{ "id": "belgische-terminologieserver", "url": "/fr/serveur-national-de-terminologie/", "md_url": "/fr/serveur-national-de-terminologie.md", "json_url": "/fr/serveur-national-de-terminologie.json", "claims_url": "/fr/serveur-national-de-terminologie/beweringen/", "type": { "code": "Platform", "label": "Plateforme ou service" }, "schema_type": "Service", "lang": "fr", "translation": { "lang": "fr", "source_url": "/belgische-terminologieserver/", "date": "2026-10-22", "stale": true, "fields": [ "in_het_kort", "lifecycle_note", "sectie:gegevens-en-koppelvlakken", "sectie:implementatievoorwaarden-en-beperkingen", "sectie:onzekerheden-en-tegenstrijdige-informatie", "sectie:praktische-betekenis-voor-ziekenhuizen", "sectie:versie-status-en-roadmap", "sectie:wat-is-het", "sectie:welk-probleem-lost-het-op", "sectie:wie-beheert-het-en-waar-wordt-het-toegepast", "summary", "title", "version" ] }, "title": "Serveur national de terminologie (FHIR)", "aliases": [ "Belgian National Terminology Server", "Nationale terminologieserver", "FOD Ontoserver", "FOD-Ontoserver", "fps-be-tx", "dte-tx.ehealth.fgov.be", "dte-tx" ], "names": { "nl": "Nationale terminologieserver", "fr": "Serveur national de terminologie", "en": "Belgian National Terminology Server", "de": null }, "jurisdiction": [ { "code": "belgie", "label": "Belgique (fédéral/interfédéral)" } ], "themes": [ { "code": "terminologie", "label": "Terminologie et codage" }, { "code": "architectuur-en-infrastructuur", "label": "Architecture et infrastructure" } ], "lifecycle": { "code": "onbekend", "label": "inconnu" }, "lifecycle_note_html": "Deux serveurs. L'Ontoserver du SPF est documenté (Quick Start Guide v1.2) et exige un enregistrement et un token.\ndte-tx.ehealth.fgov.be se présente comme serveur de développement. Pour aucun des deux un statut de production ou\nun SLA n'a été trouvé (état au 08/10/2026).", "version": "Ontoserver du SPF 6.25.1 sur FHIR 4.0.1 ; dte-tx sur FHIRsmith 0.14.0 avec endpoints R4 et R5 (métadonnées 08/10/2026)", "vendor": null, "sectors": [], "homologations": [], "links": [ { "kind": { "code": "website", "label": "Site web" }, "url": "https://apps.health.belgium.be/terminology-portal/solutions/terminology-server/nl", "label": "Terminologieserver (Belgian Health Terminology Portal)", "host": "apps.health.belgium.be", "lang": "nl" } ], "summary_text": "Le SPF Santé publique documente un Belgian National Terminology Server basé sur Ontoserver (CSIRO). L'accès exige\nun enregistrement et un token OAuth2; le serveur propose des opérations de terminologie FHIR et une Syndication\nAPI pour récupérer l'édition belge de SNOMED CT. Selon la feuille de route, le serveur national est une source de\ndiffusion et les DPI ont besoin de leur propre serveur. À côté de cela tourne dte-tx.ehealth.fgov.be, un serveur\nFHIRsmith qui se nomme lui-même 'FHIR Development Server' et qui a été utilisé lors de publications récentes de\nguides d'implémentation. Aucun SLA de production n'a été trouvé pour l'un ou l'autre.", "summary_html": "

Le SPF Santé publique documente un Belgian National Terminology Server basé sur Ontoserver (CSIRO). L'accès exige\nun enregistrement et un token OAuth2 ; le serveur propose des opérations de terminologie FHIR et une Syndication\nAPI pour récupérer l'édition belge de SNOMED CT. Selon la feuille de route, le serveur national est une source de\ndiffusion et les DPI ont besoin de leur propre serveur. À côté de cela tourne dte-tx.ehealth.fgov.be, un serveur\nFHIRsmith qui se nomme lui-même 'FHIR Development Server' et qui a été utilisé lors de publications récentes de\nguides d'implémentation. Aucun SLA de production n'a été trouvé pour l'un ou l'autre.

", "last_verified": "2026-11-09", "verification_outdated": false, "sections": [ { "id": "en-bref", "title": "En bref", "kind": "tekst", "html": "" }, { "id": "qu-est-ce-que-c-est", "title": "Qu'est-ce que c'est ?", "kind": "tekst", "html": "

Un serveur de terminologie FHIR répond à des questions sur les codes et les ValueSets : rechercher un code, déplier un ValueSet, valider un code. Le serveur belge basé sur Ontoserver prend en charge les opérations de terminologie FHIR de base[1] ; selon le Quick Start Guide, $expand peut déplier un ValueSet jusqu'à ses concepts constitutifs[1] et $validate-code vérifie si un code est valide dans un ValueSet déterminé[1]. Selon le Terminology Portal (page modifiée le 19/02/2026), un groupe limité d'utilisateurs (« knowledge providers ») peut effectuer des opérations en temps réel via l'API FHIR d'Ontoserver, comme la recherche en texte intégral, le filtrage par release, par jeu de références et par subsomption, et vérifier si un code relève d'un sous-ensemble[13]. Outre le serveur, le portail renvoie à l'API REST de MLDS pour l'accès aux releases belges[13]. Le CapabilityStatement décrit le serveur du SPF comme une instance Ontoserver qui implémente la spécification de serveur de terminologie HL7 FHIR[14], version logicielle 6.25.1 selon les métadonnées du 08/10/2026[14]. dte-tx tourne sur FHIRsmith, un toolkit serveur open source (BSD-3) de la communauté FHIR comprenant notamment un serveur de terminologie, le même que celui de tx.fhir.org[9] ; le CapabilityStatement de dte-tx indique le 08/10/2026 FHIRsmith 0.14.0[15]. Il existe actuellement en Belgique deux serveurs pertinents, avec des rôles différents :

\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
ServeurCe qui est connuSource
Ontoserver du SPF, apps.health.belgium.be/ontoserver/fhirdocumenté par le SPF comme Belgian National Terminology Server ; enregistrement et token OAuth2 requis[1]
dte-tx.ehealth.fgov.bese désigne lui-même comme « FHIR Development Server » ; serveur primaire lors de publications d'IG récentes[2][3]
" }, { "id": "welke-diensten", "title": "Welke diensten?", "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\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
DienstWatVoor wiePagina
FHIR-terminologieoperaties (FOD-Ontoserver)realtime zoeken, filteren op release, referentieset en subsumptie, nagaan of een code in een subset valt[13]een beperkte groep geregistreerde gebruikers ('knowledge providers')[13]deze pagina
Syndicatie (FOD-Ontoserver)geautomatiseerde updates van de Belgische editie, inclusief subsets[8]wie een eigen terminologieserver beheertsnowstorm-local (serveur de terminologie local de la plate-forme eHealth)
Publicatie van codelijsten (FOD-Ontoserver)subsets met uitsluitend interne (niet-SNOMED CT) codes[16]aanvragers via de formulieren van het Terminologiecentrum[16]Belgische SNOMED CT-referentiesets (refsets)
Publicatieserver dte-txValueSet-expansie bij de publicatie van Belgische FHIR-gidsen[3]; opvragingen op de Belgische editie zonder token[17]IG-auteurs en implementatorenGuides d'implémentation FHIR belges
Browser (verwijzing)het portaal verwijst als publieke browser naar de SNOMED CT Browser van SNOMED International[18]iedereenSNOMED CT édition belge (releases, refsets, BE Maps)
MLDS REST API (verwijzing)toegang tot de Belgische releases en integratie met andere systemen[13]licentiehoudersSNOMED CT édition belge (releases, refsets, BE Maps)
\n

Technische koppelvlakken

\n" }, { "id": "wie-beheert-het-en-wie-gebruikt-het", "title": "Wie beheert het en wie gebruikt het?", "kind": "tekst", "html": "" }, { "id": "planning", "title": "Planning", "kind": "tekst", "html": "" }, { "id": "wat-betekent-het-voor-een-ziekenhuis", "title": "Wat betekent het voor een ziekenhuis?", "kind": "tekst", "html": "\n

Implementatievoorwaarden en beperkingen

\n

De inhoud van de FOD-Ontoserver is zonder token niet controleerbaar; welke ValueSets en refsets erop staan, werd niet\nnagegaan. Op dte-tx werden in de gecontroleerde ValueSets geen Belgische ValueSets gevonden (zie 'Technische\nkoppelvlakken')[27]; de impliciete ValueSet van een Belgische refset kon er wel uitgeklapt worden\n[20]. Interpretatie: Belgische IG's kunnen hun eigen ValueSets meeleveren in het IG-pakket, en de server\nlevert dan de onderliggende codesystemen; dat werd niet per IG nagegaan.

