| Package | hl7.fhir.be.pss |
| Resource Type | Questionnaire |
| Id | 30551ce1-5a28-4356-b684-2e639094ad4c |
| FHIR Version | R4 |
| Source | https://www.ehealth.fgov.be/standards/fhir/pss/https://build.fhir.org/ig/hl7-be/pss/Questionnaire-30551ce1-5a28-4356-b684-2e639094ad4c.html |
| URL | https://www.ehealth.fgov.be/standards/fhir/pss/Questionnaire/30551ce1-5a28-4356-b684-2e639094ad4c |
| Version | 1.0.0 |
| Status | active |
| Date | 2025-07-25T19:54:56+00:00 |
| Realm | be |
| Authority | hl7 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: Questionnaire 30551ce1-5a28-4356-b684-2e639094ad4c
Language: nl-BE
Profile: PSS Data Acquisition Form
| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
  | Questionnaire | https://www.ehealth.fgov.be/standards/fhir/pss/Questionnaire/30551ce1-5a28-4356-b684-2e639094ad4c#1.0.0 | ||
  sp_excMand_knownPathogen_vag | Oorzakelijke kiem vulvo-vaginitis | 1..1 | choice | Options: 3 options |
 pv_pregnant | Zwangerschap | 0..1 | boolean | |
| sp_exc_causalPathogen_ure | Oorzakelijke kiem Urethritis | 0..1 | choice | Options: 4 options |
 sp_riskPatient_ast | Risicopatiënt | 0..1 | boolean | |
 pv_compromisedImmuneSystem | Gecompromitteerd immuunsysteem | 0..1 | boolean | |
| pv_oncologyPatient | Oncologische patiënt | 0..1 | boolean | |
| Documentation for this format | ||||
Options Sets
Answer options for sp_excMand_knownPathogen_vag
Answer options for sp_exc_causalPathogen_ure
FHIR{
"resourceType": "Questionnaire",
"id": "30551ce1-5a28-4356-b684-2e639094ad4c",
"meta": {
"profile": [
"https://www.ehealth.fgov.be/standards/fhir/pss/StructureDefinition/PSSDataAcquisitionForm"
]
},
"language": "nl-BE",
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"url": "https://www.ehealth.fgov.be/standards/fhir/pss/Questionnaire/30551ce1-5a28-4356-b684-2e639094ad4c",
"identifier": [
{
"system": "urn:ietf:rfc:3986",
"value": "urn:oid:2.16.840.1.113883.2.51.22.2.35.1"
}
],
"version": "1.0.0",
"status": "active",
"date": "2025-07-25T19:54:56+00:00",
"publisher": "eHealth Platform Belgium",
"contact": [
{
"name": "eHealth Platform Belgium",
"telecom": [
{
"system": "url",
"value": "https://www.ehealth.fgov.be/standards/fhir/"
},
{
"system": "email",
"value": "support@be-ehealth-standards.atlassian.net"
}
]
},
{
"name": "Message Structure eHealth",
"telecom": [
{
"system": "email",
"value": "support@be-ehealth-standards.atlassian.net",
"use": "work"
}
]
}
],
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "BE",
"display": "Belgium"
}
]
}
],
"item": [
{
"linkId": "sp_excMand_knownPathogen_vag",
"text": "Oorzakelijke kiem vulvo-vaginitis",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "fr-BE"
},
{
"url": "content",
"valueString": "Germe causal vulvo vaginite"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type": "choice",
"required": true,
"repeats": false,
"answerOption": [
{
"extension": [
{
"url": "https://www.ehealth.fgov.be/standards/fhir/pss/StructureDefinition/CodeValueSet",
"valueCanonical": "https://www.ehealth.fgov.be/standards/fhir/pss/ValueSet/CandidaCodes"
}
],
"valueCoding": {
"code": "pv_candida_vag",
"display": "Candida vaginitis",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "fr-BE"
},
{
"url": "content",
"valueString": "Vaginite à candida"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "https://www.ehealth.fgov.be/standards/fhir/pss/StructureDefinition/CodeValueSet",
"valueCanonical": "https://www.ehealth.fgov.be/standards/fhir/pss/ValueSet/TrichomonasCodes"
}
],
"valueCoding": {
"code": "pv_trichomonas_vag",
"display": "Trichomonas vaginalis",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "fr-BE"
},
{
"url": "content",
"valueString": "Trichomonas vaginalis"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "https://www.ehealth.fgov.be/standards/fhir/pss/StructureDefinition/CodeValueSet",
"valueCanonical": "https://www.ehealth.fgov.be/standards/fhir/pss/ValueSet/BacterialCodes"
}
],
"valueCoding": {
