eReferral Implementation Guide, published by Riziv-Inami Platform. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-be/referral-uhmep/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
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• XML
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• TTL

Resource Profile: EReferralServiceRequestDiagnosticImaging

The diagnostic imaging profile. eReferral version.

Usages:

• Examples for this Profile: ServiceRequest/example-drp-clinical-imaging and ServiceRequest/example-prior-drp-clinical-imaging

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots, and their representations.

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	BeServiceRequestDiagnosticImaging	A request for a service to be performed Constraints: prr-1, ereferral-inv-subject-contained, ereferral-inv-supportingInfo-safetyChecklist-contained, ereferral-inv-status-reason-text-pseudonymized, ereferral-inv-urgent-requires-urgency-justification, ereferral-inv-urgency-justification-value-pseudonymized, ereferral-inv-patient-condition-concept-text-pseudonymized, ereferral-inv-patient-condition-code-or-text, ereferral-inv-contained-patient-birthdate-encrypted, ereferral-inv-contained-patient-gender-at-birth-encrypted
Slices for contained		2..2	Resource	Contained, inline Resources Slice: Unordered, Closed by type:$this
contained:patient	S	1..1	BePatient(2.2.0)	Information about an individual or animal receiving health care services
contained:safetyChecklist	S	1..1	EReferralImagingAttentionConditionsResponse	A structured set of questions and their answers
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:validity	S	1..1	Period	Validity period of the prescription URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-validity-period
extension:latest	S	0..1	dateTime	Request must be executed before URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-latest-end-date
extension:statusReason	S	0..1	(Complex)	Reason for current status URL: http://hl7.org/fhir/StructureDefinition/request-statusReason
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/request-statusReason"
value[x]		1..1	CodeableConcept	Value of extension Binding: BeVSPrescriptionStatusReason (preferred)
extension:urgencyJustification	S	0..1	string	Justification for the urgency level when priority is elevated URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-urgency-justification
extension:pssInfo	S	0..1	Identifier	Identifier of the PSS guidance response URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-pss-info
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	0..*	Identifier	Identifiers assigned to this order Slice: Unordered, Open by value:system
identifier:UHMEP	SΣ	0..1	Identifier	Reference ID of the UHMEP once available there
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://www.ehealth.fgov.be/standards/fhir/referral/NamingSystem/uhmep
value	Σ	1..1	string	The value that is unique Example General: 123456
identifier:SHORT	SΣC	0..1	Identifier	Patient friendly ID (UHMEP SHORT) Constraints: be-inv-uhmep-short
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://www.ehealth.fgov.be/standards/fhir/referral/NamingSystem/uhmep-short
value	Σ	1..1	string	The value that is unique Example General: 123456
basedOn	SΣ	0..*	Reference(CarePlan | ServiceRequest | MedicationRequest)	What request fulfills
replaces	SΣ	0..*	Reference(ServiceRequest)	The request that this is a continuation of
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent	?!SΣ	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet.
Slices for category	SΣ	2..*	CodeableConcept	Classification of service Slice: Unordered, Open by value:coding.system Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:discipline	SΣ	1..1	CodeableConcept	Category that identifies the type of referral (e.g., nursing, physiotherapy) Binding: eReferral Categories of Care (preferred): Categories of care that can be prescribed. See ValueSet.
extension		0..0		Extension Slice: Unordered, Open by value:url
category:prescriptionType	SΣ	0..1	CodeableConcept	Additional category that can be taylored to use-case specific purposes (e.g., prescription type for nursing, etc.) Binding: eReferral Prescription Type ValueSet (preferred): Technical types of prescriptions for routing and workflow. See ValueSet. Fixed Value: As shown (Diagnostic imaging (Appendix 82))
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://www.ehealth.fgov.be/standards/fhir/terminology/CodeSystem/be-cs-prescription-type
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: diagnostic-imaging-appendix-82
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
category:track	SΣ	1..1	CodeableConcept	Care setting track (inpatient, ambulatory, urgency) Binding: eReferral request track (required)
extension		0..0		Extension Slice: Unordered, Open by value:url
priority	SΣ	1..1	code	Priority of the imaging request (routine or urgent) Binding: eReferral Imaging Priority ValueSet (required)
code	SΣ	1..1	CodeableConcept	What is being requested/ordered Binding: BeVSDiagnosticImagingProcedure (2.0.0) (required)
subject	SΣ	1..1	Reference(BePatient(2.2.0))	Individual or Entity the service is ordered for
authoredOn	SΣC	1..1	dateTime	Date request signed Constraints: be-inv-long-date
requester	SΣ	1..1	Reference(BePractitionerRole(2.2.0))	Prescriber of the requested service
reasonCode	SΣ	0..1	CodeableConcept	Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
Slices for supportingInfo	S	0..*	Reference(Resource)	Additional clinical information Slice: Unordered, Open by value:extension('https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role').value
supportingInfo:priorResults	S	0..*	Reference(ImagingStudy | DiagnosticReport)	Prior diagnostic results relevant to this request
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:role		1..1	(Complex)	Extension URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role"
value[x]		0..1	code	Value of extension Binding: eReferral Radiology SupportingInfo Role ValueSet (required) Required Pattern: prior-results
supportingInfo:priorRequest	S	0..*	Reference(ServiceRequest)	Prior imaging request relevant to this request
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:priorRequestCodeableConcept	S	0..1	(Complex)	Coded concept URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-codeable-concept
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-codeable-concept"
value[x]	S	1..1	CodeableConcept	Value of extension Binding: eReferral Imaging Modality ValueSet (required)
extension:role		1..1	(Complex)	Extension URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role"
value[x]		0..1	code	Value of extension Binding: eReferral Radiology SupportingInfo Role ValueSet (required) Required Pattern: prior-request
supportingInfo:attentionCondition	S	0..*	Reference(Condition | Observation)	Attention-worthy conditions or findings
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:attentionCodeableConcept	S	0..1	CodeableConcept	Coded concept URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-codeable-concept
extension:role		1..1	(Complex)	Extension URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role"
value[x]		0..1	code	Value of extension Binding: eReferral Radiology SupportingInfo Role ValueSet (required) Required Pattern: attention-condition
supportingInfo:safetyChecklist	S	0..1	Reference(EReferralImagingAttentionConditionsResponse)	Safety screening checklist
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:role		1..1	(Complex)	Extension URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role"
value[x]		0..1	code	Value of extension Binding: eReferral Radiology SupportingInfo Role ValueSet (required) Required Pattern: safety-checklist
supportingInfo:patientCondition	S	0..*	Reference(Condition)	Patient condition relevant to the imaging request
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:patientConditionCodeableConcept	S	0..1	(Complex)	Coded concept URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-codeable-concept
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-codeable-concept"
value[x]	SC	1..1	CodeableConcept	Value of extension Binding: eReferral Imaging Patient Condition Indication (preferred) Constraints: ereferral-inv-patient-condition-strict
extension:role		1..1	(Complex)	Extension URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role"
value[x]		0..1	code	Value of extension Binding: eReferral Radiology SupportingInfo Role ValueSet (required) Required Pattern: patient-condition
bodySite	SΣ	0..*	CodeableConcept	Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Slices for extension				Content/Rules for all slices
extension:bodyLaterality		0..1	Coding	BeExtLaterality URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-laterality Binding: Laterality ValueSet (required)
note	S	0..*	BeCodedAnnotation(2.2.0)	Comments
Slices for extension				Content/Rules for all slices
extension:code		0..1	(Complex)	Code URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept"
text	Σ	1..1	markdown	The annotation - plain text without markdown is strongly recommended
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
ServiceRequest.extension:statusReason.​value[x]	Base	preferred	BeVSPrescriptionStatusReason	📦1.0.0	Referral Prescription Implementation Guide v1.0
ServiceRequest.identifier:UHMEP.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
ServiceRequest.identifier:SHORT.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
ServiceRequest.status	Base	required	RequestStatus	📍4.0.1	FHIR Std.
ServiceRequest.intent	Base	required	RequestIntent	📍4.0.1	FHIR Std.
ServiceRequest.category	Base	example	Service Request Category Codes	📍4.0.1	FHIR Std.
ServiceRequest.category:discipline	Base	preferred	eReferral Categories of Care	📦1.0.0	Referral Prescription Implementation Guide v1.0
ServiceRequest.category:prescriptionType	Base	preferred	eReferral Prescription Type ValueSet	📦1.0.0	Referral Prescription Implementation Guide v1.0
ServiceRequest.category:track	Base	required	eReferral request track	📦1.0.0	Referral Prescription Implementation Guide v1.0
ServiceRequest.priority	Base	required	eReferral Imaging Priority ValueSet	📦1.0.0	Referral Prescription Implementation Guide v1.0
ServiceRequest.code	Base	required	eReferral/PSS Diagnostic Imaging Procedure	📍2.0.0	This IG
ServiceRequest.reasonCode	Base	example	Procedure Reason Codes	📍4.0.1	FHIR Std.
ServiceRequest.supportingInfo:priorResults.​extension:role.value[x]	Base	required	eReferral Radiology SupportingInfo Role ValueSet	📦2.0.0	This IG
ServiceRequest.supportingInfo:priorRequest.​extension:priorRequestCodeableConcept.​value[x]	Base	required	eReferral Imaging Modality ValueSet	📦1.0.0	Referral Prescription Implementation Guide v1.0
ServiceRequest.supportingInfo:priorRequest.​extension:role.value[x]	Base	required	eReferral Radiology SupportingInfo Role ValueSet	📦2.0.0	This IG
ServiceRequest.supportingInfo:attentionCondition.​extension:role.value[x]	Base	required	eReferral Radiology SupportingInfo Role ValueSet	📦2.0.0	This IG
ServiceRequest.supportingInfo:safetyChecklist.​extension:role.value[x]	Base	required	eReferral Radiology SupportingInfo Role ValueSet	📦2.0.0	This IG
ServiceRequest.supportingInfo:patientCondition.​extension:patientConditionCodeableConcept.​value[x]	Base	preferred	eReferral Imaging Patient Condition Indication	📦2.0.0	This IG
ServiceRequest.supportingInfo:patientCondition.​extension:role.value[x]	Base	required	eReferral Radiology SupportingInfo Role ValueSet	📦2.0.0	This IG
ServiceRequest.bodySite	Base	example	SNOMED CT Body Structures	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
be-inv-long-date	warning	ServiceRequest.authoredOn	date SHALL contain a long date (YYYY-MM-DDThh:mm:ss+zz:zz)	empty() or toString().length()=25
be-inv-uhmep-short	warning	ServiceRequest.identifier:SHORT	The format of UHMEP-SHORT is 6 capital alphanumerics, without O	Identifier.where(system = 'https://www.ehealth.fgov.be/standards/fhir/referral/NamingSystem/uhmep-short').where(value.extension.empty() or value.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization').empty()).value.select($this.matches('[A-NP-Z0-9]{6}')).allTrue()
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())
ereferral-inv-contained-patient-birthdate-encrypted	error	ServiceRequest	The birthDate of the contained Patient must not be sent in clear text and must be represented only by the encrypted be-ext-pseudonymized-content extension.	contained.ofType(Patient).all(birthDate.hasValue().not() and birthDate.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').exists() and birthDate.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').extension.where(url = 'encryptedValue').value.matches('^urn:be:fgov:pseudo-encrypted:v1:.+') and birthDate.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').extension.where(url = 'marker' and value = true).exists() and birthDate.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').extension.where(url = 'format' and value = 'encrypted').exists() and birthDate.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').extension.where(url = 'version').value.exists())
ereferral-inv-contained-patient-gender-at-birth-encrypted	error	ServiceRequest	The contained Patient genderAtBirth must always be coded as 'other' and must be accompanied by the be-ext-pseudonymized-content encryption extension.	contained.ofType(Patient).extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-gender-at-birth').all(value.ofType(CodeableConcept).coding.where(system = 'http://hl7.org/fhir/administrative-gender' and code = 'other').exists() and value.ofType(CodeableConcept).extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').extension.where(url = 'encryptedValue').value.matches('^urn:be:fgov:pseudo-encrypted:v1:.+') and value.ofType(CodeableConcept).extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').extension.where(url = 'marker' and value = true).exists() and value.ofType(CodeableConcept).extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').extension.where(url = 'format' and value = 'encrypted').exists() and value.ofType(CodeableConcept).extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').extension.where(url = 'version').value.exists()) and contained.ofType(Patient).extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-gender-at-birth').exists()