" }, { "id": "incertitudes-et-informations-contradictoires", "title": "Incertitudes et informations contradictoires", "kind": "tekst", "html": "" } ], "relation_groups": [ { "type": "usesTerminology", "direction": "uit", "label": "utilise la terminologie", "relations": [ { "direction": "uit", "type": "usesTerminology", "label": "utilise la terminologie", "other": { "id": "snomed-ct-belgische-editie", "title": "SNOMED CT édition belge (releases, refsets, BE Maps)", "url": "/fr/snomed-ct-edition-belge/" }, "status": "established", "status_label": "établi", "note_html": "dte-tx.ehealth.fgov.be expandeert ValueSets en beantwoordt opvragingen op basis van de SNOMED CT Belgian Edition; de verspreiding via de Ontoserver van de FOD is aangekondigd.", "valid_from": null, "valid_to": null, "historical": false, "refs": [ 42, 17, 4 ] }, { "direction": "uit", "type": "usesTerminology", "label": "utilise la terminologie", "other": { "id": "snomed-ct", "title": "SNOMED CT", "url": "/fr/snomed-ct/" }, "status": "established", "status_label": "établi", "note_html": null, "valid_from": null, "valid_to": null, "historical": false, "refs": [ 36, 35, 4, 8 ] } ] }, { "type": "operatedBy", "direction": "uit", "label": "est exploité par", "relations": [ { "direction": "uit", "type": "operatedBy", "label": "est exploité par", "other": { "id": "fod-volksgezondheid", "title": "SPF Santé publique", "url": "/fr/spf-sante-publique-securite-de-la-chaine-alimentaire-et-environnement/" }, "status": "established", "status_label": "établi", "note_html": "Geldt voor de FOD-Ontoserver (apps.health.belgium.be).", "valid_from": null, "valid_to": null, "historical": false, "refs": [ 1, 30, 4 ] } ] }, { "type": "ownedBy", "direction": "uit", "label": "relève de", "relations": [ { "direction": "uit", "type": "ownedBy", "label": "relève de", "other": { "id": "terminologiecentrum-fod", "title": "Centre de Terminologie (SPF Santé publique)", "url": "/fr/centre-de-terminologie-du-spf-sante-publique/" }, "status": "hypothesis", "status_label": "hypothèse", "note_html": "Het Terminologiecentrum noemt de Ontoserver 'onze Ontoserver'.", "valid_from": null, "valid_to": null, "historical": false, "refs": [ 7, 16 ] } ] }, { "type": "implements", "direction": "uit", "label": "implémente", "relations": [ { "direction": "uit", "type": "implements", "label": "implémente", "other": { "id": "fhir", "title": "HL7 FHIR", "url": "/fr/hl7-fhir/" }, "status": "established", "status_label": "établi", "note_html": "Ondersteunt de kern-FHIR-terminologie-operaties, waaronder $expand en $validate-code.", "valid_from": null, "valid_to": null, "historical": false, "refs": [ 1, 14 ] } ] }, { "type": "dependsOn", "direction": "in", "label": "dépend de (entrant)", "relations": [ { "direction": "in", "type": "dependsOn", "label": "dépend de (entrant)", "other": { "id": "be-fhir-igs", "title": "Guides d'implémentation FHIR belges", "url": "/fr/guides-d-implementation-fhir-belges/" }, "status": "established", "status_label": "établi", "note_html": null, "valid_from": null, "valid_to": null, "historical": false, "refs": [ 3, 33 ] } ] }, { "type": "seeAlso", "direction": "in", "label": "voir aussi (entrant)", "relations": [ { "direction": "in", "type": "seeAlso", "label": "voir aussi (entrant)", "other": { "id": "pss", "title": "Plateforme d'aide à la décision pour les prescripteurs (PSS)", "url": "/fr/plateforme-d-aide-a-la-decision-pour-les-prescripteurs-pss/" }, "status": "established", "status_label": "établi", "note_html": null, "valid_from": null, "valid_to": null, "historical": false, "refs": [ 35 ] }, { "direction": "in", "type": "seeAlso", "label": "voir aussi (entrant)", "other": { "id": "snomed-ct-epd-vereisten", "title": "SNOMED CT-implementatievereisten voor EPD's", "url": "/snomed-ct-epd-vereisten/" }, "status": "established", "status_label": "établi", "note_html": null, "valid_from": null, "valid_to": null, "historical": false, "refs": [ 43 ] } ] }, { "type": "comparedWith", "direction": "in", "label": "est comparé à (entrant)", "relations": [ { "direction": "in", "type": "comparedWith", "label": "est comparé à (entrant)", "other": { "id": "snowstorm-local", "title": "snowstorm-local (serveur de terminologie local de la plate-forme eHealth)", "url": "/fr/serveur-de-terminologie-local-snowstorm-local/" }, "status": "established", "status_label": "établi", "note_html": null, "valid_from": null, "valid_to": null, "historical": false, "refs": [ 7, 44, 8 ] } ] } ], "relation_count": 9, "hypothesis_count": 1, "neighbours": [ { "id": "snomed-ct-belgische-editie", "title": "SNOMED CT édition belge (releases, refsets, BE Maps)", "url": "/fr/snomed-ct-edition-belge/", "type": { "code": "Terminology", "label": "Terminologie ou classification" }, "status": "established" }, { "id": "fod-volksgezondheid", "title": "SPF Santé publique", "url": "/fr/spf-sante-publique-securite-de-la-chaine-alimentaire-et-environnement/", "type": { "code": "Organization", "label": "Organisation" }, "status": "established" }, { "id": "terminologiecentrum-fod", "title": "Centre de Terminologie (SPF Santé publique)", "url": "/fr/centre-de-terminologie-du-spf-sante-publique/", "type": { "code": "Organization", "label": "Organisation" }, "status": "hypothesis" }, { "id": "snomed-ct", "title": "SNOMED CT", "url": "/fr/snomed-ct/", "type": { "code": "Terminology", "label": "Terminologie ou classification" }, "status": "established" }, { "id": "fhir", "title": "HL7 FHIR", "url": "/fr/hl7-fhir/", "type": { "code": "Specification", "label": "Norme ou spécification" }, "status": "established" }, { "id": "be-fhir-igs", "title": "Guides d'implémentation FHIR belges", "url": "/fr/guides-d-implementation-fhir-belges/", "type": { "code": "Specification", "label": "Norme ou spécification" }, "status": "established" }, { "id": "pss", "title": "Plateforme d'aide à la décision pour les prescripteurs (PSS)", "url": "/fr/plateforme-d-aide-a-la-decision-pour-les-prescripteurs-pss/", "type": { "code": "Platform", "label": "Plateforme ou service" }, "status": "established" }, { "id": "snomed-ct-epd-vereisten", "title": "SNOMED CT-implementatievereisten voor EPD's", "url": "/snomed-ct-epd-vereisten/", "type": { "code": "Specification", "label": "Norme ou spécification" }, "status": "established" }, { "id": "snowstorm-local", "title": "snowstorm-local (serveur de terminologie local de la plate-forme eHealth)", "url": "/fr/serveur-de-terminologie-local-snowstorm-local/", "type": { "code": "Product", "label": "Produit logiciel" }, "status": "established" } ], "open_questions_html": [ "Wordt dte-tx.ehealth.fgov.be officieel ondersteund voor runtime-gebruik door zorgsoftware, of enkel voor IG-publicatie en tests? Is de anonieme toegang tot de Belgische editie bewust zo bedoeld, en wie beheert de server (eHealth-platform of FOD)?", "Waarom noemt de publieke metadata van de FOD-Ontoserver op 09/11/2026 als standaardversie van de Belgische SNOMED CT-editie nog 20251215, en waarom gaf dte-tx toen nog 20260915 terwijl 20261015 in productie is? Hoe snel volgen beide servers een nieuwe maandrelease?", "Worden de Belgische IG-ValueSets (CareSets, core-clinical), de Belgische LOINC-subset, subsets met interne codes en de BE Maps (als ConceptMap) op de FOD-Ontoserver gepubliceerd? De ConceptMap-, CodeSystem- en syndicatie-endpoints gaven