| Package | hl7.fhir.be.pss |
| Resource Type | Questionnaire |
| Id | consent-request |
| FHIR Version | R4 |
| Source | https://www.ehealth.fgov.be/standards/fhir/pss/https://build.fhir.org/ig/hl7-be/pss/Questionnaire-consent-request.html |
| URL | http://openhie.org/fhir/Questionnaire/hiv-case-report-questionnaire |
| Version | 1.0.0 |
| Status | draft |
| Date | 2025-07-25T19:54:56+00:00 |
| Name | TCConsentForm |
| Realm | be |
| Authority | hl7 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: Questionnaire consent-request
Language: en
Profile: CPG Computable Questionnaire
| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
  TCConsentForm | Questionnaire | http://openhie.org/fhir/Questionnaire/hiv-case-report-questionnaire#1.0.0 | ||
  hcp | The anonymised ID of the healthcare professional | 1..1 | text | |
 recordedDate | The date on which the information was recorded | 1..1 | date | |
| instruction | The instruction to the HCP | 1..1 | text | |
 tc | Terms and Conditions | 1..1 | group | |
  tcpolicy | Door een account aan te maken gaat u akkoord met de [Gebruiksvoorwaarden en privacyverklaring](https://www.riziv.fgov.be/nl/thema-s/egezondheid/beslissingsondersteunend-platform-voor-voorschrijvers-meer-gepaste-zorg-en-minder-veiligheidsrisico-s/gebruiksvoorwaarden-en-privacyverklaring-voor-de-applicatie-pss). | 1..1 | display | |
| tcversion | Version | 1..1 | display | |
  consent | Consent | 1..1 | choice | |
| anonymizationPreference | Statistical anonymization preference | 1..1 | choice | Options: 2 options |
| Documentation for this format | ||||
Options Sets
Answer options for anonymizationPreference
FHIR{
"resourceType": "Questionnaire",
"id": "consent-request",
"meta": {
"profile": [
"http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-computablequestionnaire"
]
},
"language": "en",
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"url": "http://openhie.org/fhir/Questionnaire/hiv-case-report-questionnaire",
"identifier": [
{
"system": "urn:ietf:rfc:3986",
"value": "urn:oid:2.16.840.1.113883.2.51.22.2.35.2"
}
],
"version": "1.0.0",
"name": "TCConsentForm",
"status": "draft",
"subjectType": [
"Patient"
],
"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": "hcp",
"text": "The anonymised ID of the healthcare professional",
"type": "text",
"required": true,
"repeats": false
},
{
"linkId": "recordedDate",
"text": "The date on which the information was recorded",
"type": "date",
"required": true,
"repeats": false
},
{
"linkId": "instruction",
"text": "The instruction to the HCP",
"type": "text",
"required": true,
"repeats": false
},
{
"linkId": "tc",
"text": "Terms and Conditions",
"type": "group",
"required": true,
"repeats": false,
"item": [
{
"linkId": "tcpolicy",
"text": "Door een account aan te maken gaat u akkoord met de [Gebruiksvoorwaarden en privacyverklaring](https://www.riziv.fgov.be/nl/thema-s/egezondheid/beslissingsondersteunend-platform-voor-voorschrijvers-meer-gepaste-zorg-en-minder-veiligheidsrisico-s/gebruiksvoorwaarden-en-privacyverklaring-voor-de-applicatie-pss).",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "fr-BE"
},
{
"url": "content",
"valueString": "En créant un compte, vous acceptez les [Conditions d'utilisation et politique de confidentialité](https://www.inami.fgov.be/fr/themes/esante/plateforme-d-aide-a-la-decision-pour-les-prescripteurs-des-soins-plus-adaptes-et-moins-de-risques-de-securite/conditions-d-utilisation-et-politique-de-confidentialite-pour-l-application-pss)."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type": "display",
"required": true,
"repeats": false
},
{
"linkId": "tcversion",
"text": "Version",
"type": "display",
"required": true,
"repeats": false
},
{
"linkId": "consent",
"text": "Consent",
"type": "choice",
"required": true,
"repeats": false
}
]
},
{
"linkId": "anonymizationPreference",
"text": "Statistical anonymization preference",
"type": "choice",
"required": true,
"repeats": false,
"answerOption": [
{
"valueCoding": {
"code": "cluster-anon",
"display": "Ik geef toestemming om gegevens over mijn gebruik van deze app anoniem te verzamelen op het niveau van mijn onderwijsinstelling (cluster) voor statistische doeleinden.",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "fr-BE"
},
{
"url": "content",
"valueString": "Je donne mon consentement pour que les données concernant mon utilisation de cette application soient collectées anonymement au niveau de mon établissement d'enseignement (cluster) à des fins statistiques."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"valueCoding": {
"code": "full-anon",
"display": "Ik geef de voorkeur aan volledige anonimiteit wanneer voor statistische doeleinden gegevens worden verzameld over mijn gebruik van deze app.",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "fr-BE"
},
{
"url": "content",
"valueString": "Je préfère une anonymité totale lors de la collecte de données sur mon utilisation de cette application à des fins statistiques."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
}
]
}
]
}