{ "id": "fhir", "url": "/fhir/", "md_url": "/fhir.md", "json_url": "/fhir.json", "claims_url": "/fhir/beweringen/", "type": { "code": "Specification", "label": "Standaard of specificatie" }, "schema_type": "CreativeWork", "title": "HL7 FHIR", "aliases": [ "FHIR", "Fast Healthcare Interoperability Resources", "HL7 FHIR R4" ], "names": { "nl": "HL7 FHIR", "fr": "HL7 FHIR", "en": "HL7 FHIR (Fast Healthcare Interoperability Resources)", "de": "HL7 FHIR" }, "jurisdiction": [ { "code": "internationaal", "label": "Internationaal" }, { "code": "belgie", "label": "België (federaal/interfederaal)" } ], "themes": [ { "code": "architectuur-en-infrastructuur", "label": "Architectuur en infrastructuur" } ], "lifecycle": { "code": "normatief", "label": "normatief" }, "lifecycle_note_html": "Internationaal is R5 de huidige gepubliceerde versie (STU) en R6 in ballot; Belgische IG's zijn gebaseerd op R4 (4.0.1) en in productie voor o.a. Vitalink-immunisaties.", "version": "R5 (5.0.0) internationaal; R4 (4.0.1) in België", "vendor": null, "sectors": [], "homologations": [], "summary_text": "HL7 FHIR is de internationale standaard van HL7 voor de uitwisseling van zorggegevens via resources en REST-API's. Internationaal is R5 (5.0.0) de huidige gepubliceerde versie en is R6 in ballot; volgens hun package-lists steunen alle Belgische IG's op het eHealth-portaal op R4 (4.0.1). Sinds het actieplan e-Gezondheid 2019-2021 is FHIR de Belgische voorkeursstandaard voor nieuwe stromen. Volgens de RIZIV-planning (2026) zullen nieuwe en aangepaste uitwisselingen binnen BIHR vanaf 2028 via FHIR verlopen; KMEHR wordt geleidelijk vervangen en zou volgens een RIZIV-presentatie (maart 2026) read-only worden op 'Point T' (12 maanden na de laatste patient summary CareSet). Dat is planning, geen regelgeving. Binnen BIHR levert FHIR de syntax; CareSets, ValueSets en bindings leveren de semantiek.", "summary_html": "

HL7 FHIR is de internationale standaard van HL7 voor de uitwisseling van zorggegevens via resources en REST-API's. Internationaal is R5 (5.0.0) de huidige gepubliceerde versie en is R6 in ballot; volgens hun package-lists steunen alle Belgische IG's op het eHealth-portaal op R4 (4.0.1). Sinds het actieplan e-Gezondheid 2019-2021 is FHIR de Belgische voorkeursstandaard voor nieuwe stromen. Volgens de RIZIV-planning (2026) zullen nieuwe en aangepaste uitwisselingen binnen BIHR vanaf 2028 via FHIR verlopen; KMEHR wordt geleidelijk vervangen en zou volgens een RIZIV-presentatie (maart 2026) read-only worden op 'Point T' (12 maanden na de laatste patient summary CareSet). Dat is planning, geen regelgeving. Binnen BIHR levert FHIR de syntax; CareSets, ValueSets en bindings leveren de semantiek.

", "last_verified": "2026-09-26", "verification_outdated": false, "sections": [ { "id": "wat-is-het", "title": "Wat is het?", "kind": "tekst", "html": "

HL7 FHIR (Fast Healthcare Interoperability Resources) is een standaard van de internationale HL7-organisatie voor het uitwisselen van zorginformatie, opgebouwd uit resources: kleine, identificeerbare blokjes informatie (zoals 'patiënt') die in verschillende contexten bruikbaar zijn[1]. Deze pagina is bewust kort; de Belgische profielen staan op Belgische FHIR-implementatiegidsen.

" }, { "id": "welk-probleem-lost-het-op", "title": "Welk probleem lost het op?", "kind": "tekst", "html": "

In België moet FHIR de moderne opvolger worden van KMEHR: nieuwe gegevensstromen gebruiken bij voorkeur FHIR en nieuwe interfaces bij voorkeur FHIR REST[2]. Het RIZIV benadrukt dat voldoen aan internationale FHIR-normen alleen niet volstaat: systemen moeten ook dezelfde nationale afspraken gebruiken (terminologieserver, ValueSets, CareSets)[3]. In de BIHR-architectuurprincipes (maart 2026) is die taakverdeling expliciet: FHIR regelt de syntax van de uitwisseling, CareSets, ValueSets en bindings regelen de semantiek[4]. FHIR-compliance alleen maakt data dus niet interoperabel; daarvoor is conformiteit met gedeelde profielen en afspraken nodig[4].