ereferral-inv-patient-condition-code-or-text	error	ServiceRequest	patientCondition must contain either a coded indication from the allowed ValueSet or encrypted free text.	supportingInfo.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-codeable-concept').value.ofType(CodeableConcept).all(coding.exists() or text.exists())
ereferral-inv-patient-condition-concept-text-pseudonymized	error	ServiceRequest	When patientCondition concept text is present, it must have the be-ext-pseudonymization extension.	supportingInfo.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-codeable-concept').value.ofType(CodeableConcept).text.all(extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization').exists())
ereferral-inv-patient-condition-strict	error	ServiceRequest.supportingInfo:patientCondition.extension:patientConditionCodeableConcept.value[x]	Une patientCondition doit contenir soit uniquement un texte libre, soit exactement un coding appartenant au ValueSet autorisé. Un texte peut accompagner le coding.	(coding.empty() and text.exists()) or (coding.count() = 1 and memberOf('https://www.ehealth.fgov.be/standards/fhir/terminology/ValueSet/ereferral-vs-imaging-patient-condition-indication'))
ereferral-inv-status-reason-text-pseudonymized	error	ServiceRequest	When statusReason text is present, it must have the be-ext-pseudonymization extension.	extension.where(url = 'http://hl7.org/fhir/StructureDefinition/request-statusReason').value.ofType(CodeableConcept).text.all(extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization').exists())
ereferral-inv-subject-contained	error	ServiceRequest	The subject must reference a Patient as contained.	subject.reference.startsWith('#')
ereferral-inv-supportingInfo-safetyChecklist-contained	error	ServiceRequest	supportingInfo[safetyChecklist] must reference the contained safety checklist.	supportingInfo.reference.where($this.startsWith('#')).select(substring(1)).all($this in %resource.contained.where(meta.profile contains 'https://www.riziv-inami.be/standards/fhir/ereferral/StructureDefinition/ereferral-imaging-attention-conditions-response').id)
ereferral-inv-urgency-justification-value-pseudonymized	error	ServiceRequest	When urgencyJustification.valueString is present, it must have the be-ext-pseudonymization extension.	extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-urgency-justification').value.ofType(string).all(extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization').exists())
ereferral-inv-urgent-requires-urgency-justification	error	ServiceRequest	The urgencyJustification extension must be present when priority is urgent.	priority != 'urgent' or extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-urgency-justification').exists()
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()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	BeServiceRequestDiagnosticImaging	A request for a service to be performed Constraints: ereferral-inv-subject-contained, ereferral-inv-supportingInfo-safetyChecklist-contained, ereferral-inv-status-reason-text-pseudonymized, ereferral-inv-urgent-requires-urgency-justification, ereferral-inv-urgency-justification-value-pseudonymized, ereferral-inv-patient-condition-concept-text-pseudonymized, ereferral-inv-patient-condition-code-or-text, ereferral-inv-contained-patient-birthdate-encrypted, ereferral-inv-contained-patient-gender-at-birth-encrypted
meta
versionId		0..0		Version specific identifier
lastUpdated		0..0		When the resource version last changed
source		0..0		Identifies where the resource comes from
security		0..0		Security Labels applied to this resource
tag		0..0		Tags applied to this resource
implicitRules		0..0		A set of rules under which this content was created
language		0..0		Language of the resource content
contained		2..2	Resource	Contained, inline Resources
Slices for contained				Content/Rules for all slices
contained:patient		1..1	BePatient(2.2.0)	Information about an individual or animal receiving health care services
contained:safetyChecklist		1..1	EReferralImagingAttentionConditionsResponse	A structured set of questions and their answers
Slices for extension				Content/Rules for all slices
extension:feedback		0..0		Feedback to prescriber
extension:performerType		0..0		Extension
extension:device		0..0		BeExtCodeableReference
instantiatesCanonical		0..0		Instantiates FHIR protocol or definition
instantiatesUri		0..0		Instantiates external protocol or definition
requisition		0..0		Composite Request ID
Slices for category				Content/Rules for all slices
category:discipline		1..1	CodeableConcept	Category that identifies the type of referral (e.g., nursing, physiotherapy)
id		0..0		Unique id for inter-element referencing
extension		0..0		Extension
coding
userSelected		0..0		If this coding was chosen directly by the user
category:track		1..1	CodeableConcept	Care setting track (inpatient, ambulatory, urgency)
id		0..0		Unique id for inter-element referencing
extension		0..0		Extension
coding
userSelected		0..0		If this coding was chosen directly by the user
doNotPerform		0..0		True if service/procedure should not be performed
code		1..1	CodeableConcept	What is being requested/ordered Binding: BeVSDiagnosticImagingProcedure (2.0.0) (required)
orderDetail		0..0		Additional order information
quantity[x]		0..0		Service amount
encounter		0..0		Encounter in which the request was created
occurrence[x]		0..0		When service shall occur - once this is past, this prescription is no longer valid and the status shall reflect this.
asNeeded[x]		0..0		Preconditions for service
locationCode		0..0		Requested location
locationReference		0..0		Requested location
insurance		0..0		Associated insurance coverage
Slices for supportingInfo				Content/Rules for all slices
supportingInfo:priorResults		0..*	Reference(ImagingStudy | DiagnosticReport)	Prior diagnostic results relevant to this request
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:role		1..1	(Complex)	Extension URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role
value[x]		0..1	code	Value of extension Required Pattern: prior-results
supportingInfo:priorRequest		0..*	Reference(ServiceRequest)	Prior imaging request relevant to this request
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:priorRequestCodeableConcept		0..1	BeExtCodeableConcept(2.0.0)	Coded concept
value[x]		1..1	CodeableConcept	Value of extension Binding: eReferral Imaging Modality ValueSet (required)
extension:role		1..1	(Complex)	Extension URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role
value[x]		0..1	code	Value of extension Required Pattern: prior-request
supportingInfo:attentionCondition		0..*	Reference(Condition | Observation)	Attention-worthy conditions or findings
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:role		1..1	(Complex)	Extension URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role
value[x]		0..1	code	Value of extension Required Pattern: attention-condition
supportingInfo:safetyChecklist		0..1	Reference(EReferralImagingAttentionConditionsResponse)	Safety screening checklist
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:role		1..1	(Complex)	Extension URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role
value[x]		0..1	code	Value of extension Required Pattern: safety-checklist
supportingInfo:patientCondition		0..*	Reference(Condition)	Patient condition relevant to the imaging request
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:patientConditionCodeableConcept		0..1	BeExtCodeableConcept(2.0.0)	Coded concept
value[x]	C	1..1	CodeableConcept	Value of extension Binding: eReferral Imaging Patient Condition Indication (preferred) Constraints: ereferral-inv-patient-condition-strict
extension:role		1..1	(Complex)	Extension URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role
value[x]		0..1	code	Value of extension Required Pattern: patient-condition
specimen		0..0		Procedure Samples
patientInstruction		0..0		Patient or consumer-oriented instructions
relevantHistory		0..0		Request provenance
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
ServiceRequest.code	Base	required	eReferral/PSS Diagnostic Imaging Procedure	📍2.0.0	This IG
ServiceRequest.supportingInfo:priorRequest.​extension:priorRequestCodeableConcept.​value[x]	Base	required	eReferral Imaging Modality ValueSet	📦1.0.0	Referral Prescription Implementation Guide v1.0
ServiceRequest.supportingInfo:patientCondition.​extension:patientConditionCodeableConcept.​value[x]	Base	preferred	eReferral Imaging Patient Condition Indication	📦2.0.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
ereferral-inv-contained-patient-birthdate-encrypted	error	ServiceRequest	The birthDate of the contained Patient must not be sent in clear text and must be represented only by the encrypted be-ext-pseudonymized-content extension.	contained.ofType(Patient).all(birthDate.hasValue().not() and birthDate.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').exists() and birthDate.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').extension.where(url = 'encryptedValue').value.matches('^urn:be:fgov:pseudo-encrypted:v1:.+') and birthDate.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').extension.where(url = 'marker' and value = true).exists() and birthDate.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').extension.where(url = 'format' and value = 'encrypted').exists() and birthDate.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').extension.where(url = 'version').value.exists())
ereferral-inv-contained-patient-gender-at-birth-encrypted	error	ServiceRequest	The contained Patient genderAtBirth must always be coded as 'other' and must be accompanied by the be-ext-pseudonymized-content encryption extension.	contained.ofType(Patient).extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-gender-at-birth').all(value.ofType(CodeableConcept).coding.where(system = 'http://hl7.org/fhir/administrative-gender' and code = 'other').exists() and value.ofType(CodeableConcept).extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').extension.where(url = 'encryptedValue').value.matches('^urn:be:fgov:pseudo-encrypted:v1:.+') and value.ofType(CodeableConcept).extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').extension.where(url = 'marker' and value = true).exists() and value.ofType(CodeableConcept).extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').extension.where(url = 'format' and value = 'encrypted').exists() and value.ofType(CodeableConcept).extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').extension.where(url = 'version').value.exists()) and contained.ofType(Patient).extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-gender-at-birth').exists()
ereferral-inv-patient-condition-code-or-text	error	ServiceRequest	patientCondition must contain either a coded indication from the allowed ValueSet or encrypted free text.	supportingInfo.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-codeable-concept').value.ofType(CodeableConcept).all(coding.exists() or text.exists())
ereferral-inv-patient-condition-concept-text-pseudonymized	error	ServiceRequest	When patientCondition concept text is present, it must have the be-ext-pseudonymization extension.	supportingInfo.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-codeable-concept').value.ofType(CodeableConcept).text.all(extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization').exists())
ereferral-inv-patient-condition-strict	error	ServiceRequest.supportingInfo:patientCondition.extension:patientConditionCodeableConcept.value[x]	Une patientCondition doit contenir soit uniquement un texte libre, soit exactement un coding appartenant au ValueSet autorisé. Un texte peut accompagner le coding.	(coding.empty() and text.exists()) or (coding.count() = 1 and memberOf('https://www.ehealth.fgov.be/standards/fhir/terminology/ValueSet/ereferral-vs-imaging-patient-condition-indication'))
ereferral-inv-status-reason-text-pseudonymized	error	ServiceRequest	When statusReason text is present, it must have the be-ext-pseudonymization extension.	extension.where(url = 'http://hl7.org/fhir/StructureDefinition/request-statusReason').value.ofType(CodeableConcept).text.all(extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization').exists())
ereferral-inv-subject-contained	error	ServiceRequest	The subject must reference a Patient as contained.	subject.reference.startsWith('#')
ereferral-inv-supportingInfo-safetyChecklist-contained	error	ServiceRequest	supportingInfo[safetyChecklist] must reference the contained safety checklist.	supportingInfo.reference.where($this.startsWith('#')).select(substring(1)).all($this in %resource.contained.where(meta.profile contains 'https://www.riziv-inami.be/standards/fhir/ereferral/StructureDefinition/ereferral-imaging-attention-conditions-response').id)
ereferral-inv-urgency-justification-value-pseudonymized	error	ServiceRequest	When urgencyJustification.valueString is present, it must have the be-ext-pseudonymization extension.	extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-urgency-justification').value.ofType(string).all(extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization').exists())
