v2.1.0 draft

eReferral Implementation Guide
2.1.0 - Belgium flag

eReferral Implementation Guide, published by Riziv-Inami Platform. This guide is not an authorized publication; it is the continuous build for version 2.1.0 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

: Example: Diagnostic imaging referral

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{
  "resourceType" : "ServiceRequest",
  "id" : "example-drp-clinical-imaging",
  "meta" : {
    "extension" : [
      {
        "id" : "{{kid}}",
        "extension" : [
          {
            "url" : "key",
            "valueString" : "urn:be:fgov:pseudo:v2:{{SEC1}}:{{transit-info}}",
            "_valueString" : {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "marker",
                      "valueBoolean" : true
                    },
                    {
                      "url" : "format",
                      "valueCode" : "direct"
                    },
                    {
                      "url" : "version",
                      "valuePositiveInt" : 2
                    }
                  ],
                  "url" : "https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization"
                }
              ]
            }
          }
        ],
        "url" : "https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-key-pseudonymization"
      }
    ],
    "profile" : [
      🔗 "https://www.riziv-inami.be/standards/fhir/ereferral/StructureDefinition/ereferral-servicerequest-diagnosticimaging"
    ]
  },
  "language" : "en",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest example-drp-clinical-imaging</b></p><a name=\"example-drp-clinical-imaging\"> </a><a name=\"hcexample-drp-clinical-imaging\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ereferral-servicerequest-diagnosticimaging.html\">EReferralServiceRequestDiagnosticImaging</a></p></div><p><b>BeValidityPeriod</b>: 2026-03-03 --&gt; 2027-03-03</p><p><b>Request status reason</b>: <span title=\"Codes:\">urn:be:fgov:pseudo:v1:{{kid}}:{{jwe}}</span></p><p><b>BePSSInfo</b>: <a href=\"https://www.ehealth.fgov.be/standards/fhir/referral/1.0.0/NamingSystem-be-ns-pss-id.html\" title=\"PSS ID naming system\">BePSSId</a>/PSS-DRP-IMG-001</p><p><b>BeUrgencyJustification</b>: urn:be:fgov:pseudo:v1:{{kid}}:{{jwe}}</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{https://www.ehealth.fgov.be/standards/fhir/terminology/CodeSystem/be-cs-prescription-type diagnostic-imaging-appendix-82}\">Diagnostic imaging (Appendix 82)</span>, <span title=\"Codes:{http://snomed.info/sct 363679005}\">Imaging</span>, <span title=\"Codes:{https://www.ehealth.fgov.be/standards/fhir/terminology/CodeSystem/be-cs-request-track ambulatory}\">Ambulatory</span></p><p><b>priority</b>: Urgent</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 32962002}\">Computed tomography of abdomen with contrast (procedure)</span></p><p><b>subject</b>: <a href=\"#hcexample-drp-clinical-imaging/patient\">Anonymous Patient (no stated gender), DoB: </a></p><p><b>authoredOn</b>: 2026-03-03 10:15:00+0100</p><p><b>requester</b>: <a href=\"PractitionerRole-72101230445-PHYSICIAN.html\">PractitionerRole physician</a></p><p><b>reasonCode</b>: <span title=\"Codes:\">urn:be:fgov:pseudo:v1:{{kid}}:{{jwe}}</span></p><p><b>supportingInfo</b>: </p><ul><li><a href=\"ServiceRequest-example-prior-drp-clinical-imaging.html\">ServiceRequest Computed tomography of abdomen with contrast (procedure)</a></li><li>Coded prior imaging request</li><li>Coded patient condition</li><li>Free-text patient condition</li><li><a href=\"#hcexample-drp-clinical-imaging/ci-attention-qr\">Response to Questionnaire '-&gt;Imaging Attention Conditions Questionnaire' about 'Unspecified Subject'</a></li></ul><p><b>bodySite</b>: <span title=\"Codes:\"></span></p><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: QuestionnaireResponse #ci-attention-qr</b></p><a name=\"example-drp-clinical-imaging/ci-attention-qr\"> </a><a name=\"hcexample-drp-clinical-imaging/ci-attention-qr\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ereferral-imaging-attention-conditions-response.html\">EReferralImagingAttentionConditionsResponse</a></p></div><table border=\"1\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The linkID for the item\">LinkID</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Text for the item\">Text</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the item can appear in the instance\">Definition</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The type of the item\">Answer</a><span style=\"float: right\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_q_root.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"QuestionnaireResponseRoot\" class=\"hierarchy\"/> ci-attention-qr</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Questionnaire:<a href=\"https://www.ehealth.fgov.be/standards/fhir/referral/1.0.0/Questionnaire-be-questionnaire-imaging-attention-conditions.html\">Imaging Attention Conditions Questionnaire</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Group\" class=\"hierarchy\"/> implants</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Implants</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span><span><a href=\"http://snomed.info/id/40388003\">SNOMED CT: 40388003</a> (Implant)</span></span></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> implants-other</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Other implant