HL7 Europe Laboratory Report
2.0.0 - ci-build 150

HL7 Europe Laboratory Report - Downloaded Version 2.0.0 See the Directory of published versions

## Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

### Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

Bundle: Laboratory Report | Clinical document used to represent a Laboratory Report for the scope of the HL7 Europe project.
Composition: Laboratory Report | Clinical document used to represent a Laboratory Report for the scope of the HL7 Europe project.
Device: Measuring | This profile defines how to represent a measuring Device in HL7 FHIR for the purpose of this guide.
Device: Specimen | This profile defines how to represent a device in HL7 FHIR, when used as specimen subject, for the purpose of this guide.
DiagnosticReport: Laboratory Report | DiagnosticReport used to represent an entry of a Laboratory Report, including its context, for the scope of the HL7 Europe project.
Observation Results: laboratory | 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.
Patient: Animal | This profile defines how to represent an Animal as subject of care in FHIR for the purpose of this guide. This profile SHALL NOT be used to identify the species when a specimen is collected from an animal. Animal Specimen are represented by AnimalSpecimenEuLab.
RelatedPerson: AnimalSpecimen | This profile defines how to represent an Animal as source of a specimen or focus of the observation in FHIR for the purpose of this guide. This is used to identify the species when a specimen is collected from an animal and observation made on this specimen. It can also be used to identify the species when an observation is focused directly on the animal, without a specimen being collected.
ServiceRequest: Laboratory Order | This profile defines how to represent an laboratory orders using the HL7 FHIR ServiceRequest for the purpose of this guide.
Specimen: Laboratory | This profile defines how to represent Specimens in HL7 FHIR for the purpose of this guide.
Substance: Specimen Additive Substance | This profile defines how to represent Specimen Additive Substances in HL7 FHIR for the purpose of this guide.

### Structures: Data Type Profiles

These define constraints on FHIR data types for systems conforming to this implementation guide.

Quantity (Eu Lab) | This profile constrains the Quantity data type to use UCUM for units. When using the Quantity datatype, the unit is represented using a coded form with UCUM as the system in the code element. The human-readable textual representation is is captured in the unit element. If no suitable UCUM code exists, the code is set to “1”, and the textual unit representation is used. If both coded and textual representations are present, they need to be semantically consistent.
Range (Eu Lab) | This profile constrains the Range data type to use UCUM as the code system for units and optionally share measurement uncertainty
Ratio (Eu Lab) | This profile constrains the Ratio data type to use UCUM as the code system for units and optionally share measurement uncertainty

### Structures: Extension Definitions

These define constraints on FHIR data types for systems conforming to this implementation guide.

Certified Reference Material: CodeableConcept | This extension links this observation with the certified reference material used for the calibration. The certified reference material is identified by using a CodeableConcept. This extension should be used when the unit is UCUM [IU].
Certified Reference Material: Identifier | This extension links this observation with the certified reference material used for the calibration. The certified reference material is identified by using an Identifier. This extension should be used when the unit is UCUM [IU].
Device Laboratory Test Kit | This extension links this observation with the laboratory test kit used for this test. Usually only one laboratory test kit is referred
Laboratory Accredited | Simple accreditation extension. For Observation it indicates that the laboratory test was/is accredited. For ServiceRequest it indicates that the request shall be fulfilled by an accredited laboratory.
Specimen Focus | Specimen focus, Extension to represent the entity from which the specimen is collected when it is not the subject of record.

### Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

Laboratory Certified Reference Material | List of the coded concepts describing the certified reference material used for the calibration, typically used when the unit of the result is UCUM [IU].
Laboratory Code | Laboratory observation codes. List of Laboratory observation codes derived from the LOINC and NPU code systems.
Laboratory Code: LOINC | Laboratory observation codes based on the LOINC code system.
Laboratory Code: NPU | Laboratory observation codes based on the NPU code system.
Laboratory Order | List of LOINC Laboratory codes of type 'Order' or 'Both. This value set is built upon the IPS value set 'Results Laboratory Observation - IPS'
Laboratory Presence and Absence Findings | Laboratory result qualifier values expressing presence, absence, and related ordinal findings (e.g. detected/not detected, positive/negative, reactive/non-reactive, ordinal "+" gradings). This value set is aligned with the eHDSI PresenceAbsence value set adopted by the eEHMSEG (https://fhir.ehdsi.eu/laboratory/ValueSet-eHDSIPresenceAbsence.html).
Laboratory Report Types | Laboratory Report Types. This version includes only one code as suggested by the eHN guideline. Category can be used for filtering per study type or specialty.
Laboratory 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 using 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 Study 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 Techniques | Laboratory technique (method of measurement) used for the result measurement (based on SNOMED CT).
Medical Device | Medical Device
Specimen Additive | List of the specimen additives. Additives are commonly added to the vacutainer tubes to preserve the specimen for laboratory analysis
Specimen Container | List of the containers commonly used to collect specimens (e.g. urine, blood,..).
Specimen Types | Laboratory Specimen Types
Types of species | Types of animal species for non-human subjects

### Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

Actor Laboratory Report Consumer | Laboratory Report Report Consumer: a system receiving/querying and using a Laboratory Report.
Actor Laboratory Report Creator | Laboratory Report Creator: a system generating and sending/providing a Laboratory Report to a Consumer or to a Repository for report storage and sharing.
Actor Laboratory Report Repository | Laboratory Report Report Repository: a system maintaining a copy of the received Laboratory Report, to store and make it available for the consumers.
Bundle: Hepatitis Panel | Example of Laboratory Report (Bundle) including a Hepatitis Panel
Bundle: Microbiology Culture + Susceptibility | Example of Laboratory Report (Bundle) with Microbiology Culture plus Susceptibility Results
Bundle: MyHealth@EU Proof Of Concept | Example of Laboratory Report (Bundle) used in the MyHealth@EU Proof Of Concept.
Bundle: converted from CDA | Example of Laboratory Report (Bundle) converted from a CDA report
Bundle: two sections | Example of Laboratory Report (Bundle) including two sections with a single observations expressed in LOINC and with Czech national codes. Note: this example merges results from a Czech report example with header information from an Italian one, please do not focus on possible inconsistencies between these two parts.
Composition: example | Example of Composition conforming this guide.
DiagnosticReport: example | Example of DiagnosticReport conforming this guide.
Observation: Aerobic Culture example | Example of Aerobic Culture Observation conforming this guide.
Observation: Anaerobic Culture example | Example of Anaerobic Culture Observation conforming this guide.
Observation: Gram Staining example | Example of Gram Staining result Observation conforming this guide.
Observation: Gram-positive cocci example | Example of Gram-positive cocci in clusters by gram staining Observation conforming this guide.
Observation: Gram-positive cocci, observed quantity, example | Example of Gram-positive cocci in clusters by gram staining, observed quantity, Observation conforming this guide.
Observation: Leukocytes Presence example | Example of Leukocytes Presence by gram staining Observation conforming this guide.
Observation: Staphylococcus aureus Cephalothin susceptibility example | Example of Staphylococcus aureus Cephalothin susceptibility Observation conforming this guide.
Observation: Staphylococcus aureus Growth example | Example of Staphylococcus aureus Growth Observation conforming this guide.
Observation: Staphylococcus aureus Oxacillin susceptibility example | Example of Staphylococcus aureus Oxacillin susceptibility Observation conforming this guide.
Observation: Staphylococcus aureus Vancomycin susceptibility example | Example of Staphylococcus aureus Vancomycin susceptibility Observation conforming this guide.
Observation: Staphylococcus aureus identified example | Example of Staphylococcus aureus identified by Aerobe culture Observation conforming this guide.
Observation: Staphylococcus aureus levoFLOXacin susceptibility example | Example of Staphylococcus aureus levoFLOXacin susceptibility Observation conforming this guide.
Observation: Staphylococcus aureus susceptibility panel example | Example of Staphylococcus aureus susceptibility panel Observation conforming this guide.
Observation: certified reference material | Example of Observation with a concentration of insulin of 50 mIU/L, using as certified reference material https://www.nibsc.org/documents/ifu/66-304.pdf
Observation: ratio example | Example of Observation with ratio result
Patient: Animal example | Example of a non-human patient represented with the PatientAnimalEu profile.
Patient: Dutch complete name | Example of Patient including a complete Dutch name.
Patient: example | Example of Patient conforming this guide.
Practitioner: example | Example of Practitioner conforming this guide.
PractitionerRole: example | Example of PractitionerRole conforming this guide.
RelatedPerson: animal example | Example of RelatedPerson resource used for indicating an animal (cat) as the specimen source, conforming this guide.
ServiceRequest: example | Example of ServiceRequest conforming this guide.
Specimen: animal example | Example of Specimen collected from an animal.

### Other

These are resources that are used within this implementation guide that do not fit into one of the other categories.

Parameters for Terminology expansion using Snomed-CT international edition | This parameter resource is used to specify the system version of international SNOMED CT to be used in the terminology service.