" }, { "id": "beheer-versies-en-status", "title": "Beheer, versies en status", "kind": "tekst", "html": "\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
VersieStatus (per 25/09/2026)Belgisch gebruik
R4 (4.0.1)basis van de actuele Belgische IG's volgens hun package-lists (bv. BE Core, BE Medication)[5][6]in productie (o.a. Vitalink FHIR)[7]
R4Bhet BE Medication-IG is ongewijzigd bruikbaar met R4B-systemen[8]R4- en R4B-pakketten voor BE Medication; voor andere IG's niet nagegaan
R5 (5.0.0)'current published version', STU[9]geen Belgische R5-IG gevonden; BE Medication gebruikt het pakket met R5-elementen in R4 (hl7.fhir.uv.xver-r5.r4)[8]
R6eerste volledige ballot[10]; nog niet gepubliceerd[9]niet van toepassing
\n

Publicatiedatum, ingangsdatum en technische versie verschillen: 'R4' is de release, 4.0.1 de technische versie die in de package-lists van de Belgische IG's staat[5]; de volledige lijst per IG staat op Belgische FHIR-implementatiegidsen. De Belgische profielen worden uitgewerkt in werkgroepen van HL7 Belgium[11], de Belgische affiliate van HL7 International, erkend in april 2020[12].

" }, { "id": "belgische-toepassing", "title": "Belgische toepassing", "kind": "tekst", "html": "\n

KMEHR→FHIR-transitie in het kort

\n

De overgang is geleidelijk: bestaande stromen worden aangemoedigd te migreren, 'best effort'[13], en een 'big bang' is volgens het eHealth-platform niet mogelijk[2]. KMEHR-stromen blijven binnen BIHR als alleen-lezen ondersteund[3]. Volgens een RIZIV-presentatie (maart 2026, planning) wordt FHIR operationeel en KMEHR read-only bij een gecoördineerde omschakeling; op de slide staat 'Point T = 12 maanden na de publicatie van de laatste patient summary CareSet' als voetregel bij die stap[20]. Of Point T voor alle stromen geldt of enkel voor de patient summary, is niet gespecificeerd. Het digitaal verwijsvoorschrift (eReferral) heeft een gepubliceerde FHIR-CareSet, Digital Referral Prescription (DRP); interpretatie: omdat de bron geen KMEHR-variant vermeldt, lijkt deze stroom van papier rechtstreeks naar FHIR te gaan, zonder KMEHR-tussenstap[21]. Details en open punten staan op KMEHR; de planning per gegevensstroom staat op BIHR (Belgian Integrated Health Record).

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FHIR-toegang tot Vitalink vraagt REST, I.AM Connect[7] en pseudonimisering via het eHealth-platform[7]. Publicatie als federale standaard houdt niet automatisch een wettelijke verplichting in om die meteen te implementeren[11]. Een omzetting zonder betere codering levert weinig op[2]; voor gecodeerde profielen is SNOMED CT de voorkeurscodering[25].

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Er werd geen Belgische IG op R5/R6 gevonden.", "Wanneer wordt R6 gepubliceerd?", "Bieden de ziekenhuishubs (CoZo, VZN) al FHIR-endpoints of FHIR-documenten aan?", "De publicatiedatum en normatieve status van R4 (4.0.1) konden niet via een geverifieerd citaat bevestigd worden.", "Zijn alle Belgische IG's, zoals BE Medication, ook met R4B bruikbaar en als R4B-pakket beschikbaar?", "Wanneer schrijven ziekenhuizen effectief (productie) vaccinaties in Vitalink via Vaccinnet 2.0?" ], "open_questions": [ { "id": "oq-64c282", "html": "Is er een Belgisch plan om van R4 naar R5 of R6 over te stappen? Er werd geen Belgische IG op R5/R6 gevonden.", "text": "Is er een Belgisch plan om van R4 naar R5 of R6 over te stappen? Er werd geen Belgische IG op R5/R6 gevonden." }, { "id": "oq-c87fe4", "html": "Wanneer wordt R6 gepubliceerd?", "text": "Wanneer wordt R6 gepubliceerd?" }, { "id": "oq-1de5a6", "html": "Bieden de ziekenhuishubs (CoZo, VZN) al FHIR-endpoints of FHIR-documenten aan?", "text": "Bieden de ziekenhuishubs (CoZo, VZN) al FHIR-endpoints of FHIR-documenten aan?" }, { "id": "oq-9c8d6f", "html": "De publicatiedatum en normatieve status van R4 (4.0.1) konden niet via een geverifieerd citaat bevestigd worden.", "text": "De publicatiedatum en normatieve status van R4 (4.0.1) konden niet via een geverifieerd citaat bevestigd worden." }, { "id": "oq-8e90a7", "html": "Zijn alle Belgische IG's, zoals BE Medication, ook met R4B bruikbaar en als R4B-pakket beschikbaar?", "text": "Zijn alle Belgische IG's, zoals BE Medication, ook met R4B bruikbaar en als R4B-pakket beschikbaar?" }, { "id": "oq-7391c1", "html": "Wanneer schrijven ziekenhuizen effectief (productie) vaccinaties in Vitalink via Vaccinnet 2.0?", "text": "Wanneer schrijven ziekenhuizen effectief (productie) vaccinaties in Vitalink via Vaccinnet 2.0?" } ], "exchanges": [ "ziekenhuis-vitalink-vaccinnet-schrijven", "hub-vitalink-vaccinnet-onderbroken", "ziekenhuis-eu-myhealth-patientsummary", "zh-telemonitoring-order-tmp", "telemonitoring-resultaten-tmp-epd", "voorschrijver-uhmep-thuisverpleging", "voorschrijver-uhmep-radiologie", "voorschrijver-recip-e-fhir", "zh-healthdata-registers", "patient-summary-kluizen-ncpeh", "labo-digirelab-huisarts", "zh-epd-vitalink-immunisaties", "apotheek-recipe-afleveren", "apotheek-vaccinnet-registratie", "ziekenhuisapotheek-recipe", "ha-vaccinaties-vitalink-fhir", "ha-pss-antimicrobieel", "ha-ereferral-radiologie", "zh-vitalink-kluis", "zh-ereferral-thuisverpleging", "klinisch-labo-kankerregister-hpv-fhir", "epd-vitalink-vaccinaties-fhir", "zh-telemonitoring-hubs-gepland", "labo-arts-fhir-ehealthbox", "digirelab-fase3-fhir-api", "labo-labo-aanvraag", "workflower-vaccinnet-immunisaties", "alivia-zorgplan-delen", "vaccicard-registratie", "fhir-at-vaults-allergie", "ziekenhuis-uhmep-thuisverpleging", "zorgverlener-uhmep-zorgvoorstel", "labo-labo-aanvraag-fhir", "aanvrager-labo-order-onaddressed-fhir", "agoria-fhirathon-2024-vitalink-screening-test", "labo-labo-onderaanneming-aanvraag", "huisarts-labo-verwijsvoorschrift-riziv-tool", "tc-snomed-editie-naar-epd-leveranciers", "interkluizen-vitalink-rsw-fhir-test", "vaccinator-vaccicard-kluis", "vaccicard-vaccinnet-intervault", "kluis-kluis-patient-health-record", "zh-vaccicard-registratie", "tandarts-kluis-caresets-gepland", "hub-vitalink-fhir-interhub", "kluis-ncpeh-patientsamenvatting-omzetting", "cvko-vitalink-screenings-fhir", "shift-ziekenhuis-cozo-fhir-allergie-probleem", "e17-ziekenhuis-netwerk-fhir-benchmark", "cozo-digirelab-labo-loinc-fhir", "be-patient-problemlist-zh-zh" ], "sources": [ { "n": 1, "id": "SRC-e8d2c7c6db", "title": "Evoluties (HL7 FHIR)", "publisher": "Vitalink (Departement Zorg)", "url": "https://www.vitalink.be/hl7-fhir", "published": null, "first_retrieved": "2026-09-25T20:19:00+00:00", "last_checked": "2026-09-26T05:57:37+00:00", "content_sha256": "36e1414cda0b19bf099dfbf4a16cae8a82505299d4f0aa8f0e000813050b3a1b", "link_unreachable_since": null }, { "n": 2, "id": "SRC-bd069bf1c8", "title": "eHealth Platform Standards - 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Medication profiles (hl7.fhir.be.medication)", "publisher": "eHealth-platform", "url": "https://www.ehealth.fgov.be/standards/fhir/medication/package-list.json", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-92ad2e3a", "statement": "De Vitalink FHIR-omgeving werd in productie genomen (bericht van 22 maart 2024) en staat naast de bestaande KMEHR-omgeving.", "kind": "fact", "kind_label": "feit", "locator": "nieuwsbericht", "as_of": "2026-09-25", "source": { "id": "SRC-a7e3a494e9", "title": "Nieuwe FHIR-omgeving van Vitalink in productie!", "publisher": "Vitalink (Departement Zorg)", "url": "https://www.vitalink.be/nieuwe-fhir-omgeving-van-vitalink-in-productie", "published": "2024-03-22" }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-d95568f5", "statement": "Het BE Medication-IG is een R4-IG die ongewijzigd met R4B-systemen bruikbaar is; er zijn pakketten voor R4 (hl7.fhir.be.medication.r4) en R4B (hl7.fhir.be.medication.r4b).", "kind": "fact", "kind_label": "feit", "locator": "sectie Cross Version Analysis", "as_of": "2026-09-25", "source": { "id": "SRC-c0c4b77571", "title": "BE Medication - Home", "publisher": "eHealth-platform", "url": "https://www.ehealth.fgov.be/standards/fhir/medication/en/index.html", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-c08cfb56", "statement": "Op de hoofdpagina hl7.org/fhir is R5 (v5.0.0) op 2026-09-25 nog steeds 'the current published version'; R6 is nog niet gepubliceerd.", "kind": "fact", "kind_label": "feit", "locator": "publish-box", "as_of": "2026-09-25", "source": { "id": "SRC-fa695bcc37", "title": "FHIR - current published version", "publisher": "HL7 International", "url": "https://hl7.org/fhir/index.html", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-d3467d6f", "statement": "Het BE Medication-IG heeft als afhankelijkheid het pakket 'Extensions for Using Data Elements from FHIR R5 in FHIR R4' (hl7.fhir.uv.xver-r5.r4#0.1.0).", "kind": "fact", "kind_label": "feit", "locator": "sectie Dependencies (pakketlijst)", "as_of": "2026-09-25", "source": { "id": "SRC-c0c4b77571", "title": "BE Medication - Home", "publisher": "eHealth-platform", "url": "https://www.ehealth.fgov.be/standards/fhir/medication/en/index.html", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-896be605", "statement": "De FHIR CI-build (build.fhir.org) is de ballotversie van R6; R6 bevindt zich dus in ballot/ontwerpfase.", "kind": "fact", "kind_label": "feit", "locator": "homepage", "as_of": "2026-09-25", "source": { "id": "SRC-517ce16ead", "title": "FHIR CI