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

Resource Profile: EReferralImagingAttentionConditionsResponse

Official URL: https://www.riziv-inami.be/standards/fhir/ereferral/StructureDefinition/ereferral-imaging-attention-conditions-response Version: 2.1.0
Draft as of 2026-09-15 Computable Name: EReferralImagingAttentionConditionsResponse

eReferral response to the imaging attention conditions questionnaire.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. QuestionnaireResponse C 0..* BeImagingAttentionConditionsResponse A structured set of questions and their answers
Constraints: ereferral-inv-at-least-one-answer, ereferral-inv-no-other-selected-value-if-none-is-true, ereferral-inv-answer-value-string-pseudonymized
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... questionnaire Σ 0..1 canonical(Questionnaire) Form being answered
Required Pattern: https://www.ehealth.fgov.be/standards/fhir/referral/Questionnaire/be-questionnaire-imaging-attention-conditions
... item SC 1..* BackboneElement Groups and questions
Constraints: qrs-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... linkId 1..1 string Pointer to specific item from Questionnaire

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
QuestionnaireResponse.​status Base required QuestionnaireResponseStatus 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error QuestionnaireResponse If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error QuestionnaireResponse 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 QuestionnaireResponse 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 QuestionnaireResponse If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice QuestionnaireResponse 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-answer-value-string-pseudonymized error QuestionnaireResponse When an answer valueString is present, it must have the be-ext-pseudonymization extension. item.answer.value.ofType(string).all(extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization').exists()) and item.answer.item.answer.value.ofType(string).all(extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization').exists())
ereferral-inv-at-least-one-answer error QuestionnaireResponse At least one attention condition must be answered item.where(answer.exists()).exists()
ereferral-inv-no-other-selected-value-if-none-is-true error QuestionnaireResponse If 'None' is selected, other boolean questions must be false and implants/other must be empty item.where(linkId = 'none').answer.value.ofType(boolean).where($this = true).exists() implies (item.where(linkId != 'none' and linkId != 'implants' and linkId != 'other').answer.value.ofType(boolean).all($this = false) and item.where(linkId = 'implants' or linkId = 'other').answer.empty())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
qrs-1 error QuestionnaireResponse.item Nested item can't be beneath both item and answer (answer.exists() and item.exists()).not()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. QuestionnaireResponse C 0..* BeImagingAttentionConditionsResponse A structured set of questions and their answers
Constraints: ereferral-inv-at-least-one-answer, ereferral-inv-no-other-selected-value-if-none-is-true, ereferral-inv-answer-value-string-pseudonymized

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
ereferral-inv-answer-value-string-pseudonymized error QuestionnaireResponse When an answer valueString is present, it must have the be-ext-pseudonymization extension. item.answer.value.ofType(string).all(extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization').exists()) and item.answer.item.answer.value.ofType(string).all(extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization').exists())
ereferral-inv-at-least-one-answer error QuestionnaireResponse At least one attention condition must be answered item.where(answer.exists()).exists()
ereferral-inv-no-other-selected-value-if-none-is-true error QuestionnaireResponse If 'None' is selected, other boolean questions must be false and implants/other must be empty item.where(linkId = 'none').answer.value.ofType(boolean).where($this = true).exists() implies (item.where(linkId != 'none' and linkId != 'implants' and linkId != 'other').answer.value.ofType(boolean).all($this = false) and item.where(linkId = 'implants' or linkId = 'other').answer.empty())
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. QuestionnaireResponse C 0..* BeImagingAttentionConditionsResponse A structured set of questions and their answers
Constraints: ereferral-inv-at-least-one-answer, ereferral-inv-no-other-selected-value-if-none-is-true, ereferral-inv-answer-value-string-pseudonymized
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... 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
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..1 Identifier Unique id for this set of answers
... basedOn Σ 0..* Reference(CarePlan | ServiceRequest) Request fulfilled by this QuestionnaireResponse
... partOf Σ 0..* Reference(Observation | Procedure) Part of this action
... questionnaire Σ 0..1 canonical(Questionnaire) Form being answered
Required Pattern: https://www.ehealth.fgov.be/standards/fhir/referral/Questionnaire/be-questionnaire-imaging-attention-conditions
... status ?!Σ 1..1 code in-progress | completed | amended | entered-in-error | stopped
Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.
... subject Σ 0..1 Reference(Resource) The subject of the questions
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... authored Σ 0..1 dateTime Date the answers were gathered
... author Σ 0..1 Reference(Device | Practitioner | PractitionerRole | Patient | RelatedPerson | Organization) Person who received and recorded the answers
... source Σ 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) The person who answered the questions
... item SC 1..* BackboneElement Groups and questions
Constraints: qrs-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... linkId 1..1 string Pointer to specific item from Questionnaire
.... definition 0..1 uri ElementDefinition - details for the item
.... text 0..1 string Name for group or question text
.... answer 0..* BackboneElement The response(s) to the question
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... value[x] 0..1 Single-valued answer to the question
Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question.
...... valueBoolean boolean
...... valueDecimal decimal
...... valueInteger integer
...... valueDate date
...... valueDateTime dateTime
...... valueTime time
...... valueString string
...... valueUri uri
...... valueAttachment Attachment
...... valueCoding Coding
...... valueQuantity Quantity
...... valueReference Reference(Resource)
..... item 0..* See item (QuestionnaireResponse) Nested groups and questions
.... item 0..* See item (QuestionnaireResponse) Nested questionnaire response items

