ServiceRequest

A record of a request for service, prescription or order, as defined by FHIR R4.

resourceTypestringrequired

Must be “ServiceRequest”.

Possible values: [ServiceRequest]

Example: ServiceRequest

iduuid

Logical id of this artifact.

Example: aaefdf1f-a463-4772-8614-dc36b1ab6548

meta object

versionIdstring

Its an auto generated FHIR property

Example: 1

lastUpdateddate-time

Its an auto generated FHIR property

Example: 2025-04-03T14:11:58.948+02:00

sourceuri

Its an auto generated FHIR property

Example: #XgwiRHevOEIOczKf

extension object[]required

Additional content defined by implementations

Array [

urlurl

URL to extract the practitioner id

Example: https://fhir.mona.icu/StructureDefinition/lastChangedBy

valueReference object

The field maintains a history of the last practitioner to interact with the service request. It begins with the creator's ID and is subsequently updated with each modifying practitioner's ID, always reflecting the most recent change.

referencestring

displaystring

]

statusstringrequired

Status of the service request. If the status is revoked that will be interpreted as a soft delete and in UI prescription will be showed under is revoked section.

Possible values: [active, on-hold, revoked, draft]

Example: active

statusReason object[]

Reason for current status

Array [

coding object[]

Array [

systemstring

Example: http://www.nlm.nih.gov/research/umls/rxnorm

codestring

Example: 313002

displaystring

Example: Amoxicillin 500 MG Oral Capsule

]

textstring

Example: Amoxicillin 500mg Capsule

]

intentstringrequired

When a user creates a new prescription in the UI, the system validates the service. This validation affects both the FHIR's 'intent' and the API's 'is_approved' field. If the service fails validation ('is_approved' = false in the API), FHIR sets the prescription's 'intent' to 'plan', indicating it needs further review.If the service passes validation ('is_approved' = true in the API), the FHIR sets the 'intent' to 'order', signifying it's ready for fulfillment.

Possible values: [plan, order]

Example: order

category object[]required

We store type of service category in ServiceRequest, service category information is fetched from the terminology

Array [

coding object[]

Array [

systemstring

Example: http://www.nlm.nih.gov/research/umls/rxnorm

codestring

Example: 313002

displaystring

Example: Amoxicillin 500 MG Oral Capsule

]

textstring

Example: Amoxicillin 500mg Capsule

]

code objectrequired

What is being requested/ordered, fetched from the terminology

coding object[]

Array [

systemstring

Example: http://www.nlm.nih.gov/research/umls/rxnorm

codestring

Example: 313002

displaystring

Example: Amoxicillin 500 MG Oral Capsule

]

textstring

Example: Amoxicillin 500mg Capsule

subject objectrequired

Reference to the Patient Id

referencestring

displaystring

encounter objectrequired

Reference to the Encounter Id

referencestring

displaystring

authoredOndate-timerequired

Timestamp at which prescription was created

Example: 2024-03-25T14:30:00Z

requester objectrequired

Reference to the Practitioner Id

referencestring

displaystring

asNeededBooleanboolean

This boolean field is only used when we have frequency type as-needed (Bei Bedarf)

Example: true

occurrenceTiming objectrequired

The timing of the service request

repeat object

boundsPeriod object

startdate-time

The start of the period. The start date.

enddate-time

The end of the period. The end date.

countinteger

The number of times to repeat the action.

durationnumber

The length of time an event is to occur.

durationUnitstring

The units of time for the duration.

Possible values: [s, min, h, d, wk, mo, a]

frequencyinteger

The number of times the action should occur within the period.

periodnumber

The period of time the frequency is applied to.

periodUnitstring

The units of time for the period.

Possible values: [s, min, h, d, wk, mo, a]

timeOfDaytime[]

dayOfWeekstring[]

Possible values: [mon, tue, wed, thu, fri, sat, sun]

code object

coding object[]

Array [

systemstring

Example: http://www.nlm.nih.gov/research/umls/rxnorm

codestring

Example: 313002

displaystring

Example: Amoxicillin 500 MG Oral Capsule

]

textstring

Example: Amoxicillin 500mg Capsule

locationCode object[]required

Requested location, information is predefined and remains same for all ServiceRequest

Array [

coding object[]

Array [

systemstring

Example: http://www.nlm.nih.gov/research/umls/rxnorm

codestring

Example: 313002

displaystring

Example: Amoxicillin 500 MG Oral Capsule

]

textstring

Example: Amoxicillin 500mg Capsule

]

note object[]

Array [

textstring

Example: Instructions for the prescribed service

]

ServiceRequest

{
  "resourceType": "ServiceRequest",
  "id": "aaefdf1f-a463-4772-8614-dc36b1ab6548",
  "meta": {
    "versionId": "1",
    "lastUpdated": "2025-04-03T14:11:58.948+02:00",
    "source": "#XgwiRHevOEIOczKf"
  },
  "extension": [
    {
      "url": "https://fhir.mona.icu/StructureDefinition/lastChangedBy",
      "valueReference": "Practitioner/da46528c-4848-4c48-9728-5465a187656f"
    }
  ],
  "status": "active",
  "statusReason": [
    {
      "text": "Reason to keep the status of the prescription"
    }
  ],
  "intent": "order",
  "category": [
    {
      "coding": [
        {
          "system": "https://fhir.mona.icu/CodeSystem/mona-service-request-category",
          "code": "procedure-prescription",
          "display": "Procedure Prescription"
        }
      ],
      "text": "Procedure Prescription"
    },
    {
      "coding": [
        {
          "system": "https://fhir.mona.icu/CodeSystem/mona-procedure-category",
          "code": "LABORATORY_TESTS",
          "display": "Labortests"
        }
      ],
      "text": "Labortests"
    }
  ],
  "code": {
    "text": "BGA"
  },
  "subject": {
    "reference": "Patient/ccd2c136-2c70-44e5-8f7f-362b9fca89a7",
    "display": "John Doe"
  },
  "encounter": {
    "reference": "Encounter/f12ee825-bea8-4f93-9d29-66744992196f"
  },
  "authoredOn": "2024-03-25T14:30:00Z",
  "requester": {
    "reference": "Practitioner/da46528c-4848-4c48-9728-5465a187656f"
  },
  "asNeededBoolean": true,
  "occurrenceTiming": {
    "repeat": {
      "boundsPeriod": {
        "start": "2025-04-01T08:00:00Z",
        "end": "2025-04-06T08:00:00Z"
      },
      "frequency": 4,
      "period": 1,
      "periodUnit": "d"
    },
    "code": {
      "coding": [
        {
          "system": "https://fhir.mona.icu/CodeSystem/mona-prescription-timing",
          "code": "e08e8baa-97c0-4125-96ca-e2fedc1e0503",
          "display": "4x täglich"
        },
        {
          "system": "http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation",
          "code": "QID",
          "display": "Four times a day at institution specified time"
        }
      ],
      "text": "4x täglich"
    }
  },
  "locationCode": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
          "code": "ICU",
          "display": "Intensive care unit"
        }
      ],
      "text": "Intensive care unit"
    }
  ],
  "note": [
    {
      "text": "Genaue Überwachung der aPTT"
    }
  ]
}