build (R6 ballot)", "publisher": "HL7 International", "url": "https://build.fhir.org/index.html", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-cef569f6", "statement": "In stap 3.2 van de governance werken HL7 Belgium-werkgroepen het datamodel en de FHIR-profielen uit.", "kind": "fact", "kind_label": "feit", "locator": "Step 3.2", "as_of": "2026-09-25", "source": { "id": "SRC-f0063a5aab", "title": "HL7 FHIR Governance", "publisher": "eHealth-platform", "url": "https://www.ehealth.fgov.be/standards/kmehr/en/page/hl7-fhir-governance", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-6070feb3", "statement": "HL7 Belgium is de Belgische affiliate van HL7 International, opgericht in juni 2019 en erkend in april 2020.", "kind": "fact", "kind_label": "feit", "locator": "pagina HL7 Belgium", "as_of": "2026-09-25", "source": { "id": "SRC-5d260b906d", "title": "HL7 Belgium", "publisher": "Agoria", "url": "https://www.agoria.be/en/hl7-belgium", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-d8df5bbc", "statement": "De programmaraad van het actieplan besliste ook dat elke RIZIV 'careset'-initiatief (cluster 4.1) moet vertrekken van FHIR-resources.", "kind": "fact", "kind_label": "feit", "locator": "p. 2, sectie 1", "as_of": "2026-09-25", "source": { "id": "SRC-e58cf74e18", "title": "Vision statement HL7 FHIR (v1.0)", "publisher": "eHealth-platform", "url": "https://www.ehealth.fgov.be/standards/file/cc73d96153bbd5448a56f19d925d05b1379c7f21/9bc394df52bbcd7e78f7bb8bba70a6aac50e088f/visionstatementhl7fhir-1-0.pdf", "published": "2019-05-28" }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-fe2f5639", "statement": "FHIR wordt de standaard voor data-uitwisseling in BIHR, conform Belgische profielen; bestaande KMEHR-stromen blijven ondersteund als alleen-lezen, nieuwe en aangepaste uitwisselingen verlopen vanaf 2028 via FHIR.", "kind": "fact", "kind_label": "feit", "locator": "sectie 'FHIR wordt de standaard voor data-uitwisseling'", "as_of": "2026-09-25", "source": { "id": "SRC-bedb8ce40f", "title": "Het BIHR (Belgian Integrated Health Record)", "publisher": "RIZIV", "url": "https://www.riziv.fgov.be/nl/thema-s/egezondheid/het-bihr-belgian-integrated-health-record", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-43dc8f12", "statement": "Het eHealth-platform publiceert, wanneer nodig, specifieke FHIR-profielen en implementatiegidsen voor federale initiatieven op ehealth.fgov.be/standards/fhir.", "kind": "fact", "kind_label": "feit", "locator": "intro 'FHIR profiles'", "as_of": "2026-09-25", "source": { "id": "SRC-8aef25830b", "title": "eHealth Standard FHIR - FHIR Implementation Guides", "publisher": "eHealth-platform", "url": "https://www.ehealth.fgov.be/standards/fhir/", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-082c27f3", "statement": "Het principe voor BE-profielen is FHIR zo dicht mogelijk bij de basisstandaard van HL7 te gebruiken; het eHealth-platform focust enkel op Belgische nuances.", "kind": "fact", "kind_label": "feit", "locator": "Home", "as_of": "2026-09-25", "source": { "id": "SRC-a9762c4416", "title": "BE Core - Home", "publisher": "eHealth-platform", "url": "https://www.ehealth.fgov.be/standards/fhir/core/en/index.html", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-997a673f", "statement": "Het belangrijkste datatype dat momenteel via Vitalink FHIR wordt gedeeld, is immunisaties (consulteren en registreren); ook de kankerscreenings van het CVKO lopen via FHIR.", "kind": "fact", "kind_label": "feit", "locator": "inleiding", "as_of": "2026-09-25", "source": { "id": "SRC-e5af37d898", "title": "Is mijn pakket klaar voor Vitalink FHIR?", "publisher": "Vitalink (Departement Zorg)", "url": "https://www.vitalink.be/is-mijn-pakket-klaar-voor-vaccinnet-2026", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-928cba95", "statement": "Vaccinnet 2.0 gebruikt Vitalink als authentieke bron, de FHIR-standaard, I.AM Connect en eHealth-diensten zoals pseudonimisatie; bestaande KMEHR-koppelingen bleven beschikbaar tot de definitieve uitrol.", "kind": "fact", "kind_label": "feit", "locator": "sectie 'Overstap naar Vaccinnet 2.0'", "as_of": "2026-09-25", "source": { "id": "SRC-401473d268", "title": "Vaccinnet integreren in uw softwarepakket", "publisher": "Departement Zorg", "url": "https://www.zorg-en-gezondheid.be/per-domein/infectieziekten-en-vaccinaties/vaccinaties/vaccinnet/vaccinnet-integreren-in-uw-softwarepakket", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-28461123", "statement": "De drie regionale kluizen (Vitalink, Abrumet, RSW) publiceerden een gemeenschappelijk FHIR-cookbook, waarvan de eerste versie focust op allergieën/intoleranties