ereferral-inv-urgent-requires-urgency-justification	error	ServiceRequest	The urgencyJustification extension must be present when priority is urgent.	priority != 'urgent' or extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-urgency-justification').exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	BeServiceRequestDiagnosticImaging	A request for a service to be performed Constraints: prr-1, ereferral-inv-subject-contained, ereferral-inv-supportingInfo-safetyChecklist-contained, ereferral-inv-status-reason-text-pseudonymized, ereferral-inv-urgent-requires-urgency-justification, ereferral-inv-urgency-justification-value-pseudonymized, ereferral-inv-patient-condition-concept-text-pseudonymized, ereferral-inv-patient-condition-code-or-text, ereferral-inv-contained-patient-birthdate-encrypted, ereferral-inv-contained-patient-gender-at-birth-encrypted
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
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
Slices for contained		2..2	Resource	Contained, inline Resources Slice: Unordered, Closed by type:$this
contained:patient	S	1..1	BePatient(2.2.0)	Information about an individual or animal receiving health care services
contained:safetyChecklist	S	1..1	EReferralImagingAttentionConditionsResponse	A structured set of questions and their answers
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:validity	S	1..1	Period	Validity period of the prescription URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-validity-period
extension:latest	S	0..1	dateTime	Request must be executed before URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-latest-end-date
extension:statusReason	S	0..1	(Complex)	Reason for current status URL: http://hl7.org/fhir/StructureDefinition/request-statusReason
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/request-statusReason"
value[x]		1..1	CodeableConcept	Value of extension Binding: BeVSPrescriptionStatusReason (preferred)
extension:urgencyJustification	S	0..1	string	Justification for the urgency level when priority is elevated URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-urgency-justification
extension:pssInfo	S	0..1	Identifier	Identifier of the PSS guidance response URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-pss-info
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	0..*	Identifier	Identifiers assigned to this order Slice: Unordered, Open by value:system
identifier:UHMEP	SΣ	0..1	Identifier	Reference ID of the UHMEP once available there
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://www.ehealth.fgov.be/standards/fhir/referral/NamingSystem/uhmep
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:SHORT	SΣC	0..1	Identifier	Patient friendly ID (UHMEP SHORT) Constraints: be-inv-uhmep-short
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://www.ehealth.fgov.be/standards/fhir/referral/NamingSystem/uhmep-short
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
basedOn	SΣ	0..*	Reference(CarePlan | ServiceRequest | MedicationRequest)	What request fulfills
replaces	SΣ	0..*	Reference(ServiceRequest)	The request that this is a continuation of
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent	?!SΣ	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet.
Slices for category	SΣ	2..*	CodeableConcept	Classification of service Slice: Unordered, Open by value:coding.system Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:discipline	SΣ	1..1	CodeableConcept	Category that identifies the type of referral (e.g., nursing, physiotherapy) Binding: eReferral Categories of Care (preferred): Categories of care that can be prescribed. See ValueSet.
extension		0..0		Extension Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
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 Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Fixed Value: 363679005
display	Σ	0..1	string	Representation defined by the system
text	Σ	0..1	string	Plain text representation of the concept
category:prescriptionType	SΣ	0..1	CodeableConcept	Additional category that can be taylored to use-case specific purposes (e.g., prescription type for nursing, etc.) Binding: eReferral Prescription Type ValueSet (preferred): Technical types of prescriptions for routing and workflow. See ValueSet. Fixed Value: As shown (Diagnostic imaging (Appendix 82))
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://www.ehealth.fgov.be/standards/fhir/terminology/CodeSystem/be-cs-prescription-type
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: diagnostic-imaging-appendix-82
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
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
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 Fixed Value: https://www.ehealth.fgov.be/standards/fhir/terminology/CodeSystem/be-cs-prescription-type
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Fixed Value: diagnostic-imaging-appendix-82
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
category:track	SΣ	1..1	CodeableConcept	Care setting track (inpatient, ambulatory, urgency) Binding: eReferral request track (required)
extension		0..0		Extension Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
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 Fixed Value: https://www.ehealth.fgov.be/standards/fhir/terminology/CodeSystem/be-cs-request-track
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
text	Σ	0..1	string	Plain text representation of the concept
priority	SΣ	1..1	code	Priority of the imaging request (routine or urgent) Binding: eReferral Imaging Priority ValueSet (required)
code	SΣ	1..1	CodeableConcept	What is being requested/ordered Binding: BeVSDiagnosticImagingProcedure (2.0.0) (required)
subject	SΣ	1..1	Reference(BePatient(2.2.0))	Individual or Entity the service is ordered for
authoredOn	SΣC	1..1	dateTime	Date request signed Constraints: be-inv-long-date
requester	SΣ	1..1	Reference(BePractitionerRole(2.2.0))	Prescriber of the requested service
reasonCode	SΣ	0..1	CodeableConcept	Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
reasonReference	Σ	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Explanation/Justification for service or service
Slices for supportingInfo	S	0..*	Reference(Resource)	Additional clinical information Slice: Unordered, Open by value:extension('https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role').value
supportingInfo:priorResults	S	0..*	Reference(ImagingStudy | DiagnosticReport)	Prior diagnostic results relevant to this request
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:role		1..1	(Complex)	Extension URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role"
value[x]		0..1	code	Value of extension Binding: eReferral Radiology SupportingInfo Role ValueSet (required) Required Pattern: prior-results
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..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).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
supportingInfo:priorRequest	S	0..*	Reference(ServiceRequest)	Prior imaging request relevant to this request
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:priorRequestCodeableConcept	S	0..1	(Complex)	Coded concept URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-codeable-concept
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-codeable-concept"
value[x]	S	1..1	CodeableConcept	Value of extension Binding: eReferral Imaging Modality ValueSet (required)
extension:role		1..1	(Complex)	Extension URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role"
value[x]		0..1	code	Value of extension Binding: eReferral Radiology SupportingInfo Role ValueSet (required) Required Pattern: prior-request
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..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).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
supportingInfo:attentionCondition	S	0..*	Reference(Condition | Observation)	Attention-worthy conditions or findings
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:attentionCodeableConcept	S	0..1	CodeableConcept	Coded concept URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-codeable-concept
extension:role		1..1	(Complex)	Extension URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role"
value[x]		0..1	code	Value of extension Binding: eReferral Radiology SupportingInfo Role ValueSet (required) Required Pattern: attention-condition
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..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).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
supportingInfo:safetyChecklist	S	0..1	Reference(EReferralImagingAttentionConditionsResponse)	Safety screening checklist
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:role		1..1	(Complex)	Extension URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role"
value[x]		0..1	code	Value of extension Binding: eReferral Radiology SupportingInfo Role ValueSet (required) Required Pattern: safety-checklist
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..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).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
supportingInfo:patientCondition	S	0..*	Reference(Condition)	Patient condition relevant to the imaging request
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:patientConditionCodeableConcept	S	0..1	(Complex)	Coded concept URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-codeable-concept
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-codeable-concept"
value[x]	SC	1..1	CodeableConcept	Value of extension Binding: eReferral Imaging Patient Condition Indication (preferred) Constraints: ereferral-inv-patient-condition-strict
extension:role		1..1	(Complex)	Extension URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role"
value[x]		0..1	code	Value of extension Binding: eReferral Radiology SupportingInfo Role ValueSet (required) Required Pattern: patient-condition
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..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).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
bodySite	SΣ	0..*	CodeableConcept	Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:bodyLaterality		0..1	Coding	BeExtLaterality URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-laterality Binding: Laterality ValueSet (required)
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
note	S	0..*	BeCodedAnnotation(2.2.0)	Comments
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:code		0..1	(Complex)	Code URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept"
value[x]		0..1	CodeableConcept	Value of extension Binding: eReferral Note Type (preferred)
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	Σ	1..1	markdown	The annotation - plain text without markdown is strongly recommended
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
ServiceRequest.extension:statusReason.​value[x]	Base	preferred	BeVSPrescriptionStatusReason	📦1.0.0	Referral Prescription Implementation Guide v1.0
ServiceRequest.identifier:UHMEP.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
ServiceRequest.identifier:UHMEP.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
ServiceRequest.identifier:SHORT.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
ServiceRequest.identifier:SHORT.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
ServiceRequest.status	Base	required	RequestStatus	📍4.0.1	FHIR Std.
ServiceRequest.intent	Base	required	RequestIntent	📍4.0.1	FHIR Std.
ServiceRequest.category	Base	example	Service Request Category Codes	📍4.0.1	FHIR Std.
ServiceRequest.category:discipline	Base	preferred	eReferral Categories of Care	📦1.0.0	Referral Prescription Implementation Guide v1.0
ServiceRequest.category:prescriptionType	Base	preferred	eReferral Prescription Type ValueSet	📦1.0.0	Referral Prescription Implementation Guide v1.0
ServiceRequest.category:track	Base	required	eReferral request track	📦1.0.0	Referral Prescription Implementation Guide v1.0
ServiceRequest.priority	Base	required	eReferral Imaging Priority ValueSet	📦1.0.0	Referral Prescription Implementation Guide v1.0
ServiceRequest.code	Base	required	eReferral/PSS Diagnostic Imaging Procedure	📍2.0.0	This IG
ServiceRequest.reasonCode	Base	example	Procedure Reason Codes	📍4.0.1	FHIR Std.
ServiceRequest.supportingInfo:priorResults.​extension:role.value[x]	Base	required	eReferral Radiology SupportingInfo Role ValueSet	📦2.0.0	This IG
ServiceRequest.supportingInfo:priorResults.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
ServiceRequest.supportingInfo:priorRequest.​extension:priorRequestCodeableConcept.​value[x]	Base	required	eReferral Imaging Modality ValueSet	📦1.0.0	Referral Prescription Implementation Guide v1.0
ServiceRequest.supportingInfo:priorRequest.​extension:role.value[x]	Base	required	eReferral Radiology SupportingInfo Role ValueSet	📦2.0.0	This IG
ServiceRequest.supportingInfo:priorRequest.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
ServiceRequest.supportingInfo:attentionCondition.​extension:role.value[x]	Base	required	eReferral Radiology SupportingInfo Role ValueSet	📦2.0.0	This IG
ServiceRequest.supportingInfo:attentionCondition.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
ServiceRequest.supportingInfo:safetyChecklist.​extension:role.value[x]	Base	required	eReferral Radiology SupportingInfo Role ValueSet	📦2.0.0	This IG
ServiceRequest.supportingInfo:safetyChecklist.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
ServiceRequest.supportingInfo:patientCondition.​extension:patientConditionCodeableConcept.​value[x]	Base	preferred	eReferral Imaging Patient Condition Indication	📦2.0.0	This IG
ServiceRequest.supportingInfo:patientCondition.​extension:role.value[x]	Base	required	eReferral Radiology SupportingInfo Role ValueSet	📦2.0.0	This IG
ServiceRequest.supportingInfo:patientCondition.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
ServiceRequest.bodySite	Base	example	SNOMED CT Body Structures	📍4.0.1	FHIR Std.
ServiceRequest.note.​extension:code.value[x]	Base	preferred	eReferral Note Type	📦1.0.0	Referral Prescription Implementation Guide v1.0

