Digital Referral Prescription Implementation Guide
1.1.0 - STU Belgium flag

Digital Referral Prescription Implementation Guide, published by eHealth Platform. This guide is not an authorized publication; it is the continuous build for version 1.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-be/referral/ and changes regularly. See the Directory of published versions

Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Behavior: Operation Definitions

These are custom operations that can be supported by and/or invoked by systems conforming to this implementation guide.

BeOpApproveAnnex81

Creates an approval from an Annex81 proposal

BeOpRejectAnnex81

Rejects an Annex81 proposal

Structures: Graph Definitions

These define collections of interrelated resources that are useful to pass around as a group.

BeGDFullReferralPrescription

Specify to include all useful resources around a ServiceRequest that can be retrieved with the $graph operation.

Structures: Logical Models

These define data models that represent the domain covered by this implementation guide in more business-friendly terms than the underlying FHIR resources.

BeModelAnnex81

Logical model describing the model for the Annex81 proposal and approval

BeModelAssignment

Logical model with the information for the assignment to a referral prescription of a care provider.

BeModelNursingPrescription

Data model for the nursing prescription referral.

BeModelOrganisationClaim

Information of a claim of an organisation to have the prescription fulfilled.

BeModelReferralPrescription

Data model for the prescription referral.

BeModelTreatmentStatus

Logical model with the information for the status of the treatment.

Structures: Questionnaires

These define forms used by systems conforming to this implementation guide to capture or expose data to end users.

Imaging Attention Conditions Questionnaire

Questionnaire for capturing attention-worthy conditions relevant to diagnostic imaging requests (implants, pregnancy, diabetes, allergies, etc.)

Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

BeAnnex81

Annex81 proposal and approval

BeImagingAttentionConditionsResponse

Response to the imaging attention conditions questionnaire. At least one attention condition must be answered.

BeOrganizationTask

Subtask to assign the referral task and prescription to one or more members of this organisation

BePerformerTask

Subtask performed by one performer

BeReferralServiceRequest

The common structure for referral prescription.

BeReferralServiceRequestNursing

The nursing profile, generic version. Please note the nursing referral for medication does NOT depend on this generic version but is a FHIR prodfile on a different FHIR resource (MedicationRequest)

BeReferralTask

The task that is referred to in the referral prescription (this is the common task for the execution of the prescription). The subtasks per performer can be found in BePerformerTask

BeServiceRequestDiagnosticImaging

The diagnostic imaging profile. Generic version.

Structures: Extension Definitions

These define constraints on FHIR data types for systems conforming to this implementation guide.

BeFeedbackToPrescriber

Whether the prescriber requests feedback on the processing of the order

BeLatestEndDate

Request must be performed before

BePSSInfo

Information regarding the Prescription Search Support

BePerformerType

Types of performers that can execute this request

BeRelevantInfo

Relevant clinical information in the context of this prescription concerning for example allergies, kidney function, diabetic. This extension allows the use of an Annotation or codeableConcept but when more detailed information can be given, it is RECOMMENDED to express it as structured as possible using the appropriate elements.

BeUrgencyJustification

Justification for the urgency level assigned to the request

BeValidityPeriod

Begin and end date of the validity of the request

CodeableConcept Extension for Reference

Extension able to hold a coded concept on a Reference element.

eReferral Radiology SupportingInfo Role

Indicates the role of a supporting information item in an eReferral for radiology.

eReferral String Date

Date represented as a string. This extension is used to capture date information in a string format when a date must be encrypted.

Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

BeVSAnnex81StatusReason

DEMONSTRATIVE EXAMPLE - Status reason of the Annex 81

BeVSPrescriptionStatusReason

eReferral reasons for the status of the prescription

BeVSRequestIntent

eReferral allowed intent codes in the context of referral prescription

BeVSTaskIntent

DEMONSTRATIVE EXAMPLE - The allowed intent codes in the context of tasks in the field of referral prescriptions

BeVSTreatmentStatusReason

DEMONSTRATIVE EXAMPLE - Codes for the current status of a treatment in a referral prescription.

