Scope and usage

This model is used to represent when a municipality recieves a request for rehabilitation according to §140 in the health act (DK: §140 træning ifølge sundhedsloven).

The ServiceRequest, should have the sending organisation as the requester i.e the hospital that sends the request (GGOP), and intent should always be “plan”. The status attribute should be used according to the FHIR-guidance. The requester is mandatory for §140. The citizen is referred in ServiceRequest.subject.

ServiceRequest.authoredOn holds the date form when the GGOP was recieved in the municipality, if this is available. Else, the time that the GGOP was send from the hosptal may be used.

extension[dischargeDate] holds the date from when the patient was discharged from the hospital. If nothing else is available, the attribute ‘Aktuel_kontakt_slutdato’ from MedCom’s GGOP can be used. However, it should always be possible for the municipalities to correct the date if the discharge date is changed.

The date, where the patient is offered to recieve his/her first encounter is reported in occurrencePeriod.start . This is the official beginning of the delivery of the service, even if the encounter is eventually cancelled.

category is used to state what type of GGOP has been send to the municipality i.e. ‘almen’, ‘specialiseret’, ‘rehabilitering’. If the GGOP is of type ‘almen’, an additional code may be added to distinguish between ‘basal’ and ‘avanceret’. Note that the latter may change over time, and is allowed to be corrected.

It may happen that the hospital sends a new GGOP when the treatment changes from ‘specialiseret’ to ‘almen’, even though this is not the recommended practice. In this case, just use this GGOP in a new instance of ServiceRequest, and associate with CarePlans, Iterventions etc as needed. If the hospital does not send a new GGOP (recommended pratics), just change the type from ‘specialiseret’ to ‘almen’ in an update to the already reported ServiceRequest, and associate the CarePlans, Iterventions etc’.

ServiceRequest.status and ServiceRequest.intent are mandatory. ServiceRequest.intent always have the value ‘plan’. ServiceRequest.status uses the required FHIR ValueSet as appropriate. Use ‘on-hold’ to signify a GGOP that the municipality does not act on, or does not act on yet. Use in combination with extension[statusReason] to explain why the GGOP is not acted on.

It may happen that a new GGOP is recieved, while another one is already active for the citizen. If you want to keep track on which activities are related to each GGOP, choose the appropriate use case:

• If the new GGOP calls for the same interventions (with just minor modifications). Then the new GGOP replaces the old one. This is documented by reporting both the old and the new ServiceRequest. The new serviceRequest referes the old one using the attribute serviceRequest.replaces. The old ServiceRequest sets ServiceRequest.status to ‘revoked’ Example: A citizen has gotten a hip replacement, has been dicharges from the hospital and has started rehabilitation. Then the citizen falls and gets re-admitted to the hospital. At discharge, a new ServiceRequest is send, but because the damage was small, the municipality intervention preceeds as planned.
• It could also happen that the new GGOP means that the citizen interventions should be modified. E.g. the therapist start over with the examination (terapeutfaglig undersøgelse) and/or plan another intervention. In this case, revoke the old ServiceRequest, and use the new one as a reference in all interventions and encounters. Example: If the patient is admitted for a longer time, so that the intervention changes i.e. a new examination is made and the citizen starts over in group based training.
• In the last case, both GGOPS are relevant at the same time, and each calls for different interventions. In this case, both ServiceRequests remains active, and each have different interventions and encounters associated with it. Example: A citizen has gotten a hip replacement, has been dicharges from the hospital and has started rehabilitation. The citizen is then examined for shoulder and neck pain in the hospital, and a new GGOP is send to the municipality, to also help with neck/shoulder interventions.

SeviceRequest.reasonReference is only used, if a code or codes were recieved in a MedCom message as a referal diagnosis (i GGOP). The reasonReference describes this through a reference to FocusCondition, which again uses SKS diagnosis codes to describe the problem/diagnosis, that led the hospital to request §140 rehabilitation.

ServiceRequest.code.coding is used to state, what kind of interventions the requester wants for the citizen. The value is always ‘Træning’.

