HL7 BE Laboratory Result WG Implementation Guide (work in progress)
0.0.7 - CI Build

HL7 BE Laboratory Result WG Implementation Guide (work in progress), published by HL7 Belgium. This is not an authorized publication; it is the continuous build for version 0.0.7). This version is based on the current content of https://github.com/hl7-be/hl7-be-fhir-laboratory-report/ and changes regularly. See the Directory of published versions

: Hematology studies as FHIR Document example - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="hematologyStudiesAsFHIRDocument"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:uuid:0c3151bd-1cbf-4d65-b04d-cd9187a4c6e0"/>
  </identifier>
  <type value="document"/>
  <timestamp value="2021-05-31T22:12:21Z"/>
  <entry>
    <fullUrl value="urn:uuid:7c16c9c0-c471-4098-bf18-48abcadd8d34"/>
    <resource>
      <Composition>
        <id value="180f219f-97a8-486d-99d9-ed631fe4fc57"/>
        <meta>
          <profile
                   value="https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-laboratory-report-composition"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource "180f219f-97a8-486d-99d9-ed631fe4fc57" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-be-laboratory-report-composition.html">BeLaboratoryreportComposition</a></p></div><p><b>identifier</b>: id: urn:uuid:dbcf0eb0-d825-11eb-b8bc-0242ac130003</p><p><b>status</b>: final</p><p><b>type</b>: Laboratort report <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#11502-2)</span></p><p><b>date</b>: 2013-02-01 12:30:02+0000</p><p><b>author</b>: <a href="#Practitioner_practitioner11">See above (Practitioner/practitioner11)</a></p><p><b>title</b>: Laboratory Report (mandatory to give a title like this in a FHIR document.)</p><h3>RelatesTos</h3><table class="grid"><tr><td>-</td><td><b>Code</b></td><td><b>Target[x]</b></td></tr><tr><td>*</td><td>replaces</td><td>id: urn:uuid:0c3151bd-1cbf-4d65-b04d-cd9187a4c5e0</td></tr></table></div>
        </text>
        <identifier>
          <system value="urn:ietf:rfc:3986"/>
          <value value="urn:uuid:dbcf0eb0-d825-11eb-b8bc-0242ac130003"/>
        </identifier>
        <status value="final"/>
        <type>
          <coding>
            <system value="http://loinc.org"/>
            <code value="11502-2"/>
          </coding>
          <text value="Laboratort report"/>
        </type>
        <subject>
          <reference value="Patient/patient1"/>
        </subject>
        <date value="2013-02-01T12:30:02Z"/>
        <author>
          <reference value="Practitioner/practitioner11"/>
        </author>
        <title
               value="Laboratory Report (mandatory to give a title like this in a FHIR document.)"/>
        <relatesTo>
          <code value="replaces"/>
          <targetIdentifier>
            <system value="urn:ietf:rfc:3986"/>
            <value value="urn:uuid:0c3151bd-1cbf-4d65-b04d-cd9187a4c5e0"/>
          </targetIdentifier>
        </relatesTo>
        <section>
          <entry>
            <reference value="DiagnosticReport/diagnosticreport1"/>
          </entry>
        </section>
      </Composition>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d34"/>
    <resource>
      <DiagnosticReport>
        <id value="diagnosticreport1"/>
        <meta>
          <versionId value="1"/>
          <profile
                   value="https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-laboratory-report"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en"><p><b>Generated Narrative</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource "diagnosticreport1" Version "1"  (Language "en") </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-be-laboratory-report.html">BeLaboratoryReport</a></p></div><p><b>identifier</b>: id: 11530231003.2015110413180000000</p><p><b>basedOn</b>: <a href="#ServiceRequest_servicerequest1">See above (ServiceRequest/servicerequest1)</a></p><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-v2-0074.html">diagnosticServiceSectionId</a>#LAB)</span></p><p><b>code</b>: Hematology studies (set) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#18723-7)</span></p><p><b>subject</b>: <a href="#Patient_patient1">See above (Patient/patient1)</a></p><p><b>effective</b>: 2015-11-03 01:18:00+0100</p><p><b>issued</b>: Nov 4, 2015, 12:18:00 PM</p><p><b>performer</b>: <a href="#Organization_organization10">See above (Organization/organization10)</a></p><p><b>resultsInterpreter</b>: <a href="#Practitioner_practitioner11">See above (Practitioner/practitioner11)</a></p><p><b>specimen</b>: <a href="#Specimen_specimen1">See above (Specimen/specimen1)</a></p><p><b>result</b>: </p><ul><li><a href="#Observation_observation10">See above (Observation/observation10)</a></li><li><a href="#Observation_observation11">See above (Observation/observation11)</a></li></ul><h3>Media</h3><table class="grid"><tr><td>-</td><td><b>Comment</b></td><td><b>Link</b></td></tr><tr><td>*</td><td>Just as an example here: how to add a link to an image</td><td><a href="#Media_media1">See above (Media/media1)</a></td></tr></table><p><b>conclusion</b>: This is our conclusion</p></div>
