{
 "id": "be-fhir-lab-ig",
 "url": "/fr/guide-d-implementation-fhir-belge-pour-les-resultats-de-laboratoire/",
 "md_url": "/fr/guide-d-implementation-fhir-belge-pour-les-resultats-de-laboratoire.md",
 "json_url": "/fr/guide-d-implementation-fhir-belge-pour-les-resultats-de-laboratoire.json",
 "claims_url": "/fr/guide-d-implementation-fhir-belge-pour-les-resultats-de-laboratoire/beweringen/",
 "type": {
  "code": "Specification",
  "label": "Norme ou spécification"
 },
 "schema_type": "CreativeWork",
 "lang": "fr",
 "translation": {
  "lang": "fr",
  "source_url": "/be-fhir-lab-ig/",
  "date": "2026-10-22",
  "stale": true,
  "fields": [
   "lifecycle_note",
   "sectie:hoe-is-het-opgebouwd",
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   "sectie:waar-wordt-het-gebruikt",
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 "title": "Guide d'implémentation FHIR belge pour les résultats de laboratoire (hl7.fhir.be.lab)",
 "aliases": [
  "BE Lab-IG",
  "HL7 BE Laboratory IG",
  "HL7 BE Laboratory WG Implementation Guide",
  "HL7 Belgium FHIR Implementation Guide - Lab related profiles",
  "hl7.fhir.be.lab"
 ],
 "names": {
  "nl": "Belgische FHIR-implementatiegids voor laboresultaten",
  "fr": "Guide d'implémentation FHIR belge pour les résultats de laboratoire",
  "en": "HL7 BE Laboratory WG Implementation Guide",
  "de": null
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 "jurisdiction": [
  {
   "code": "belgie",
   "label": "Belgique (fédéral/interfédéral)"
  }
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 "themes": [
  {
   "code": "labo",
   "label": "Laboratoire"
  },
  {
   "code": "terminologie",
   "label": "Terminologie et codage"
  },
  {
   "code": "standaardisatie-en-governance",
   "label": "Normalisation et gouvernance"
  }
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 "lifecycle": {
  "code": "trial-use",
  "label": "usage d'essai"
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 "lifecycle_note_html": "La release 1.0.0 est Trial Use depuis le 8 septembre 2022 ; le flux eHealthBox est en production, tandis que la\nversion de développement 1.0.1 était encore draft le 5 octobre 2026.\n<span class=\"cite-anchor\" id=\"t-CLM-5309574c\"></span><span class=\"cite-anchor\" id=\"t-CLM-de39562d\"></span><sup class=\"cite\" id=\"t-CLM-a9afb132\" data-claims=\"CLM-a9afb132 CLM-5309574c CLM-de39562d\"><a class=\"cite-ref\" href=\"#bron-1\" aria-label=\"Source 1\">[1]</a><a class=\"cite-ref\" href=\"#bron-2\" aria-label=\"Source 2\">[2]</a><a class=\"cite-ref\" href=\"#bron-3\" aria-label=\"Source 3\">[3]</a></sup>",
 "version": "1.0.0 (publié, Trial Use) ; 1.0.1 draft sur master",
 "vendor": null,
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 "links": [
  {
   "kind": {
    "code": "documentatie",
    "label": "Documentation"
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   "url": "https://www.ehealth.fgov.be/standards/fhir/lab/",
   "label": "BE Laboratory IG",
   "host": "www.ehealth.fgov.be",
   "lang": "en"
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  {
   "kind": {
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    "label": "Dépôt de code ou de paquets"
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   "label": "hl7-be/lab op GitHub",
   "host": "github.com",
   "lang": "en"
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  {
   "kind": {
    "code": "repository",
    "label": "Dépôt de code ou de paquets"
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   "url": "https://packages2.fhir.org/packages/hl7.fhir.be.lab",
   "label": "FHIR-package hl7.fhir.be.lab",
   "host": "packages2.fhir.org",
   "lang": "en"
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 "summary_text": "Le guide d'implémentation FHIR belge pour les résultats de laboratoire fixe la manière dont les résultats de\nlaboratoire sont construits comme document FHIR structuré. Le guide profile les\nrapports de laboratoire, les observations et les échantillons et utilise LOINC/ReTaM pour les codes et UCUM pour\nles unités. La release 1.0.0 est Trial Use et se qualifie elle-même de\nspécification à l'état de projet, mais le premier envoi via eHealthBox est en production.\n Pour les laboratoires hospitaliers, le guide détermine ainsi le\nformat des résultats vers les demandeurs et, emballés en KMEHR, vers les hubs.",