Constraints

Id	Grade	Path(s)	Description	Expression
be-inv-long-date	warning	ServiceRequest.authoredOn	date SHALL contain a long date (YYYY-MM-DDThh:mm:ss+zz:zz)	empty() or toString().length()=25
be-inv-uhmep-short	warning	ServiceRequest.identifier:SHORT	The format of UHMEP-SHORT is 6 capital alphanumerics, without O	Identifier.where(system = 'https://www.ehealth.fgov.be/standards/fhir/referral/NamingSystem/uhmep-short').where(value.extension.empty() or value.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization').empty()).value.select($this.matches('[A-NP-Z0-9]{6}')).allTrue()
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())
ereferral-inv-contained-patient-birthdate-encrypted	error	ServiceRequest	The birthDate of the contained Patient must not be sent in clear text and must be represented only by the encrypted be-ext-pseudonymized-content extension.	contained.ofType(Patient).all(birthDate.hasValue().not() and birthDate.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').exists() and birthDate.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').extension.where(url = 'encryptedValue').value.matches('^urn:be:fgov:pseudo-encrypted:v1:.+') and birthDate.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').extension.where(url = 'marker' and value = true).exists() and birthDate.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').extension.where(url = 'format' and value = 'encrypted').exists() and birthDate.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').extension.where(url = 'version').value.exists())
ereferral-inv-contained-patient-gender-at-birth-encrypted	error	ServiceRequest	The contained Patient genderAtBirth must always be coded as 'other' and must be accompanied by the be-ext-pseudonymized-content encryption extension.	contained.ofType(Patient).extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-gender-at-birth').all(value.ofType(CodeableConcept).coding.where(system = 'http://hl7.org/fhir/administrative-gender' and code = 'other').exists() and value.ofType(CodeableConcept).extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').extension.where(url = 'encryptedValue').value.matches('^urn:be:fgov:pseudo-encrypted:v1:.+') and value.ofType(CodeableConcept).extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').extension.where(url = 'marker' and value = true).exists() and value.ofType(CodeableConcept).extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').extension.where(url = 'format' and value = 'encrypted').exists() and value.ofType(CodeableConcept).extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').extension.where(url = 'version').value.exists()) and contained.ofType(Patient).extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-gender-at-birth').exists()
ereferral-inv-patient-condition-code-or-text	error	ServiceRequest	patientCondition must contain either a coded indication from the allowed ValueSet or encrypted free text.	supportingInfo.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-codeable-concept').value.ofType(CodeableConcept).all(coding.exists() or text.exists())
ereferral-inv-patient-condition-concept-text-pseudonymized	error	ServiceRequest	When patientCondition concept text is present, it must have the be-ext-pseudonymization extension.	supportingInfo.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-codeable-concept').value.ofType(CodeableConcept).text.all(extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization').exists())
ereferral-inv-patient-condition-strict	error	ServiceRequest.supportingInfo:patientCondition.extension:patientConditionCodeableConcept.value[x]	Une patientCondition doit contenir soit uniquement un texte libre, soit exactement un coding appartenant au ValueSet autorisé. Un texte peut accompagner le coding.	(coding.empty() and text.exists()) or (coding.count() = 1 and memberOf('https://www.ehealth.fgov.be/standards/fhir/terminology/ValueSet/ereferral-vs-imaging-patient-condition-indication'))
ereferral-inv-status-reason-text-pseudonymized	error	ServiceRequest	When statusReason text is present, it must have the be-ext-pseudonymization extension.	extension.where(url = 'http://hl7.org/fhir/StructureDefinition/request-statusReason').value.ofType(CodeableConcept).text.all(extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization').exists())
ereferral-inv-subject-contained	error	ServiceRequest	The subject must reference a Patient as contained.	subject.reference.startsWith('#')
ereferral-inv-supportingInfo-safetyChecklist-contained	error	ServiceRequest	supportingInfo[safetyChecklist] must reference the contained safety checklist.	supportingInfo.reference.where($this.startsWith('#')).select(substring(1)).all($this in %resource.contained.where(meta.profile contains 'https://www.riziv-inami.be/standards/fhir/ereferral/StructureDefinition/ereferral-imaging-attention-conditions-response').id)
ereferral-inv-urgency-justification-value-pseudonymized	error	ServiceRequest	When urgencyJustification.valueString is present, it must have the be-ext-pseudonymization extension.	extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-urgency-justification').value.ofType(string).all(extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization').exists())
ereferral-inv-urgent-requires-urgency-justification	error	ServiceRequest	The urgencyJustification extension must be present when priority is urgent.	priority != 'urgent' or extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-urgency-justification').exists()
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()

Summary

Mandatory: 2 elements(10 nested mandatory elements)
Prohibited: 34 elements

Structures

This structure refers to these other structures:

• EReferralImagingAttentionConditionsResponse (https://www.riziv-inami.be/standards/fhir/ereferral/StructureDefinition/ereferral-imaging-attention-conditions-response)

