{ "id": "loinc", "url": "/loinc/", "md_url": "/loinc.md", "json_url": "/loinc.json", "claims_url": "/loinc/beweringen/", "type": { "code": "Terminology", "label": "Terminologie of classificatie" }, "schema_type": "DefinedTermSet", "title": "LOINC en de Belgische labosubset (ReTaM)", "aliases": [ "Logical Observation Identifiers Names and Codes", "Belgische LOINC-subset", "BE subset LOINC", "ReTaM", "Retam LOINC", "Reference Table Management", "Albertcode" ], "names": { "nl": "LOINC en de Belgische labosubset (ReTaM)", "fr": "LOINC et le sous-ensemble belge (ReTaM)", "en": "LOINC and the Belgian laboratory subset (ReTaM)", "de": null }, "jurisdiction": [ { "code": "internationaal", "label": "Internationaal" }, { "code": "belgie", "label": "België (federaal/interfederaal)" } ], "themes": [ { "code": "terminologie", "label": "Terminologie en codering" }, { "code": "labo", "label": "Laboratorium" } ], "lifecycle": { "code": "productie", "label": "in productie" }, "lifecycle_note_html": "De Belgische LOINC-subset is een authentieke bron, beheerd in ReTaM; de laatst gevonden publieke export dateert van september 2025 (bestandsnaam, interpretatie). De Belgische FHIR Lab-IG staat nog op v1.0.0 (trial-use, 2022). DIGIRELAB Phase 3 (FHIR-zoek-API via de hubs) is een voorstel (GitHub-bestand laatst gewijzigd maart 2026), geen productie.", "version": "Belgische subset - laatst gevonden export ReTaM_Export_092025 (september 2025; oudere FOD-pagina vermeldde 'versie 2017'). Welke internationale LOINC-versie eronder ligt, werd niet gevonden.", "vendor": null, "sectors": [], "homologations": [], "summary_text": "LOINC is de internationale codering voor laboratoriumaanvragen en -resultaten. België gebruikt een beperkte nationale LOINC-subset als authentieke bron voor laboratoriumcodes, beheerd in ReTaM (Reference Table Management); concepten zonder LOINC-code krijgen een Albertcode, en UCUM-eenheden worden in de subset geïntegreerd waar er consensus is. De Belgische FHIR Lab-IG (v1.0.0, trial-use) schrijft LOINC volgens de FOD-subset voor. De CI-versie van de Lab-IG verwijst nu naar een nieuwe ReTaM-webapp op een FOD-domein; de gepubliceerde Lab-IG linkt nog naar de oude, niet meer werkende eHealth-URL. Een DIGIRELAB Phase 3-API-voorstel (GitHub, laatst gewijzigd maart 2026; gebaseerd op overleg met de hubs in 2024-2025) beschrijft een FHIR-zoek-API voor labresultaten via de hubs.", "summary_html": "

LOINC is de internationale codering voor laboratoriumaanvragen en -resultaten. België gebruikt een beperkte nationale LOINC-subset als authentieke bron voor laboratoriumcodes, beheerd in ReTaM (Reference Table Management); concepten zonder LOINC-code krijgen een Albertcode, en UCUM-eenheden worden in de subset geïntegreerd waar er consensus is. De Belgische FHIR Lab-IG (v1.0.0, trial-use) schrijft LOINC volgens de FOD-subset voor. De CI-versie van de Lab-IG verwijst nu naar een nieuwe ReTaM-webapp op een FOD-domein; de gepubliceerde Lab-IG linkt nog naar de oude, niet meer werkende eHealth-URL. Een DIGIRELAB Phase 3-API-voorstel (GitHub, laatst gewijzigd maart 2026; gebaseerd op overleg met de hubs in 2024-2025) beschrijft een FHIR-zoek-API voor labresultaten via de hubs.

", "last_verified": "2026-09-26", "verification_outdated": false, "sections": [ { "id": "wat-is-het", "title": "Wat is het?", "kind": "tekst", "html": "

LOINC is een internationale terminologie voor laboratoriumtesten en observaties. In FHIR krijgt elk codesysteem een\neigen URL (bv. http://loinc.org), zodat de herkomst van elke code expliciet is[1]. België koos, zoals\nandere Europese landen, voor een beperkte nationale subset omdat de volledige LOINC minder werkbaar is; dat leidde tot de\nBelgische subset en ReTaM[2]. De Belgische set laboratoriumcodes is een authentieke bron gebaseerd op\nLOINC[3]. Voor concepten zonder LOINC-code wordt een sequentiële numerieke Albertcode toegekend\n[3].

\n

LOINC en SNOMED CT vullen elkaar aan: namen van micro-organismen en lichaamsdelen in laborapporten zijn beter\nvertegenwoordigd in SNOMED CT dan in LOINC[2]. Eenheden volgen UCUM: de UCUM-eenheid wordt in de LOINC-code\nvan de Belgische subset geïntegreerd wanneer er consensus is over een specifieke eenheid, anders wordt een generieke code\ntoegewezen[2].

