@prefix fhir: . @prefix owl: . @prefix rdf: . @prefix rdfs: . @prefix xsd: . # - resource ------------------------------------------------------------------- a fhir:StructureDefinition ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "bcr-follow-up-form"] ; # fhir:text [ fhir:status [ fhir:v "extensions" ] ; fhir:div [ fhir:v "

Generated Narrative: StructureDefinition bcr-follow-up-form

#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" bcr-follow-up-form 0..*BaseBCR Follow-Up Form — Bijlage 55 vervolg 3 (Logical Model)
\".\"\".\"\".\" patientName 1..1stringPatient name
\".\"\".\"\".\" birthDate 1..1dateDate of birth
\".\"\".\"\".\" nationalOrInsuranceNumber 1..1stringINSZ / Ziekenfondsnummer
\".\"\".\"\".\" sex 1..1codeSex
Binding: BCR Sex at Birth (required)
\".\"\".\"\".\" primaryTumourLocation 1..1codePrimary tumour localisation
Binding: BCR ICD-O-3 Topography (extensible)
\".\"\".\"\".\" primaryTumourHistology 1..1codePrimary tumour histology
Binding: BCR ICD-O-3 Morphology (extensible)
\".\"\".\"\".\" primaryTumourIncidenceDate 0..1datePrimary tumour incidence date
\".\"\".\"\".\" diseaseFreeInterval 0..1booleanDisease-free interval
\".\"\".\"\".\" firstRecurrenceDate 0..1dateDate of first recurrence
\".\"\".\"\".\" recurrenceType 0..*codeRecurrence type
Binding: BCR Recurrence Type (required)
\".\"\".\"\".\" intendedTreatment 0..*codeIntended treatment
Binding: BCR Intended Treatment Code (required)
\".\"\".\"\".\" intendedOtherTreatment 0..1stringOther intended treatment
\".\"\".\"\".\" followUpMocReason 0..*codeFollow-up MOC reason
Binding: BCR Follow-Up MOC Reason (required)
\".\"\".\"\".\" followUpMocOtherReason 0..1stringOther follow-up MOC reason
\".\"\".\"\".\" coordinator 0..1BackboneElementCoordinating physician
\".\"\".\"\".\"\".\" name 1..1stringName
\".\"\".\"\".\"\".\" rizivNumber 1..1stringRIZIV number
\".\"\".\"\".\"\".\" institution 1..1stringInstitution
\".\"\".\"\".\"\".\" signatureDate 1..1dateSignature date

\"doco\" Documentation for this format
"^^rdf:XMLLiteral ] ] ; # fhir:url [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-follow-up-form"^^xsd:anyURI ; fhir:l ] ; # fhir:version [ fhir:v "0.1.0"] ; # fhir:name [ fhir:v "BCRFollowUpForm"] ; # fhir:title [ fhir:v "BCR Follow-Up Form — Bijlage 55 vervolg 3 (Logical Model)"] ; # fhir:status [ fhir:v "draft"] ; # fhir:experimental [ fhir:v true] ; # fhir:date [ fhir:v "2026-05-04T06:30:16+00:00"^^xsd:dateTime] ; # fhir:publisher [ fhir:v "eHealth Platform Belgium"] ; # fhir:contact ( [ fhir:name [ fhir:v "eHealth Platform Belgium" ] ; fhir:telecom ( [ fhir:system [ fhir:v "url" ] ; fhir:value [ fhir:v "https://www.ehealth.fgov.be" ] ] [ fhir:system [ fhir:v "email" ] ; fhir:value [ fhir:v "info@ehealth.fgov.be" ] ] ) ] ) ; # fhir:description [ fhir:v "Logical model of the cancer registration follow-up form. Submitted to BCR\nat each follow-up MOC or disease event after the initial registration.\nCaptures the primary tumour reference, recurrence information, the planned\ntreatment for the current problem, and the reason for the follow-up MOC.\n\nSource: Bijlage 55 (vervolg 3) of the RIZIV Verordening of 28 July 2003,\namended 15 December 2025."] ; # fhir:jurisdiction ( [ fhir:coding ( [ fhir:system [ fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "BE" ] ; fhir:display [ fhir:v "Belgium" ] ] ) ] ) ; # fhir:fhirVersion [ fhir:v "4.0.1"] ; # fhir:kind [ fhir:v "logical"] ; # fhir:abstract [ fhir:v false] ; # fhir:type [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-follow-up-form"^^xsd:anyURI ; fhir:l ] ; # fhir:baseDefinition [ fhir:v "http://hl7.org/fhir/StructureDefinition/Base"^^xsd:anyURI ; fhir:l ] ; # fhir:derivation [ fhir:v "specialization"] ; # fhir:snapshot [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:String ; fhir:v "4.0.1" ] ] ) ; fhir:element ( [ fhir:id [ fhir:v "bcr-follow-up-form" ] ; fhir:path [ fhir:v "bcr-follow-up-form" ] ; fhir:short [ fhir:v "BCR Follow-Up Form — Bijlage 55 vervolg 3 (Logical Model)" ] ; fhir:definition [ fhir:v "Logical model of the cancer registration follow-up form. Submitted to BCR\nat each follow-up MOC or disease event after the initial registration.