"code": "pv_bacterial_vag",
"display": "Bacteriële vaginose",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "fr-BE"
},
{
"url": "content",
"valueString": "Vaginose bactérienne"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
}
]
},
{
"extension": [
{
"url": "https://www.ehealth.fgov.be/standards/fhir/pss/StructureDefinition/CodeValueSet",
"valueCanonical": "https://www.ehealth.fgov.be/standards/fhir/pss/ValueSet/PregnancyCodes"
}
],
"linkId": "pv_pregnant",
"text": "Zwangerschap",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "fr-BE"
},
{
"url": "content",
"valueString": "Grossesse"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type": "boolean"
},
{
"linkId": "sp_exc_causalPathogen_ure",
"text": "Oorzakelijke kiem Urethritis",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "fr-BE"
},
{
"url": "content",
"valueString": "Germe causal Urétrite"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type": "choice",
"repeats": false,
"answerOption": [
{
"extension": [
{
"url": "https://www.ehealth.fgov.be/standards/fhir/pss/StructureDefinition/CodeValueSet",
"valueCanonical": "https://www.ehealth.fgov.be/standards/fhir/pss/ValueSet/ChlamydiaCodes"
}
],
"valueCoding": {
"code": "pv_causalPatChlamydia_ure",
"display": "Chlamydia",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "fr-BE"
},
{
"url": "content",
"valueString": "Chlamydia"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "https://www.ehealth.fgov.be/standards/fhir/pss/StructureDefinition/CodeValueSet",
"valueCanonical": "https://www.ehealth.fgov.be/standards/fhir/pss/ValueSet/GonokokCodes"
}
],
"valueCoding": {
"code": "pv_causalPatGonokok_ure",
"display": "Gonokok",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "fr-BE"
},
{
"url": "content",
"valueString": "Gonocoque"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "https://www.ehealth.fgov.be/standards/fhir/pss/StructureDefinition/CodeValueSet",
"valueCanonical": "https://www.ehealth.fgov.be/standards/fhir/pss/ValueSet/MycoplasmaCodes"
}
],
"valueCoding": {
"code": "pv_causalPatMycoplasma_ure",
"display": "Mycoplasma genitalium",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "fr-BE"
},
{
"url": "content",
"valueString": "Mycoplasma genitalium"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "https://www.ehealth.fgov.be/standards/fhir/pss/StructureDefinition/CodeValueSet",
"valueCanonical": "https://www.ehealth.fgov.be/standards/fhir/pss/ValueSet/OtherCodes"
}
],
"valueCoding": {
"code": "pv_causalPatOther_ure",
"display": "Andere",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "fr-BE"
},
{
"url": "content",
"valueString": "Autres"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
}
]
},
{
"linkId": "sp_riskPatient_ast",
"text": "Risicopatiënt",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "fr-BE"
},
{
"url": "content",
"valueString": "Patient à risque"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type": "boolean",
"item": [
{
"extension": [
{
"url": "https://www.ehealth.fgov.be/standards/fhir/pss/StructureDefinition/CodeValueSet",
"valueCanonical": "https://www.ehealth.fgov.be/standards/fhir/pss/ValueSet/CompromisedImmuneSystemCodes"
}
],
"linkId": "pv_compromisedImmuneSystem",
"text": "Gecompromitteerd immuunsysteem",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "fr-BE"
},
{
"url": "content",
"valueString": "Immunosuppression / système immunitaire déprimé"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type": "boolean"
},
{
"extension": [
{
"url": "https://www.ehealth.fgov.be/standards/fhir/pss/StructureDefinition/CodeValueSet",
"valueCanonical": "https://www.ehealth.fgov.be/standards/fhir/pss/ValueSet/OncologyPatientCodes"
}
],
"linkId": "pv_oncologyPatient",
"text": "Oncologische patiënt",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "fr-BE"
},
{
"url": "content",
"valueString": "Patient oncologique"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type": "boolean"
}
]
}
]
}