MyHealth@Eu Laboratory Report
9.1.1 - trial-use 150

MyHealth@Eu Laboratory Report - Downloaded Version 9.1.1 See the Directory of published versions

## Logical Model: MyHealthEuLabReport - Detailed Descriptions

Active as of 2026-05-05

Definitions for the MyHealthEuLabReport logical model.

- Key Elements Table
- Differential Elements Table
- Snapshot Elements Table

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

0. MyHealthEuLabReport
Definition | MyHealthEu refined model for laboratory result report.
Short | MyHealth@EU Laboratory Report model
Control | 0..*
Is Modifier | false
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. MyHealthEuLabReport.header
Definition | Basic metadata for this information
Short | Laboratory Report header
Control | 1..1
Type | Base
4. MyHealthEuLabReport.header.subject
Definition | Patient/subject information
Short | Patient/subject information
Control | 1..1
Type | http://fhir.ehdsi.eu/core/StructureDefinition/MyHealthEuPatient
Obligations |
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
6. MyHealthEuLabReport.header.identifier
Definition | Business identifier for the object, unique within its system. Supporting disambiguation between different contexts (systems/countries).
Short | Unique identifier of the document
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 1..*
Type | Identifier
Obligations |
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
8. MyHealthEuLabReport.header.author[x]
Definition | Author(s) by whom the laboratory result report was authored. Multiple authors could be provided.
Short | Author(s) by whom the laboratory result report was authored.
Comments | Author of the laboratory report could be either a health professional who authored the report, laboratory itself or laboratory information system. Author information is the only mandatory element of the laboratory report header. As such, each laboratory shall be able to provide at least the author information.
Control | 1..*
Type | Choice of: http://fhir.ehdsi.eu/core/StructureDefinition/MyHealthEuHealthProfessional, http://fhir.ehdsi.eu/core/StructureDefinition/MyHealthEuOrganisation, http://fhir.ehdsi.eu/core/StructureDefinition/MyHealthEuDevice
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Obligations |
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
10. MyHealthEuLabReport.header.date
Definition | Date and optionally time of authoring/issuing
Short | Date of finalising/issuing the document
Control | 1..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Obligations |
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
12. MyHealthEuLabReport.header.status
Definition | Status of the resource or document
Short | Status of the document
Control | 1..1
Type | CodeableConcept
Obligations |
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
14. MyHealthEuLabReport.header.source
Definition | Source of information (e.g. patient, patient's proxy). Used in case the patient has authored the information or the author has submitted patient-stated information.
Short | Source of information (e.g. patient, patient's proxy). Used in case the patient has authored the information or the author has submitted patient-stated information.
Control | 0..0
Type | CodeableConcept
16. MyHealthEuLabReport.header.language
Definition | Language in which the resource is written. Language is expressed by the IETF language tag.
Short | Language in which the resource is written. Language is expressed by the IETF language tag.
Control | 0..1
Binding | BCP 47
Type | CodeableConcept
Obligations |
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
18. MyHealthEuLabReport.header.documentType
Definition | Type of document at hand, e.g. 60591-5 Patient summary document.
Short | Type of document at hand, e.g. 60591-5 Patient summary document.
Control | 1..1
Binding | LOINC
Type | CodeableConcept
Obligations |
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
20. MyHealthEuLabReport.header.documentTitle
Definition | Human readable document title that can be displayed in search results, etc. This can be documentType's display name, or it can be assembled from multiple elements. Examples: 'Laboratory Result Report', 'Patient Summary of Jane Green 10.12.2024'
Short | Human readable document title that can be displayed in search results, etc. This can be documentType's display name, or it can be assembled from multiple elements. Examples: 'Laboratory Result Report', 'Patient Summary of Jane Green 10.12.2024'
Control | 1..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Obligations |
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
22. MyHealthEuLabReport.header.period
Definition | Time of service that is being documented
Short | Time of service that is being documented
Control | 0..1
Type | Period
24. MyHealthEuLabReport.header.version
Definition | Business version of the document. The exact algorithm for versioning is decided by the producer/custodian
Short | Business version of the document. The exact algorithm for versioning is decided by the producer/custodian
Note | This is a business version Id, not a resource version Id (see discussion)
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Obligations |
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
26. MyHealthEuLabReport.header.attestation
Definition | Document attestation details
Short | Document attestation details
Control | 0..*
Type | Base
Obligations |
Obligations | Actor
MAY:able-to-populate | MyHealth@EU Handler
28. MyHealthEuLabReport.header.attestation.attester[x]
Definition | Attester who validated laboratory result report. Multiple attesters could be provided.