 "summary_html": "<p>Le guide d'implémentation FHIR belge pour les résultats de laboratoire fixe la manière dont les résultats de\nlaboratoire sont construits comme document FHIR structuré.<span class=\"cite-anchor\" id=\"t-CLM-5c761cf4\"></span><sup class=\"cite\" id=\"t-CLM-3281f9d9\" data-claims=\"CLM-3281f9d9 CLM-5c761cf4\"><a class=\"cite-ref\" href=\"#bron-2\" aria-label=\"Source 2\">[2]</a></sup> Le guide profile les\nrapports de laboratoire, les observations et les échantillons et utilise LOINC/ReTaM pour les codes et UCUM pour\nles unités.<span class=\"cite-anchor\" id=\"t-CLM-8638c2e6\"></span><sup class=\"cite\" id=\"t-CLM-ea20f0e0\" data-claims=\"CLM-ea20f0e0 CLM-8638c2e6\"><a class=\"cite-ref\" href=\"#bron-2\" aria-label=\"Source 2\">[2]</a></sup> La release 1.0.0 est Trial Use et se qualifie elle-même de\nspécification à l'état de projet, mais le premier envoi via eHealthBox est en production.\n<sup class=\"cite\" id=\"t-CLM-381a5fdb\" data-claims=\"CLM-a9afb132 CLM-381a5fdb CLM-5309574c\"><a class=\"cite-ref\" href=\"#bron-1\" aria-label=\"Source 1\">[1]</a><a class=\"cite-ref\" href=\"#bron-4\" aria-label=\"Source 4\">[4]</a><a class=\"cite-ref\" href=\"#bron-2\" aria-label=\"Source 2\">[2]</a></sup> Pour les laboratoires hospitaliers, le guide détermine ainsi le\nformat des résultats vers les demandeurs et, emballés en KMEHR, vers les hubs.<sup class=\"cite\" id=\"t-CLM-a567f6f5\" data-claims=\"CLM-a567f6f5\"><a class=\"cite-ref\" href=\"#bron-5\" aria-label=\"Source 5\">[5]</a></sup></p>",
 "last_verified": "2026-10-05",
 "verification_outdated": false,
 "sections": [
  {
   "id": "qu-est-ce-que-c-est",
   "title": "Qu'est-ce que c'est ?",
   "kind": "tekst",
   "html": "<p>Le Lab-IG est le guide d'implémentation <a href=\"/fr/hl7-fhir/\">HL7 FHIR</a> belge du groupe de travail Laboratory Report ; les questions à ce sujet sont adressées au Standards Team de la <a href=\"/fr/plate-forme-ehealth/\">plate-forme eHealth</a><sup class=\"cite\" id=\"t-CLM-52de3be5\" data-claims=\"CLM-52de3be5\"><a class=\"cite-ref\" href=\"#bron-1\" aria-label=\"Source 1\">[1]</a></sup>. C'est un guide d'implémentation avec des profils, qui fait partie de la famille des <a href=\"/fr/guides-d-implementation-fhir-belges/\">guides d'implémentation FHIR belges</a>. La version publiée est la 1.0.0, avec le statut Trial Use, basée sur FHIR R4 et générée le 2022-09-08<sup class=\"cite\" data-claims=\"CLM-a9afb132\"><a class=\"cite-ref\" href=\"#bron-1\" aria-label=\"Source 1\">[1]</a></sup>.</p>\n<p>La ressource principale du rapport de laboratoire est DiagnosticReport, avec le profil belge BeLaboratoryReport<sup class=\"cite\" data-claims=\"CLM-3281f9d9\"><a class=\"cite-ref\" href=\"#bron-2\" aria-label=\"Source 2\">[2]</a></sup>. Observation et Specimen ont chacune leur propre profil (BeObservationLaboratory, BeSpecimenLaboratory), complétés par un profil Composition pour l'envoi sous forme de FHIR Document<sup class=\"cite\" data-claims=\"CLM-5c761cf4\"><a class=\"cite-ref\" href=\"#bron-2\" aria-label=\"Source 2\">[2]</a></sup><sup class=\"cite\" id=\"t-CLM-4b9589cc\" data-claims=\"CLM-4b9589cc\"><a class=\"cite-ref\" href=\"#bron-6\" aria-label=\"Source 6\">[6]</a></sup>. BeObservationLaboratory décrit une observation dans un rapport de laboratoire<sup class=\"cite\" id=\"t-CLM-c0dc370e\" data-claims=\"CLM-c0dc370e\"><a class=\"cite-ref\" href=\"#bron-7\" aria-label=\"Source 7\">[7]</a></sup>.</p>"
  },
  {
   "id": "comment-est-il-construit",
   "title": "Comment est-il construit ?",
   "kind": "tekst",
   "html": "<p>Le guide fixe la manière dont un laboratoire envoie au demandeur un rapport structuré et codé, dans le cadre de <a href=\"/fr/digitalisation-des-resultats-de-laboratoire-digirelab/\">DIGIRELAB</a> et de <a href=\"/fr/echange-des-resultats-de-laboratoire/\">l'échange des résultats de laboratoire cliniques</a>. Pour le code de l'observation, <a href=\"/fr/loinc-et-le-sous-ensemble-belge-retam/\">LOINC</a> doit être utilisé selon le sous-ensemble que le SPF Santé publique définit (ReTaM), pour la plupart des analyses courantes<sup class=\"cite\" data-claims=\"CLM-ea20f0e0\"><a class=\"cite-ref\" href=\"#bron-2\" aria-label=\"Source 2\">[2]</a></sup>. ReTaM est la représentation interrogeable de la source authentique des codes de laboratoire, hébergée par le <a href=\"/fr/centre-de-terminologie-du-spf-sante-publique/\">Centre de Terminologie</a> et basée, là où c'est possible, sur LOINC<sup class=\"cite\" id=\"t-CLM-29d720d9\" data-claims=\"CLM-29d720d9\"><a class=\"cite-ref\" href=\"#bron-8\" aria-label=\"Source 8\">[8]</a></sup>. Les unités sont exprimées en <a href=\"/fr/ucum-unified-code-for-units-of-measure/\">UCUM</a> ; la table KMEHR CD-UNIT n'est pas utilisée<sup class=\"cite\" data-claims=\"CLM-8638c2e6\"><a class=\"cite-ref\" href=\"#bron-2\" aria-label=\"Source 2\">[2]</a></sup>. Une représentation pdf est facultative via DiagnosticReport.presentedForm<sup class=\"cite\" id=\"t-CLM-6e82b72b\" data-claims=\"CLM-6e82b72b\"><a class=\"cite-ref\" href=\"#bron-2\" aria-label=\"Source 2\">[2]</a></sup>.