# hematologyStudiesAsFHIRDocument - HL7 BE Laboratory WG Implementation Guide v1.0.1

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **hematologyStudiesAsFHIRDocument**

## Example Bundle: hematologyStudiesAsFHIRDocument



## Resource Content

```json
{
  "resourceType" : "Bundle",
  "id" : "hematologyStudiesAsFHIRDocument",
  "identifier" : {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:uuid:0c3151bd-1cbf-4d65-b04d-cd9187a4c6e0"
  },
  "type" : "document",
  "timestamp" : "2021-05-31T22:12:21Z",
  "entry" : [{
    "fullUrl" : "urn:uuid:7c16c9c0-c471-4098-bf18-48abcadd8d34",
    "resource" : {
      "resourceType" : "Composition",
      "id" : "180f219f-97a8-486d-99d9-ed631fe4fc57",
      "meta" : {
        "profile" : ["https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-laboratory-report-composition"]
      },
      "text" : {
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_180f219f-97a8-486d-99d9-ed631fe4fc57\"> </a>empty</div>"
      },
      "identifier" : {
        "system" : "urn:ietf:rfc:3986",
        "value" : "urn:uuid:dbcf0eb0-d825-11eb-b8bc-0242ac130003"
      },
      "status" : "final",
      "type" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "11502-2"
        }],
        "text" : "Laboratort report"
      },
      "subject" : {
        "reference" : "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d74"
      },
      "date" : "2013-02-01T12:30:02Z",
      "author" : [{
        "reference" : "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d73"
      }],
      "title" : "Laboratory Report (mandatory to give a title like this in a FHIR document.)",
      "relatesTo" : [{
        "code" : "replaces",
        "targetIdentifier" : {
          "system" : "urn:ietf:rfc:3986",
          "value" : "urn:uuid:0c3151bd-1cbf-4d65-b04d-cd9187a4c5e0"
        }
      }],
      "section" : [{
        "entry" : [{
          "reference" : "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d34"
        }]
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d34",
    "resource" : {
      "resourceType" : "DiagnosticReport",
      "id" : "ex04-diagnosticreport1",
      "meta" : {
        "versionId" : "1",
        "profile" : ["https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-laboratory-report"]
      },
      "language" : "en",
      "text" : {
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_ex04-diagnosticreport1\"> </a>empty</div>"
      },
      "identifier" : [{
        "system" : "https://www.ehealth.fgov.be/lab-report/diagnostic-report-id",
        "value" : "11530231003.2015110413180000000"
      }],
      "basedOn" : [{
        "reference" : "servicerequest1"
      }],
      "status" : "final",
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
          "code" : "LAB",
          "display" : "Laboratory"
        }]
      }],
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "18723-7",
          "display" : "Hematology studies (set)",
          "_display" : {
            "extension" : [{
              "extension" : [{
                "url" : "lang",
                "valueCode" : "nl-BE"
              },
              {
                "url" : "content",
                "valueString" : "HEMATOLOGIE"
              }],
              "url" : "http://hl7.org/fhir/StructureDefinition/translation"
            }]
          }
        }]
      },
      "subject" : {
        "reference" : "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d74"
      },
      "effectiveDateTime" : "2015-11-03T13:18:00+01:00",
      "issued" : "2015-11-04T13:18:00+01:00",
      "performer" : [{
        "reference" : "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d72"
      }],
      "resultsInterpreter" : [{
        "reference" : "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d73"
      }],
      "specimen" : [{
        "reference" : "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d35"
      }],
      "result" : [{
        "reference" : "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d36"
      },
      {
        "reference" : "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d37"
      }],
      "media" : [{
        "comment" : "Just as an example here: how to add a link to an image",
        "link" : {
          "reference" : "urn:uuid:7c16c9c0-c469-4088-ae18-48abcadd8d40"
        }
      }],
      "conclusion" : "This is our conclusion"
    }
  },
  {
    "fullUrl" : "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d35",
    "resource" : {
      "resourceType" : "Specimen",
      "id" : "ex04-specimen1",
      "meta" : {
        "versionId" : "1",
        "profile" : ["https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-specimen-laboratory"]
      },
      "text" : {
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Specimen_ex04-specimen1\"> </a>empty</div>"
      },
      "identifier" : [{
        "system" : "https://www.GTL-LABO.be/",
        "value" : "1"
      }],
      "status" : "available",
      "type" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "119297000",
          "display" : "Blood specimen"
        }],
        "text" : "A string can be added to nuance or explain."
