MyHealth@Eu Laboratory Report
0.0.1 - qa-preview 150

MyHealth@Eu Laboratory Report - Local Development build (v0.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Logical Model: LabReportMyHEU - Detailed Descriptions

Draft as of 2024-11-21

Definitions for the LabReport logical model.

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

0. LabReport
Definition

Laboratory Report Content as defined by the MyHealth@EU business requirement '13.01 Create the MyHealth@EU Laboratory Result Report Content'.

ShortLaboratory Result Content
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. LabReport.header
Definition

Report header

ShortReport header
Control1..1
TypeBackboneElement
Obligations
    ObligationsActor
    SHALL:handle
    4. LabReport.header.subject
    Definition

    Identification of the patient/subject and Patient/subject related contact information

    ShortPatient/subject
    Control1..1
    Typehttp://fhir.ehdsi.eu/laboratory/StructureDefinition/Subject
    Obligations
      ObligationsActor
      SHALL:handle
      6. LabReport.header.payer
      Definition

      Health insurance information is not always required, however, in some jurisdictions, the insurance number is also used as the patient identifier. It is necessary not just for identification but also forms access to funding for care.

      ShortHealth insurance and payment information
      Control0..1
      Typehttp://fhir.ehdsi.eu/laboratory/StructureDefinition/Payer
      8. LabReport.header.informationRecipient
      Definition

      Intended recipient or recipients of the report, additional recipients might be identified by the ordering party, e.g. GP, other specialist

      ShortInformation recipient
      Control0..*
      Typehttp://fhir.ehdsi.eu/laboratory/StructureDefinition/Recipient
      10. LabReport.header.author
      Definition

      By whom the Laboratory result report or a subset of its results was authored

      ShortAuthor
      Control1..*
      Typehttp://fhir.ehdsi.eu/laboratory/StructureDefinition/Author
      Obligations
        ObligationsActor
        SHALL:handle
        12. LabReport.header.legalAuthenticator
        Definition

        The person taking responsibility for the medical content of the document

        ShortLegal authenticator
        Control1..*
        Typehttp://fhir.ehdsi.eu/laboratory/StructureDefinition/LegalAuthenticator
        Obligations
          ObligationsActor
          SHALL:handle
          14. LabReport.header.validator
          Definition

          Result validator

          ShortResult validator
          Control0..*
          Typehttp://fhir.ehdsi.eu/laboratory/StructureDefinition/Validator
          16. LabReport.header.metadata
          Definition

          Laboratory report metadata

          ShortLaboratory report metadata
          Control1..1
          TypeBackboneElement
          Obligations
            ObligationsActor
            SHALL:handle
            18. LabReport.header.metadata.documentId
            Definition

            Unique identifier of the document

            ShortDocument Id
            Control1..1
            TypeIdentifier
            Obligations
              ObligationsActor
              SHALL:handle
              20. LabReport.header.metadata.type
              Definition

              A coded type of the document. Fixed value 'Laboratory report'

              ShortDocument type
              Control1..*
              TypeCodeableConcept
              Obligations
                ObligationsActor
                SHALL:handle
                22. LabReport.header.metadata.status
                Definition

                The status of the laboratory test result report. E.g., preliminary, final

                ShortDocument status
                Control1..1
                TypeCodeableConcept
                Obligations
                  ObligationsActor
                  SHALL:handle
                  24. LabReport.header.metadata.dateTime
                  Definition

                  Date and time of the result report creation

                  ShortReport date and time
                  Control0..1
                  TypedateTime
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Obligations
                    ObligationsActor
                    SHALL:handle
                    26. LabReport.header.metadata.title
                    Definition

                    Document title, e.g. 'Laboratory Result report'

                    ShortDocument title
                    Control1..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Obligations
                      ObligationsActor
                      SHALL:handle
                      28. LabReport.header.metadata.studyType
                      Definition

                      Type (or types) of the laboratory study performed.

                      ShortStudy type
                      Control0..*
                      TypeCodeableConcept
                      30. LabReport.header.metadata.custodian
                      Definition

                      Organization that is in charge of maintaining the laboratory report

                      ShortReport custodian
                      Control0..1
                      TypeBackboneElement
                      Obligations
                        ObligationsActor
                        SHALL:handle
                        32. LabReport.header.metadata.confidentiality
                        Definition

                        Level of confidentiality of the document. Implicit value is normal.

                        ShortConfidentiality
                        Control0..1
                        TypeCodeableConcept
                        Obligations
                          ObligationsActor
                          SHALL:handle
                          34. LabReport.header.metadata.language
                          Definition

                          Language in which the document is written. Language is expressed by the ISO language code.

