# BeAnnex81 - Digital Referral Prescription Implementation Guide v1.0.0

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **BeAnnex81**

## Resource Profile: BeAnnex81 

| | |
| :--- | :--- |
| *Official URL*:https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-annex-81 | *Version*:1.0.0 |
| Draft as of 2025-10-17 | *Computable Name*:BeAnnex81 |

 
Annex81 proposal and approval 

**Usages:**

* Refer to this Profile: [BeAnnex81](StructureDefinition-be-annex-81.md), [BePerformerTask](StructureDefinition-be-performer-task.md) and [BeReferralTask](StructureDefinition-be-referral-task.md)
* Examples for this Profile: [ServiceRequest/example12-referralprescription-nursing-annex81](ServiceRequest-example12-referralprescription-nursing-annex81.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/hl7.fhir.be.drp|current/StructureDefinition/be-annex-81)

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-be-annex-81.csv), [Excel](StructureDefinition-be-annex-81.xlsx), [Schematron](StructureDefinition-be-annex-81.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "be-annex-81",
  "url" : "https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-annex-81",
  "version" : "1.0.0",
  "name" : "BeAnnex81",
  "status" : "draft",
  "date" : "2025-10-17T08:37:16+00:00",
  "description" : "Annex81 proposal and approval",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "BE",
          "display" : "Belgium"
        }
      ]
    }
  ],
  "fhirVersion" : "4.0.1",
  "mapping" : [
    {
      "identity" : "workflow",
      "uri" : "http://hl7.org/fhir/workflow",
      "name" : "Workflow Pattern"
    },
    {
      "identity" : "v2",
      "uri" : "http://hl7.org/v2",
      "name" : "HL7 v2 Mapping"
    },
    {
      "identity" : "rim",
      "uri" : "http://hl7.org/v3",
      "name" : "RIM Mapping"
    },
    {
      "identity" : "w5",
      "uri" : "http://hl7.org/fhir/fivews",
      "name" : "FiveWs Pattern Mapping"
    },
    {
      "identity" : "quick",
      "uri" : "http://siframework.org/cqf",
      "name" : "Quality Improvement and Clinical Knowledge (QUICK)"
    }
  ],
  "kind" : "resource",
  "abstract" : false,
  "type" : "ServiceRequest",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/ServiceRequest",
  "derivation" : "constraint",
  "differential" : {
    "element" : [
      {
        "id" : "ServiceRequest",
        "path" : "ServiceRequest",
        "constraint" : [
          {
            "key" : "be-inv-annex-81-based-on",
            "severity" : "error",
            "human" : "An approved Annex81 is always based on a request by a nurse",
            "expression" : "intent = 'order' implies basedOn.exists()",
            "source" : "https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-annex-81"
          }
        ]
      },
      {
        "id" : "ServiceRequest.extension",
        "path" : "ServiceRequest.extension",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "url"
            }
          ],
          "rules" : "open"
        },
        "min" : 1
      },
      {
        "id" : "ServiceRequest.extension:validity",
        "path" : "ServiceRequest.extension",
        "sliceName" : "validity",
        "short" : "Validity period of the prescription",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-validity-period"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "ServiceRequest.extension:latest",
        "path" : "ServiceRequest.extension",
        "sliceName" : "latest",
        "short" : "Request must be executed before",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-ext-latest-end-date"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "ServiceRequest.extension:statusReason",
        "path" : "ServiceRequest.extension",
        "sliceName" : "statusReason",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "http://hl7.org/fhir/StructureDefinition/request-statusReason|5.2.0"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "ServiceRequest.extension:statusReason.value[x]",
        "path" : "ServiceRequest.extension.value[x]",
        "binding" : {
          "strength" : "example",
          "description" : "The actual valueset will be provided when a terminology package is available. For current guidance, see the included [ValueSet](ValueSet-be-vs-prescription-status-reason.html).",
          "valueSet" : "https://www.ehealth.fgov.be/standards/fhir/drp/ValueSet/be-vs-prescription-status-reason"
        }
      },
      {
        "id" : "ServiceRequest.identifier",
        "path" : "ServiceRequest.identifier",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "system"
            }
          ],
          "rules" : "open"
        },
        "mustSupport" : true
      },
      {
        "id" : "ServiceRequest.identifier:UHMEP",
        "path" : "ServiceRequest.identifier",
        "sliceName" : "UHMEP",
        "short" : "Reference ID of the UHMEP once available there",
        "min" : 0,
        "max" : "1",
        "mustSupport" : true
      },
      {
        "id" : "ServiceRequest.identifier:UHMEP.system",
        "path" : "ServiceRequest.identifier.system",
        "min" : 1,
        "fixedUri" : "https://www.ehealth.fgov.be/standards/fhir/referral/NamingSystem/uhmep"
      },
      {
        "id" : "ServiceRequest.identifier:UHMEP.value",
        "path" : "ServiceRequest.identifier.value",
        "min" : 1
      },
      {
        "id" : "ServiceRequest.identifier:SHORT",
        "path" : "ServiceRequest.identifier",
        "sliceName" : "SHORT",
        "short" : "Patient friendly ID (UHMEP SHORT)",
        "min" : 0,
        "max" : "1",
        "constraint" : [
          {
            "key" : "be-inv-uhmep-short",
            "severity" : "warning",
