Digital Referral Prescription Implementation Guide
1.0.0 - STU

Digital Referral Prescription Implementation Guide, published by . This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-be/referral/ and changes regularly. See the Directory of published versions

## Logical Model: BeModelAnnex81

Official URL: https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/BeModelAnnex81 | Version: 1.0.0
Draft as of 2025-10-17 | Computable Name: BeModelAnnex81

Logical model describing the model for the Annex81 proposal and approval

Usages:

- This Logical Model is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
BeModelAnnex81 |  | 0..* | Base | BeModelAnnex81 Instances of this logical model can be the target of a Reference
identifier |  | 1..1 | Identifier | Business identifier of the Annex81 proposal / approval
shortCode |  | 1..1 | Identifier | Business short identifier allowing the healthcare professional to find a prescription associated with a patient
recordedDate |  | 1..1 | dateTime | Date of encoding of the information by the Recorder.
creationDate |  | 1..1 | dateTime | Creation date of the referral prescription. This date will not change throughout the process. This date corresponds to the first recordedDate recorded for this referral prescription.
author |  | 1..1 | Identifier | The person who encodes the prescription (e.g. a doctor, nurse, midwife or dentist) and takes responsibility for their content. The unique identifier must be the National Register Number (NISS) or bis number.
status |  | 1..1 | CodeableConcept | Is the status of the referral prescription (e.g. planned, complete, stopped, suspended, in progress, ….)
statusReason |  | 0..1 | CodeableConcept | Gives the reason for the status of the referral prescription (treatment has been changed, patient is allergic, patient refuses, …)
careRequested |  | 1..1 | CodeableConcept | Type of care requested (list of acts that each profession can do (not nomenclature code)) (snomed-ct code (procedure))
patient |  | 1..1 | Identifier | The patient's identification. The unique identifier must be the National Patient Registry Number (NISS) or the patient bis
originRequestId |  | 0..1 | Identifier | Reference to the original prescription on which the prescription is based (prescriptionId), care plan, follow-up path, …. referenceId. Reference to the CarePlan that addresses this prescription.
validationStartDate |  | 1..1 | dateTime | Start date of the prescription validity (encoded by the prescriber).
validationEndDate |  | 1..1 | dateTime | End date of the prescription validity (encoded by the prescriber)
problem |  | 0..* | CodeableConcept | Reason for the request. The problem (code or reference) that is the main reason for this prescription (example: problem justifying the patient's inability to manage his medications).
feedbackNeeded |  | 1..1 | boolean | Boolean - true if the prescriber requests feedback. If he wants to add other care providers, this will be mentioned in free text in the note. Here by default "True"
Documentation for this format