</p>\n<p>La prescription de laboratoire sort du champ de ce guide : l'artefact FHIR pour la demande d'analyses de laboratoire se trouve dans le Referral-IG, basé sur ServiceRequest (voir <a href=\"/fr/demande-electronique-d-analyses-de-laboratoire/\">Demande électronique d'analyses de laboratoire</a>)<sup class=\"cite\" id=\"t-CLM-2e5d16cd\" data-claims=\"CLM-2e5d16cd\"><a class=\"cite-ref\" href=\"#bron-2\" aria-label=\"Source 2\">[2]</a></sup>.</p>\n<h3>Gestion, versions et statut</h3>\n<table>\n<thead>\n<tr>\n<th>Aspect</th>\n<th>État</th>\n<th>Citation</th>\n</tr>\n</thead>\n<tbody>\n<tr>\n<td>Release publiée</td>\n<td>1.0.0, Trial Use, FHIR R4, 2022-09-08</td>\n<td><sup class=\"cite\" data-claims=\"CLM-a9afb132\"><a class=\"cite-ref\" href=\"#bron-1\" aria-label=\"Source 1\">[1]</a></sup></td>\n</tr>\n<tr>\n<td>Autodescription</td>\n<td>jusqu'à nouvel ordre, une spécification à l'état de projet</td>\n<td><sup class=\"cite\" data-claims=\"CLM-381a5fdb\"><a class=\"cite-ref\" href=\"#bron-4\" aria-label=\"Source 4\">[4]</a></sup></td>\n</tr>\n<tr>\n<td>Disclaimer</td>\n<td>« draft working specification », non destinée à l'implémentation, bien qu'en production pour les messages eHealthBox</td>\n<td><sup class=\"cite\" id=\"t-CLM-78ffd0c0\" data-claims=\"CLM-78ffd0c0\"><a class=\"cite-ref\" href=\"#bron-1\" aria-label=\"Source 1\">[1]</a></sup></td>\n</tr>\n<tr>\n<td>Versions préliminaires</td>\n<td>0.0.2 (2020-11-16) à 0.0.7 (2021-06-21) ; depuis la 0.0.6, eHealthBox comme transport</td>\n<td><sup class=\"cite\" id=\"t-CLM-a48eecb1\" data-claims=\"CLM-a48eecb1\"><a class=\"cite-ref\" href=\"#bron-4\" aria-label=\"Source 4\">[4]</a></sup></td>\n</tr>\n<tr>\n<td>master GitHub</td>\n<td>1.0.1, statut « draft », licence CC0-1.0 ; pas de release</td>\n<td><sup class=\"cite\" data-claims=\"CLM-de39562d\"><a class=\"cite-ref\" href=\"#bron-3\" aria-label=\"Source 3\">[3]</a></sup></td>\n</tr>\n</tbody>\n</table>"
  },
  {
   "id": "ou-est-il-utilise",
   "title": "Où est-il utilisé ?",
   "kind": "tekst",
   "html": "<p><strong>Phase 1, eHealthBox (production).</strong> L'envoi de rapports de laboratoire sous forme de FHIR Document vers une <a href=\"/fr/ehealthbox-boite-aux-lettres-electronique-securisee/\">eHealthBox</a> est, selon la Guidance, la première itération en production<sup class=\"cite\" data-claims=\"CLM-5309574c\"><a class=\"cite-ref\" href=\"#bron-2\" aria-label=\"Source 2\">[2]</a></sup>. Le résultat voyage comme payload d'un message eHealthBox avec des métadonnées personnalisées HC-FunctionalType « fhir-lab »<sup class=\"cite\" id=\"t-CLM-5e5acc22\" data-claims=\"CLM-5e5acc22\"><a class=\"cite-ref\" href=\"#bron-2\" aria-label=\"Source 2\">[2]</a></sup>. Ce payload est un FHIR Document (Bundle avec Composition) avec toutes les ressources référencées<sup class=\"cite\" id=\"t-CLM-9b1e618f\" data-claims=\"CLM-9b1e618f\"><a class=\"cite-ref\" href=\"#bron-2\" aria-label=\"Source 2\">[2]</a></sup>. Le texte publié décrit encore cela comme une attente pour une « première itération » avec une phase pilote en 2021 et n'a pas été actualisé depuis<sup class=\"cite\" id=\"t-CLM-a71477d3\" data-claims=\"CLM-a71477d3\"><a class=\"cite-ref\" href=\"#bron-2\" aria-label=\"Source 2\">[2]</a></sup>. Le fournisseur d'intégration Amaron affirme que les rapports de diagnostic sont déjà aujourd'hui envoyés sous forme de message FHIR via l'eHealthBox au demandeur, le plus souvent le médecin généraliste<sup class=\"cite\" id=\"t-CLM-6b3d9af8\" data-claims=\"CLM-6b3d9af8\"><a class=\"cite-ref\" href=\"#bron-9\" aria-label=\"Source 9\">[9]</a></sup> (affirmation du fournisseur).</p>\n<p><strong>Phase 2, hubs.</strong> Pour les <a href=\"/fr/hubs-metahub-repertoire-des-references/\">hubs</a>, le document FHIR est incorporé dans la <a href=\"/fr/transaction-kmehr-resultat-de-laboratoire/\">transaction KMEHR « Laboratory result 2.0 »</a> ; ce document FHIR doit suivre les règles de ce guide<sup class=\"cite\" data-claims=\"CLM-a567f6f5\"><a class=\"cite-ref\" href=\"#bron-5\" aria-label=\"Source 5\">[5]</a></sup>.</p>\n<p><strong>Phase 3, API de recherche (proposition).</strong> La proposition de phase 3 de DIGIRELAB (mars 2026, « to be finetuned ») décrit une API de recherche FHIR auprès des hubs, par laquelle les Observations sont recherchées par code LOINC<sup class=\"cite\" id=\"t-CLM-21d9f88e\" data-claims=\"CLM-21d9f88e\"><a class=\"cite-ref\" href=\"#bron-10\" aria-label=\"Source 10\">[10]</a></sup><sup class=\"cite\" id=\"t-CLM-d57a6e12\" data-claims=\"CLM-d57a6e12\"><a class=\"cite-ref\" href=\"#bron-10\" aria-label=\"Source 10\">[10]</a></sup>. La proposition s'attend encore à des restrictions supplémentaires issues d'une « coalition of the willing »<sup class=\"cite\" id=\"t-CLM-a3cef72e\" data-claims=\"CLM-a3cef72e\"><a class=\"cite-ref\" href=\"#bron-10\" aria-label=\"Source 10\">[10]</a></sup> ; ce n'est pas la production.</p>"
