# Laboratory IG Home Page - HL7 BE Laboratory WG Implementation Guide v1.0.1

* [**Table of Contents**](toc.md)
* **Laboratory IG Home Page**

## Laboratory IG Home Page

| | |
| :--- | :--- |
| *Official URL*:https://www.ehealth.fgov.be/standards/fhir/lab/ImplementationGuide/hl7.fhir.be.lab | *Version*:1.0.1 |
| Draft as of 2022-09-09 | *Computable Name*:Laboratory |

 This is the HL7 Belgium FHIR Implementation Guide for the Laboratory Report workgroup [which can be consulted here](https://wiki.hl7belgium.org/index.php?title=Laboratory_Workgroup). 

 Profiles are available in this guide on the [Artifacts page.](artifacts.md) 

 General guidance information is on the [Guidance page.](guidance.md) 

 For a functional overview of changes, consult the [Changes page.](changes.md) 

 Please address any questions about this implementation guide to [the e-Health Platform Standards Team](mailto:support@be-ehealth-standards.atlassian.net). 

 

### Content

This publication contains the specifications related to the laboratory report areas and is structured in the following content sections:

**Background:** Information about the HL7 Belgium specifications, or what you should know to be able to best navigate and use these specifications. Contains a general introduction to the publication structure and content, the artefact types, common privacy and security specifications and the official HL7 FHIR release that this specification is based upon.

**Functional Description:** Functional content, more relevant for business or functional analysts, as well as health professionals. Contains the context around these specifications (relevant projects, legal and implementation aspects), the interoperability actors and transactions, and especially the use cases that have been considered in the specification and the logical data models – the functional (i.e. non-technical) data sets that are used in data exchange.

**Detailed Specifications:** The actual technical specifications – the FHIR conformance resources that are defined in this specification – profiles, data types, capability statements. This is targeted at (technical) implementers.

**Terminology:** The vocabulary resources – Code Systems and value sets, that support semantic interoperability. These resources promote the use of standard, controlled terminologies (e.g. SNOMED-CT) and define internal codes for Belgium, e.g. official codes for Civil Status).

**Implementation:** Content, Tools and resources to help in implementation – test data (example resources), currently available test servers, and other tools to validate the compatibility between systems and these specifications.

 

There is also an overview of the projects and motivation for the specifications.

### Navigation

This implementation guide uses the FHIR web-based publication. This allows easy navigation between the Belgium-specific portion of the implementation guide and the resources, data types, value sets and other specification components leveraged from the FHIR core specification. This approach also allows implementers to easily navigate to the information needed to perform a task.

The top menu allows quick navigation to the different sections, and a [Table of Contents](toc.md)  is provided with the entire content of this Implementation Guide. (Be aware that some pages have multiple tabs).

### Intellectual Property Considerations

 While this implementation guide and the underlying FHIR are licensed as public domain, this guide includes examples making use of terminologies such as LOINC, SNOMED CT and others which have more restrictive licensing requirements. Implementers should make themselves familiar with licensing and any other constraints of terminologies, questionnaires, and other components used as part of their implementation process. In some cases, licensing requirements may limit the systems that data captured using certain questionnaires may be shared with. 

### Disclaimer

 The specification herewith documented is a draft working specification, and may not be used for any implementation purposes. This draft is provided without warranty of completeness or consistency, and the official publication supersedes this draft. No liability can be inferred from the use or misuse of this specification, or its consequences. 