Conversions between Danish information model and FHIR-profile

Nedenstående tabel oversætter mellem de attributter der er defineret i den fælleskommunale informationsmodel (FKI), definerer kort den enkelte attribut på dansk og specificere hvilke af FHIR-profilens atributter der skal bruges til specifikation af indholdet

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from ServiceRequest

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed gateway-140-service-request-1: one of the order detail codes, should always be almen, specialiseret eller rehabilitering
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
dischargeDate		0..1	date	[DK] anledningUdskrivningsdato URL: http://fhir.kl.dk/rehab/StructureDefinition/PreconditionDate
statusReason		0..1	CodeableConcept	[DK] anledningÅrsagManglendeAktivitet URL: http://hl7.org/fhir/StructureDefinition/request-statusReason Binding: (unbound) (example): Codes identifying the reason for the current state of an event.
value[x]
coding		0..*	Coding	Code defined by a terminology system Binding: ServiceRequestStatusReasons (required)
identifier		0..0
instantiatesCanonical		0..0
instantiatesUri		0..0
basedOn		0..0
replaces		0..1	Reference(KLGateway140ServiceRequest) {b}	[DK] anledningErstatter
requisition		0..0
status		1..1	code	[DK] anledningsStatus
intent		1..1	code	[DK] anledningsHensigt Required Pattern: plan
category		1..2	CodeableConcept	[DK] anledningTypeAfGGOP
coding		0..*	Coding	Code defined by a terminology system Binding: ServiceRequestTypes (required)
priority		0..0
doNotPerform		0..0
code
coding		0..*	Coding	[DK] anledningsIndsats Binding: ServiceTypes (required)
orderDetail		0..0
quantity[x]		0..0
subject		1..1	Reference(KLGateway140Citizen) {b}	[DK] anledningsSubjekt
encounter		0..0
Slices for occurrence[x]		0..1	dateTime, Period, Timing	When service should occur Slice: Unordered, Open by type:$this
occurrence[x]:occurrenceDateTime		0..0
occurrence[x]:occurrenceTiming		0..0
occurrence[x]:occurrencePeriod		0..1	Period	When service should occur
start		0..1	dateTime	[DK] anledningTilbudtFørsteKontakt
end		0..0
asNeeded[x]		0..0
authoredOn		1..1	dateTime	[DK] anledningstid
requester		1..1	Reference(KLGateway140Organization) {b}	[DK] anledningAnsvarlig
performerType		0..0
performer		0..0
locationCode		0..0
locationReference		0..0
reasonCode		0..0
reasonReference		0..*	Reference(KLGateway140FocusCondition) {b}	[DK] anledningsbegrundelse
insurance		0..0
supportingInfo		0..0
specimen		0..0
bodySite		0..0
note		0..0
patientInstruction		0..0
relevantHistory		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
ServiceRequest.extension:statusReason.value[x].coding	required	ServiceRequestStatusReasons140
ServiceRequest.category.coding	required	ServiceRequestTypes140
ServiceRequest.code.coding	required	ServiceTypes140

Constraints

Id	Grade	Path(s)	Details	Requirements
gateway-140-service-request-1	error	ServiceRequest	one of the order detail codes, should always be almen, specialiseret eller rehabilitering : category.select(coding.code = 'ffd81f78-352e-4589-a195-5350dd1df2a4' or coding.code = '0c8e2bfc-1350-45d1-90da-c07e2645d073' or coding.code = '83c89857-8fb8-4163-97b1-eb1a56345c29').anyTrue()