met het BeAllergyIntolerance-profiel.", "kind": "fact", "kind_label": "feit", "locator": "Nederlandstalige tekst", "as_of": "2026-09-25", "source": { "id": "SRC-9d60511150", "title": "FHIR@Vaults - Cookbook", "publisher": "Vitalink, Abrumet, Réseau Santé Wallon", "url": "https://www.ehealth.fgov.be/standards/fhir/fhir-at-vaults.html", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-a9869ada", "statement": "Voor 2026-2027 plant het RIZIV (VIDIS) consolidatie, interoperabiliteit en FHIR-implementatie: het ondersteunt Vitalink, RSW en RSB en softwareleveranciers bij de implementatie van FHIR voor medicatiegegevens.", "kind": "fact", "kind_label": "feit", "locator": "sectie planning 2026-2027", "as_of": "2026-09-25", "source": { "id": "SRC-f3fd038b2f", "title": "VIDIS: elektronisch delen van gegevens over geneesmiddelen", "publisher": "RIZIV", "url": "https://www.riziv.fgov.be/nl/thema-s/egezondheid/vidis-elektronisch-delen-van-gegevens-over-geneesmiddelen", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-5336eccc", "statement": "Bestaande gegevensstromen worden aangemoedigd om in toekomstige iteraties naar FHIR te migreren of uit te breiden; migratie van eHealth-basisdiensten naar FHIR is iteratief, geleidelijk en 'best effort'.", "kind": "fact", "kind_label": "feit", "locator": "p. 6, secties 5.4-5.5", "as_of": "2026-09-25", "source": { "id": "SRC-e58cf74e18", "title": "Vision statement HL7 FHIR (v1.0)", "publisher": "eHealth-platform", "url": "https://www.ehealth.fgov.be/standards/file/cc73d96153bbd5448a56f19d925d05b1379c7f21/9bc394df52bbcd7e78f7bb8bba70a6aac50e088f/visionstatementhl7fhir-1-0.pdf", "published": "2019-05-28" }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-a095d109", "statement": "Het eHealth-platform stelt dat een omzetting van KMEHR-stromen naar FHIR zonder extra inspanning op codering en structurering weinig meerwaarde biedt, en dat een 'big bang'-scenario niet mogelijk is.", "kind": "fact", "kind_label": "feit", "locator": "sectie 'concerning FHIR'", "as_of": "2026-09-25", "source": { "id": "SRC-bd069bf1c8", "title": "eHealth Platform Standards - Home (KMEHR)", "publisher": "eHealth-platform", "url": "https://www.ehealth.fgov.be/standards/kmehr/en", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-cf2c01cc", "statement": "De overgang van KMEHR naar FHIR verloopt volgens drie stappen: publicatie van de CareSets, een periode waarin gezondheidskluizen, softwareleveranciers en connectoren voorbereiden en testen, en tot slot een gecoördineerde omschakeling waarbij FHIR operationeel wordt en KMEHR read-only.", "kind": "fact", "kind_label": "feit", "locator": "p. 9, sectie 'KMEHR → FHIR'", "as_of": "2026-09-26", "source": { "id": "SRC-c1669f1de8", "title": "BIHR: A general introduction", "publisher": "RIZIV/INAMI", "url": "https://www.riziv.fgov.be/SiteCollectionDocuments/BIHR%20-%20A%20general%20introduction.pdf", "published": "2026-03-01" }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-b2b9a88a", "statement": "De BIHR-presentatie definieert 'Point T' als 12 maanden na de publicatie van de laatste patient summary CareSet. Dat Point T het moment van de gecoördineerde omschakeling is (FHIR operationeel, KMEHR read-only), volgt vermoedelijk uit de opmaak van de dia en staat er niet letterlijk.", "kind": "fact", "kind_label": "feit", "locator": "p. 9, sectie 'KMEHR → FHIR'", "as_of": "2026-09-26", "source": { "id": "SRC-c1669f1de8", "title": "BIHR: A general introduction", "publisher": "RIZIV/INAMI", "url": "https://www.riziv.fgov.be/SiteCollectionDocuments/BIHR%20-%20A%20general%20introduction.pdf", "published": "2026-03-01" }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-b1f6f2a9", "statement": "Het digitaal verwijsvoorschrift heeft een gepubliceerde CareSet, \"Digital Referral Prescription (DRP)\". De bron vermeldt KMEHR niet; dat de stroom rechtstreeks naar FHIR gaat zonder KMEHR-tussenstap, is een eigen afleiding.", "kind": "interpretation", "kind_label": "interpretatie", "locator": "sectie 'CareSet \"Digital Referral Prescription (DRP)\"'", "as_of": "2026-09-26", "source": { "id": "SRC-b4f8ecf2f8", "title": "Overzicht van gepubliceerde CareSets | RIZIV", "publisher": "RIZIV", "url": "https://www.riziv.fgov.be/nl/thema-s/egezondheid/besafeshare-multidisciplinaire-elektronische-gegevensuitwisseling-tussen-zorgverleners-en-patienten/overzicht-van-gepubliceerde-caresets", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-a5ca6e6c", "statement": "Met Vaccinnet 2.0 (Vitalink FHIR) zullen ziekenhuizen voor het eerst ook gegevens schrijven in Vitalink.", "kind": "fact", "kind_label": "feit", "locator": "p. 