Laboratory Report. eHN guideline model.

Health insurance and payment information. Section A1.3 of the eHN guideline.

Information recipient (intended recipient or recipients of the report, additional recipients might be identified by the ordering party, e.g. GP, other specialist), if applicable. Section A1.4 of the eHN guideline.

Author (by whom the Laboratory result report or a subset of its results was authored). Section A1.5 of the eHN guideline.

Legal authenticator (The person taking responsibility for the medical content of the document). Section A1.6 of the eHN guideline.

Result validator. Section A1.7 of the eHN guideline.

Specimen information. Section A4 of the eHN guideline.

Results data elements. Section A5 of the eHN guideline.

Patient or Subject of care. Sections A1.1 and A1.2 of the eHN guideline.

Order information and reason. Sections A2 and A3 of the eHN guideline.

It shows how the Laboratory Report data set defined by the EU eHN guidelines is mapped into this guide.

It shows how the Subject data set defined by the EU eHN guidelines is mapped into this guide.

It shows how the A.1.3 - Health insurance and payment information data set defined by the EU eHN guidelines is mapped into this guide.

It shows how the A.1.4 - Information recipient data set defined by the EU eHN guidelines is mapped into this guide.

It shows how the A.1.5 - Author data set defined by the EU eHN guidelines is mapped into this guide.

It shows how the A.1.6 - Legal authenticator data set defined by the EU eHN guidelines is mapped into this guide.

It shows how the A.1.7 - Result validator data set defined by the EU eHN guidelines is mapped into this guide.

It shows how the Order data set defined by the EU eHN guidelines is mapped into this guide.

It shows how the A.4 - Specimen information data set defined by the EU eHN guidelines is mapped into this guide.

It shows how the A.5 - Results data elements data set defined by the EU eHN guidelines is mapped into this guide.

Laboratory Report Report Consumer: a system receiving/querying and using a Laboratory Report.

Laboratory Report Creator: a system generating and sending/providing a Laboratory Report to a Consumer or to a Repository for the report storage and sharing.

Laboratory Report Report Repository: a system maintaining a copy of the received Laboratory Report, to store and make it availaìble for the consumers.

Specify the functional capabilities that the defined actors may, should or shall applied to the Human Name profile elements.

Specify the functional capabilities that the defined actors may, should or shall applied to the Patient EU Lab profile elements.

Clinical document used to represent a Laboratory Report for the scope of the HL7 Europe project.

Clinical document used to represent a Laboratory Report for the scope of the HL7 Europe project.

DiagnosticReport used to represent an entry of a Laboratory Report, including its context, for the scope of the HL7 Europe project.

This profile constrains the Observation resource to represent results produced by laboratory tests or panels/studies for the HL7 Europe project. This observation may represent the result of a simple laboratory test such as hematocrit or it may group the set of results produced by a multi-test study or panel such as a complete blood count, a dynamic function test, a urine specimen study. In the latter case, the observation carries the overall conclusion of the study and or a global interpretation by the producer of the study, in the comment element; and references the atomic results of the study as “has-member” child observations.

This profile defines how to represent an Animal as subject of care in FHIR for the purpose of this guide. This is used to identify the species when a specimen is collected from an animal

This profile defines how to represent a human Patient in FHIR for the purpose of this guide. When the ips-pat-1 invariant is satified (Patient.name.given, Patient.name.family or Patient.name.text SHALL be present) then this proifle complies with the IPS patient profile.

This profile defines how to represent Practitioners in FHIR for the purpose of the HL7 Europe project.

This profile defines how to represent Practitioners (with their roles) in FHIR for the purpose of the HL7 Europe project.

This profile defines how to represent an laboratory orders using the HL7 FHIR ServiceRequest for the purpose of this guide.

This profile defines how to represent Specimens in HL7 FHIR for the purpose of this guide.

This profile defines how to represent Specimen Additive Substances in HL7 FHIR for the purpose of this guide.