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed gateway-140-service-request-1: one of the order detail codes, should always be almen, specialiseret eller rehabilitering
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
dischargeDate		0..1	date	[DK] anledningUdskrivningsdato URL: http://fhir.kl.dk/rehab/StructureDefinition/PreconditionDate
statusReason		0..1	CodeableConcept	[DK] anledningÅrsagManglendeAktivitet URL: http://hl7.org/fhir/StructureDefinition/request-statusReason Binding: (unbound) (example): Codes identifying the reason for the current state of an event.
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/request-statusReason"
value[x]		1..1	CodeableConcept	Value of extension Binding: (unbound) (example): Codes identifying the reason for the current state of an event.
coding	Σ	0..*	Coding	Code defined by a terminology system Binding: ServiceRequestStatusReasons (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
replaces	Σ	0..1	Reference(KLGateway140ServiceRequest) {b}	[DK] anledningErstatter
status	?!Σ	1..1	code	[DK] anledningsStatus Binding: RequestStatus (required): The status of a service order.
intent	?!Σ	1..1	code	[DK] anledningsHensigt Binding: RequestIntent (required): The kind of service request. Required Pattern: plan
category	Σ	1..2	CodeableConcept	[DK] anledningTypeAfGGOP Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
coding	Σ	0..*	Coding	Code defined by a terminology system Binding: ServiceRequestTypes (required)
subject	Σ	1..1	Reference(KLGateway140Citizen) {b}	[DK] anledningsSubjekt
Slices for occurrence[x]	Σ	0..1		When service should occur Slice: Unordered, Closed by type:$this
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
occurrence[x]:occurrencePeriod	Σ	0..1	Period	When service should occur
start	ΣC	0..1	dateTime	[DK] anledningTilbudtFørsteKontakt
authoredOn	Σ	1..1	dateTime	[DK] anledningstid
requester	Σ	1..1	Reference(KLGateway140Organization) {b}	[DK] anledningAnsvarlig
reasonReference	Σ	0..*	Reference(KLGateway140FocusCondition) {b}	[DK] anledningsbegrundelse
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
ServiceRequest.extension:statusReason.value[x]	example
ServiceRequest.extension:statusReason.value[x].coding	required	ServiceRequestStatusReasons140
ServiceRequest.status	required	RequestStatus
ServiceRequest.intent	required	Pattern: plan
ServiceRequest.category	example	ServiceRequestCategoryCodes
ServiceRequest.category.coding	required	ServiceRequestTypes140

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()
gateway-140-service-request-1	error	ServiceRequest	one of the order detail codes, should always be almen, specialiseret eller rehabilitering : category.select(coding.code = 'ffd81f78-352e-4589-a195-5350dd1df2a4' or coding.code = '0c8e2bfc-1350-45d1-90da-c07e2645d073' or coding.code = '83c89857-8fb8-4163-97b1-eb1a56345c29').anyTrue()
prr-1	error	ServiceRequest	orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists()

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed gateway-140-service-request-1: one of the order detail codes, should always be almen, specialiseret eller rehabilitering
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
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
dischargeDate		0..1	date	[DK] anledningUdskrivningsdato URL: http://fhir.kl.dk/rehab/StructureDefinition/PreconditionDate
statusReason		0..1	CodeableConcept	[DK] anledningÅrsagManglendeAktivitet URL: http://hl7.org/fhir/StructureDefinition/request-statusReason Binding: (unbound) (example): Codes identifying the reason for the current state of an event.
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/request-statusReason"
value[x]		1..1	CodeableConcept	Value of extension Binding: (unbound) (example): Codes identifying the reason for the current state of an event.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Binding: ServiceRequestStatusReasons (required)
text	Σ	0..1	string	Plain text representation of the concept
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
replaces	Σ	0..1	Reference(KLGateway140ServiceRequest) {b}	[DK] anledningErstatter
status	?!Σ	1..1	code	[DK] anledningsStatus Binding: RequestStatus (required): The status of a service order.
intent	?!Σ	1..1	code	[DK] anledningsHensigt Binding: RequestIntent (required): The kind of service request. Required Pattern: plan
category	Σ	1..2	CodeableConcept	[DK] anledningTypeAfGGOP Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Binding: ServiceRequestTypes (required)
text	Σ	0..1	string	Plain text representation of the concept
code	Σ	0..1	CodeableConcept	​What is being requested/ordered 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 and a valueset using LOINC Order codes is available here.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	[DK] anledningsIndsats Binding: ServiceTypes (required)
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(KLGateway140Citizen) {b}	[DK] anledningsSubjekt
Slices for occurrence[x]	Σ	0..1		When service should occur Slice: Unordered, Closed by type:$this
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
occurrence[x]:occurrencePeriod	Σ	0..1	Period	When service should occur
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	0..1	dateTime	[DK] anledningTilbudtFørsteKontakt
authoredOn	Σ	1..1	dateTime	[DK] anledningstid
requester	Σ	1..1	Reference(KLGateway140Organization) {b}	[DK] anledningAnsvarlig
reasonReference	Σ	0..*	Reference(KLGateway140FocusCondition) {b}	[DK] anledningsbegrundelse
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
ServiceRequest.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
ServiceRequest.extension:statusReason.value[x]	example
ServiceRequest.extension:statusReason.value[x].coding	required	ServiceRequestStatusReasons140
ServiceRequest.status	required	RequestStatus
ServiceRequest.intent	required	Pattern: plan
ServiceRequest.category	example	ServiceRequestCategoryCodes
ServiceRequest.category.coding	required	ServiceRequestTypes140
ServiceRequest.code	example	ProcedureCodes(SNOMEDCT)
ServiceRequest.code.coding	required	ServiceTypes140

