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
{
"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"
}
]
}
}
]
}