HL7 Europe Laboratory Report
0.1.0 - trial-use 150

This page is part of the HL7 Europe Laboratory Report (v0.1.0: STU 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Logical Model: ResultLabEhn - Detailed Descriptions

Page standards status: Informative Maturity Level: 2

Definitions for the Result logical model.

Guidance on how to interpret the contents of this table can be found here

0. Result
Definition

Results data elements. Section A5 of the eHN guideline.

ShortA.5 - Results data elements
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. Result.narrative
Definition

A.5.1 Laboratory report narrative

ShortA.5.1 Laboratory report narrative
Control0..1
TypeBackboneElement
4. Result.narrative.report
Definition

Entire report (textual summary inside the laboratory result report document) as issued by the laboratory.

ShortA.5.1.1 Narrative report
Control0..*
TypeNarrative
6. Result.narrative.notes
Definition

Comments, such as a textual interpretation or advice accompanying the result report, for example.

ShortA.5.1.2 Comments, interpretation and recommendations
Control0..*
TypeNarrative
8. Result.observation
Definition

A.5.2 Observation details (report could consist of multiple observations)

ShortA.5.2 Observation details
Control0..*
TypeBackboneElement
10. Result.observation.dateTime
Definition

Date and time of the observation - Preferred system(s): ISO 8601

ShortA.5.2.1 Observation date
Control0..*
TypeCodeableConcept
12. Result.observation.code
Definition

Code representing the observation using the agreed code systems.

  • Preferred system(s): LOINC
  • Preferred system(s): NPU
  • Preferred system(s): SNOMED CT
ShortA.5.2.3 Observation code
Control0..*
TypeCodeableConcept
14. Result.observation.code.name
Definition

Full name of the observation according to the used test coding standard.

ShortA.5.2.3.1 Observation name
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
16. Result.observation.code.originalName
Definition

Original (conventional) name of the observation as used by the laboratory

ShortA.5.2.3.2 Observation original name
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
18. Result.observation.code.displayName
Definition

Simplified (short name of the observation) for display.

ShortA.5.2.3.3 Observation display name
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
20. Result.observation.method
Definition

Observation method (measurement principle) to obtain the result.

  • Preferred system(s): SNOMED CT
ShortA.5.2.4 Observation method
Control0..*
TypeCodeableConcept
22. Result.observation.device
Definition

Device (analyser), laboratory test kit and used calibrator information (identifier, type, name, model, manufacturer)

  • Preferred system(s): SNOMED CT
  • Preferred system(s): EMDN
ShortA.5.2.5 Observation device
Control0..*
TypeCodeableConcept
24. Result.observation.order
Definition

Identifies order and order placer this observation belongs to.

ShortA.5.2.8 Order
Control0..*
TypeBackboneElement
26. Result.observation.performer
Definition

Identifies the originator/author and provides provenance information about the source of the results data that may have not originated with the source of the whole Laboratory Report document.

ShortA.5.2.9 Performer
Control0..*
TypeBackboneElement
28. Result.observation.reporter
Definition

With certain observation results, e.g. there may also be an interpreter or a person responsible for validation.

ShortA.5.2.10 Reporter
Control0..*
TypeBackboneElement
30. Result.observation.result
Definition

Result of the observation including text, numeric and coded results of the measurement and measurement uncertainty. Content of the observation result will vary according to the type of the observation.

  • Preferred system(s): SNOMED CT (for ordinal or nominal scale results and result interpretation)
  • Preferred system(s): UCUM (for units)
ShortA.5.2.11 Observation result
Control0..*
TypeBackboneElement
32. Result.observation.interpretation
Definition

Information about reference intervals and result interpretation.

  • Preferred system(s): SNOMED CT
  • Preferred system(s): HL7 v3 Code System ObservationInterpretation
ShortA.5.2.12 Observation interpretation
Control0..*
TypeCodeableConcept
34. Result.observation.description
Definition

Comments and narrative representation of the observation result and findings.

ShortA.5.2.13 Result description
Control0..*
TypeNarrative
36. Result.observation.accreditationStatus
Definition

Accreditation status of the laboratory for the particular observation.

