Referral Prescription Implementation Guide
1.0.0 - STU BE

This page is part of the eHealth FHIR Referral Prescription Profiles for Belgium (v1.0.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: Technical Referral ServiceRequest Example

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<ServiceRequest xmlns="http://hl7.org/fhir">
  <id value="example-referral-servicerequest"/>
  <meta>
    <profile
             value="https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-referral-servicerequest"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ServiceRequest example-referral-servicerequest</b></p><a name="example-referral-servicerequest"> </a><a name="hcexample-referral-servicerequest"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-be-referral-servicerequest.html">BeReferralServiceRequest</a></p></div><p><b>BeValidityPeriod</b>: 2026-08-25 --&gt; 2026-09-25</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title="Codes:">Technical example</span></p><p><b>code</b>: <span title="Codes:">Technical example</span></p><p><b>subject</b>: Technical example patient</p><p><b>authoredOn</b>: 2026-08-25 12:00:00+0200</p><p><b>requester</b>: Technical example prescriber</p></div>
  </text>
  <extension
             url="https://www.ehealth.fgov.be/standards/fhir/referral/StructureDefinition/be-ext-validity-period">
    <valuePeriod>
      <start value="2026-08-25"/>
      <end value="2026-09-25"/>
    </valuePeriod>
  </extension>
  <status value="active"/>
  <intent value="order"/>
  <category>
    <text value="Technical example"/>
  </category>
  <code>
    <text value="Technical example"/>
  </code>
  <subject>
    <display value="Technical example patient"/>
  </subject>
  <authoredOn value="2026-08-25T12:00:00+02:00"/>
  <requester>
    <display value="Technical example prescriber"/>
  </requester>
</ServiceRequest>