HL7 Belgium FHIR Implementation Guide: Patient Dossier, published by eHealth Platform. This guide is not an authorized publication; it is the continuous build for version 1.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-be/patient-dossier/ and changes regularly. See the Directory of published versions

Patient Dossier

Official URL: https://www.ehealth.fgov.be/standards/fhir/patient-dossier/ImplementationGuide/hl7.fhir.be.patient-dossier				Version: 1.0.1
Draft as of 2020-02-26				Computable Name: PatientDossier

Introduction

This implementation guide defines the Belgian FHIR profiles for Patient Dossier CareSets — standardized sets of clinical data that are specific to an individual patient and commonly used across care settings, without being transversal in nature.

A CareSet is a structured collection of clinical information designed for secure, standardized exchange between healthcare actors via the national eHealth infrastructure (Hubs & Vaults). Each CareSet defines a logical model, value sets, and business rules that ensure data can be shared, stored, and consulted in a traceable and reusable manner within integrated patient care.

The Patient Dossier CareSets cover clinical domains that are patient-centric — they capture data recorded in the context of a specific patient’s care journey. This distinguishes them from transversal resources (e.g. terminology, practitioner registries) that are shared across patients and contexts.

Scope

This guide covers the following Patient Dossier CareSets:

CareSet	Description	Status
Medical Procedure	Clinical procedures performed on or for a patient (surgical, diagnostic, therapeutic, nursing, etc.)	Active
Child Health Report	Health records specific to paediatric care and child development monitoring	Planned

Content

This implementation guide contains the following types of resources:

• Logical Models — conceptual representations of each CareSet, defining the data elements, cardinalities, and descriptions independent of any specific FHIR resource.
• Profiles — FHIR resource profiles constraining base resources (e.g. Procedure) to the Belgian context.
• Value Sets — coded value sets used within the CareSets, primarily based on SNOMED CT, LOINC, and FHIR standard code systems.
• Business Rules — rules governing data quality, consistency, and usage (e.g. date completeness, body site/laterality coherence, recorder identification).

How to Read This Guide

• The Guidance page provides context on the methodology, conventions, and design principles used throughout this guide.
• The Artifacts page lists all profiles, extensions, and value sets defined in this guide.
• Each CareSet section includes a conceptual model, a logical model with element descriptions, the associated value sets, and applicable business rules.

Dependencies

This guide builds on the HL7 Belgium FHIR Core profiles, which define the foundational Belgian FHIR resources and extensions (e.g. Belgian Patient, Practitioner, Organization identifiers).

Authors and Contributors

This guide is published by the eHealth Platform as part of the BeSafeShare programme. For questions or feedback, contact message-structure@ehealth.fgov.be.