        </text>
        <identifier>
          <system
                  value="https://www.ehealth.fgov.be/standards/fhir/NamingSystem/be-ns-lab-report-diagnostic-report-id"/>
          <value value="11530231003.2015110413180000000"/>
        </identifier>
        <basedOn>
          <reference value="ServiceRequest/servicerequest1"/>
        </basedOn>
        <status value="final"/>
        <category>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
            <code value="LAB"/>
            <display value="Laboratory"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="18723-7"/>
            <display value="Hematology studies (set)">
              <extension
                         url="http://hl7.org/fhir/StructureDefinition/translation">
                <extension url="lang">
                  <valueCode value="be-nl"/>
                </extension>
                <extension url="content">
                  <valueString value="HEMATOLOGIE"/>
                </extension>
              </extension>
            </display>
          </coding>
        </code>
        <subject>
          <reference value="Patient/patient1"/>
        </subject>
        <effectiveDateTime value="2015-11-03T13:18:00+01:00"/>
        <issued value="2015-11-04T13:18:00+01:00"/>
        <performer>
          <reference value="Organization/organization10"/>
        </performer>
        <resultsInterpreter>
          <reference value="Practitioner/practitioner11"/>
        </resultsInterpreter>
        <specimen>
          <reference value="Specimen/specimen1"/>
        </specimen>
        <result>
          <reference value="Observation/observation10"/>
        </result>
        <result>
          <reference value="Observation/observation11"/>
        </result>
        <media>
          <comment
                   value="Just as an example here: how to add a link to an image"/>
          <link>
            <reference value="Media/media1"/>
          </link>
        </media>
        <conclusion value="This is our conclusion"/>
      </DiagnosticReport>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d35"/>
    <resource>
      <Specimen>
        <id value="specimen1"/>
        <meta>
          <versionId value="1"/>
          <profile
                   value="https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-specimen-laboratory"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource "specimen1" Version "1" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-be-specimen-laboratory.html">BeSpecimenLaboratory</a></p></div><p><b>identifier</b>: id: 1</p><p><b>status</b>: available</p><p><b>type</b>: A string can be added to nuance or explain. <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#119297000 "Blood specimen")</span></p><p><b>receivedTime</b>: 2015-11-04</p><h3>Collections</h3><table class="grid"><tr><td>-</td><td><b>Collected[x]</b></td><td><b>Method</b></td><td><b>BodySite</b></td></tr><tr><td>*</td><td>2015-11-03</td><td>Venipuncture for blood test (procedure) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#28520004)</span></td><td>Left upper arm structure (body structure) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#368208006)</span></td></tr></table><p><b>note</b>: Some extra relevant information concerning the specimen</p></div>
        </text>
        <identifier>
          <system value="https://www.GTL-LABO.be/"/>
          <value value="1"/>
        </identifier>
        <status value="available"/>
        <type>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="119297000"/>
            <display value="Blood specimen"/>
          </coding>
          <text value="A string can be added to nuance or explain."/>
        </type>
        <receivedTime value="2015-11-04"/>
        <collection>
          <collectedDateTime value="2015-11-03"/>
          <method>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="28520004"/>
              <display value="Venipuncture for blood test (procedure)"/>
            </coding>
          </method>
          <bodySite>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="368208006"/>
              <display value="Left upper arm structure (body structure)"/>
            </coding>
          </bodySite>
        </collection>
        <note>