  },
  {
   "id": "qu-est-ce-que-cela-signifie-pour-un-hopital",
   "title": "Qu'est-ce que cela signifie pour un hôpital ?",
   "kind": "tekst",
   "html": "<ul>\n<li>Les laboratoires hospitaliers qui envoient des résultats aux médecins généralistes produisent, en phase 1, un FHIR Document conforme à ces profils et l'envoient via l'eHealthBox<sup class=\"cite\" data-claims=\"CLM-5309574c\"><a class=\"cite-ref\" href=\"#bron-2\" aria-label=\"Source 2\">[2]</a></sup><sup class=\"cite\" data-claims=\"CLM-9b1e618f\"><a class=\"cite-ref\" href=\"#bron-2\" aria-label=\"Source 2\">[2]</a></sup>. La base de sources ne contient aucune <strong>obligation</strong> légale en ce sens.</li>\n<li>Le système d'information de laboratoire doit pouvoir faire correspondre les codes d'observation au sous-ensemble LOINC de ReTaM et fournir les unités en UCUM<sup class=\"cite\" data-claims=\"CLM-ea20f0e0\"><a class=\"cite-ref\" href=\"#bron-2\" aria-label=\"Source 2\">[2]</a></sup><sup class=\"cite\" data-claims=\"CLM-8638c2e6\"><a class=\"cite-ref\" href=\"#bron-2\" aria-label=\"Source 2\">[2]</a></sup>.</li>\n<li>Pour la publication vers un hub, c'est l'emballage KMEHR 2.0 qui compte ; outre le document FHIR, celui-ci contient aussi un pdf pour les clients sans support FHIR<sup class=\"cite\" id=\"t-CLM-9781109a\" data-claims=\"CLM-9781109a\"><a class=\"cite-ref\" href=\"#bron-5\" aria-label=\"Source 5\">[5]</a></sup>.</li>\n<li class=\"aanbeveling\"><strong>Recommandation :</strong> fixez dans les contrats avec les fournisseurs de systèmes d'information de laboratoire quelle version du guide d'implémentation (1.0.0 ou une version ultérieure) et quel package de validation sont utilisés, tant que la release publiée et la version de développement divergent.</li>\n</ul>\n<h3>Conditions de mise en œuvre et limites</h3>\n<ul>\n<li>Le guide dépend, pour le transport, de l'eHealthBox et, pour la phase 2, de l'emballage KMEHR des hubs<sup class=\"cite\" data-claims=\"CLM-5e5acc22\"><a class=\"cite-ref\" href=\"#bron-2\" aria-label=\"Source 2\">[2]</a></sup><sup class=\"cite\" data-claims=\"CLM-a567f6f5\"><a class=\"cite-ref\" href=\"#bron-5\" aria-label=\"Source 5\">[5]</a></sup>.</li>\n<li>Terminologie : LOINC selon ReTaM, une source qui ne s'appuie sur LOINC que « là où c'est possible » (voir <a href=\"/fr/loinc-et-le-sous-ensemble-belge-retam/\">LOINC et le sous-ensemble belge (ReTaM)</a>)<sup class=\"cite\" data-claims=\"CLM-29d720d9\"><a class=\"cite-ref\" href=\"#bron-8\" aria-label=\"Source 8\">[8]</a></sup>.</li>\n</ul>"
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   "id": "incertitudes-et-informations-contradictoires",
   "title": "Incertitudes et informations contradictoires",
   "kind": "tekst",
   "html": "<ul>\n<li><strong>Projet ou production ?</strong> La release 1.0.0 est Trial Use<sup class=\"cite\" data-claims=\"CLM-a9afb132\"><a class=\"cite-ref\" href=\"#bron-1\" aria-label=\"Source 1\">[1]</a></sup>, mais le guide se qualifie lui-même de spécification à l'état de projet qui ne peut pas être utilisée pour l'implémentation<sup class=\"cite\" data-claims=\"CLM-381a5fdb\"><a class=\"cite-ref\" href=\"#bron-4\" aria-label=\"Source 4\">[4]</a></sup><sup class=\"cite\" data-claims=\"CLM-78ffd0c0\"><a class=\"cite-ref\" href=\"#bron-1\" aria-label=\"Source 1\">[1]</a></sup>, tandis que l'envoi via eHealthBox est la première itération en production<sup class=\"cite\" data-claims=\"CLM-5309574c\"><a class=\"cite-ref\" href=\"#bron-2\" aria-label=\"Source 2\">[2]</a></sup>.</li>\n<li><strong>Versions :</strong> la version de développement 1.0.1 sur GitHub n'est pas une release publiée<sup class=\"cite\" data-claims=\"CLM-de39562d\"><a class=\"cite-ref\" href=\"#bron-3\" aria-label=\"Source 3\">[3]</a></sup> ; la base de sources ne contient aucune publication plus récente.</li>\n<li><strong>Limite de la preuve :</strong> une obligation légale pour les résultats de laboratoire FHIR et une confirmation formelle de la production de la phase 2 auprès des hubs restent une lacune ; cela ne constitue pas une preuve d'absence.</li>\n</ul>"
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   "n": 17,
   "id": "SRC-ec2f679b30",
   "title": "Test Plan (Laboratory Results in FHIR Format)",
   "publisher": "HL7 Belgium (repository hl7-be/lab)",
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  {
   "id": "CLM-52de3be5",
   "statement": "De Lab-IG is de Belgische FHIR-implementatiegids van de werkgroep Laboratory Report; vragen gaan naar het Standards Team van het eHealth-platform.",
