FHIR IG analytics| Package | hl7.fhir.be.patient-dossier |
| Resource Type | StructureDefinition |
| Id | StructureDefinition-BeModelClinicalReport.json |
| FHIR Version | R4 |
| Source | https://build.fhir.org/ig/hl7-be/patient-dossier/StructureDefinition-BeModelClinicalReport.html |
| URL | https://www.ehealth.fgov.be/standards/fhir/patient-dossier/StructureDefinition/BeModelClinicalReport |
| Version | 1.1.0 |
| Status | draft |
| Date | 2026-10-19T08:30:17+00:00 |
| Name | BeModelClinicalReport |
| Title | BeClinicalReport Model |
| Realm | be |
| Authority | hl7 |
| Description | Logical model of the CareSet ClinicalReport: a clinical report that collects the essential information for the follow-up of a patient over a defined period, consolidates the referenced clinical observations, reports and documents around a well-defined medical context, and may carry a clinical interpretation. It is intended to be shared between health professionals. |
| Type | https://www.ehealth.fgov.be/standards/fhir/patient-dossier/StructureDefinition/BeModelClinicalReport |
| Kind | logical |
No resources found
| ValueSet | ||
| hl7.fhir.be.patient-dossier#current | be-vs-clinicalreport-category | ClinicalReport Category Value Set |
| hl7.fhir.be.patient-dossier#current | be-vs-clinicalreport-code | ClinicalReport Code Value Set |
Note: links and images are rebased to the (stated) source
Generated Narrative: StructureDefinition BeModelClinicalReport
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  BeModelClinicalReport | 0..* | Base | BeClinicalReport Model | |
  businessIdentifier | Σ | 1..* | Identifier | Business identifier of the report |
 basedOn | Σ | 0..1 | Reference() | Reference to the request underlying the report |
 recordedDate | Σ | 1..1 | dateTime | Date the report was recorded / last updated |
| observationPeriod | Σ | 1..1 | Period | Period the report covers |
| patient | Σ | 1..1 | Reference(Patient) | The patient the report is about |
| recorder | Σ | 1..1 | Reference() | Who recorded the report |
| interpreter | Σ | 0..1 | Reference() | Who interprets the observations of the report |
| interpretation | Σ | 0..1 | string | Textual interpretation of the observations and/or the thought process that leads to a conclusion |
| conclusion | Σ | 0..* | CodeableConcept | Clinical conclusion (interpretation) of the results |
| category | Σ | 0..* | CodeableConcept | Clinical/functional classification of the report Binding: ClinicalReport Category Value Set (extensible) |
| code | Σ | 1..1 | CodeableConcept | Code of the report Binding: ClinicalReport Code Value Set (extensible) |
| clinicalObservations | Σ | 0..* | Reference(Observation) | Referenced clinical observations |
| note | Σ | 0..* | Annotation | Free-text additional information |
| document | Σ | 0..1 | Attachment | PDF document of the complete report |
 status | Σ | 1..1 | code | Status of the report Binding: DiagnosticReportStatus (required) |
| Documentation for this format | ||||
FHIR
FHIRsmith{
"resourceType": "StructureDefinition",
"id": "BeModelClinicalReport",
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"url": "https://www.ehealth.fgov.be/standards/fhir/patient-dossier/StructureDefinition/BeModelClinicalReport",
"identifier": [
{
"system": "urn:ietf:rfc:3986",
"value": "urn:oid:2.16.840.1.113883.4.642.40.200.14.42.8"
}
],
"version": "1.1.0",
"name": "BeModelClinicalReport",
"title": "BeClinicalReport Model",
"status": "draft",
"experimental": true,
"date": "2026-10-19T08:30:17+00:00",
"publisher": "eHealth Platform",
"contact": [
{
"name": "eHealth Platform",
"telecom": [
{
"system": "url",
"value": "https://www.ehealth.fgov.be"
},
{
"system": "email",
"value": "support@be-ehealth-standards.atlassian.net"
}
]
},
{
"name": "Message-Structure",
"telecom": [
{
"system": "email",
"value": "support@be-ehealth-standards.atlassian.net",
"use": "work"
}
]
}
],
"description": "Logical model of the CareSet ClinicalReport: a clinical report that collects the essential information for the follow-up of a patient over a defined period, consolidates the referenced clinical observations, reports and documents around a well-defined medical context, and may carry a clinical interpretation. It is intended to be shared between health professionals.",
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "BE",
"display": "Belgium"
}
]
}
],
"fhirVersion": "4.0.1",
"kind": "logical",
"abstract": false,
