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

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

## Resource Profile: BeObservationLaboratory 

| | | |
| :--- | :--- | :--- |
| *Official URL*:https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-observation-laboratory | *Version*:1.0.1 | |
| Draft as of 2021-11-08 | [Maturity Level](http://hl7.org/fhir/versions.html#maturity): 1 | *Computable Name*:BeObservationLaboratory |

 
Belgian profile for an observation in a laboratory report 

**Usages:**

* Refer to this Profile: [BeLaboratoryReport](StructureDefinition-be-laboratory-report.md) and [BeObservationLaboratory](StructureDefinition-be-observation-laboratory.md)
* Examples for this Profile: [Observation/obsCreat](Observation-obsCreat.md), [Observation/obsDynamic0](Observation-obsDynamic0.md), [Observation/obsDynamic1](Observation-obsDynamic1.md), [Observation/obsDynamic2](Observation-obsDynamic2.md)... Show 6 more, [Observation/obsDynamicHead](Observation-obsDynamicHead.md), [Observation/obsKetonen](Observation-obsKetonen.md), [Observation/obsMagnesium](Observation-obsMagnesium.md), [Observation/obsUrineIonen](Observation-obsUrineIonen.md), [Observation/obsUrineScreening](Observation-obsUrineScreening.md) and [Observation/obsUrobili](Observation-obsUrobili.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/hl7.fhir.be.lab|current/StructureDefinition/be-observation-laboratory)

