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

Consult or Search Medical Documents

This page describes the read and search operations used to retrieve medical documents and their workflow tasks.

Search Methods

Consult One Medical Document

Item Value
Business operation Consult a medical document (prescription or proposal)
Endpoints GET /ServiceRequest/{referenceId}
Successful response ServiceRequest 
GET /ServiceRequest/{referenceId}
Authorization: Bearer <exchanged_ehealth_token>
User-Agent: MyCompany/myProduct/1.0
From: support@example.org

Search for Medical Documents

Item Value
Business operation Search medical documents
Endpoints POST /ServiceRequest/_search
Successful response Bundle

Use application/x-www-form-urlencoded for search criteria.

POST /ServiceRequest/_search
Content-Type: application/x-www-form-urlencoded
Search Filters

Search filters are submitted as application/x-www-form-urlencoded key-value pairs in POST /ServiceRequest/_search.

Filter Purpose Status
patient Filter by patient pseudonym in transit for the eReferral domain. Active
status Filter by FHIR ServiceRequest.status; translate from business status first. Active
statusReason Filter by additional prescription status information. Active
_has:Task:focus:status with _profile Filter by summary execution/referral-task status. Active
requester Filter by prescriber. Organization-scoped requester references use PractitionerRole/{SSIN}-{DISCIPLINE}-NIHII-{nihii11Organization}. Active
_has:Task:focus:owner Filter by assigned caregiver or assigned organization. Active
code Filter by template code using {system}|{code}. To be replaced by category with system=https://www.ehealth.fgov.be/standards/fhir/terminology/CodeSystem/be-cs-prescription-type
intent Separate prescriptions (order) from proposals (proposal). Active
_count Page size. Default and maximum are currently 25. Higher values return an invalid-count error. Active
_offset Zero-based result offset. Defaults to 0. Active
Examples
Search By Patient And Status
POST /ServiceRequest/_search
Content-Type: application/x-www-form-urlencoded

patient=urn%3Abe%3Afgov%3Apseudo%3Av2%3A%7BSEC1%7D%3A%7BtransitInfo%7D&status=active&_count=25&_offset=0
Search By Short Code And Patient
POST /ServiceRequest/_search
Content-Type: application/x-www-form-urlencoded

identifier={shortCode}&patient=urn%3Abe%3Afgov%3Apseudo%3Av2%3A%7BSEC1%7D%3A%7BtransitInfo%7D

Consult Linked Tasks

Item Value
Business operation Consult tasks linked to a medical document
Endpoints GET /Task?focus={ServiceRequestID}
Successful response Bundle

To limit the task type, add _profile.

GET /Task?focus={ServiceRequestID}&_profile=Profile/be-referral-task

Other supported task profile filters include:

GET /Task?focus={ServiceRequestID}&_profile=Profile/be-performer-task

Consult The Referral Graph

Item Value
Business operation Consult a medical document and all attached resources
Endpoints GET /ServiceRequest/{id}/$graph?graph={GraphDefinitionURI}
URI https://www.ehealth.fgov.be/standards/fhir/referral/GraphDefinition/full-referral-prescription
Successful response Bundle

This is useful when the client needs the ServiceRequest, related tasks, practitioner roles, practitioners and organizations in a single response.

Allowed Roles

Prescriber, Caregiver, Patient, Organization.

Visibility

  • The referenceId must exist in eReferral.
  • When searching by short code + patient SSIN, the system replaces any O/o with 0 to prevent checksum failures.
  • Blacklisted prescriptions are returned only when they have at least one execution; cancelled prescriptions are strictly restricted (caregivers are blocked). See Visibility & Blacklisting.
  • (Prescriber) if suspended, only prescriptions they created are visible.
  • (Caregiver) if suspended, only prescriptions they are assigned on or work on are visible.
  • (Patient) only prescriptions where they are the subject are visible.
  • Search-filter access control depends on the role — see the Access Matrix.

Possible Error Codes

The errors for this operation are listed in the eReferral API Error Codes workbook. Filter the Business Operations or API endpoint(s) sheet for the relevant operation or endpoint. See Error Codes for workbook guidance.

Sequence

ClientClientFHIR APIFHIR APIGET /ServiceRequest/{id} or POST /ServiceRequest/_searchCheck visibility, suspension, privacy and access matrixResolve matching ServiceRequest resourcesServiceRequest or Bundle
Consult Search Medical Documents sequence