{
  "resourceType": "StructureDefinition",
  "id": "ServiceRequest",
  "meta": {
    "lastUpdated": "2025-05-02T11:23:03.573+00:00"
  },
  "url": "https://demis.rki.de/fhir/ars/StructureDefinition/ServiceRequest",
  "version": "1.0.0",
  "name": "ServiceRequest",
  "title": "Laborauftrag",
  "status": "draft",
  "experimental": false,
  "date": "2025-04-15",
  "publisher": "ARS@rki.de",
  "description": "Dieses Profil enthält Informationen zur Beauftragung der Probenuntersuchung. Darunter fallen insbesondere die Gründe der Untersuchung. Wird Außerdem verwendet zur Verknüpfung der mikrobiologischen Daten mit den Einsenderinformationen.",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "ServiceRequest",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "ServiceRequest.id",
        "path": "ServiceRequest.id",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "ServiceRequest.meta",
        "path": "ServiceRequest.meta",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "ServiceRequest.meta.id",
        "path": "ServiceRequest.meta.id",
        "max": "0"
      },
      {
        "id": "ServiceRequest.meta.extension",
        "path": "ServiceRequest.meta.extension",
        "max": "0"
      },
      {
        "id": "ServiceRequest.meta.versionId",
        "path": "ServiceRequest.meta.versionId",
        "max": "0"
      },
      {
        "id": "ServiceRequest.meta.lastUpdated",
        "path": "ServiceRequest.meta.lastUpdated",
        "max": "0"
      },
      {
        "id": "ServiceRequest.meta.source",
        "path": "ServiceRequest.meta.source",
        "max": "0"
      },
      {
        "id": "ServiceRequest.meta.profile",
        "path": "ServiceRequest.meta.profile",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "$this"
            }
          ],
          "rules": "closed"
        },
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "ServiceRequest.meta.profile:arsProfile",
        "path": "ServiceRequest.meta.profile",
        "sliceName": "arsProfile",
        "min": 1,
        "max": "1",
        "patternCanonical": "https://demis.rki.de/fhir/ars/StructureDefinition/ServiceRequest",
        "mustSupport": true
      },
      {
        "id": "ServiceRequest.meta.security",
        "path": "ServiceRequest.meta.security",
        "max": "0"
      },
      {
        "id": "ServiceRequest.meta.tag",
        "path": "ServiceRequest.meta.tag",
        "max": "0"
      },
      {
        "id": "ServiceRequest.identifier",
        "path": "ServiceRequest.identifier",
        "max": "0"
      },
      {
        "id": "ServiceRequest.instantiatesCanonical",
        "path": "ServiceRequest.instantiatesCanonical",
        "max": "0"
      },
      {
        "id": "ServiceRequest.instantiatesUri",
        "path": "ServiceRequest.instantiatesUri",
        "max": "0"
      },
      {
        "id": "ServiceRequest.basedOn",
        "path": "ServiceRequest.basedOn",
        "max": "0"
      },
      {
        "id": "ServiceRequest.replaces",
        "path": "ServiceRequest.replaces",
        "max": "0"
      },
      {
        "id": "ServiceRequest.requisition",
        "path": "ServiceRequest.requisition",
        "max": "0"
      },
      {
        "id": "ServiceRequest.intent",
        "path": "ServiceRequest.intent",
        "comment": "Vorgeschlagener Defautl-Code ist 'order' für eine Anforderung die von einer behandelden Stelle kommt."
      },
      {
        "id": "ServiceRequest.category",
        "path": "ServiceRequest.category",
        "max": "0"
      },
      {
        "id": "ServiceRequest.priority",
        "path": "ServiceRequest.priority",
        "max": "0"
      },
      {
        "id": "ServiceRequest.doNotPerform",
        "path": "ServiceRequest.doNotPerform",
        "max": "0"
      },
      {
        "id": "ServiceRequest.code",
        "path": "ServiceRequest.code",
        "short": "Unterscheidung Diagnose/Screening",
        "definition": "Unterscheidung zwischen einer Probe zur klinischen Diagnostik und einer Screening-Probe. Diese Angabe soll für jede Probe gemacht werden.",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "ServiceRequest.code.coding",
        "path": "ServiceRequest.code.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://demis.rki.de/fhir/ars/ValueSet/anforderungSNOMED"
        }
      },
      {
        "id": "ServiceRequest.code.coding.system",
        "path": "ServiceRequest.code.coding.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "ServiceRequest.code.coding.version",
        "path": "ServiceRequest.code.coding.version",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "ServiceRequest.code.coding.code",
        "path": "ServiceRequest.code.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "ServiceRequest.code.text",
        "path": "ServiceRequest.code.text",
        "max": "0"
      },
      {
        "id": "ServiceRequest.quantity[x]",
        "path": "ServiceRequest.quantity[x]",
        "max": "0"
      },
      {
        "id": "ServiceRequest.subject",
        "path": "ServiceRequest.subject",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://demis.rki.de/fhir/ars/StructureDefinition/Patient"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "ServiceRequest.subject.reference",
        "path": "ServiceRequest.subject.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "ServiceRequest.subject.type",
        "path": "ServiceRequest.subject.type",
        "max": "0"
      },
      {
        "id": "ServiceRequest.subject.identifier",
        "path": "ServiceRequest.subject.identifier",
        "max": "0"
      },
      {
        "id": "ServiceRequest.subject.display",
        "path": "ServiceRequest.subject.display",
        "max": "0"
      },
      {
        "id": "ServiceRequest.encounter",