"type": "https://www.ehealth.fgov.be/standards/fhir/patient-dossier/StructureDefinition/BeModelClinicalReport",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Base",
"derivation": "specialization",
"snapshot": {
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
"valueString": "4.0.1"
}
],
"element": [
{
"id": "BeModelClinicalReport",
"path": "BeModelClinicalReport",
"short": "BeClinicalReport Model",
"definition": "Logical model of the CareSet ClinicalReport: a clinical report that collects the essential information for the follow-up of a patient over a defined period, consolidates the referenced clinical observations, reports and documents around a well-defined medical context, and may carry a clinical interpretation. It is intended to be shared between health professionals.",
"min": 0,
"max": "*",
"base": {
"path": "Base",
"min": 0,
"max": "*"
},
"isModifier": false
},
{
"id": "BeModelClinicalReport.businessIdentifier",
"path": "BeModelClinicalReport.businessIdentifier",
"short": "Business identifier of the report",
"definition": "Business identifier of the report.",
"_definition": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "nl"
},
{
"url": "content",
"valueString": "Zakelijke identificatie van het verslag."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "Identifiant métier du rapport."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"min": 1,
"max": "*",
"base": {
"path": "BeModelClinicalReport.businessIdentifier",
"min": 1,
"max": "*"
},
"type": [
{
"code": "Identifier"
}
],
"isSummary": true
},
{
"id": "BeModelClinicalReport.basedOn",
"path": "BeModelClinicalReport.basedOn",
"short": "Reference to the request underlying the report",
"definition": "Reference to the request that is the basis of the report. E.g. a referral prescription (telemonitoring).",
"_definition": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "nl"
},
{
"url": "content",
"valueString": "Verwijzing naar de aanvraag die aan de basis van het verslag ligt. Bv.: verwijsvoorschrift (telemonitoring)."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "La référence de la demande à la base du rapport. Ex. : prescription de renvoi (télémonitoring)."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"min": 0,
"max": "1",
"base": {
"path": "BeModelClinicalReport.basedOn",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference"
}
],
"isSummary": true
},
{
"id": "BeModelClinicalReport.recordedDate",
"path": "BeModelClinicalReport.recordedDate",
"short": "Date the report was recorded / last updated",
"definition": "Date of the last (functional) update of the report.",
"_definition": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "nl"
},
{
"url": "content",
"valueString": "Datum van de laatste (functionele) bijwerking van het verslag."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "Date de la dernière mise à jour (fonctionnelle) du rapport."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"min": 1,
"max": "1",
"base": {
"path": "BeModelClinicalReport.recordedDate",
"min": 1,
"max": "1"
},
"type": [
{
"code": "dateTime"
}
],
"isSummary": true
},
{
"id": "BeModelClinicalReport.observationPeriod",
"path": "BeModelClinicalReport.observationPeriod",
"short": "Period the report covers",
"definition": "From-date to-date corresponding to the period the report covers.",
"_definition": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "nl"
},
{
"url": "content",
"valueString": "Van-datum tot-datum die overeenkomt met de periode waarop het verslag betrekking heeft."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "De date à date correspondant à la période sur laquelle le rapport porte."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"min": 1,
"max": "1",
"base": {
"path": "BeModelClinicalReport.observationPeriod",
"min": 1,
"max": "1"
},
"type": [
{
"code": "Period"
}
],
"isSummary": true
},
{
"id": "BeModelClinicalReport.patient",
"path": "BeModelClinicalReport.patient",
"short": "The patient the report is about",
"definition": "The person who is the subject of the healthcare the record (CareSet) refers to. See BR PP 'Identification of a physical person'.",
"_definition": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "nl"
},
{
"url": "content",
"valueString": "De persoon die het onderwerp is van de gezondheidszorg waarnaar de registratie (CareSet) verwijst. Zie BR PP 'Identificatie natuurlijke persoon'."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "La personne qui est l'objet des soins de santé auxquels l'enregistrement (CareSet) fait référence. Voir BR PP « Identification personne physique »."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"min": 1,
