# Home - HL7 Europe Laboratory Report v2.0.0-alpha

* [**Table of Contents**](toc.md)
* **Home**

## Home

| | |
| :--- | :--- |
| *Official URL*:http://hl7.eu/fhir/laboratory/ImplementationGuide/hl7.fhir.eu.laboratory | *Version*:2.0.0-alpha |
| Draft as of 2026-02-25 | *Computable Name*:Hl7EuLaboratoryIg |
| **Copyright/Legal**: Used by permission of HL7 Europe, all rights reserved Creative Commons License | |

**Acknowledgment**

The development of this Implementation Guide version has been supported by the
**Xt-EHR Joint Action**. Xt-EHR provided expertise, alignment with European health policy priorities, and validation of specifications to enable consistency with EHDS requirements.

**This is a QA preview version:**this Implementation Guide is published for
**review and discussion purposes only.**
 The content is subject to change and is provided **as-is**, without warranty of any kind and **without liability for its use**.

### The Laboratory Domain

Clinical laboratory results play an important role in diagnosis, treatment, and follow-up of patients. The availability of high quality test results, and the capacity of sharing them, is therefore essential being often the basis for clinical decision making. For this reason the Laboratory has been selected as one of the priority domains for the European EHR eXchange Format (E-EHRxF).

### Scope

Specify a set of rules to be applied to HL7 FHIR to define how to represent a **Laboratory Report** in the **European** Context, coherently with the European eHN Guidelines (see the [European eHealth - Key documents](https://health.ec.europa.eu/ehealth-digital-health-and-care/key-documents_en) ).

This Implementation Guide applies to laboratory reports within the core fields of in-vitro diagnostics, for example clinical biochemistry, haematology, immunohematology, microbiology, immunology, while leaving out some specialised laboratory domains like histopathology or medical genetics. This version focuses only on common rules that apply to all the in-scope situations, without specifying specialized domain-specific profiles, as for example microbiology profiles.

This guide is not limited to test results performed by clinical laboratories on Human specimens (from human subject), but it considers also results on non-human materials or living subjects; or non-human specimens paired with a human subject. Derived guides may restrict the scope as needed (e.g. limiting the scope to well-identified human beings)

### Purpose

The goal of this Implementation Guide is to define an European standard for the Laboratory Report to facilitate the harmonization among the national initiatives and prepare the ground for the European EHR eXchange Format (E-EHRxF).

This project is promoted by HL7 Europe, but realized in collaboration with several other European and national organizations and projects.

The aspiration of this guide is that of being used as basis for European National Guides, the European EHRxF and - consequently - by MyHealth@EU for the EU cross-border services.

### Background

The project background is described in the [background](background.md) page.

### Design choices

The solution adopted by this guide - and detailed in the [Design choices](design-choice.md) page - balances the business requirement of Laboratory Report as legally signable document (i.e. as a FHIR document), with the expectation to get Lab Report by searching per DiagnosticReport. All this, taking into account the R5 DiagnosticReport design pattern where the DiagnosticReport <-> Composition relationship is directed from the DiagnosticReport to the Composition resource. This is done by supporting both perspectives (see figure below) requiring the document bundle ( [BundleLabReportEu](StructureDefinition-Bundle-eu-lab.md) ) to always include a DiagnosticReport ( [DiagnosticReportLabEu](StructureDefinition-DiagnosticReport-eu-lab.md) ) and enabling the pre-adoption of the R5 rules for the inclusion of entries in the Document Bundle.

Figure 1 - Overview of the report design approach

### Navigating the profiles

The following diagrams provide a browseable overview of the profiles specified by this guide (not all the relationships have been reported).

The first highlights the most relevant relationships starting from the DiagnosticReport ( [DiagnosticReportLabEu](StructureDefinition-DiagnosticReport-eu-lab.md) ) resource (REST Perspective).


Figure 2 - Overview of the profiles relationships

The second the profiles included in the document bundle ( [BundleLabReportEu](StructureDefinition-Bundle-eu-lab.md) ) (Document Perspective).


Figure 3 - Overview of the document structure

### Authors and Contributors

Please refer to the [Authors and Contributors](contributors.md) page.