      },
      "receivedTime" : "2015-11-04",
      "collection" : {
        "collectedDateTime" : "2015-11-03",
        "method" : {
          "coding" : [{
            "system" : "http://snomed.info/sct",
            "code" : "28520004",
            "display" : "Venipuncture for blood test (procedure)"
          }]
        },
        "bodySite" : {
          "coding" : [{
            "system" : "http://snomed.info/sct",
            "code" : "368208006",
            "display" : "Left upper arm structure (body structure)"
          }]
        }
      },
      "note" : [{
        "text" : "Some extra relevant information concerning the specimen"
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d36",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "ex04-observation10",
      "meta" : {
        "profile" : ["https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-observation-laboratory"]
      },
      "text" : {
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_ex04-observation10\"> </a>empty</div>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "30341-2",
          "display" : "Erythrocyte sedimentation rate"
        }]
      },
      "subject" : {
        "reference" : "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d74"
      },
      "effectiveDateTime" : "2015-11-04T09:16:00-05:00",
      "issued" : "2015-11-04T09:16:00-05:00",
      "performer" : [{
        "reference" : "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d73"
      }],
      "valueQuantity" : {
        "value" : 2,
        "unit" : "mm/h",
        "system" : "http://unitsofmeasure.org",
        "code" : "mm/h"
      },
      "interpretation" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code" : "L",
          "display" : "Low"
        }]
      }],
      "note" : [{
        "text" : "The Bodysite and Method that are given below do not really make any sense here!"
      }],
      "bodySite" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "344001",
          "display" : "Ankle"
        }],
        "text" : "ankle (this code was just an example to show the structure)"
      },
      "method" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "14456009",
          "display" : "Measuring height of patient"
        }],
        "text" : "Measuring height of patient (this code was just an example to show the structure)"
      },
      "specimen" : {
        "reference" : "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d35"
      },
      "referenceRange" : [{
        "low" : {
          "value" : 0,
          "unit" : "mm/h",
          "system" : "http://unitsofmeasure.org",
          "code" : "mm/h"
        },
        "high" : {
          "value" : 30,
          "unit" : "mm/h",
          "system" : "http://unitsofmeasure.org",
          "code" : "mm/h"
        },
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/referencerange-meaning",
            "code" : "normal"
          }]
        },
        "appliesTo" : [{
          "coding" : [{
            "system" : "http://snomed.info/sct",
            "code" : "248153007",
            "display" : "Male"
          }]
        }],
        "text" : "Something concerning the reference range that can only be explained in text -->"
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d37",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "ex04-observation11",
      "meta" : {
        "profile" : ["https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-observation-laboratory"]
      },
      "text" : {
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_ex04-observation11\"> </a>empty</div>"
      },
      "status" : "final",
      "code" : {
        "text" : "SCREENING"
      },
      "subject" : {
        "reference" : "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d74"
      },
      "effectiveDateTime" : "2015-11-04T09:16:00-05:00",
      "performer" : [{
        "reference" : "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d73"
      }],
      "hasMember" : [{
        "reference" : "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d38"
      },
      {
        "reference" : "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d39"
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d38",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "ex04-observation111",
      "meta" : {
        "profile" : ["https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-observation-laboratory"]
      },
      "text" : {
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_ex04-observation111\"> </a>empty</div>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "789-8",
          "display" : "Erythrocytes [#/volume] in Blood by Automated count"
        }],
        "text" : "Red blood cells (blood)"
      },
      "subject" : {