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
QuestionnaireResponse.​language Base preferred Common Languages 📍4.0.1 FHIR Std.
QuestionnaireResponse.​status Base required QuestionnaireResponseStatus 📍4.0.1 FHIR Std.
QuestionnaireResponse.​item.answer.value[x] Base example Questionnaire Answer Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error QuestionnaireResponse If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error QuestionnaireResponse 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 QuestionnaireResponse 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 QuestionnaireResponse If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice QuestionnaireResponse 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-answer-value-string-pseudonymized error QuestionnaireResponse When an answer valueString is present, it must have the be-ext-pseudonymization extension. item.answer.value.ofType(string).all(extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization').exists()) and item.answer.item.answer.value.ofType(string).all(extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization').exists())
ereferral-inv-at-least-one-answer error QuestionnaireResponse At least one attention condition must be answered item.where(answer.exists()).exists()
ereferral-inv-no-other-selected-value-if-none-is-true error QuestionnaireResponse If 'None' is selected, other boolean questions must be false and implants/other must be empty item.where(linkId = 'none').answer.value.ofType(boolean).where($this = true).exists() implies (item.where(linkId != 'none' and linkId != 'implants' and linkId != 'other').answer.value.ofType(boolean).all($this = false) and item.where(linkId = 'implants' or linkId = 'other').answer.empty())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
qrs-1 error QuestionnaireResponse.item Nested item can't be beneath both item and answer (answer.exists() and item.exists()).not()

Summary

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. QuestionnaireResponse C 0..* BeImagingAttentionConditionsResponse A structured set of questions and their answers
Constraints: ereferral-inv-at-least-one-answer, ereferral-inv-no-other-selected-value-if-none-is-true, ereferral-inv-answer-value-string-pseudonymized
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... questionnaire Σ 0..1 canonical(Questionnaire) Form being answered
Required Pattern: https://www.ehealth.fgov.be/standards/fhir/referral/Questionnaire/be-questionnaire-imaging-attention-conditions
... item SC 1..* BackboneElement Groups and questions
Constraints: qrs-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... linkId 1..1 string Pointer to specific item from Questionnaire

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
QuestionnaireResponse.​status Base required QuestionnaireResponseStatus 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error QuestionnaireResponse If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error QuestionnaireResponse 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 QuestionnaireResponse 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 QuestionnaireResponse If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice QuestionnaireResponse 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-answer-value-string-pseudonymized error QuestionnaireResponse When an answer valueString is present, it must have the be-ext-pseudonymization extension. item.answer.value.ofType(string).all(extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization').exists()) and item.answer.item.answer.value.ofType(string).all(extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization').exists())
ereferral-inv-at-least-one-answer error QuestionnaireResponse At least one attention condition must be answered item.where(answer.exists()).exists()
ereferral-inv-no-other-selected-value-if-none-is-true error QuestionnaireResponse If 'None' is selected, other boolean questions must be false and implants/other must be empty item.where(linkId = 'none').answer.value.ofType(boolean).where($this = true).exists() implies (item.where(linkId != 'none' and linkId != 'implants' and linkId != 'other').answer.value.ofType(boolean).all($this = false) and item.where(linkId = 'implants' or linkId = 'other').answer.empty())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
qrs-1 error QuestionnaireResponse.item Nested item can't be beneath both item and answer (answer.exists() and item.exists()).not()

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. QuestionnaireResponse C 0..* BeImagingAttentionConditionsResponse A structured set of questions and their answers
Constraints: ereferral-inv-at-least-one-answer, ereferral-inv-no-other-selected-value-if-none-is-true, ereferral-inv-answer-value-string-pseudonymized