Extensions

This structure refers to these extensions:

• https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role|2.0.0

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	BeServiceRequestDiagnosticImaging	A request for a service to be performed Constraints: prr-1, ereferral-inv-subject-contained, ereferral-inv-supportingInfo-safetyChecklist-contained, ereferral-inv-status-reason-text-pseudonymized, ereferral-inv-urgent-requires-urgency-justification, ereferral-inv-urgency-justification-value-pseudonymized, ereferral-inv-patient-condition-concept-text-pseudonymized, ereferral-inv-patient-condition-code-or-text, ereferral-inv-contained-patient-birthdate-encrypted, ereferral-inv-contained-patient-gender-at-birth-encrypted
Slices for contained		2..2	Resource	Contained, inline Resources Slice: Unordered, Closed by type:$this
contained:patient	S	1..1	BePatient(2.2.0)	Information about an individual or animal receiving health care services
contained:safetyChecklist	S	1..1	EReferralImagingAttentionConditionsResponse	A structured set of questions and their answers
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:validity	S	1..1	Period	Validity period of the prescription URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-validity-period
extension:latest	S	0..1	dateTime	Request must be executed before URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-latest-end-date
extension:statusReason	S	0..1	(Complex)	Reason for current status URL: http://hl7.org/fhir/StructureDefinition/request-statusReason
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/request-statusReason"
value[x]		1..1	CodeableConcept	Value of extension Binding: BeVSPrescriptionStatusReason (preferred)
extension:urgencyJustification	S	0..1	string	Justification for the urgency level when priority is elevated URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-urgency-justification
extension:pssInfo	S	0..1	Identifier	Identifier of the PSS guidance response URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-pss-info
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	0..*	Identifier	Identifiers assigned to this order Slice: Unordered, Open by value:system
identifier:UHMEP	SΣ	0..1	Identifier	Reference ID of the UHMEP once available there
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://www.ehealth.fgov.be/standards/fhir/referral/NamingSystem/uhmep
value	Σ	1..1	string	The value that is unique Example General: 123456
identifier:SHORT	SΣC	0..1	Identifier	Patient friendly ID (UHMEP SHORT) Constraints: be-inv-uhmep-short
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://www.ehealth.fgov.be/standards/fhir/referral/NamingSystem/uhmep-short
value	Σ	1..1	string	The value that is unique Example General: 123456
basedOn	SΣ	0..*	Reference(CarePlan | ServiceRequest | MedicationRequest)	What request fulfills
replaces	SΣ	0..*	Reference(ServiceRequest)	The request that this is a continuation of
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent	?!SΣ	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet.
Slices for category	SΣ	2..*	CodeableConcept	Classification of service Slice: Unordered, Open by value:coding.system Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:discipline	SΣ	1..1	CodeableConcept	Category that identifies the type of referral (e.g., nursing, physiotherapy) Binding: eReferral Categories of Care (preferred): Categories of care that can be prescribed. See ValueSet.
extension		0..0		Extension Slice: Unordered, Open by value:url
category:prescriptionType	SΣ	0..1	CodeableConcept	Additional category that can be taylored to use-case specific purposes (e.g., prescription type for nursing, etc.) Binding: eReferral Prescription Type ValueSet (preferred): Technical types of prescriptions for routing and workflow. See ValueSet. Fixed Value: As shown (Diagnostic imaging (Appendix 82))
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://www.ehealth.fgov.be/standards/fhir/terminology/CodeSystem/be-cs-prescription-type
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: diagnostic-imaging-appendix-82
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
category:track	SΣ	1..1	CodeableConcept	Care setting track (inpatient, ambulatory, urgency) Binding: eReferral request track (required)
extension		0..0		Extension Slice: Unordered, Open by value:url
priority	SΣ	1..1	code	Priority of the imaging request (routine or urgent) Binding: eReferral Imaging Priority ValueSet (required)
code	SΣ	1..1	CodeableConcept	What is being requested/ordered Binding: BeVSDiagnosticImagingProcedure (2.0.0) (required)
subject	SΣ	1..1	Reference(BePatient(2.2.0))	Individual or Entity the service is ordered for
authoredOn	SΣC	1..1	dateTime	Date request signed Constraints: be-inv-long-date
requester	SΣ	1..1	Reference(BePractitionerRole(2.2.0))	Prescriber of the requested service
reasonCode	SΣ	0..1	CodeableConcept	Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
Slices for supportingInfo	S	0..*	Reference(Resource)	Additional clinical information Slice: Unordered, Open by value:extension('https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role').value
supportingInfo:priorResults	S	0..*	Reference(ImagingStudy | DiagnosticReport)	Prior diagnostic results relevant to this request
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:role		1..1	(Complex)	Extension URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role"
value[x]		0..1	code	Value of extension Binding: eReferral Radiology SupportingInfo Role ValueSet (required) Required Pattern: prior-results
supportingInfo:priorRequest	S	0..*	Reference(ServiceRequest)	Prior imaging request relevant to this request
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:priorRequestCodeableConcept	S	0..1	(Complex)	Coded concept URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-codeable-concept
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-codeable-concept"
value[x]	S	1..1	CodeableConcept	Value of extension Binding: eReferral Imaging Modality ValueSet (required)
extension:role		1..1	(Complex)	Extension URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role"
value[x]		0..1	code	Value of extension Binding: eReferral Radiology SupportingInfo Role ValueSet (required) Required Pattern: prior-request
supportingInfo:attentionCondition	S	0..*	Reference(Condition | Observation)	Attention-worthy conditions or findings
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:attentionCodeableConcept	S	0..1	CodeableConcept	Coded concept URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-codeable-concept
extension:role		1..1	(Complex)	Extension URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role"
value[x]		0..1	code	Value of extension Binding: eReferral Radiology SupportingInfo Role ValueSet (required) Required Pattern: attention-condition
supportingInfo:safetyChecklist	S	0..1	Reference(EReferralImagingAttentionConditionsResponse)	Safety screening checklist
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:role		1..1	(Complex)	Extension URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role"
value[x]		0..1	code	Value of extension Binding: eReferral Radiology SupportingInfo Role ValueSet (required) Required Pattern: safety-checklist
supportingInfo:patientCondition	S	0..*	Reference(Condition)	Patient condition relevant to the imaging request
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:patientConditionCodeableConcept	S	0..1	(Complex)	Coded concept URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-codeable-concept
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-codeable-concept"
value[x]	SC	1..1	CodeableConcept	Value of extension Binding: eReferral Imaging Patient Condition Indication (preferred) Constraints: ereferral-inv-patient-condition-strict
extension:role		1..1	(Complex)	Extension URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role"
value[x]		0..1	code	Value of extension Binding: eReferral Radiology SupportingInfo Role ValueSet (required) Required Pattern: patient-condition
bodySite	SΣ	0..*	CodeableConcept	Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Slices for extension				Content/Rules for all slices
extension:bodyLaterality		0..1	Coding	BeExtLaterality URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-laterality Binding: Laterality ValueSet (required)
note	S	0..*	BeCodedAnnotation(2.2.0)	Comments
Slices for extension				Content/Rules for all slices
extension:code		0..1	(Complex)	Code URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept"
text	Σ	1..1	markdown	The annotation - plain text without markdown is strongly recommended
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
ServiceRequest.extension:statusReason.​value[x]	Base	preferred	BeVSPrescriptionStatusReason	📦1.0.0	Referral Prescription Implementation Guide v1.0
ServiceRequest.identifier:UHMEP.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
ServiceRequest.identifier:SHORT.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
ServiceRequest.status	Base	required	RequestStatus	📍4.0.1	FHIR Std.
ServiceRequest.intent	Base	required	RequestIntent	📍4.0.1	FHIR Std.
ServiceRequest.category	Base	example	Service Request Category Codes	📍4.0.1	FHIR Std.
ServiceRequest.category:discipline	Base	preferred	eReferral Categories of Care	📦1.0.0	Referral Prescription Implementation Guide v1.0
ServiceRequest.category:prescriptionType	Base	preferred	eReferral Prescription Type ValueSet	📦1.0.0	Referral Prescription Implementation Guide v1.0
ServiceRequest.category:track	Base	required	eReferral request track	📦1.0.0	Referral Prescription Implementation Guide v1.0
ServiceRequest.priority	Base	required	eReferral Imaging Priority ValueSet	📦1.0.0	Referral Prescription Implementation Guide v1.0
ServiceRequest.code	Base	required	eReferral/PSS Diagnostic Imaging Procedure	📍2.0.0	This IG
ServiceRequest.reasonCode	Base	example	Procedure Reason Codes	📍4.0.1	FHIR Std.
ServiceRequest.supportingInfo:priorResults.​extension:role.value[x]	Base	required	eReferral Radiology SupportingInfo Role ValueSet	📦2.0.0	This IG
ServiceRequest.supportingInfo:priorRequest.​extension:priorRequestCodeableConcept.​value[x]	Base	required	eReferral Imaging Modality ValueSet	📦1.0.0	Referral Prescription Implementation Guide v1.0
ServiceRequest.supportingInfo:priorRequest.​extension:role.value[x]	Base	required	eReferral Radiology SupportingInfo Role ValueSet	📦2.0.0	This IG
ServiceRequest.supportingInfo:attentionCondition.​extension:role.value[x]	Base	required	eReferral Radiology SupportingInfo Role ValueSet	📦2.0.0	This IG
ServiceRequest.supportingInfo:safetyChecklist.​extension:role.value[x]	Base	required	eReferral Radiology SupportingInfo Role ValueSet	📦2.0.0	This IG
ServiceRequest.supportingInfo:patientCondition.​extension:patientConditionCodeableConcept.​value[x]	Base	preferred	eReferral Imaging Patient Condition Indication	📦2.0.0	This IG
ServiceRequest.supportingInfo:patientCondition.​extension:role.value[x]	Base	required	eReferral Radiology SupportingInfo Role ValueSet	📦2.0.0	This IG
ServiceRequest.bodySite	Base	example	SNOMED CT Body Structures	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
be-inv-long-date	warning	ServiceRequest.authoredOn	date SHALL contain a long date (YYYY-MM-DDThh:mm:ss+zz:zz)	empty() or toString().length()=25
be-inv-uhmep-short	warning	ServiceRequest.identifier:SHORT	The format of UHMEP-SHORT is 6 capital alphanumerics, without O	Identifier.where(system = 'https://www.ehealth.fgov.be/standards/fhir/referral/NamingSystem/uhmep-short').where(value.extension.empty() or value.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization').empty()).value.select($this.matches('[A-NP-Z0-9]{6}')).allTrue()
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())
ereferral-inv-contained-patient-birthdate-encrypted	error	ServiceRequest	The birthDate of the contained Patient must not be sent in clear text and must be represented only by the encrypted be-ext-pseudonymized-content extension.	contained.ofType(Patient).all(birthDate.hasValue().not() and birthDate.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').exists() and birthDate.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').extension.where(url = 'encryptedValue').value.matches('^urn:be:fgov:pseudo-encrypted:v1:.+') and birthDate.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').extension.where(url = 'marker' and value = true).exists() and birthDate.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').extension.where(url = 'format' and value = 'encrypted').exists() and birthDate.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').extension.where(url = 'version').value.exists())
ereferral-inv-contained-patient-gender-at-birth-encrypted	error	ServiceRequest	The contained Patient genderAtBirth must always be coded as 'other' and must be accompanied by the be-ext-pseudonymized-content encryption extension.	contained.ofType(Patient).extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-gender-at-birth').all(value.ofType(CodeableConcept).coding.where(system = 'http://hl7.org/fhir/administrative-gender' and code = 'other').exists() and value.ofType(CodeableConcept).extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').extension.where(url = 'encryptedValue').value.matches('^urn:be:fgov:pseudo-encrypted:v1:.+') and value.ofType(CodeableConcept).extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').extension.where(url = 'marker' and value = true).exists() and value.ofType(CodeableConcept).extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').extension.where(url = 'format' and value = 'encrypted').exists() and value.ofType(CodeableConcept).extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').extension.where(url = 'version').value.exists()) and contained.ofType(Patient).extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-gender-at-birth').exists()
ereferral-inv-patient-condition-code-or-text	error	ServiceRequest	patientCondition must contain either a coded indication from the allowed ValueSet or encrypted free text.	supportingInfo.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-codeable-concept').value.ofType(CodeableConcept).all(coding.exists() or text.exists())
ereferral-inv-patient-condition-concept-text-pseudonymized	error	ServiceRequest	When patientCondition concept text is present, it must have the be-ext-pseudonymization extension.	supportingInfo.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-codeable-concept').value.ofType(CodeableConcept).text.all(extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization').exists())
ereferral-inv-patient-condition-strict	error	ServiceRequest.supportingInfo:patientCondition.extension:patientConditionCodeableConcept.value[x]	Une patientCondition doit contenir soit uniquement un texte libre, soit exactement un coding appartenant au ValueSet autorisé. Un texte peut accompagner le coding.	(coding.empty() and text.exists()) or (coding.count() = 1 and memberOf('https://www.ehealth.fgov.be/standards/fhir/terminology/ValueSet/ereferral-vs-imaging-patient-condition-indication'))
ereferral-inv-status-reason-text-pseudonymized	error	ServiceRequest	When statusReason text is present, it must have the be-ext-pseudonymization extension.	extension.where(url = 'http://hl7.org/fhir/StructureDefinition/request-statusReason').value.ofType(CodeableConcept).text.all(extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization').exists())
ereferral-inv-subject-contained	error	ServiceRequest	The subject must reference a Patient as contained.	subject.reference.startsWith('#')
ereferral-inv-supportingInfo-safetyChecklist-contained	error	ServiceRequest	supportingInfo[safetyChecklist] must reference the contained safety checklist.	supportingInfo.reference.where($this.startsWith('#')).select(substring(1)).all($this in %resource.contained.where(meta.profile contains 'https://www.riziv-inami.be/standards/fhir/ereferral/StructureDefinition/ereferral-imaging-attention-conditions-response').id)
ereferral-inv-urgency-justification-value-pseudonymized	error	ServiceRequest	When urgencyJustification.valueString is present, it must have the be-ext-pseudonymization extension.	extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-urgency-justification').value.ofType(string).all(extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization').exists())
ereferral-inv-urgent-requires-urgency-justification	error	ServiceRequest	The urgencyJustification extension must be present when priority is urgent.	priority != 'urgent' or extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-urgency-justification').exists()
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()