                          ShortLanguage
                          Control1..*
                          TypeCodeableConcept
                          Obligations
                            ObligationsActor
                            SHALL:handle
                            36. LabReport.header.metadata.version
                            Definition

                            Version of the document

                            ShortVersion
                            NoteThis is a business version Id, not a resource version Id (see discussion)
                            Control0..1
                            Typestring
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Obligations
                              ObligationsActor
                              SHALL:handle
                              38. LabReport.order
                              Definition

                              Order information (Laboratory Result Report could respond to multiple test orders) Order reason (Laboratory Result Report could respond to multiple reasons)

                              ShortOrder
                              Control1..*
                              Typehttp://fhir.ehdsi.eu/laboratory/StructureDefinition/Order
                              Obligations
                                ObligationsActor
                                SHALL:handle
                                40. LabReport.specimen
                                Definition

                                Specimen information

                                ShortSpecimen information
                                Control1..*
                                Typehttp://fhir.ehdsi.eu/laboratory/StructureDefinition/SpecimenLab
                                Obligations
                                  ObligationsActor
                                  SHALL:handle
                                  42. LabReport.result
                                  Definition

                                  Results data elements

                                  ShortResults data elements
                                  Control1..*
                                  Typehttp://fhir.ehdsi.eu/laboratory/StructureDefinition/Result
                                  Obligations
                                    ObligationsActor
                                    SHALL:handle
                                    44. LabReport.pdf
                                    Definition

                                    Entire report as issued- pdf format

                                    ShortPDF document
                                    Control0..*
                                    TypeAttachment
                                    Obligations
                                      ObligationsActor
                                      SHALL:handle
                                      46. LabReport.media
                                      Definition

                                      Media attachments.

                                      ShortMedia
                                      Control0..*
                                      TypeAttachment

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

                                      0. LabReport
                                      Definition

                                      Laboratory Report Content as defined by the MyHealth@EU business requirement '13.01 Create the MyHealth@EU Laboratory Result Report Content'.

                                      ShortLaboratory Result Content
                                      Control0..*
                                      Is Modifierfalse
                                      Logical ModelInstances of this logical model are not marked to be the target of a Reference
                                      2. LabReport.header
                                      Definition

                                      Report header

                                      ShortReport header
                                      Control1..1
                                      TypeBackboneElement
                                      Obligations
                                        ObligationsActor
                                        SHALL:handle
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        4. LabReport.header.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. LabReport.header.subject
                                        Definition

                                        Identification of the patient/subject and Patient/subject related contact information

                                        ShortPatient/subject
                                        Control1..1
                                        Typehttp://fhir.ehdsi.eu/laboratory/StructureDefinition/Subject
                                        Obligations
                                          ObligationsActor
                                          SHALL:handle
                                          8. LabReport.header.payer
                                          Definition

                                          Health insurance information is not always required, however, in some jurisdictions, the insurance number is also used as the patient identifier. It is necessary not just for identification but also forms access to funding for care.

                                          ShortHealth insurance and payment information
                                          Control0..1
                                          Typehttp://fhir.ehdsi.eu/laboratory/StructureDefinition/Payer
                                          10. LabReport.header.informationRecipient
                                          Definition

                                          Intended recipient or recipients of the report, additional recipients might be identified by the ordering party, e.g. GP, other specialist

                                          ShortInformation recipient
                                          Control0..*
                                          Typehttp://fhir.ehdsi.eu/laboratory/StructureDefinition/Recipient
                                          12. LabReport.header.author
                                          Definition

                                          By whom the Laboratory result report or a subset of its results was authored

                                          ShortAuthor
                                          Control1..*
                                          Typehttp://fhir.ehdsi.eu/laboratory/StructureDefinition/Author
                                          Obligations
                                            ObligationsActor
                                            SHALL:handle
                                            14. LabReport.header.legalAuthenticator
                                            Definition

                                            The person taking responsibility for the medical content of the document

                                            ShortLegal authenticator
                                            Control1..*
                                            Typehttp://fhir.ehdsi.eu/laboratory/StructureDefinition/LegalAuthenticator
                                            Obligations
                                              ObligationsActor
                                              SHALL:handle
                                              16. LabReport.header.validator
                                              Definition

                                              Result validator

                                              ShortResult validator
                                              Control0..*
                                              Typehttp://fhir.ehdsi.eu/laboratory/StructureDefinition/Validator
                                              18. LabReport.header.metadata
                                              Definition