Short | Attester who validated the document
Comments | Attestation (validation) of the laboratory report content is the usual step before legal authentication. Attestation could be provided by e.g. the laboratory specialist or the laboratory information system based on internal rules of the laboratory.
Control | 1..1
Type | Choice of: http://fhir.ehdsi.eu/core/StructureDefinition/MyHealthEuHealthProfessional, http://fhir.ehdsi.eu/core/StructureDefinition/MyHealthEuDevice
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Obligations |
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
30. MyHealthEuLabReport.header.attestation.datetime
Definition | Date and time of the approval of the document by Attester
Short | Date and time of the approval of the document by Attester
Control | 1..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Obligations |
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
32. MyHealthEuLabReport.header.legalAuthentication
Definition | Document legal authentication details
Short | Document legal authentication details
Control | 0..*
Type | Base
Obligations |
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
34. MyHealthEuLabReport.header.legalAuthentication.legalAuthenticator[x]
Definition | The person or organization taking responsibility for the medical content of the document
Short | The person or organisation taking responsibility for the medical content of the document (typically the person who signs it)
Comments | Legal authentication of the laboratory report is the usual step after attestation. Legal authentication could be provided by e.g. the head of the laboratory or the laboratory organization itself.
Control | 1..1
Type | Choice of: http://fhir.ehdsi.eu/core/StructureDefinition/MyHealthEuHealthProfessional, http://fhir.ehdsi.eu/core/StructureDefinition/MyHealthEuOrganisation
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Obligations |
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
36. MyHealthEuLabReport.header.legalAuthentication.datetime
Definition | Date and time when the document was authorised
Short | Date and time when the document was authorised
Control | 1..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Obligations |
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
38. MyHealthEuLabReport.header.eventType
Definition | Categorisation of the event covered by the document (e.g. laboratory study types, imaging study types including modality, etc.). Selection of such tags or labels depends on the use case and agreement between data sharing parties. This meta-data element serves primarily for searching and filtering purposes.
Short | Categorisation of the event covered by the document (e.g. laboratory study types, imaging study types including modality, etc.). Selection of such tags or labels depends on the use case and agreement between data sharing parties. This meta-data element serves primarily for searching and filtering purposes.
Control | 0..*
Binding | SNOMED CT
Type | CodeableConcept
Obligations |
Obligations | Actor
MAY:able-to-populate | MyHealth@EU Handler
40. MyHealthEuLabReport.header.serviceSpecialty
Definition | Additional details about where the content was created (e.g. clinical specialty)
Short | Additional details about where the content was created (e.g. clinical specialty)
Control | 0..*
Binding | SNOMED CT
Type | CodeableConcept
42. MyHealthEuLabReport.header.custodian
Definition | Organisation that is in charge of maintaining the document/report.
Short | Organisation that is in charge of maintaining the document/report.
Control | 0..1
Type | http://fhir.ehdsi.eu/core/StructureDefinition/MyHealthEuOrganisation
Obligations |
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
44. MyHealthEuLabReport.presentedForm
Definition | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
Short | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
Control | 0..*
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAttachment
Obligations |
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
46. MyHealthEuLabReport.intendedRecipient[x]
Definition | Information recipient (intended recipient or recipients of the report, additional recipients might be identified by the ordering party, e.g. GP, other specialist), if applicable
Short | Intended recipient
Control | 0..*
Type | Choice of: http://fhir.ehdsi.eu/core/StructureDefinition/MyHealthEuPatient, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSRelatedPerson, http://fhir.ehdsi.eu/core/StructureDefinition/MyHealthEuHealthProfessional, http://fhir.ehdsi.eu/core/StructureDefinition/MyHealthEuOrganisation
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Obligations |
Obligations | Actor
MAY:able-to-populate | MyHealth@EU Handler
48. MyHealthEuLabReport.body
Definition | Laboratory Report structured body
Short | Laboratory Report structured body
Control | 0..1
Type | Base
50. MyHealthEuLabReport.body.orderInformation
Definition | Order Information (Laboratory Result Report could respond to multiple test orders)
Short | Order Information (Laboratory Result Report could respond to multiple test orders)
Control | 0..*
Type | http://fhir.ehdsi.eu/laboratory/StructureDefinition/MyHealthEuLabServiceRequest
Obligations |
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
52. MyHealthEuLabReport.body.orderInformation.orderId
Definition | An identifier of the laboratory test order. Laboratory Result Report may respond to multiple orders.
