HL7 BE Laboratory WG Implementation Guide
1.0.0 - STU

This page is part of the HL7 Belgium FHIR Implementation Guide - Lab related profiles (v1.0.0: Trial Use) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: Hematology studies as FHIR Document example - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "hematologyStudiesAsFHIRDocument",
  "identifier" : {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:uuid:0c3151bd-1cbf-4d65-b04d-cd9187a4c6e0"
  },
  "type" : "document",
  "timestamp" : "2021-05-31T22:12:21Z",
  "entry" : [
    {
      "fullUrl" : "urn:uuid:7c16c9c0-c471-4098-bf18-48abcadd8d34",
      "resource" : {
        "resourceType" : "Composition",
        "id" : "180f219f-97a8-486d-99d9-ed631fe4fc57",
        "meta" : {
          "profile" : [
            "https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-laboratory-report-composition"
          ]
        },
        "text" : {
          "status" : "empty",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">empty</div>"
        },
        "identifier" : {
          "system" : "urn:ietf:rfc:3986",
          "value" : "urn:uuid:dbcf0eb0-d825-11eb-b8bc-0242ac130003"
        },
        "status" : "final",
        "type" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "11502-2"
            }
          ],
          "text" : "Laboratort report"
        },
        "subject" : {
          "reference" : "Patient/patient1"
        },
        "date" : "2013-02-01T12:30:02Z",
        "author" : [
          {
            "reference" : "Practitioner/practitioner11"
          }
        ],
        "title" : "Laboratory Report (mandatory to give a title like this in a FHIR document.)",
        "relatesTo" : [
          {
            "code" : "replaces",
            "targetIdentifier" : {
              "system" : "urn:ietf:rfc:3986",
              "value" : "urn:uuid:0c3151bd-1cbf-4d65-b04d-cd9187a4c5e0"
            }
          }
        ],
        "section" : [
          {
            "entry" : [
              {
                "reference" : "DiagnosticReport/diagnosticreport1"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d34",
      "resource" : {
        "resourceType" : "DiagnosticReport",
        "id" : "diagnosticreport1",
        "meta" : {
          "versionId" : "1",
          "profile" : [
            "https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-laboratory-report"
          ]
        },
        "language" : "en",
        "text" : {
          "status" : "empty",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">empty</div>"
        },
        "identifier" : [
          {
            "system" : "https://www.ehealth.fgov.be/lab-report/diagnostic-report-id",
            "value" : "11530231003.2015110413180000000"
          }
        ],
        "basedOn" : [
          {
            "reference" : "ServiceRequest/servicerequest1"
          }
        ],
        "status" : "final",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
                "code" : "LAB",
                "display" : "Laboratory"
              }
            ]
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "18723-7",
              "display" : "Hematology studies (set)",
              "_display" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "be-nl"
                      },
                      {
                        "url" : "content",
                        "valueString" : "HEMATOLOGIE"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              }
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/patient1"
        },
        "effectiveDateTime" : "2015-11-03T13:18:00+01:00",
        "issued" : "2015-11-04T13:18:00+01:00",
        "performer" : [
          {
            "reference" : "Organization/organization10"
          }
        ],
        "resultsInterpreter" : [
          {
            "reference" : "Practitioner/practitioner11"
          }
        ],
        "specimen" : [
          {
            "reference" : "Specimen/specimen1"
          }
        ],
        "result" : [
          {
            "reference" : "Observation/observation10"
          },
          {
            "reference" : "Observation/observation11"
          }
        ],
        "media" : [
          {
            "comment" : "Just as an example here: how to add a link to an image",
            "link" : {
              "reference" : "Media/media1"
            }
          }
        ],
        "conclusion" : "This is our conclusion"
      }
    },
    {
      "fullUrl" : "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d35",
      "resource" : {
        "resourceType" : "Specimen",
        "id" : "specimen1",
        "meta" : {
          "versionId" : "1",
          "profile" : [
            "https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-specimen-laboratory"
          ]
        },
        "text" : {
          "status" : "empty",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">empty</div>"
        },
        "identifier" : [
          {
            "system" : "https://www.GTL-LABO.be/",
            "value" : "1"
          }
        ],
        "status" : "available",
        "type" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "119297000",
              "display" : "Blood specimen"
            }
          ],
          "text" : "A string can be added to nuance or explain."