op 29/09/2026 HTTP 401 zonder token.", "Welke SLA, beschikbaarheid en registratievoorwaarden gelden voor productiegebruik door een ziekenhuis-EPD?", "Welke server bedoelt de doelstelling 'SNOMED CT-terminologieserver in alle huisartsensoftware tegen eind 2026'?", "Wordt de sslip.io-URL in de HL7 tx-registry (volgens de commitberichten tijdelijk) weer vervangen door een definitief FOD- of eHealth-endpoint?", "Is de nationale terminologieserver een bouwsteen van BIHR (Belgian Integrated Health Record), of noemt het programma enkel het gebruik van 'een terminologieserver'?" ], "open_questions": [ { "id": "oq-744dac", "html": "Wordt dte-tx.ehealth.fgov.be officieel ondersteund voor runtime-gebruik door zorgsoftware, of enkel voor IG-publicatie en tests? Is de anonieme toegang tot de Belgische editie bewust zo bedoeld, en wie beheert de server (eHealth-platform of FOD)?", "text": "Wordt dte-tx.ehealth.fgov.be officieel ondersteund voor runtime-gebruik door zorgsoftware, of enkel voor IG-publicatie en tests? Is de anonieme toegang tot de Belgische editie bewust zo bedoeld, en wie beheert de server (eHealth-platform of FOD)?" }, { "id": "oq-a0be59", "html": "Waarom noemt de publieke metadata van de FOD-Ontoserver op 09/11/2026 als standaardversie van de Belgische SNOMED CT-editie nog 20251215, en waarom gaf dte-tx toen nog 20260915 terwijl 20261015 in productie is? Hoe snel volgen beide servers een nieuwe maandrelease?", "text": "Waarom noemt de publieke metadata van de FOD-Ontoserver op 09/11/2026 als standaardversie van de Belgische SNOMED CT-editie nog 20251215, en waarom gaf dte-tx toen nog 20260915 terwijl 20261015 in productie is? Hoe snel volgen beide servers een nieuwe maandrelease?" }, { "id": "oq-6ce5eb", "html": "Worden de Belgische IG-ValueSets (CareSets, core-clinical), de Belgische LOINC-subset, subsets met interne codes en de BE Maps (als ConceptMap) op de FOD-Ontoserver gepubliceerd? De ConceptMap-, CodeSystem- en syndicatie-endpoints gaven op 29/09/2026 HTTP 401 zonder token.", "text": "Worden de Belgische IG-ValueSets (CareSets, core-clinical), de Belgische LOINC-subset, subsets met interne codes en de BE Maps (als ConceptMap) op de FOD-Ontoserver gepubliceerd? De ConceptMap-, CodeSystem- en syndicatie-endpoints gaven op 29/09/2026 HTTP 401 zonder token." }, { "id": "oq-d5ffb1", "html": "Welke SLA, beschikbaarheid en registratievoorwaarden gelden voor productiegebruik door een ziekenhuis-EPD?", "text": "Welke SLA, beschikbaarheid en registratievoorwaarden gelden voor productiegebruik door een ziekenhuis-EPD?" }, { "id": "oq-014460", "html": "Welke server bedoelt de doelstelling 'SNOMED CT-terminologieserver in alle huisartsensoftware tegen eind 2026'?", "text": "Welke server bedoelt de doelstelling 'SNOMED CT-terminologieserver in alle huisartsensoftware tegen eind 2026'?" }, { "id": "oq-d5e293", "html": "Wordt de sslip.io-URL in de HL7 tx-registry (volgens de commitberichten tijdelijk) weer vervangen door een definitief FOD- of eHealth-endpoint?", "text": "Wordt de sslip.io-URL in de HL7 tx-registry (volgens de commitberichten tijdelijk) weer vervangen door een definitief FOD- of eHealth-endpoint?" }, { "id": "oq-61ccdc", "html": "Is de nationale terminologieserver een bouwsteen van BIHR (Belgian Integrated Health Record), of noemt het programma enkel het gebruik van 'een terminologieserver'?", "text": "Is de nationale terminologieserver een bouwsteen van BIHR (Belgian Integrated Health Record), of noemt het programma enkel het gebruik van 'een terminologieserver'?" } ], "exchanges": [ "tc-snomed-editie-naar-epd-leveranciers" ], "sources": [ { "n": 1, "id": "SRC-cbf30a6992", "title": "Belgian National Terminology Server - Quick Start Guide (Document Version 1.2)", "publisher": "FOD Volksgezondheid, Veiligheid van de Voedselketen en Leefmilieu (Terminologiecentrum)", "url": "https://apps.health.belgium.be/portal-admin-api-rs/public/documents/download/259", "published": null, "first_retrieved": "2026-09-26T06:20:10+00:00", "last_checked": "2026-09-26T06:50:01+00:00", "content_sha256": "09f2968ee7ac4dda780c43fe6b01875a461c9025771722c529e6d3162e2a5187", "link_unreachable_since": null }, { "n": 2, "id": "SRC-7f22db59a4", 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VVVL", "url": "https://apps.health.belgium.be/ontoserver/fhir/metadata?_format=json", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-34bfe6ef", "statement": "De CapabilityStatement van dte-tx/r4 meldt op 2026-10-08 als software FHIRsmith versie 0.14.0.", "kind": "fact", "kind_label": "fait", "locator": "software.name en software.version", "as_of": "2026-10-08", "source": { "id": "SRC-bd4e8ccfe5", "title": "dte-tx CapabilityStatement", "publisher": "dte-tx.ehealth.fgov.be", "url": "https://dte-tx.ehealth.fgov.be/r4/metadata", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-34b011ca", "statement": "Via une connexion avec le Serveur national de terminologie (Ontoserver), les utilisateurs peuvent recevoir des mises à jour automatisées de l'édition belge de SNOMED CT, sous-ensembles inclus.", "kind": "fact", "kind_label": "fait", "locator": "voorwaarde 2 Toegang tot de terminologie", 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"https://apps.health.belgium.be/terminology-portal/snomed_ct_requests/add-snomed-ct-reference-set/nl", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-6dd5e736", "statement": "Eigen vaststelling (2026-11-05): een anonieme $lookup op dte-tx.ehealth.fgov.be/r4 voor een SNOMED CT-concept in de Belgische module 11000172109 gaf HTTP 200 met als codesysteem 'SNOMED CT Belgian Edition' (versie 20260915) en Nederlandse, Franse, Duitse en Engelse beschrijvingen; er was geen token nodig.", "kind": "interpretation", "kind_label": "interprétation", "locator": "Parameters-antwoord, parameter name", "as_of": "2026-11-05", "source": { "id": "SRC-c368aa0517", "title": "dte-tx – anonieme $lookup op de Belgische SNOMED CT-editie (concept 22298006)", "publisher": "eHealth-platform (dte-tx.ehealth.fgov.be)", "url": "https://dte-tx.ehealth.fgov.be/r4/CodeSystem/$lookup?system=http://snomed.info/sct&code=22298006&version=http://snomed.info/sct/11000172109&displayLanguage=nl", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-733d2552", "statement": "Het Terminology Portal verwijst als publieke browser naar de SNOMED International SNOMED CT Browser (browser.ihtsdotools.org).", "kind": "fact", "kind_label": "fait", "locator": "sectie Snomed CT Browser", "as_of": "2026-11-05", "source": { "id": "SRC-18240062de", "title": "Tools - Belgian Health Terminology Portal", "publisher": "FOD Volksgezondheid – Terminologiecentrum", "url": "https://apps.health.belgium.be/terminology-portal/solutions/tools/nl", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-e21778fc", "statement": "Het JSON-antwoord op de root van dte-tx somt tx-endpoints /r4 (FHIR 4.0.1) en /r5 (FHIR 5.0.0) op.", "kind": "fact", "kind_label": "fait", "locator": "modules.tx.endpoints", "as_of": "2026-10-08", "source": { "id": "SRC-7f22db59a4", "title": "dte-tx.ehealth.fgov.be root (FHIRsmith, 'FHIR Development Server')", "publisher": "eHealth-platform (vermoedelijk)", "url": "https://dte-tx.ehealth.fgov.be/", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-08e2fb2e", "statement": "Een ValueSet-zoekopdracht op de FOD-Ontoserver zonder inloggegevens werd op 28/09/2026 geweigerd (HTTP 401); de inhoud is enkel met een token op te vragen.", "kind": "fact", "kind_label": "fait", "locator": "OperationOutcome.issue.diagnostics (HTTP 401)", "as_of": "2026-09-28", "source": { "id": "SRC-b817255cfd", "title": "FOD-Ontoserver ValueSet-zoekopdracht zonder token (HTTP 401, OperationOutcome)", "publisher": "FOD Volksgezondheid, Veiligheid van de Voedselketen en Leefmilieu", "url": "https://apps.health.belgium.be/ontoserver/fhir/ValueSet?