lab:V1.0-b2 FHIR Lab2Patient - Bewerkingsoverzicht

Marija Zivlak op 5 mrt 2026 om 08:05

2026-03-05T08:05:17Z

Michal Ciszewski op 3 mrt 2026 om 14:51

2026-03-03T14:51:40Z

Annemieke Sandberg op 3 mrt 2026 om 14:48

2026-03-03T14:48:23Z

Michal Ciszewski op 6 feb 2026 om 07:34

2026-02-06T07:34:15Z

Marija Zivlak op 5 feb 2026 om 15:31

2026-02-05T15:31:56Z

Michal Ciszewski: hyperlinks aangepast

2025-12-16T09:12:47Z

hyperlinks aangepast

Michal Ciszewski: nieuwe versie van de TO voor L2P

2025-12-16T09:10:37Z

nieuwe versie van de TO voor L2P

Nieuwe pagina

{{DISPLAYTITLE:Technical Design Lab2patient V1.0.0-beta.2}}


<imagemap>Bestand:Leeswijzer-technisch-banner 03 white.png|center|400px|alt=Afspraken-Functioneel-Technisch
circle 241 216 211 [https://www.medmij.nl/afsprakenstelsel Afsprakenstelsel]
circle 1013 224 212 [[Lab:V1.0_Ontwerp_Lab2Patient|Functional]]
circle 1787 230 212 [[Lab:V1.0_FHIR_Lab2Patient|Technical]]
desc none
</imagemap>

<big>For an overview of all current documentation [[Lab:V3.0.0_Ontwerp_Laboverdacht| see information standard lab exchange main page]]</big>

__NUMBEREDHEADINGS__

==Introduction==
[[Bestand:Functioneel-02.png|link=Lab:V1.0_Ontwerp_Lab2Patient|100px|rechts|Functional design|Go to functional design]]

This is the technical design (TO) for the information standard (IS) Lab2patient. This TO must be used together with the IS functional design, see [[Lab:V1.0_Ontwerp_Lab2Patient| functional design Lab2patient 1.0.0-beta.2]]. The data exchange format used in this version is: FHIR R4.

=== Support ===
For questions, feedback, or change requests, please contact our support team at [https://nictiz.atlassian.net/servicedesk/customer/portal/4 Nictiz Servicemanagement].

=== Boundaries ===
This information standard may overlap with other standards related to identification, roles, and geographic classifications, requiring careful alignment to ensure consistency and avoid duplication. For more information, see [[Lab:V1.0_Ontwerp_Lab2Patient| functional design Lab2patient 1.0.0-beta.2]].

=== Prerequisite knowledge ===
The following background information is required for understanding this TO:
* The [[Lab:V1.0_Ontwerp_Lab2Patient| functional design Lab2patient 1.0.0-beta.2]] accompanying this TO.
* The data exchange format FHIR R4, which you can find here:
** [[FHIR:V1.0 FHIR IG R4|general FHIR R4 Implementation Guide]],
** [[FHIR:V1.0_FHIR_IG_R4#FHIR_Packages|FHIR packages]],
** [[FHIR:V1.0_FHIR_IG_R4#Usage_of_the_.id.2C_.identifier_and_.fullUrl_elements_in_FHIR_instances|usage of the .id, .identifier and .fullUrl]].

== Relationships ==

The diagram below shows the relationships between different FHIR profiles. The arrows indicate an “is referenced in” relationship.

For example, Patient → Laboratory Test means that the Patient is referenced within the Laboratory Test resource.

[[Bestand:FHIR-model-overview-L2P.png]]

==Components==

HL7 FHIR is used to accommodate the Dutch Clinical Information Models (zibs) used in the IS.

