BeValidityPeriod: 2026-03-03 --> 2027-03-03

Request status reason: urn:be:fgov:pseudo:v1:{{kid}}:{{jwe}}

BePSSInfo: BePSSId/PSS-DRP-IMG-001

BeUrgencyJustification: urn:be:fgov:pseudo:v1:{{kid}}:{{jwe}}

status: Active

intent: Order

category: Diagnostic imaging (Appendix 82), Imaging, Ambulatory

priority: Urgent

code: Computed tomography of abdomen with contrast (procedure)

subject: Anonymous Patient (no stated gender), DoB:

authoredOn: 2026-03-03 10:15:00+0100

requester: Physician Example (official) (https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin#BeSSINNamingSystem#72101230445 (use: official)): physician

reasonCode: urn:be:fgov:pseudo:v1:{{kid}}:{{jwe}}

supportingInfo:

• Response to Questionnaire '->Imaging Attention Conditions Questionnaire' about 'Unspecified Subject'
• ServiceRequest Computed tomography of abdomen with contrast (procedure)
• Coded prior imaging request
• Coded patient condition
• Free-text patient condition

bodySite:

Generated Narrative: QuestionnaireResponse #ci-attention-qr

Profile: EReferralImagingAttentionConditionsResponse

LinkID	Text	Definition	Answer
ci-attention-qr			Questionnaire:Imaging Attention Conditions Questionnaire
ci-attention-qr / implants	Implants		SNOMED CT: 40388003 (Implant)
ci-attention-qr / implants / implants-other	Other implant type		urn:be:fgov:pseudo:v1:{{kid}}:{{jwe}}
ci-attention-qr / pregnancy	Pregnancy		false
ci-attention-qr / diabetes	Diabetes		false
ci-attention-qr / allergy-contrast-agent	Allergy to contrast agent		true
ci-attention-qr / metallic-debris	Metallic debris		false
ci-attention-qr / renal-dysfunction	Renal dysfunction		false
ci-attention-qr / other	Other		urn:be:fgov:pseudo:v1:{{kid}}:{{jwe}}
ci-attention-qr / none	None		false
Documentation for this format

Generated Narrative: Patient #patient

Profile: BePatient version: 2.2.0

Anonymous Patient (no stated gender), DoB:

---

BeExtGenderAtBirth

Other