3", "as_of": "2026-09-25", "source": { "id": "SRC-a3b502aed4", "title": "Schriftelijke vraag nr. 327 van 5 februari 2025 (I. De Reuse) en antwoord van minister C. Gennez - Zorgvoorzieningen: optimalisatie digitale gegevensverzameling", "publisher": "Vlaams Parlement", "url": "https://docs.vlaamsparlement.be/files/pfile?id=2130188", "published": "2025-02-05" }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-47a33eb7", "statement": "Ziekenhuizen konden (begin 2025) Vitalink enkel raadplegen en er zelf nog geen gegevens in toevoegen of bijwerken.", "kind": "fact", "kind_label": "feit", "locator": "p. 2, antwoord vraag 1", "as_of": "2026-09-25", "source": { "id": "SRC-a3b502aed4", "title": "Schriftelijke vraag nr. 327 van 5 februari 2025 (I. De Reuse) en antwoord van minister C. Gennez - Zorgvoorzieningen: optimalisatie digitale gegevensverzameling", "publisher": "Vlaams Parlement", "url": "https://docs.vlaamsparlement.be/files/pfile?id=2130188", "published": "2025-02-05" }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-d273f1e7", "statement": "Op de derde BE FHIR-A-THON (september 2025) werkten 14 integratoren, waaronder ziekenhuizen, aan Immunisation in Vitalink@FHIR; KU Leuven en ChipSoft kregen een prijs voor hun implementatie.", "kind": "fact", "kind_label": "feit", "locator": "nieuwsbericht 25/09/2025", "as_of": "2026-09-25", "source": { "id": "SRC-44b54c9b7b", "title": "BE FHIR-A-THON helpt integratoren op weg met Immunisation in Vitalink@FHIR", "publisher": "Vitalink (Departement Zorg)", "url": "https://www.vitalink.be/be-fhir-a-thon-helpt-integratoren-op-weg-met-immunisation-in-vitalinkfhir", "published": "2025-09-25" }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-03ddaa02", "statement": "Vanaf 2028 moeten EPD-systemen de informatie uit de logische datamodellen van de CareSets kunnen bevatten zodat die via FHIR uitgewisseld kan worden.", "kind": "fact", "kind_label": "feit", "locator": "sectie 'Tijdslijn'", "as_of": "2026-09-25", "source": { "id": "SRC-bedb8ce40f", "title": "Het BIHR (Belgian Integrated Health Record)", "publisher": "RIZIV", "url": "https://www.riziv.fgov.be/nl/thema-s/egezondheid/het-bihr-belgian-integrated-health-record", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-09a947f1", "statement": "Tijdlijn: tegen eind 2026 publiceert BeSafeShare de CareSets voor de patient summary; kluizen krijgen 9 maanden, softwareontwikkelaars 12 maanden om te implementeren; vanaf 2028 productiegebruik.", "kind": "fact", "kind_label": "feit", "locator": "sectie 'Tijdslijn'", "as_of": "2026-09-25", "source": { "id": "SRC-bedb8ce40f", "title": "Het BIHR (Belgian Integrated Health Record)", "publisher": "RIZIV", "url": "https://www.riziv.fgov.be/nl/thema-s/egezondheid/het-bihr-belgian-integrated-health-record", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-a7dfce08", "statement": "Voorwaarde d): andere elektronische gezondheidsgegevens worden via hubs-metahub gedeeld in een herbruikbare vorm (Caresets, FHIR, SNOMED CT).", "kind": "fact", "kind_label": "feit", "locator": "art. 17 (art. 61 § 2, 2°, d)", "as_of": "2026-09-25", "source": { "id": "SRC-c2bc38d00b", "title": "Koninklijk besluit van 10 april 2025 tot wijziging van het koninklijk besluit van 25 april 2002 betreffende de vaststelling en de vereffening van het budget van financiële middelen van de ziekenhuizen", "publisher": "Belgisch Staatsblad (spiegel etaamb.openjustice.be)", "url": "https://etaamb.openjustice.be/nl/koninklijk-besluit-van-10-april-2025_n2025003147.html", "published": "2025-04-23" }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-649c5a78", "statement": "In de Vitalink FHIR-omgeving worden persoonsgegevens gepseudonimiseerd via de pseudonimisatieservice van het eHealth-platform.", "kind": "fact", "kind_label": "feit", "locator": "nieuwsbericht, alinea 4", "as_of": "2026-09-25", "source": { "id": "SRC-a7e3a494e9", "title": "Nieuwe FHIR-omgeving van Vitalink in productie!", "publisher": "Vitalink (Departement Zorg)", "url": "https://www.vitalink.be/nieuwe-fhir-omgeving-van-vitalink-in-productie", "published": "2024-03-22" }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-8d037c52", "statement": "Publicatie als federale standaard houdt niet automatisch een wettelijke verplichting in om die meteen te implementeren.", "kind": "fact", "kind_label": "feit", "locator": "Step 5.2", "as_of": "2026-09-25", "source": { "id": "SRC-f0063a5aab", "title": "HL7 FHIR Governance", "publisher": "eHealth-platform", "url": "https://www.ehealth.fgov.be/standards/kmehr/en/page/hl7-fhir-governance", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-530b635f", "statement": "Volgens de guidance van de federale