=== HL7 FHIR R4 ===
{{NoteBoxNictizR4Package|p1=nictiz.fhir.nl.r4.labexchange|v1=3.0.0-beta.4|p2=nictiz.fhir.nl.r4.nl-core|v2=0.12.0-labtrial.1|p3=nictiz.fhir.nl.r4.zib2020|v3=0.12.0-beta.1}}

==== Artifacts ====

The artifacts of the information standard are presented in the following table:
{| style="text-align: left; background-color: white;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! zib
! FHIR resource
! FHIR profile

|- style="background-color: #fcf0e9;"
| HealthcareProvider
| Organization
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization|nictiz.fhir.nl.r4.nl-core|pkgVersion=0.12.0-beta.1|title=nl-core-HealthcareProvider-Organization}}

|- style="background-color: #fcf0e9;"
| rowspan="2" | HealthProfessional
| Practitioner
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner|nictiz.fhir.nl.r4.nl-core|pkgVersion=0.12.0-beta.1|title=nl-core-HealthProfessional-Practitioner}}

|- style="background-color: #fcf0e9;"
| PractitionerRole
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole|nictiz.fhir.nl.r4.nl-core|pkgVersion=0.12.0-beta.1|title=nl-core-HealthProfessional-PractitionerRole}}

|- style="background-color: #fcf0e9;"
| rowspan="3" | LaboratoryTestResult
| Device
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-LaboratoryTestResult.Specimen.Source|nictiz.fhir.nl.r4.nl-core|pkgVersion=0.7.0-beta.1|title=nl-core-LaboratoryTestResult.Specimen.Source}}

|- style="background-color: #fcf0e9;"
| Observation
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-LaboratoryTestResult|nictiz.fhir.nl.r4.nl-core|pkgVersion=0.12.0-labtrial.1|title=nl-core-LaboratoryTestResult}}

|- style="background-color: #fcf0e9;"
| Specimen
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-LaboratoryTestResult.Specimen|nictiz.fhir.nl.r4.nl-core|pkgVersion=0.12.0-beta.1|title=nl-core-LaboratoryTestResult.Specimen}}

|- style="background-color: #fcf0e9;"
| Patient
| Patient
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient|nictiz.fhir.nl.r4.nl-core|pkgVersion=0.12.0-beta.1|title=nl-core-Patient}}

|- style="background-color: #fcf0e9;"
|
| DiagnosticReport
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/lu-LaboratoryTestResult-DiagnosticReport|nictiz.fhir.nl.r4.labexchange|pkgVersion=3.0.0-beta.4|title=lu-LaboratoryTestResult-DiagnosticReport}}

|- style="background-color: #fcf0e9;"
|
| ServiceRequest
| {{Simplifier|http://nictiz.nl/fhir/StructureDefinition/lu-OrderData|nictiz.fhir.nl.r4.labexchange|pkgVersion=3.0.0-beta.4|title=lu-OrderData}}
|}

==== Examples of FHIR instances ====
You can find examples of FHIR-instances (filled-in FHIR profiles) in the Nictiz GitHub repository: [https://github.com/Nictiz/HL7-mappings/tree/master/ada_2_fhir-r4/lab/1.0.0-alpha.1 <nowiki>Lab exchange HL7-mappings repository</nowiki>].

== Transactions ==
=== Patient retrieves laboratory results in their PGO ===
==== Involved actors ====
{| style="text-align: left;" cellpadding=5px;

|- style="color: white; background-color: #e7844b;"
! Transaction group || Transaction || Actor || System role code

|- style="background-color: #fcf0e9;"
| rowspan="2" | Retrieve laboratory results (PULL)
| Retrieve laboratory results request || Client || LAB-LRR-PGO

|- style="background-color: #fcf0e9;"
| Retrieve laboratory results response || Server || LAB-LRB-PGO

|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''Abbreviations: LAB = Laboratorium, LRR = Laboratoriumresultaat raadplegend (systeem), LRB = Laboratoriumresultaat beschikbaarstellend (systeem), PGO = Persoonlijke gezondheidsomgeving.''
|}