" }, { "id": "beheer-en-licentie", "title": "Beheer en licentie", "kind": "tekst", "html": "

De Belgische set laboratoriumcodes wordt beheerd in ReTaM (Reference Table Management), een tool ontwikkeld door het\neHealth-platform met steun van de FOD Volksgezondheid[3]. Volgens de huidige broncode van de Belgische Lab-IG\n(CI-versie; bestand laatst gewijzigd 9/2/2026, een bestandsdatum en geen gedocumenteerde wijzigingsdatum van de link)\nverwijst de IG voor de subset naar de nieuwe ReTaM-toepassing op apps.health.belgium.be/retam[4].\nInterpretatie: de publicatie is verhuisd naar een FOD-domein; een FOD-bron die dit als officiële publicatieplaats\nbevestigt, werd niet gevonden; of ook het beheer van het\neHealth-platform naar de FOD is verschoven, werd niet bevestigd. Licentievoorwaarden van LOINC (Regenstrief) werden in\ndeze cyclus niet onderzocht (gap).

" }, { "id": "versies-en-tijdslijn", "title": "Versies en tijdslijn", "kind": "tekst", "html": "" }, { "id": "gebruik-in-belgie", "title": "Gebruik in België", "kind": "tekst", "html": "" }, { "id": "praktische-betekenis-voor-ziekenhuizen", "title": "Praktische betekenis voor ziekenhuizen", "kind": "tekst", "html": "" }, { "id": "implementatievoorwaarden-en-beperkingen", "title": "Implementatievoorwaarden en beperkingen", "kind": "tekst", "html": "

De Belgische subset is beperkt, zodat niet elke lokale test een LOINC-code heeft; daarvoor dient de Albertcode\n[3]. De ReTaM-app en het Terminology Portal zijn webapplicaties zonder server-side leesbare tekst; een\nciteerbare actuele versie of inhoud werd niet gevonden (gap). Of de subset als FHIR-ValueSet op de nationale\nterminologieserver beschikbaar is, werd niet nagegaan (zie Belgische terminologieserver (FHIR)).

" }, { "id": "onzekerheden-en-tegenstrijdige-informatie", "title": "Onzekerheden en tegenstrijdige informatie", "kind": "tekst", "html": "" } ], "relation_groups": [ { "type": "usesTerminology", "direction": "uit", "label": "gebruikt terminologie", "relations": [ { "direction": "uit", "type": "usesTerminology", "label": "gebruikt terminologie", "other": { "id": "ucum", "title": "UCUM", "url": "/ucum/" }, "status": "established", "status_label": "vastgesteld", "note_html": "UCUM is partner van LOINC; de UCUM-eenheid wordt bij consensus in de code van de Belgische LOINC-subset geïntegreerd, en de BE Lab-IG drukt eenheden in UCUM uit.", "valid_from": null, "valid_to": null, "historical": false, "refs": [ 2, 8 ] } ] }, { "type": "ownedBy", "direction": "uit", "label": "valt onder verantwoordelijkheid van", "relations": [ { "direction": "uit", "type": "ownedBy", "label": "valt onder verantwoordelijkheid van", "other": { "id": "fod-volksgezondheid", "title": "FOD Volksgezondheid", "url": "/fod-volksgezondheid/" }, "status": "established", "status_label": "vastgesteld", "note_html": "Geldt voor de Belgische labosubset (ReTaM), niet voor LOINC zelf.", "valid_from": null, "valid_to": null, "historical": false, "refs": [ 3, 8, 4 ] }, { "direction": "uit", "type": "ownedBy", "label": "valt onder verantwoordelijkheid van", "other": { "id": "terminologiecentrum-fod", "title": "Terminologiecentrum (FOD Volksgezondheid)", "url": "/terminologiecentrum-fod/" }, "status": "hypothesis", "status_label": "hypothese", "note_html": "healthdata.be stemt zijn LOINC-gebruik af op het Terminologiecentrum; de precieze beheerrol van het Terminologiecentrum voor ReTaM staat niet in een claim.", "valid_from": null, "valid_to": null, "historical": false, "refs": [ 12 ] } ] }, { "type": "seeAlso", "direction": "uit", "label": "zie ook", "relations": [ { "direction": "uit", "type": "seeAlso", "label": "zie ook", "other": { "id": "ehealth-platform", "title": "eHealth-platform", "url": "/ehealth-platform/" }, "status": "established", "status_label": "vastgesteld", "note_html": "Het eHealth-platform ontwikkelde de ReTaM-tool (oudere FOD-pagina). De nieuwe ReTaM-app draait op een FOD-domein; of het beheer verschoven is, werd niet bevestigd.", "valid_from": null, "valid_to": null, "historical": false, "refs": [ 3 ] } ] }, { "type": "comparedWith", "direction": "uit", "label": "wordt vergeleken met", "relations": [ { "direction": "uit", "type": "comparedWith", "label": "wordt vergeleken met", "other": { "id": "snomed-ct", "title": "SNOMED CT", "url": "/snomed-ct/" }, "status": "established", "status_label": "vastgesteld", "note_html": "Micro-organismen en lichaamsdelen in laborapporten zijn beter vertegenwoordigd in SNOMED CT dan in LOINC.", "valid_from": null, "valid_to": null, "historical": false, "refs": [ 2 ] } ] }, { "type": "usesTerminology", "direction": "in", "label": "gebruikt terminologie (inkomend)", "relations": [ { "direction": "in", "type": "usesTerminology", "label": "gebruikt terminologie (inkomend)", "other": { "id": "be-fhir-igs", "title": "Belgische