ShortA.5.2.14 Accreditation status
Control0..*
TypeBackboneElement

Guidance on how to interpret the contents of this table can be found here

0. Result
Definition

Results data elements. Section A5 of the eHN guideline.

ShortA.5 - Results data elements
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. Result.narrative
Definition

A.5.1 Laboratory report narrative

ShortA.5.1 Laboratory report narrative
Control0..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Result.narrative.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
6. Result.narrative.report
Definition

Entire report (textual summary inside the laboratory result report document) as issued by the laboratory.

ShortA.5.1.1 Narrative report
Control0..*
TypeNarrative
8. Result.narrative.notes
Definition

Comments, such as a textual interpretation or advice accompanying the result report, for example.

ShortA.5.1.2 Comments, interpretation and recommendations
Control0..*
TypeNarrative
10. Result.observation
Definition

A.5.2 Observation details (report could consist of multiple observations)

ShortA.5.2 Observation details
Control0..*
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. Result.observation.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
14. Result.observation.dateTime
Definition

Date and time of the observation - Preferred system(s): ISO 8601

ShortA.5.2.1 Observation date
Control0..*
TypeCodeableConcept
16. Result.observation.code
Definition

Code representing the observation using the agreed code systems.

  • Preferred system(s): LOINC
  • Preferred system(s): NPU
  • Preferred system(s): SNOMED CT
ShortA.5.2.3 Observation code
Control0..*
TypeCodeableConcept
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. Result.observation.code.name
Definition

Full name of the observation according to the used test coding standard.

ShortA.5.2.3.1 Observation name
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
20. Result.observation.code.originalName
Definition

Original (conventional) name of the observation as used by the laboratory

ShortA.5.2.3.2 Observation original name
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
22. Result.observation.code.displayName
Definition

Simplified (short name of the observation) for display.

ShortA.5.2.3.3 Observation display name
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
24. Result.observation.method
Definition

Observation method (measurement principle) to obtain the result.

  • Preferred system(s): SNOMED CT
ShortA.5.2.4 Observation method
Control0..*
TypeCodeableConcept
26. Result.observation.device
Definition

Device (analyser), laboratory test kit and used calibrator information (identifier, type, name, model, manufacturer)

  • Preferred system(s): SNOMED CT
  • Preferred system(s): EMDN
ShortA.5.2.5 Observation device
Control0..*
TypeCodeableConcept
28. Result.observation.order
Definition

Identifies order and order placer this observation belongs to.

ShortA.5.2.8 Order
Control0..*
TypeBackboneElement
30. Result.observation.performer
Definition

Identifies the originator/author and provides provenance information about the source of the results data that may have not originated with the source of the whole Laboratory Report document.

ShortA.5.2.9 Performer
Control0..*
TypeBackboneElement
32. Result.observation.reporter
Definition

With certain observation results, e.g. there may also be an interpreter or a person responsible for validation.

ShortA.5.2.10 Reporter
Control0..*
TypeBackboneElement
34. Result.observation.result
Definition

Result of the observation including text, numeric and coded results of the measurement and measurement uncertainty. Content of the observation result will vary according to the type of the observation.

  • Preferred system(s): SNOMED CT (for ordinal or nominal scale results and result interpretation)
  • Preferred system(s): UCUM (for units)
ShortA.5.2.11 Observation result
Control0..*
TypeBackboneElement
36. Result.observation.interpretation
Definition

Information about reference intervals and result interpretation.

  • Preferred system(s): SNOMED CT
  • Preferred system(s): HL7 v3 Code System ObservationInterpretation
ShortA.5.2.12 Observation interpretation
Control0..*
TypeCodeableConcept
38. Result.observation.description
Definition

Comments and narrative representation of the observation result and findings.

ShortA.5.2.13 Result description
Control0..*
TypeNarrative
40. Result.observation.accreditationStatus
Definition

Accreditation status of the laboratory for the particular observation.

ShortA.5.2.14 Accreditation status
Control0..*
TypeBackboneElement

Guidance on how to interpret the contents of this table can be found here

0. Result
Definition

Results data elements. Section A5 of the eHN guideline.