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
ereferral-inv-answer-value-string-pseudonymized error QuestionnaireResponse When an answer valueString is present, it must have the be-ext-pseudonymization extension. item.answer.value.ofType(string).all(extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization').exists()) and item.answer.item.answer.value.ofType(string).all(extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization').exists())
ereferral-inv-at-least-one-answer error QuestionnaireResponse At least one attention condition must be answered item.where(answer.exists()).exists()
ereferral-inv-no-other-selected-value-if-none-is-true error QuestionnaireResponse If 'None' is selected, other boolean questions must be false and implants/other must be empty item.where(linkId = 'none').answer.value.ofType(boolean).where($this = true).exists() implies (item.where(linkId != 'none' and linkId != 'implants' and linkId != 'other').answer.value.ofType(boolean).all($this = false) and item.where(linkId = 'implants' or linkId = 'other').answer.empty())

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. QuestionnaireResponse C 0..* BeImagingAttentionConditionsResponse A structured set of questions and their answers
Constraints: ereferral-inv-at-least-one-answer, ereferral-inv-no-other-selected-value-if-none-is-true, ereferral-inv-answer-value-string-pseudonymized
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... 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
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..1 Identifier Unique id for this set of answers
... basedOn Σ 0..* Reference(CarePlan | ServiceRequest) Request fulfilled by this QuestionnaireResponse
... partOf Σ 0..* Reference(Observation | Procedure) Part of this action
... questionnaire Σ 0..1 canonical(Questionnaire) Form being answered
Required Pattern: https://www.ehealth.fgov.be/standards/fhir/referral/Questionnaire/be-questionnaire-imaging-attention-conditions
... status ?!Σ 1..1 code in-progress | completed | amended | entered-in-error | stopped
Binding: QuestionnaireResponseStatus (required): Lifecycle status of the questionnaire response.
... subject Σ 0..1 Reference(Resource) The subject of the questions
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... authored Σ 0..1 dateTime Date the answers were gathered
... author Σ 0..1 Reference(Device | Practitioner | PractitionerRole | Patient | RelatedPerson | Organization) Person who received and recorded the answers
... source Σ 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) The person who answered the questions
... item SC 1..* BackboneElement Groups and questions
Constraints: qrs-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... linkId 1..1 string Pointer to specific item from Questionnaire
.... definition 0..1 uri ElementDefinition - details for the item
.... text 0..1 string Name for group or question text
.... answer 0..* BackboneElement The response(s) to the question
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... value[x] 0..1 Single-valued answer to the question
Binding: QuestionnaireAnswerCodes (example): Code indicating the response provided for a question.
...... valueBoolean boolean
...... valueDecimal decimal
...... valueInteger integer
...... valueDate date
...... valueDateTime dateTime
...... valueTime time
...... valueString string
...... valueUri uri
...... valueAttachment Attachment
...... valueCoding Coding
...... valueQuantity Quantity
...... valueReference Reference(Resource)
..... item 0..* See item (QuestionnaireResponse) Nested groups and questions
.... item 0..* See item (QuestionnaireResponse) Nested questionnaire response items

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
QuestionnaireResponse.​language Base preferred Common Languages 📍4.0.1 FHIR Std.
QuestionnaireResponse.​status Base required QuestionnaireResponseStatus 📍4.0.1 FHIR Std.
QuestionnaireResponse.​item.answer.value[x] Base example Questionnaire Answer Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error QuestionnaireResponse If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error QuestionnaireResponse 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 QuestionnaireResponse 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 QuestionnaireResponse If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice QuestionnaireResponse 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-answer-value-string-pseudonymized error QuestionnaireResponse When an answer valueString is present, it must have the be-ext-pseudonymization extension. item.answer.value.ofType(string).all(extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization').exists()) and item.answer.item.answer.value.ofType(string).all(extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization').exists())
ereferral-inv-at-least-one-answer error QuestionnaireResponse At least one attention condition must be answered item.where(answer.exists()).exists()
ereferral-inv-no-other-selected-value-if-none-is-true error QuestionnaireResponse If 'None' is selected, other boolean questions must be false and implants/other must be empty item.where(linkId = 'none').answer.value.ofType(boolean).where($this = true).exists() implies (item.where(linkId != 'none' and linkId != 'implants' and linkId != 'other').answer.value.ofType(boolean).all($this = false) and item.where(linkId = 'implants' or linkId = 'other').answer.empty())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
qrs-1 error QuestionnaireResponse.item Nested item can't be beneath both item and answer (answer.exists() and item.exists()).not()

Summary

 

Other representations of profile: CSV, Excel, Schematron