                                              Laboratory report metadata

                                              ShortLaboratory report metadata
                                              Control1..1
                                              TypeBackboneElement
                                              Obligations
                                                ObligationsActor
                                                SHALL:handle
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                20. LabReport.header.metadata.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. LabReport.header.metadata.documentId
                                                Definition

                                                Unique identifier of the document

                                                ShortDocument Id
                                                Control1..1
                                                TypeIdentifier
                                                Obligations
                                                  ObligationsActor
                                                  SHALL:handle
                                                  24. LabReport.header.metadata.type
                                                  Definition

                                                  A coded type of the document. Fixed value 'Laboratory report'

                                                  ShortDocument type
                                                  Control1..*
                                                  TypeCodeableConcept
                                                  Obligations
                                                    ObligationsActor
                                                    SHALL:handle
                                                    26. LabReport.header.metadata.status
                                                    Definition

                                                    The status of the laboratory test result report. E.g., preliminary, final

                                                    ShortDocument status
                                                    Control1..1
                                                    TypeCodeableConcept
                                                    Obligations
                                                      ObligationsActor
                                                      SHALL:handle
                                                      28. LabReport.header.metadata.dateTime
                                                      Definition

                                                      Date and time of the result report creation

                                                      ShortReport date and time
                                                      Control0..1
                                                      TypedateTime
                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                      Obligations
                                                        ObligationsActor
                                                        SHALL:handle
                                                        30. LabReport.header.metadata.title
                                                        Definition

                                                        Document title, e.g. 'Laboratory Result report'

                                                        ShortDocument title
                                                        Control1..1
                                                        Typestring
                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                        Obligations
                                                          ObligationsActor
                                                          SHALL:handle
                                                          32. LabReport.header.metadata.studyType
                                                          Definition

                                                          Type (or types) of the laboratory study performed.

                                                          ShortStudy type
                                                          Control0..*
                                                          TypeCodeableConcept
                                                          34. LabReport.header.metadata.custodian
                                                          Definition

                                                          Organization that is in charge of maintaining the laboratory report

                                                          ShortReport custodian
                                                          Control0..1
                                                          TypeBackboneElement
                                                          Obligations
                                                            ObligationsActor
                                                            SHALL:handle
                                                            36. LabReport.header.metadata.confidentiality
                                                            Definition

                                                            Level of confidentiality of the document. Implicit value is normal.

                                                            ShortConfidentiality
                                                            Control0..1
                                                            TypeCodeableConcept
                                                            Obligations
                                                              ObligationsActor
                                                              SHALL:handle
                                                              38. LabReport.header.metadata.language
                                                              Definition

                                                              Language in which the document is written. Language is expressed by the ISO language code.

                                                              ShortLanguage
                                                              Control1..*
                                                              TypeCodeableConcept
                                                              Obligations
                                                                ObligationsActor
                                                                SHALL:handle
                                                                40. LabReport.header.metadata.version
                                                                Definition

                                                                Version of the document

                                                                ShortVersion
                                                                NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                Control0..1
                                                                Typestring
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Obligations
                                                                  ObligationsActor
                                                                  SHALL:handle
                                                                  42. LabReport.order
                                                                  Definition

                                                                  Order information (Laboratory Result Report could respond to multiple test orders) Order reason (Laboratory Result Report could respond to multiple reasons)

                                                                  ShortOrder
                                                                  Control1..*
                                                                  Typehttp://fhir.ehdsi.eu/laboratory/StructureDefinition/Order
                                                                  Obligations
                                                                    ObligationsActor
                                                                    SHALL:handle
                                                                    44. LabReport.specimen
                                                                    Definition

                                                                    Specimen information

                                                                    ShortSpecimen information
                                                                    Control1..*
                                                                    Typehttp://fhir.ehdsi.eu/laboratory/StructureDefinition/SpecimenLab
                                                                    Obligations
                                                                      ObligationsActor
                                                                      SHALL:handle
                                                                      46. LabReport.result
                                                                      Definition

                                                                      Results data elements

                                                                      ShortResults data elements
                                                                      Control1..*
                                                                      Typehttp://fhir.ehdsi.eu/laboratory/StructureDefinition/Result
                                                                      Obligations
                                                                        ObligationsActor
                                                                        SHALL:handle
                                                                        48. LabReport.pdf
                                                                        Definition

                                                                        Entire report as issued- pdf format

                                                                        ShortPDF document
                                                                        Control0..*
                                                                        TypeAttachment
                                                                        Obligations
                                                                          ObligationsActor
                                                                          SHALL:handle
                                                                          50. LabReport.media
                                                                          Definition

                                                                          Media attachments.

