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 - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Bundle;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "hematologyStudiesAsFHIRDocument"];
  fhir:Bundle.identifier [
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
     fhir:Identifier.value [ fhir:value "urn:uuid:0c3151bd-1cbf-4d65-b04d-cd9187a4c6e0" ]
  ];
  fhir:Bundle.type [ fhir:value "document"];
  fhir:Bundle.timestamp [ fhir:value "2021-05-31T22:12:21Z"^^xsd:dateTime];
  fhir:Bundle.entry [
     fhir:index 0;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:7c16c9c0-c471-4098-bf18-48abcadd8d34" ];
     fhir:Bundle.entry.resource <urn:uuid:7c16c9c0-c471-4098-bf18-48abcadd8d34>
  ], [
     fhir:index 1;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d34" ];
     fhir:Bundle.entry.resource <urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d34>
  ], [
     fhir:index 2;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d35" ];
     fhir:Bundle.entry.resource <urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d35>
  ], [
     fhir:index 3;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d36" ];
     fhir:Bundle.entry.resource <urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d36>
  ], [
     fhir:index 4;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d37" ];
     fhir:Bundle.entry.resource <urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d37>
  ], [
     fhir:index 5;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d38" ];
     fhir:Bundle.entry.resource <urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d38>
  ], [
     fhir:index 6;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d39" ];
     fhir:Bundle.entry.resource <urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d39>
  ], [
     fhir:index 7;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:7c16c9c0-c469-4088-ae18-48abcadd8d40" ];
     fhir:Bundle.entry.resource <urn:uuid:7c16c9c0-c469-4088-ae18-48abcadd8d40>
  ], [
     fhir:index 8;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d40" ];
     fhir:Bundle.entry.resource <urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d40>
  ], [
     fhir:index 9;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d41" ];
     fhir:Bundle.entry.resource <urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d41>
  ], [
     fhir:index 10;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d42" ];
     fhir:Bundle.entry.resource <urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d42>
  ], [
     fhir:index 11;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d43" ];
     fhir:Bundle.entry.resource <urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d43>
  ], [
     fhir:index 12;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d44" ];
     fhir:Bundle.entry.resource <urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d44>
  ].

<urn:uuid:7c16c9c0-c471-4098-bf18-48abcadd8d34> a fhir:Composition;
  fhir:Resource.id [ fhir:value "180f219f-97a8-486d-99d9-ed631fe4fc57"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-laboratory-report-composition";
       fhir:index 0;
       fhir:link <https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-laboratory-report-composition>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "empty" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">empty</div>"
  ];
  fhir:Composition.identifier [
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
     fhir:Identifier.value [ fhir:value "urn:uuid:dbcf0eb0-d825-11eb-b8bc-0242ac130003" ]
  ];
  fhir:Composition.status [ fhir:value "final"];
  fhir:Composition.type [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:11502-2;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "11502-2" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Laboratort report" ]
  ];
  fhir:Composition.subject [
     fhir:Reference.reference [ fhir:value "Patient/patient1" ]
  ];
  fhir:Composition.date [ fhir:value "2013-02-01T12:30:02Z"^^xsd:dateTime];
  fhir:Composition.author [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Practitioner/practitioner11" ]
  ];
  fhir:Composition.title [ fhir:value "Laboratory Report (mandatory to give a title like this in a FHIR document.)"];
  fhir:Composition.relatesTo [
     fhir:index 0;
     fhir:Composition.relatesTo.code [ fhir:value "replaces" ];
     fhir:Composition.relatesTo.targetIdentifier [
       fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
       fhir:Identifier.value [ fhir:value "urn:uuid:0c3151bd-1cbf-4d65-b04d-cd9187a4c5e0" ]     ]
  ];
  fhir:Composition.section [
     fhir:index 0;
     fhir:Composition.section.entry [
       fhir:index 0;
       fhir:Reference.reference [ fhir:value "DiagnosticReport/diagnosticreport1" ]     ]
  ].

<urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d34> a fhir:DiagnosticReport;
  fhir:Resource.id [ fhir:value "diagnosticreport1"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "1" ];
     fhir:Meta.profile [
       fhir:value "https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-laboratory-report";
       fhir:index 0;
       fhir:link <https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-laboratory-report>     ]
  ];
  fhir:Resource.language [ fhir:value "en"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "empty" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">empty</div>"
  ];
  fhir:DiagnosticReport.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "https://www.ehealth.fgov.be/lab-report/diagnostic-report-id" ];
     fhir:Identifier.value [ fhir:value "11530231003.2015110413180000000" ]
  ];
  fhir:DiagnosticReport.basedOn [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "ServiceRequest/servicerequest1" ]
  ];
  fhir:DiagnosticReport.status [ fhir:value "final"];
  fhir:DiagnosticReport.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ];
       fhir:Coding.code [ fhir:value "LAB" ];
       fhir:Coding.display [ fhir:value "Laboratory" ]     ]
  ];
  fhir:DiagnosticReport.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:18723-7;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "18723-7" ];
       fhir:Coding.display [
         fhir:value "Hematology studies (set)";
         fhir:Element.extension [
           fhir:index 0;
           fhir:Element.extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "lang" ];
             fhir:Extension.valueCode [ fhir:value "be-nl" ]           ], [
             fhir:index 1;
             fhir:Extension.url [ fhir:value "content" ];
             fhir:Extension.valueString [ fhir:value "HEMATOLOGIE" ]           ];
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/translation" ]         ]       ]     ]
  ];
  fhir:DiagnosticReport.subject [
     fhir:Reference.reference [ fhir:value "Patient/patient1" ]
  ];
  fhir:DiagnosticReport.effectiveDateTime [ fhir:value "2015-11-03T13:18:00+01:00"^^xsd:dateTime];
  fhir:DiagnosticReport.issued [ fhir:value "2015-11-04T13:18:00+01:00"^^xsd:dateTime];
  fhir:DiagnosticReport.performer [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Organization/organization10" ]
  ];
  fhir:DiagnosticReport.resultsInterpreter [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Practitioner/practitioner11" ]
  ];
  fhir:DiagnosticReport.specimen [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Specimen/specimen1" ]
  ];
  fhir:DiagnosticReport.result [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Observation/observation10" ]
  ], [
     fhir:index 1;
     fhir:Reference.reference [ fhir:value "Observation/observation11" ]
  ];
  fhir:DiagnosticReport.media [
     fhir:index 0;
     fhir:DiagnosticReport.media.comment [ fhir:value "Just as an example here: how to add a link to an image" ];
     fhir:DiagnosticReport.media.link [
       fhir:Reference.reference [ fhir:value "Media/media1" ]     ]
  ];
  fhir:DiagnosticReport.conclusion [ fhir:value "This is our conclusion"].

<urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d35> a fhir:Specimen;
  fhir:Resource.id [ fhir:value "specimen1"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "1" ];
     fhir:Meta.profile [
       fhir:value "https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-specimen-laboratory";
       fhir:index 0;
       fhir:link <https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-specimen-laboratory>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "empty" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">empty</div>"
  ];
  fhir:Specimen.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "https://www.GTL-LABO.be/" ];
     fhir:Identifier.value [ fhir:value "1" ]
  ];
  fhir:Specimen.status [ fhir:value "available"];
  fhir:Specimen.type [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:119297000;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "119297000" ];
       fhir:Coding.display [ fhir:value "Blood specimen" ]     ];
     fhir:CodeableConcept.text [ fhir:value "A string can be added to nuance or explain." ]
  ];
  fhir:Specimen.receivedTime [ fhir:value "2015-11-04"^^xsd:date];
  fhir:Specimen.collection [
     fhir:Specimen.collection.collectedDateTime [ fhir:value "2015-11-03"^^xsd:date ];
     fhir:Specimen.collection.method [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:28520004;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "28520004" ];
         fhir:Coding.display [ fhir:value "Venipuncture for blood test (procedure)" ]       ]     ];
     fhir:Specimen.collection.bodySite [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:368208006;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "368208006" ];
         fhir:Coding.display [ fhir:value "Left upper arm structure (body structure)" ]       ]     ]
  ];
  fhir:Specimen.note [
     fhir:index 0;
     fhir:Annotation.text [ fhir:value "Some extra relevant information concerning the specimen" ]
  ].

<urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d36> a fhir:Observation;
  fhir:Resource.id [ fhir:value "observation10"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-observation-laboratory";
       fhir:index 0;
       fhir:link <https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-observation-laboratory>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "empty" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">empty</div>"
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:30341-2;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "30341-2" ];
       fhir:Coding.display [ fhir:value "Erythrocyte sedimentation rate" ]     ]
  ];
  fhir:Observation.subject [
     fhir:Reference.reference [ fhir:value "Patient/patient1" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2015-11-04T09:16:00-05:00"^^xsd:dateTime];
  fhir:Observation.issued [ fhir:value "2015-11-04T09:16:00-05:00"^^xsd:dateTime];
  fhir:Observation.performer [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Practitioner/practitioner11" ]
  ];
  fhir:Observation.valueQuantity [
     fhir:Quantity.value [ fhir:value "2"^^xsd:decimal ];
     fhir:Quantity.unit [ fhir:value "mm/h" ];
     fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
     fhir:Quantity.code [ fhir:value "mm/h" ]
  ];
  fhir:Observation.interpretation [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" ];
       fhir:Coding.code [ fhir:value "L" ];
       fhir:Coding.display [ fhir:value "Low" ]     ]
  ];
  fhir:Observation.note [
     fhir:index 0;
     fhir:Annotation.text [ fhir:value "The Bodysite and Method that are given below do not really make any sense here!" ]
  ];
  fhir:Observation.bodySite [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:344001;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "344001" ];
       fhir:Coding.display [ fhir:value "Ankle" ]     ];
     fhir:CodeableConcept.text [ fhir:value "ankle (this code was just an example to show the structure)" ]
  ];
  fhir:Observation.method [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:14456009;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "14456009" ];
       fhir:Coding.display [ fhir:value "Measuring height of patient" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Measuring height of patient (this code was just an example to show the structure)" ]
  ];
  fhir:Observation.specimen [
     fhir:Reference.reference [ fhir:value "Specimen/specimen1" ]
  ];
  fhir:Observation.referenceRange [
     fhir:index 0;
     fhir:Observation.referenceRange.low [
       fhir:Quantity.value [ fhir:value "0"^^xsd:decimal ];
       fhir:Quantity.unit [ fhir:value "mm/h" ];
       fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
       fhir:Quantity.code [ fhir:value "mm/h" ]     ];
     fhir:Observation.referenceRange.high [
       fhir:Quantity.value [ fhir:value "30"^^xsd:decimal ];
       fhir:Quantity.unit [ fhir:value "mm/h" ];
       fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
       fhir:Quantity.code [ fhir:value "mm/h" ]     ];
     fhir:Observation.referenceRange.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/referencerange-meaning" ];
         fhir:Coding.code [ fhir:value "normal" ]       ]     ];
     fhir:Observation.referenceRange.appliesTo [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:248153007;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "248153007" ];
         fhir:Coding.display [ fhir:value "Male" ]       ]     ];
     fhir:Observation.referenceRange.text [ fhir:value "Something concerning the reference range that can only be explained in text -->" ]
  ].

<urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d37> a fhir:Observation;
  fhir:Resource.id [ fhir:value "observation11"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-observation-laboratory";
       fhir:index 0;
       fhir:link <https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-observation-laboratory>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "empty" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">empty</div>"
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.code [
     fhir:CodeableConcept.text [ fhir:value "SCREENING" ]
  ];
  fhir:Observation.subject [
     fhir:Reference.reference [ fhir:value "Patient/patient1" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2015-11-04T09:16:00-05:00"^^xsd:dateTime];
  fhir:Observation.performer [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Practitioner/practitioner11" ]
  ];
  fhir:Observation.hasMember [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Observation/observation111" ]
  ], [
     fhir:index 1;
     fhir:Reference.reference [ fhir:value "Observation/observation112" ]
  ].

<urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d38> a fhir:Observation;
  fhir:Resource.id [ fhir:value "observation111"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-observation-laboratory";
       fhir:index 0;
       fhir:link <https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-observation-laboratory>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "empty" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">empty</div>"
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:789-8;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "789-8" ];
       fhir:Coding.display [ fhir:value "Erythrocytes [#/volume] in Blood by Automated count" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Red blood cells (blood)" ]
  ];
  fhir:Observation.subject [
     fhir:Reference.reference [ fhir:value "Patient/patient1" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2015-11-04T09:16:00-05:00"^^xsd:dateTime];
  fhir:Observation.performer [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Practitioner/practitioner11" ]
  ];
  fhir:Observation.valueQuantity [
     fhir:Quantity.value [ fhir:value "4.35"^^xsd:decimal ];
     fhir:Quantity.unit [ fhir:value "10*6/uL" ];
     fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
     fhir:Quantity.code [ fhir:value "10*6/uL" ]
  ];
  fhir:Observation.specimen [
     fhir:Reference.reference [ fhir:value "Specimen/specimen1" ]
  ];
  fhir:Observation.referenceRange [
     fhir:index 0;
     fhir:Observation.referenceRange.low [
       fhir:Quantity.value [ fhir:value "3.93"^^xsd:decimal ];
       fhir:Quantity.unit [ fhir:value "10*6/uL" ];
       fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
       fhir:Quantity.code [ fhir:value "10*6/uL" ]     ];
     fhir:Observation.referenceRange.high [
       fhir:Quantity.value [ fhir:value "5.01"^^xsd:decimal ];
       fhir:Quantity.unit [ fhir:value "10*6/uL" ];
       fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
       fhir:Quantity.code [ fhir:value "10*6/uL" ]     ];
     fhir:Observation.referenceRange.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/referencerange-meaning" ];
         fhir:Coding.code [ fhir:value "normal" ]       ]     ]
  ].

<urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d39> a fhir:Observation;
  fhir:Resource.id [ fhir:value "observation112"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-observation-laboratory";
       fhir:index 0;
       fhir:link <https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-observation-laboratory>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "empty" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">empty</div>"
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:20563-3;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "20563-3" ];
       fhir:Coding.display [ fhir:value "Carboxyhemoglobin/Hemoglobin.total in Blood" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Hemoglobin" ]
  ];
  fhir:Observation.subject [
     fhir:Reference.reference [ fhir:value "Patient/patient1" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2015-11-04T09:16:00-05:00"^^xsd:dateTime];
  fhir:Observation.performer [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Practitioner/practitioner11" ]
  ];
  fhir:Observation.valueQuantity [
     fhir:Quantity.value [ fhir:value "14.1"^^xsd:decimal ];
     fhir:Quantity.unit [ fhir:value "g/dl" ];
     fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
     fhir:Quantity.code [ fhir:value "g/dl" ]
  ];
  fhir:Observation.specimen [
     fhir:Reference.reference [ fhir:value "Specimen/specimen1" ]
  ];
  fhir:Observation.referenceRange [
     fhir:index 0;
     fhir:Observation.referenceRange.low [
       fhir:Quantity.value [ fhir:value "11.8"^^xsd:decimal ];
       fhir:Quantity.unit [ fhir:value "g/dl" ];
       fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
       fhir:Quantity.code [ fhir:value "g/dl" ]     ];
     fhir:Observation.referenceRange.high [
       fhir:Quantity.value [ fhir:value "14.8"^^xsd:decimal ];
       fhir:Quantity.unit [ fhir:value "g/dl" ];
       fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
       fhir:Quantity.code [ fhir:value "g/dl" ]     ];
     fhir:Observation.referenceRange.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/referencerange-meaning" ];
         fhir:Coding.code [ fhir:value "normal" ]       ]     ]
  ].

<urn:uuid:7c16c9c0-c469-4088-ae18-48abcadd8d40> a fhir:Media;
  fhir:Resource.id [ fhir:value "media1"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "empty" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">empty</div>"
  ];
  fhir:Media.status [ fhir:value "completed"];
  fhir:Media.content [
     fhir:Attachment.contentType [ fhir:value "image/gif" ];
     fhir:Attachment.data [ fhir:value "iVBORw0KGgoAAAANSUhEUgAAA+MAAACnCAYAAAB6pY03AAAAAXNSR0IArs4c6QAAAARnQU1BAACx jwv8YQUAAAAJcEhZcwAAEnMAABJzAYwiuQcAADBZSURBVHhe7d09rty218fxrOFfZj/ZQHZgwEiZ gg=="^^xsd:base64Binary ]
  ].

<urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d40> a fhir:Organization;
  fhir:Resource.id [ fhir:value "organization10"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-organization";
       fhir:index 0;
       fhir:link <https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-organization>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "empty" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">empty</div>"
  ];
  fhir:Organization.identifier [
     fhir:index 0;
     fhir:Identifier.use [ fhir:value "official" ];
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ];
         fhir:Coding.code [ fhir:value "MD" ];
         fhir:Coding.display [ fhir:value "Medical License number" ]       ]     ];
     fhir:Identifier.system [ fhir:value "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi" ];
     fhir:Identifier.value [ fhir:value "81165343998" ]
  ];
  fhir:Organization.active [ fhir:value "true"^^xsd:boolean];
  fhir:Organization.type [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty" ];
       fhir:Coding.code [ fhir:value "orglaboratory" ]     ]
  ];
  fhir:Organization.name [ fhir:value "GTL - General Testing Laboratory"];
  fhir:Organization.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "322675199" ];
     fhir:ContactPoint.use [ fhir:value "work" ]
  ];
  fhir:Organization.address [
     fhir:index 0;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/language" ];
       fhir:Extension.valueCode [ fhir:value "nl" ]     ];
     fhir:Address.use [ fhir:value "work" ];
     fhir:Address.type [ fhir:value "both" ];
     fhir:Address.text [ fhir:value "Vulcansstraat 120, 1000 Brussel" ];
     fhir:Address.line [
       fhir:value "Vulcansstraat 120";
       fhir:index 0;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName" ];
         fhir:Extension.valueString [ fhir:value "Vulcansstraat" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber" ];
         fhir:Extension.valueString [ fhir:value "120" ]       ]     ];
     fhir:Address.city [ fhir:value "Brussel" ];
     fhir:Address.postalCode [ fhir:value "1000" ];
     fhir:Address.country [ fhir:value "BE" ]
  ].

<urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d41> a fhir:Practitioner;
  fhir:Resource.id [ fhir:value "practitioner11"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner";
       fhir:index 0;
       fhir:link <https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "empty" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">empty</div>"
  ];
  fhir:Practitioner.identifier [
     fhir:index 0;
     fhir:Identifier.use [ fhir:value "official" ];
     fhir:Identifier.system [ fhir:value "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi" ];
     fhir:Identifier.value [ fhir:value "554488997" ]
  ];
  fhir:Practitioner.name [
     fhir:index 0;
     fhir:HumanName.use [ fhir:value "official" ];
     fhir:HumanName.family [ fhir:value "Davoust" ];
     fhir:HumanName.given [
       fhir:value "Nicolas";
       fhir:index 0     ]
  ];
  fhir:Practitioner.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "email" ];
     fhir:ContactPoint.value [ fhir:value "nicolas.davoust@gtl.be" ];
     fhir:ContactPoint.use [ fhir:value "work" ]
  ], [
     fhir:index 1;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "022675198" ];
     fhir:ContactPoint.use [ fhir:value "work" ]
  ], [
     fhir:index 2;
     fhir:ContactPoint.system [ fhir:value "fax" ];
     fhir:ContactPoint.value [ fhir:value "022675209" ];
     fhir:ContactPoint.use [ fhir:value "work" ]
  ].

<urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d42> a fhir:Patient;
  fhir:Resource.id [ fhir:value "patient1"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient";
       fhir:index 0;
       fhir:link <https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "empty" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">empty</div>"
  ];
  fhir:Patient.identifier [
     fhir:index 0;
     fhir:Identifier.use [ fhir:value "official" ];
     fhir:Identifier.system [ fhir:value "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin" ];
     fhir:Identifier.value [ fhir:value "79121137740" ]
  ];
  fhir:Patient.active [ fhir:value "true"^^xsd:boolean];
  fhir:Patient.name [
     fhir:index 0;
     fhir:HumanName.family [ fhir:value "La Paradisio" ];
     fhir:HumanName.given [
       fhir:value "Josephine";
       fhir:index 0     ], [
       fhir:value "Nessa";
       fhir:index 1     ]
  ];
  fhir:Patient.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "email" ];
     fhir:ContactPoint.value [ fhir:value "nessa.laparadisio@belgium.be" ]
  ], [
     fhir:index 1;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "+322476792979" ];
     fhir:ContactPoint.use [ fhir:value "mobile" ]
  ], [
     fhir:index 2;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "+3226718655" ];
     fhir:ContactPoint.use [ fhir:value "home" ]
  ], [
     fhir:index 3;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "+322476799" ];
     fhir:ContactPoint.use [ fhir:value "work" ]
  ];
  fhir:Patient.gender [ fhir:value "female"];
  fhir:Patient.birthDate [
     fhir:value "1979-12-11"^^xsd:date;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/patient-birthTime" ];
       fhir:Extension.valueDateTime [ fhir:value "1979-12-11T13:28:17-05:00"^^xsd:dateTime ]     ]
  ];
  fhir:Patient.address [
     fhir:index 0;
     fhir:Address.use [ fhir:value "home" ];
     fhir:Address.type [ fhir:value "both" ];
     fhir:Address.text [ fhir:value "Sloordelle 42, 1160 Oudergem" ];
     fhir:Address.line [
       fhir:value "Sloordelle 42";
       fhir:index 0     ];
     fhir:Address.city [ fhir:value "Oudergem" ];
     fhir:Address.postalCode [ fhir:value "1160" ];
     fhir:Address.country [ fhir:value "BE" ]
  ].

<urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d43> a fhir:ServiceRequest;
  fhir:Resource.id [ fhir:value "servicerequest1"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "empty" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">empty</div>"
  ];
  fhir:ServiceRequest.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "https://www.GTL-LABO.be/orderingsystem" ];
     fhir:Identifier.value [ fhir:value "12334546" ]
  ];
  fhir:ServiceRequest.status [ fhir:value "active"];
  fhir:ServiceRequest.intent [ fhir:value "order"];
  fhir:ServiceRequest.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:108252007;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "108252007" ];
       fhir:Coding.display [ fhir:value "Laboratory procedure" ]     ]
  ];
  fhir:ServiceRequest.subject [
     fhir:Reference.reference [ fhir:value "Patient/patient1" ]
  ];
  fhir:ServiceRequest.authoredOn [ fhir:value "2015-11-01T14:41:00+01:00"^^xsd:dateTime];
  fhir:ServiceRequest.requester [
     fhir:Reference.reference [ fhir:value "Practitioner/practitioner1" ]
  ];
  fhir:ServiceRequest.specimen [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Specimen/specimen1" ]
  ].

<urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d44> a fhir:Practitioner;
  fhir:Resource.id [ fhir:value "practitioner1"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner";
       fhir:index 0;
       fhir:link <https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "empty" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">empty</div>"
  ];
  fhir:Practitioner.identifier [
     fhir:index 0;
     fhir:Identifier.use [ fhir:value "official" ];
     fhir:Identifier.system [ fhir:value "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi" ];
     fhir:Identifier.value [ fhir:value "18749704477" ]
  ];
  fhir:Practitioner.name [
     fhir:index 0;
     fhir:HumanName.use [ fhir:value "official" ];
     fhir:HumanName.family [ fhir:value "Pulaski" ];
     fhir:HumanName.given [
       fhir:value "Katherine";
       fhir:index 0     ];
     fhir:HumanName.suffix [
       fhir:value "MD";
       fhir:index 0     ]
  ];
  fhir:Practitioner.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "email" ];
     fhir:ContactPoint.value [ fhir:value "katherine.pulaski@enterprisehospital.be" ];
     fhir:ContactPoint.use [ fhir:value "work" ]
  ], [
     fhir:index 1;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "022675198" ];
     fhir:ContactPoint.use [ fhir:value "work" ]
  ], [
     fhir:index 2;
     fhir:ContactPoint.system [ fhir:value "fax" ];
     fhir:ContactPoint.value [ fhir:value "022675209" ];
     fhir:ContactPoint.use [ fhir:value "work" ]
  ];
  fhir:Practitioner.address [
     fhir:index 0;
     fhir:Address.use [ fhir:value "home" ];
     fhir:Address.text [ fhir:value "Jupiterlaan 5, 1853 Grimbergen" ];
     fhir:Address.line [
       fhir:value "Jupiterlaan 5";
       fhir:index 0     ];
     fhir:Address.city [ fhir:value "Grimbergen" ];
     fhir:Address.postalCode [ fhir:value "1853" ];
     fhir:Address.country [ fhir:value "BE" ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.