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()
gateway-140-service-request-1	error	ServiceRequest	one of the order detail codes, should always be almen, specialiseret eller rehabilitering : category.select(coding.code = 'ffd81f78-352e-4589-a195-5350dd1df2a4' or coding.code = '0c8e2bfc-1350-45d1-90da-c07e2645d073' or coding.code = '83c89857-8fb8-4163-97b1-eb1a56345c29').anyTrue()
prr-1	error	ServiceRequest	orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists()

Differential View

This structure is derived from ServiceRequest

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed gateway-140-service-request-1: one of the order detail codes, should always be almen, specialiseret eller rehabilitering
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
dischargeDate		0..1	date	[DK] anledningUdskrivningsdato URL: http://fhir.kl.dk/rehab/StructureDefinition/PreconditionDate
statusReason		0..1	CodeableConcept	[DK] anledningÅrsagManglendeAktivitet URL: http://hl7.org/fhir/StructureDefinition/request-statusReason Binding: (unbound) (example): Codes identifying the reason for the current state of an event.
value[x]
coding		0..*	Coding	Code defined by a terminology system Binding: ServiceRequestStatusReasons (required)
identifier		0..0
instantiatesCanonical		0..0
instantiatesUri		0..0
basedOn		0..0
replaces		0..1	Reference(KLGateway140ServiceRequest) {b}	[DK] anledningErstatter
requisition		0..0
status		1..1	code	[DK] anledningsStatus
intent		1..1	code	[DK] anledningsHensigt Required Pattern: plan
category		1..2	CodeableConcept	[DK] anledningTypeAfGGOP
coding		0..*	Coding	Code defined by a terminology system Binding: ServiceRequestTypes (required)
priority		0..0
doNotPerform		0..0
code
coding		0..*	Coding	[DK] anledningsIndsats Binding: ServiceTypes (required)
orderDetail		0..0
quantity[x]		0..0
subject		1..1	Reference(KLGateway140Citizen) {b}	[DK] anledningsSubjekt
encounter		0..0
Slices for occurrence[x]		0..1	dateTime, Period, Timing	When service should occur Slice: Unordered, Open by type:$this
occurrence[x]:occurrenceDateTime		0..0
occurrence[x]:occurrenceTiming		0..0
occurrence[x]:occurrencePeriod		0..1	Period	When service should occur
start		0..1	dateTime	[DK] anledningTilbudtFørsteKontakt
end		0..0
asNeeded[x]		0..0
authoredOn		1..1	dateTime	[DK] anledningstid
requester		1..1	Reference(KLGateway140Organization) {b}	[DK] anledningAnsvarlig
performerType		0..0
performer		0..0
locationCode		0..0
locationReference		0..0
reasonCode		0..0
reasonReference		0..*	Reference(KLGateway140FocusCondition) {b}	[DK] anledningsbegrundelse
insurance		0..0
supportingInfo		0..0
specimen		0..0
bodySite		0..0
note		0..0
patientInstruction		0..0
relevantHistory		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
ServiceRequest.extension:statusReason.value[x].coding	required	ServiceRequestStatusReasons140
ServiceRequest.category.coding	required	ServiceRequestTypes140
ServiceRequest.code.coding	required	ServiceTypes140