                                                                          ShortMedia
                                                                          Control0..*
                                                                          TypeAttachment

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

                                                                          0. LabReport
                                                                          Definition

                                                                          Laboratory Report Content as defined by the MyHealth@EU business requirement '13.01 Create the MyHealth@EU Laboratory Result Report Content'.

                                                                          ShortLaboratory Result Content
                                                                          Control0..*
                                                                          Is Modifierfalse
                                                                          Logical ModelInstances of this logical model are not marked to be the target of a Reference
                                                                          2. LabReport.header
                                                                          Definition

                                                                          Report header

                                                                          ShortReport header
                                                                          Control1..1
                                                                          TypeBackboneElement
                                                                          Obligations
                                                                            ObligationsActor
                                                                            SHALL:handle
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            4. LabReport.header.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. LabReport.header.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 LabReport.header.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                            • value @ url
                                                                            • 8. LabReport.header.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. LabReport.header.subject
                                                                              Definition

                                                                              Identification of the patient/subject and Patient/subject related contact information

                                                                              ShortPatient/subject
                                                                              Control1..1
                                                                              Typehttp://fhir.ehdsi.eu/laboratory/StructureDefinition/Subject
                                                                              Obligations
                                                                                ObligationsActor
                                                                                SHALL:handle
                                                                                12. LabReport.header.payer
                                                                                Definition

                                                                                Health insurance information is not always required, however, in some jurisdictions, the insurance number is also used as the patient identifier. It is necessary not just for identification but also forms access to funding for care.

                                                                                ShortHealth insurance and payment information
                                                                                Control0..1
                                                                                Typehttp://fhir.ehdsi.eu/laboratory/StructureDefinition/Payer
                                                                                14. LabReport.header.informationRecipient
                                                                                Definition

                                                                                Intended recipient or recipients of the report, additional recipients might be identified by the ordering party, e.g. GP, other specialist

                                                                                ShortInformation recipient
                                                                                Control0..*
                                                                                Typehttp://fhir.ehdsi.eu/laboratory/StructureDefinition/Recipient
                                                                                16. LabReport.header.author
                                                                                Definition

                                                                                By whom the Laboratory result report or a subset of its results was authored

                                                                                ShortAuthor
                                                                                Control1..*
                                                                                Typehttp://fhir.ehdsi.eu/laboratory/StructureDefinition/Author
                                                                                Obligations
                                                                                  ObligationsActor
                                                                                  SHALL:handle
                                                                                  18. LabReport.header.legalAuthenticator
                                                                                  Definition

                                                                                  The person taking responsibility for the medical content of the document

                                                                                  ShortLegal authenticator
                                                                                  Control1..*
                                                                                  Typehttp://fhir.ehdsi.eu/laboratory/StructureDefinition/LegalAuthenticator
                                                                                  Obligations
                                                                                    ObligationsActor
                                                                                    SHALL:handle
                                                                                    20. LabReport.header.validator
                                                                                    Definition

                                                                                    Result validator

                                                                                    ShortResult validator
                                                                                    Control0..*
                                                                                    Typehttp://fhir.ehdsi.eu/laboratory/StructureDefinition/Validator
                                                                                    22. LabReport.header.metadata
                                                                                    Definition

                                                                                    Laboratory report metadata

                                                                                    ShortLaboratory report metadata
                                                                                    Control1..1
                                                                                    TypeBackboneElement
                                                                                    Obligations
                                                                                      ObligationsActor
                                                                                      SHALL:handle
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      24. LabReport.header.metadata.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
                                                                                      26. LabReport.header.metadata.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 LabReport.header.metadata.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                      • value @ url
                                                                                      • 28. LabReport.header.metadata.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())
                                                                                        30. LabReport.header.metadata.documentId
                                                                                        Definition

                                                                                        Unique identifier of the document

                                                                                        ShortDocument Id
                                                                                        Control1..1
                                                                                        TypeIdentifier
                                                                                        Obligations
                                                                                          ObligationsActor
                                                                                          SHALL:handle
                                                                                          32. LabReport.header.metadata.type
                                                                                          Definition

                                                                                          A coded type of the document. Fixed value 'Laboratory report'

                                                                                          ShortDocument type
                                                                                          Control1..*
                                                                                          TypeCodeableConcept
                                                                                          Obligations
                                                                                            ObligationsActor
                                                                                            SHALL:handle
                                                                                            34. LabReport.header.metadata.status
                                                                                            Definition