_summary=count", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-d02e973f", "statement": "Eigen vaststelling (2026-11-05): een anonieme $expand op dte-tx van de impliciete ValueSet van refset 40811000172108 (Belgische subset voor medische problemen) gaf HTTP 200 met Nederlandse weergavetermen en als gebruikt codesysteem de Belgische editie 20260915; de release van oktober (20261015) was op dte-tx nog niet geladen.", "kind": "interpretation", "kind_label": "interprétation", "locator": "ValueSet.expansion.parameter used-codesystem", "as_of": "2026-11-05", "source": { "id": "SRC-589ee4f67f", "title": "dte-tx – anonieme $expand van de Belgische subset voor medische problemen (refset 40811000172108)", "publisher": "eHealth-platform (dte-tx.ehealth.fgov.be)", "url": "https://dte-tx.ehealth.fgov.be/r4/ValueSet/$expand?url=http://snomed.info/sct/11000172109?fhir_vs=refset/40811000172108&count=3&displayLanguage=nl", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-e45be670", "statement": "Via de Ontoserver FHIR API werden Belgische waardenlijsten uitgeklapt (expand), zoals de Belgische subsets voor AllergyIntolerance (causative agent, drug) en voor Vaccination, met keuze van weergavetaal en filters.", "kind": "fact", "kind_label": "fait", "locator": "Testcase 2", "as_of": "2026-09-28", "source": { "id": "SRC-d600f80b4a", "title": "Verslag van de FHIR-A-THON op 25 en 26 November 2024", "publisher": "FOD Volksgezondheid - Terminologiecentrum", "url": "https://apps.health.belgium.be/terminology-portal/information/news/fhir-a-thon-2024/nl", "published": "2024-11-28" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-c675eb08", "statement": "Volgens de release notes van juni 2026 hebben de Belgische referentiesets voor data-interoperabiliteit (subsets die ValueSets uit Belgische FHIR-profielen voorstellen) een maandelijkse releasecyclus, indien er wijzigingen zijn.", "kind": "fact", "kind_label": "fait", "locator": "sectie 3.1.2 Overview of our reference sets", "as_of": "2026-10-08", "source": { "id": "SRC-2be7b76768", "title": "SNOMED CT Managed Service - Belgium Extension Release Notes - June 2026", "publisher": "SNOMED International", "url": "https://conf.spaces.snomed.org/wiki/spaces/RMT/pages/987594807", "published": "2026-06-15" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-c1525ac5", "statement": "Seuls les ensembles composés exclusivement de concepts SNOMED CT peuvent être publiés comme jeu de références de SNOMED CT Belgique (page du portail, modifiée le 03/03/2026).", "kind": "fact", "kind_label": "fait", "locator": "pagina 'Referentiesets toevoegen of wijzigen'", "as_of": "2026-09-29", "source": { "id": "SRC-2d17c4127d", "title": "Referentiesets toevoegen of wijzigen", "publisher": "FOD Volksgezondheid – Terminologiecentrum", "url": "https://apps.health.belgium.be/terminology-portal/snomed_ct_requests/add-snomed-ct-reference-set/nl", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-ae83c296", "statement": "Interpretatie van een metadata-zoekopdracht (29/09/2026): de 94 ConceptMaps op dte-tx.ehealth.fgov.be/r4 komen uit HL7-pakketten. De enige SNOMED CT-naar-ICD-map daarbij is een HL7-voorbeeld (ICD-10-CM, ulnafracturen); een Belgische map naar ICD-10-BE staat er niet.", "kind": "interpretation", "kind_label": "interprétation", "locator": "Bundle.entry (url, title)", "as_of": "2026-09-29", "source": { "id": "SRC-a79e7c4277", "title": "dte-tx.ehealth.fgov.be – ConceptMap-zoekopdracht (metadata)", "publisher": "eHealth-platform (dte-tx)", "url": "https://dte-tx.ehealth.fgov.be/r4/ConceptMap?_elements=url,title,name,sourceUri,targetUri,sourceCanonical,targetCanonical&_count=200", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-9f3dabc7", "statement": "Op 9/11/2026 noemt de publieke TerminologyCapabilities van de FOD-Ontoserver als standaardversie van de Belgische SNOMED CT-editie nog steeds 20251215.", "kind": "fact", "kind_label": "fait", "locator": "codeSystem[uri=http://snomed.info/sct].version", "as_of": "2026-11-09", "source": { "id": "SRC-201d46ea3a", "title": "FOD-Ontoserver - TerminologyCapabilities (JSON)", "publisher": "FOD Volksgezondheid, Veiligheid van de Voedselketen en Leefmilieu", "url": "https://apps.health.belgium.be/ontoserver/fhir/metadata?mode=terminology&_format=json", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-1bd06cde", "statement": "Op 9/11/2026 vermeldt de publieke TerminologyCapabilities van de FOD-Ontoserver naast 20251215 ook de Belgische editie 20250715 (niet als standaard).", "kind": "fact", "kind_label": "fait", "locator": "codeSystem[uri=http://snomed.info/sct].version (twee items)", "as_of": "2026-11-09", "source": { "id": "SRC-201d46ea3a", "title": "FOD-Ontoserver - TerminologyCapabilities (JSON)", "publisher": "FOD Volksgezondheid, Veiligheid van de Voedselketen en Leefmilieu", "url": "https://apps.health.belgium.be/ontoserver/fhir/metadata?mode=terminology&_format=json", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-844f1e24", "statement": "De TerminologyCapabilities van dte-tx.ehealth.fgov.be/r4 (26/09/2026) tonen voor SNOMED CT de Belgische module 11000172109 in de versies 20260915 en 20260515, naast module 890195008 versie 20250701.", "kind": "fact", "kind_label": "fait", "locator": "TerminologyCapabilities.codeSystem, uri http://snomed.info/sct", "as_of": "2026-09-26", "source": { "id": "SRC-c99e072bc1", "title": "TerminologyCapabilities dte-tx.ehealth.fgov.be/r4", "publisher": "eHealth-platform (vermoedelijk)", "url": "https://dte-tx.ehealth.fgov.be/r4/metadata?mode=terminology&_format=json", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-9758f4cb", "statement": "De TerminologyCapabilities van dte-tx.ehealth.fgov.be/r4 (26/09/2026) tonen LOINC versie 2.82.", "kind": "fact", "kind_label": "fait", "locator": "TerminologyCapabilities.codeSystem, uri http://loinc.org", "as_of": "2026-10-08", "source": { "id": "SRC-c99e072bc1", "title": "TerminologyCapabilities dte-tx.ehealth.fgov.be/r4", "publisher": "eHealth-platform (vermoedelijk)", "url": "https://dte-tx.ehealth.fgov.be/r4/metadata?mode=terminology&_format=json", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-548c73c2", "statement": "Op 9/11/2026 geeft een CodeSystem-zoekopdracht naar http://snomed.info/sct op dte-tx/r4 als Belgische editie versie 20260915 ('SCT BE').", "kind": "fact", "kind_label": "fait", "locator": "Bundle.entry[1].resource (id x-SCT-11000172109-20260915)", "as_of": "2026-11-09", "source": { "id": "SRC-bc2782daea", "title": "dte-tx R4 - CodeSystem-zoekopdracht url=http://snomed.info/sct (JSON)", "publisher": "eHealth-platform", "url": "https://dte-tx.ehealth.fgov.be/r4/CodeSystem?url=http://snomed.info/sct&_format=json", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-b69fd4a9", "statement": "De anoniem bereikbare FHIR-terminologieserver dte-tx van het eHealth-platform vermeldt het MDC-codesysteem (urn:iso:std:iso:11073:10101) met versie 2024-12-05.", "kind": "fact", "kind_label": "fait", "locator": "TerminologyCapabilities, codeSystem urn:iso:std:iso:11073:10101", "as_of": "2026-11-09", "source": { "id": "SRC-1254bd1f10", "title": "TerminologyCapabilities dte-tx", "publisher": "dte-tx.ehealth.fgov.be", "url": "https://dte-tx.ehealth.fgov.be/r4/metadata?mode=terminology", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-c76eb58f", "statement": "Een ValueSet-zoekopdracht met _summary=count op dte-tx/r4 gaf op 2026-10-08 een totaal van 3985.", "kind": "fact", "kind_label": "fait", "locator": "Bundle.total", "as_of": "2026-10-08", "source": { "id": "SRC-b2d73c44c0", "title": "dte-tx R4 ValueSet-zoekopdracht (_summary=count)", "publisher": "eHealth-platform (domein ehealth.fgov.be)", "url": "https://dte-tx.ehealth.fgov.be/r4/ValueSet?