Short | An identifier of the laboratory test order. Laboratory Result Report may respond to multiple orders.
Control | 1..*
Type | Identifier
54. MyHealthEuLabReport.body.orderInformation.orderDateAndTime
Definition | Date and time of the order placement.
Short | Date and time of the order placement.
Control | 0..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
56. MyHealthEuLabReport.body.orderInformation.orderPlacer[x]
Definition | The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.
Short | The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.
Control | 0..1
Type | Choice of: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSOrganisation, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSPatient
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
58. MyHealthEuLabReport.body.orderInformation.orderReason[x]
Definition | An explanation or justification for why this service is being requested in coded form.
Short | An explanation or justification for why this service is being requested in coded form.
Control | 0..*
Binding | SNOMED CT
Type | Choice of: CodeableConcept, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSCondition, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservation, string
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
60. MyHealthEuLabReport.body.orderInformation.clinicalQuestion
Definition | Specification of clinical question (goal of the investigation) to be answered by the laboratory investigation.
Short | Specification of clinical question (goal of the investigation) to be answered by the laboratory investigation.
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
62. MyHealthEuLabReport.body.supportingInformation
Definition | Additional clinical information about the patient or specimen that may influence the services or their interpretations. This information includes diagnosis, clinical findings and other observations. In laboratory ordering these are typically referred to as 'ask at order entry questions (AOEs).' This includes observations explicitly requested by the producer (filler) to provide context or supporting information needed to complete the order. For example, reporting the amount of inspired oxygen for blood gas measurements.
Short | Additional clinical information about the patient or specimen that may influence the services or their interpretations. This information includes diagnosis, clinical findings and other observations. In laboratory ordering these are typically referred to as 'ask at order entry questions (AOEs).' This includes observations explicitly requested by the producer (filler) to provide context or supporting information needed to complete the order. For example, reporting the amount of inspired oxygen for blood gas measurements.
Control | 0..1
Type | Base
64. MyHealthEuLabReport.body.supportingInformation.observation
Definition | Clinical findings and other observations.
Short | Clinical findings and other observations.
Control | 0..*
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservation
66. MyHealthEuLabReport.body.supportingInformation.condition
Definition | Condition that may influence the service or result interpretation.
Short | Condition that may influence the service or result interpretation.
Control | 0..*
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSCondition
68. MyHealthEuLabReport.body.supportingInformation.medicationAdministration
Definition | Medication administered before ordering the service.
Short | Medication administered before ordering the service.
Control | 0..*
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSMedicationAdministration
70. MyHealthEuLabReport.body.supportingInformation.sexForClinicalUse
Definition | A Sex Parameter for Clinical Use is a parameter that provides guidance on how a recipient should apply settings or reference ranges that are derived from observable information such as an organ inventory, recent hormone lab tests, genetic testing, menstrual status, obstetric history, etc.. This property is intended for use in clinical decision making, and indicates that treatment or diagnostic tests should consider best practices associated with the relevant reference population
Short | A Sex Parameter for Clinical Use is a parameter that provides guidance on how a recipient should apply settings or reference ranges that are derived from observable information such as an organ inventory, recent hormone lab tests, genetic testing, menstrual status, obstetric history, etc.. This property is intended for use in clinical decision making, and indicates that treatment or diagnostic tests should consider best practices associated with the relevant reference population
Control | 0..1
Binding | HL7 sex-parameter-for-clinical-use
Type | CodeableConcept
Obligations |
Obligations | Actor
MAY:able-to-populate | MyHealth@EU Handler
72. MyHealthEuLabReport.body.supportingInformation.vaccination
Definition | Vaccination history of the patient.