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      {
        "url" : "value",
        "valueString" : "http://hl7.org/fhir/versions.html#maturity"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "propagate-status"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "excludelogbinaryformat"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "tabbed-snapshots"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    }],
    "grouping" : [{
      "id" : "obligations",
      "name" : "Actors and Obligations (Informative)",
      "description" : "Actors and Obligations used to describe the Laboratory Report functional requirements for the specified data elements. Informative for this version of the guide."
    }],
    "resource" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ActorDefinition"
      }],
      "reference" : {
        "reference" : "ActorDefinition/actor-consumer-eu-lab"
      },
      "name" : "Actor Laboratory Report Consumer",
      "description" : "Laboratory Report Report Consumer: a system receiving/querying and using a Laboratory Report.",
      "exampleBoolean" : true,
      "groupingId" : "obligations"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ActorDefinition"
      }],
      "reference" : {
        "reference" : "ActorDefinition/actor-creator-eu-lab"
      },
      "name" : "Actor Laboratory Report Creator",
      "description" : "Laboratory Report Creator: a system generating and sending/providing a Laboratory Report to a Consumer or to a Repository for report storage and sharing.",
      "exampleBoolean" : true,
      "groupingId" : "obligations"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ActorDefinition"
      }],
      "reference" : {
        "reference" : "ActorDefinition/actor-repos-eu-lab"
      },
      "name" : "Actor Laboratory Report Repository",
      "description" : "Laboratory Report Report Repository: a system maintaining a copy of the received Laboratory Report, to store and make it available for the consumers.",
      "exampleBoolean" : true,
      "groupingId" : "obligations"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Bundle"
      }],
      "reference" : {
        "reference" : "Bundle/IT-CDA2FHIR-17e2cad1-c3e3-4901-adb1-c35a0b82b883"
      },
      "name" : "Bundle: converted from CDA",
      "description" : "Example of Laboratory Report (Bundle) converted from a CDA report",
      "exampleCanonical" : "http://hl7.eu/fhir/laboratory/StructureDefinition/Bundle-eu-lab"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Bundle"
      }],
      "reference" : {
        "reference" : "Bundle/BundleHepatitisPanel"
      },
      "name" : "Bundle: Hepatitis Panel",
      "description" : "Example of Laboratory Report (Bundle) including a Hepatitis Panel",
      "exampleCanonical" : "http://hl7.eu/fhir/laboratory/StructureDefinition/Bundle-eu-lab"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/Bundle-eu-lab"
      },
      "name" : "Bundle: Laboratory Report",
      "description" : "Clinical document used to represent a Laboratory Report for the scope of the HL7 Europe project.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Bundle"
      }],
      "reference" : {
        "reference" : "Bundle/BundleLabResultMicroCultureSusc"
      },
      "name" : "Bundle: Microbiology Culture + Susceptibility",
      "description" : "Example of Laboratory Report (Bundle) with Microbiology Culture plus Susceptibility Results",
      "exampleCanonical" : "http://hl7.eu/fhir/laboratory/StructureDefinition/Bundle-eu-lab"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Bundle"
      }],
      "reference" : {
        "reference" : "Bundle/BundleLabResultReportPOC"
      },
      "name" : "Bundle: MyHealth@EU Proof Of Concept",
      "description" : "Example of Laboratory Report (Bundle) used in the MyHealth@EU Proof Of Concept.",
      "exampleCanonical" : "http://hl7.eu/fhir/laboratory/StructureDefinition/Bundle-eu-lab"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Bundle"
      }],
      "reference" : {
        "reference" : "Bundle/SimpleChemistryResultReport"
      },
      "name" : "Bundle: two sections",
      "description" : "Example of Laboratory Report (Bundle) including two sections with a single observations expressed in LOINC and with Czech national codes.\nNote: 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.",
      "exampleCanonical" : "http://hl7.eu/fhir/laboratory/StructureDefinition/Bundle-eu-lab"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/observation-certifiedRefMaterialCodeable"
      },
      "name" : "Certified Reference Material: CodeableConcept",
      "description" : "This extension links this observation with the certified reference material used for the calibration.\nThe certified reference material is identified by using a CodeableConcept.\nThis extension should be used when the unit is UCUM [IU].",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/observation-certifiedRefMaterialIdentifer"
      },
      "name" : "Certified Reference Material: Identifier",
      "description" : "This extension links this observation with the certified reference material used for the calibration.\nThe certified reference material is identified by using an Identifier.\nThis extension should be used when the unit is UCUM [IU].",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Composition"
      }],
      "reference" : {
        "reference" : "Composition/comp-lab-example"
      },
      "name" : "Composition: example",
      "description" : "Example of Composition conforming this guide.",
