v2.1.0 draft

eReferral Implementation Guide
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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: Annex 81 - Preparing medication (proposal)

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/ServiceRequest/example-drp-nursing-med-preparation-appendix-81> a fhir:ServiceRequest ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "example-drp-nursing-med-preparation-appendix-81"] ;
  fhir:Resource.meta [
     fhir:Element.extension [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "{{kid}}" ] ;
       fhir:Element.extension [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "key" ] ;
         fhir:Extension.valueString [
           fhir:value "urn:be:fgov:pseudo:v2:{{SEC1}}:{{transit-info}}" ;
           fhir:Element.extension [
             fhir:index -1 ;
             fhir:Element.extension [
               fhir:index -1 ;
               fhir:Extension.url [ fhir:value "marker" ] ;
               fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
             ], [
               fhir:index -1 ;
               fhir:Extension.url [ fhir:value "format" ] ;
               fhir:Extension.valueCode [ fhir:value "direct" ]
             ], [
               fhir:index -1 ;
               fhir:Extension.url [ fhir:value "version" ] ;
               fhir:Extension.valuePositiveInt [ fhir:value "2"^^xsd:positiveInteger ]
             ] ;
             fhir:Extension.url [ fhir:value "https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization" ]
           ]
         ]
       ] ;
       fhir:Extension.url [ fhir:value "https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-key-pseudonymization" ]
     ] ;
     fhir:Meta.profile [
       fhir:value "https://www.riziv-inami.be/standards/fhir/ereferral/StructureDefinition/ereferral-annex-81" ;
       fhir:index -1 ;
       fhir:link <https://www.riziv-inami.be/standards/fhir/ereferral/StructureDefinition/ereferral-annex-81>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest example-drp-nursing-med-preparation-appendix-81</b></p><a name=\"example-drp-nursing-med-preparation-appendix-81\"> </a><a name=\"hcexample-drp-nursing-med-preparation-appendix-81\"> </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-annex-81.html\">EReferralAnnex81</a></p></div><p><b>BeValidityPeriod</b>: 2026-02-18 --&gt; 2027-02-18</p><p><b>status</b>: Draft</p><p><b>intent</b>: Proposal</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 medication-prefill-preparation-appendix-81}\">Preparing medication (Appendix 81)</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 385796006}\">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}} (use: official, )</p><p><b>authoredOn</b>: 2026-02-18 15:03:57+0100</p><p><b>requester</b>: <a href=\"PractitionerRole-67120919457-NURSE.html\">PractitionerRole nurse</a></p><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 275928001}\">Drugs - partial non-compliance</span>, <span title=\"Codes:{http://snomed.info/sct 1290542000}\">Unintentional misuse of medication</span>, <span title=\"Codes:{http://snomed.info/sct 129834002}\">Noncompliance with medication regimen</span>, <span title=\"Codes:{http://snomed.info/sct 448176008}\">Uses less medication than prescribed</span>, <span title=\"Codes:{http://snomed.info/sct 359748005}\">Patient condition unchanged</span>, <span title=\"Codes:{http://snomed.info/sct 271299001}\">Patient's condition worsened</span>, <span title=\"Codes:{http://snomed.info/sct 62014003}\">Adverse reaction to drug</span>, <span title=\"Codes:{http://snomed.info/sct 708014007}\">Does not have an informal caregiver</span>, <span title=\"Codes:{http://snomed.info/sct 1137439008}\">On complex medication regime</span>, <span title=\"Codes:{http://snomed.info/sct 211071000172100}\">211071000172100</span>, <span title=\"Codes:{http://snomed.info/sct 211101000172107}\">211101000172107</span>, <span title=\"Codes:{http://snomed.info/sct 397540003}\">Visual impairment</span>, <span title=\"Codes:{http://snomed.info/sct 52448006}\">Dementia</span></p></div>"
  ] ;
  fhir:DomainResource.extension [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-validity-period" ] ;
     fhir:Extension.valuePeriod [
       fhir:Period.start [ fhir:value "2026-02-18"^^xsd:date ] ;
       fhir:Period.end [ fhir:value "2027-02-18"^^xsd:date ]
     ]
  ] ;
  fhir:ServiceRequest.status [ fhir:value "draft"] ;
  fhir:ServiceRequest.intent [ fhir:value "proposal"] ;
  fhir:ServiceRequest.category [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a sct:9632001 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "9632001" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "https://www.ehealth.fgov.be/standards/fhir/terminology/CodeSystem/be-cs-prescription-type" ] ;
       fhir:Coding.code [ fhir:value "medication-prefill-preparation-appendix-81" ]
     ]
  ] ;
  fhir:ServiceRequest.code [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a sct:385796006 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "385796006" ]
     ] ;
     fhir:CodeableConcept.text [
       fhir:value "urn:be:fgov:pseudo-encrypted:v1:{{kid}}:{{jwe}}" ;
       fhir:Element.extension [
         fhir:index -1 ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "marker" ] ;
           fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
         ], [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "format" ] ;
           fhir:Extension.valueCode [ fhir:value "encrypted" ]
         ], [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "version" ] ;
           fhir:Extension.valuePositiveInt [ fhir:value "1"^^xsd:positiveInteger ]
         ] ;
         fhir:Extension.url [ fhir:value "https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization" ]
       ]
     ]
  ] ;
  fhir:ServiceRequest.subject [
     fhir:Reference.identifier [
       fhir:Identifier.use [ fhir:value "official" ] ;
       fhir:Identifier.system [ fhir:value "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin" ] ;
       fhir:Identifier.value [
         fhir:value "urn:be:fgov:pseudo:v2:{{SEC1}}:{{transit-info}}" ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Element.extension [
             fhir:index -1 ;
             fhir:Extension.url [ fhir:value "marker" ] ;
             fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
           ], [
             fhir:index -1 ;
             fhir:Extension.url [ fhir:value "format" ] ;
             fhir:Extension.valueCode [ fhir:value "direct" ]
           ], [
             fhir:index -1 ;
             fhir:Extension.url [ fhir:value "version" ] ;
             fhir:Extension.valuePositiveInt [ fhir:value "2"^^xsd:positiveInteger ]
           ] ;
           fhir:Extension.url [ fhir:value "https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization" ]
         ]
       ]
     ]
  ] ;
  fhir:ServiceRequest.authoredOn [ fhir:value "2026-02-18T15:03:57+01:00"^^xsd:dateTime] ;
  fhir:ServiceRequest.requester [
     fhir:link <http://hl7.org/fhir/PractitionerRole/67120919457-NURSE> ;
     fhir:Reference.reference [ fhir:value "PractitionerRole/67120919457-NURSE" ]
  ] ;
  fhir:ServiceRequest.reasonCode [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a sct:275928001 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "275928001" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a sct:1290542000 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "1290542000" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a sct:129834002 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "129834002" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a sct:448176008 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "448176008" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a sct:359748005 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "359748005" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a sct:271299001 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "271299001" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a sct:62014003 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "62014003" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a sct:708014007 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "708014007" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a sct:1137439008 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "1137439008" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a sct:211071000172100 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "211071000172100" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a sct:211101000172107 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "211101000172107" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a sct:397540003 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "397540003" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a sct:52448006 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "52448006" ]
     ]
  ] .

<http://hl7.org/fhir/PractitionerRole/67120919457-NURSE> a fhir:PractitionerRole .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/ServiceRequest/example-drp-nursing-med-preparation-appendix-81.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/ServiceRequest/example-drp-nursing-med-preparation-appendix-81.ttl> .