Short | Vaccination history of the patient.
Control | 0..*
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSImmunisation
74. MyHealthEuLabReport.body.supportingInformation.otherSupportingInformation
Definition | Any other type of relevant supporting information
Short | Any other type of relevant supporting information
Control | 0..*
Type | Resource
76. MyHealthEuLabReport.body.specimen
Definition | Specimen information
Short | Specimen information
Control | 0..*
Type | http://fhir.ehdsi.eu/laboratory/StructureDefinition/MyHealthEuLabSpecimen
Obligations |
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
78. MyHealthEuLabReport.body.serviceRequest
Definition | Specification of requested service or services
Short | Specification of requested service or services
Control | 0..*
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSServiceRequest
80. MyHealthEuLabReport.body.resultData
Definition | Laboratory report result data
Short | Laboratory report result data
Control | 1..1
Type | Base
Obligations |
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
82. MyHealthEuLabReport.body.resultData.commentsInterpretationAndRecommendations
Definition | Narrative Comments, such as a textual interpretation or advice accompanying the result report, for example.
Short | Narrative Comments, such as a textual interpretation or advice accompanying the result report, for example.
Control | 0..*
Type | Narrative
Obligations |
Obligations | Actor
MAY:able-to-populate | MyHealth@EU Handler
84. MyHealthEuLabReport.body.resultData.laboratoryTestResults
Definition | Observation details (report could consist of multiple observations)
Short | Observation details (report could consist of multiple observations)
Control | 0..*
Type | http://fhir.ehdsi.eu/laboratory/StructureDefinition/MyHealthEuLabObservation
Obligations |
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
86. MyHealthEuLabReport.attachments
Definition | Report attachments
Short | Report attachments
Control | 0..*
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAttachment
Obligations |
Obligations | Actor
MAY:able-to-populate | MyHealth@EU Handler

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

0. MyHealthEuLabReport
Definition | MyHealthEu refined model for laboratory result report.
Short | MyHealth@EU Laboratory Report model
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. MyHealthEuLabReport.header
4. MyHealthEuLabReport.header.subject
Type | http://fhir.ehdsi.eu/core/StructureDefinition/MyHealthEuPatient
Obligations |
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
6. MyHealthEuLabReport.header.identifier
Note | This is a business identifier, not a resource identifier (see discussion)
Obligations |
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
8. MyHealthEuLabReport.header.author[x]
Type | Choice of: http://fhir.ehdsi.eu/core/StructureDefinition/MyHealthEuHealthProfessional, http://fhir.ehdsi.eu/core/StructureDefinition/MyHealthEuOrganisation, http://fhir.ehdsi.eu/core/StructureDefinition/MyHealthEuDevice
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Obligations |
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
10. MyHealthEuLabReport.header.date
Obligations |
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
12. MyHealthEuLabReport.header.status
Obligations |
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
14. MyHealthEuLabReport.header.language
Obligations |
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
16. MyHealthEuLabReport.header.documentType
Obligations |
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
18. MyHealthEuLabReport.header.documentTitle
Obligations |
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
20. MyHealthEuLabReport.header.version
Note | This is a business version Id, not a resource version Id (see discussion)
Obligations |
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
22. MyHealthEuLabReport.header.attestation
Obligations |
Obligations | Actor
MAY:able-to-populate | MyHealth@EU Handler
24. MyHealthEuLabReport.header.attestation.attester[x]
Type | Choice of: http://fhir.ehdsi.eu/core/StructureDefinition/MyHealthEuHealthProfessional, http://fhir.ehdsi.eu/core/StructureDefinition/MyHealthEuDevice
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Obligations |
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
26. MyHealthEuLabReport.header.attestation.datetime
Obligations |
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
28. MyHealthEuLabReport.header.legalAuthentication
Obligations |
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
30. MyHealthEuLabReport.header.legalAuthentication.legalAuthenticator[x]
Type | Choice of: http://fhir.ehdsi.eu/core/StructureDefinition/MyHealthEuHealthProfessional, http://fhir.ehdsi.eu/core/StructureDefinition/MyHealthEuOrganisation
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Obligations |
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
