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
{
"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 --> 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 '->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,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\" 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"
}
}
]
}
]
}