Example: Prior diagnostic imaging referral - eReferral Implementation Guide v3.0.0

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 3.0.0 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 ServiceRequest: Example: Prior diagnostic imaging referral

Profile: EReferralServiceRequestDiagnosticImaging

BeValidityPeriod: 2025-11-18 --> 2026-11-18

status: Active

intent: Order

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

priority: Routine

code: Computed tomography of abdomen with contrast (procedure)

subject: Anonymous Patient (no stated gender), DoB: ( https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin#BeSSINNamingSystem#urn:be:fgov:pseudo:v2:{{SEC1}}:{{transit-info}} (use: official))

authoredOn: 2025-11-18 09:30:00+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-encrypted:v1:{{kid}}:{{jwe}}

supportingInfo: Response to Questionnaire '->Imaging Attention Conditions Questionnaire' about 'Unspecified Subject'

Generated Narrative: Patient #prior-imaging-patient

Profile: BePatient version: 2.2.0
Anonymous Patient (no stated gender), DoB: ( https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin#BeSSINNamingSystem#urn:be:fgov:pseudo:v2:{{SEC1}}:{{transit-info}} (use: official))
BeExtGenderAtBirth Other

Generated Narrative: QuestionnaireResponse #prior-imaging-attention-qr

Profile: EReferralImagingAttentionConditionsResponse
LinkID Text Definition Answer
prior-imaging-attention-qr Questionnaire:Imaging Attention Conditions Questionnaire

prior-imaging-attention-qr / pregnancy Pregnancy false

prior-imaging-attention-qr / diabetes Diabetes false

prior-imaging-attention-qr / allergy-contrast-agent Allergy to contrast agent false

prior-imaging-attention-qr / metallic-debris Metallic debris false

prior-imaging-attention-qr / renal-dysfunction Renal dysfunction false

prior-imaging-attention-qr / none None true

Documentation for this format

LinkID	Text	Answer
prior-imaging-attention-qr		Questionnaire:Imaging Attention Conditions Questionnaire
prior-imaging-attention-qr / pregnancy	Pregnancy	false
prior-imaging-attention-qr / diabetes	Diabetes	false
prior-imaging-attention-qr / allergy-contrast-agent	Allergy to contrast agent	false
prior-imaging-attention-qr / metallic-debris	Metallic debris	false
prior-imaging-attention-qr / renal-dysfunction	Renal dysfunction	false
prior-imaging-attention-qr / none	None	true
Documentation for this format

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