ShortA.5 - Results data elements
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. Result.narrative
Definition

A.5.1 Laboratory report narrative

ShortA.5.1 Laboratory report narrative
Control0..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Result.narrative.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
6. Result.narrative.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Result.narrative.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
8. Result.narrative.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
10. Result.narrative.report
Definition

Entire report (textual summary inside the laboratory result report document) as issued by the laboratory.

ShortA.5.1.1 Narrative report
Control0..*
TypeNarrative
12. Result.narrative.notes
Definition

Comments, such as a textual interpretation or advice accompanying the result report, for example.

ShortA.5.1.2 Comments, interpretation and recommendations
Control0..*
TypeNarrative
14. Result.observation
Definition

A.5.2 Observation details (report could consist of multiple observations)

ShortA.5.2 Observation details
Control0..*
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. Result.observation.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
18. Result.observation.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Result.observation.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
20. Result.observation.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
22. Result.observation.dateTime
Definition

Date and time of the observation - Preferred system(s): ISO 8601

ShortA.5.2.1 Observation date
Control0..*
TypeCodeableConcept
24. Result.observation.code
Definition

Code representing the observation using the agreed code systems.

  • Preferred system(s): LOINC
  • Preferred system(s): NPU
  • Preferred system(s): SNOMED CT
ShortA.5.2.3 Observation code
Control0..*
TypeCodeableConcept
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. Result.observation.code.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
28. Result.observation.code.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Result.observation.code.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
30. Result.observation.code.coding
Definition

A reference to a code defined by a terminology system.

ShortCode defined by a terminology system
Comments

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

Control0..*
TypeCoding
Is Modifierfalse
Summarytrue
Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. Result.observation.code.text
Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

ShortPlain text representation of the concept
Comments

Very often the text is the same as a displayName of one of the codings.

Control0..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Requirements

The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. Result.observation.code.name
Definition

Full name of the observation according to the used test coding standard.

ShortA.5.2.3.1 Observation name
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
36. Result.observation.code.originalName
Definition

Original (conventional) name of the observation as used by the laboratory

ShortA.5.2.3.2 Observation original name
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
38. Result.observation.code.displayName
Definition

Simplified (short name of the observation) for display.

ShortA.5.2.3.3 Observation display name
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
40. Result.observation.method
Definition

Observation method (measurement principle) to obtain the result.

  • Preferred system(s): SNOMED CT
ShortA.5.2.4 Observation method
Control0..*
TypeCodeableConcept
42. Result.observation.device
Definition

Device (analyser), laboratory test kit and used calibrator information (identifier, type, name, model, manufacturer)

  • Preferred system(s): SNOMED CT
  • Preferred system(s): EMDN
ShortA.5.2.5 Observation device
Control0..*
TypeCodeableConcept
44. Result.observation.order
Definition

Identifies order and order placer this observation belongs to.

ShortA.5.2.8 Order
Control0..*
TypeBackboneElement
46. Result.observation.performer
Definition

Identifies the originator/author and provides provenance information about the source of the results data that may have not originated with the source of the whole Laboratory Report document.

ShortA.5.2.9 Performer
Control0..*
TypeBackboneElement
48. Result.observation.reporter
Definition

With certain observation results, e.g. there may also be an interpreter or a person responsible for validation.

ShortA.5.2.10 Reporter
Control0..*
TypeBackboneElement
50. Result.observation.result
Definition

Result of the observation including text, numeric and coded results of the measurement and measurement uncertainty. Content of the observation result will vary according to the type of the observation.

  • Preferred system(s): SNOMED CT (for ordinal or nominal scale results and result interpretation)
  • Preferred system(s): UCUM (for units)
ShortA.5.2.11 Observation result
Control0..*
TypeBackboneElement
52. Result.observation.interpretation
Definition

Information about reference intervals and result interpretation.

  • Preferred system(s): SNOMED CT
  • Preferred system(s): HL7 v3 Code System ObservationInterpretation
ShortA.5.2.12 Observation interpretation
Control0..*
TypeCodeableConcept
54. Result.observation.description
Definition

Comments and narrative representation of the observation result and findings.

ShortA.5.2.13 Result description
Control0..*
TypeNarrative
56. Result.observation.accreditationStatus
Definition

Accreditation status of the laboratory for the particular observation.

ShortA.5.2.14 Accreditation status
Control0..*
TypeBackboneElement