"max": "1",
"base": {
"path": "BeModelClinicalReport.patient",
"min": 1,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Patient"
]
}
],
"isSummary": true
},
{
"id": "BeModelClinicalReport.recorder",
"path": "BeModelClinicalReport.recorder",
"short": "Who recorded the report",
"definition": "The health professional or organisation that records the information and takes responsibility for its content. See BR PP 'Identification of a physical person'.",
"_definition": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "nl"
},
{
"url": "content",
"valueString": "De gezondheidszorgbeoefenaar of organisatie die de informatie registreert en de verantwoordelijkheid voor de inhoud ervan op zich neemt. Zie BR PP 'Identificatie natuurlijke persoon'."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "Le professionnel de la santé ou l'organisation qui encode les informations et prend la responsabilité de leur contenu. Voir BR PP « Identification personne physique »."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"min": 1,
"max": "1",
"base": {
"path": "BeModelClinicalReport.recorder",
"min": 1,
"max": "1"
},
"type": [
{
"code": "Reference"
}
],
"isSummary": true
},
{
"id": "BeModelClinicalReport.interpreter",
"path": "BeModelClinicalReport.interpreter",
"short": "Who interprets the observations of the report",
"definition": "The care provider who interprets the observations of the report. E.g. endocrinologist, general practitioner. See BR PP 'Identification of a physical person'.",
"_definition": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "nl"
},
{
"url": "content",
"valueString": "De zorgverlener die de observaties van het verslag interpreteert. Bv.: endocrinoloog, huisarts. Zie BR PP 'Identificatie natuurlijke persoon'."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "Le prestataire de soins qui interprète les observations du rapport. Ex. : NISS endocrinologue, NISS généraliste. Voir BR PP « Identification personne physique »."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"min": 0,
"max": "1",
"base": {
"path": "BeModelClinicalReport.interpreter",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference"
}
],
"isSummary": true
},
{
"id": "BeModelClinicalReport.interpretation",
"path": "BeModelClinicalReport.interpretation",
"short": "Textual interpretation of the observations and/or the thought process that leads to a conclusion",
"definition": "Textual interpretation of the observations and/or the thought process that leads to a conclusion",
"_definition": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "nl"
},
{
"url": "content",
"valueString": "Klinische conclusie (interpretatie) van de testresultaten, uitgedrukt als code of als vrije tekst. Dit element wordt geleverd door de zorgverlener die de interpretatie uitvoert. Zie BR RIN."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "Conclusion clinique (interprétation) de résultat de tests, exprimée en code ou texte libre. Cet élément sera fourni par le prestataire de soins qui fait l'interprétation. Voir BR RIN."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"min": 0,
"max": "1",
"base": {
"path": "BeModelClinicalReport.interpretation",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"isSummary": true
},
{
"id": "BeModelClinicalReport.conclusion",
"path": "BeModelClinicalReport.conclusion",
"short": "Clinical conclusion (interpretation) of the results",
"definition": "Clinical conclusion (interpretation) of the test results, expressed as a code or as free text. This element is provided by the care provider who performs the interpretation. See BR RIN.",
"min": 0,
"max": "*",
"base": {
"path": "BeModelClinicalReport.conclusion",
"min": 0,
"max": "*"
},
"type": [
{
"code": "CodeableConcept"
}
],
"isSummary": true
},
{
"id": "BeModelClinicalReport.category",
"path": "BeModelClinicalReport.category",
"short": "Clinical/functional classification of the report",
"definition": "A category is a classification attribute of a data element in a CareSet, defined by a standardised ValueSet, allowing information to be grouped according to its clinical or functional meaning. E.g. Glucose monitoring, Cardiology. See VS_Rep_Category.",
"_definition": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "nl"
},
{
"url": "content",