FHIR-implementatiegidsen", "url": "/be-fhir-igs/" }, "status": "established", "status_label": "vastgesteld", "note_html": null, "valid_from": null, "valid_to": null, "historical": false, "refs": [ 8 ] }, { "direction": "in", "type": "usesTerminology", "label": "gebruikt terminologie (inkomend)", "other": { "id": "be-fhir-lab-ig", "title": "Belgische FHIR Lab-IG (hl7.fhir.be.lab)", "url": "/be-fhir-lab-ig/" }, "status": "established", "status_label": "vastgesteld", "note_html": null, "valid_from": null, "valid_to": null, "historical": false, "refs": [ 8, 22 ] }, { "direction": "in", "type": "usesTerminology", "label": "gebruikt terminologie (inkomend)", "other": { "id": "be-hera", "title": "be.Prepared (voorheen Be-HERA)", "url": "/be-hera/" }, "status": "established", "status_label": "vastgesteld", "note_html": null, "valid_from": null, "valid_to": null, "historical": false, "refs": [ 23 ] }, { "direction": "in", "type": "usesTerminology", "label": "gebruikt terminologie (inkomend)", "other": { "id": "be-patient-monitoring-ig", "title": "HL7 Belgium Patient Monitoring Outcome FHIR IG", "url": "/be-patient-monitoring-ig/" }, "status": "established", "status_label": "vastgesteld", "note_html": null, "valid_from": null, "valid_to": null, "historical": false, "refs": [ 24, 25 ] }, { "direction": "in", "type": "usesTerminology", "label": "gebruikt terminologie (inkomend)", "other": { "id": "belgische-terminologieserver", "title": "Belgische terminologieserver (FHIR)", "url": "/belgische-terminologieserver/" }, "status": "hypothesis", "status_label": "hypothese", "note_html": null, "valid_from": null, "valid_to": null, "historical": false, "refs": [ 7 ] }, { "direction": "in", "type": "usesTerminology", "label": "gebruikt terminologie (inkomend)", "other": { "id": "eehrxf", "title": "EEHRxF (European EHR Exchange Format)", "url": "/eehrxf/" }, "status": "hypothesis", "status_label": "hypothese", "note_html": null, "valid_from": null, "valid_to": null, "historical": false, "refs": [ 17 ] }, { "direction": "in", "type": "usesTerminology", "label": "gebruikt terminologie (inkomend)", "other": { "id": "hubs-metahub", "title": "Hubs-metahubsysteem", "url": "/hubs-metahub/" }, "status": "hypothesis", "status_label": "hypothese", "note_html": null, "valid_from": null, "valid_to": null, "historical": false, "refs": [ 13 ] }, { "direction": "in", "type": "usesTerminology", "label": "gebruikt terminologie (inkomend)", "other": { "id": "nexuzhealth-lab", "title": "Nexuzhealth Lab", "url": "/nexuzhealth-lab/" }, "status": "hypothesis", "status_label": "hypothese", "note_html": null, "valid_from": null, "valid_to": null, "historical": false, "refs": [ 31 ] }, { "direction": "in", "type": "usesTerminology", "label": "gebruikt terminologie (inkomend)", "other": { "id": "omop-cdm", "title": "OMOP CDM en OHDSI", "url": "/omop-cdm/" }, "status": "established", "status_label": "vastgesteld", "note_html": null, "valid_from": null, "valid_to": null, "historical": false, "refs": [ 32 ] }, { "direction": "in", "type": "usesTerminology", "label": "gebruikt terminologie (inkomend)", "other": { "id": "snowstorm-local", "title": "snowstorm-local (lokale terminologieserver van het eHealth-platform)", "url": "/snowstorm-local/" }, "status": "established", "status_label": "vastgesteld", "note_html": null, "valid_from": null, "valid_to": null, "historical": false, "refs": [ 34 ] } ] }, { "type": "about", "direction": "in", "label": "gaat over (inkomend)", "relations": [ { "direction": "in", "type": "about", "label": "gaat over (inkomend)", "other": { "id": "besafeshare", "title": "BeSafeShare", "url": "/besafeshare/" }, "status": "established", "status_label": "vastgesteld", "note_html": null, "valid_from": null, "valid_to": null, "historical": false, "refs": [ 16 ] }, { "direction": "in", "type": "about", "label": "gaat over (inkomend)", "other": { "id": "vgl-fhir-openehr-omop", "title": "FHIR, openEHR en OMOP: vergelijking", "url": "/vgl-fhir-openehr-omop/" }, "status": "established", "status_label": "vastgesteld", "note_html": null, "valid_from": null, "valid_to": null, "historical": false, "refs": [ 32, 1 ] } ] }, { "type": "involves", "direction": "in", "label": "betrekt (inkomend)", "relations": [ { "direction": "in", "type": "involves", "label": "betrekt (inkomend)", "other": { "id": "digirelab", "title": "DIGIRELAB (digitalisering van laboresultaten)", "url": "/digirelab/" }, "status": "established", "status_label": "vastgesteld", "note_html": null, "valid_from": null, "valid_to": null, "historical": false, "refs": [ 26, 13, 27 ] }, { "direction": "in", "type": "involves", "label": "betrekt (inkomend)", "other": { "id": "klinisch-labo-resultaten-uitwisseling", "title": "Uitwisseling van laboresultaten", "url": "/klinisch-labo-resultaten-uitwisseling/" }, "status": "established", "status_label": "vastgesteld", "note_html": null, "valid_from": null, "valid_to": null, "historical": false, "refs": [ 