          <text value="Some extra relevant information concerning the specimen"/>
        </note>
      </Specimen>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d36"/>
    <resource>
      <Observation>
        <id value="observation10"/>
        <meta>
          <profile
                   value="https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-observation-laboratory"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource "observation10" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-be-observation-laboratory.html">BeObservationLaboratory</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Erythrocyte sedimentation rate <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#30341-2)</span></p><p><b>subject</b>: <a href="#Patient_patient1">See above (Patient/patient1)</a></p><p><b>effective</b>: 2015-11-04 09:16:00-0500</p><p><b>issued</b>: Nov 4, 2015, 2:16:00 PM</p><p><b>performer</b>: <a href="#Practitioner_practitioner11">See above (Practitioner/practitioner11)</a></p><p><b>value</b>: 2 mm/h<span style="background: LightGoldenRodYellow"> (Details: UCUM code mm/h = 'mm/h')</span></p><p><b>interpretation</b>: Low <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-v3-ObservationInterpretation.html">ObservationInterpretation</a>#L)</span></p><p><b>note</b>: The Bodysite and Method that are given below do not really make any sense here!</p><p><b>bodySite</b>: ankle (this code was just an example to show the structure) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#344001 "Ankle")</span></p><p><b>method</b>: Measuring height of patient (this code was just an example to show the structure) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#14456009 "Measuring height of patient")</span></p><p><b>specimen</b>: <a href="#Specimen_specimen1">See above (Specimen/specimen1)</a></p><h3>ReferenceRanges</h3><table class="grid"><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td><td><b>Type</b></td><td><b>AppliesTo</b></td><td><b>Text</b></td></tr><tr><td>*</td><td>0 mm/h<span style="background: LightGoldenRodYellow"> (Details: UCUM code mm/h = 'mm/h')</span></td><td>30 mm/h<span style="background: LightGoldenRodYellow"> (Details: UCUM code mm/h = 'mm/h')</span></td><td>Normal Range <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-referencerange-meaning.html">Observation Reference Range Meaning Codes</a>#normal)</span></td><td>Male <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#248153007)</span></td><td>Something concerning the reference range that can only be explained in text --&gt;</td></tr></table></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="30341-2"/>
            <display value="Erythrocyte sedimentation rate"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/patient1"/>
        </subject>
        <effectiveDateTime value="2015-11-04T09:16:00-05:00"/>
        <issued value="2015-11-04T09:16:00-05:00"/>
        <performer>
          <reference value="Practitioner/practitioner11"/>
        </performer>
        <valueQuantity>
          <value value="2"/>
          <unit value="mm/h"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="mm/h"/>
        </valueQuantity>
        <interpretation>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
            <code value="L"/>
            <display value="Low"/>
          </coding>
        </interpretation>
        <note>
          <text
                value="The Bodysite and Method that are given below do not really make any sense here!"/>
        </note>
        <bodySite>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="344001"/>
            <display value="Ankle"/>
          </coding>
          <text
                value="ankle (this code was just an example to show the structure)"/>
        </bodySite>
        <method>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="14456009"/>
            <display value="Measuring height of patient"/>
          </coding>
          <text
                value="Measuring height of patient (this code was just an example to show the structure)"/>
        </method>
        <specimen>
          <reference value="Specimen/specimen1"/>
        </specimen>
        <referenceRange>
          <low>
            <value value="0"/>
            <unit value="mm/h"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mm/h"/>
          </low>
          <high>
            <value value="30"/>
            <unit value="mm/h"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mm/h"/>
          </high>
          <type>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/referencerange-meaning"/>
              <code value="normal"/>
            </coding>
          </type>