32. MyHealthEuLabReport.header.legalAuthentication.datetime
Obligations |
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
34. MyHealthEuLabReport.header.eventType
Obligations |
Obligations | Actor
MAY:able-to-populate | MyHealth@EU Handler
36. MyHealthEuLabReport.header.custodian
Type | http://fhir.ehdsi.eu/core/StructureDefinition/MyHealthEuOrganisation
Obligations |
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
38. MyHealthEuLabReport.presentedForm
Obligations |
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
40. MyHealthEuLabReport.intendedRecipient[x]
Type | Choice of: http://fhir.ehdsi.eu/core/StructureDefinition/MyHealthEuPatient, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSRelatedPerson, http://fhir.ehdsi.eu/core/StructureDefinition/MyHealthEuHealthProfessional, http://fhir.ehdsi.eu/core/StructureDefinition/MyHealthEuOrganisation
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Obligations |
Obligations | Actor
MAY:able-to-populate | MyHealth@EU Handler
42. MyHealthEuLabReport.body
44. MyHealthEuLabReport.body.orderInformation
Type | http://fhir.ehdsi.eu/laboratory/StructureDefinition/MyHealthEuLabServiceRequest
Obligations |
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
46. MyHealthEuLabReport.body.supportingInformation
48. MyHealthEuLabReport.body.supportingInformation.sexForClinicalUse
Obligations |
Obligations | Actor
MAY:able-to-populate | MyHealth@EU Handler
50. MyHealthEuLabReport.body.specimen
Type | http://fhir.ehdsi.eu/laboratory/StructureDefinition/MyHealthEuLabSpecimen
Obligations |
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
52. MyHealthEuLabReport.body.resultData
Obligations |
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
54. MyHealthEuLabReport.body.resultData.commentsInterpretationAndRecommendations
Obligations |
Obligations | Actor
MAY:able-to-populate | MyHealth@EU Handler
56. MyHealthEuLabReport.body.resultData.laboratoryTestResults
Type | http://fhir.ehdsi.eu/laboratory/StructureDefinition/MyHealthEuLabObservation
Obligations |
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
58. MyHealthEuLabReport.attachments
Obligations |
Obligations | Actor
MAY:able-to-populate | MyHealth@EU Handler

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

0. MyHealthEuLabReport
Definition | MyHealthEu refined model for laboratory result report.
Short | MyHealth@EU Laboratory Report model
Control | 0..*
Is Modifier | false
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. MyHealthEuLabReport.header
Definition | Basic metadata for this information
Short | Laboratory Report header
Control | 1..1
Type | Base
4. MyHealthEuLabReport.header.subject
Definition | Patient/subject information
Short | Patient/subject information
Control | 1..1
Type | http://fhir.ehdsi.eu/core/StructureDefinition/MyHealthEuPatient
Obligations |
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
6. MyHealthEuLabReport.header.identifier
Definition | Business identifier for the object, unique within its system. Supporting disambiguation between different contexts (systems/countries).
Short | Unique identifier of the document
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 1..*
Type | Identifier
Obligations |
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
8. MyHealthEuLabReport.header.author[x]
Definition | Author(s) by whom the laboratory result report was authored. Multiple authors could be provided.
Short | Author(s) by whom the laboratory result report was authored.
Comments | Author of the laboratory report could be either a health professional who authored the report, laboratory itself or laboratory information system. Author information is the only mandatory element of the laboratory report header. As such, each laboratory shall be able to provide at least the author information.
Control | 1..*
Type | Choice of: http://fhir.ehdsi.eu/core/StructureDefinition/MyHealthEuHealthProfessional, http://fhir.ehdsi.eu/core/StructureDefinition/MyHealthEuOrganisation, http://fhir.ehdsi.eu/core/StructureDefinition/MyHealthEuDevice
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Obligations |
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
10. MyHealthEuLabReport.header.date
Definition | Date and optionally time of authoring/issuing
Short | Date of finalising/issuing the document
Control | 1..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Obligations |
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
12. MyHealthEuLabReport.header.status
Definition | Status of the resource or document
Short | Status of the document
Control | 1..1
Type | CodeableConcept
Obligations |
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
14. MyHealthEuLabReport.header.source
Definition | Source of information (e.g. patient, patient's proxy). Used in case the patient has authored the information or the author has submitted patient-stated information.