PSS Indication

Indication codes for diagnostic imaging requests as PSS Internal Codes.

eReferral Annex 81 Care Requested

Clinical care services for Annex 81 prescriptions.

eReferral Annex 81 Medical Problem

Medical problems/conditions that can justify an Annex 81 request.

eReferral Annex 81 Nursing Diagnosis

Nursing diagnoses/findings that can motivate an Annex 81 request.

eReferral Annex 81 Technical Type

Technical type for Annex 81 prescriptions.

eReferral Body Site

Anatomical body sites based on SNOMED CT for use in referral prescriptions.

eReferral Body Topography

Topographical qualifiers for body sites based on SNOMED CT.

eReferral Categories of Care

Categories of care that can be prescribed by a GP in the eReferral project. Currently limited to nursing care.

eReferral Diabetes Education Identifier

Identifiers to distinguish types of diabetes education prescriptions.

eReferral Education Type With Trajectory

Types of diabetes education for education within a care trajectory.

eReferral Education Type Without Trajectory

Types of diabetes education for patients without a trajectory.

eReferral Educator Type

Types of educators for diabetes education activities.

eReferral Glycemia Measurement Time

Timing of glycemia measurements.

eReferral Imaging Modality ValueSet

Allowed modalities for imaging requests.

eReferral Imaging Priority ValueSet

Allowed priorities for imaging requests.

eReferral Implant Type

Allowed implant types.

eReferral Note Type

Types of notes that can be associated with a referral prescription.

eReferral Nursing Care Requested

Clinical care services that can be prescribed for nursing care using SNOMED CT.

eReferral Nursing Prescription Technical Type

Technical types of nursing prescriptions for routing and workflow purposes.

eReferral Parameter Type

Types of parameters/vital signs that can be measured.

eReferral Prescription Type ValueSet

Technical types of prescriptions supported by the eReferral system. Used for routing and workflow purposes.

eReferral Radiology SupportingInfo Role ValueSet

Defines the set of roles that supporting information can have in an eReferral for radiology.

eReferral Sample Substance Type

Types of samples/substances that can be collected.

eReferral Session Type

Types of sessions for education or care activities (standard).

eReferral Session Type Extended

Types of sessions for education or care activities (extended, including combination).

eReferral request track

Allowed request tracks. Extends the official Belgian request track value set with UHMEP-specific codes.

eReferral/PSS Diagnostic Imaging Indication

Clinical indications and findings that can support a diagnostic imaging request using SNOMED CT.

eReferral/PSS Diagnostic Imaging Procedure

Diagnostic care services that can be prescribed for diagnostic imaging using SNOMED CT.

Terminology: Code Systems

These define new code systems used by systems conforming to this implementation guide.

BePrescriptionStatusReason

DEMONSTRATIVE EXAMPLE - Status reason for the prescription. Initially defined as supporting CodeSystem for the referral prescription.

BeTreatmentStatusReason

DEMONSTRATIVE EXAMPLE - Status reason for the treatment. Initially defined as supporting CodeSystem for the referral prescription.

PSS Indication CodeSystem

PSS indication codes for diagnostic imaging requests.

eReferral Annex 81 Status Reason

DEMONSTRATIVE EXAMPLE - Status reason for the Annex 81

eReferral Diabetic Education Type

Types of diabetes education activities.

eReferral Generic Care Types

Types of care that can be prescribed via the generic prescription.

eReferral Glycemia Measurement Timing

Timing of glycemia measurements.

eReferral Imaging Modality

Imaging modality types for prior imaging requests

eReferral Imaging Priority

Priority codes for diagnostic imaging requests

eReferral Note Types

Types of notes that can be associated with a prescription.

eReferral Prescription Type

Technical types of prescriptions supported by the eReferral system. Used for routing and workflow purposes.

eReferral Radiology SupportingInfo Role CodeSystem

Defines the codes representing the roles of supporting information in an eReferral for radiology.

eReferral Request Track

Care setting track codes for diagnostic imaging requests

eReferral Session Types

Types of sessions for education or care activities.

Terminology: Naming Systems

These define identifier and/or code system identities used by systems conforming to this implementation guide.

BeNsUhmepShort

Naming system identifier for the UHMEP user friendly short code

BePSSId

PSS ID naming system

BeUnadressedHealthMessageExchangePlatform

UHMEP naming system

Other

These are resources that are used within this implementation guide that do not fit into one of the other categories.

terminology-expansion

Terminology expansion parameters used to include designations.