8, 3, 22 ] }, { "direction": "in", "type": "involves", "label": "betrekt 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Belgische LOINC-subset ook als FHIR-ValueSet op de nationale terminologieserver gepubliceerd?", "Wie beheert ReTaM vandaag (eHealth-platform of FOD), nu de toepassing op een FOD-domein draait?", "Welke standaard bedoelt Frank Robben met 'een standaard voor de uitwisseling van labresultaten die al twee jaar bestaat'?", "Zal de EEHRxF-uitvoeringshandeling LOINC voorschrijven voor labresultaten, en hoe verhoudt de Belgische subset zich daartoe?", "Bestaat er een mapping tussen de RIZIV-nomenclatuur (klinische biologie, artikel 24) en ReTaM?" ], "open_questions": [ { "id": "oq-caa281", "html": "Op welke LOINC-versie is de ReTaM-export van september 2025 gebaseerd, en is er een nieuwere export in 2026?", "text": "Op welke LOINC-versie is de ReTaM-export van september 2025 gebaseerd, en is er een nieuwere export in 2026?" }, { "id": "oq-5c3258", "html": "Komt er een nieuwe release van de BE Lab-IG met de gecorrigeerde ReTaM-link en de DIGIRELAB-API?", "text": "Komt er een nieuwe release van de BE Lab-IG met de gecorrigeerde ReTaM-link en de DIGIRELAB-API?" }, { "id": "oq-094be3", "html": "Wordt de Belgische LOINC-subset ook als FHIR-ValueSet op de nationale terminologieserver gepubliceerd?", "text": "Wordt de Belgische LOINC-subset ook als FHIR-ValueSet op de nationale terminologieserver gepubliceerd?" }, { "id": "oq-d8def1", "html": "Wie beheert ReTaM vandaag (eHealth-platform of FOD), nu de toepassing op een FOD-domein draait?", "text": "Wie beheert ReTaM vandaag (eHealth-platform of FOD), nu de toepassing op een FOD-domein draait?" }, { "id": "oq-b41e0a", "html": "Welke standaard bedoelt Frank Robben met 'een standaard voor de uitwisseling van labresultaten die al twee jaar bestaat'?", "text": "Welke standaard bedoelt Frank Robben met 'een standaard voor de uitwisseling van labresultaten die al twee jaar bestaat'?" }, { "id": "oq-7df2cd", "html": "Zal de EEHRxF-uitvoeringshandeling LOINC voorschrijven voor labresultaten, en hoe verhoudt de Belgische subset zich 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"id": "SRC-c7686ed124", "title": "E17_on_FHIR – projectrepository (Data Capabilities & Innovation Symposium, 19 januari 2026)", "publisher": "FOD Volksgezondheid – Data Capabilities & Innovation", "url": "https://git.health.belgium.be/dci/E17_on_FHIR", "published": null, "first_retrieved": "2026-10-01T07:34:59+00:00", "last_checked": "2026-10-01T07:34:59+00:00", "content_sha256": "9cfe36878de1cbc335d220ba98646b28346cfa5c5acdff6e81f491eb953bdd09", "link_unreachable_since": null }, { "n": 34, "id": "SRC-effab8767d", "title": "ehealthplatformstandards/snowstorm-local (Snowstorm-Local Setup Guide)", "publisher": "eHealth-platform (GitHub-organisatie ehealthplatformstandards)", "url": "https://github.com/ehealthplatformstandards/snowstorm-local", "published": null, "first_retrieved": "2026-09-28T19:55:32+00:00", "last_checked": "2026-09-28T19:55:32+00:00", "content_sha256": "dfcee5bec5bccf8ff612e6c4cfd1052724a62c46278eaa6ff735b607c3dc5ebd", "link_unreachable_since": null } ], "claims": [ { "id": "CLM-89c84b92", "statement": "Voor uitwisseling krijgt elk codesysteem een URL (bv. http://loinc.org, http://snomed.info/sct), zodat de herkomst van elke code expliciet is.", "kind": "fact", "kind_label": "feit", "locator": "sectie over code systems en value sets", "as_of": "2026-09-25", "source": { "id": "SRC-6f62e628f5", "title": "Using Codes in resources (R4)", "publisher": "HL7 International", "url": "https://hl7.org/fhir/R4/terminologies.html", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-3d1ab453", "statement": "België koos, zoals andere Europese landen, voor een beperkte nationale LOINC-subset omdat de volledige LOINC (> 80.000 codes) minder bruikbaar is; dit leidde tot de Belgische subset en ReTaM.", "kind": "fact", "kind_label": "feit", "locator": "eerste paragraaf", "as_of": "2026-09-25", "source": { "id": "SRC-8d0af25927", "title": "LOINC in België | FOD Volksgezondheid (archiefkopie 07/09/2025)", "publisher": "FOD Volksgezondheid", "url": "https://web.archive.org/web/20250907091910/https://www.health.belgium.be/nl/loinc-belgie", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-650fec7b", "statement": "De Belgische set laboratoriumcodes is een authentieke bron gebaseerd op LOINC; concepten zonder LOINC-code krijgen een sequentiële \"Albertcode\".", "kind": "fact", "kind_label": "feit", "locator": "paragraaf authentieke bron", "as_of": "2026-09-25", "source": { "id": "SRC-5e8f12e4b1", "title": "Belgische subset LOINC | FOD Volksgezondheid (archiefkopie 12/08/2025)", "publisher": "FOD Volksgezondheid", "url": "https://web.archive.org/web/20250812100752/https://www.health.belgium.be/nl/gezondheid/organisatie-van-de-gezondheidszorg/delen-van-gezondheidsgegevens/terminologiecentrum/terminologiestelstels/loinc", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-20dadda1", "statement": "Voor