Short | Source of information (e.g. patient, patient's proxy). Used in case the patient has authored the information or the author has submitted patient-stated information.
Control | 0..0
Type | CodeableConcept
16. MyHealthEuLabReport.header.language
Definition | Language in which the resource is written. Language is expressed by the IETF language tag.
Short | Language in which the resource is written. Language is expressed by the IETF language tag.
Control | 0..1
Binding | BCP 47
Type | CodeableConcept
Obligations |
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
18. MyHealthEuLabReport.header.documentType
Definition | Type of document at hand, e.g. 60591-5 Patient summary document.
Short | Type of document at hand, e.g. 60591-5 Patient summary document.
Control | 1..1
Binding | LOINC
Type | CodeableConcept
Obligations |
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
20. MyHealthEuLabReport.header.documentTitle
Definition | Human readable document title that can be displayed in search results, etc. This can be documentType's display name, or it can be assembled from multiple elements. Examples: 'Laboratory Result Report', 'Patient Summary of Jane Green 10.12.2024'
Short | Human readable document title that can be displayed in search results, etc. This can be documentType's display name, or it can be assembled from multiple elements. Examples: 'Laboratory Result Report', 'Patient Summary of Jane Green 10.12.2024'
Control | 1..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Obligations |
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
22. MyHealthEuLabReport.header.period
Definition | Time of service that is being documented
Short | Time of service that is being documented
Control | 0..1
Type | Period
24. MyHealthEuLabReport.header.version
Definition | Business version of the document. The exact algorithm for versioning is decided by the producer/custodian
Short | Business version of the document. The exact algorithm for versioning is decided by the producer/custodian
Note | This is a business version Id, not a resource version Id (see discussion)
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Obligations |
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
26. MyHealthEuLabReport.header.attestation
Definition | Document attestation details
Short | Document attestation details
Control | 0..*
Type | Base
Obligations |
Obligations | Actor
MAY:able-to-populate | MyHealth@EU Handler
28. MyHealthEuLabReport.header.attestation.attester[x]
Definition | Attester who validated laboratory result report. Multiple attesters could be provided.
Short | Attester who validated the document
Comments | Attestation (validation) of the laboratory report content is the usual step before legal authentication. Attestation could be provided by e.g. the laboratory specialist or the laboratory information system based on internal rules of the laboratory.
Control | 1..1
Type | Choice of: http://fhir.ehdsi.eu/core/StructureDefinition/MyHealthEuHealthProfessional, http://fhir.ehdsi.eu/core/StructureDefinition/MyHealthEuDevice
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Obligations |
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
30. MyHealthEuLabReport.header.attestation.datetime
Definition | Date and time of the approval of the document by Attester
Short | Date and time of the approval of the document by Attester
Control | 1..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Obligations |
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
32. MyHealthEuLabReport.header.legalAuthentication
Definition | Document legal authentication details
Short | Document legal authentication details
Control | 0..*
Type | Base
Obligations |
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
34. MyHealthEuLabReport.header.legalAuthentication.legalAuthenticator[x]
Definition | The person or organization taking responsibility for the medical content of the document
Short | The person or organisation taking responsibility for the medical content of the document (typically the person who signs it)
Comments | Legal authentication of the laboratory report is the usual step after attestation. Legal authentication could be provided by e.g. the head of the laboratory or the laboratory organization itself.
Control | 1..1
Type | Choice of: http://fhir.ehdsi.eu/core/StructureDefinition/MyHealthEuHealthProfessional, http://fhir.ehdsi.eu/core/StructureDefinition/MyHealthEuOrganisation
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Obligations |
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
36. MyHealthEuLabReport.header.legalAuthentication.datetime
Definition | Date and time when the document was authorised
Short | Date and time when the document was authorised
Control | 1..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Obligations |
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
38. MyHealthEuLabReport.header.eventType
Definition | Categorisation of the event covered by the document (e.g. laboratory study types, imaging study types including modality, etc.). Selection of such tags or labels depends on the use case and agreement between data sharing parties. This meta-data element serves primarily for searching and filtering purposes.