==== Search parameters ====
{| style="text-align: left;" cellpadding=5px;
|- style="color: white; background-color: #e7844b;"
! FHIR Search Parameter || Description || FHIR Resource || Example

|- style="color: white; background-color: #eda778;"
! colspan="4" | Retrieve laboratory results (Observation search)

|- style="background-color: #fcf0e9;"
| category || Restrict search to laboratory observations || Observation || <pre>GET [base]/Observation?category=http://terminology.hl7.org/CodeSystem/observation-category|laboratory</pre>

|- style="background-color: #fcf0e9;"
| code || Filter by laboratory test code (LOINC/NHG) || Observation || <pre>GET [base]/Observation?category=http://terminology.hl7.org/CodeSystem/observation-category|laboratory&code=http://loinc.org|14683-7</pre>

|- style="background-color: #fcf0e9;"
| date || Filter results based on observation date || Observation || <pre>GET [base]/Observation?category=http://terminology.hl7.org/CodeSystem/observation-category|laboratory&date=gt2022-03-12&date=lt2022-06-07</pre>

|- style="color: white; background-color: #eda778;"
! colspan="4" | Retrieve latest laboratory results ($lastn operation)

|- style="background-color: #fcf0e9;"
| $lastn || Retrieve most recent lab results using the $lastn operation || Observation || <pre>GET [base]/Observation/$lastn?max=5&category=http://terminology.hl7.org/CodeSystem/observation-category|laboratory&code=http://loinc.org|14683-7</pre>

|- style="color: white; background-color: #eda778;"
! colspan="4" | Retrieve related resources

|- style="background-color: #fcf0e9;"
| _include || Include linked resources (Specimen, Patient, Organization) in the response bundle || Observation || <pre>GET [base]/Observation?category=http://terminology.hl7.org/CodeSystem/observation-category|laboratory&_include=Observation:specimen&_include=Observation:patient&_include=Observation:performer</pre>

|+ style="align: bottom; caption-side: bottom; text-align: left;" | ''All queries are executed in the authenticated patient context as per MedMij Afsprakenstelsel; no patient search parameters are used.''
|}

@@ Regel 1: / Regel 1: @@
 <!--__NOINDEX__-->
-{{DISPLAYTITLE: Information Standard lab Exchange v3.0.0-beta.3: '''Technical Design Lab2patient V1.0.0-beta.2'''}}
+{{DISPLAYTITLE: Information Standard Lab Exchange v3.0.0-beta.3: '''Technical Design Lab2patient V1.0.0-beta.2'''}}
-''The Information Standard lab Exchange consists of four different components: Lab2Zorg, Lab2Lab, Lab2PublicHealth, and Lab2Patient. These four components were developed independently of each other and are subject to continuous development. This is reflected in the Semantic Versioning (SemVer). Each component undergoes its own development process with its own corresponding numerical publications.''
+''The Information Standard Lab Exchange consists of four different components: Lab2Zorg, Lab2Lab, Lab2PublicHealth, and Lab2Patient. These four components were developed independently of each other and are subject to continuous development. This is reflected in the Semantic Versioning (SemVer). Each component undergoes its own development process with its own corresponding numerical publications.''
 {{IssueBox| The FHIR resource used for the use case described in this technical design is DiagnosticReport. DiagnosticReport is not the preferred FHIR resource for the information standard Laboratory exchange. However, this resource has been chosen as it contains information about the order data. Optimally, order data could be linked directly to the preferred FHIR resource Observation via basedOn element. This will be updated in a future version.}}

@@ Regel 1: / Regel 1: @@
 <!--__NOINDEX__-->
-{{DISPLAYTITLE:Technical Design Lab2patient V1.0.0-beta.2}}
+{{DISPLAYTITLE: Information Standard lab Exchange v3.0.0-beta.3: '''Technical Design Lab2patient V1.0.0-beta.2'''}}
 {{IssueBox| The FHIR resource used for the use case described in this technical design is DiagnosticReport. DiagnosticReport is not the preferred FHIR resource for the information standard Laboratory exchange. However, this resource has been chosen as it contains information about the order data. Optimally, order data could be linked directly to the preferred FHIR resource Observation via basedOn element. This will be updated in a future version.}}