      "exampleCanonical" : "http://hl7.eu/fhir/laboratory/StructureDefinition/Composition-eu-lab"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/Composition-eu-lab"
      },
      "name" : "Composition: Laboratory Report",
      "description" : "Clinical document used to represent a Laboratory Report for the scope of the HL7 Europe project.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/observation-deviceLabTestKit"
      },
      "name" : "Device Laboratory Test Kit",
      "description" : "This extension links this observation with the laboratory test kit used for this test.\n Usually only one laboratory test kit is referred",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "DiagnosticReport"
      }],
      "reference" : {
        "reference" : "DiagnosticReport/dr-lab-example"
      },
      "name" : "DiagnosticReport: example",
      "description" : "Example of DiagnosticReport conforming this guide.",
      "exampleCanonical" : "http://hl7.eu/fhir/laboratory/StructureDefinition/DiagnosticReport-eu-lab"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/DiagnosticReport-eu-lab"
      },
      "name" : "DiagnosticReport: Laboratory Report",
      "description" : "DiagnosticReport used to represent an entry of a Laboratory Report, including its context, for the scope of the HL7 Europe project.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/composition-diagnosticReportReference"
      },
      "name" : "Document DiagnosticReport Reference",
      "description" : "This extension provides a reference to the DiagnosticReport instance that is associated with this Composition.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:complex-type"
      }],
      "reference" : {
        "reference" : "StructureDefinition/HumanName-obl-eu-lab"
      },
      "name" : "Human Name Obligations",
      "description" : "Specify the functional capabilities that the defined actors may, should or shall applied to the Human Name profile elements.",
      "exampleBoolean" : false,
      "groupingId" : "obligations"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/lab-certifiedRefMaterial-eu-lab"
      },
      "name" : "Laboratory Certified Reference Material",
      "description" : "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].",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/lab-obsCode-eu-lab"
      },
      "name" : "Laboratory Code",
      "description" : "Laboratory observation codes. List of Laboratory observation codes derived from the LOINC and NPU code systems.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "CodeSystem"
      }],
      "reference" : {
        "reference" : "CodeSystem/lab-localCs-eu-lab"
      },
      "name" : "Laboratory Code: example",
      "description" : "List of local coded concepts used for supporting the examples defined in this guide.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/lab-obsCode-loinc-eu-lab"
      },
      "name" : "Laboratory Code: LOINC",
      "description" : "Laboratory observation codes based on the LOINC code system.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/lab-obsCode-npu-eu-lab"
      },
      "name" : "Laboratory Code: NPU",
      "description" : "Laboratory observation codes based on the NPU code system.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/lab-orderCodes-eu-lab"
      },
      "name" : "Laboratory Order",
      "description" : "List of LOINC Laboratory codes of type 'Order' or 'Both. This value set is built upon the IPS value set 'Results Laboratory Observation - IPS'",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/lab-reportType-eu-lab"
      },
      "name" : "Laboratory Report Types",
      "description" : "Laboratory Report Types.\nThis version includes only one code as suggested by the eHN guideline.\nCategory can be used for filtering per study type or specialty.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/lab-specialty-eu-lab"
      },
      "name" : "Laboratory Specialty",
      "description" : "Laboratory Specialties.\nNotes:\nNote 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.\nNote 2: Many European countries are using additional laboratory specialty types, which should be mapped towards this value set.\nNote 3: In case of documented need, this value set could be extended.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/lab-studyType-eu-lab"
      },
      "name" : "Laboratory Study Types",
      "description" : "Laboratory Study Types\nNotes:\nNote 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.\nNote 2:Mycology and parasitology, as well as bacteriology, are part of the 18725-2 (Microbiology studies (set)) studies.\nNote 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.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/lab-technique-eu-lab"
      },
      "name" : "Laboratory Techniques",
      "description" : "Laboratory technique (method of measurement) used for the result measurement (based on SNOMED CT).",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/Observation-obl-eu-lab"
      },
      "name" : "Observation Obligations",
      "description" : "Specify the functional capabilities that the defined actors may, should or shall applied to the Observation profile elements.",
      "exampleBoolean" : false,
      "groupingId" : "obligations"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/Observation-resultslab-eu-lab"
      },
      "name" : "Observation Results: laboratory",
      "description" : "This profile constrains the Observation resource to represent results produced by laboratory tests or panels/studies for the  HL7 Europe project.\nThis 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.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/obs-aerobic-culture"