        },
        "receivedTime" : "2015-11-04",
        "collection" : {
          "collectedDateTime" : "2015-11-03",
          "method" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "28520004",
                "display" : "Venipuncture for blood test (procedure)"
              }
            ]
          },
          "bodySite" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "368208006",
                "display" : "Left upper arm structure (body structure)"
              }
            ]
          }
        },
        "note" : [
          {
            "text" : "Some extra relevant information concerning the specimen"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d36",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "observation10",
        "meta" : {
          "profile" : [
            "https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-observation-laboratory"
          ]
        },
        "text" : {
          "status" : "empty",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">empty</div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "30341-2",
              "display" : "Erythrocyte sedimentation rate"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/patient1"
        },
        "effectiveDateTime" : "2015-11-04T09:16:00-05:00",
        "issued" : "2015-11-04T09:16:00-05:00",
        "performer" : [
          {
            "reference" : "Practitioner/practitioner11"
          }
        ],
        "valueQuantity" : {
          "value" : 2,
          "unit" : "mm/h",
          "system" : "http://unitsofmeasure.org",
          "code" : "mm/h"
        },
        "interpretation" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code" : "L",
                "display" : "Low"
              }
            ]
          }
        ],
        "note" : [
          {
            "text" : "The Bodysite and Method that are given below do not really make any sense here!"
          }
        ],
        "bodySite" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "344001",
              "display" : "Ankle"
            }
          ],
          "text" : "ankle (this code was just an example to show the structure)"
        },
        "method" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "14456009",
              "display" : "Measuring height of patient"
            }
          ],
          "text" : "Measuring height of patient (this code was just an example to show the structure)"
        },
        "specimen" : {
          "reference" : "Specimen/specimen1"
        },
        "referenceRange" : [
          {
            "low" : {
              "value" : 0,
              "unit" : "mm/h",
              "system" : "http://unitsofmeasure.org",
              "code" : "mm/h"
            },
            "high" : {
              "value" : 30,
              "unit" : "mm/h",
              "system" : "http://unitsofmeasure.org",
              "code" : "mm/h"
            },
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/referencerange-meaning",
                  "code" : "normal"
                }
              ]
            },
            "appliesTo" : [
              {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "248153007",
                    "display" : "Male"
                  }
                ]
              }
            ],
            "text" : "Something concerning the reference range that can only be explained in text -->"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d37",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "observation11",
        "meta" : {
          "profile" : [
            "https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-observation-laboratory"
          ]
        },
        "text" : {
          "status" : "empty",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">empty</div>"
        },
        "status" : "final",
        "code" : {
          "text" : "SCREENING"
        },
        "subject" : {
          "reference" : "Patient/patient1"
        },
        "effectiveDateTime" : "2015-11-04T09:16:00-05:00",
        "performer" : [
          {
            "reference" : "Practitioner/practitioner11"
          }
        ],
        "hasMember" : [
          {
            "reference" : "Observation/observation111"
          },
          {
            "reference" : "Observation/observation112"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d38",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "observation111",
        "meta" : {
          "profile" : [
            "https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-observation-laboratory"
          ]
        },
        "text" : {
          "status" : "empty",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">empty</div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "789-8",
              "display" : "Erythrocytes [#/volume] in Blood by Automated count"
            }
          ],
          "text" : "Red blood cells (blood)"
        },
        "subject" : {
          "reference" : "Patient/patient1"
        },
        "effectiveDateTime" : "2015-11-04T09:16:00-05:00",
        "performer" : [
          {
            "reference" : "Practitioner/practitioner11"
          }
        ],
        "valueQuantity" : {