            "human" : "The format of UHMEP-SHORT is 6 capital alphanumerics, without O",
            "expression" : "Identifier.where(system = 'https://www.ehealth.fgov.be/standards/fhir/referral/NamingSystem/uhmep-short').where(value.extension.empty() or value.extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/infsec/StructureDefinition/be-ext-pseudonymization').empty()).value.select($this.matches('[A-NP-Z0-9]{6}')).allTrue()",
            "source" : "https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-annex-81"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "ServiceRequest.identifier:SHORT.system",
        "path" : "ServiceRequest.identifier.system",
        "min" : 1,
        "fixedUri" : "https://www.ehealth.fgov.be/standards/fhir/referral/NamingSystem/uhmep-short"
      },
      {
        "id" : "ServiceRequest.identifier:SHORT.value",
        "path" : "ServiceRequest.identifier.value",
        "min" : 1
      },
      {
        "id" : "ServiceRequest.basedOn",
        "path" : "ServiceRequest.basedOn",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-annex-81"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "ServiceRequest.status",
        "path" : "ServiceRequest.status",
        "mustSupport" : true
      },
      {
        "id" : "ServiceRequest.intent",
        "path" : "ServiceRequest.intent",
        "mustSupport" : true
      },
      {
        "id" : "ServiceRequest.category",
        "path" : "ServiceRequest.category",
        "mustSupport" : true
      },
      {
        "id" : "ServiceRequest.category.coding.system",
        "path" : "ServiceRequest.category.coding.system",
        "fixedUri" : "http://snomed.info/sct"
      },
      {
        "id" : "ServiceRequest.category.coding.code",
        "path" : "ServiceRequest.category.coding.code",
        "fixedCode" : "9632001"
      },
      {
        "id" : "ServiceRequest.code",
        "path" : "ServiceRequest.code",
        "min" : 1,
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "https://www.ehealth.fgov.be/standards/fhir/drp/CodeSystem/be-cs-temp-requested-service",
              "code" : "tmp-prep-x081-2"
            }
          ]
        },
        "mustSupport" : true
      },
      {
        "id" : "ServiceRequest.subject",
        "path" : "ServiceRequest.subject",
        "mustSupport" : true
      },
      {
        "id" : "ServiceRequest.occurrence[x]",
        "path" : "ServiceRequest.occurrence[x]",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "type",
              "path" : "$this"
            }
          ],
          "ordered" : false,
          "rules" : "open"
        }
      },
      {
        "id" : "ServiceRequest.occurrence[x]:occurrenceTiming",
        "path" : "ServiceRequest.occurrence[x]",
        "sliceName" : "occurrenceTiming",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "Timing"
          }
        ]
      },
      {
        "id" : "ServiceRequest.occurrence[x]:occurrenceTiming.repeat.frequency",
        "path" : "ServiceRequest.occurrence[x].repeat.frequency",
        "patternPositiveInt" : 1
      },
      {
        "id" : "ServiceRequest.occurrence[x]:occurrenceTiming.repeat.period",
        "path" : "ServiceRequest.occurrence[x].repeat.period",
        "patternDecimal" : 1
      },
      {
        "id" : "ServiceRequest.occurrence[x]:occurrenceTiming.repeat.periodUnit",
        "path" : "ServiceRequest.occurrence[x].repeat.periodUnit",
        "patternCode" : "wk"
      },
      {
        "id" : "ServiceRequest.authoredOn",
        "path" : "ServiceRequest.authoredOn",
        "min" : 1,
        "constraint" : [
          {
            "key" : "be-inv-long-date",
            "severity" : "warning",
            "human" : "date SHALL contain a long date (YYYY-MM-DDThh:mm:ss+zz:zz)",
            "expression" : "empty() or toString().length()=25",
            "source" : "https://www.ehealth.fgov.be/standards/fhir/drp/StructureDefinition/be-annex-81"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "ServiceRequest.requester",
        "path" : "ServiceRequest.requester",
        "min" : 1,
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole|2.1.2"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "ServiceRequest.reasonCode",
        "path" : "ServiceRequest.reasonCode",
        "min" : 1,
        "mustSupport" : true,
        "binding" : {
          "strength" : "example",
          "description" : "The actual valueset will be provided when a terminology package is available. For current guidance, see the included [ValueSet](ValueSet-be-vs-annex-81-reason-code.html).",
          "valueSet" : "https://www.ehealth.fgov.be/standards/fhir/drp/ValueSet/be-vs-annex-81-reason-code"
        }
      },
      {
        "id" : "ServiceRequest.note",
        "path" : "ServiceRequest.note",
        "type" : [
          {
            "code" : "Annotation",
            "profile" : [
              "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-coded-annotation"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "ServiceRequest.note.extension:code",
        "path" : "ServiceRequest.note.extension",
        "sliceName" : "code"
      },
      {
        "id" : "ServiceRequest.note.extension:code.value[x]",
        "path" : "ServiceRequest.note.extension.value[x]",
        "binding" : {
          "strength" : "example",
          "description" : "The actual valueset will be provided when a terminology package is available. For current guidance, see the included [ValueSet](ValueSet-be-vs-request-note-type.html).",
          "valueSet" : "https://www.ehealth.fgov.be/standards/fhir/drp/ValueSet/be-vs-request-note-type"
        }
      }
    ]
  }
}

```