_summary=count", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-78d283ee", "statement": "Een CodeSystem-zoekopdracht met _summary=count op dte-tx/r4 gaf op 2026-10-08 een totaal van 2109.", "kind": "fact", "kind_label": "fait", "locator": "Bundle.total", "as_of": "2026-10-08", "source": { "id": "SRC-d4ab5ea1d4", "title": "dte-tx CodeSystem count", "publisher": "dte-tx.ehealth.fgov.be", "url": "https://dte-tx.ehealth.fgov.be/r4/CodeSystem?_summary=count", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-0cdd1052", "statement": "Een ConceptMap-zoekopdracht met _summary=count op dte-tx/r4 gaf op 2026-10-08 een totaal van 94 (inhoud niet beoordeeld op Belgische maps).", "kind": "fact", "kind_label": "fait", "locator": "Bundle.total", "as_of": "2026-10-08", "source": { "id": "SRC-7e2101e2fa", "title": "dte-tx ConceptMap count", "publisher": "dte-tx.ehealth.fgov.be", "url": "https://dte-tx.ehealth.fgov.be/r4/ConceptMap?_summary=count", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-a3331ed2", "statement": "De terminologie-nieuwsbrief van de FOD kondigt aan dat Ontoserver als Nationale terminologieserver in België zal worden ingezet (aankondiging, geen bevestiging van ingebruikname).", "kind": "fact", "kind_label": "fait", "locator": "p. 9, 'ONTOSERVER'", "as_of": "2026-10-08", "source": { "id": "SRC-852dbf1163", "title": "Newsletter terminologie 2024-01 (NL)", "publisher": "FOD Volksgezondheid - Terminologiecentrum", "url": "https://apps.health.belgium.be/portal-admin-api-rs/public/documents/download/16", "published": "2024-06-28" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-b5b6b903", "statement": "Ontoserver wordt ontwikkeld door het Australian e-Health Research Centre van CSIRO.", "kind": "fact", "kind_label": "fait", "locator": "introductietekst", "as_of": "2026-10-08", "source": { "id": "SRC-dc00d4320f", "title": "Ontoserver", "publisher": "CSIRO", "url": "https://ontoserver.csiro.au/site/", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-9190036a", "statement": "Toegang tot de inhoud van de Nationale Terminologieserver vraagt registratie via een formulier van het Terminologiecentrum.", "kind": "fact", "kind_label": "fait", "locator": "alinea 'Toegang tot de terminologie'", "as_of": "2026-09-28", "source": { "id": "SRC-df67b7edc6", "title": "SNOMED CT in België: klaar voor implementatie", "publisher": "FOD Volksgezondheid – Terminologiecentrum (Belgian Health Terminology Portal)", "url": "https://apps.health.belgium.be/terminology-portal/information/news/snomed%20ct%20in%20belgi%C3%AB/nl", "published": "2025-11-04" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-3eae737d", "statement": "De CapabilityStatement van de FOD-Ontoserver geeft https://apps.health.belgium.be/ontoserver/fhir als URL van de implementatie.", "kind": "fact", "kind_label": "fait", "locator": "implementation.url", "as_of": "2026-10-08", "source": { "id": "SRC-6e29cd36c9", "title": "FHIR Conformance statement for Ontoserver (CapabilityStatement, Belgische instantie)", "publisher": "Volksgezondheid, veiligheid van de voedselketen en leefmilieu, FOD VVVL", "url": "https://apps.health.belgium.be/ontoserver/fhir/metadata?_format=json", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-9ffca880", "statement": "De CapabilityStatement van de FOD-Ontoserver noemt als uitgever \"Volksgezondheid, veiligheid van de voedselketen en leefmilieu, FOD VVVL\".", "kind": "fact", "kind_label": "fait", "locator": "publisher", "as_of": "2026-10-08", "source": { "id": "SRC-6e29cd36c9", "title": "FHIR Conformance statement for Ontoserver (CapabilityStatement, Belgische instantie)", "publisher": "Volksgezondheid, veiligheid van de voedselketen en leefmilieu, FOD VVVL", "url": "https://apps.health.belgium.be/ontoserver/fhir/metadata?_format=json", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-f5fa100a", "statement": "De CapabilityStatement van de FOD-Ontoserver heeft status active en beschrijft de server als een Ontoserver-instantie die de HL7 FHIR terminology server specification implementeert.", "kind": "fact", "kind_label": "fait", "locator": "status en description", "as_of": "2026-10-08", "source": { "id": "SRC-6e29cd36c9", "title": "FHIR Conformance statement for Ontoserver (CapabilityStatement, Belgische instantie)", "publisher": "Volksgezondheid, veiligheid van de voedselketen en leefmilieu, FOD VVVL", "url": "https://apps.health.belgium.be/ontoserver/fhir/metadata?_format=json", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-f89c074d", "statement": "In de tx-registry staat de Belgische serverlijst (code hl7-be) vermeld als gepubliceerd door de FOD Volksgezondheid en het eHealth-platform.", "kind": "fact", "kind_label": "fait", "locator": "registries, code 'hl7-be', veld 'authority'", "as_of": "2026-09-28", "source": { "id": "SRC-faa75f4394", "title": "FHIR ig-registry: tx-servers.json (lijst van terminologieserverregistries)", "publisher": "HL7 International (FHIR ig-registry)", "url": "https://raw.githubusercontent.com/FHIR/ig-registry/master/tx-servers.json", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-5d6b78fd", "statement": "De public-health IG v1.0.4 (gegenereerd 18/09/2026) gebruikte eveneens dte-tx.ehealth.fgov.be/r4 als primaire server.", "kind": "fact", "kind_label": "fait", "locator": "kop 'Primary Server'", "as_of": "2026-09-26", "source": { "id": "SRC-74067ac70b", "title": "Terminology Server Report - hl7.fhir.be.public-health#1.0.4", "publisher": "eHealth-platform / HL7 Belgium", "url": "https://www.ehealth.fgov.be/standards/fhir/public-health/qa-txservers.html", "published": "2026-09-18" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-931cd74d", "statement": "Ook de federale core-profielen v2.2.0 (gegenereerd 19/08/2026) werden gepubliceerd met de tx-registry van dte-tx.ehealth.fgov.be.", "kind": "fact", "kind_label": "fait", "locator": "kop 'Tx Manager report'", "as_of": "2026-09-26", "source": { "id": "SRC-7cb3f48066", "title": "Terminology Server Report - hl7.fhir.be.core#2.2.0", "publisher": "eHealth-platform / HL7 Belgium", "url": "https://www.ehealth.fgov.be/standards/fhir/core/qa-txservers.html", "published": "2026-08-19" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-1d5cd779", "statement": "Het publicatierapport van de medication-IG v1.1.1 is gegenereerd op 24/04/2026.", "kind": "fact", "kind_label": "fait", "locator": "eerste regel", "as_of": "2026-10-08", "source": { "id": "SRC-e6c7a744f9", "title": "Terminology