"valueString": "Een categorie is een classificatiekenmerk van een gegevenselement in een CareSet, gedefinieerd door een gestandaardiseerde ValueSet, waarmee informatie kan worden gegroepeerd volgens de klinische of functionele betekenis ervan. Bv. Glucosemonitoring, Cardiologie. Zie VS_Rep_Category."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "Une catégorie est un attribut de classification d'un élément de données dans un CareSet, défini par une ValueSet standardisée, permettant de regrouper les informations selon leur signification clinique ou fonctionnelle. Ex. Suivi Glycémie, Cardio. Voir VS_Rep_Category."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"min": 0,
"max": "*",
"base": {
"path": "BeModelClinicalReport.category",
"min": 0,
"max": "*"
},
"type": [
{
"code": "CodeableConcept"
}
],
"isSummary": true,
"binding": {
"strength": "extensible",
"valueSet": "https://www.ehealth.fgov.be/standards/fhir/patient-dossier/ValueSet/be-vs-clinicalreport-category"
}
},
{
"id": "BeModelClinicalReport.code",
"path": "BeModelClinicalReport.code",
"short": "Code of the report",
"definition": "Code of the report. It indicates the type of procedure that leads to the production of the primary values (measurement clinical observations) of this report. See VS_Rep_Code.",
"_definition": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "nl"
},
{
"url": "content",
"valueString": "Code van het verslag. Het geeft het type procedure aan dat leidt tot de productie van de primaire waarden (measurement clinical observations) van dit verslag. Zie VS_Rep_Code."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "Code du rapport. On propose d'indiquer le type de procédure qui conduit à la production des valeurs primaires (measurement clinical observations) de ce rapport. Voir VS_Rep_Code."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"min": 1,
"max": "1",
"base": {
"path": "BeModelClinicalReport.code",
"min": 1,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"isSummary": true,
"binding": {
"strength": "extensible",
"valueSet": "https://www.ehealth.fgov.be/standards/fhir/patient-dossier/ValueSet/be-vs-clinicalreport-code"
}
},
{
"id": "BeModelClinicalReport.clinicalObservations",
"path": "BeModelClinicalReport.clinicalObservations",
"short": "Referenced clinical observations",
"definition": "List of references to the different ClinicalObservations that are part of the report.",
"_definition": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "nl"
},
{
"url": "content",
"valueString": "Lijst met verwijzingen naar de verschillende ClinicalObservations die deel uitmaken van het verslag."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "Liste des références des différents ClinicalObservations qui font parties du rapport."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"min": 0,
"max": "*",
"base": {
"path": "BeModelClinicalReport.clinicalObservations",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Observation"
]
}
],
"isSummary": true
},
{
"id": "BeModelClinicalReport.note",
"path": "BeModelClinicalReport.note",
"short": "Free-text additional information",
"definition": "Additional information about the content of the CareSet, in free text format.",
"_definition": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "nl"
},
{
"url": "content",
"valueString": "Aanvullende informatie over de inhoud van de CareSet in vrijetekstformaat."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "Informations complémentaires relatives au contenu du CareSet en format texte libre."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"min": 0,
"max": "*",
"base": {
"path": "BeModelClinicalReport.note",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Annotation"
}
],
"isSummary": true
},
{
"id": "BeModelClinicalReport.document",
"path": "BeModelClinicalReport.document",
"short": "PDF document of the complete report",
"definition": "PDF document containing the complete report (text, graphics, derived observations, conclusions, ...).",
"_definition": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "nl"
},
{
"url": "content",
"valueString": "PDF-document met het volledige verslag (tekst, grafieken, afgeleide observaties, conclusies, ...)."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "Document PDF reprenant le rapport complet (texte, graphiques, observations déduites, conclusions ...)."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"min": 0,
"max": "1",
"base": {
"path": "BeModelClinicalReport.document",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Attachment"
}
],
"isSummary": true
},
{
"id": "BeModelClinicalReport.status",
"path": "BeModelClinicalReport.status",