concepten zonder LOINC-code wordt een sequentiële numerieke Albertcode toegekend.", "kind": "fact", "kind_label": "feit", "locator": "paragraaf authentieke bron", "as_of": "2026-09-25", "source": { "id": "SRC-5e8f12e4b1", "title": "Belgische subset LOINC | FOD Volksgezondheid (archiefkopie 12/08/2025)", "publisher": "FOD Volksgezondheid", "url": "https://web.archive.org/web/20250812100752/https://www.health.belgium.be/nl/gezondheid/organisatie-van-de-gezondheidszorg/delen-van-gezondheidsgegevens/terminologiecentrum/terminologiestelstels/loinc", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-1feda974", "statement": "Namen van micro-organismen en lichaamsdelen in laborapporten zijn beter vertegenwoordigd in SNOMED CT dan in LOINC.", "kind": "fact", "kind_label": "feit", "locator": "tweede paragraaf", "as_of": "2026-09-25", "source": { "id": "SRC-8d0af25927", "title": "LOINC in België | FOD Volksgezondheid (archiefkopie 07/09/2025)", "publisher": "FOD Volksgezondheid", "url": "https://web.archive.org/web/20250907091910/https://www.health.belgium.be/nl/loinc-belgie", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-29e75ae6", "statement": "UCUM fungeert als partner van LOINC; de UCUM-eenheid wordt in de LOINC-code van de Belgische subset geïntegreerd wanneer er consensus is over een specifieke eenheid, anders wordt een generieke code toegewezen.", "kind": "fact", "kind_label": "feit", "locator": "paragraaf UCUM", "as_of": "2026-09-25", "source": { "id": "SRC-8d0af25927", "title": "LOINC in België | FOD Volksgezondheid (archiefkopie 07/09/2025)", "publisher": "FOD Volksgezondheid", "url": "https://web.archive.org/web/20250907091910/https://www.health.belgium.be/nl/loinc-belgie", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-a12b5df9", "statement": "De Belgische set laboratoriumcodes wordt beheerd in ReTaM (Reference Table Management), ontwikkeld door het eHealth-platform met steun van de FOD Volksgezondheid.", "kind": "fact", "kind_label": "feit", "locator": "paragraaf ReTaM", "as_of": "2026-09-25", "source": { "id": "SRC-5e8f12e4b1", "title": "Belgische subset LOINC | FOD Volksgezondheid (archiefkopie 12/08/2025)", "publisher": "FOD Volksgezondheid", "url": "https://web.archive.org/web/20250812100752/https://www.health.belgium.be/nl/gezondheid/organisatie-van-de-gezondheidszorg/delen-van-gezondheidsgegevens/terminologiecentrum/terminologiestelstels/loinc", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-7a8d89a5", "statement": "In de broncode (CI) van de BE Lab-IG werd in februari 2026 de link naar de Belgische LOINC-subset van de FOD gewijzigd naar de nieuwe ReTaM-toepassing https://apps.health.belgium.be/retam/analysis-search; de eis blijft LOINC volgens de FOD-subset.", "kind": "fact", "kind_label": "feit", "locator": "sectie 'Use of Retam codes'", "as_of": "2026-09-26", "source": { "id": "SRC-7bd48749e3", "title": "hl7-be/lab - guidance.xml (bronbestand CI, na PR 'retam_url', feb. 2026)", "publisher": "HL7 Belgium (GitHub hl7-be)", "url": "https://raw.githubusercontent.com/hl7-be/lab/master/input/pagecontent/guidance.xml", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-665c49b9", "statement": "De gepubliceerde Belgische LOINC-subset op de (gearchiveerde) FOD-pagina droeg het versielabel 2017.", "kind": "fact", "kind_label": "feit", "locator": "downloadlink bovenaan", "as_of": "2026-09-25", "source": { "id": "SRC-5e8f12e4b1", "title": "Belgische subset LOINC | FOD Volksgezondheid (archiefkopie 12/08/2025)", "publisher": "FOD Volksgezondheid", "url": "https://web.archive.org/web/20250812100752/https://www.health.belgium.be/nl/gezondheid/organisatie-van-de-gezondheidszorg/delen-van-gezondheidsgegevens/terminologiecentrum/terminologiestelstels/loinc", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-013c1d39", "statement": "Het Terminology Portal bevat publiek downloadbare ReTaM-exports met datum in de bestandsnaam: 072023, 102023, 062024, 102024, 032025 en 092025. Interpretatie: de laatst gevonden gepubliceerde versie van de Belgische LOINC-subset is de export van september 2025 (ReTaM_Export_092025.xlsx), wat de oude staging-vermelding \"versie 2017\" achterhaalt. Bestanden niet gedownload (volledige subset).", "kind": "interpretation", "kind_label": "interpretatie", "locator": "HTTP-header Content-Disposition (filename ReTaM_Export_092025.xlsx)", "as_of": "2026-09-26", "source": { "id": "SRC-7d416e6428", "title": "ReTaM_Export_092025.xlsx (export Belgische LOINC-subset, september 2025)", "publisher": "FOD Volksgezondheid", "url": "https://apps.health.belgium.be/portal-admin-api-rs/public/documents/download/122", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-d81989a0", "statement": "De nieuwe ReTaM-webtoepassing (\"Retam LOINC\") is een JavaScript-app; de bundel bevat een LOINC-importhistoriek met kolommen zoals loincVersion en releaseDate. Welke LOINC-versie actief is, kon zonder login niet worden gelezen. De FHIR-server dte-tx laadt LOINC 2.82 (zie nts-08), wat niet noodzakelijk de ReTaM-basisversie is.", "kind": "interpretation", "kind_label": "interpretatie", "locator": "HTML-titel en JS-bundel main-*.js", "as_of": "2026-09-26", "source": { "id": "SRC-066c08da56", "title": "Retam LOINC (webapplicatie)", "publisher": "FOD Volksgezondheid", "url": "https://apps.health.belgium.be/retam/analysis-search", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-844f1e24", "statement": "De TerminologyCapabilities van dte-tx.ehealth.fgov.be/r4 (26/09/2026) tonen o.a. SNOMED CT Belgische module 11000172109 versies 20260915 en 20260515 (plus International 20250701), LOINC 2.82, UCUM 2.2, ATC 2025, EDQM Standard Terms en ICD-10-CM (CMS); er werden geen Belgische (ehealth.fgov.be) CodeSystems of ValueSets als opgeslagen resources gevonden (zoekopdracht op de canonical van de Body Site-ValueSet gaf 0 resultaten).", "kind": "interpretation", "kind_label": "interpretatie", "locator": "TerminologyCapabilities.codeSystem", "as_of": "2026-09-26", "source": { "id": "SRC-c99e072bc1", "title": "TerminologyCapabilities dte-tx.ehealth.fgov.be/r4", "publisher": "eHealth-platform (vermoedelijk)", "url": "https://dte-tx.ehealth.fgov.be/r4/metadata?mode=terminology&_format=json", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-e0e48933", "statement": "In de Belgische FHIR Lab-IG (v1.0.0, Trial Use) SHALL laboresultaten gecodeerd worden in LOINC volgens de subset van de FOD Volksgezondheid; anders ALBERT-codes.", "kind": "fact", "kind_label": "feit", "locator": "sectie codering observaties", "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" }, "citaat": 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": "feit", "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" }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-8970ddbb", "statement": "De BE Lab-IG heeft als enige gepubliceerde release v1.0.0 (trial-use, 2022-09-08); daarnaast is er enkel een CI-build. Er is dus geen nieuwere Lab-IG-release sinds 2022.", "kind": "fact", "kind_label": "feit", "locator": "list[1]", "as_of": "2026-09-26", "source": { "id": "SRC-32a0fa591e", "title": "package-list.json van HL7 Belgium FHIR Implementation Guide - Lab related profiles (hl7.fhir.be.lab)", "publisher": "eHealth-platform", "url": "https://www.ehealth.fgov.be/standards/fhir/lab/package-list.json", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-676722f8", "statement": "IG BE Lab (hl7.fhir.be.lab; canonical https://www.ehealth.fgov.be/standards/fhir/lab): FHIR R4 (4.0.1), gepubliceerde IG-versie 1.0.0 (2022-09-08) met status 'Trial Use'. (Dat het eHealth-platform het labo-IG 'work-in-progress' noemt, steunt op een andere bron: CLM-38421adb.)", "kind": "fact", "kind_label": "feit", "locator": "publish-box", "as_of": "2026-09-25", "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, "in_text": true, "on_page": true }, { "id": "CLM-38421adb", "statement": "Het eHealth-platform verwijst voor het werk-in-uitvoering rond FHIR-laboratorium naar het labo-IG.", "kind": "fact", "kind_label": "feit", "locator": "Home", "as_of": "2026-09-25", "source": { "id": "SRC-bd069bf1c8", "title": "eHealth Platform Standards - Home (KMEHR)", "publisher": "eHealth-platform", "url": "https://www.ehealth.fgov.be/standards/kmehr/en", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-ca48b3ca", "statement": "healthdata.be gebruikt bij labresultaten LOINC met voorrang voor de Belgische ReTaM-subset, afgestemd op het Terminologiecentrum van de FOD.", "kind": "fact", "kind_label": "feit", "locator": "paragraaf terminologie", "as_of": "2026-09-25", "source": { "id": "SRC-4c1040a0cb", "title": "Informatiemodellering en terminologie | healthdata.be", "publisher": "Sciensano / healthdata.be", "url": "https://healthdata.sciensano.be/nl/informatiemodellering-en-terminologie", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-21d9f88e", "statement": "Het DIGIRELAB Phase 3-voorstel (maart 2026, \"to be finetuned\") beschrijft een FHIR-zoek-API voor labresultaten bij de hubs, waarbij Observations gezocht worden op LOINC-code; dit is een voorstel, geen productie.", "kind": "fact", "kind_label": "feit", "locator": "sectie 'For resource type Observation'", "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": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-e6c3f336", "statement": "Volgens het voorstel moet elke zoekvraag minstens een patiënt-id en een maximaal aantal resultaten bevatten.", "kind": "fact", "kind_label": "feit", "locator": "sectie 'For resource type Observation'", "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": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-24a60bef", "statement": "De