          <appliesTo>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="248153007"/>
              <display value="Male"/>
            </coding>
          </appliesTo>
          <text
                value="Something concerning the reference range that can only be explained in text --&gt;"/>
        </referenceRange>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d37"/>
    <resource>
      <Observation>
        <id value="observation11"/>
        <meta>
          <profile
                   value="https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-observation-laboratory"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource "observation11" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-be-observation-laboratory.html">BeObservationLaboratory</a></p></div><p><b>status</b>: final</p><p><b>code</b>: SCREENING <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span></p><p><b>subject</b>: <a href="#Patient_patient1">See above (Patient/patient1)</a></p><p><b>effective</b>: 2015-11-04 09:16:00-0500</p><p><b>performer</b>: <a href="#Practitioner_practitioner11">See above (Practitioner/practitioner11)</a></p><p><b>hasMember</b>: </p><ul><li><a href="#Observation_observation111">See above (Observation/observation111)</a></li><li><a href="#Observation_observation112">See above (Observation/observation112)</a></li></ul></div>
        </text>
        <status value="final"/>
        <code>
          <text value="SCREENING"/>
        </code>
        <subject>
          <reference value="Patient/patient1"/>
        </subject>
        <effectiveDateTime value="2015-11-04T09:16:00-05:00"/>
        <performer>
          <reference value="Practitioner/practitioner11"/>
        </performer>
        <hasMember>
          <reference value="Observation/observation111"/>
        </hasMember>
        <hasMember>
          <reference value="Observation/observation112"/>
        </hasMember>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d38"/>
    <resource>
      <Observation>
        <id value="observation111"/>
        <meta>
          <profile
                   value="https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-observation-laboratory"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource "observation111" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-be-observation-laboratory.html">BeObservationLaboratory</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Red blood cells (blood) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#789-8 "Erythrocytes [#/volume] in Blood by Automated count")</span></p><p><b>subject</b>: <a href="#Patient_patient1">See above (Patient/patient1)</a></p><p><b>effective</b>: 2015-11-04 09:16:00-0500</p><p><b>performer</b>: <a href="#Practitioner_practitioner11">See above (Practitioner/practitioner11)</a></p><p><b>value</b>: 4.35 10*6/uL<span style="background: LightGoldenRodYellow"> (Details: UCUM code 10*6/uL = '10*6/uL')</span></p><p><b>specimen</b>: <a href="#Specimen_specimen1">See above (Specimen/specimen1)</a></p><h3>ReferenceRanges</h3><table class="grid"><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td><td><b>Type</b></td></tr><tr><td>*</td><td>3.93 10*6/uL<span style="background: LightGoldenRodYellow"> (Details: UCUM code 10*6/uL = '10*6/uL')</span></td><td>5.01 10*6/uL<span style="background: LightGoldenRodYellow"> (Details: UCUM code 10*6/uL = '10*6/uL')</span></td><td>Normal Range <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-referencerange-meaning.html">Observation Reference Range Meaning Codes</a>#normal)</span></td></tr></table></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="789-8"/>
            <display value="Erythrocytes [#/volume] in Blood by Automated count"/>
          </coding>
          <text value="Red blood cells (blood)"/>
        </code>
        <subject>
          <reference value="Patient/patient1"/>
        </subject>
        <effectiveDateTime value="2015-11-04T09:16:00-05:00"/>
        <performer>
          <reference value="Practitioner/practitioner11"/>
        </performer>
        <valueQuantity>
          <value value="4.35"/>
          <unit value="10*6/uL"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="10*6/uL"/>
        </valueQuantity>
        <specimen>
          <reference value="Specimen/specimen1"/>
        </specimen>
        <referenceRange>
          <low>
            <value value="3.93"/>
            <unit value="10*6/uL"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="10*6/uL"/>
          </low>
          <high>
            <value value="5.01"/>
            <unit value="10*6/uL"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="10*6/uL"/>
          </high>
          <type>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/referencerange-meaning"/>