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      }],
      "reference" : {
        "reference" : "Bundle/antibiogramIsNegativeAsBundleCollection"
      },
      "name" : "antibiogramIsNegativeAsBundleCollection",
      "exampleBoolean" : true,
      "groupingId" : "exl"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/be-ext-note"
      },
      "name" : "BeExtNote",
      "description" : "BeExtNote",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/be-laboratory-report"
      },
      "name" : "BeLaboratoryReport",
      "description" : "Belgian profile for a laboratory report",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/be-laboratory-report-composition"
      },
      "name" : "BeLaboratoryreportComposition",
      "description" : "Belgian profile for a composition - to use when a laboratory report is sent as FHIR Document",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "NamingSystem"
      }],
      "reference" : {
        "reference" : "NamingSystem/be-ns-belac"
      },
      "name" : "BELAC Accreditation",
      "description" : "BELAC Accreditation",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/be-observation-laboratory"
      },
      "name" : "BeObservationLaboratory",
      "description" : "Belgian profile for an observation in a laboratory report",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/be-specimen-laboratory"
      },
      "name" : "BeSpecimenLaboratory",
      "description" : "Belgian profile for a specimen in a laboratory report. In some laboratory reports, specimen information is allowed to be minimal as many informations concerning the specimen are implied by the observations done.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Bundle"
      }],
      "reference" : {
        "reference" : "Bundle/bundle-2-reports-2-patients"
      },
      "name" : "bundle-2-reports-2-patients",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:complex-type"
      }],
      "reference" : {
        "reference" : "StructureDefinition/coded-annotation"
      },
      "name" : "Coded Annotation",
      "description" : "Annotation DataType with added CodeableConcept extension element",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "CodeSystem"
      }],
      "reference" : {
        "reference" : "CodeSystem/be-cs-coded-annotation-types"
      },
      "name" : "Coded Annotation Type Codes",
      "description" : "Code System for specific types of coded annotations",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/be-vs-coded-annotation-types"
      },
      "name" : "Coded Annotation Types",
      "description" : "Value Set for specific types of coded annotations",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "CodeSystem"
      }],
      "reference" : {
        "reference" : "CodeSystem/albert"
      },
      "name" : "CodeSystem Albert",
      "description" : "This code system is to identify Albert code",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/be-ext-referencerange-comment"
      },
      "name" : "Comment extension for ReferenceRange",
      "description" : "Extension that adds a comment to Observation.ReferenceRange",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/obsCreat"
      },
      "name" : "Detailed structure of fragment of creatinine panel.",
      "description" : "Detailed structure of fragment of creatinine panel.(Note this example only concerns the Observation structure, a laboratory report SHALL be send leveraging the diagnosticReport resource that uses this Observation to express its results.)",
      "exampleBoolean" : false,
      "groupingId" : "exl"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/obsDynamicHead"
      },
      "name" : "Detailed structure of panel that uses qualifiers.",
      "description" : "Details how to structure a panel using qualifiers.(Note this example only concerns the Observation structure, a laboratory report SHALL be send leveraging the diagnosticReport resource that uses this Observation to express its results.)",
      "exampleBoolean" : false,
      "groupingId" : "exl"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Organization"
      }],
      "reference" : {
        "reference" : "Organization/eHealthPlatform"
      },
      "name" : "eHealthPlatform",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Bundle"
      }],
      "reference" : {
        "reference" : "Bundle/hematologyStudiesAsBundleCollection"
      },
      "name" : "hematologyStudiesAsBundleCollection",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Bundle"
      }],
      "reference" : {
        "reference" : "Bundle/hematologyStudiesAsFHIRDocument"
      },
      "name" : "hematologyStudiesAsFHIRDocument",
      "exampleBoolean" : true,
      "groupingId" : "exl"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "NamingSystem"
      }],
      "reference" : {
        "reference" : "NamingSystem/be-ns-lab-report-bundle-id"
      },
      "name" : "Lab Report Bundle Id",
      "description" : "Unique Identifier for Lab Report Bundle",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "NamingSystem"
      }],
      "reference" : {
        "reference" : "NamingSystem/be-ns-lab-report-diagnostic-report-id"
      },
      "name" : "Lab Report Diagnostic Report Id",
      "description" : "Unique Identifier for Lab Report Diagnostic Reports",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/obsDynamic0"
      },
      "name" : "obsDynamic0",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/obsDynamic1"
      },
      "name" : "obsDynamic1",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/obsDynamic2"
      },
      "name" : "obsDynamic2",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/obsKetonen"
      },
      "name" : "obsKetonen",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/obsMagnesium"
      },
      "name" : "obsMagnesium",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/obsUrineIonen"
      },
      "name" : "obsUrineIonen",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/obsUrineScreening"
      },
      "name" : "obsUrineScreening",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/obsUrobili"
      },
      "name" : "obsUrobili",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Organization"
      }],
      "reference" : {
        "reference" : "Organization/organization1"
      },
      "name" : "organization1",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Practitioner"
      }],
      "reference" : {
        "reference" : "Practitioner/practitioner10"
      },
      "name" : "practitioner10",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "PractitionerRole"
      }],
      "reference" : {
        "reference" : "PractitionerRole/practitionerrole1"
      },
      "name" : "practitionerrole1",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "NamingSystem"
      }],
      "reference" : {
        "reference" : "NamingSystem/be-ns-retam"
      },
      "name" : "Retam code (Belgian subset of LOINC + Albert Code)",
      "description" : "Retam code (Belgian subset of LOINC + Albert Code)",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Bundle"
      }],
      "reference" : {
        "reference" : "Bundle/some-id"
      },
      "name" : "some-id",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Specimen"
      }],
      "reference" : {
        "reference" : "Specimen/urine1"
      },
      "name" : "urine1",
      "exampleBoolean" : false
    }],
    "page" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
        "valueUrl" : "toc.html"
      }],
      "nameUrl" : "toc.html",
      "title" : "Table of Contents",
      "generation" : "html",
      "page" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "index.html"
        }],
        "nameUrl" : "index.html",
        "title" : "Laboratory IG Home Page",
        "generation" : "html"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "changes.html"
        }],
        "nameUrl" : "changes.html",
        "title" : "Changes",
        "generation" : "html"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "guidance.html"
        }],
        "nameUrl" : "guidance.html",
        "title" : "Guidance",
        "generation" : "html"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "visualisation.html"
        }],
        "nameUrl" : "visualisation.html",
        "title" : "Visualisation",
        "generation" : "html"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "downloads.html"
        }],
        "nameUrl" : "downloads.html",
        "title" : "Downloads",
        "generation" : "html"
      }]
    },
    "parameter" : [{
      "code" : "path-resource",
      "value" : "input/capabilities"
    },
    {
      "code" : "path-resource",
      "value" : "input/examples"
    },
    {
      "code" : "path-resource",
      "value" : "input/extensions"
    },
    {
      "code" : "path-resource",
      "value" : "input/models"
    },
    {
      "code" : "path-resource",
      "value" : "input/operations"
    },
    {
      "code" : "path-resource",
      "value" : "input/profiles"
    },
    {
      "code" : "path-resource",
      "value" : "input/resources"
    },
    {
      "code" : "path-resource",
      "value" : "input/vocabulary"
    },
    {
      "code" : "path-resource",
      "value" : "input/maps"
    },
    {
      "code" : "path-resource",
      "value" : "input/testing"
    },
    {
      "code" : "path-resource",
      "value" : "input/history"
    },
    {
      "code" : "path-resource",
      "value" : "fsh-generated/resources"
    },
    {
      "code" : "path-pages",
      "value" : "template/config"
    },
    {
      "code" : "path-pages",
      "value" : "input/images"
    },
    {
      "code" : "path-tx-cache",
      "value" : "input-cache/txcache"
    }]
  }
}

```