Server Report - hl7.fhir.be.medication#1.1.1", "publisher": "eHealth-platform / HL7 Belgium", "url": "https://www.ehealth.fgov.be/standards/fhir/medication/qa-txservers.html", "published": "2026-04-24" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-80d621e8", "statement": "De medication-IG v1.1.1 (gegenereerd 24/04/2026) gebruikte tx.fhir.org als primaire terminologieserver.", "kind": "fact", "kind_label": "fait", "locator": "kop 'Primary Server'", "as_of": "2026-09-26", "source": { "id": "SRC-e6c7a744f9", "title": "Terminology Server Report - hl7.fhir.be.medication#1.1.1", "publisher": "eHealth-platform / HL7 Belgium", "url": "https://www.ehealth.fgov.be/standards/fhir/medication/qa-txservers.html", "published": "2026-04-24" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-340f66df", "statement": "In het buildrapport van de PSS-IG v1.1.0 (gegenereerd 27/02/2026) werd de FOD-Ontoserver (apps.health.belgium.be/ontoserver/fhir) gevonden als gezaghebbende (authoritative) terminologieserver voor SNOMED CT.", "kind": "fact", "kind_label": "fait", "locator": "tabel 'Decisions', rij http://snomed.info/sct", "as_of": "2026-09-26", "source": { "id": "SRC-4a6122d720", "title": "Terminology Server Report - hl7.fhir.be.pss#1.1.0", "publisher": "eHealth-platform / HL7 Belgium", "url": "https://www.ehealth.fgov.be/standards/fhir/pss/qa-txservers.html", "published": "2026-02-27" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-b7c1e4a2", "statement": "In de internationale FHIR tx-registry staat de Belgische server (code fps-be-tx) als open voor publishers van IG's (\"This server is open to publishers of IGs\") met gebruik \"publication\", gezaghebbend voor de Belgische SNOMED CT-module.", "kind": "fact", "kind_label": "fait", "locator": "servers[0].access_info, usage, authoritative", "as_of": "2026-09-26", "source": { "id": "SRC-a827fcfaa1", "title": "HL7 Belgium's list of published terminology servers (FHIR ig-registry, huidige versie)", "publisher": "HL7 International FHIR ig-registry (inhoud aangeleverd voor FOD/eHealth)", "url": "https://raw.githubusercontent.com/FHIR/ig-registry/master/hl7-be-tx-servers.json", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-59b3c689", "statement": "In de internationale FHIR tx-registry staat de Belgische server (code fps-be-tx) met als URL een sslip.io-hostnaam op een IP-adres, niet dte-tx.ehealth.fgov.be.", "kind": "fact", "kind_label": "fait", "locator": "servers[0].url", "as_of": "2026-09-26", "source": { "id": "SRC-a827fcfaa1", "title": "HL7 Belgium's list of published terminology servers (FHIR ig-registry, huidige versie)", "publisher": "HL7 International FHIR ig-registry (inhoud aangeleverd voor FOD/eHealth)", "url": "https://raw.githubusercontent.com/FHIR/ig-registry/master/hl7-be-tx-servers.json", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-6b7e5e83", "statement": "In de eerste versie van de registratie (volgens de repository-historiek april 2025) wees fps-be-tx nog naar de FOD-Ontoserver https://apps.health.belgium.be/ontoserver/fhir.", "kind": "fact", "kind_label": "fait", "locator": "servers[0].url (versie 2025-04-03)", "as_of": "2026-09-26", "source": { "id": "SRC-9ffc03eabe", "title": "HL7 Belgium's list of published terminology servers (versie 2025-04-03, commit ce9cd5d)", "publisher": "HL7 International FHIR ig-registry", "url": "https://raw.githubusercontent.com/FHIR/ig-registry/ce9cd5d164ef822bda56d335bcd1db96243cddec/hl7-be-tx-servers.json", "published": "2025-04-03" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-a575e364", "statement": "Tijdens de FHIR-a-thon van november 2024 organiseerde het Terminologiecentrum een testatelier om de nieuwe Ontoserver uit te proberen, gericht op implementatoren, softwareleveranciers, gezondheidsdatakluizen en gebruikers van waardesets (status toen: test).", "kind": "fact", "kind_label": "fait", "locator": "alinea over het testatelier van het Terminologiecentrum", "as_of": "2026-09-28", "source": { "id": "SRC-d600f80b4a", "title": "Verslag van de FHIR-A-THON op 25 en 26 November 2024", "publisher": "FOD Volksgezondheid - Terminologiecentrum", "url": "https://apps.health.belgium.be/terminology-portal/information/news/fhir-a-thon-2024/nl", "published": "2024-11-28" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-7c5f93d9", "statement": "Het Terminology Portal noemt DTS (Dockerized Terminology Server) een gecontaineriseerde Snowstorm-terminologieserver die door het eHealth-platform is aangepast, met documentatie op GitHub.", "kind": "fact", "kind_label": "fait", "locator": "sectie DTS", "as_of": "2026-11-05", "source": { "id": "SRC-18240062de", "title": "Tools - Belgian Health Terminology Portal", "publisher": "FOD Volksgezondheid – Terminologiecentrum", "url": "https://apps.health.belgium.be/terminology-portal/solutions/tools/nl", "published": null }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-04bddd91", "statement": "Volgens de terminologie-nieuwsbrief van de FOD (2024-01, PDF van juni 2024) zou de Nationale terminologieserver in de tweede helft van 2024 beschikbaar zijn en werd ze voorgesteld als authentieke bron voor terminologieën en classificaties voor de Belgische gezondheidszorg.", "kind": "fact", "kind_label": "fait", "locator": "p. 9, 'Nationale terminologieserver'", "as_of": "2026-09-26", "source": { "id": "SRC-852dbf1163", "title": "Newsletter terminologie 2024-01 (NL)", "publisher": "FOD Volksgezondheid - Terminologiecentrum", "url": "https://apps.health.belgium.be/portal-admin-api-rs/public/documents/download/16", "published": "2024-06-28" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-f90e8a4e", "statement": "Selon la roadmap (mars 2025), le serveur national de terminologie devait être mis en service pour la fin du Q1 2025 afin de diffuser les sources de terminologie nationales authentiques au format FHIR.", "kind": "fact", "kind_label": "fait", "locator": "sectie Technische pijler", "as_of": "2026-09-26", "source": { "id": "SRC-4bea610354", "title": "Roadmap (nieuwsbericht Terminologiecentrum)", "publisher": "FOD Volksgezondheid – Terminologiecentrum (Belgian Health Terminology Portal)", "url": "https://apps.health.belgium.be/terminology-portal/information/news/roadmap/nl", "published": "2025-03-15" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-51ee7719", "statement": "De roadmap van het Terminologiecentrum plande de ingebruikname van de nationale terminologieserver tegen eind Q1 2025, na succesvolle technische tests met de Belgische FHIR-terminologieserver (Ontoserver) op een FHIR-a-thon in november 2024 (planning; realisatie niet bevestigd).", "kind": "fact", "kind_label": "fait", "locator": "sectie 'Technische pijler'", "as_of": "2026-10-08", "source": { "id": "SRC-4bea610354", "title": "Roadmap (nieuwsbericht Terminologiecentrum)", "publisher": "FOD Volksgezondheid – Terminologiecentrum (Belgian Health Terminology Portal)", "url": "https://apps.health.belgium.be/terminology-portal/information/news/roadmap/nl", "published": "2025-03-15" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-0230d697", "statement": "Interprétation (lecture visuelle de la figure de la timeline, mars 2026): requirements DPI publiés vers 2026 Q3; étape 1 « Term server » (serveur de terminologie local installé, connexion au serveur national de