              <code value="normal"/>
            </coding>
          </type>
        </referenceRange>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d39"/>
    <resource>
      <Observation>
        <id value="observation112"/>
        <meta>
          <profile
                   value="https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-observation-laboratory"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource "observation112" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-be-observation-laboratory.html">BeObservationLaboratory</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Hemoglobin <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#20563-3 "Carboxyhemoglobin/Hemoglobin.total in Blood")</span></p><p><b>subject</b>: <a href="#Patient_patient1">See above (Patient/patient1)</a></p><p><b>effective</b>: 2015-11-04 09:16:00-0500</p><p><b>performer</b>: <a href="#Practitioner_practitioner11">See above (Practitioner/practitioner11)</a></p><p><b>value</b>: 14.1 g/dl<span style="background: LightGoldenRodYellow"> (Details: UCUM code g/dl = 'g/dl')</span></p><p><b>specimen</b>: <a href="#Specimen_specimen1">See above (Specimen/specimen1)</a></p><h3>ReferenceRanges</h3><table class="grid"><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td><td><b>Type</b></td></tr><tr><td>*</td><td>11.8 g/dl<span style="background: LightGoldenRodYellow"> (Details: UCUM code g/dl = 'g/dl')</span></td><td>14.8 g/dl<span style="background: LightGoldenRodYellow"> (Details: UCUM code g/dl = 'g/dl')</span></td><td>Normal Range <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-referencerange-meaning.html">Observation Reference Range Meaning Codes</a>#normal)</span></td></tr></table></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="20563-3"/>
            <display value="Carboxyhemoglobin/Hemoglobin.total in Blood"/>
          </coding>
          <text value="Hemoglobin"/>
        </code>
        <subject>
          <reference value="Patient/patient1"/>
        </subject>
        <effectiveDateTime value="2015-11-04T09:16:00-05:00"/>
        <performer>
          <reference value="Practitioner/practitioner11"/>
        </performer>
        <valueQuantity>
          <value value="14.1"/>
          <unit value="g/dl"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="g/dl"/>
        </valueQuantity>
        <specimen>
          <reference value="Specimen/specimen1"/>
        </specimen>
        <referenceRange>
          <low>
            <value value="11.8"/>
            <unit value="g/dl"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="g/dl"/>
          </low>
          <high>
            <value value="14.8"/>
            <unit value="g/dl"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="g/dl"/>
          </high>
          <type>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/referencerange-meaning"/>
              <code value="normal"/>
            </coding>
          </type>
        </referenceRange>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:7c16c9c0-c469-4088-ae18-48abcadd8d40"/>
    <resource>
      <Media>
        <id value="media1"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource "media1" </p></div><p><b>status</b>: completed</p></div>
        </text>
        <status value="completed"/>
        <content>
          <contentType value="image/gif"/>
          <data
                value="iVBORw0KGgoAAAANSUhEUgAAA+MAAACnCAYAAAB6pY03AAAAAXNSR0IArs4c6QAAAARnQU1BAACx jwv8YQUAAAAJcEhZcwAAEnMAABJzAYwiuQcAADBZSURBVHhe7d09rty218fxrOFfZj/ZQHZgwEiZ gg=="/>
        </content>
      </Media>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d40"/>
    <resource>
      <Organization>
        <id value="organization10"/>
        <meta>
          <profile
                   value="https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-organization"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource "organization10" </p><p style="margin-bottom: 0px">Profile: <a href="https://simplifier.net/resolve?scope=ehealthplatform.be.r4.federalprofiles@1.2.2&amp;canonical=https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-organization">BeOrganization</a></p></div><p><b>identifier</b>: Medical License number: 81165343998 (OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: Independent laboratory <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://simplifier.net/resolve?scope=ehealthplatform.be.r4.federalprofiles@1.2.2&amp;canonical=https://www.ehealth.fgov.be/standards/fhir/CodeSystem/cd-hcparty">HCParty</a>#orglaboratory)</span></p><p><b>name</b>: GTL - General Testing Laboratory</p><p><b>telecom</b>: ph: 322675199(WORK)</p><p><b>address</b>: Vulcansstraat 120, 1000 Brussel(WORK)</p></div>