FHIR-profielen (Federal Core Profiles v2.1.1) van het eHealth-platform is SNOMED CT de voorkeurscodering in de Belgische context, ondersteund door de FOD Volksgezondheid.", "kind": "fact", "kind_label": "feit", "locator": "sectie SNOMED-CT", "as_of": "2026-09-25", "source": { "id": "SRC-4688612825", "title": "Guidance - eHealth Platform Federal Core Profiles v2.1.1", "publisher": "eHealth-platform", "url": "https://www.ehealth.fgov.be/standards/fhir/core/2.1.1/guidance.html", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-6cdea765", "statement": "Het eHealth-platform formuleert FHIR als voorkeursstandaard: nieuwe gegevensstromen gebruiken 'bij voorkeur' FHIR; dit is een beleidsvoorkeur, geen reglementaire verplichting.", "kind": "fact", "kind_label": "feit", "locator": "pagina 'About FHIR'", "as_of": "2026-10-01", "source": { "id": "SRC-ff53eb8437", "title": "About FHIR", "publisher": "eHealth-platform", "url": "https://www.ehealth.fgov.be/standards/fhir/about-fhir.html", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-c1cf8ed1", "statement": "Amaron (leverancier) stelt dat de migratie van KMEHR naar FHIR en de compliance met SNOMED CT al reglementair vastgelegd zijn en snel veralgemeend verplicht worden; het artikel noemt geen wettekst, KB of besluit.", "kind": "vendor-claim", "kind_label": "leveranciersclaim", "locator": "sectie 'Starten met FHIR?'", "as_of": "2026-10-01", "source": { "id": "SRC-66386423aa", "title": "BIHR zet in op co-creatie, toegankelijkheid en hergebruik van gegevens - Amaron", "publisher": "Amaron", "url": "https://amaron.be/bihr-zet-in-op-co-creatie-toegankelijkheid-en-hergebruik-van-gegevens/", "published": "2026-09-23" }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-2aed3b3d", "statement": "De BMUC-kernfunctionaliteit 'Interactie met e-Health' telt onder meer de ontvangst van laboratoriumresultaten in FHIR-structuur en LOINC-gecodeerd als een dienst die 'in gebruik' moet zijn. Daarmee is FHIR voor labresultaten een meetindicator in de financieringsregeling, geen algemene plicht.", "kind": "fact", "kind_label": "feit", "locator": "bijlage 19, deel 3 'Teller en Noemer Kernfunctionaliteiten', nr. 10", "as_of": "2026-10-01", "source": { "id": "SRC-929399ed0e", "title": "10 april 2025. - Koninklijk besluit tot wijziging van het koninklijk besluit van 25 april 2002 betreffende de vaststelling en de vereffening van het budget van financiële middelen van de ziekenhuizen (Belgisch Staatsblad 23/04/2025, numac 2025003147)", "publisher": "FOD Volksgezondheid, Veiligheid van de Voedselketen en Leefmilieu (Belgisch Staatsblad)", "url": "https://www.ejustice.just.fgov.be/cgi/article.pl?language=nl&pd_search=2025-04-23&numac_search=2025003147&lg_txt=N&caller=list&page=1", "published": "2025-04-23" }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-98479f56", "statement": "Het nationaal akkoord tandheelkundigen-ziekenfondsen 2026-2027 (gepubliceerd in het Staatsblad) koppelt de homologatie van tandheelkundige software, af te ronden tegen eind 2026, aan functies zoals het medicatieschema (VIDIS) en modulaire caresets voor gegevensuitwisseling in FHIR. Dit is een homologatiecriterium voor één beroepsgroep, niet voor ziekenhuizen.", "kind": "fact", "kind_label": "feit", "locator": "punt 3.3.E 'Homologatie van de tandheelkundige software'", "as_of": "2026-10-01", "source": { "id": "SRC-5a7f089b8b", "title": "30 januari 2026. - Nationaal akkoord tandheelkundigen-ziekenfondsen 2026-2027 (Belgisch Staatsblad 09/02/2026, numac 2026000955)", "publisher": "RIZIV (Belgisch Staatsblad)", "url": "https://www.ejustice.just.fgov.be/cgi/article.pl?language=nl&pd_search=2026-02-09&numac_search=2026000955&lg_txt=N&caller=list&page=1", "published": "2026-02-09" }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-1badcbfb", "statement": "FHIR R4 (v4.0.1, Technical Correction #1) is een mix van normatieve en STU-inhoud; de 4.0.1-publicatie dateert van 1 november 2019.", "kind": "fact", "kind_label": "feit", "locator": "voettekst", "as_of": "2026-09-25", "source": { "id": "SRC-ec16ae26c1", "title": "FHIR R4 (v4.0.1)", "publisher": "HL7 International", "url": "https://hl7.org/fhir/R4/index.html", "published": null }, "citaat": null, "in_text": false, "on_page": false }, { "id": "CLM-20ccab31", "statement": "FHIR is een standaard voor de elektronische uitwisseling van zorginformatie.", "kind": "fact", "kind_label": "feit", "locator": "Overview, alinea 1", "as_of": "2026-09-25", "source": { "id": "SRC-8086ca6f2b", "title": "FHIR Overview (R4)", "publisher": "HL7 International", "url": "https://hl7.org/fhir/R4/overview.html", "published": null }, "citaat": null, "in_text": false, "on_page": true }, { "id": "CLM-476f87ae", "statement": "HL7 Europe documenteert een webinar over de Imaging Study FHIR IG op 13 juni 2025, gefaciliteerd door Michael Strübin.", "kind": "fact", "kind_label": "feit", "locator": "hoofdtekst / webinar- of presentatiebeschrijving", "as_of": "2026-09-26", "source": { "id": "SRC-8d5a11e370", "title": "Webinar: The HL7 Europe Imaging Study FHIR IG and how to contribute", "publisher": "HL7 Europe", "url": "https://hl7europe.org/new-webinar-the-hl7-europe-imaging-study-fhir-ig-and-how-to-contribute/", "published": null }, "citaat": null, "in_text": false, "on_page": false }, { "id": "CLM-81841f02", "statement": "Met de terminologiemodule (CodeSystem, ValueSet, ConceptMap, terminologiediensten) worden gecodeerde data in FHIR uitgedrukt en gecommuniceerd.", "kind": "fact", "kind_label": "feit", "locator": "Introduction", "as_of": "2026-09-25", "source": { "id": "SRC-ddc1f2b720", "title": "FHIR Terminology Module (R4)", "publisher": "HL7 International, Vocabulary Work Group", "url": "https://hl7.org/fhir/R4/terminology-module.html", "published": null }, "citaat": null, "in_text": false, "on_page": false }, { "id": "CLM-89c84b92", "statement": "Voor uitwisseling krijgt elk codesysteem een URL (bv. http://loinc.org, http://snomed.info/sct), zodat de herkomst van elke code expliciet is.", "kind": "fact", "kind_label": "feit", "locator": "sectie over code systems en value sets", "as_of": "2026-09-25", "source": { "id": "SRC-6f62e628f5", "title": "Using Codes in resources (R4)", "publisher": "HL7 International", "url": "https://hl7.org/fhir/R4/terminologies.html", "published": null }, "citaat": null, "in_text": false, "on_page": false }, { "id": "CLM-9566eb8c", "statement": "FHIR R5 (v5.0.0) werd gepubliceerd op 26 maart 2023 en is de huidige gepubliceerde versie van FHIR (status STU).", "kind": "fact", "kind_label": "feit", "locator": "voettekst", "as_of": "2026-09-25", "source": { "id": "SRC-ec315cc0fc", "title": "FHIR R5 (v5.0.0)", "publisher": "HL7 International", "url": "https://hl7.org/fhir/R5/index.html", "published": "2023-03-26" }, "citaat": null, "in_text": false, "on_page": false }, { "id": "CLM-a23b6e9c", "statement": "Laboratoria pathologische anatomie werken volgens het antwoord op schriftelijke vraag 935 (vraag van 22 mei 2026, gepubliceerd juli 2026) nog niet met FHIR voor het HPV-register; hun databestanden worden maandelijks ingelezen.", "kind": "fact", "kind_label": "feit", "locator": "p. 4, antwoord punt 9", "as_of": "2026-09-26", "source": { "id": "SRC-90a4a8387a", "title": "Schriftelijke vraag nr. 935 (2025-2026) van Freija Van den Driessche aan minister Caroline Gennez: Bevolkingsonderzoeken naar kanker - Gezondheidsdoelstelling, met antwoord", "publisher": "Vlaams Parlement", "url": "https://docs.vlaamsparlement.be/files/pfile?id=2342640", "published": "2026-07-13" }, "citaat": null, "in_text": false, "on_page": false }, { "id": "CLM-a723e44c", "statement": "Volgens hetzelfde antwoord (schriftelijke vraag 935, gepubliceerd juli 2026) sturen bijna alle Nederlandstalige laboratoria klinische biologie de resultaten van HPV-stalen dagelijks via FHIR naar het Belgisch Kankerregister (BCR).", "kind": "fact", "kind_label": "feit", "locator": "p. 4, antwoord punt 9", "as_of": "2026-09-26", "source": { "id": "SRC-90a4a8387a", "title": "Schriftelijke vraag nr. 935 (2025-2026) van Freija Van den Driessche aan minister Caroline Gennez: Bevolkingsonderzoeken naar kanker - Gezondheidsdoelstelling, met antwoord", "publisher": "Vlaams Parlement", "url": "https://docs.vlaamsparlement.be/files/pfile?id=2342640", "published": "2026-07-13" }, "citaat": null, "in_text": false, "on_page": false }, { "id": "CLM-d3f779a6", "statement": "De resource is de basisbouwsteen: alle uitwisselbare inhoud is een resource. REST is gangbaar, maar niet verplicht om resources te gebruiken.", "kind": "fact", "kind_label": "feit", "locator": "Overview", "as_of": "2026-09-25", "source": { "id": "SRC-8086ca6f2b", "title": "FHIR Overview (R4)", "publisher": "HL7 International", "url": "https://hl7.org/fhir/R4/overview.html", "published": null }, "citaat": null, "in_text": false, "on_page": false } ], "diagrams": [], "facets": { "type": [ "Specification" ], "jurisdiction": [ "internationaal", "belgie" ], "theme": [ "architectuur-en-infrastructuur" ], "lifecycle": [ "normatief" ], "section": [ "standaarden", "europa" ] }, "search_terms": [ "HL7 FHIR", "FHIR", "Fast Healthcare Interoperability Resources", "HL7 FHIR R4", "HL7 FHIR (Fast Healthcare Interoperability Resources)", "FHIR-standaard" ], "release_id": "2026.10.05-1", "license": "CC BY 4.0" }