      },
      "name" : "Observation: Aerobic Culture example",
      "description" : "Example of Aerobic Culture Observation conforming this guide.",
      "exampleCanonical" : "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/obs-anaerobic-culture"
      },
      "name" : "Observation: Anaerobic Culture example",
      "description" : "Example of Anaerobic Culture Observation conforming this guide.",
      "exampleCanonical" : "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/4335db48-7090-45b3-a2c2-45b45f94a67c"
      },
      "name" : "Observation: certified reference material",
      "description" : "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",
      "exampleCanonical" : "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/obs-gram-stain"
      },
      "name" : "Observation: Gram Staining example",
      "description" : "Example of Gram Staining result Observation conforming this guide.",
      "exampleCanonical" : "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/obs-gs-org1"
      },
      "name" : "Observation: Gram-positive cocci example",
      "description" : "Example of Gram-positive cocci in clusters by gram staining  Observation conforming this guide.",
      "exampleCanonical" : "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/obs-gs-org1-quant"
      },
      "name" : "Observation: Gram-positive cocci, observed quantity, example",
      "description" : "Example of Gram-positive cocci in clusters by gram staining, observed quantity, Observation conforming this guide.",
      "exampleCanonical" : "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/obs-wbc"
      },
      "name" : "Observation: Leukocytes Presence example",
      "description" : "Example of Leukocytes Presence by gram staining  Observation conforming this guide.",
      "exampleCanonical" : "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/d29b286d-b99c-410f-af4e-9455ea49d0af"
      },
      "name" : "Observation: ratio example",
      "description" : "Example of Observation with ratio result",
      "exampleCanonical" : "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/obs-org-id1-susc-1"
      },
      "name" : "Observation: Staphylococcus aureus Cephalothin susceptibility example",
      "description" : "Example of Staphylococcus aureus Cephalothin susceptibility Observation conforming this guide.",
      "exampleCanonical" : "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/obs-org-id1-growth"
      },
      "name" : "Observation: Staphylococcus aureus Growth example",
      "description" : "Example of Staphylococcus aureus Growth Observation conforming this guide.",
      "exampleCanonical" : "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/obs-org-id1"
      },
      "name" : "Observation: Staphylococcus aureus identified example",
      "description" : "Example of Staphylococcus aureus identified by Aerobe culture Observation conforming this guide.",
      "exampleCanonical" : "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/obs-org-id1-susc-2"
      },
      "name" : "Observation: Staphylococcus aureus levoFLOXacin susceptibility example",
      "description" : "Example of Staphylococcus aureus levoFLOXacin susceptibility Observation conforming this guide.",
      "exampleCanonical" : "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/obs-org-id1-susc-3"
      },
      "name" : "Observation: Staphylococcus aureus Oxacillin susceptibility example",
      "description" : "Example of Staphylococcus aureus Oxacillin susceptibility Observation conforming this guide.",
      "exampleCanonical" : "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/obs-org-id1-susc-panel"
      },
      "name" : "Observation: Staphylococcus aureus susceptibility panel example",
      "description" : "Example of Staphylococcus aureus susceptibility panel Observation conforming this guide.",
      "exampleCanonical" : "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/obs-org-id1-susc-4"
      },
      "name" : "Observation: Staphylococcus aureus Vancomycin susceptibility example",
      "description" : "Example of Staphylococcus aureus Vancomycin susceptibility Observation conforming this guide.",
      "exampleCanonical" : "http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/Patient-obl-eu-lab"
      },
      "name" : "Patient Obligations",
      "description" : "Specify the functional capabilities that the defined actors may, should or shall applied to the Patient EU Lab profile elements.",
      "exampleBoolean" : false,
      "groupingId" : "obligations"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/Patient-animal-eu-lab"
      },
      "name" : "Patient: Animal",
      "description" : "This profile defines how to represent an Animal as subject of care in FHIR for the purpose of this guide.\nThis is used to identify the species when a specimen is collected from an animal",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Patient"
      }],
      "reference" : {
        "reference" : "Patient/Patient-animal-example"
      },
      "name" : "Patient: animal example",
      "description" : "Example of Patient resource used for indicating an animal (cat) conforming this guide.",
      "exampleCanonical" : "http://hl7.eu/fhir/laboratory/StructureDefinition/Patient-animal-eu-lab"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Patient"
      }],
      "reference" : {
        "reference" : "Patient/nl-core-NameInformation-complete"