        </text>
        <identifier>
          <use value="official"/>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MD"/>
              <display value="Medical License number"/>
            </coding>
          </type>
          <system
                  value="https://www.ehealth.fgov.be/standards/fhir/NamingSystem/nihdi"/>
          <value value="81165343998"/>
        </identifier>
        <active value="true"/>
        <type>
          <coding>
            <system
                    value="https://www.ehealth.fgov.be/standards/fhir/CodeSystem/cd-hcparty"/>
            <code value="orglaboratory"/>
          </coding>
        </type>
        <name value="GTL - General Testing Laboratory"/>
        <telecom>
          <system value="phone"/>
          <value value="322675199"/>
          <use value="work"/>
        </telecom>
        <address>
          <extension url="http://hl7.org/fhir/StructureDefinition/language">
            <valueCode value="nl"/>
          </extension>
          <use value="work"/>
          <type value="both"/>
          <text value="Vulcansstraat 120, 1000 Brussel"/>
          <line value="Vulcansstraat 120">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName">
              <valueString value="Vulcansstraat"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber">
              <valueString value="120"/>
            </extension>
          </line>
          <city value="Brussel"/>
          <postalCode value="1000"/>
          <country value="BE"/>
        </address>
      </Organization>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d41"/>
    <resource>
      <Practitioner>
        <id value="practitioner11"/>
        <meta>
          <profile
                   value="https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-practitioner"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource "practitioner11" </p><p style="margin-bottom: 0px">Profile: <a href="https://simplifier.net/resolve?scope=ehealthplatform.be.r4.federalprofiles@1.2.2&amp;canonical=https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-practitioner">BePractitioner</a></p></div><p><b>identifier</b>: id: 554488997 (OFFICIAL)</p><p><b>name</b>: Nicolas Davoust (OFFICIAL)</p><p><b>telecom</b>: <a href="mailto:nicolas.davoust@gtl.be">nicolas.davoust@gtl.be</a>, ph: 022675198(WORK), fax: 022675209(WORK)</p></div>
        </text>
        <identifier>
          <use value="official"/>
          <system
                  value="https://www.ehealth.fgov.be/standards/fhir/NamingSystem/nihdi"/>
          <value value="554488997"/>
        </identifier>
        <name>
          <use value="official"/>
          <family value="Davoust"/>
          <given value="Nicolas"/>
        </name>
        <telecom>
          <system value="email"/>
          <value value="nicolas.davoust@gtl.be"/>
          <use value="work"/>
        </telecom>
        <telecom>
          <system value="phone"/>
          <value value="022675198"/>
          <use value="work"/>
        </telecom>
        <telecom>
          <system value="fax"/>
          <value value="022675209"/>
          <use value="work"/>
        </telecom>
      </Practitioner>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d42"/>
    <resource>
      <Patient>
        <id value="patient1"/>
        <meta>
          <profile
                   value="https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-patient"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource "patient1" </p><p style="margin-bottom: 0px">Profile: <a href="https://simplifier.net/resolve?scope=ehealthplatform.be.r4.federalprofiles@1.2.2&amp;canonical=https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-patient">BePatient</a></p></div><p><b>identifier</b>: id: 79121137740 (OFFICIAL)</p><p><b>active</b>: true</p><p><b>name</b>: Josephine Nessa La Paradisio </p><p><b>telecom</b>: <a href="mailto:nessa.laparadisio@belgium.be">nessa.laparadisio@belgium.be</a>, <a href="tel:+322476792979">+322476792979</a>, <a href="tel:+3226718655">+3226718655</a>, <a href="tel:+322476799">+322476799</a></p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1979-12-11</p><p><b>address</b>: Sloordelle 42, 1160 Oudergem(HOME)</p></div>
        </text>
        <identifier>
          <use value="official"/>
          <system
                  value="https://www.ehealth.fgov.be/standards/fhir/NamingSystem/ssin"/>
          <value value="79121137740"/>
        </identifier>
        <active value="true"/>
        <name>
          <family value="La Paradisio"/>
          <given value="Josephine"/>
          <given value="Nessa"/>
        </name>