Differential View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	BeServiceRequestDiagnosticImaging	A request for a service to be performed Constraints: ereferral-inv-subject-contained, ereferral-inv-supportingInfo-safetyChecklist-contained, ereferral-inv-status-reason-text-pseudonymized, ereferral-inv-urgent-requires-urgency-justification, ereferral-inv-urgency-justification-value-pseudonymized, ereferral-inv-patient-condition-concept-text-pseudonymized, ereferral-inv-patient-condition-code-or-text, ereferral-inv-contained-patient-birthdate-encrypted, ereferral-inv-contained-patient-gender-at-birth-encrypted
meta
versionId		0..0		Version specific identifier
lastUpdated		0..0		When the resource version last changed
source		0..0		Identifies where the resource comes from
security		0..0		Security Labels applied to this resource
tag		0..0		Tags applied to this resource
implicitRules		0..0		A set of rules under which this content was created
language		0..0		Language of the resource content
contained		2..2	Resource	Contained, inline Resources
Slices for contained				Content/Rules for all slices
contained:patient		1..1	BePatient(2.2.0)	Information about an individual or animal receiving health care services
contained:safetyChecklist		1..1	EReferralImagingAttentionConditionsResponse	A structured set of questions and their answers
Slices for extension				Content/Rules for all slices
extension:feedback		0..0		Feedback to prescriber
extension:performerType		0..0		Extension
extension:device		0..0		BeExtCodeableReference
instantiatesCanonical		0..0		Instantiates FHIR protocol or definition
instantiatesUri		0..0		Instantiates external protocol or definition
requisition		0..0		Composite Request ID
Slices for category				Content/Rules for all slices
category:discipline		1..1	CodeableConcept	Category that identifies the type of referral (e.g., nursing, physiotherapy)
id		0..0		Unique id for inter-element referencing
extension		0..0		Extension
coding
userSelected		0..0		If this coding was chosen directly by the user
category:track		1..1	CodeableConcept	Care setting track (inpatient, ambulatory, urgency)
id		0..0		Unique id for inter-element referencing
extension		0..0		Extension
coding
userSelected		0..0		If this coding was chosen directly by the user
doNotPerform		0..0		True if service/procedure should not be performed
code		1..1	CodeableConcept	What is being requested/ordered Binding: BeVSDiagnosticImagingProcedure (2.0.0) (required)
orderDetail		0..0		Additional order information
quantity[x]		0..0		Service amount
encounter		0..0		Encounter in which the request was created
occurrence[x]		0..0		When service shall occur - once this is past, this prescription is no longer valid and the status shall reflect this.
asNeeded[x]		0..0		Preconditions for service
locationCode		0..0		Requested location
locationReference		0..0		Requested location
insurance		0..0		Associated insurance coverage
Slices for supportingInfo				Content/Rules for all slices
supportingInfo:priorResults		0..*	Reference(ImagingStudy | DiagnosticReport)	Prior diagnostic results relevant to this request
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:role		1..1	(Complex)	Extension URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role
value[x]		0..1	code	Value of extension Required Pattern: prior-results
supportingInfo:priorRequest		0..*	Reference(ServiceRequest)	Prior imaging request relevant to this request
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:priorRequestCodeableConcept		0..1	BeExtCodeableConcept(2.0.0)	Coded concept
value[x]		1..1	CodeableConcept	Value of extension Binding: eReferral Imaging Modality ValueSet (required)
extension:role		1..1	(Complex)	Extension URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role
value[x]		0..1	code	Value of extension Required Pattern: prior-request
supportingInfo:attentionCondition		0..*	Reference(Condition | Observation)	Attention-worthy conditions or findings
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:role		1..1	(Complex)	Extension URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role
value[x]		0..1	code	Value of extension Required Pattern: attention-condition
supportingInfo:safetyChecklist		0..1	Reference(EReferralImagingAttentionConditionsResponse)	Safety screening checklist
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:role		1..1	(Complex)	Extension URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role
value[x]		0..1	code	Value of extension Required Pattern: safety-checklist
supportingInfo:patientCondition		0..*	Reference(Condition)	Patient condition relevant to the imaging request
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:patientConditionCodeableConcept		0..1	BeExtCodeableConcept(2.0.0)	Coded concept
value[x]	C	1..1	CodeableConcept	Value of extension Binding: eReferral Imaging Patient Condition Indication (preferred) Constraints: ereferral-inv-patient-condition-strict
extension:role		1..1	(Complex)	Extension URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role
value[x]		0..1	code	Value of extension Required Pattern: patient-condition
specimen		0..0		Procedure Samples
patientInstruction		0..0		Patient or consumer-oriented instructions
relevantHistory		0..0		Request provenance
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
ServiceRequest.code	Base	required	eReferral/PSS Diagnostic Imaging Procedure	📍2.0.0	This IG
ServiceRequest.supportingInfo:priorRequest.​extension:priorRequestCodeableConcept.​value[x]	Base	required	eReferral Imaging Modality ValueSet	📦1.0.0	Referral Prescription Implementation Guide v1.0
ServiceRequest.supportingInfo:patientCondition.​extension:patientConditionCodeableConcept.​value[x]	Base	preferred	eReferral Imaging Patient Condition Indication	📦2.0.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
ereferral-inv-contained-patient-birthdate-encrypted	error	ServiceRequest	The birthDate of the contained Patient must not be sent in clear text and must be represented only by the encrypted be-ext-pseudonymized-content extension.	contained.ofType(Patient).all(birthDate.hasValue().not() and birthDate.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').exists() and birthDate.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').extension.where(url = 'encryptedValue').value.matches('^urn:be:fgov:pseudo-encrypted:v1:.+') and birthDate.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').extension.where(url = 'marker' and value = true).exists() and birthDate.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').extension.where(url = 'format' and value = 'encrypted').exists() and birthDate.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').extension.where(url = 'version').value.exists())
ereferral-inv-contained-patient-gender-at-birth-encrypted	error	ServiceRequest	The contained Patient genderAtBirth must always be coded as 'other' and must be accompanied by the be-ext-pseudonymized-content encryption extension.	contained.ofType(Patient).extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-gender-at-birth').all(value.ofType(CodeableConcept).coding.where(system = 'http://hl7.org/fhir/administrative-gender' and code = 'other').exists() and value.ofType(CodeableConcept).extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').extension.where(url = 'encryptedValue').value.matches('^urn:be:fgov:pseudo-encrypted:v1:.+') and value.ofType(CodeableConcept).extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').extension.where(url = 'marker' and value = true).exists() and value.ofType(CodeableConcept).extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').extension.where(url = 'format' and value = 'encrypted').exists() and value.ofType(CodeableConcept).extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').extension.where(url = 'version').value.exists()) and contained.ofType(Patient).extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-gender-at-birth').exists()
ereferral-inv-patient-condition-code-or-text	error	ServiceRequest	patientCondition must contain either a coded indication from the allowed ValueSet or encrypted free text.	supportingInfo.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-codeable-concept').value.ofType(CodeableConcept).all(coding.exists() or text.exists())
ereferral-inv-patient-condition-concept-text-pseudonymized	error	ServiceRequest	When patientCondition concept text is present, it must have the be-ext-pseudonymization extension.	supportingInfo.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-codeable-concept').value.ofType(CodeableConcept).text.all(extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization').exists())
ereferral-inv-patient-condition-strict	error	ServiceRequest.supportingInfo:patientCondition.extension:patientConditionCodeableConcept.value[x]	Une patientCondition doit contenir soit uniquement un texte libre, soit exactement un coding appartenant au ValueSet autorisé. Un texte peut accompagner le coding.	(coding.empty() and text.exists()) or (coding.count() = 1 and memberOf('https://www.ehealth.fgov.be/standards/fhir/terminology/ValueSet/ereferral-vs-imaging-patient-condition-indication'))
ereferral-inv-status-reason-text-pseudonymized	error	ServiceRequest	When statusReason text is present, it must have the be-ext-pseudonymization extension.	extension.where(url = 'http://hl7.org/fhir/StructureDefinition/request-statusReason').value.ofType(CodeableConcept).text.all(extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization').exists())
ereferral-inv-subject-contained	error	ServiceRequest	The subject must reference a Patient as contained.	subject.reference.startsWith('#')
ereferral-inv-supportingInfo-safetyChecklist-contained	error	ServiceRequest	supportingInfo[safetyChecklist] must reference the contained safety checklist.	supportingInfo.reference.where($this.startsWith('#')).select(substring(1)).all($this in %resource.contained.where(meta.profile contains 'https://www.riziv-inami.be/standards/fhir/ereferral/StructureDefinition/ereferral-imaging-attention-conditions-response').id)
ereferral-inv-urgency-justification-value-pseudonymized	error	ServiceRequest	When urgencyJustification.valueString is present, it must have the be-ext-pseudonymization extension.	extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-urgency-justification').value.ofType(string).all(extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization').exists())
ereferral-inv-urgent-requires-urgency-justification	error	ServiceRequest	The urgencyJustification extension must be present when priority is urgent.	priority != 'urgent' or extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-urgency-justification').exists()