          "value" : 4.35,
          "unit" : "10*6/uL",
          "system" : "http://unitsofmeasure.org",
          "code" : "10*6/uL"
        },
        "specimen" : {
          "reference" : "Specimen/specimen1"
        },
        "referenceRange" : [
          {
            "low" : {
              "value" : 3.93,
              "unit" : "10*6/uL",
              "system" : "http://unitsofmeasure.org",
              "code" : "10*6/uL"
            },
            "high" : {
              "value" : 5.01,
              "unit" : "10*6/uL",
              "system" : "http://unitsofmeasure.org",
              "code" : "10*6/uL"
            },
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/referencerange-meaning",
                  "code" : "normal"
                }
              ]
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d39",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "observation112",
        "meta" : {
          "profile" : [
            "https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-observation-laboratory"
          ]
        },
        "text" : {
          "status" : "empty",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">empty</div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "20563-3",
              "display" : "Carboxyhemoglobin/Hemoglobin.total in Blood"
            }
          ],
          "text" : "Hemoglobin"
        },
        "subject" : {
          "reference" : "Patient/patient1"
        },
        "effectiveDateTime" : "2015-11-04T09:16:00-05:00",
        "performer" : [
          {
            "reference" : "Practitioner/practitioner11"
          }
        ],
        "valueQuantity" : {
          "value" : 14.1,
          "unit" : "g/dl",
          "system" : "http://unitsofmeasure.org",
          "code" : "g/dl"
        },
        "specimen" : {
          "reference" : "Specimen/specimen1"
        },
        "referenceRange" : [
          {
            "low" : {
              "value" : 11.8,
              "unit" : "g/dl",
              "system" : "http://unitsofmeasure.org",
              "code" : "g/dl"
            },
            "high" : {
              "value" : 14.8,
              "unit" : "g/dl",
              "system" : "http://unitsofmeasure.org",
              "code" : "g/dl"
            },
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/referencerange-meaning",
                  "code" : "normal"
                }
              ]
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:7c16c9c0-c469-4088-ae18-48abcadd8d40",
      "resource" : {
        "resourceType" : "Media",
        "id" : "media1",
        "text" : {
          "status" : "empty",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">empty</div>"
        },
        "status" : "completed",
        "content" : {
          "contentType" : "image/gif",
          "data" : "iVBORw0KGgoAAAANSUhEUgAAA+MAAACnCAYAAAB6pY03AAAAAXNSR0IArs4c6QAAAARnQU1BAACx jwv8YQUAAAAJcEhZcwAAEnMAABJzAYwiuQcAADBZSURBVHhe7d09rty218fxrOFfZj/ZQHZgwEiZ gg=="
        }
      }
    },
    {
      "fullUrl" : "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d40",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "organization10",
        "meta" : {
          "profile" : [
            "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-organization"
          ]
        },
        "text" : {
          "status" : "empty",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">empty</div>"
        },
        "identifier" : [
          {
            "use" : "official",
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "MD",
                  "display" : "Medical License number"
                }
              ]
            },
            "system" : "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi",
            "value" : "81165343998"
          }
        ],
        "active" : true,
        "type" : [
          {
            "coding" : [
              {
                "system" : "https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty",
                "code" : "orglaboratory"
              }
            ]
          }
        ],
        "name" : "GTL - General Testing Laboratory",
        "telecom" : [
          {
            "system" : "phone",
            "value" : "322675199",
            "use" : "work"
          }
        ],
        "address" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/language",
                "valueCode" : "nl"
              }
            ],
            "use" : "work",
            "type" : "both",
            "text" : "Vulcansstraat 120, 1000 Brussel",
            "line" : [
              "Vulcansstraat 120"
            ],
            "_line" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
                    "valueString" : "Vulcansstraat"
                  },
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
                    "valueString" : "120"
                  }
                ]
              }
            ],
            "city" : "Brussel",
            "postalCode" : "1000",
            "country" : "BE"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d41",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "practitioner11",
        "meta" : {
          "profile" : [