        "reference" : "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d74"
      },
      "effectiveDateTime" : "2015-11-04T09:16:00-05:00",
      "performer" : [{
        "reference" : "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d73"
      }],
      "valueQuantity" : {
        "value" : 4.35,
        "unit" : "10*6/uL",
        "system" : "http://unitsofmeasure.org",
        "code" : "10*6/uL"
      },
      "specimen" : {
        "reference" : "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d35"
      },
      "referenceRange" : [{
        "low" : {
          "value" : 3.93,
          "unit" : "10*6/uL",
          "system" : "http://unitsofmeasure.org",
          "code" : "10*6/uL"
        },
        "high" : {
          "value" : 5.01,
          "unit" : "10*6/uL",
          "system" : "http://unitsofmeasure.org",
          "code" : "10*6/uL"
        },
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/referencerange-meaning",
            "code" : "normal"
          }]
        }
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d39",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "ex04-observation112",
      "meta" : {
        "profile" : ["https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-observation-laboratory"]
      },
      "text" : {
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_ex04-observation112\"> </a>empty</div>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "20563-3",
          "display" : "Carboxyhemoglobin/Hemoglobin.total in Blood"
        }],
        "text" : "Hemoglobin"
      },
      "subject" : {
        "reference" : "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d74"
      },
      "effectiveDateTime" : "2015-11-04T09:16:00-05:00",
      "performer" : [{
        "reference" : "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d73"
      }],
      "valueQuantity" : {
        "value" : 14.1,
        "unit" : "g/dl",
        "system" : "http://unitsofmeasure.org",
        "code" : "g/dl"
      },
      "specimen" : {
        "reference" : "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d35"
      },
      "referenceRange" : [{
        "low" : {
          "value" : 11.8,
          "unit" : "g/dl",
          "system" : "http://unitsofmeasure.org",
          "code" : "g/dl"
        },
        "high" : {
          "value" : 14.8,
          "unit" : "g/dl",
          "system" : "http://unitsofmeasure.org",
          "code" : "g/dl"
        },
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/referencerange-meaning",
            "code" : "normal"
          }]
        }
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:7c16c9c0-c469-4088-ae18-48abcadd8d40",
    "resource" : {
      "resourceType" : "Media",
      "id" : "ex04-media1",
      "text" : {
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Media_ex04-media1\"> </a>empty</div>"
      },
      "status" : "completed",
      "content" : {
        "contentType" : "image/gif",
        "data" : "iVBORw0KGgoAAAANSUhEUgAAA+MAAACnCAYAAAB6pY03AAAAAXNSR0IArs4c6QAAAARnQU1BAACx jwv8YQUAAAAJcEhZcwAAEnMAABJzAYwiuQcAADBZSURBVHhe7d09rty218fxrOFfZj/ZQHZgwEiZ gg=="
      }
    }
  },
  {
    "fullUrl" : "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d72",
    "resource" : {
      "resourceType" : "Organization",
      "id" : "ex04-organization10",
      "meta" : {
        "profile" : ["https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-organization"]
      },
      "text" : {
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_ex04-organization10\"> </a>empty</div>"
      },
      "identifier" : [{
        "use" : "official",
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "MD",
            "display" : "Medical License number"
          }]
        },
        "system" : "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi",
        "value" : "81165343998"
      }],
      "active" : true,
      "type" : [{
        "coding" : [{
          "system" : "https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty",
          "code" : "orglaboratory"
        }]
      }],
      "name" : "GTL - General Testing Laboratory",
      "telecom" : [{
        "system" : "phone",
        "value" : "322675199",
        "use" : "work"
      }],
      "address" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/language",
          "valueCode" : "nl"
        }],
        "use" : "work",
        "type" : "both",
        "text" : "Vulcansstraat 120, 1000 Brussel",
        "line" : ["Vulcansstraat 120"],
        "_line" : [{
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
            "valueString" : "Vulcansstraat"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
            "valueString" : "120"
          }]
        }],
        "city" : "Brussel",