type</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">urn:be:fgov:pseudo:v1:{{kid}}:{{jwe}}</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> pregnancy</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Pregnancy</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">false</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> diabetes</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Diabetes</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">false</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> allergy-contrast-agent</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Allergy to contrast agent</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">true</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> metallic-debris</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Metallic debris</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">false</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> renal-dysfunction</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Renal dysfunction</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">false</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> other</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Other</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">urn:be:fgov:pseudo:v1:{{kid}}:{{jwe}}</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> none</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">None</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">false</td></tr>\r\n<tr><td colspan=\"4\" class=\"hierarchy\"><br/><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3goXBCwdPqAP0wAAAldJREFUOMuNk0tIlFEYhp9z/vE2jHkhxXA0zJCMitrUQlq4lnSltEqCFhFG2MJFhIvIFpkEWaTQqjaWZRkp0g26URZkTpbaaOJkDqk10szoODP//7XIMUe0elcfnPd9zsfLOYplGrpRwZaqTtw3K7PtGem7Q6FoidbGgqHVy/HRb669R+56zx7eRV1L31JGxYbBtjKK93cxeqfyQHbehkZbUkK20goELEuIzEd+dHS+qz/Y8PTSif0FnGkbiwcAjHaU1+QWOptFiyCLp/LnKptpqIuXHx6rbR26kJcBX3yLgBfnd7CxwJmflpP2wUg0HIAoUUpZBmKzELGWcN8nAr6Gpu7tLU/CkwAaoKTWRSQyt89Q8w6J+oVQkKnBoblH7V0PPvUOvDYXfopE/SJmALsxnVm6LbkotrUtNowMeIrVrBcBpaMmdS0j9df7abpSuy7HWehwJdt1lhVwi/J58U5beXGAF6c3UXLycw1wdFklArBn87xdh0ZsZtArghBdAA3+OEDVubG4UEzP6x1FOWneHh2VDAHBAt80IbdXDcesNoCvs3E5AFyNSU5nbrDPZpcUEQQTFZiEVx+51fxMhhyJEAgvlriadIJZZksRuwBYMOPBbO3hePVVqgEJhFeUuFLhIPkRP6BQLIBrmMenujm/3g4zc398awIe90Zb5A1vREALqneMcYgP/xVQWlG+Ncu5vgwwlaUNx+3799rfe96u9K0JSDXcOzOTJg4B6IgmXfsygc7/Bvg9g9E58/cDVmGIBOP/zT8Bz1zqWqpbXIsd0O9hajXfL6u4BaOS6SeWAAAAAElFTkSuQmCC\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Patient #patient</b></p><a name=\"example-drp-clinical-imaging/patient\"> </a><a name=\"hcexample-drp-clinical-imaging/patient\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"https://www.ehealth.fgov.be/standards/fhir/core/2.2.0/StructureDefinition-be-patient.html\">BePatient</a> version: 2.2.0</p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Anonymous Patient (no stated gender), DoB: </p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Gender at the time of birth. The gender at birth has lasting consequences on clinical and medical level.\"><a href=\"https://www.ehealth.fgov.be/standards/fhir/core/2.2.0/StructureDefinition-be-ext-gender-at-birth.html\">BeExtGenderAtBirth</a></td><td colspan=\"3\"><span title=\"Codes:{http://hl7.org/fhir/administrative-gender other}\">Other</span></td></tr></table></blockquote></div>"
  },
  "contained" : [
    {
      "resourceType" : "QuestionnaireResponse",
      "id" : "ci-attention-qr",
      "meta" : {
        "profile" : [
          🔗 "https://www.riziv-inami.be/standards/fhir/ereferral/StructureDefinition/ereferral-imaging-attention-conditions-response"
        ]
      },
      "questionnaire" : "https://www.ehealth.fgov.be/standards/fhir/referral/Questionnaire/be-questionnaire-imaging-attention-conditions",
      "status" : "completed",
      "authored" : "2026-03-03T10:15:00+01:00",
      "item" : [
        {
          "linkId" : "implants",
          "text" : "Implants",
          "answer" : [
            {
              "valueCoding" : {
                "system" : "http://snomed.info/sct",
                "code" : "40388003"
              },
              "item" : [
                {
                  "linkId" : "implants-other",
                  "text" : "Other implant type",
                  "answer" : [
                    {
                      "valueString" : "urn:be:fgov:pseudo:v1:{{kid}}:{{jwe}}",
                      "_valueString" : {
                        "extension" : [
                          {
                            "extension" : [
                              {
                                "url" : "marker",
                                "valueBoolean" : true
                              },
                              {
                                "url" : "format",
                                "valueCode" : "encrypted"
                              },
                              {
                                "url" : "version",
                                "valuePositiveInt" : 1
                              }
                            ],
                            "url" : "https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization"
                          }
                        ]
                      }
                    }
                  ]
                }
              ]
            }
          ]
        },
        {
          "linkId" : "pregnancy",
          "text" : "Pregnancy",
          "answer" : [
            {
              "valueBoolean" : false
            }
          ]
        },
        {