        "path": "ServiceRequest.encounter",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://demis.rki.de/fhir/ars/StructureDefinition/Encounter"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "ServiceRequest.encounter.reference",
        "path": "ServiceRequest.encounter.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "ServiceRequest.encounter.type",
        "path": "ServiceRequest.encounter.type",
        "max": "0"
      },
      {
        "id": "ServiceRequest.encounter.identifier",
        "path": "ServiceRequest.encounter.identifier",
        "max": "0"
      },
      {
        "id": "ServiceRequest.encounter.display",
        "path": "ServiceRequest.encounter.display",
        "max": "0"
      },
      {
        "id": "ServiceRequest.occurrence[x]",
        "path": "ServiceRequest.occurrence[x]",
        "max": "0"
      },
      {
        "id": "ServiceRequest.asNeeded[x]",
        "path": "ServiceRequest.asNeeded[x]",
        "max": "0"
      },
      {
        "id": "ServiceRequest.authoredOn",
        "path": "ServiceRequest.authoredOn",
        "max": "0"
      },
      {
        "id": "ServiceRequest.requester",
        "path": "ServiceRequest.requester",
        "max": "0"
      },
      {
        "id": "ServiceRequest.performerType",
        "path": "ServiceRequest.performerType",
        "max": "0"
      },
      {
        "id": "ServiceRequest.performer",
        "path": "ServiceRequest.performer",
        "max": "0"
      },
      {
        "id": "ServiceRequest.locationCode",
        "path": "ServiceRequest.locationCode",
        "max": "0"
      },
      {
        "id": "ServiceRequest.locationReference",
        "path": "ServiceRequest.locationReference",
        "max": "0"
      },
      {
        "id": "ServiceRequest.reasonCode",
        "path": "ServiceRequest.reasonCode",
        "short": "Anforderung Sentinel-Systeme",
        "definition": "Bei Diagnostik zu Chlamydia trachomatis und Masern spezielle Anforderungen der Diagnostik erfasst werden. Es stehen für die beiden genannten Erreger value-sets zur Erfassung der Anforderungen bereit. Hintergrund für die Erhebung dieser Angaben ist die Integration des Chlamydien-Sentinels und des Masern-Sentinels in die Übermittlung für ARS. Siehe hierzu Kapitel 'Integration von Sentinel-Systemen' im Implementierungsleitfaden.",
        "comment": "Sollten Angaben für einen anderen Erreger als die beiden Genannten gemacht werden, werde diese nach Übermittlung an das RKI aus der Rohdatenbank entfernt und stehen für die weitere Datenverarbeitung am RKI nicht zur Verfügung.",
        "mustSupport": true
      },
      {
        "id": "ServiceRequest.reasonCode.coding",
        "path": "ServiceRequest.reasonCode.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://demis.rki.de/fhir/ars/ValueSet/anforderungSentinelSNOMED"
        }
      },
      {
        "id": "ServiceRequest.reasonCode.coding.system",
        "path": "ServiceRequest.reasonCode.coding.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "ServiceRequest.reasonCode.coding.version",
        "path": "ServiceRequest.reasonCode.coding.version",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "ServiceRequest.reasonCode.coding.code",
        "path": "ServiceRequest.reasonCode.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "ServiceRequest.reasonCode.text",
        "path": "ServiceRequest.reasonCode.text",
        "max": "0"
      },
      {
        "id": "ServiceRequest.reasonReference",
        "path": "ServiceRequest.reasonReference",
        "max": "0"
      },
      {
        "id": "ServiceRequest.insurance",
        "path": "ServiceRequest.insurance",
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://demis.rki.de/fhir/ars/StructureDefinition/Coverage"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "ServiceRequest.insurance.reference",
        "path": "ServiceRequest.insurance.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "ServiceRequest.insurance.type",
        "path": "ServiceRequest.insurance.type",
        "max": "0"
      },
      {
        "id": "ServiceRequest.insurance.identifier",
        "path": "ServiceRequest.insurance.identifier",
        "max": "0"
      },
      {
        "id": "ServiceRequest.insurance.display",
        "path": "ServiceRequest.insurance.display",
        "max": "0"
      },
      {
        "id": "ServiceRequest.supportingInfo",
        "path": "ServiceRequest.supportingInfo",
        "max": "0"
      },
      {
        "id": "ServiceRequest.specimen",
        "path": "ServiceRequest.specimen",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://demis.rki.de/fhir/ars/StructureDefinition/Specimen"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "ServiceRequest.specimen.reference",
        "path": "ServiceRequest.specimen.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "ServiceRequest.specimen.type",
        "path": "ServiceRequest.specimen.type",
        "max": "0"
      },
      {
        "id": "ServiceRequest.specimen.identifier",
        "path": "ServiceRequest.specimen.identifier",
        "max": "0"
      },
      {
        "id": "ServiceRequest.specimen.display",
        "path": "ServiceRequest.specimen.display",
        "max": "0"
      },
      {
        "id": "ServiceRequest.bodySite",
        "path": "ServiceRequest.bodySite",
        "max": "0"
      },
      {
        "id": "ServiceRequest.note",
        "path": "ServiceRequest.note",
        "max": "0"
      },
      {
        "id": "ServiceRequest.patientInstruction",
        "path": "ServiceRequest.patientInstruction",
        "max": "0"
      },
      {
        "id": "ServiceRequest.relevantHistory",
        "path": "ServiceRequest.relevantHistory",
        "max": "0"
      }
    ]
  }
}