Constraints

Id	Grade	Path(s)	Details	Requirements
gateway-140-service-request-1	error	ServiceRequest	one of the order detail codes, should always be almen, specialiseret eller rehabilitering : category.select(coding.code = 'ffd81f78-352e-4589-a195-5350dd1df2a4' or coding.code = '0c8e2bfc-1350-45d1-90da-c07e2645d073' or coding.code = '83c89857-8fb8-4163-97b1-eb1a56345c29').anyTrue()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed gateway-140-service-request-1: one of the order detail codes, should always be almen, specialiseret eller rehabilitering
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
dischargeDate		0..1	date	[DK] anledningUdskrivningsdato URL: http://fhir.kl.dk/rehab/StructureDefinition/PreconditionDate
statusReason		0..1	CodeableConcept	[DK] anledningÅrsagManglendeAktivitet URL: http://hl7.org/fhir/StructureDefinition/request-statusReason Binding: (unbound) (example): Codes identifying the reason for the current state of an event.
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/request-statusReason"
value[x]		1..1	CodeableConcept	Value of extension Binding: (unbound) (example): Codes identifying the reason for the current state of an event.
coding	Σ	0..*	Coding	Code defined by a terminology system Binding: ServiceRequestStatusReasons (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
replaces	Σ	0..1	Reference(KLGateway140ServiceRequest) {b}	[DK] anledningErstatter
status	?!Σ	1..1	code	[DK] anledningsStatus Binding: RequestStatus (required): The status of a service order.
intent	?!Σ	1..1	code	[DK] anledningsHensigt Binding: RequestIntent (required): The kind of service request. Required Pattern: plan
category	Σ	1..2	CodeableConcept	[DK] anledningTypeAfGGOP Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
coding	Σ	0..*	Coding	Code defined by a terminology system Binding: ServiceRequestTypes (required)
subject	Σ	1..1	Reference(KLGateway140Citizen) {b}	[DK] anledningsSubjekt
Slices for occurrence[x]	Σ	0..1		When service should occur Slice: Unordered, Closed by type:$this
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
occurrence[x]:occurrencePeriod	Σ	0..1	Period	When service should occur
start	ΣC	0..1	dateTime	[DK] anledningTilbudtFørsteKontakt
authoredOn	Σ	1..1	dateTime	[DK] anledningstid
requester	Σ	1..1	Reference(KLGateway140Organization) {b}	[DK] anledningAnsvarlig
reasonReference	Σ	0..*	Reference(KLGateway140FocusCondition) {b}	[DK] anledningsbegrundelse
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
ServiceRequest.extension:statusReason.value[x]	example
ServiceRequest.extension:statusReason.value[x].coding	required	ServiceRequestStatusReasons140
ServiceRequest.status	required	RequestStatus
ServiceRequest.intent	required	Pattern: plan
ServiceRequest.category	example	ServiceRequestCategoryCodes
ServiceRequest.category.coding	required	ServiceRequestTypes140