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    "title": "HL7 Belgium FHIR Implementation Guide - Lab related profiles",
    "publisher": "eHealth-platform",
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  },
  {
   "id": "CLM-a9afb132",
   "statement": "De gepubliceerde versie van de Belgische FHIR Lab-IG is v1.0.0 met status Trial Use, gebaseerd op FHIR R4 (gegenereerd op 2022-09-08); dit is volgens de pagina de huidige gepubliceerde versie.",
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   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-3281f9d9",
   "statement": "De hoofdresource van het Belgische labverslag is DiagnosticReport, waarvoor een Belgisch profiel bestaat (BeLaboratoryReport).",
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   "kind_label": "fait",
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   "source": {
    "id": "SRC-fb93029bf0",
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    "publisher": "eHealth-platform / HL7 Belgium",
    "url": "https://www.ehealth.fgov.be/standards/fhir/lab/guidance.html",
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  },
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   "id": "CLM-5c761cf4",
   "statement": "Observation en Specimen hebben elk een eigen Belgisch profiel binnen het labverslag (BeObservationLaboratory, BeSpecimenLaboratory); daarnaast is er een Composition-profiel voor verzending als FHIR Document.",
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   "locator": "Guidance, 'The Observation and the Specimen'",
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    "id": "SRC-fb93029bf0",
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    "publisher": "eHealth-platform / HL7 Belgium",
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   "figuur": null,
   "in_text": true,
   "on_page": true
  },
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   "id": "CLM-4b9589cc",
   "statement": "De Artifacts-pagina somt de profielen op, waaronder een Composition-profiel voor verzending als FHIR Document, naast BeLaboratoryReport, BeObservationLaboratory en BeSpecimenLaboratory.",
   "kind": "fact",
   "kind_label": "fait",
   "locator": "Artifacts Summary, 'Structures: Resource Profiles'",
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   "source": {
    "id": "SRC-b48c3b6ead",
    "title": "HL7 BE Laboratory WG Implementation Guide 1.0.0 - STU: Artifacts Summary",
    "publisher": "eHealth-platform",
    "url": "https://www.ehealth.fgov.be/standards/fhir/lab/artifacts.html",
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   "citaat": null,
   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-c0dc370e",
   "statement": "Het gepubliceerde Belgische BeObservationLaboratory-profiel beschrijft een observatie in een laboratoriumverslag.",
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   "kind_label": "fait",
   "locator": "Resource Profile, beschrijving",
   "as_of": "2026-09-28",
   "source": {
    "id": "SRC-fae3630dbc",
    "title": "BeObservationLaboratory - HL7 BE Laboratory WG Implementation Guide",
    "publisher": "eHealth-platform / HL7 Belgium",
    "url": "https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition-be-observation-laboratory.html",
    "published": null
   },
   "citaat": null,
   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-ea20f0e0",
   "statement": "Voor de observatiecode moet LOINC worden gebruikt volgens de subset die de FOD Volksgezondheid definieert (ReTaM), voor de meeste courante labobepalingen.",
   "kind": "fact",
   "kind_label": "fait",
   "locator": "Guidance, 'Use of Retam codes'",
   "as_of": "2026-09-28",
   "source": {
    "id": "SRC-fb93029bf0",
    "title": "HL7 Belgium FHIR IG - Lab related profiles: Guidance",
    "publisher": "eHealth-platform / HL7 Belgium",
    "url": "https://www.ehealth.fgov.be/standards/fhir/lab/guidance.html",
    "published": "2022-09-08"
   },
   "citaat": null,
   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-29d720d9",
   "statement": "L'outil ReTaM est une représentation visible et interrogeable de la source authentique pour les codes de laboratoire. L'hébergement est assuré par le Centre de Terminologie (SPF Santé publique) et la source s'appuie, là où c'est possible, sur LOINC.",
   "kind": "fact",
   "kind_label": "fait",
   "locator": "hoofdtekst",
   "as_of": "2026-09-26",
   "source": {
    "id": "SRC-95dbb872d3",
    "title": "Retam exports",
    "publisher": "eHealth-platform (standards)",
    "url": "https://www.ehealth.fgov.be/standards/kmehr/en/page/retam-exports",
    "published": null
   },
   "citaat": null,