            "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner"
          ]
        },
        "text" : {
          "status" : "empty",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">empty</div>"
        },
        "identifier" : [
          {
            "use" : "official",
            "system" : "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi",
            "value" : "554488997"
          }
        ],
        "name" : [
          {
            "use" : "official",
            "family" : "Davoust",
            "given" : [
              "Nicolas"
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "email",
            "value" : "nicolas.davoust@gtl.be",
            "use" : "work"
          },
          {
            "system" : "phone",
            "value" : "022675198",
            "use" : "work"
          },
          {
            "system" : "fax",
            "value" : "022675209",
            "use" : "work"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d42",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "patient1",
        "meta" : {
          "profile" : [
            "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient"
          ]
        },
        "text" : {
          "status" : "empty",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">empty</div>"
        },
        "identifier" : [
          {
            "use" : "official",
            "system" : "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin",
            "value" : "79121137740"
          }
        ],
        "active" : true,
        "name" : [
          {
            "family" : "La Paradisio",
            "given" : [
              "Josephine",
              "Nessa"
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "email",
            "value" : "nessa.laparadisio@belgium.be"
          },
          {
            "system" : "phone",
            "value" : "+322476792979",
            "use" : "mobile"
          },
          {
            "system" : "phone",
            "value" : "+3226718655",
            "use" : "home"
          },
          {
            "system" : "phone",
            "value" : "+322476799",
            "use" : "work"
          }
        ],
        "gender" : "female",
        "birthDate" : "1979-12-11",
        "_birthDate" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/patient-birthTime",
              "valueDateTime" : "1979-12-11T13:28:17-05:00"
            }
          ]
        },
        "address" : [
          {
            "use" : "home",
            "type" : "both",
            "text" : "Sloordelle 42, 1160 Oudergem",
            "line" : [
              "Sloordelle 42"
            ],
            "city" : "Oudergem",
            "postalCode" : "1160",
            "country" : "BE"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d43",
      "resource" : {
        "resourceType" : "ServiceRequest",
        "id" : "servicerequest1",
        "text" : {
          "status" : "empty",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">empty</div>"
        },
        "identifier" : [
          {
            "system" : "https://www.GTL-LABO.be/orderingsystem",
            "value" : "12334546"
          }
        ],
        "status" : "active",
        "intent" : "order",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "108252007",
                "display" : "Laboratory procedure"
              }
            ]
          }
        ],
        "subject" : {
          "reference" : "Patient/patient1"
        },
        "authoredOn" : "2015-11-01T14:41:00+01:00",
        "requester" : {
          "reference" : "Practitioner/practitioner1"
        },
        "specimen" : [
          {
            "reference" : "Specimen/specimen1"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d44",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "practitioner1",
        "meta" : {
          "profile" : [
            "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner"
          ]
        },
        "text" : {
          "status" : "empty",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">empty</div>"
        },
        "identifier" : [
          {
            "use" : "official",
            "system" : "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi",
            "value" : "18749704477"
          }
        ],
        "name" : [
          {
            "use" : "official",
            "family" : "Pulaski",
            "given" : [
              "Katherine"
            ],
            "suffix" : [
              "MD"
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "email",
            "value" : "katherine.pulaski@enterprisehospital.be",
            "use" : "work"
          },
          {
            "system" : "phone",
            "value" : "022675198",
            "use" : "work"
          },
          {
            "system" : "fax",
            "value" : "022675209",
            "use" : "work"
          }
        ],
        "address" : [
          {
            "use" : "home",
            "text" : "Jupiterlaan 5, 1853 Grimbergen",
            "line" : [
              "Jupiterlaan 5"
            ],
            "city" : "Grimbergen",
            "postalCode" : "1853",
            "country" : "BE"
          }
        ]
      }
    }
  ]
}