          "linkId" : "diabetes",
          "text" : "Diabetes",
          "answer" : [
            {
              "valueBoolean" : false
            }
          ]
        },
        {
          "linkId" : "allergy-contrast-agent",
          "text" : "Allergy to contrast agent",
          "answer" : [
            {
              "valueBoolean" : true
            }
          ]
        },
        {
          "linkId" : "metallic-debris",
          "text" : "Metallic debris",
          "answer" : [
            {
              "valueBoolean" : false
            }
          ]
        },
        {
          "linkId" : "renal-dysfunction",
          "text" : "Renal dysfunction",
          "answer" : [
            {
              "valueBoolean" : false
            }
          ]
        },
        {
          "linkId" : "other",
          "text" : "Other",
          "answer" : [
            {
              "valueString" : "urn:be:fgov:pseudo:v1:{{kid}}:{{jwe}}",
              "_valueString" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "marker",
                        "valueBoolean" : true
                      },
                      {
                        "url" : "format",
                        "valueCode" : "encrypted"
                      },
                      {
                        "url" : "version",
                        "valuePositiveInt" : 1
                      }
                    ],
                    "url" : "https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization"
                  }
                ]
              }
            }
          ]
        },
        {
          "linkId" : "none",
          "text" : "None",
          "answer" : [
            {
              "valueBoolean" : false
            }
          ]
        }
      ]
    },
    {
      "resourceType" : "Patient",
      "id" : "patient",
      "meta" : {
        "profile" : [
          🔗 "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient|2.2.0"
        ]
      },
      "extension" : [
        {
          "url" : "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-gender-at-birth",
          "valueCodeableConcept" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "encryptedValue",
                    "valueString" : "urn:be:fgov:pseudo-encrypted:v1:{{kid}}:{{jwe}}"
                  },
                  {
                    "url" : "marker",
                    "valueBoolean" : true
                  },
                  {
                    "url" : "format",
                    "valueCode" : "encrypted"
                  },
                  {
                    "url" : "version",
                    "valuePositiveInt" : 1
                  }
                ],
                "url" : "https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content"
              }
            ],
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/administrative-gender",
                "code" : "other"
              }
            ]
          }
        }
      ],
      "_birthDate" : {
        "extension" : [
          {
            "extension" : [
              {
                "url" : "encryptedValue",
                "valueString" : "urn:be:fgov:pseudo-encrypted:v1:{{kid}}:{{jwe}}"
              },
              {
                "url" : "marker",
                "valueBoolean" : true
              },
              {
                "url" : "format",
                "valueCode" : "encrypted"
              },
              {
                "url" : "version",
                "valuePositiveInt" : 1
              }
            ],
            "url" : "https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymized-content"
          }
        ]
      }
    }
  ],
  "extension" : [
    {
      "url" : "https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-validity-period",
      "valuePeriod" : {
        "start" : "2026-03-03",
        "end" : "2027-03-03"
      }
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/request-statusReason",
      "valueCodeableConcept" : {
        "text" : "urn:be:fgov:pseudo:v1:{{kid}}:{{jwe}}",
        "_text" : {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "marker",
                  "valueBoolean" : true
                },
                {
                  "url" : "format",
                  "valueCode" : "encrypted"
                },
                {
                  "url" : "version",
                  "valuePositiveInt" : 1
                }
              ],
              "url" : "https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization"
            }
          ]
        }
      }
    },
    {
      "url" : "https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-pss-info",
      "valueIdentifier" : {
        "system" : "https://www.ehealth.fgov.be/standards/fhir/pss/NamingSystem/pss-id",
        "value" : "PSS-DRP-IMG-001"
      }
    },
    {
      "url" : "https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-urgency-justification",
      "valueString" : "urn:be:fgov:pseudo:v1:{{kid}}:{{jwe}}",
      "_valueString" : {
        "extension" : [
          {
            "extension" : [
              {
                "url" : "marker",
                "valueBoolean" : true
              },
              {
                "url" : "format",
                "valueCode" : "encrypted"
              },
              {
                "url" : "version",
                "valuePositiveInt" : 1
              }
            ],
            "url" : "https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization"