   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-8638c2e6",
   "statement": "In de Belgische FHIR Lab-IG worden eenheden in UCUM uitgedrukt; de KMEHR-tabel CD-UNIT wordt niet gebruikt.",
   "kind": "fact",
   "kind_label": "fait",
   "locator": "sectie units",
   "as_of": "2026-09-25",
   "source": {
    "id": "SRC-fb93029bf0",
    "title": "HL7 Belgium FHIR IG - Lab related profiles: Guidance",
    "publisher": "eHealth-platform / HL7 Belgium",
    "url": "https://www.ehealth.fgov.be/standards/fhir/lab/guidance.html",
    "published": "2022-09-08"
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   "citaat": null,
   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-6e82b72b",
   "statement": "Een pdf-weergave van het verslag is in de Lab-IG optioneel ('if needed') via DiagnosticReport.presentedForm.",
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   "kind_label": "fait",
   "locator": "Guidance, 'Adding a PDF representation'",
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   "source": {
    "id": "SRC-fb93029bf0",
    "title": "HL7 Belgium FHIR IG - Lab related profiles: Guidance",
    "publisher": "eHealth-platform / HL7 Belgium",
    "url": "https://www.ehealth.fgov.be/standards/fhir/lab/guidance.html",
    "published": "2022-09-08"
   },
   "citaat": null,
   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-2e5d16cd",
   "statement": "Volgens de guidance van het Belgische Lab-IG werd ook een FHIR-artefact voor de labo-order gemaakt. Omdat dat voortbouwt op een basisstructuur voor andere verwijsvoorschriften, is het in een ander IG gepubliceerd (het Referral-IG), gebaseerd op ServiceRequest.",
   "kind": "fact",
   "kind_label": "fait",
   "locator": "sectie over de order",
   "as_of": "2026-09-26",
   "source": {
    "id": "SRC-fb93029bf0",
    "title": "HL7 Belgium FHIR IG - Lab related profiles: Guidance",
    "publisher": "eHealth-platform / HL7 Belgium",
    "url": "https://www.ehealth.fgov.be/standards/fhir/lab/guidance.html",
    "published": "2022-09-08"
   },
   "citaat": null,
   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-381a5fdb",
   "statement": "Volgens de wijzigingenpagina wordt de Lab-IG tot nader order als een ontwerpspecificatie beschouwd.",
   "kind": "fact",
   "kind_label": "fait",
   "locator": "Changes, inleiding",
   "as_of": "2026-09-28",
   "source": {
    "id": "SRC-a307c610a6",
    "title": "HL7 BE Laboratory WG Implementation Guide 1.0.0 - STU: Changes",
    "publisher": "eHealth-platform",
    "url": "https://www.ehealth.fgov.be/standards/fhir/lab/changes.html",
    "published": "2022-09-08"
   },
   "citaat": null,
   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-78ffd0c0",
   "statement": "De disclaimer van de gepubliceerde Lab-IG 1.0.0 noemt de specificatie nog een 'draft working specification' die niet voor implementatiedoeleinden gebruikt mag worden, hoewel ze in productie wordt gebruikt voor eHealthBox-berichten.",
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   "kind_label": "fait",
   "locator": "homepagina, sectie 'Disclaimer'",
   "as_of": "2026-09-28",
   "source": {
    "id": "SRC-9ddc971c13",
    "title": "HL7 Belgium FHIR Implementation Guide - Lab related profiles",
    "publisher": "eHealth-platform",
    "url": "https://www.ehealth.fgov.be/standards/fhir/lab/index.html",
    "published": "2022-09-08"
   },
   "citaat": null,
   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-a48eecb1",
   "statement": "Sinds versie 0.0.6 (2021-05-31) legt de Lab-IG vast dat in de eerste iteratie een FHIR Document als payload van een eHealthBox-bericht wordt verstuurd; de conceptversies liepen van 0.0.2 (2020-11-16) tot 0.0.7 (2021-06-21).",
   "kind": "fact",
   "kind_label": "fait",
   "locator": "Changes, v0.0.6",
   "as_of": "2026-09-28",
   "source": {
    "id": "SRC-a307c610a6",
    "title": "HL7 BE Laboratory WG Implementation Guide 1.0.0 - STU: Changes",
    "publisher": "eHealth-platform",
    "url": "https://www.ehealth.fgov.be/standards/fhir/lab/changes.html",
    "published": "2022-09-08"
   },
   "citaat": null,
   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-de39562d",
   "statement": "Op de master-branch van de GitHub-repository staat de Lab-IG op versie 1.0.1 met status 'draft' en licentie CC0-1.0; dit is geen gepubliceerde release.",
   "kind": "fact",
   "kind_label": "fait",
   "locator": "sushi-config.yaml, velden status/license/date/version",
   "as_of": "2026-09-28",
   "source": {
    "id": "SRC-37ad20d6a9",
    "title": "sushi-config.yaml (master-branch) van de repository hl7-be/lab",
    "publisher": "HL7 Belgium / eHealth-platform (GitHub hl7-be)",
    "url": "https://raw.githubusercontent.com/hl7-be/lab/master/sushi-config.yaml",