"short": "Status of the report",
"definition": "Status of the report. The default is 'final' (Final report). See VS_Status.",
"_definition": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "nl"
},
{
"url": "content",
"valueString": "Status van het verslag. De standaardwaarde is 'final' (Eindverslag). Zie VS_Status."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "Statut du rapport. Le défaut est « final » (Rapport final). Voir VS_Status."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"min": 1,
"max": "1",
"base": {
"path": "BeModelClinicalReport.status",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"isSummary": true,
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/diagnostic-report-status"
}
}
]
},
"differential": {
"element": [
{
"id": "BeModelClinicalReport",
"path": "BeModelClinicalReport",
"short": "BeClinicalReport Model",
"definition": "Logical model of the CareSet ClinicalReport: a clinical report that collects the essential information for the follow-up of a patient over a defined period, consolidates the referenced clinical observations, reports and documents around a well-defined medical context, and may carry a clinical interpretation. It is intended to be shared between health professionals."
},
{
"id": "BeModelClinicalReport.businessIdentifier",
"path": "BeModelClinicalReport.businessIdentifier",
"short": "Business identifier of the report",
"definition": "Business identifier of the report.",
"_definition": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "nl"
},
{
"url": "content",
"valueString": "Zakelijke identificatie van het verslag."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "Identifiant métier du rapport."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"min": 1,
"max": "*",
"type": [
{
"code": "Identifier"
}
],
"isSummary": true
},
{
"id": "BeModelClinicalReport.basedOn",
"path": "BeModelClinicalReport.basedOn",
"short": "Reference to the request underlying the report",
"definition": "Reference to the request that is the basis of the report. E.g. a referral prescription (telemonitoring).",
"_definition": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "nl"
},
{
"url": "content",
"valueString": "Verwijzing naar de aanvraag die aan de basis van het verslag ligt. Bv.: verwijsvoorschrift (telemonitoring)."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "La référence de la demande à la base du rapport. Ex. : prescription de renvoi (télémonitoring)."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"min": 0,
"max": "1",
"type": [
{
"code": "Reference"
}
],
"isSummary": true
},
{
"id": "BeModelClinicalReport.recordedDate",
"path": "BeModelClinicalReport.recordedDate",
"short": "Date the report was recorded / last updated",
"definition": "Date of the last (functional) update of the report.",
"_definition": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "nl"
},
{
"url": "content",
"valueString": "Datum van de laatste (functionele) bijwerking van het verslag."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "Date de la dernière mise à jour (fonctionnelle) du rapport."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"min": 1,
"max": "1",
"type": [
{
"code": "dateTime"
}
],
"isSummary": true
},
{
"id": "BeModelClinicalReport.observationPeriod",
"path": "BeModelClinicalReport.observationPeriod",
"short": "Period the report covers",
"definition": "From-date to-date corresponding to the period the report covers.",
"_definition": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "nl"
},
{
"url": "content",
"valueString": "Van-datum tot-datum die overeenkomt met de periode waarop het verslag betrekking heeft."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "De date à date correspondant à la période sur laquelle le rapport porte."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"min": 1,
"max": "1",
"type": [
{
"code": "Period"
}
],
"isSummary": true
},
{
"id": "BeModelClinicalReport.patient",
"path": "BeModelClinicalReport.patient",
"short": "The patient the report is about",
"definition": "The person who is the subject of the healthcare the record (CareSet) refers to. See BR PP 'Identification of a physical person'.",
"_definition": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "nl"
},
{
"url": "content",
"valueString": "De persoon die het onderwerp is van de gezondheidszorg waarnaar de registratie (CareSet) verwijst. Zie BR PP 'Identificatie natuurlijke persoon'."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "La personne qui est l'objet des soins de santé auxquels l'enregistrement (CareSet) fait référence. Voir BR PP « Identification personne physique »."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"min": 1,