        "postalCode" : "1000",
        "country" : "BE"
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d73",
    "resource" : {
      "resourceType" : "Practitioner",
      "id" : "ex04-practitioner11",
      "meta" : {
        "profile" : ["https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner"]
      },
      "text" : {
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_ex04-practitioner11\"> </a>empty</div>"
      },
      "identifier" : [{
        "use" : "official",
        "system" : "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi",
        "value" : "554488997"
      }],
      "name" : [{
        "use" : "official",
        "family" : "Davoust",
        "given" : ["Nicolas"]
      }],
      "telecom" : [{
        "system" : "email",
        "value" : "nicolas.davoust@gtl.be",
        "use" : "work"
      },
      {
        "system" : "phone",
        "value" : "022675198",
        "use" : "work"
      },
      {
        "system" : "fax",
        "value" : "022675209",
        "use" : "work"
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d74",
    "resource" : {
      "resourceType" : "Patient",
      "id" : "ex04-patient1",
      "meta" : {
        "profile" : ["https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient"]
      },
      "text" : {
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_ex04-patient1\"> </a>empty</div>"
      },
      "identifier" : [{
        "use" : "official",
        "system" : "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin",
        "value" : "79121137740"
      }],
      "active" : true,
      "name" : [{
        "family" : "La Paradisio",
        "given" : ["Josephine", "Nessa"]
      }],
      "telecom" : [{
        "system" : "email",
        "value" : "nessa.laparadisio@belgium.be"
      },
      {
        "system" : "phone",
        "value" : "+322476792979",
        "use" : "mobile"
      },
      {
        "system" : "phone",
        "value" : "+3226718655",
        "use" : "home"
      },
      {
        "system" : "phone",
        "value" : "+322476799",
        "use" : "work"
      }],
      "gender" : "female",
      "birthDate" : "1979-12-11",
      "_birthDate" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/patient-birthTime",
          "valueDateTime" : "1979-12-11T13:28:17-05:00"
        }]
      },
      "address" : [{
        "use" : "home",
        "type" : "both",
        "text" : "Sloordelle 42, 1160 Oudergem",
        "line" : ["Sloordelle 42"],
        "city" : "Oudergem",
        "postalCode" : "1160",
        "country" : "BE"
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d43",
    "resource" : {
      "resourceType" : "ServiceRequest",
      "id" : "ex04-servicerequest1",
      "text" : {
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_ex04-servicerequest1\"> </a>empty</div>"
      },
      "status" : "active",
      "intent" : "order",
      "category" : [{
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "108252007",
          "display" : "Laboratory procedure"
        }]
      }],
      "subject" : {
        "reference" : "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d74"
      },
      "authoredOn" : "2015-11-01T14:41:00+01:00",
      "requester" : {
        "reference" : "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d76"
      },
      "specimen" : [{
        "reference" : "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d35"
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:7c16c9c0-c471-4098-ae18-48abcadd8d76",
    "resource" : {
      "resourceType" : "Practitioner",
      "id" : "ex04-practitioner1",
      "meta" : {
        "profile" : ["https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner"]
      },
      "text" : {
        "status" : "empty",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_ex04-practitioner1\"> </a>empty</div>"
      },
      "identifier" : [{
        "use" : "official",
        "system" : "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi",
        "value" : "18749704477"
      }],
      "name" : [{
        "use" : "official",
        "family" : "Pulaski",
        "given" : ["Katherine"],
        "suffix" : ["MD"]
      }],
      "telecom" : [{
        "system" : "email",
        "value" : "katherine.pulaski@enterprisehospital.be",
        "use" : "work"
      },
      {
        "system" : "phone",
        "value" : "022675198",
        "use" : "work"
      },
      {
        "system" : "fax",
        "value" : "022675209",
        "use" : "work"
      }],
      "address" : [{
        "use" : "home",
        "text" : "Jupiterlaan 5, 1853 Grimbergen",
        "line" : ["Jupiterlaan 5"],
        "city" : "Grimbergen",
        "postalCode" : "1853",
        "country" : "BE"
      }]
    }
  }]
}

```