    "published": null
   },
   "citaat": null,
   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-5309574c",
   "statement": "Het verzenden van labverslagen als FHIR Document naar een eHealthBox is volgens de Guidance de eerste iteratie in productie.",
   "kind": "fact",
   "kind_label": "fait",
   "locator": "Guidance, 'Versioning of reports'",
   "as_of": "2026-09-28",
   "source": {
    "id": "SRC-fb93029bf0",
    "title": "HL7 Belgium FHIR IG - Lab related profiles: Guidance",
    "publisher": "eHealth-platform / HL7 Belgium",
    "url": "https://www.ehealth.fgov.be/standards/fhir/lab/guidance.html",
    "published": "2022-09-08"
   },
   "citaat": null,
   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-5e5acc22",
   "statement": "Volgens de Belgische FHIR Lab-IG wordt een laboresultaat als payload van een eHealthBox-bericht verstuurd (met custom metadata HC-FunctionalType 'fhir-lab').",
   "kind": "fact",
   "kind_label": "fait",
   "locator": "sectie 'Technical implementation of the specification published here'",
   "as_of": "2026-09-26",
   "source": {
    "id": "SRC-fb93029bf0",
    "title": "HL7 Belgium FHIR IG - Lab related profiles: Guidance",
    "publisher": "eHealth-platform / HL7 Belgium",
    "url": "https://www.ehealth.fgov.be/standards/fhir/lab/guidance.html",
    "published": "2022-09-08"
   },
   "citaat": null,
   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-9b1e618f",
   "statement": "De payload is een FHIR Document (Bundle met Composition) dat alle gerefereerde resources bevat.",
   "kind": "fact",
   "kind_label": "fait",
   "locator": "sectie 'Technical implementation of the specification published here'",
   "as_of": "2026-09-26",
   "source": {
    "id": "SRC-fb93029bf0",
    "title": "HL7 Belgium FHIR IG - Lab related profiles: Guidance",
    "publisher": "eHealth-platform / HL7 Belgium",
    "url": "https://www.ehealth.fgov.be/standards/fhir/lab/guidance.html",
    "published": "2022-09-08"
   },
   "citaat": null,
   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-a71477d3",
   "statement": "De gepubliceerde Lab-IG beschrijft de uitwisseling nog als verwachting voor een 'eerste iteratie' en verwijst naar een pilootfase in 2021; de tekst is sindsdien niet geactualiseerd.",
   "kind": "fact",
   "kind_label": "fait",
   "locator": "sectie 'Technical implementation of the specification published here'",
   "as_of": "2026-09-26",
   "source": {
    "id": "SRC-fb93029bf0",
    "title": "HL7 Belgium FHIR IG - Lab related profiles: Guidance",
    "publisher": "eHealth-platform / HL7 Belgium",
    "url": "https://www.ehealth.fgov.be/standards/fhir/lab/guidance.html",
    "published": "2022-09-08"
   },
   "citaat": null,
   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-6b3d9af8",
   "statement": "Volgens integratieleverancier Amaron worden diagnostische verslagen vandaag al als FHIR-bericht via de eHealthBox naar de aanvrager (meestal de huisarts) gestuurd.",
   "kind": "vendor-claim",
   "kind_label": "affirmation du fournisseur",
   "locator": "sectie 'Labresultaten (DIGIRELAB)'",
   "as_of": "2026-09-28",
   "source": {
    "id": "SRC-8ba2c42200",
    "title": "FHIR in België",
    "publisher": "Amaron",
    "url": "https://amaron.be/fhir-in-belgie/",
    "published": "2025-08-18"
   },
   "citaat": null,
   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-a567f6f5",
   "statement": "Het ingesloten FHIR-document in 'Laboratory result 2.0' moet de regels van de Belgische FHIR Lab-IG volgen.",
   "kind": "fact",
   "kind_label": "fait",
   "locator": "Structure overview",
   "as_of": "2026-09-28",
   "source": {
    "id": "SRC-b09ad4548b",
    "title": "KMEHR transaction: Laboratory result 2.0 (KMEHR with encapsulated FHIR)",
    "publisher": "eHealth-platform",
    "url": "https://www.ehealth.fgov.be/standards/kmehr/en/transactions/laboratory-result-2.0",
    "published": "2023-12-08"
   },
   "citaat": null,
   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-21d9f88e",
   "statement": "La proposition DIGIRELAB Phase 3 (mars 2026, « to be finetuned ») décrit une API cible qui a été discutée lors des réunions DIGIRELAB consacrées aux phases 2 et 3 avec les hubs, avec quelques représentants des laboratoires; il s'agit d'une proposition, pas d'une mise en production.",
   "kind": "fact",
   "kind_label": "fait",
   "locator": "titel en inleiding (GitHub-bestand, laatst gewijzigd 2026-03-25)",
   "as_of": "2026-09-26",
   "source": {
    "id": "SRC-73049217c3",
    "title": "DIGIRELAB Phase 3: proposal for API (to be finetuned)",
    "publisher": "HL7 Belgium (GitHub hl7-be/lab)",