Snapshot ViewView

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	BeServiceRequestDiagnosticImaging	A request for a service to be performed Constraints: prr-1, ereferral-inv-subject-contained, ereferral-inv-supportingInfo-safetyChecklist-contained, ereferral-inv-status-reason-text-pseudonymized, ereferral-inv-urgent-requires-urgency-justification, ereferral-inv-urgency-justification-value-pseudonymized, ereferral-inv-patient-condition-concept-text-pseudonymized, ereferral-inv-patient-condition-code-or-text, ereferral-inv-contained-patient-birthdate-encrypted, ereferral-inv-contained-patient-gender-at-birth-encrypted
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
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
Slices for contained		2..2	Resource	Contained, inline Resources Slice: Unordered, Closed by type:$this
contained:patient	S	1..1	BePatient(2.2.0)	Information about an individual or animal receiving health care services
contained:safetyChecklist	S	1..1	EReferralImagingAttentionConditionsResponse	A structured set of questions and their answers
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:validity	S	1..1	Period	Validity period of the prescription URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-validity-period
extension:latest	S	0..1	dateTime	Request must be executed before URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-latest-end-date
extension:statusReason	S	0..1	(Complex)	Reason for current status URL: http://hl7.org/fhir/StructureDefinition/request-statusReason
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/request-statusReason"
value[x]		1..1	CodeableConcept	Value of extension Binding: BeVSPrescriptionStatusReason (preferred)
extension:urgencyJustification	S	0..1	string	Justification for the urgency level when priority is elevated URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-urgency-justification
extension:pssInfo	S	0..1	Identifier	Identifier of the PSS guidance response URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-pss-info
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	0..*	Identifier	Identifiers assigned to this order Slice: Unordered, Open by value:system
identifier:UHMEP	SΣ	0..1	Identifier	Reference ID of the UHMEP once available there
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://www.ehealth.fgov.be/standards/fhir/referral/NamingSystem/uhmep
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:SHORT	SΣC	0..1	Identifier	Patient friendly ID (UHMEP SHORT) Constraints: be-inv-uhmep-short
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://www.ehealth.fgov.be/standards/fhir/referral/NamingSystem/uhmep-short
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
basedOn	SΣ	0..*	Reference(CarePlan | ServiceRequest | MedicationRequest)	What request fulfills
replaces	SΣ	0..*	Reference(ServiceRequest)	The request that this is a continuation of
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent	?!SΣ	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The actual valueset will be provided when a terminology package is available. For current guidance, see the included ValueSet.
Slices for category	SΣ	2..*	CodeableConcept	Classification of service Slice: Unordered, Open by value:coding.system Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:discipline	SΣ	1..1	CodeableConcept	Category that identifies the type of referral (e.g., nursing, physiotherapy) Binding: eReferral Categories of Care (preferred): Categories of care that can be prescribed. See ValueSet.
extension		0..0		Extension Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
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 Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Fixed Value: 363679005
display	Σ	0..1	string	Representation defined by the system
text	Σ	0..1	string	Plain text representation of the concept
category:prescriptionType	SΣ	0..1	CodeableConcept	Additional category that can be taylored to use-case specific purposes (e.g., prescription type for nursing, etc.) Binding: eReferral Prescription Type ValueSet (preferred): Technical types of prescriptions for routing and workflow. See ValueSet. Fixed Value: As shown (Diagnostic imaging (Appendix 82))
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://www.ehealth.fgov.be/standards/fhir/terminology/CodeSystem/be-cs-prescription-type
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: diagnostic-imaging-appendix-82
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
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
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 Fixed Value: https://www.ehealth.fgov.be/standards/fhir/terminology/CodeSystem/be-cs-prescription-type
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Fixed Value: diagnostic-imaging-appendix-82
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
category:track	SΣ	1..1	CodeableConcept	Care setting track (inpatient, ambulatory, urgency) Binding: eReferral request track (required)
extension		0..0		Extension Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
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 Fixed Value: https://www.ehealth.fgov.be/standards/fhir/terminology/CodeSystem/be-cs-request-track
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
text	Σ	0..1	string	Plain text representation of the concept
priority	SΣ	1..1	code	Priority of the imaging request (routine or urgent) Binding: eReferral Imaging Priority ValueSet (required)
code	SΣ	1..1	CodeableConcept	What is being requested/ordered Binding: BeVSDiagnosticImagingProcedure (2.0.0) (required)
subject	SΣ	1..1	Reference(BePatient(2.2.0))	Individual or Entity the service is ordered for
authoredOn	SΣC	1..1	dateTime	Date request signed Constraints: be-inv-long-date
requester	SΣ	1..1	Reference(BePractitionerRole(2.2.0))	Prescriber of the requested service
reasonCode	SΣ	0..1	CodeableConcept	Explanation/Justification for procedure or service Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.
reasonReference	Σ	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Explanation/Justification for service or service
Slices for supportingInfo	S	0..*	Reference(Resource)	Additional clinical information Slice: Unordered, Open by value:extension('https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role').value
supportingInfo:priorResults	S	0..*	Reference(ImagingStudy | DiagnosticReport)	Prior diagnostic results relevant to this request
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:role		1..1	(Complex)	Extension URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role"
value[x]		0..1	code	Value of extension Binding: eReferral Radiology SupportingInfo Role ValueSet (required) Required Pattern: prior-results
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..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).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
supportingInfo:priorRequest	S	0..*	Reference(ServiceRequest)	Prior imaging request relevant to this request
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:priorRequestCodeableConcept	S	0..1	(Complex)	Coded concept URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-codeable-concept
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-codeable-concept"
value[x]	S	1..1	CodeableConcept	Value of extension Binding: eReferral Imaging Modality ValueSet (required)
extension:role		1..1	(Complex)	Extension URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role"
value[x]		0..1	code	Value of extension Binding: eReferral Radiology SupportingInfo Role ValueSet (required) Required Pattern: prior-request
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..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).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
supportingInfo:attentionCondition	S	0..*	Reference(Condition | Observation)	Attention-worthy conditions or findings
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:attentionCodeableConcept	S	0..1	CodeableConcept	Coded concept URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-codeable-concept
extension:role		1..1	(Complex)	Extension URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role"
value[x]		0..1	code	Value of extension Binding: eReferral Radiology SupportingInfo Role ValueSet (required) Required Pattern: attention-condition
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..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).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
supportingInfo:safetyChecklist	S	0..1	Reference(EReferralImagingAttentionConditionsResponse)	Safety screening checklist
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:role		1..1	(Complex)	Extension URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role"
value[x]		0..1	code	Value of extension Binding: eReferral Radiology SupportingInfo Role ValueSet (required) Required Pattern: safety-checklist
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..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).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
supportingInfo:patientCondition	S	0..*	Reference(Condition)	Patient condition relevant to the imaging request
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:patientConditionCodeableConcept	S	0..1	(Complex)	Coded concept URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-codeable-concept
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-codeable-concept"
value[x]	SC	1..1	CodeableConcept	Value of extension Binding: eReferral Imaging Patient Condition Indication (preferred) Constraints: ereferral-inv-patient-condition-strict
extension:role		1..1	(Complex)	Extension URL: https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role"
value[x]		0..1	code	Value of extension Binding: eReferral Radiology SupportingInfo Role ValueSet (required) Required Pattern: patient-condition
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..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).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
bodySite	SΣ	0..*	CodeableConcept	Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:bodyLaterality		0..1	Coding	BeExtLaterality URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-laterality Binding: Laterality ValueSet (required)
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
note	S	0..*	BeCodedAnnotation(2.2.0)	Comments
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:code		0..1	(Complex)	Code URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept"
value[x]		0..1	CodeableConcept	Value of extension Binding: eReferral Note Type (preferred)
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	Σ	1..1	markdown	The annotation - plain text without markdown is strongly recommended
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
ServiceRequest.extension:statusReason.​value[x]	Base	preferred	BeVSPrescriptionStatusReason	📦1.0.0	Referral Prescription Implementation Guide v1.0
ServiceRequest.identifier:UHMEP.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
ServiceRequest.identifier:UHMEP.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
ServiceRequest.identifier:SHORT.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
ServiceRequest.identifier:SHORT.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
ServiceRequest.status	Base	required	RequestStatus	📍4.0.1	FHIR Std.
ServiceRequest.intent	Base	required	RequestIntent	📍4.0.1	FHIR Std.
ServiceRequest.category	Base	example	Service Request Category Codes	📍4.0.1	FHIR Std.
ServiceRequest.category:discipline	Base	preferred	eReferral Categories of Care	📦1.0.0	Referral Prescription Implementation Guide v1.0
ServiceRequest.category:prescriptionType	Base	preferred	eReferral Prescription Type ValueSet	📦1.0.0	Referral Prescription Implementation Guide v1.0
ServiceRequest.category:track	Base	required	eReferral request track	📦1.0.0	Referral Prescription Implementation Guide v1.0
ServiceRequest.priority	Base	required	eReferral Imaging Priority ValueSet	📦1.0.0	Referral Prescription Implementation Guide v1.0
ServiceRequest.code	Base	required	eReferral/PSS Diagnostic Imaging Procedure	📍2.0.0	This IG
ServiceRequest.reasonCode	Base	example	Procedure Reason Codes	📍4.0.1	FHIR Std.
ServiceRequest.supportingInfo:priorResults.​extension:role.value[x]	Base	required	eReferral Radiology SupportingInfo Role ValueSet	📦2.0.0	This IG
ServiceRequest.supportingInfo:priorResults.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
ServiceRequest.supportingInfo:priorRequest.​extension:priorRequestCodeableConcept.​value[x]	Base	required	eReferral Imaging Modality ValueSet	📦1.0.0	Referral Prescription Implementation Guide v1.0
ServiceRequest.supportingInfo:priorRequest.​extension:role.value[x]	Base	required	eReferral Radiology SupportingInfo Role ValueSet	📦2.0.0	This IG
ServiceRequest.supportingInfo:priorRequest.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
ServiceRequest.supportingInfo:attentionCondition.​extension:role.value[x]	Base	required	eReferral Radiology SupportingInfo Role ValueSet	📦2.0.0	This IG
ServiceRequest.supportingInfo:attentionCondition.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
ServiceRequest.supportingInfo:safetyChecklist.​extension:role.value[x]	Base	required	eReferral Radiology SupportingInfo Role ValueSet	📦2.0.0	This IG
ServiceRequest.supportingInfo:safetyChecklist.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
ServiceRequest.supportingInfo:patientCondition.​extension:patientConditionCodeableConcept.​value[x]	Base	preferred	eReferral Imaging Patient Condition Indication	📦2.0.0	This IG
ServiceRequest.supportingInfo:patientCondition.​extension:role.value[x]	Base	required	eReferral Radiology SupportingInfo Role ValueSet	📦2.0.0	This IG
ServiceRequest.supportingInfo:patientCondition.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
ServiceRequest.bodySite	Base	example	SNOMED CT Body Structures	📍4.0.1	FHIR Std.
ServiceRequest.note.​extension:code.value[x]	Base	preferred	eReferral Note Type	📦1.0.0	Referral Prescription Implementation Guide v1.0