      },
      "name" : "Patient: Dutch complete name",
      "description" : "Example of Patient including a complete Dutch name.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Patient"
      }],
      "reference" : {
        "reference" : "Patient/pat-lab-example"
      },
      "name" : "Patient: example",
      "description" : "Example of Patient conforming this guide.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Practitioner"
      }],
      "reference" : {
        "reference" : "Practitioner/pr-lab-example"
      },
      "name" : "Practitioner: example",
      "description" : "Example of Practitioner conforming this guide.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "PractitionerRole"
      }],
      "reference" : {
        "reference" : "PractitionerRole/prrole-lab-example"
      },
      "name" : "PractitionerRole: example",
      "description" : "Example of PractitionerRole conforming this guide.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:complex-type"
      }],
      "reference" : {
        "reference" : "StructureDefinition/Quantity-eu-lab"
      },
      "name" : "Quantity (Eu Lab)",
      "description" : "This profile constrains the Quantity data type to use UCUM as the code system for units and optionally share measurement uncertainty",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:complex-type"
      }],
      "reference" : {
        "reference" : "StructureDefinition/Range-eu-lab"
      },
      "name" : "Range (Eu Lab)",
      "description" : "This profile constrains the Range data type to use UCUM as the code system for units and optionally share measurement uncertainty",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:complex-type"
      }],
      "reference" : {
        "reference" : "StructureDefinition/Ratio-eu-lab"
      },
      "name" : "Ratio (Eu Lab)",
      "description" : "This profile constrains the Ratio data type to use UCUM as the code system for units and optionally share measurement uncertainty",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/ServiceRequest-obl-eu-lab"
      },
      "name" : "ServiceRequest Obligations",
      "description" : "Specify the functional capabilities that the defined actors may, should or shall applied to the ServiceRequest profile elements.",
      "exampleBoolean" : false,
      "groupingId" : "obligations"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ServiceRequest"
      }],
      "reference" : {
        "reference" : "ServiceRequest/srv-request-example"
      },
      "name" : "ServiceRequest: example",
      "description" : "Example of ServiceRequest conforming this guide.",
      "exampleCanonical" : "http://hl7.eu/fhir/laboratory/StructureDefinition/ServiceRequest-eu-lab"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/ServiceRequest-eu-lab"
      },
      "name" : "ServiceRequest: Laboratory Order",
      "description" : "This profile defines how to represent an laboratory orders using the HL7 FHIR ServiceRequest for the purpose of this guide.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/lab-specimenAdditive-eu-lab"
      },
      "name" : "Specimen Additive",
      "description" : "List of the specimen additives. Additives are commonly added to the vacutainer tubes to preserve the specimen for laboratory analysis",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/lab-specimenContainer-eu-lab"
      },
      "name" : "Specimen Container",
      "description" : "List of the containers commonly used to collect specimens (e.g. urine, blood,..).",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/Specimen-obl-eu-lab"
      },
      "name" : "Specimen Obligations",
      "description" : "Specify the functional capabilities that the defined actors may, should or shall applied to the Specimen profile elements.",
      "exampleBoolean" : false,
      "groupingId" : "obligations"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/lab-specimenType-eu-lab"
      },
      "name" : "Specimen Types",
      "description" : "Laboratory Specimen Types",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Specimen"
      }],
      "reference" : {
        "reference" : "Specimen/Specimen-animal-example"
      },
      "name" : "Specimen: animal example",
      "description" : "Example of Specimen collected from an animal.",
      "exampleCanonical" : "http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/Specimen-eu-lab"
      },
      "name" : "Specimen: Laboratory",
      "description" : "This profile defines how to represent Specimens in HL7 FHIR for the purpose of this guide.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/Substance-additive-eu-lab"
      },
      "name" : "Substance: Specimen Additive Substance",
      "description" : "This profile defines how to represent Specimen Additive Substances in HL7 FHIR for the purpose of this guide.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/lab-speciesType-eu-vs"
      },
      "name" : "Types of species",
      "description" : "Types of animal species for non-human subjects",
      "exampleBoolean" : false
    }],
    "page" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
        "valueUrl" : "toc.html"
      }],
      "nameUrl" : "toc.html",
      "title" : "Table of Contents",
      "generation" : "html",
      "page" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "index.html"
        }],
        "nameUrl" : "index.html",
        "title" : "Home",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "background.html"
        }],
        "nameUrl" : "background.html",