    "url": "https://raw.githubusercontent.com/hl7-be/lab/master/DIGIRELAB_Phase_3_FHIR_API.md",
    "published": "2026-03-25"
   },
   "citaat": null,
   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-d57a6e12",
   "statement": "Dans la proposition d'API DIGIRELAB Phase 3, la fonctionnalité de recherche des résultats de laboratoire comprend la recherche d'Observations FHIR sur la base du code LOINC.",
   "kind": "fact",
   "kind_label": "fait",
   "locator": "sectie 'For resource type Observation'",
   "as_of": "2026-10-08",
   "source": {
    "id": "SRC-73049217c3",
    "title": "DIGIRELAB Phase 3: proposal for API (to be finetuned)",
    "publisher": "HL7 Belgium (GitHub hl7-be/lab)",
    "url": "https://raw.githubusercontent.com/hl7-be/lab/master/DIGIRELAB_Phase_3_FHIR_API.md",
    "published": "2026-03-25"
   },
   "citaat": null,
   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-a3cef72e",
   "statement": "Het fase 3-voorstel verwacht bijkomende beperkingen uit een 'coalition of the willing', wat wijst op een nog niet afgeronde, vrijwillige testfase (voorstel, geen productie).",
   "kind": "fact",
   "kind_label": "fait",
   "locator": "sectie 'For resource type Observation'",
   "as_of": "2026-09-28",
   "source": {
    "id": "SRC-73049217c3",
    "title": "DIGIRELAB Phase 3: proposal for API (to be finetuned)",
    "publisher": "HL7 Belgium (GitHub hl7-be/lab)",
    "url": "https://raw.githubusercontent.com/hl7-be/lab/master/DIGIRELAB_Phase_3_FHIR_API.md",
    "published": "2026-03-25"
   },
   "citaat": null,
   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-9781109a",
   "statement": "In 'Laboratory result 2.0' bevat de transactie een pdf (base64) voor clients die geen FHIR kunnen verwerken, naast het FHIR-document.",
   "kind": "fact",
   "kind_label": "fait",
   "locator": "Structure overview",
   "as_of": "2026-09-28",
   "source": {
    "id": "SRC-b09ad4548b",
    "title": "KMEHR transaction: Laboratory result 2.0 (KMEHR with encapsulated FHIR)",
    "publisher": "eHealth-platform",
    "url": "https://www.ehealth.fgov.be/standards/kmehr/en/transactions/laboratory-result-2.0",
    "published": "2023-12-08"
   },
   "citaat": null,
   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-171387ed",
   "statement": "Het testplan in de Lab-IG-repository somt testgevallen op voor laboresultaten in FHIR; het is werk in uitvoering.",
   "kind": "fact",
   "kind_label": "fait",
   "locator": "inleiding",
   "as_of": "2026-09-28",
   "source": {
    "id": "SRC-ec2f679b30",
    "title": "Test Plan (Laboratory Results in FHIR Format)",
    "publisher": "HL7 Belgium (repository hl7-be/lab)",
    "url": "https://raw.githubusercontent.com/hl7-be/lab/master/testing/Test%20Plan.MD",
    "published": null
   },
   "citaat": null,
   "figuur": null,
   "in_text": false,
   "on_page": false
  },
  {
   "id": "CLM-1b63e6fd",
   "statement": "De profielpagina behoort tot de gepubliceerde Lab-IG 1.0.0 (Trial Use, FHIR R4); de resource zelf draagt Draft-metadata van 8 november 2021. Publicatie van een profiel is dus te onderscheiden van normatieve volwassenheid en productiegebruik.",
   "kind": "interpretation",
   "kind_label": "interprétation",
   "locator": "paginabanner en profielmetadata; interpretatie",
   "as_of": "2026-09-28",
   "source": {
    "id": "SRC-fae3630dbc",
    "title": "BeObservationLaboratory - HL7 BE Laboratory WG Implementation Guide",
    "publisher": "eHealth-platform / HL7 Belgium",
    "url": "https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition-be-observation-laboratory.html",
    "published": null
   },
   "citaat": null,
   "figuur": null,
   "in_text": false,
   "on_page": false
  },
  {
   "id": "CLM-3e28e0ab",
   "statement": "Het testplan zegt dat er nog geen verwijzingen naar MIPS-testprotocollen en FHIR-voorbeeldbestanden zijn, terwijl de testmap wel referentiebestanden van MIPS bevat en de tekst zelf naar MIPS-scenario's linkt.",
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 ],
 "diagrams": [],
 "facets": {
  "type": [
   "Specification"
  ],
  "jurisdiction": [
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  ],
  "theme": [
   "labo",
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  "lifecycle": [
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 },
 "search_terms": [
  "Guide d'implémentation FHIR belge pour les résultats de laboratoire (hl7.fhir.be.lab)",
  "BE Lab-IG",
  "HL7 BE Laboratory IG",
  "HL7 BE Laboratory WG Implementation Guide",
  "HL7 Belgium FHIR Implementation Guide - Lab related profiles",
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  "Guide d'implémentation FHIR belge pour les résultats de laboratoire"
 ],
 "release_id": "2026.11.12-3",
 "license": "CC BY 4.0"
}