This structure is derived from Base

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
BeModelAnnex81 |  | 0..* | Base | BeModelAnnex81 Instances of this logical model can be the target of a Reference
identifier |  | 1..1 | Identifier | Business identifier of the Annex81 proposal / approval
shortCode |  | 1..1 | Identifier | Business short identifier allowing the healthcare professional to find a prescription associated with a patient
recordedDate |  | 1..1 | dateTime | Date of encoding of the information by the Recorder.
creationDate |  | 1..1 | dateTime | Creation date of the referral prescription. This date will not change throughout the process. This date corresponds to the first recordedDate recorded for this referral prescription.
author |  | 1..1 | Identifier | The person who encodes the prescription (e.g. a doctor, nurse, midwife or dentist) and takes responsibility for their content. The unique identifier must be the National Register Number (NISS) or bis number.
status |  | 1..1 | CodeableConcept | Is the status of the referral prescription (e.g. planned, complete, stopped, suspended, in progress, ….)
statusReason |  | 0..1 | CodeableConcept | Gives the reason for the status of the referral prescription (treatment has been changed, patient is allergic, patient refuses, …)
careRequested |  | 1..1 | CodeableConcept | Type of care requested (list of acts that each profession can do (not nomenclature code)) (snomed-ct code (procedure))
patient |  | 1..1 | Identifier | The patient's identification. The unique identifier must be the National Patient Registry Number (NISS) or the patient bis
originRequestId |  | 0..1 | Identifier | Reference to the original prescription on which the prescription is based (prescriptionId), care plan, follow-up path, …. referenceId. Reference to the CarePlan that addresses this prescription.
validationStartDate |  | 1..1 | dateTime | Start date of the prescription validity (encoded by the prescriber).
validationEndDate |  | 1..1 | dateTime | End date of the prescription validity (encoded by the prescriber)
problem |  | 0..* | CodeableConcept | Reason for the request. The problem (code or reference) that is the main reason for this prescription (example: problem justifying the patient's inability to manage his medications).
feedbackNeeded |  | 1..1 | boolean | Boolean - true if the prescriber requests feedback. If he wants to add other care providers, this will be mentioned in free text in the note. Here by default "True"
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
BeModelAnnex81 |  | 0..* | Base | BeModelAnnex81 Instances of this logical model can be the target of a Reference
identifier |  | 1..1 | Identifier | Business identifier of the Annex81 proposal / approval
shortCode |  | 1..1 | Identifier | Business short identifier allowing the healthcare professional to find a prescription associated with a patient
recordedDate |  | 1..1 | dateTime | Date of encoding of the information by the Recorder.
creationDate |  | 1..1 | dateTime | Creation date of the referral prescription. This date will not change throughout the process. This date corresponds to the first recordedDate recorded for this referral prescription.
author |  | 1..1 | Identifier | The person who encodes the prescription (e.g. a doctor, nurse, midwife or dentist) and takes responsibility for their content. The unique identifier must be the National Register Number (NISS) or bis number.
status |  | 1..1 | CodeableConcept | Is the status of the referral prescription (e.g. planned, complete, stopped, suspended, in progress, ….)
statusReason |  | 0..1 | CodeableConcept | Gives the reason for the status of the referral prescription (treatment has been changed, patient is allergic, patient refuses, …)
careRequested |  | 1..1 | CodeableConcept | Type of care requested (list of acts that each profession can do (not nomenclature code)) (snomed-ct code (procedure))
patient |  | 1..1 | Identifier | The patient's identification. The unique identifier must be the National Patient Registry Number (NISS) or the patient bis
originRequestId |  | 0..1 | Identifier | Reference to the original prescription on which the prescription is based (prescriptionId), care plan, follow-up path, …. referenceId. Reference to the CarePlan that addresses this prescription.
validationStartDate |  | 1..1 | dateTime | Start date of the prescription validity (encoded by the prescriber).
validationEndDate |  | 1..1 | dateTime | End date of the prescription validity (encoded by the prescriber)
problem |  | 0..* | CodeableConcept | Reason for the request. The problem (code or reference) that is the main reason for this prescription (example: problem justifying the patient's inability to manage his medications).
feedbackNeeded |  | 1..1 | boolean | Boolean - true if the prescriber requests feedback. If he wants to add other care providers, this will be mentioned in free text in the note. Here by default "True"
Documentation for this format

This structure is derived from Base

Summary

Mandatory: 0 element(11 nested mandatory elements)

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
BeModelAnnex81 |  | 0..* | Base | BeModelAnnex81 Instances of this logical model can be the target of a Reference
identifier |  | 1..1 | Identifier | Business identifier of the Annex81 proposal / approval
shortCode |  | 1..1 | Identifier | Business short identifier allowing the healthcare professional to find a prescription associated with a patient
recordedDate |  | 1..1 | dateTime | Date of encoding of the information by the Recorder.
creationDate |  | 1..1 | dateTime | Creation date of the referral prescription. This date will not change throughout the process. This date corresponds to the first recordedDate recorded for this referral prescription.
author |  | 1..1 | Identifier | The person who encodes the prescription (e.g. a doctor, nurse, midwife or dentist) and takes responsibility for their content. The unique identifier must be the National Register Number (NISS) or bis number.
status |  | 1..1 | CodeableConcept | Is the status of the referral prescription (e.g. planned, complete, stopped, suspended, in progress, ….)
statusReason |  | 0..1 | CodeableConcept | Gives the reason for the status of the referral prescription (treatment has been changed, patient is allergic, patient refuses, …)
careRequested |  | 1..1 | CodeableConcept | Type of care requested (list of acts that each profession can do (not nomenclature code)) (snomed-ct code (procedure))
patient |  | 1..1 | Identifier | The patient's identification. The unique identifier must be the National Patient Registry Number (NISS) or the patient bis
originRequestId |  | 0..1 | Identifier | Reference to the original prescription on which the prescription is based (prescriptionId), care plan, follow-up path, …. referenceId. Reference to the CarePlan that addresses this prescription.
validationStartDate |  | 1..1 | dateTime | Start date of the prescription validity (encoded by the prescriber).
validationEndDate |  | 1..1 | dateTime | End date of the prescription validity (encoded by the prescriber)
problem |  | 0..* | CodeableConcept | Reason for the request. The problem (code or reference) that is the main reason for this prescription (example: problem justifying the patient's inability to manage his medications).
feedbackNeeded |  | 1..1 | boolean | Boolean - true if the prescriber requests feedback. If he wants to add other care providers, this will be mentioned in free text in the note. Here by default "True"
Documentation for this format