          }
        ]
      }
    }
  ],
  "status" : "active",
  "intent" : "order",
  "category" : [
    {
      "coding" : [
        {
          "system" : "https://www.ehealth.fgov.be/standards/fhir/terminology/CodeSystem/be-cs-prescription-type",
          "code" : "diagnostic-imaging-appendix-82"
        }
      ]
    },
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "363679005"
        }
      ]
    },
    {
      "coding" : [
        {
          "system" : "https://www.ehealth.fgov.be/standards/fhir/terminology/CodeSystem/be-cs-request-track",
          "code" : "ambulatory"
        }
      ]
    }
  ],
  "priority" : "urgent",
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "32962002",
        "display" : "Computed tomography of abdomen with contrast (procedure)"
      }
    ]
  },
  "subject" : {
    "reference" : "#patient",
    "identifier" : {
      "use" : "official",
      "system" : "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin",
      "value" : "urn:be:fgov:pseudo:v2:{{SEC1}}:{{transit-info}}",
      "_value" : {
        "extension" : [
          {
            "extension" : [
              {
                "url" : "marker",
                "valueBoolean" : true
              },
              {
                "url" : "format",
                "valueCode" : "direct"
              },
              {
                "url" : "version",
                "valuePositiveInt" : 2
              }
            ],
            "url" : "https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization"
          }
        ]
      }
    }
  },
  "authoredOn" : "2026-03-03T10:15:00+01:00",
  "requester" : {
    🔗 "reference" : "PractitionerRole/72101230445-PHYSICIAN"
  },
  "reasonCode" : [
    {
      "text" : "urn:be:fgov:pseudo:v1:{{kid}}:{{jwe}}",
      "_text" : {
        "extension" : [
          {
            "extension" : [
              {
                "url" : "marker",
                "valueBoolean" : true
              },
              {
                "url" : "format",
                "valueCode" : "encrypted"
              },
              {
                "url" : "version",
                "valuePositiveInt" : 1
              }
            ],
            "url" : "https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization"
          }
        ]
      }
    }
  ],
  "supportingInfo" : [
    {
      🔗 "extension" : [
        {
          "url" : "https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role",
          "valueCode" : "prior-request"
        }
      ],
      "reference" : "ServiceRequest/example-prior-drp-clinical-imaging"
    },
    {
      "extension" : [
        {
          "url" : "https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role",
          "valueCode" : "prior-request"
        },
        {
          "url" : "https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-codeable-concept",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "https://www.ehealth.fgov.be/standards/fhir/terminology/CodeSystem/be-cs-imaging-modality",
                "code" : "ct",
                "display" : "CT"
              }
            ]
          }
        }
      ],
      "display" : "Coded prior imaging request"
    },
    {
      "extension" : [
        {
          "url" : "https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role",
          "valueCode" : "patient-condition"
        },
        {
          "url" : "https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-codeable-concept",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "https://www.ehealth.fgov.be/standards/fhir/terminology/CodeSystem/be-cs-pss-qsi-indications",
                "code" : "2506",
                "display" : "AAA screening, family history of AAA"
              }
            ]
          }
        }
      ],
      "display" : "Coded patient condition"
    },
    {
      "extension" : [
        {
          "url" : "https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role",
          "valueCode" : "patient-condition"
        },
        {
          "url" : "https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-codeable-concept",
          "valueCodeableConcept" : {
            "text" : "urn:be:fgov:pseudo:v1:{{kid}}:{{jwe}}",
            "_text" : {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "marker",
                      "valueBoolean" : true
                    },
                    {
                      "url" : "format",
                      "valueCode" : "encrypted"
                    },
                    {
                      "url" : "version",
                      "valuePositiveInt" : 1
                    }
                  ],
                  "url" : "https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization"
                }
              ]
            }
          }
        }
      ],
      "display" : "Free-text patient condition"
    },
    {
      "extension" : [
        {
          "url" : "https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-radiology-supporting-info-role",
          "valueCode" : "safety-checklist"
        }
      ],
      "reference" : "#ci-attention-qr"
    }
  ],
  "bodySite" : [
    {
      "extension" : [
        {
          "url" : "https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-laterality",
          "valueCoding" : {
            "system" : "http://snomed.info/sct",
            "code" : "24028007",
            "display" : "Right"
          }
        }
      ]
    }
  ]
}