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-be-observation-laboratory.csv), [Excel](StructureDefinition-be-observation-laboratory.xlsx), [Schematron](StructureDefinition-be-observation-laboratory.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "be-observation-laboratory",
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 1
  }],
  "url" : "https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-observation-laboratory",
  "version" : "1.0.1",
  "name" : "BeObservationLaboratory",
  "title" : "BeObservationLaboratory",
  "status" : "draft",
  "date" : "2021-11-08T16:57:45+01:00",
  "publisher" : "eHealth Platform",
  "contact" : [{
    "name" : "eHealth Platform",
    "telecom" : [{
      "system" : "url",
      "value" : "https://www.ehealth.fgov.be"
    }]
  },
  {
    "name" : "eHealth Platform",
    "telecom" : [{
      "system" : "email",
      "value" : "support@be-ehealth-standards.atlassian.net",
      "use" : "work"
    }]
  }],
  "description" : "Belgian profile for an observation in a laboratory report",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "BE",
      "display" : "Belgium"
    }]
  }],
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "workflow",
    "uri" : "http://hl7.org/fhir/workflow",
    "name" : "Workflow Pattern"
  },
  {
    "identity" : "sct-concept",
    "uri" : "http://snomed.info/conceptdomain",
    "name" : "SNOMED CT Concept Domain Binding"
  },
  {
    "identity" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 v2 Mapping"
  },
  {
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern Mapping"
  },
  {
    "identity" : "sct-attr",
    "uri" : "http://snomed.org/attributebinding",
    "name" : "SNOMED CT Attribute Binding"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Observation",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Observation",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "Observation",
      "path" : "Observation"
    },
    {
      "id" : "Observation.language",
      "path" : "Observation.language",
      "mustSupport" : true
    },
    {
      "id" : "Observation.text.status",
      "path" : "Observation.text.status",
      "patternCode" : "empty"
    },
    {
      "id" : "Observation.identifier",
      "path" : "Observation.identifier",
      "mustSupport" : true
    },
    {
      "id" : "Observation.basedOn",
      "path" : "Observation.basedOn",
      "mustSupport" : false
    },
    {
      "id" : "Observation.partOf",
      "path" : "Observation.partOf",
      "mustSupport" : false
    },
    {
      "id" : "Observation.status",
      "path" : "Observation.status",
      "mustSupport" : true
    },
    {
      "id" : "Observation.category",
      "path" : "Observation.category",
      "mustSupport" : true
    },
    {
      "id" : "Observation.code",
      "path" : "Observation.code",
      "definition" : "Describes what was observed. Sometimes this is called the observation \"name\".\r\n\r\nFor providing systems, it is RECOMMENDED to express this using a code and consuming software SHALL record this.\r\nIn general, it shall be noted SNOMED-CT is the preferred national terminology. Other coding systems remain allowed or MAY be preferred in specific flows (e.g. the use of LOINC codes to express a laboratory test.)",
      "type" : [{
        "code" : "CodeableConcept",
        "profile" : ["https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-observationcodeableconcept"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "Observation.code.coding",
      "path" : "Observation.code.coding",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "system"
        }],
        "rules" : "open"
      }
    },
    {
      "id" : "Observation.subject",
      "path" : "Observation.subject",
      "short" : "In the initial iteration of the Belgium lab project: when sending to eHealthBox, this is BePatient.",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Group",
        "http://hl7.org/fhir/StructureDefinition/Device",
        "http://hl7.org/fhir/StructureDefinition/Location",
        "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "Observation.effective[x]",
      "path" : "Observation.effective[x]",
      "mustSupport" : true
    },
    {
      "id" : "Observation.issued",
      "path" : "Observation.issued",
      "mustSupport" : true
    },
    {
      "id" : "Observation.performer",
      "path" : "Observation.performer",
      "short" : "In the initial iteration of the Belgium lab project: when sending to eHealthBox, this is BeOrganization or BePractitioner",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CareTeam",
        "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
        "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient",
        "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-organization",
        "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole",
        "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "Observation.value[x]",
      "path" : "Observation.value[x]",
      "mustSupport" : true
    },
    {
      "id" : "Observation.dataAbsentReason",
      "path" : "Observation.dataAbsentReason",
      "mustSupport" : true
    },
    {
      "id" : "Observation.interpretation",
      "path" : "Observation.interpretation",
      "mustSupport" : true
    },
    {
      "id" : "Observation.note",
      "path" : "Observation.note",
      "type" : [{
        "code" : "Annotation",
        "profile" : ["https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/coded-annotation"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "Observation.bodySite",
      "path" : "Observation.bodySite",
      "mustSupport" : true
    },
    {
      "id" : "Observation.method",
      "path" : "Observation.method",
      "mustSupport" : true
    },
    {
      "id" : "Observation.specimen",
      "path" : "Observation.specimen",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-specimen-laboratory"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "Observation.device",
      "path" : "Observation.device",
      "mustSupport" : false
    },
    {
      "id" : "Observation.referenceRange",
      "path" : "Observation.referenceRange",
      "mustSupport" : true
    },
    {
      "id" : "Observation.referenceRange.extension",
      "path" : "Observation.referenceRange.extension",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "url"
        }],
        "ordered" : false,
        "rules" : "open"
      }
    },
    {
      "id" : "Observation.referenceRange.extension:Comment",
      "path" : "Observation.referenceRange.extension",
      "sliceName" : "Comment",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Extension",
        "profile" : ["https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-ext-referencerange-comment"]
      }]
    },
    {
      "id" : "Observation.hasMember",
      "path" : "Observation.hasMember",
      "short" : "In the initial iteration of the Belgium lab project: when sending to eHealthBox, this is BeObservationLaboratory",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse",
        "http://hl7.org/fhir/StructureDefinition/MolecularSequence",
        "https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-observation-laboratory"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "Observation.derivedFrom",
      "path" : "Observation.derivedFrom",
      "short" : "In the initial iteration of the Belgium lab project: when sending to eHealthBox, this can be  BeObservationLaboratory or Media",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DocumentReference",
        "http://hl7.org/fhir/StructureDefinition/ImagingStudy",
        "http://hl7.org/fhir/StructureDefinition/Media",
        "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse",
        "http://hl7.org/fhir/StructureDefinition/MolecularSequence",
        "https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-observation-laboratory"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "Observation.component",
      "path" : "Observation.component",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "code.coding.code"
        }],
        "rules" : "open"
      },
      "mustSupport" : true
    },
    {
      "id" : "Observation.component:relativeTimeQualifier",
      "path" : "Observation.component",
      "sliceName" : "relativeTimeQualifier",
      "short" : "If a testing code does not include a time interval but needs one to qualify the code.",
      "min" : 0,
      "max" : "1"
    },
    {
      "id" : "Observation.component:relativeTimeQualifier.code.coding.system",
      "path" : "Observation.component.code.coding.system",
      "min" : 1,
      "fixedUri" : "http://snomed.info/sct"
    },
    {
      "id" : "Observation.component:relativeTimeQualifier.code.coding.code",
      "path" : "Observation.component.code.coding.code",
      "min" : 1,
      "fixedCode" : "118578006"
    },
    {
      "id" : "Observation.component:relativeTimeQualifier.code.coding.display",
      "path" : "Observation.component.code.coding.display",
      "min" : 1,
      "fixedString" : "Relative time"
    },
    {
      "id" : "Observation.component:relativeTimeQualifier.value[x]",
      "path" : "Observation.component.value[x]",
      "short" : "UCUM",
      "min" : 1,
      "type" : [{
        "code" : "Quantity"
      }]
    },
    {
      "id" : "Observation.component:substanceAmountQualifier",
      "path" : "Observation.component",
      "sliceName" : "substanceAmountQualifier",
      "short" : "If a testing code does not include a substance amount but needs one to qualify the code",
      "min" : 0,
      "max" : "1"
    },
    {
      "id" : "Observation.component:substanceAmountQualifier.code.coding.system",
      "path" : "Observation.component.code.coding.system",
      "min" : 1,
      "fixedUri" : "http://snomed.info/sct"
    },
    {
      "id" : "Observation.component:substanceAmountQualifier.code.coding.code",
      "path" : "Observation.component.code.coding.code",
      "min" : 1,
      "fixedCode" : "118555000"
    },
    {
      "id" : "Observation.component:substanceAmountQualifier.code.coding.display",
      "path" : "Observation.component.code.coding.display",
      "min" : 1,
      "fixedString" : "Substance amount"
    },
    {
      "id" : "Observation.component:substanceAmountQualifier.value[x]",
      "path" : "Observation.component.value[x]",
      "short" : "UCUM",
      "min" : 1,
      "type" : [{
        "code" : "Quantity"
      }]
    },
    {
      "id" : "Observation.component:productNameQualifier",
      "path" : "Observation.component",
      "sliceName" : "productNameQualifier",
      "short" : "If a testing code does not include a product name but needs one to qualify the code",
      "min" : 0,
      "max" : "1"
    },
    {
      "id" : "Observation.component:productNameQualifier.code.coding.system",
      "path" : "Observation.component.code.coding.system",
      "min" : 1,
      "fixedUri" : "http://snomed.info/sct"
    },
    {
      "id" : "Observation.component:productNameQualifier.code.coding.code",
      "path" : "Observation.component.code.coding.code",
      "min" : 1,
      "fixedCode" : "774167006"
    },
    {
      "id" : "Observation.component:productNameQualifier.code.coding.display",
      "path" : "Observation.component.code.coding.display",
      "min" : 1,
      "fixedString" : "Product name"
    },
    {
      "id" : "Observation.component:productNameQualifier.value[x]",
      "path" : "Observation.component.value[x]",
      "min" : 1,
      "type" : [{
        "code" : "CodeableConcept"
      },
      {
        "code" : "string"
      }]
    }]
  }
}

```
