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: Hygienic care

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{
  "resourceType" : "ServiceRequest",
  "id" : "example-drp-nursing-hygienic-care",
  "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-nursing"
    ]
  },
  "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-nursing-hygienic-care</b></p><a name=\"example-drp-nursing-hygienic-care\"> </a><a name=\"hcexample-drp-nursing-hygienic-care\"> </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-nursing.html\">EReferralServiceRequestNursing</a></p></div><p><b>BeValidityPeriod</b>: 2026-02-18 --&gt; (ongoing)</p><p><b>BeFeedbackToPrescriber</b>: false</p><p><b>status</b>: Draft</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 9632001}\">Nursing procedure</span>, <span title=\"Codes:{https://www.ehealth.fgov.be/standards/fhir/terminology/CodeSystem/be-cs-prescription-type hygienic-care}\">Hygienic care</span></p><p><b>priority</b>: Routine</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 225964003}\">urn:be:fgov:pseudo-encrypted:v1:{{kid}}:{{jwe}}</span></p><p><b>subject</b>: Identifier: <a href=\"https://www.ehealth.fgov.be/standards/fhir/core/2.2.0/NamingSystem-be-ssin.html\" title=\"NISS/INSZ\">BeSSINNamingSystem</a>/urn:be:fgov:pseudo:v2:{{SEC1}}:{{transit-info}}\u00a0(use:\u00a0official,\u00a0)</p><p><b>occurrence</b>: Count 39  times, 3 per 1 week</p><p><b>authoredOn</b>: 2026-02-18 14:38:49+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-encrypted:v1:{{kid}}:{{jwe}}</span></p><p><b>note</b>: </p><blockquote><div><p>urn:be:fgov:pseudo-encrypted:v1:{{kid}}:{{jwe}}</p>\n</div></blockquote></div>"
  },
  "extension" : [
    {
      "url" : "https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-validity-period",
      "valuePeriod" : {
        "start" : "2026-02-18"
      }
    },
    {
      "url" : "https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-feedback-to-prescriber",
      "valueBoolean" : false
    }
  ],
  "status" : "draft",
  "intent" : "order",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "9632001"
        }
      ]
    },
    {
      "coding" : [
        {
          "system" : "https://www.ehealth.fgov.be/standards/fhir/terminology/CodeSystem/be-cs-prescription-type",
          "code" : "hygienic-care"
        }
      ]
    }
  ],
  "priority" : "routine",
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "225964003"
      }
    ],
    "text" : "urn:be:fgov:pseudo-encrypted: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"
        }
      ]
    }
  },
  "subject" : {
    "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"
          }
        ]
      }
    }
  },
  "occurrenceTiming" : {
    "repeat" : {
      "boundsDuration" : {
        "value" : 3,
        "system" : "http://unitsofmeasure.org",
        "code" : "mo"
      },
      "count" : 39,
      "frequency" : 3,
      "period" : 1,
      "periodUnit" : "wk"
    }
  },
  "authoredOn" : "2026-02-18T14:38:49+01:00",
  "requester" : {
    🔗 "reference" : "PractitionerRole/72101230445-PHYSICIAN"
  },
  "reasonCode" : [
    {
      "text" : "urn:be:fgov:pseudo-encrypted: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"
          }
        ]
      }
    }
  ],
  "note" : [
    {
      "extension" : [
        {
          "url" : "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeableconcept",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "https://www.ehealth.fgov.be/standards/fhir/terminology/CodeSystem/be-cs-note-types",
                "code" : "medical-reason"
              }
            ]
          }
        }
      ],
      "text" : "urn:be:fgov:pseudo-encrypted: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"
          }
        ]
      }
    }
  ]
}