Constraints

Id	Grade	Path(s)	Description	Expression
be-inv-long-date	warning	ServiceRequest.authoredOn	date SHALL contain a long date (YYYY-MM-DDThh:mm:ss+zz:zz)	empty() or toString().length()=25
be-inv-uhmep-short	warning	ServiceRequest.identifier:SHORT	The format of UHMEP-SHORT is 6 capital alphanumerics, without O	Identifier.where(system = 'https://www.ehealth.fgov.be/standards/fhir/referral/NamingSystem/uhmep-short').where(value.extension.empty() or value.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization').empty()).value.select($this.matches('[A-NP-Z0-9]{6}')).allTrue()
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())
ereferral-inv-contained-patient-birthdate-encrypted	error	ServiceRequest	The birthDate of the contained Patient must not be sent in clear text and must be represented only by the encrypted be-ext-pseudonymized-content extension.	contained.ofType(Patient).all(birthDate.hasValue().not() and birthDate.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').exists() and birthDate.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').extension.where(url = 'encryptedValue').value.matches('^urn:be:fgov:pseudo-encrypted:v1:.+') and birthDate.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').extension.where(url = 'marker' and value = true).exists() and birthDate.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').extension.where(url = 'format' and value = 'encrypted').exists() and birthDate.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').extension.where(url = 'version').value.exists())
ereferral-inv-contained-patient-gender-at-birth-encrypted	error	ServiceRequest	The contained Patient genderAtBirth must always be coded as 'other' and must be accompanied by the be-ext-pseudonymized-content encryption extension.	contained.ofType(Patient).extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-gender-at-birth').all(value.ofType(CodeableConcept).coding.where(system = 'http://hl7.org/fhir/administrative-gender' and code = 'other').exists() and value.ofType(CodeableConcept).extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').extension.where(url = 'encryptedValue').value.matches('^urn:be:fgov:pseudo-encrypted:v1:.+') and value.ofType(CodeableConcept).extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').extension.where(url = 'marker' and value = true).exists() and value.ofType(CodeableConcept).extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').extension.where(url = 'format' and value = 'encrypted').exists() and value.ofType(CodeableConcept).extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content').extension.where(url = 'version').value.exists()) and contained.ofType(Patient).extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-gender-at-birth').exists()
ereferral-inv-patient-condition-code-or-text	error	ServiceRequest	patientCondition must contain either a coded indication from the allowed ValueSet or encrypted free text.	supportingInfo.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-codeable-concept').value.ofType(CodeableConcept).all(coding.exists() or text.exists())
ereferral-inv-patient-condition-concept-text-pseudonymized	error	ServiceRequest	When patientCondition concept text is present, it must have the be-ext-pseudonymization extension.	supportingInfo.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-codeable-concept').value.ofType(CodeableConcept).text.all(extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization').exists())
ereferral-inv-patient-condition-strict	error	ServiceRequest.supportingInfo:patientCondition.extension:patientConditionCodeableConcept.value[x]	Une patientCondition doit contenir soit uniquement un texte libre, soit exactement un coding appartenant au ValueSet autorisé. Un texte peut accompagner le coding.	(coding.empty() and text.exists()) or (coding.count() = 1 and memberOf('https://www.ehealth.fgov.be/standards/fhir/terminology/ValueSet/ereferral-vs-imaging-patient-condition-indication'))
ereferral-inv-status-reason-text-pseudonymized	error	ServiceRequest	When statusReason text is present, it must have the be-ext-pseudonymization extension.	extension.where(url = 'http://hl7.org/fhir/StructureDefinition/request-statusReason').value.ofType(CodeableConcept).text.all(extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization').exists())
ereferral-inv-subject-contained	error	ServiceRequest	The subject must reference a Patient as contained.	subject.reference.startsWith('#')
ereferral-inv-supportingInfo-safetyChecklist-contained	error	ServiceRequest	supportingInfo[safetyChecklist] must reference the contained safety checklist.	supportingInfo.reference.where($this.startsWith('#')).select(substring(1)).all($this in %resource.contained.where(meta.profile contains 'https://www.riziv-inami.be/standards/fhir/ereferral/StructureDefinition/ereferral-imaging-attention-conditions-response').id)
ereferral-inv-urgency-justification-value-pseudonymized	error	ServiceRequest	When urgencyJustification.valueString is present, it must have the be-ext-pseudonymization extension.	extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-urgency-justification').value.ofType(string).all(extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization').exists())
ereferral-inv-urgent-requires-urgency-justification	error	ServiceRequest	The urgencyJustification extension must be present when priority is urgent.	priority != 'urgent' or extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-urgency-justification').exists()
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()

Summary

Mandatory: 2 elements(10 nested mandatory elements)
Prohibited: 34 elements

Structures

This structure refers to these other structures:

• EReferralImagingAttentionConditionsResponse (https://www.riziv-inami.be/standards/fhir/ereferral/StructureDefinition/ereferral-imaging-attention-conditions-response)

Extensions

This structure refers to these extensions:

• https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role|2.0.0