European profile on Address. It includes extensions to support seperate streetname, housenumber and postal box It is RECOMMENDED to give these elements seperately.

European profile on HumanName data type. It includes extensions to support multiple family names.

Data type Quantity constrained to use UCUM as the code system for units and optionally share measurement uncertainty

Data type Ratio constrained to use UCUM as the code system for units and optionally share measurement uncertainty

This extension provides a link to the order [(Reference(ServiceRequest)] or requisition [ServiceRequest.requisition (i.e., ‘Request.groupIdentifier’)] that this report document is based on and fulfills.

This extension applies to the Composition resource and is used to represent an intended recipient of the composition.

Laboratory specimen additives.

Laboratory specimen containers.

Laboratory order codes for use in HL7 Europe.

Laboratory Report Types. This version includes only one code as suggested by the eHN guideline. Catgegory can be used for filtering per study type or specialty.

Laboratory Specialties. Notes: Note 1: This value set is based on analysis of national coding practices in 8 european countries (AT, CZ, DE, FR, IE, IT, PT, SE) and agreed by involved lab experts as a common lab specialty value set. Note 2: Many european countries are usign additional laboratory specialty types, which should be mapped towards this value set. Note 3: In case of documented need, this value set could be extended.

Laboratory Specimen Types

Laboratory Study Types Notes: Note 1:26436-6 (Laboratory studies) enables issuing a report putting together observations from multiple specialties (disciplines) in the same text block, allowing delivery of a global interpretation comment at the end of the text block that will be rendered at the end of the report. Note 2:Mycology and parasitology, as well as bacteriology, are part of the 18725-2 (Microbiology studies (set)) studies. Note 3:Virology MAY be included in 18725-2 (MICROBIOLOGY STUDIES) or 18727-8 (SEROLOGY STUDIES) or split between both study types, depending upon the Content Creator Actor’s choice.

Laboratory Technique [SNOMED CT]

NPU laboratory codes Value Set

Standard laboratory codes

Laboratory local codes Code System

Proposed relationship between the statuses used in the DiagnosticReport resource and that used for the Composition.

Example of FHIR bundle converted from a CDA Lab report

Hepatitis Panel

Bundle Laboratory Result Report for POC

Microbiology Culture + Susceptibility Lab Result

Example of Composition conforming this guide.

Example of DiagnosticReport conforming this guide.

Laboratory Result Report Example includes one section with single study type:

• Chemistry study with two observations expressed in LOINC as well as Czech national codes. Administrative part of the example was taken from Italian example report bundle, so there might be some inconsistencies.

Observation with ratio result type example

Example of Aerobic Culture Observation conforming this guide.

Example of Anaerobic Culture Observation conforming this guide.

Example of Gram-positive cocci in clusters by gram staining Observation conforming this guide.

Example of Gram-positive cocci in clusters by gram staining, observed quantity, Observation conforming this guide.

Example of Leukocytes Presence by gram staining Observation conforming this guide.

Example of Staphylococcus aureus Cephalothin susceptibility Observation conforming this guide.

Example of Staphylococcus aureus Growth Observation conforming this guide.

Example of Staphylococcus aureus Oxacillin susceptibility Observation conforming this guide.

Example of Staphylococcus aureus Vancomycin susceptibility Observation conforming this guide.

Example of Staphylococcus aureus identified by Aerobe culture Observation conforming this guide.

Example of Staphylococcus aureus levoFLOXacin susceptibility Observation conforming this guide.

Example of Staphylococcus aureus susceptibility panel Observation conforming this guide.

Example of gram staining result Observation conforming this guide.

Example of Patient resource used for indicating an animal (cat) conforming this guide.

Example of Patient conforming this guide.

Example of Practitioner conforming this guide.

Example of PractitionerRole conforming this guide.

Example of ServiceRequest conforming this guide.

Example of specimen collected from an animal.