\nCaptures the primary tumour reference, recurrence information, the planned\ntreatment for the current problem, and the reason for the follow-up MOC.\n\nSource: Bijlage 55 (vervolg 3) of the RIZIV Verordening of 28 July 2003,\namended 15 December 2025." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Base" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:isModifier [ fhir:v false ] ] [ fhir:id [ fhir:v "bcr-follow-up-form.patientName" ] ; fhir:path [ fhir:v "bcr-follow-up-form.patientName" ] ; fhir:short [ fhir:v "Patient name" ] ; fhir:definition [ fhir:v "Free-text patient name." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "bcr-follow-up-form.patientName" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ] [ fhir:id [ fhir:v "bcr-follow-up-form.birthDate" ] ; fhir:path [ fhir:v "bcr-follow-up-form.birthDate" ] ; fhir:short [ fhir:v "Date of birth" ] ; fhir:definition [ fhir:v "Patient date of birth." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "bcr-follow-up-form.birthDate" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "date"^^xsd:anyURI ; fhir:l fhir:date ] ] ) ] [ fhir:id [ fhir:v "bcr-follow-up-form.nationalOrInsuranceNumber" ] ; fhir:path [ fhir:v "bcr-follow-up-form.nationalOrInsuranceNumber" ] ; fhir:short [ fhir:v "INSZ / Ziekenfondsnummer" ] ; fhir:definition [ fhir:v "Belgian national number (INSZ/NISS) or insurance fund number." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "bcr-follow-up-form.nationalOrInsuranceNumber" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ] [ fhir:id [ fhir:v "bcr-follow-up-form.sex" ] ; fhir:path [ fhir:v "bcr-follow-up-form.sex" ] ; fhir:short [ fhir:v "Sex" ] ; fhir:definition [ fhir:v "Sex of the patient." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "bcr-follow-up-form.sex" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "code"^^xsd:anyURI ; fhir:l fhir:code ] ] ) ; fhir:binding [ fhir:strength [ fhir:v "required" ] ; fhir:valueSet [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/ValueSet/bcr-sex-at-birth-vs"^^xsd:anyURI ; fhir:l ] ] ] [ fhir:id [ fhir:v "bcr-follow-up-form.primaryTumourLocation" ] ; fhir:path [ fhir:v "bcr-follow-up-form.primaryTumourLocation" ] ; fhir:short [ fhir:v "Primary tumour localisation" ] ; fhir:definition [ fhir:v "ICD-O-3 topography of the primary tumour." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "bcr-follow-up-form.primaryTumourLocation" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "code"^^xsd:anyURI ; fhir:l fhir:code ] ] ) ; fhir:binding [ fhir:strength [ fhir:v "extensible" ] ; fhir:valueSet [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/ValueSet/bcr-topography-vs"^^xsd:anyURI ; fhir:l ] ] ] [ fhir:id [ fhir:v "bcr-follow-up-form.primaryTumourHistology" ] ; fhir:path [ fhir:v "bcr-follow-up-form.primaryTumourHistology" ] ; fhir:short [ fhir:v "Primary tumour histology" ] ; fhir:definition [ fhir:v "ICD-O-3 morphology / behaviour of the primary tumour." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "bcr-follow-up-form.primaryTumourHistology" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "code"^^xsd:anyURI ; fhir:l fhir:code ] ] ) ; fhir:binding [ fhir:strength [ fhir:v "extensible" ] ; fhir:valueSet [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/ValueSet/bcr-morphology-vs"^^xsd:anyURI ; fhir:l ] ] ] [ fhir:id [ fhir:v "bcr-follow-up-form.primaryTumourIncidenceDate" ] ; fhir:path [ fhir:v "bcr-follow-up-form.primaryTumourIncidenceDate" ] ; fhir:short [ fhir:v "Primary tumour incidence date" ] ; fhir:definition [ fhir:v "Date of incidence (DD-MM-YYYY). The form notes that *the year alone is sufficient if the full date is not traceable*." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "bcr-follow-up-form.primaryTumourIncidenceDate" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "date"^^xsd:anyURI ; fhir:l fhir:date ] ] ) ] [ fhir:id [ fhir:v "bcr-follow-up-form.diseaseFreeInterval" ] ; fhir:path [ fhir:v "bcr-follow-up-form.diseaseFreeInterval" ] ; fhir:short [ fhir:v "Disease-free interval" ] ; fhir:definition [ fhir:v "Indicates whether a disease-free interval was present (Ja / Nee)." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "bcr-follow-up-form.diseaseFreeInterval" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "boolean"^^xsd:anyURI ; fhir:l fhir:boolean ] ] ) ] [ fhir:id [ fhir:v "bcr-follow-up-form.firstRecurrenceDate" ] ; fhir:path [ fhir:v "bcr-follow-up-form.firstRecurrenceDate" ] ; fhir:short [ fhir:v "Date of first recurrence" ] ; fhir:definition [ fhir:v "Date of first recurrence — recorded only when a disease-free interval was present." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "bcr-follow-up-form.firstRecurrenceDate" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "date"^^xsd:anyURI ; fhir:l fhir:date ] ] ) ] [ fhir:id [ fhir:v "bcr-follow-up-form.recurrenceType" ] ; fhir:path [ fhir:v "bcr-follow-up-form.recurrenceType" ] ; fhir:short [ fhir:v "Recurrence type" ] ; fhir:definition [ fhir:v "Type(s) of recurrence (multiple allowed). Codes: LOCAL, REGIONAL, METASTATIC." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "bcr-follow-up-form.recurrenceType" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "code"^^xsd:anyURI ; fhir:l fhir:code ] ] ) ; fhir:binding [ fhir:strength [ fhir:v "required" ] ; fhir:valueSet [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/ValueSet/bcr-recurrence-type-vs"^^xsd:anyURI ; fhir:l ] ] ] [ fhir:id [ fhir:v "bcr-follow-up-form.intendedTreatment" ] ; fhir:path [ fhir:v "bcr-follow-up-form.intendedTreatment" ] ; fhir:short [ fhir:v "Intended treatment" ] ; fhir:definition [ fhir:v "Intent-to-treat code(s), filled in chronologically. Codes:\n10 = surgery; 15 = bone marrow transplant;\n20 = external radiotherapy / brachytherapy;\n25 = concurrent chemoradiotherapy;\n30 = radio-isotopes;\n40 = chemotherapy; 50 = hormonal therapy; 60 = immunotherapy;\n70 = symptomatic; 80 = other treatment (specify in `intendedOtherTreatment`);\n90 = no therapy; 95 = treatment refusal." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "bcr-follow-up-form.intendedTreatment" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "code"^^xsd:anyURI ; fhir:l fhir:code ] ] ) ; fhir:binding [ fhir:strength [ fhir:v "required" ] ; fhir:valueSet [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/ValueSet/bcr-intended-treatment-vs"^^xsd:anyURI ; fhir:l ] ] ] [ fhir:id [ fhir:v "bcr-follow-up-form.intendedOtherTreatment" ] ; fhir:path [ fhir:v "bcr-follow-up-form.intendedOtherTreatment" ] ; fhir:short [ fhir:v "Other intended treatment" ] ; fhir:definition [ fhir:v "Free-text description of the treatment when code 80 is selected." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "bcr-follow-up-form.intendedOtherTreatment" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ] [ fhir:id [ fhir:v "bcr-follow-up-form.followUpMocReason" ] ; fhir:path [ fhir:v "bcr-follow-up-form.followUpMocReason" ] ; fhir:short [ fhir:v "Follow-up MOC reason" ] ; fhir:definition [ fhir:v "Reason(s) for convening the follow-up MOC. Codes:\nRECURRENCE = treatment of a patient with a recurrence;\nPROGRESSION = treatment of a patient with progressive disease;\nGUIDELINE_DEVIATION = before oncological treatment deviating from accepted guidelines;\nREPEAT_RADIATION = before a repeat irradiation of the same target area within twelve months;\nCTG_DRUG = before chemotherapy with a drug flagged for MOC monitoring by the Commissie Tegemoetkoming Geneesmiddelen;\nOTHER = other (specify in `followUpMocOtherReason`)." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "bcr-follow-up-form.followUpMocReason" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "code"^^xsd:anyURI ; fhir:l fhir:code ] ] ) ; fhir:binding [ fhir:strength [ fhir:v "required" ] ; fhir:valueSet [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/ValueSet/bcr-follow-up-moc-reason-vs"^^xsd:anyURI ; fhir:l ] ] ] [ fhir:id [ fhir:v "bcr-follow-up-form.followUpMocOtherReason" ] ; fhir:path [ fhir:v "bcr-follow-up-form.followUpMocOtherReason" ] ; fhir:short [ fhir:v "Other follow-up MOC reason" ] ; fhir:definition [ fhir:v "Free-text reason when `followUpMocReason` includes OTHER." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "bcr-follow-up-form.followUpMocOtherReason" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ] [ fhir:id [ fhir:v "bcr-follow-up-form.coordinator" ] ; fhir:path [ fhir:v "bcr-follow-up-form.coordinator" ] ; fhir:short [ fhir:v "Coordinating physician" ] ; fhir:definition [ fhir:v "Arts coordinator (signature block)." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "bcr-follow-up-form.coordinator" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "BackboneElement"^^xsd:anyURI ; fhir:l fhir:BackboneElement ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l ] ] ) ] [ fhir:id [ fhir:v "bcr-follow-up-form.coordinator.id" ] ; fhir:path [ fhir:v "bcr-follow-up-form.coordinator.id" ] ; fhir:representation ( [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Url ; fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ; fhir:l ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "bcr-follow-up-form.coordinator.extension" ] ; fhir:path [ fhir:v "bcr-follow-up-form.coordinator.extension" ] ; fhir:slicing [ fhir:discriminator ( [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ; fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ; fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ; fhir:l fhir:Extension ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:l ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "bcr-follow-up-form.coordinator.modifierExtension" ] ; fhir:path [ fhir:v "bcr-follow-up-form.coordinator.modifierExtension" ] ; fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ; fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ; fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ; fhir:requirements [ fhir:v "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ; fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; fhir:type ( [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ; fhir:l fhir:Extension ] ] ) ; fhir:constraint ( [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:l ] ] ) ; fhir:isModifier [ fhir:v true ] ; fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ; fhir:isSummary [ fhir:v true ] ; fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "bcr-follow-up-form.coordinator.name" ] ; fhir:path [ fhir:v "bcr-follow-up-form.coordinator.name" ] ; fhir:short [ fhir:v "Name" ] ; fhir:definition [ fhir:v "Free-text name." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "bcr-follow-up-form.coordinator.name" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ] [ fhir:id [ fhir:v "bcr-follow-up-form.coordinator.rizivNumber" ] ; fhir:path [ fhir:v "bcr-follow-up-form.coordinator.rizivNumber" ] ; fhir:short [ fhir:v "RIZIV number" ] ; fhir:definition [ fhir:v "RIZIV/INAMI identifier." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "bcr-follow-up-form.coordinator.rizivNumber" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ] [ fhir:id [ fhir:v "bcr-follow-up-form.coordinator.institution" ] ; fhir:path [ fhir:v "bcr-follow-up-form.coordinator.institution" ] ; fhir:short [ fhir:v "Institution" ] ; fhir:definition [ fhir:v "Coordinator's institution." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "bcr-follow-up-form.coordinator.institution" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ] [ fhir:id [ fhir:v "bcr-follow-up-form.coordinator.signatureDate" ] ; fhir:path [ fhir:v "bcr-follow-up-form.coordinator.signatureDate" ] ; fhir:short [ fhir:v "Signature date" ] ; fhir:definition [ fhir:v "Date of the coordinator's signature." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "bcr-follow-up-form.coordinator.signatureDate" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; fhir:type ( [ fhir:code [ fhir:v "date"^^xsd:anyURI ; fhir:l fhir:date ] ] ) ] ) ] ; # fhir:differential [ fhir:element ( [ fhir:id [ fhir:v "bcr-follow-up-form" ] ; fhir:path [ fhir:v "bcr-follow-up-form" ] ; fhir:short [ fhir:v "BCR Follow-Up Form — Bijlage 55 vervolg 3 (Logical Model)" ] ; fhir:definition [ fhir:v "Logical model of the cancer registration follow-up form. Submitted to BCR\nat each follow-up MOC or disease event after the initial registration.\nCaptures the primary tumour reference, recurrence information, the planned\ntreatment for the current problem, and the reason for the follow-up MOC.\n\nSource: Bijlage 55 (vervolg 3) of the RIZIV Verordening of 28 July 2003,\namended 15 December 2025." ] ] [ fhir:id [ fhir:v "bcr-follow-up-form.patientName" ] ; fhir:path [ fhir:v "bcr-follow-up-form.patientName" ] ; fhir:short [ fhir:v "Patient name" ] ; fhir:definition [ fhir:v "Free-text patient name." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:type ( [ fhir:code [ fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ] [ fhir:id [ fhir:v "bcr-follow-up-form.birthDate" ] ; fhir:path [ fhir:v "bcr-follow-up-form.birthDate" ] ; fhir:short [ fhir:v "Date of birth" ] ; fhir:definition [ fhir:v "Patient date of birth." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:type ( [ fhir:code [ fhir:v "date"^^xsd:anyURI ; fhir:l fhir:date ] ] ) ] [ fhir:id [ fhir:v "bcr-follow-up-form.nationalOrInsuranceNumber" ] ; fhir:path [ fhir:v "bcr-follow-up-form.nationalOrInsuranceNumber" ] ; fhir:short [ fhir:v "INSZ / Ziekenfondsnummer" ] ; fhir:definition [ fhir:v "Belgian national number (INSZ/NISS) or insurance fund number." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:type ( [ fhir:code [ fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ] [ fhir:id [ fhir:v "bcr-follow-up-form.sex" ] ; fhir:path [ fhir:v "bcr-follow-up-form.sex" ] ; fhir:short [ fhir:v "Sex" ] ; fhir:definition [ fhir:v "Sex of the patient." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:type ( [ fhir:code [ fhir:v "code"^^xsd:anyURI ; fhir:l fhir:code ] ] ) ; fhir:binding [ fhir:strength [ fhir:v "required" ] ; fhir:valueSet [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/ValueSet/bcr-sex-at-birth-vs"^^xsd:anyURI ; fhir:l ] ] ] [ fhir:id [ fhir:v "bcr-follow-up-form.primaryTumourLocation" ] ; fhir:path [ fhir:v "bcr-follow-up-form.primaryTumourLocation" ] ; fhir:short [ fhir:v "Primary tumour localisation" ] ; fhir:definition [ fhir:v "ICD-O-3 topography of the primary tumour." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:type ( [ fhir:code [ fhir:v "code"^^xsd:anyURI ; fhir:l fhir:code ] ] ) ; fhir:binding [ fhir:strength [ fhir:v "extensible" ] ; fhir:valueSet [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/ValueSet/bcr-topography-vs"^^xsd:anyURI ; fhir:l ] ] ] [ fhir:id [ fhir:v "bcr-follow-up-form.primaryTumourHistology" ] ; fhir:path [ fhir:v "bcr-follow-up-form.primaryTumourHistology" ] ; fhir:short [ fhir:v "Primary tumour histology" ] ; fhir:definition [ fhir:v "ICD-O-3 morphology / behaviour of the primary tumour." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:type ( [ fhir:code [ fhir:v "code"^^xsd:anyURI ; fhir:l fhir:code ] ] ) ; fhir:binding [ fhir:strength [ fhir:v "extensible" ] ; fhir:valueSet [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/ValueSet/bcr-morphology-vs"^^xsd:anyURI ; fhir:l ] ] ] [ fhir:id [ fhir:v "bcr-follow-up-form.primaryTumourIncidenceDate" ] ; fhir:path [ fhir:v "bcr-follow-up-form.primaryTumourIncidenceDate" ] ; fhir:short [ fhir:v "Primary tumour incidence date" ] ; fhir:definition [ fhir:v "Date of incidence (DD-MM-YYYY). The form notes that *the year alone is sufficient if the full date is not traceable*." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:type ( [ fhir:code [ fhir:v "date"^^xsd:anyURI ; fhir:l fhir:date ] ] ) ] [ fhir:id [ fhir:v "bcr-follow-up-form.diseaseFreeInterval" ] ; fhir:path [ fhir:v "bcr-follow-up-form.diseaseFreeInterval" ] ; fhir:short [ fhir:v "Disease-free interval" ] ; fhir:definition [ fhir:v "Indicates whether a disease-free interval was present (Ja / Nee)." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:type ( [ fhir:code [ fhir:v "boolean"^^xsd:anyURI ; fhir:l fhir:boolean ] ] ) ] [ fhir:id [ fhir:v "bcr-follow-up-form.firstRecurrenceDate" ] ; fhir:path [ fhir:v "bcr-follow-up-form.firstRecurrenceDate" ] ; fhir:short [ fhir:v "Date of first recurrence" ] ; fhir:definition [ fhir:v "Date of first recurrence — recorded only when a disease-free interval was present." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:type ( [ fhir:code [ fhir:v "date"^^xsd:anyURI ; fhir:l fhir:date ] ] ) ] [ fhir:id [ fhir:v "bcr-follow-up-form.recurrenceType" ] ; fhir:path [ fhir:v "bcr-follow-up-form.recurrenceType" ] ; fhir:short [ fhir:v "Recurrence type" ] ; fhir:definition [ fhir:v "Type(s) of recurrence (multiple allowed). Codes: LOCAL, REGIONAL, METASTATIC." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:type ( [ fhir:code [ fhir:v "code"^^xsd:anyURI ; fhir:l fhir:code ] ] ) ; fhir:binding [ fhir:strength [ fhir:v "required" ] ; fhir:valueSet [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/ValueSet/bcr-recurrence-type-vs"^^xsd:anyURI ; fhir:l ] ] ] [ fhir:id [ fhir:v "bcr-follow-up-form.intendedTreatment" ] ; fhir:path [ fhir:v "bcr-follow-up-form.intendedTreatment" ] ; fhir:short [ fhir:v "Intended treatment" ] ; fhir:definition [ fhir:v "Intent-to-treat code(s), filled in chronologically. Codes:\n10 = surgery; 15 = bone marrow transplant;\n20 = external radiotherapy / brachytherapy;\n25 = concurrent chemoradiotherapy;\n30 = radio-isotopes;\n40 = chemotherapy; 50 = hormonal therapy; 60 = immunotherapy;\n70 = symptomatic; 80 = other treatment (specify in `intendedOtherTreatment`);\n90 = no therapy; 95 = treatment refusal." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:type ( [ fhir:code [ fhir:v "code"^^xsd:anyURI ; fhir:l fhir:code ] ] ) ; fhir:binding [ fhir:strength [ fhir:v "required" ] ; fhir:valueSet [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/ValueSet/bcr-intended-treatment-vs"^^xsd:anyURI ; fhir:l ] ] ] [ fhir:id [ fhir:v "bcr-follow-up-form.intendedOtherTreatment" ] ; fhir:path [ fhir:v "bcr-follow-up-form.intendedOtherTreatment" ] ; fhir:short [ fhir:v "Other intended treatment" ] ; fhir:definition [ fhir:v "Free-text description of the treatment when code 80 is selected." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:type ( [ fhir:code [ fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ] [ fhir:id [ fhir:v "bcr-follow-up-form.followUpMocReason" ] ; fhir:path [ fhir:v "bcr-follow-up-form.followUpMocReason" ] ; fhir:short [ fhir:v "Follow-up MOC reason" ] ; fhir:definition [ fhir:v "Reason(s) for convening the follow-up MOC. Codes:\nRECURRENCE = treatment of a patient with a recurrence;\nPROGRESSION = treatment of a patient with progressive disease;\nGUIDELINE_DEVIATION = before oncological treatment deviating from accepted guidelines;\nREPEAT_RADIATION = before a repeat irradiation of the same target area within twelve months;\nCTG_DRUG = before chemotherapy with a drug flagged for MOC monitoring by the Commissie Tegemoetkoming Geneesmiddelen;\nOTHER = other (specify in `followUpMocOtherReason`)." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:type ( [ fhir:code [ fhir:v "code"^^xsd:anyURI ; fhir:l fhir:code ] ] ) ; fhir:binding [ fhir:strength [ fhir:v "required" ] ; fhir:valueSet [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/ValueSet/bcr-follow-up-moc-reason-vs"^^xsd:anyURI ; fhir:l ] ] ] [ fhir:id [ fhir:v "bcr-follow-up-form.followUpMocOtherReason" ] ; fhir:path [ fhir:v "bcr-follow-up-form.followUpMocOtherReason" ] ; fhir:short [ fhir:v "Other follow-up MOC reason" ] ; fhir:definition [ fhir:v "Free-text reason when `followUpMocReason` includes OTHER." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:type ( [ fhir:code [ fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ] [ fhir:id [ fhir:v "bcr-follow-up-form.coordinator" ] ; fhir:path [ fhir:v "bcr-follow-up-form.coordinator" ] ; fhir:short [ fhir:v "Coordinating physician" ] ; fhir:definition [ fhir:v "Arts coordinator (signature block)." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:type ( [ fhir:code [ fhir:v "BackboneElement"^^xsd:anyURI ; fhir:l fhir:BackboneElement ] ] ) ] [ fhir:id [ fhir:v "bcr-follow-up-form.coordinator.name" ] ; fhir:path [ fhir:v "bcr-follow-up-form.coordinator.name" ] ; fhir:short [ fhir:v "Name" ] ; fhir:definition [ fhir:v "Free-text name." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:type ( [ fhir:code [ fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ] [ fhir:id [ fhir:v "bcr-follow-up-form.coordinator.rizivNumber" ] ; fhir:path [ fhir:v "bcr-follow-up-form.coordinator.rizivNumber" ] ; fhir:short [ fhir:v "RIZIV number" ] ; fhir:definition [ fhir:v "RIZIV/INAMI identifier." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:type ( [ fhir:code [ fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ] [ fhir:id [ fhir:v "bcr-follow-up-form.coordinator.institution" ] ; fhir:path [ fhir:v "bcr-follow-up-form.coordinator.institution" ] ; fhir:short [ fhir:v "Institution" ] ; fhir:definition [ fhir:v "Coordinator's institution." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:type ( [ fhir:code [ fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ] [ fhir:id [ fhir:v "bcr-follow-up-form.coordinator.signatureDate" ] ; fhir:path [ fhir:v "bcr-follow-up-form.coordinator.signatureDate" ] ; fhir:short [ fhir:v "Signature date" ] ; fhir:definition [ fhir:v "Date of the coordinator's signature." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:type ( [ fhir:code [ fhir:v "date"^^xsd:anyURI ; fhir:l fhir:date ] ] ) ] ) ] . # # -------------------------------------------------------------------------------------