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()
gateway-140-service-request-1	error	ServiceRequest	one of the order detail codes, should always be almen, specialiseret eller rehabilitering : category.select(coding.code = 'ffd81f78-352e-4589-a195-5350dd1df2a4' or coding.code = '0c8e2bfc-1350-45d1-90da-c07e2645d073' or coding.code = '83c89857-8fb8-4163-97b1-eb1a56345c29').anyTrue()
prr-1	error	ServiceRequest	orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed gateway-140-service-request-1: one of the order detail codes, should always be almen, specialiseret eller rehabilitering
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
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
dischargeDate		0..1	date	[DK] anledningUdskrivningsdato URL: http://fhir.kl.dk/rehab/StructureDefinition/PreconditionDate
statusReason		0..1	CodeableConcept	[DK] anledningÅrsagManglendeAktivitet URL: http://hl7.org/fhir/StructureDefinition/request-statusReason Binding: (unbound) (example): Codes identifying the reason for the current state of an event.
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/request-statusReason"
value[x]		1..1	CodeableConcept	Value of extension Binding: (unbound) (example): Codes identifying the reason for the current state of an event.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Binding: ServiceRequestStatusReasons (required)
text	Σ	0..1	string	Plain text representation of the concept
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
replaces	Σ	0..1	Reference(KLGateway140ServiceRequest) {b}	[DK] anledningErstatter
status	?!Σ	1..1	code	[DK] anledningsStatus Binding: RequestStatus (required): The status of a service order.
intent	?!Σ	1..1	code	[DK] anledningsHensigt Binding: RequestIntent (required): The kind of service request. Required Pattern: plan
category	Σ	1..2	CodeableConcept	[DK] anledningTypeAfGGOP Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Binding: ServiceRequestTypes (required)
text	Σ	0..1	string	Plain text representation of the concept
code	Σ	0..1	CodeableConcept	​What is being requested/ordered 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 and a valueset using LOINC Order codes is available here.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	[DK] anledningsIndsats Binding: ServiceTypes (required)
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(KLGateway140Citizen) {b}	[DK] anledningsSubjekt
Slices for occurrence[x]	Σ	0..1		When service should occur Slice: Unordered, Closed by type:$this
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
occurrence[x]:occurrencePeriod	Σ	0..1	Period	When service should occur
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	0..1	dateTime	[DK] anledningTilbudtFørsteKontakt
authoredOn	Σ	1..1	dateTime	[DK] anledningstid
requester	Σ	1..1	Reference(KLGateway140Organization) {b}	[DK] anledningAnsvarlig
reasonReference	Σ	0..*	Reference(KLGateway140FocusCondition) {b}	[DK] anledningsbegrundelse
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
ServiceRequest.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
ServiceRequest.extension:statusReason.value[x]	example
ServiceRequest.extension:statusReason.value[x].coding	required	ServiceRequestStatusReasons140
ServiceRequest.status	required	RequestStatus
ServiceRequest.intent	required	Pattern: plan
ServiceRequest.category	example	ServiceRequestCategoryCodes
ServiceRequest.category.coding	required	ServiceRequestTypes140
ServiceRequest.code	example	ProcedureCodes(SNOMEDCT)
ServiceRequest.code.coding	required	ServiceTypes140

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()
gateway-140-service-request-1	error	ServiceRequest	one of the order detail codes, should always be almen, specialiseret eller rehabilitering : category.select(coding.code = 'ffd81f78-352e-4589-a195-5350dd1df2a4' or coding.code = '0c8e2bfc-1350-45d1-90da-c07e2645d073' or coding.code = '83c89857-8fb8-4163-97b1-eb1a56345c29').anyTrue()
prr-1	error	ServiceRequest	orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists()

This structure is derived from ServiceRequest

Summary

Mandatory: 3 elements
Prohibited: 26 elements

Structures

This structure refers to these other structures:

• KLGateway140ServiceRequest (http://fhir.kl.dk/rehab/StructureDefinition/klgateway-140-servicerequest)
• KLGateway140Citizen (http://fhir.kl.dk/rehab/StructureDefinition/klgateway-140-citizen)
• KLGateway140Organization (http://fhir.kl.dk/rehab/StructureDefinition/klgateway-140-organization)
• KLGateway140FocusCondition (http://fhir.kl.dk/rehab/StructureDefinition/klgateway-140-focus-condition)

Extensions

This structure refers to these extensions:

• http://fhir.kl.dk/rehab/StructureDefinition/PreconditionDate
• http://hl7.org/fhir/StructureDefinition/request-statusReason

Slices

This structure defines the following Slices:

• The element ServiceRequest.occurrence[x] is sliced based on the value of type:$this