terminologie) vers fin 2026; étape 2a « SCT coded Patient Problems » vers 2027 Q3; étape 2b (procédures, observations, allergie, vaccination) vers 2028 Q3; étape 3 « SCT in use » dans le workflow clinique vers 2029 Q1; échange EHDS du Patient Summary en 2029. L'enregistrement/certification court de 2026 Q3 à 2028 Q3.", "kind": "interpretation", "kind_label": "interprétation", "locator": "p. 21 ('Timeline SNOMED CT implementation roadmap', figuur)", "as_of": "2026-09-29", "source": { "id": "SRC-6fb3cdc0b1", "title": "Belgian BIHR/eHealth Interoperability Day – 24 March 2026 – Part II", "publisher": "Agoria / HL7 Belgium; bijdragen onder meer RIZIV en FOD Volksgezondheid", "url": "https://drive.usercontent.google.com/download?id=1QS9pqtJRaSD5jwG3UhYiC2g6vjbjawEA&export=download", "published": "2026-03-24" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-9a6466ce", "statement": "Un kick-off avec les fournisseurs de DPI était prévu le 27 avril 2026, avec notamment l'intégration du serveur de terminologie, le terminology binding et l'enregistrement des logiciels DPI adaptés comme points à l'ordre du jour. La roadmap parle de manière générale des fournisseurs de DPI, sans limitation aux logiciels de médecine générale.", "kind": "fact", "kind_label": "fait", "locator": "p. 23 ('Next steps')", "as_of": "2026-09-29", "source": { "id": "SRC-6fb3cdc0b1", "title": "Belgian BIHR/eHealth Interoperability Day – 24 March 2026 – Part II", "publisher": "Agoria / HL7 Belgium; bijdragen onder meer RIZIV en FOD Volksgezondheid", "url": "https://drive.usercontent.google.com/download?id=1QS9pqtJRaSD5jwG3UhYiC2g6vjbjawEA&export=download", "published": "2026-03-24" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-0d8e13be", "statement": "Volgens een nieuwsbericht (Le Spécialiste, 4 juni 2026) moet tegen eind 2026 een SNOMED CT-terminologieserver geïntegreerd zijn in alle huisartsensoftware; welke server bedoeld wordt, staat er niet.", "kind": "fact", "kind_label": "fait", "locator": "alinea over care sets en FHIR", "as_of": "2026-09-26", "source": { "id": "SRC-a50208bf13", "title": "E-santé: le plan se déploie sans attendre son adoption formelle", "publisher": "Le Spécialiste", "url": "https://www.lespecialiste.be/fr/actualites/e-health/e-sante-le-plan-se-deploie-sans-attendre-son-adoption-formelle.html", "published": "2026-06-04" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-fd9f6b8e", "statement": "Nationale contactpunten kunnen de centrale terminologiedienst van de Commissie gebruiken voor vertaling en mapping van codesystemen.", "kind": "fact", "kind_label": "fait", "locator": "art. 3(4)", "as_of": "2026-09-26", "source": { "id": "SRC-403fc76309", "title": "Implementing regulation - EU - 2026/2083 - EN - EUR-Lex", "publisher": "Europese Commissie (EUR-Lex)", "url": "https://eur-lex.europa.eu/eli/reg_impl/2026/2083/oj/eng", "published": "2026-09-21" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-7f81b651", "statement": "Onder Uitvoeringsverordening 2026/2083 zijn de lidstaten verantwoordelijk voor de vertaling en mapping van codesystemen en waardensets naar het EEHRxF en moeten ze die actueel houden.", "kind": "fact", "kind_label": "fait", "locator": "art. 3(5)", "as_of": "2026-09-26", "source": { "id": "SRC-403fc76309", "title": "Implementing regulation - EU - 2026/2083 - EN - EUR-Lex", "publisher": "Europese Commissie (EUR-Lex)", "url": "https://eur-lex.europa.eu/eli/reg_impl/2026/2083/oj/eng", "published": "2026-09-21" }, "citaat": null, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-7afaedcd", "statement": "Pour l'interopérabilité sémantique au sein du BIHR, l'utilisation d'un serveur de terminologie, de ValueSets cohérents, de CareSets, de bindings et de modèles de données partagés est importante.", "kind": "fact", "kind_label": "fait", "locator": "sectie interoperabiliteit", "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, "figuur": null, "in_text": true, "on_page": true }, { "id": "CLM-07b70c05", "statement": "Interpretatie: in het rapport van de medication-IG v1.1.1 (24/04/2026) is https://tx.fhir.org/r4 de primaire server en wordt de Belgische Ontoserver enkel als kandidaat voor http://snomed.info/sct genoemd.", "kind": "interpretation", "kind_label": "interprétation", "locator": "regel 'Primary Server' en tabel Decisions (rij 'Use primary server for http://snomed.info/sct')", "as_of": "2026-10-08", "source": { "id": "SRC-e6c7a744f9", "title": "Terminology Server Report - hl7.fhir.be.medication#1.1.1", "publisher": "eHealth-platform / HL7 Belgium", "url": "https://www.ehealth.fgov.be/standards/fhir/medication/qa-txservers.html", "published": "2026-04-24" }, "citaat": null, "figuur": null, "in_text": false, "on_page": false }, { "id": "CLM-0f6a0425", "statement": "De FOD koos Ontoserver, ontwikkeld door het Australische CSIRO, als softwareproduct voor de Nationale terminologieserver.", "kind": "fact", "kind_label": "fait", "locator": "p. 9, 'ONTOSERVER®'", "as_of": "2026-09-26", "source": { "id": "SRC-852dbf1163", "title": "Newsletter terminologie 2024-01 (NL)", "publisher": "FOD Volksgezondheid - Terminologiecentrum", "url": "https://apps.health.belgium.be/portal-admin-api-rs/public/documents/download/16", "published": "2024-06-28" }, "citaat": null, "figuur": null, "in_text": false, "on_page": false }, { "id": "CLM-3e6d320a", "statement": "Interpretatie van een metadata-scan (url en publisher) van alle ValueSet-, CodeSystem- en ConceptMap-resources op dte-tx/r4 op 28/09/2026: geen enkele resource had een Belgische canonieke URL of een Belgische uitgever; het gaat om HL7- en FHIR-resources (o.a. terminology.hl7.org). Belgische IG-ValueSets en CareSets staan er dus niet als opgeslagen resources op; de Belgische SNOMED CT-editie 20260915 en LOINC 2.82 zijn wel als codesysteem geladen.", "kind": "interpretation", "kind_label": "interprétation", "locator": "eigen analyse van ValueSet/CodeSystem/ConceptMap?_elements=url,publisher en metadata?mode=terminology", "as_of": "2026-09-28", "source": { "id": "SRC-b2d73c44c0", "title": "dte-tx R4 ValueSet-zoekopdracht (_summary=count)", "publisher": "eHealth-platform (domein ehealth.fgov.be)", "url": "https://dte-tx.ehealth.fgov.be/r4/ValueSet?_summary=count", "published": null }, "citaat": null, "figuur": null, "in_text": false, "on_page": false }, { "id": "CLM-488e9954", "statement": "De CapabilityStatement van dte-tx/r4 meldt op 9/11/2026 als software FHIRsmith versie 0.18.2 met releasedatum 2026-10-29.", "kind": "fact", "kind_label": "fait", "locator": "CapabilityStatement.software", "as_of": "2026-11-09", "source": { "id": "SRC-3a7522788f", "title": "dte-tx R4 - CapabilityStatement (JSON)", "publisher": "eHealth-platform", "url": "https://dte-tx.ehealth.fgov.be/r4/metadata?_format=json", "published": null }, "citaat": null, "figuur": null, "in_text": false, "on_page": false }, { "id": "CLM-48d2580c", "statement": "De CapabilityStatement van apps.health.belgium.be/ontoserver/fhir (opgevraagd 26/09/2026) meldt status active, FHIR 4.0.1, Ontoserver 6.25.1, uitgever FOD VVVL, en als geladen SNOMED CT-versies de Belgische module 11000172109 met versies 20250715 en 20251215. Zoek- en expand-oproepen zonder token gaven HTTP 401. Interpretatie: dit is een productie-instantie (niet als test gelabeld) met afgeschermde inhoud; de nieuwste Belgische editie (2026) was er op dat moment niet zichtbaar in de publieke metadata.", "kind": "interpretation", "kind_label": "interprétation", "locator": "CapabilityStatement velden status, software, publisher; TerminologyCapabilities (mode=terminology)", "as_of": "2026-09-26", "source": { "id": "SRC-6e29cd36c9", "title": "FHIR Conformance statement for Ontoserver (CapabilityStatement, Belgische instantie)", "publisher": "Volksgezondheid, veiligheid van de voedselketen en leefmilieu, FOD VVVL", "url": "https://apps.health.belgium.be/ontoserver/fhir/metadata?