        <telecom>
          <system value="email"/>
          <value value="nessa.laparadisio@belgium.be"/>
        </telecom>
        <telecom>
          <system value="phone"/>
          <value value="+322476792979"/>
          <use value="mobile"/>
        </telecom>
        <telecom>
          <system value="phone"/>
          <value value="+3226718655"/>
          <use value="home"/>
        </telecom>
        <telecom>
          <system value="phone"/>
          <value value="+322476799"/>
          <use value="work"/>
        </telecom>
        <gender value="female"/>
        <birthDate value="1979-12-11">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/patient-birthTime">
            <valueDateTime value="1979-12-11T13:28:17-05:00"/>
          </extension>
        </birthDate>
        <address>
          <use value="home"/>
          <type value="both"/>
          <text value="Sloordelle 42, 1160 Oudergem"/>
          <line value="Sloordelle 42"/>
          <city value="Oudergem"/>
          <postalCode value="1160"/>
          <country value="BE"/>
        </address>
      </Patient>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d43"/>
    <resource>
      <ServiceRequest>
        <id value="servicerequest1"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource "servicerequest1" </p></div><p><b>identifier</b>: id: 12334546</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>category</b>: Laboratory procedure <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#108252007)</span></p><p><b>subject</b>: <a href="#Patient_patient1">See above (Patient/patient1)</a></p><p><b>authoredOn</b>: 2015-11-01 02:41:00+0100</p><p><b>requester</b>: <a href="#Practitioner_practitioner1">See above (Practitioner/practitioner1)</a></p><p><b>specimen</b>: <a href="#Specimen_specimen1">See above (Specimen/specimen1)</a></p></div>
        </text>
        <identifier>
          <system value="https://www.GTL-LABO.be/orderingsystem"/>
          <value value="12334546"/>
        </identifier>
        <status value="active"/>
        <intent value="order"/>
        <category>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="108252007"/>
            <display value="Laboratory procedure"/>
          </coding>
        </category>
        <subject>
          <reference value="Patient/patient1"/>
        </subject>
        <authoredOn value="2015-11-01T14:41:00+01:00"/>
        <requester>
          <reference value="Practitioner/practitioner1"/>
        </requester>
        <specimen>
          <reference value="Specimen/specimen1"/>
        </specimen>
      </ServiceRequest>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d44"/>
    <resource>
      <Practitioner>
        <id value="practitioner1"/>
        <meta>
          <profile
                   value="https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-practitioner"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource "practitioner1" </p><p style="margin-bottom: 0px">Profile: <a href="https://simplifier.net/resolve?scope=ehealthplatform.be.r4.federalprofiles@1.2.2&amp;canonical=https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-practitioner">BePractitioner</a></p></div><p><b>identifier</b>: id: 18749704477 (OFFICIAL)</p><p><b>name</b>: Katherine Pulaski (OFFICIAL)</p><p><b>telecom</b>: <a href="mailto:katherine.pulaski@enterprisehospital.be">katherine.pulaski@enterprisehospital.be</a>, ph: 022675198(WORK), fax: 022675209(WORK)</p><p><b>address</b>: Jupiterlaan 5, 1853 Grimbergen(HOME)</p></div>
        </text>
        <identifier>
          <use value="official"/>
          <system
                  value="https://www.ehealth.fgov.be/standards/fhir/NamingSystem/nihdi"/>
          <value value="18749704477"/>
        </identifier>
        <name>
          <use value="official"/>
          <family value="Pulaski"/>
          <given value="Katherine"/>
          <suffix value="MD"/>
        </name>
        <telecom>
          <system value="email"/>
          <value value="katherine.pulaski@enterprisehospital.be"/>
          <use value="work"/>
        </telecom>
        <telecom>
          <system value="phone"/>
          <value value="022675198"/>
          <use value="work"/>
        </telecom>
        <telecom>
          <system value="fax"/>
          <value value="022675209"/>
          <use value="work"/>
        </telecom>
        <address>
          <use value="home"/>
          <text value="Jupiterlaan 5, 1853 Grimbergen"/>
          <line value="Jupiterlaan 5"/>
          <city value="Grimbergen"/>
          <postalCode value="1853"/>
          <country value="BE"/>
        </address>
      </Practitioner>
    </resource>
  </entry>
</Bundle>