"max": "1",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Patient"
]
}
],
"isSummary": true
},
{
"id": "BeModelClinicalReport.recorder",
"path": "BeModelClinicalReport.recorder",
"short": "Who recorded the report",
"definition": "The health professional or organisation that records the information and takes responsibility for its content. See BR PP 'Identification of a physical person'.",
"_definition": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "nl"
},
{
"url": "content",
"valueString": "De gezondheidszorgbeoefenaar of organisatie die de informatie registreert en de verantwoordelijkheid voor de inhoud ervan op zich neemt. Zie BR PP 'Identificatie natuurlijke persoon'."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "Le professionnel de la santé ou l'organisation qui encode les informations et prend la responsabilité de leur contenu. Voir BR PP « Identification personne physique »."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"min": 1,
"max": "1",
"type": [
{
"code": "Reference"
}
],
"isSummary": true
},
{
"id": "BeModelClinicalReport.interpreter",
"path": "BeModelClinicalReport.interpreter",
"short": "Who interprets the observations of the report",
"definition": "The care provider who interprets the observations of the report. E.g. endocrinologist, general practitioner. See BR PP 'Identification of a physical person'.",
"_definition": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "nl"
},
{
"url": "content",
"valueString": "De zorgverlener die de observaties van het verslag interpreteert. Bv.: endocrinoloog, huisarts. Zie BR PP 'Identificatie natuurlijke persoon'."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "Le prestataire de soins qui interprète les observations du rapport. Ex. : NISS endocrinologue, NISS généraliste. Voir BR PP « Identification personne physique »."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"min": 0,
"max": "1",
"type": [
{
"code": "Reference"
}
],
"isSummary": true
},
{
"id": "BeModelClinicalReport.interpretation",
"path": "BeModelClinicalReport.interpretation",
"short": "Textual interpretation of the observations and/or the thought process that leads to a conclusion",
"definition": "Textual interpretation of the observations and/or the thought process that leads to a conclusion",
"_definition": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "nl"
},
{
"url": "content",
"valueString": "Klinische conclusie (interpretatie) van de testresultaten, uitgedrukt als code of als vrije tekst. Dit element wordt geleverd door de zorgverlener die de interpretatie uitvoert. Zie BR RIN."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "Conclusion clinique (interprétation) de résultat de tests, exprimée en code ou texte libre. Cet élément sera fourni par le prestataire de soins qui fait l'interprétation. Voir BR RIN."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
],
"isSummary": true
},
{
"id": "BeModelClinicalReport.conclusion",
"path": "BeModelClinicalReport.conclusion",
"short": "Clinical conclusion (interpretation) of the results",
"definition": "Clinical conclusion (interpretation) of the test results, expressed as a code or as free text. This element is provided by the care provider who performs the interpretation. See BR RIN.",
"min": 0,
"max": "*",
"type": [
{
"code": "CodeableConcept"
}
],
"isSummary": true
},
{
"id": "BeModelClinicalReport.category",
"path": "BeModelClinicalReport.category",
"short": "Clinical/functional classification of the report",
"definition": "A category is a classification attribute of a data element in a CareSet, defined by a standardised ValueSet, allowing information to be grouped according to its clinical or functional meaning. E.g. Glucose monitoring, Cardiology. See VS_Rep_Category.",
"_definition": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "nl"
},
{
"url": "content",
"valueString": "Een categorie is een classificatiekenmerk van een gegevenselement in een CareSet, gedefinieerd door een gestandaardiseerde ValueSet, waarmee informatie kan worden gegroepeerd volgens de klinische of functionele betekenis ervan. Bv. Glucosemonitoring, Cardiologie. Zie VS_Rep_Category."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "Une catégorie est un attribut de classification d'un élément de données dans un CareSet, défini par une ValueSet standardisée, permettant de regrouper les informations selon leur signification clinique ou fonctionnelle. Ex. Suivi Glycémie, Cardio. Voir VS_Rep_Category."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"min": 0,
