime	When the annotation was made
text	Σ	1..1	markdown	The annotation - text content (as markdown)
patientInstruction	Σ	0..1	string	Patient or consumer-oriented instructions
relevantHistory		0..*	Reference(Provenance)	Request provenance
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ServiceRequest.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
ServiceRequest.status	required	ServiceRequestStatusVS https://gematik.de/fhir/erp-servicerequest/ValueSet/service-request-status-vs From this IG
ServiceRequest.intent	required	Fixed Value: order http://hl7.org/fhir/ValueSet/request-intent|4.0.1 From the FHIR Standard
ServiceRequest.category	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category From the FHIR Standard
ServiceRequest.priority	required	ServiceRequestPriorityVS https://gematik.de/fhir/erp-servicerequest/ValueSet/service-request-priority-vs From this IG
ServiceRequest.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code From the FHIR Standard
ServiceRequest.code.coding:request-type	required	Pattern Value: prescription-request https://gematik.de/fhir/erp-servicerequest/ValueSet/service-request-type-vs From this IG
ServiceRequest.orderDetail	example	ServiceRequestOrderDetailsCodes http://hl7.org/fhir/ValueSet/servicerequest-orderdetail From the FHIR Standard
ServiceRequest.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason From the FHIR Standard
ServiceRequest.performerType	example	ParticipantRoles http://hl7.org/fhir/ValueSet/participant-role From the FHIR Standard
ServiceRequest.locationCode	example	ServiceDeliveryLocationRoleType http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reasonCode	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason From the FHIR Standard
ServiceRequest.reasonCode.coding	required	MedicationRequestReasonVS(a valid code from Grund für Medikationsanforderung (CS)) https://gematik.de/fhir/erp-servicerequest/ValueSet/medication-request-reason-vs From this IG
ServiceRequest.supportingInfo:pflegeeinrichtungKopie.type	extensible	Pattern Value: Organization http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
ServiceRequest.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
servicerequest-prescription-request-1	error	ServiceRequest	Wenn der Status aktiv ist, muss der Anforderer vorhanden sein. : status = 'active' implies requester.exists()
servicerequest-prescription-request-2	error	ServiceRequest	Wenn der Status abgeschlossen ist und das Rezept vom Patienten eingelöst werden soll, darf der E-Rezept-Token nicht vorhanden sein. : (status = 'completed' and modifierExtension.where(url = 'https://gematik.de/fhir/erp-servicerequest/StructureDefinition/redeem-by-patient-ex').exists() and modifierExtension.where(url = 'https://gematik.de/fhir/erp-servicerequest/StructureDefinition/redeem-by-patient-ex').value = true) implies extension.where(url = 'https://gematik.de/fhir/erp-servicerequest/StructureDefinition/eprescription-token-ex').exists().not()
servicerequest-prescription-request-3	error	ServiceRequest	Wenn der Status widerrufen oder fehlerhaft eingegeben ist, muss der Grund oder eine Notiz vorhanden sein. : (status = 'revoked' or status = 'entered-in-error') implies (reasonCode.text.exists() or note.exists())
servicerequest-prescription-request-4	error	ServiceRequest	Wenn der Status abgeschlossen ist, muss der Durchführende vorhanden sein. : status = 'completed' implies performer.exists()
servicerequest-prescription-request-5	error	ServiceRequest	Wenn der Status abgeschlossen ist und das Rezept nicht vom Patienten eingelöst werden soll, muss der E-Rezept-Token vorhanden sein. : (status = 'completed' and (modifierExtension.where(url = 'https://gematik.de/fhir/erp-servicerequest/StructureDefinition/redeem-by-patient-ex').value = false or modifierExtension.where(url = 'https://gematik.de/fhir/erp-servicerequest/StructureDefinition/redeem-by-patient-ex').exists().not())) implies extension.where(url = 'https://gematik.de/fhir/erp-servicerequest/StructureDefinition/eprescription-token-ex').exists()

Summary

Mandatory: 10 elements(2 nested mandatory elements)
Must-Support: 28 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

• ERP Service Request Request Identifier (https://gematik.de/fhir/erp-servicerequest/StructureDefinition/erp-service-request-request-identifier)
• ERP Service Request Medikationsanforderung (https://gematik.de/fhir/erp-servicerequest/StructureDefinition/erp-service-request-medication-request)
• ERP Service Request Procedure Identifier (https://gematik.de/fhir/erp-servicerequest/StructureDefinition/erp-service-request-procedure-identifier)
• ERP Service Request Patient (https://gematik.de/fhir/erp-servicerequest/StructureDefinition/erp-service-request-patient)
• ERP Service Request Organisation (https://gematik.de/fhir/erp-servicerequest/StructureDefinition/erp-service-request-organization)
• ERP Service Request Leistungserbringer (https://gematik.de/fhir/erp-servicerequest/StructureDefinition/erp-service-request-practitioner)

Extensions

This structure refers to these extensions:

• https://gematik.de/fhir/erp-servicerequest/StructureDefinition/eprescription-token-ex
• https://gematik.de/fhir/erp-servicerequest/StructureDefinition/changed-medication-ex (Modifier)
• https://gematik.de/fhir/erp-servicerequest/StructureDefinition/redeem-by-patient-ex (Modifier)
• https://gematik.de/fhir/erp-servicerequest/StructureDefinition/remaining-supply-ex
• https://gematik.de/fhir/erp-servicerequest/StructureDefinition/remaining-supply-free-text-ex

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of ServiceRequest.identifier
• The element 1 is sliced based on the value of ServiceRequest.code.coding
• The element 1 is sliced based on the value of ServiceRequest.supportingInfo