Short | Categorisation of the event covered by the document (e.g. laboratory study types, imaging study types including modality, etc.). Selection of such tags or labels depends on the use case and agreement between data sharing parties. This meta-data element serves primarily for searching and filtering purposes.
Control | 0..*
Binding | SNOMED CT
Type | CodeableConcept
Obligations |
Obligations | Actor
MAY:able-to-populate | MyHealth@EU Handler
40. MyHealthEuLabReport.header.serviceSpecialty
Definition | Additional details about where the content was created (e.g. clinical specialty)
Short | Additional details about where the content was created (e.g. clinical specialty)
Control | 0..*
Binding | SNOMED CT
Type | CodeableConcept
42. MyHealthEuLabReport.header.custodian
Definition | Organisation that is in charge of maintaining the document/report.
Short | Organisation that is in charge of maintaining the document/report.
Control | 0..1
Type | http://fhir.ehdsi.eu/core/StructureDefinition/MyHealthEuOrganisation
Obligations |
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
44. MyHealthEuLabReport.presentedForm
Definition | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
Short | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
Control | 0..*
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAttachment
Obligations |
Obligations | Actor
SHOULD:handle | MyHealth@EU Handler
46. MyHealthEuLabReport.intendedRecipient[x]
Definition | Information recipient (intended recipient or recipients of the report, additional recipients might be identified by the ordering party, e.g. GP, other specialist), if applicable
Short | Intended recipient
Control | 0..*
Type | Choice of: http://fhir.ehdsi.eu/core/StructureDefinition/MyHealthEuPatient, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSRelatedPerson, http://fhir.ehdsi.eu/core/StructureDefinition/MyHealthEuHealthProfessional, http://fhir.ehdsi.eu/core/StructureDefinition/MyHealthEuOrganisation
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Obligations |
Obligations | Actor
MAY:able-to-populate | MyHealth@EU Handler
48. MyHealthEuLabReport.body
Definition | Laboratory Report structured body
Short | Laboratory Report structured body
Control | 0..1
Type | Base
50. MyHealthEuLabReport.body.orderInformation
Definition | Order Information (Laboratory Result Report could respond to multiple test orders)
Short | Order Information (Laboratory Result Report could respond to multiple test orders)
Control | 0..*
Type | http://fhir.ehdsi.eu/laboratory/StructureDefinition/MyHealthEuLabServiceRequest
Obligations |
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
52. MyHealthEuLabReport.body.orderInformation.orderId
Definition | An identifier of the laboratory test order. Laboratory Result Report may respond to multiple orders.
Short | An identifier of the laboratory test order. Laboratory Result Report may respond to multiple orders.
Control | 1..*
Type | Identifier
54. MyHealthEuLabReport.body.orderInformation.orderDateAndTime
Definition | Date and time of the order placement.
Short | Date and time of the order placement.
Control | 0..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
56. MyHealthEuLabReport.body.orderInformation.orderPlacer[x]
Definition | The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.
Short | The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.
Control | 0..1
Type | Choice of: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSOrganisation, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSPatient
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
58. MyHealthEuLabReport.body.orderInformation.orderReason[x]
Definition | An explanation or justification for why this service is being requested in coded form.
Short | An explanation or justification for why this service is being requested in coded form.
Control | 0..*
Binding | SNOMED CT
Type | Choice of: CodeableConcept, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSCondition, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservation, string
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
60. MyHealthEuLabReport.body.orderInformation.clinicalQuestion
Definition | Specification of clinical question (goal of the investigation) to be answered by the laboratory investigation.
Short | Specification of clinical question (goal of the investigation) to be answered by the laboratory investigation.
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
62. MyHealthEuLabReport.body.supportingInformation
Definition | Additional clinical information about the patient or specimen that may influence the services or their interpretations. This information includes diagnosis, clinical findings and other observations. In laboratory ordering these are typically referred to as 'ask at order entry questions (AOEs).' This includes observations explicitly requested by the producer (filler) to provide context or supporting information needed to complete the order. For example, reporting the amount of inspired oxygen for blood gas measurements.