        "title" : "Background",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "scenarios.html"
        }],
        "nameUrl" : "scenarios.html",
        "title" : "Laboratory Report scenarios",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "status-mgmt.html"
        }],
        "nameUrl" : "status-mgmt.html",
        "title" : "Managing Laboratory Report statuses",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "design-choice.html"
        }],
        "nameUrl" : "design-choice.html",
        "title" : "Design choices",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "challenges.html"
        }],
        "nameUrl" : "challenges.html",
        "title" : "Challenges",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "notes.html"
        }],
        "nameUrl" : "notes.html",
        "title" : "Implementation notes",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "crm.html"
        }],
        "nameUrl" : "crm.html",
        "title" : "Certified reference material",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "downloads.html"
        }],
        "nameUrl" : "downloads.html",
        "title" : "Downloads",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "logicalModel.html"
        }],
        "nameUrl" : "logicalModel.html",
        "title" : "eHN guideline data set",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "contributors.html"
        }],
        "nameUrl" : "contributors.html",
        "title" : "Authors and contributors",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "obligations.html"
        }],
        "nameUrl" : "obligations.html",
        "title" : "Obligations",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "knownIssues.html"
        }],
        "nameUrl" : "knownIssues.html",
        "title" : "Known Issues",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "copyright.html"
        }],
        "nameUrl" : "copyright.html",
        "title" : "Copyright",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "crossversionanalysis.html"
        }],
        "nameUrl" : "crossversionanalysis.html",
        "title" : "Cross-version Analysis",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "dependencies.html"
        }],
        "nameUrl" : "dependencies.html",
        "title" : "Dependencies",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "modelmap.html"
        }],
        "nameUrl" : "modelmap.html",
        "title" : "Mapping to Profiles",
        "generation" : "html",
        "page" : [{
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "map-ehdslaboratoryreport.html"
          }],
          "nameUrl" : "map-ehdslaboratoryreport.html",
          "title" : "EHDS Laboratory Report Mapping",
          "generation" : "html"
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "map-ehdslaboratoryobservation.html"
          }],
          "nameUrl" : "map-ehdslaboratoryobservation.html",
          "title" : "EHDS Laboratory Observation Mapping",
          "generation" : "html"
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "map-ehdsservicerequest.html"
          }],
          "nameUrl" : "map-ehdsservicerequest.html",
          "title" : "EHDS ServiceRequest Mapping",
          "generation" : "html"
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "map-ehdsspecimen.html"
          }],
          "nameUrl" : "map-ehdsspecimen.html",
          "title" : "EHDS Specimen Mapping",
          "generation" : "html"
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "map-ehdsmedicationadministration.html"
          }],
          "nameUrl" : "map-ehdsmedicationadministration.html",
          "title" : "EHDS MedicationAdministration Mapping",
          "generation" : "html"
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "map-ehdsdevice.html"
          }],
          "nameUrl" : "map-ehdsdevice.html",
          "title" : "EHDS Device Mapping",
          "generation" : "html"
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "map-ehdsattachment.html"
          }],
          "nameUrl" : "map-ehdsattachment.html",
          "title" : "EHDS Attachment Mapping",
          "generation" : "html"
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "map-ehdsrelatedperson.html"
          }],
          "nameUrl" : "map-ehdsrelatedperson.html",
          "title" : "EHDS RelatedPerson Mapping",
          "generation" : "html"
        }]
      }]
    },
    "parameter" : [{
      "code" : "path-resource",
      "value" : "input/capabilities"
    },
    {
      "code" : "path-resource",
      "value" : "input/examples"
    },
    {
      "code" : "path-resource",
      "value" : "input/extensions"
    },
    {
      "code" : "path-resource",
      "value" : "input/models"
    },
    {
      "code" : "path-resource",
      "value" : "input/operations"
    },
    {
      "code" : "path-resource",
      "value" : "input/profiles"
    },
    {
      "code" : "path-resource",
      "value" : "input/resources"
    },
    {
      "code" : "path-resource",
      "value" : "input/vocabulary"
    },
    {
      "code" : "path-resource",
      "value" : "input/maps"
    },
    {
      "code" : "path-resource",
      "value" : "input/testing"
    },
    {
      "code" : "path-resource",
      "value" : "input/history"
    },
    {
      "code" : "path-resource",
      "value" : "fsh-generated/resources"
    },
    {
      "code" : "path-pages",
      "value" : "template/config"
    },
    {
      "code" : "path-pages",
      "value" : "input/images"
    },
    {
      "code" : "path-tx-cache",
      "value" : "input-cache/txcache"
    }]
  }
}

```