B-IHR-conceptnota beoogt interoperabiliteit via internationale standaarden en codering volgens SNOMED CT, ICPC-3, ICD-11, ATC, LOINC en ICF.", "kind": "fact", "kind_label": "feit", "locator": "p. 21, doelstelling 3.1", "as_of": "2026-09-25", "source": { "id": "SRC-e621b20578", "title": "B-IHR Belgian Integrated Health Record (conceptnota)", "publisher": "frankrobben.be", "url": "https://www.frankrobben.be/wp-content/uploads/2023/03/B-IHR.pdf", "published": "2023-03-01" }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-f1891777", "statement": "Frank Robben (eHealth-platform) stelde in juni 2026 dat een standaard voor de uitwisseling van labresultaten al twee jaar bestaat maar niet veralgemeend is (nieuwsbron, citaat parafraserend weergegeven door de journalist).", "kind": "fact", "kind_label": "feit", "locator": "alinea na de vermelding van de SNOMED CT-terminologieserver", "as_of": "2026-09-26", "source": { "id": "SRC-a50208bf13", "title": "E-santé: le plan se déploie sans attendre son adoption formelle", "publisher": "Le Spécialiste", "url": "https://www.lespecialiste.be/fr/actualites/e-health/e-sante-le-plan-se-deploie-sans-attendre-son-adoption-formelle.html", "published": "2026-06-04" }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-b285ec00", "statement": "De gepubliceerde CareSet \"Clinical Observation\" dekt vitale parameters, patiëntgerapporteerde symptomen en klinische bevindingen (fase 1); dit is een ander begrip dan laboratoriumresultaten, waarvoor geen aparte CareSet gevonden werd.", "kind": "fact", "kind_label": "feit", "locator": "sectie 'CareSet Clinical Observation'", "as_of": "2026-09-26", "source": { "id": "SRC-b4f8ecf2f8", "title": "Overzicht van gepubliceerde CareSets | RIZIV", "publisher": "RIZIV", "url": "https://www.riziv.fgov.be/nl/thema-s/egezondheid/besafeshare-multidisciplinaire-elektronische-gegevensuitwisseling-tussen-zorgverleners-en-patienten/overzicht-van-gepubliceerde-caresets", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-76b21d77", "statement": "België vraagt per relevant veld één Europese gestructureerde waardenset, bij voorkeur op basis van SNOMED CT (met mapping naar o.a. ICPC-3, ICD-11, ICF, ICHI), LOINC, DICOM en ISO.", "kind": "fact", "kind_label": "feit", "locator": "sectie 'Organisatie in België' (opsomming standaarden)", "as_of": "2026-09-25", "source": { "id": "SRC-41ee539e0b", "title": "EHDS (European Health Data Space) - De Europese Verordening betreffende de Europese ruimte voor gezondheidsgegevens", "publisher": "eHealth-platform", "url": "https://www.ehealth.fgov.be/nl/page/ehds-european-health-data-space-de-europese-verordening-betreffende-de-europese-ruimte-voor-gezondheidsgegevens", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-f4a6843c", "statement": "De geplande EEHRxF-uitvoeringshandeling (Have your say-initiatief 17512, gepland sinds 30 maart 2026) zal de specificaties vastleggen voor alle zes prioritaire categorieën: patiëntsamenvatting, e-voorschrift, e-aflevering, beeldvorming met verslagen, testresultaten incl. labo, en ontslagverslagen.", "kind": "fact", "kind_label": "feit", "locator": "JSON-veld dossierSummary", "as_of": "2026-09-26", "source": { "id": "SRC-4864135425", "title": "Have your say – European Health Data Space – European Electronic Health Exchange Format specifications (initiatief 17512, API-JSON)", "publisher": "Europese Commissie (Better Regulation portal)", "url": "https://ec.europa.eu/info/law/better-regulation/brpapi/groupInitiatives/17512", "published": "2026-03-30" }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-c01f0160", "statement": "Voor de tweede groep prioritaire categorieën (art. 14(1) d-f: medische beeldvorming met verslagen, testresultaten incl. labo, ontslagverslagen) gelden die bepalingen vanaf 26 maart 2031.", "kind": "fact", "kind_label": "feit", "locator": "artikel 105, derde alinea, punt (b)", "as_of": "2026-09-25", "source": { "id": "SRC-af26b6d770", "title": "Regulation (EU) 2025/327 of the European Parliament and of the Council of 11 February 2025 on the European Health Data Space and amending Directive 2011/24/EU and Regulation (EU) 2024/2847", "publisher": "Europees Parlement en Raad van de EU (EUR-Lex)", "url": "https://eur-lex.europa.eu/eli/reg/2025/327/oj/eng", "published": "2025-03-05" }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-20fd901e", "statement": "HL7 Europe Laboratory Report versie 2.0.0 (STU 2, FHIR R4) werd op 5 mei 2026 gepubliceerd, met nieuwe profielen en verwijzingen naar nieuwe logische modellen.", "kind": "fact", "kind_label": "feit", "locator": "lijstitem versie 2.0.0", "as_of": "2026-09-26", "source": { "id": "SRC-1739d1b051", "title": "HL7 Europe Laboratory Report – package-list (hl7.fhir.eu.laboratory)", "publisher": "HL7 