Short | Additional clinical information about the patient or specimen that may influence the services or their interpretations. This information includes diagnosis, clinical findings and other observations. In laboratory ordering these are typically referred to as 'ask at order entry questions (AOEs).' This includes observations explicitly requested by the producer (filler) to provide context or supporting information needed to complete the order. For example, reporting the amount of inspired oxygen for blood gas measurements.
Control | 0..1
Type | Base
64. MyHealthEuLabReport.body.supportingInformation.observation
Definition | Clinical findings and other observations.
Short | Clinical findings and other observations.
Control | 0..*
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservation
66. MyHealthEuLabReport.body.supportingInformation.condition
Definition | Condition that may influence the service or result interpretation.
Short | Condition that may influence the service or result interpretation.
Control | 0..*
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSCondition
68. MyHealthEuLabReport.body.supportingInformation.medicationAdministration
Definition | Medication administered before ordering the service.
Short | Medication administered before ordering the service.
Control | 0..*
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSMedicationAdministration
70. MyHealthEuLabReport.body.supportingInformation.sexForClinicalUse
Definition | A Sex Parameter for Clinical Use is a parameter that provides guidance on how a recipient should apply settings or reference ranges that are derived from observable information such as an organ inventory, recent hormone lab tests, genetic testing, menstrual status, obstetric history, etc.. This property is intended for use in clinical decision making, and indicates that treatment or diagnostic tests should consider best practices associated with the relevant reference population
Short | A Sex Parameter for Clinical Use is a parameter that provides guidance on how a recipient should apply settings or reference ranges that are derived from observable information such as an organ inventory, recent hormone lab tests, genetic testing, menstrual status, obstetric history, etc.. This property is intended for use in clinical decision making, and indicates that treatment or diagnostic tests should consider best practices associated with the relevant reference population
Control | 0..1
Binding | HL7 sex-parameter-for-clinical-use
Type | CodeableConcept
Obligations |
Obligations | Actor
MAY:able-to-populate | MyHealth@EU Handler
72. MyHealthEuLabReport.body.supportingInformation.vaccination
Definition | Vaccination history of the patient.
Short | Vaccination history of the patient.
Control | 0..*
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSImmunisation
74. MyHealthEuLabReport.body.supportingInformation.otherSupportingInformation
Definition | Any other type of relevant supporting information
Short | Any other type of relevant supporting information
Control | 0..*
Type | Resource
76. MyHealthEuLabReport.body.specimen
Definition | Specimen information
Short | Specimen information
Control | 0..*
Type | http://fhir.ehdsi.eu/laboratory/StructureDefinition/MyHealthEuLabSpecimen
Obligations |
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
78. MyHealthEuLabReport.body.serviceRequest
Definition | Specification of requested service or services
Short | Specification of requested service or services
Control | 0..*
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSServiceRequest
80. MyHealthEuLabReport.body.resultData
Definition | Laboratory report result data
Short | Laboratory report result data
Control | 1..1
Type | Base
Obligations |
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
82. MyHealthEuLabReport.body.resultData.commentsInterpretationAndRecommendations
Definition | Narrative Comments, such as a textual interpretation or advice accompanying the result report, for example.
Short | Narrative Comments, such as a textual interpretation or advice accompanying the result report, for example.
Control | 0..*
Type | Narrative
Obligations |
Obligations | Actor
MAY:able-to-populate | MyHealth@EU Handler
84. MyHealthEuLabReport.body.resultData.laboratoryTestResults
Definition | Observation details (report could consist of multiple observations)
Short | Observation details (report could consist of multiple observations)
Control | 0..*
Type | http://fhir.ehdsi.eu/laboratory/StructureDefinition/MyHealthEuLabObservation
Obligations |
Obligations | Actor
SHALL:handle | MyHealth@EU Handler
86. MyHealthEuLabReport.attachments
Definition | Report attachments
Short | Report attachments
Control | 0..*
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAttachment
Obligations |
Obligations | Actor
MAY:able-to-populate | MyHealth@EU Handler