Differential View

This structure is derived from Base

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
BeModelAnnex81 |  | 0..* | Base | BeModelAnnex81 Instances of this logical model can be the target of a Reference
identifier |  | 1..1 | Identifier | Business identifier of the Annex81 proposal / approval
shortCode |  | 1..1 | Identifier | Business short identifier allowing the healthcare professional to find a prescription associated with a patient
recordedDate |  | 1..1 | dateTime | Date of encoding of the information by the Recorder.
creationDate |  | 1..1 | dateTime | Creation date of the referral prescription. This date will not change throughout the process. This date corresponds to the first recordedDate recorded for this referral prescription.
author |  | 1..1 | Identifier | The person who encodes the prescription (e.g. a doctor, nurse, midwife or dentist) and takes responsibility for their content. The unique identifier must be the National Register Number (NISS) or bis number.
status |  | 1..1 | CodeableConcept | Is the status of the referral prescription (e.g. planned, complete, stopped, suspended, in progress, ….)
statusReason |  | 0..1 | CodeableConcept | Gives the reason for the status of the referral prescription (treatment has been changed, patient is allergic, patient refuses, …)
careRequested |  | 1..1 | CodeableConcept | Type of care requested (list of acts that each profession can do (not nomenclature code)) (snomed-ct code (procedure))
patient |  | 1..1 | Identifier | The patient's identification. The unique identifier must be the National Patient Registry Number (NISS) or the patient bis
originRequestId |  | 0..1 | Identifier | Reference to the original prescription on which the prescription is based (prescriptionId), care plan, follow-up path, …. referenceId. Reference to the CarePlan that addresses this prescription.
validationStartDate |  | 1..1 | dateTime | Start date of the prescription validity (encoded by the prescriber).
validationEndDate |  | 1..1 | dateTime | End date of the prescription validity (encoded by the prescriber)
problem |  | 0..* | CodeableConcept | Reason for the request. The problem (code or reference) that is the main reason for this prescription (example: problem justifying the patient's inability to manage his medications).
feedbackNeeded |  | 1..1 | boolean | Boolean - true if the prescriber requests feedback. If he wants to add other care providers, this will be mentioned in free text in the note. Here by default "True"
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
BeModelAnnex81 |  | 0..* | Base | BeModelAnnex81 Instances of this logical model can be the target of a Reference
identifier |  | 1..1 | Identifier | Business identifier of the Annex81 proposal / approval
shortCode |  | 1..1 | Identifier | Business short identifier allowing the healthcare professional to find a prescription associated with a patient
recordedDate |  | 1..1 | dateTime | Date of encoding of the information by the Recorder.
creationDate |  | 1..1 | dateTime | Creation date of the referral prescription. This date will not change throughout the process. This date corresponds to the first recordedDate recorded for this referral prescription.
author |  | 1..1 | Identifier | The person who encodes the prescription (e.g. a doctor, nurse, midwife or dentist) and takes responsibility for their content. The unique identifier must be the National Register Number (NISS) or bis number.
status |  | 1..1 | CodeableConcept | Is the status of the referral prescription (e.g. planned, complete, stopped, suspended, in progress, ….)
statusReason |  | 0..1 | CodeableConcept | Gives the reason for the status of the referral prescription (treatment has been changed, patient is allergic, patient refuses, …)
careRequested |  | 1..1 | CodeableConcept | Type of care requested (list of acts that each profession can do (not nomenclature code)) (snomed-ct code (procedure))
patient |  | 1..1 | Identifier | The patient's identification. The unique identifier must be the National Patient Registry Number (NISS) or the patient bis
originRequestId |  | 0..1 | Identifier | Reference to the original prescription on which the prescription is based (prescriptionId), care plan, follow-up path, …. referenceId. Reference to the CarePlan that addresses this prescription.
validationStartDate |  | 1..1 | dateTime | Start date of the prescription validity (encoded by the prescriber).
validationEndDate |  | 1..1 | dateTime | End date of the prescription validity (encoded by the prescriber)
problem |  | 0..* | CodeableConcept | Reason for the request. The problem (code or reference) that is the main reason for this prescription (example: problem justifying the patient's inability to manage his medications).
feedbackNeeded |  | 1..1 | boolean | Boolean - true if the prescriber requests feedback. If he wants to add other care providers, this will be mentioned in free text in the note. Here by default "True"
Documentation for this format

This structure is derived from Base

Summary

Mandatory: 0 element(11 nested mandatory elements)

Other representations of profile: CSV, Excel