"max": "*",
"type": [
{
"code": "CodeableConcept"
}
],
"isSummary": true,
"binding": {
"strength": "extensible",
"valueSet": "https://www.ehealth.fgov.be/standards/fhir/patient-dossier/ValueSet/be-vs-clinicalreport-category"
}
},
{
"id": "BeModelClinicalReport.code",
"path": "BeModelClinicalReport.code",
"short": "Code of the report",
"definition": "Code of the report. It indicates the type of procedure that leads to the production of the primary values (measurement clinical observations) of this report. See VS_Rep_Code.",
"_definition": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "nl"
},
{
"url": "content",
"valueString": "Code van het verslag. Het geeft het type procedure aan dat leidt tot de productie van de primaire waarden (measurement clinical observations) van dit verslag. Zie VS_Rep_Code."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "Code du rapport. On propose d'indiquer le type de procédure qui conduit à la production des valeurs primaires (measurement clinical observations) de ce rapport. Voir VS_Rep_Code."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"min": 1,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"isSummary": true,
"binding": {
"strength": "extensible",
"valueSet": "https://www.ehealth.fgov.be/standards/fhir/patient-dossier/ValueSet/be-vs-clinicalreport-code"
}
},
{
"id": "BeModelClinicalReport.clinicalObservations",
"path": "BeModelClinicalReport.clinicalObservations",
"short": "Referenced clinical observations",
"definition": "List of references to the different ClinicalObservations that are part of the report.",
"_definition": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "nl"
},
{
"url": "content",
"valueString": "Lijst met verwijzingen naar de verschillende ClinicalObservations die deel uitmaken van het verslag."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "Liste des références des différents ClinicalObservations qui font parties du rapport."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"min": 0,
"max": "*",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Observation"
]
}
],
"isSummary": true
},
{
"id": "BeModelClinicalReport.note",
"path": "BeModelClinicalReport.note",
"short": "Free-text additional information",
"definition": "Additional information about the content of the CareSet, in free text format.",
"_definition": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "nl"
},
{
"url": "content",
"valueString": "Aanvullende informatie over de inhoud van de CareSet in vrijetekstformaat."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "Informations complémentaires relatives au contenu du CareSet en format texte libre."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"min": 0,
"max": "*",
"type": [
{
"code": "Annotation"
}
],
"isSummary": true
},
{
"id": "BeModelClinicalReport.document",
"path": "BeModelClinicalReport.document",
"short": "PDF document of the complete report",
"definition": "PDF document containing the complete report (text, graphics, derived observations, conclusions, ...).",
"_definition": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "nl"
},
{
"url": "content",
"valueString": "PDF-document met het volledige verslag (tekst, grafieken, afgeleide observaties, conclusies, ...)."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "Document PDF reprenant le rapport complet (texte, graphiques, observations déduites, conclusions ...)."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"min": 0,
"max": "1",
"type": [
{
"code": "Attachment"
}
],
"isSummary": true
},
{
"id": "BeModelClinicalReport.status",
"path": "BeModelClinicalReport.status",
"short": "Status of the report",
"definition": "Status of the report. The default is 'final' (Final report). See VS_Status.",
"_definition": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "nl"
},
{
"url": "content",
"valueString": "Status van het verslag. De standaardwaarde is 'final' (Eindverslag). Zie VS_Status."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "Statut du rapport. Le défaut est « final » (Rapport final). Voir VS_Status."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"min": 1,
"max": "1",
"type": [
{
"code": "code"
}
],
"isSummary": true,
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/diagnostic-report-status"
}
}
]
}
}