                                                                                            The status of the laboratory test result report. E.g., preliminary, final

                                                                                            ShortDocument status
                                                                                            Control1..1
                                                                                            TypeCodeableConcept
                                                                                            Obligations
                                                                                              ObligationsActor
                                                                                              SHALL:handle
                                                                                              36. LabReport.header.metadata.dateTime
                                                                                              Definition

                                                                                              Date and time of the result report creation

                                                                                              ShortReport date and time
                                                                                              Control0..1
                                                                                              TypedateTime
                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                              Obligations
                                                                                                ObligationsActor
                                                                                                SHALL:handle
                                                                                                38. LabReport.header.metadata.title
                                                                                                Definition

                                                                                                Document title, e.g. 'Laboratory Result report'

                                                                                                ShortDocument title
                                                                                                Control1..1
                                                                                                Typestring
                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                Obligations
                                                                                                  ObligationsActor
                                                                                                  SHALL:handle
                                                                                                  40. LabReport.header.metadata.studyType
                                                                                                  Definition

                                                                                                  Type (or types) of the laboratory study performed.

                                                                                                  ShortStudy type
                                                                                                  Control0..*
                                                                                                  TypeCodeableConcept
                                                                                                  42. LabReport.header.metadata.custodian
                                                                                                  Definition

                                                                                                  Organization that is in charge of maintaining the laboratory report

                                                                                                  ShortReport custodian
                                                                                                  Control0..1
                                                                                                  TypeBackboneElement
                                                                                                  Obligations
                                                                                                    ObligationsActor
                                                                                                    SHALL:handle
                                                                                                    44. LabReport.header.metadata.confidentiality
                                                                                                    Definition

                                                                                                    Level of confidentiality of the document. Implicit value is normal.

                                                                                                    ShortConfidentiality
                                                                                                    Control0..1
                                                                                                    TypeCodeableConcept
                                                                                                    Obligations
                                                                                                      ObligationsActor
                                                                                                      SHALL:handle
                                                                                                      46. LabReport.header.metadata.language
                                                                                                      Definition

                                                                                                      Language in which the document is written. Language is expressed by the ISO language code.

                                                                                                      ShortLanguage
                                                                                                      Control1..*
                                                                                                      TypeCodeableConcept
                                                                                                      Obligations
                                                                                                        ObligationsActor
                                                                                                        SHALL:handle
                                                                                                        48. LabReport.header.metadata.version
                                                                                                        Definition

                                                                                                        Version of the document

                                                                                                        ShortVersion
                                                                                                        NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                        Control0..1
                                                                                                        Typestring
                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                        Obligations
                                                                                                          ObligationsActor
                                                                                                          SHALL:handle
                                                                                                          50. LabReport.order
                                                                                                          Definition

                                                                                                          Order information (Laboratory Result Report could respond to multiple test orders) Order reason (Laboratory Result Report could respond to multiple reasons)

                                                                                                          ShortOrder
                                                                                                          Control1..*
                                                                                                          Typehttp://fhir.ehdsi.eu/laboratory/StructureDefinition/Order
                                                                                                          Obligations
                                                                                                            ObligationsActor
                                                                                                            SHALL:handle
                                                                                                            52. LabReport.specimen
                                                                                                            Definition

                                                                                                            Specimen information

                                                                                                            ShortSpecimen information
                                                                                                            Control1..*
                                                                                                            Typehttp://fhir.ehdsi.eu/laboratory/StructureDefinition/SpecimenLab
                                                                                                            Obligations
                                                                                                              ObligationsActor
                                                                                                              SHALL:handle
                                                                                                              54. LabReport.result
                                                                                                              Definition

                                                                                                              Results data elements

                                                                                                              ShortResults data elements
                                                                                                              Control1..*
                                                                                                              Typehttp://fhir.ehdsi.eu/laboratory/StructureDefinition/Result
                                                                                                              Obligations
                                                                                                                ObligationsActor
                                                                                                                SHALL:handle
                                                                                                                56. LabReport.pdf
                                                                                                                Definition

                                                                                                                Entire report as issued- pdf format

                                                                                                                ShortPDF document
                                                                                                                Control0..*
                                                                                                                TypeAttachment
                                                                                                                Obligations
                                                                                                                  ObligationsActor
                                                                                                                  SHALL:handle
                                                                                                                  58. LabReport.media
                                                                                                                  Definition

                                                                                                                  Media attachments.

                                                                                                                  ShortMedia
                                                                                                                  Control0..*
                                                                                                                  TypeAttachment