@@ Regel 3: / Regel 3: @@
 {{DISPLAYTITLE:Technical Design Lab2patient V1.0.0-beta.2}}
-{{IssueBox| The FHIR resource used for the use case described in this technical design is DiagnosticReport. DiagnosticReport is not the preferred FHIR resource for the information standard Laboratory exchange. However, this resource has been chosen as it contain information about the order data. Optimally, order data could be linked directly to the preferred FHIR resource LaboratoryTestResult via basedOn element. This will be updated in a future version.}}
+{{IssueBox| The FHIR resource used for the use case described in this technical design is DiagnosticReport. DiagnosticReport is not the preferred FHIR resource for the information standard Laboratory exchange. However, this resource has been chosen as it contains information about the order data. Optimally, order data could be linked directly to the preferred FHIR resource Observation via basedOn element. This will be updated in a future version.}}
 <imagemap>Bestand:Leeswijzer-technisch-banner 03 white.png|center|400px|alt=Afspraken-Functioneel-Technisch

@@ Regel 9: / Regel 9: @@
 <imagemap>Bestand:Leeswijzer-technisch-banner 03 white.png|center|400px|alt=Afspraken-Functioneel-Technisch
 circle 241 216 211 [https://www.medmij.nl/afsprakenstelsel Afsprakenstelsel]
-circle 1013 224 212 [[Lab:V1.0.0-beta.2_Ontwerp_Lab2Patient|Functional]]
+circle 1013 224 212 [[Lab:V1.0.1-beta.2_Ontwerp_Lab2Patient|Functional]]
-circle 1787 230 212 [[Lab:V1.0_FHIR_Lab2Patient|Technical]]
+circle 1787 230 212 [[Lab:V1.0-b2_FHIR_Lab2Patient|Technical]]
 desc none
 </imagemap>

@@ Regel 6: / Regel 6: @@
 <imagemap>Bestand:Leeswijzer-technisch-banner 03 white.png|center|400px|alt=Afspraken-Functioneel-Technisch
 circle 241 216 211 [https://www.medmij.nl/afsprakenstelsel Afsprakenstelsel]
-circle 1013 224 212 [[Lab:V1.0_Ontwerp_Lab2Patient|Functional]]
+circle 1013 224 212 [[Lab:V1.0.0-beta.2_Ontwerp_Lab2Patient|Functional]]
 circle 1787 230 212 [[Lab:V1.0_FHIR_Lab2Patient|Technical]]
 desc none
@@ Regel 16: / Regel 16: @@
 ==Introduction==
-[[Bestand:Functioneel-02.png|link=Lab:V1.0_Ontwerp_Lab2Patient|100px|rechts|Functional design|Go to functional design]]
+[[Bestand:Functioneel-02.png|link=Lab:V1.0.0-beta.2_Ontwerp_Lab2Patient|100px|rechts|Functional design|Go to functional design]]
-This is the technical design (TO) for the information standard (IS) Lab2patient. This TO must be used together with the IS functional design, see [[Lab:V1.0_Ontwerp_Lab2Patient| functional design Lab2patient 1.0.0-beta.2]]. The data exchange format used in this version is: FHIR R4.
+This is the technical design (TO) for the information standard (IS) Lab2patient. This TO must be used together with the IS functional design, see [[Lab:V1.0.0-beta.2_Ontwerp_Lab2Patient| functional design Lab2patient 1.0.0-beta.2]]. The data exchange format used in this version is: FHIR R4.
 === Support ===
@@ Regel 24: / Regel 24: @@
 === Boundaries ===
-This information standard may overlap with other standards related to identification, roles, and geographic classifications, requiring careful alignment to ensure consistency and avoid duplication. For more information, see [[Lab:V1.0_Ontwerp_Lab2Patient| functional design Lab2patient 1.0.0-beta.2]].
+This information standard may overlap with other standards related to identification, roles, and geographic classifications, requiring careful alignment to ensure consistency and avoid duplication. For more information, see [[Lab:V1.0.0-beta.2_Ontwerp_Lab2Patient| functional design Lab2patient 1.0.0-beta.2]].
 === Prerequisite knowledge ===
 The following background information is required for understanding this TO:
-* The [[Lab:V1.0_Ontwerp_Lab2Patient| functional design Lab2patient 1.0.0-beta.2]] accompanying this TO.
+* The [[Lab:V1.0.0-beta.2_Ontwerp_Lab2Patient| functional design Lab2patient 1.0.0-beta.2]] accompanying this TO.
 * The data exchange format FHIR R4, which you can find here:
 ** [[FHIR:V1.0 FHIR IG R4|general FHIR R4 Implementation Guide]],