_format=json", "published": null }, "citaat": null, "figuur": null, "in_text": false, "on_page": false }, { "id": "CLM-4ec7c911", "statement": "De R4-homepagina van dte-tx.ehealth.fgov.be toonde op 28/09/2026 3985 ValueSets en 94 ConceptMaps (en 1305 CodeSystems; de FHIR-zoekopdracht met _summary=count gaf 2109 CodeSystem-resources).", "kind": "fact", "kind_label": "fait", "locator": "sectie 'TX: Server Home' (tellers)", "as_of": "2026-09-28", "source": { "id": "SRC-01bd01e61c", "title": "FHIRsmith: Server Home (dte-tx.ehealth.fgov.be, R4)", "publisher": "eHealth-platform (domein ehealth.fgov.be; beheerder niet vermeld)", "url": "https://dte-tx.ehealth.fgov.be/r4/", "published": null }, "citaat": null, "figuur": null, "in_text": false, "on_page": false }, { "id": "CLM-5671d0fb", "statement": "De FOD Volksgezondheid documenteert een \"Belgian National Terminology Server\" op basis van Ontoserver met FHIR-endpoint https://apps.health.belgium.be/ontoserver/fhir (Quick Start Guide versie 1.2).", "kind": "fact", "kind_label": "fait", "locator": "sectie 'Connecting to Ontoserver' - Base URL", "as_of": "2026-09-26", "source": { "id": "SRC-cbf30a6992", "title": "Belgian National Terminology Server - Quick Start Guide (Document Version 1.2)", "publisher": "FOD Volksgezondheid, Veiligheid van de Voedselketen en Leefmilieu (Terminologiecentrum)", "url": "https://apps.health.belgium.be/portal-admin-api-rs/public/documents/download/259", "published": null }, "citaat": null, "figuur": null, "in_text": false, "on_page": false }, { "id": "CLM-63c628bc", "statement": "Interpretatie van een eigen metadata-controle op 2026-10-08: de eerste 2000 van de 3985 ValueSets op dte-tx/r4 (_elements=url) hebben allemaal een canonieke URL op terminology.hl7.org; de server negeert zoekfilters (url:below, publisher:contains), waardoor niet is nagegaan of verderop Belgische ValueSets staan.", "kind": "interpretation", "kind_label": "interprétation", "locator": "eigen analyse van ValueSet?_elements=url&_count=2000", "as_of": "2026-10-08", "source": { "id": "SRC-b2d73c44c0", "title": "dte-tx R4 ValueSet-zoekopdracht (_summary=count)", "publisher": "eHealth-platform (domein ehealth.fgov.be)", "url": "https://dte-tx.ehealth.fgov.be/r4/ValueSet?_summary=count", "published": null }, "citaat": null, "figuur": null, "in_text": false, "on_page": false }, { "id": "CLM-776a6725", "statement": "De root van dte-tx.ehealth.fgov.be identificeert zich als \"FHIR Development Server\" (FHIRsmith, versie 1.0.0 van de wrapper) met tx-endpoints /r4 (FHIR 4.0.1) en /r5 (FHIR 5.0.0), plus registry- en publisher-modules. Interpretatie: de naam \"dte\" en de zelfbeschrijving wijzen op een ontwikkel/test- of publicatieomgeving, niet op een gedocumenteerde productieterminologieserver voor zorgtoepassingen.", "kind": "interpretation", "kind_label": "interprétation", "locator": "JSON-antwoord root (velden message, modules, endpoints)", "as_of": "2026-09-26", "source": { "id": "SRC-7f22db59a4", "title": "dte-tx.ehealth.fgov.be root (FHIRsmith, 'FHIR Development Server')", "publisher": "eHealth-platform (vermoedelijk)", "url": "https://dte-tx.ehealth.fgov.be/", "published": null }, "citaat": null, "figuur": null, "in_text": false, "on_page": false }, { "id": "CLM-7a5283a1", "statement": "De server ondersteunt de standaard FHIR-terminologie-operaties ($lookup, $expand, $validate-code, $subsumes) en het lezen van ValueSet, CodeSystem en ConceptMap.", "kind": "fact", "kind_label": "fait", "locator": "sectie 'Common API Operations'", "as_of": "2026-09-26", "source": { "id": "SRC-cbf30a6992", "title": "Belgian National Terminology Server - Quick Start Guide (Document Version 1.2)", "publisher": "FOD Volksgezondheid, Veiligheid van de Voedselketen en Leefmilieu (Terminologiecentrum)", "url": "https://apps.health.belgium.be/portal-admin-api-rs/public/documents/download/259", "published": null }, "citaat": null, "figuur": null, "in_text": false, "on_page": false }, { "id": "CLM-9593b9eb", "statement": "De inhoud van dte-tx komt uit HL7/FHIR-pakketten (fhir.tx.support.r4, hl7.fhir.uv.extensions.r4 en hl7.terminology.r4 7.3.0); de server vermeldt geen externe bronnen.", "kind": "fact", "kind_label": "fait", "locator": "sectie 'Source Content' / 'External Sources'", "as_of": "2026-09-28", "source": { "id": "SRC-01bd01e61c", "title": "FHIRsmith: Server Home (dte-tx.ehealth.fgov.be, R4)", "publisher": "eHealth-platform (domein ehealth.fgov.be; beheerder niet vermeld)", "url": "https://dte-tx.ehealth.fgov.be/r4/", "published": null }, "citaat": null, "figuur": null, "in_text": false, "on_page": false }, { "id": "CLM-af75848e", "statement": "Toegang tot de nationale terminologieserver vereist registratie met een geldig e-mailadres en authenticatie via een OAuth2 Bearer-token; het is dus geen anoniem open endpoint.", "kind": "fact", "kind_label": "fait", "locator": "secties 'Registering for Access' en 'Authentication'", "as_of": "2026-09-26", "source": { "id": "SRC-cbf30a6992", "title": "Belgian National Terminology Server - Quick Start Guide (Document Version 1.2)", "publisher": "FOD Volksgezondheid, Veiligheid van de Voedselketen en Leefmilieu (Terminologiecentrum)", "url": "https://apps.health.belgium.be/portal-admin-api-rs/public/documents/download/259", "published": null }, "citaat": null, "figuur": null, "in_text": false, "on_page": false }, { "id": "CLM-d94beff1", "statement": "Een FHIR-zoekopdracht naar ValueSets op dte-tx.ehealth.fgov.be/r4 met _summary=count gaf op 28/09/2026 een totaal van 3985; de server negeerde daarbij filters op URL of uitgever (steeds hetzelfde totaal).", "kind": "interpretation", "kind_label": "interprétation", "locator": "Bundle.total (JSON)", "as_of": "2026-09-28", "source": { "id": "SRC-b2d73c44c0", "title": "dte-tx R4 ValueSet-zoekopdracht (_summary=count)", "publisher": "eHealth-platform (domein ehealth.fgov.be)", "url": "https://dte-tx.ehealth.fgov.be/r4/ValueSet?_summary=count", "published": null }, "citaat": null, "figuur": null, "in_text": false, "on_page": false } ], "diagrams": [], "facets": { "type": [ "Platform" ], "jurisdiction": [ "belgie" ], "theme": [ "terminologie", "architectuur-en-infrastructuur" ], "lifecycle": [ "onbekend" ], "section": [ "platformen" ] }, "search_terms": [ "Serveur national de terminologie (FHIR)", "Belgian National Terminology Server", "Nationale terminologieserver", "FOD Ontoserver", "FOD-Ontoserver", "fps-be-tx", "dte-tx.ehealth.fgov.be", "dte-tx", "Serveur national de terminologie", "Nationale terminologieserver (FOD)", "serveur de terminologie national (SPF Santé publique)", "FHIR Development Server", "Ontoserver", "Syndication API", "Ontoserver Syndication API", "syndicatie", "syndication feed", "FHIRsmith" ], "release_id": "2026.11.12-3", "license": "CC BY 4.0" }