Europe", "url": "https://hl7.eu/fhir/laboratory/package-list.json", "published": "2026-05-05" }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-3a2a885d", "statement": "Voorwaarde a) voor de hub-basis: zorggegevens (ontslagbrief, consultatierapport, operatieprotocol, resultaten technische onderzoeken, labo, beeldvorming) worden binnen 0 (standaard) tot maximaal 7 dagen gepubliceerd via het verwijzingsrepertorium hubs-metahub en toegankelijk voor de patiënt.", "kind": "fact", "kind_label": "feit", "locator": "art. 17 (art. 61 § 2, 2°, a)", "as_of": "2026-09-25", "source": { "id": "SRC-c2bc38d00b", "title": "Koninklijk besluit van 10 april 2025 tot wijziging van het koninklijk besluit van 25 april 2002 betreffende de vaststelling en de vereffening van het budget van financiële middelen van de ziekenhuizen", "publisher": "Belgisch Staatsblad (spiegel etaamb.openjustice.be)", "url": "https://etaamb.openjustice.be/nl/koninklijk-besluit-van-10-april-2025_n2025003147.html", "published": "2025-04-23" }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-6054f9b2", "statement": "De gepubliceerde BE Lab-IG (v1.0.0) verwijst voor de subset nog naar https://www.vas.ehealth.fgov.be/webretam/retam/home.htm; die URL gaf op 26/09/2026 HTTP 404. Interpretatie: de gepubliceerde IG bevat een verouderde link; de actuele publicatieplaats is de nieuwe ReTaM-app van de FOD.", "kind": "interpretation", "kind_label": "interpretatie", "locator": "sectie 'Use of Retam codes' (hyperlink 'website of the FPS Health')", "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, "in_text": true, "on_page": true }, { "id": "CLM-29d720d9", "statement": "Het ReTaM-hulpmiddel is een zichtbare en doorzoekbare weergave van de authentieke bron voor labocodes. De hosting gebeurt door het Terminologiecentrum (FOD Volksgezondheid) en de bron steunt waar mogelijk op LOINC.", "kind": "fact", "kind_label": "feit", "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, "in_text": false, "on_page": true }, { "id": "CLM-6de55764", "statement": "healthdata.be neemt LOINC mee bij laboratoriumgegevens met voorrang voor de Belgische ReTaM-subset.", "kind": "fact", "kind_label": "feit", "locator": "Terminologie, laatste alinea", "as_of": "2026-09-27", "source": { "id": "SRC-78efc56cb6", "title": "Informatiemodellering en terminologie", "publisher": "healthdata.be / Sciensano", "url": "https://healthdata.sciensano.be/en/information-modelling-and-terminology", "published": null }, "citaat": null, "in_text": false, "on_page": false }, { "id": "CLM-7a29cc19", "statement": "BE Lab-IG 1.0.0 schrijft LOINC volgens de FOD-subset voor als codering; dit is een IG-implementatievereiste.", "kind": "fact", "kind_label": "feit", "locator": "Use of Retam codes", "as_of": "2026-09-27", "source": { "id": "SRC-aafeef4598", "title": "BE Laboratory IG Guidance", "publisher": "eHealth-platform / HL7 Belgium", "url": "https://www.ehealth.fgov.be/standards/fhir/lab/1.0.0/guidance.html", "published": null }, "citaat": null, "in_text": false, "on_page": false }, { "id": "CLM-7a5ea9d5", "statement": "De Belgische Lab-IG schrijft LOINC volgens de FOD-subset voor als codering; dit is een eis binnen de technische gids.", "kind": "fact", "kind_label": "feit", "locator": "Observation 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, "in_text": false, "on_page": false }, { "id": "CLM-9b8a1f51", "statement": "Elk ReTaM-concept krijgt een sequentiële numerieke Albertcode, zodat concepten zonder voorkeurs-LOINC-code toch uniek kunnen worden gerefereerd.", "kind": "fact", "kind_label": "feit", "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, "in_text": false, "on_page": false }, { "id": "CLM-b2c9953c", "statement": "De Belgische Lab-IG is versie 1.0.0 met status Trial Use, gebaseerd op FHIR R4.", "kind": "fact", "kind_label": "feit", "locator": "paginakop", "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" }, "citaat": null, "in_text": false, "on_page": false }, { "id": "CLM-f2994304", "statement": "De officiële ReTaM-uitleg beschrijft ReTaM als doorzoekbare weergave van de authentieke bron voor laboratoriumcodes.", "kind": "fact", "kind_label": "feit", "locator": "Eerste alinea", "as_of": "2026-09-27", "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, "in_text": false, "on_page": false } ], "diagrams": [], "facets": { "type": [ "Terminology" ], "jurisdiction": [ "internationaal", "belgie" ], "theme": [ "terminologie", "labo" ], "lifecycle": [ "productie" ], "section": [ "terminologie", "europa" ] }, "search_terms": [ "LOINC en de Belgische labosubset (ReTaM)", "Logical Observation Identifiers Names and Codes", "Belgische LOINC-subset", "BE subset LOINC", "ReTaM", "Retam LOINC", "Reference Table Management", "Albertcode", "LOINC et le sous-ensemble belge (ReTaM)", "LOINC and the Belgian laboratory subset (ReTaM)", "LOINC", "ReTaM (Reference Table Management)", "DIGIRELAB" ], "release_id": "2026.10.05-1", "license": "CC BY 4.0" }