MyHealth@Eu Laboratory Report
0.0.1 - qa-preview 150

This page is part of the MyHealth@Eu Laboratory Report (v0.0.1: QA Preview) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Artifacts Summary

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

MyHealth@EU Requirements Catalogue

Logical models representing the data sets specified in the MyHealth@EU Requirements Catalogue

1 Laboratory Result Content

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

1.1 Patient/subject

Identification of the patient/subject and Patient/subject related contact information as defined by the MyHealth@EU business requirement ‘13.01 Create the MyHealth@EU Laboratory Result Report Content’.

1.2 Health insurance and payment information

Health insurance and payment information as defined by the MyHealth@EU business requirement ‘13.01 Create the MyHealth@EU Laboratory Result Report Content’.

1.3 Information recipient

Information recipient as defined by the MyHealth@EU business requirement ‘13.01 Create the MyHealth@EU Laboratory Result Report Content’.

1.4 Author

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

1.5 Legal authenticator

Legal authenticator as defined by the MyHealth@EU business requirement ‘13.01 Create the MyHealth@EU Laboratory Result Report Content’.

1.6 Result validator

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

1.7 Order information and reason

Order information and reason as defined by the MyHealth@EU business requirement ‘13.01 Create the MyHealth@EU Laboratory Result Report Content’.

1.8 Specimen information

Specimen information as defined by the MyHealth@EU business requirement ‘13.01 Create the MyHealth@EU Laboratory Result Report Content’.

1.9 Results data elements

Results data elements as defined by the MyHealth@EU business requirement ‘13.01 Create the MyHealth@EU Laboratory Result Report Content’.

MyHealth@EU Logical Model mappings

Concept Maps describing how the MyHealth@EU Requirements Catalogue model should be implemented by using this guide

1 - Laboratory Report model to this guide

It shows how the Laboratory Report data set defined by the MyHealth@EU Requirements Catalogue is mapped into this guide.

1.1 Subject of care model to this guide

It shows how the Subject data set defined by the MyHealth@EU Requirements Catalogue is mapped into this guide.

1.2 Health insurance and payment information model to this guide

It shows how the Health insurance and payment information data set defined by the MyHealth@EU Requirements Catalogue is mapped into this guide.

1.3 Information recipient model to this guide

It shows how the Information recipient data set defined by the MyHealth@EU Requirements Catalogue is mapped into this guide.

1.4 Author model to this guide

It shows how the Author data set defined by the MyHealth@EU Requirements Catalogue is mapped into this guide.

1.5 Legal authenticator model to this guide

It shows how the Legal authenticator data set defined by the MyHealth@EU Requirements Catalogue is mapped into this guide.

1.6 Result validator model to this guide

It shows how the Result validator data set defined by the MyHealth@EU Requirements Catalogue is mapped into this guide.

1.7 Order model to this guide

It shows how the Order data set defined by the MyHealth@EU Requirements Catalogue is mapped into this guide.

1.8 Specimen information model to this guide

It shows how the Specimen information data set defined by the MyHealth@EU Requirements Catalogue is mapped into this guide.

1.9 Results data model to this guide

It shows how the Results data elements data set defined by the MyHealth@EU Requirements Catalogue is mapped into this guide.

Actors and Obligations (Informative)

Actors and Obligations used to describe the Laboratory Report functional requirements for the specified data elements. Informative for this version of the guide.

Actor Laboratory Report Consumer

Laboratory Report Report Consumer: a system receiving/querying and using a Laboratory Report.

Actor Laboratory Report Creator

Laboratory Report Creator: a system generating and sending/providing a Laboratory Report to a Consumer or to a Repository for report storage and sharing.

Actor Laboratory Report Handler

Laboratory Report Handler: a generic system dealing with Laboratory Reports

Actor Laboratory Report Repository

Laboratory Report Report Repository: a system maintaining a copy of the received Laboratory Report, to store and make it availaìble for the consumers.

Human Name Obligations

Specify the functional capabilities that the defined actors may, should or shall applied to the Human Name profile elements.

Observation Obligations

Specify the functional capabilities that the defined actors may, should or shall applied to the Observation profile elements.

Patient Obligations

Specify the functional capabilities that the defined actors may, should or shall applied to the Patient EU Lab profile elements.

ServiceRequest Obligations

Specify the functional capabilities that the defined actors may, should or shall applied to the ServiceRequest profile elements.

Specimen Obligations

Specify the functional capabilities that the defined actors may, should or shall applied to the Specimen profile elements.

Master Value Catalogue

Value Sets belonging the MyHealth@EU Master Value Catalogue (MVC)

eHDSI Animal Species

The Value Set is used to code the animal species of specimen subject (animal of the patient)

eHDSI Blood Group

The Value Set is used to code the value of patient’s blood group + Rh

eHDSI Body Site

The Value Set is used for the details about the anatomical location of a specimen in the Laboratory Result Report or the target body location of a procedure in the Patient Summary.

eHDSI Body Site Laterality

This Value Set is used for the body structure site laterality qualifier. It indicates the body site laterality from which a laboratory specimen is collected.

eHDSI Body Structure Location Qualifier

This Value Set is used for the body structure location qualifier. Concepts modifying the anatomic location.

eHDSI Country

The Value Set is used to identify the nationality of all persons and organizations.

eHDSI Exceptional Value

The Value Set is used to code exceptional values for the required binding in FHIR IGs

eHDSI Illness and Disorder

The complete content of ICD-10, excluding Chapter XX.

eHDSI Laboratory Codes

This Value Set is used for the standard laboratory codes

eHDSI Laboratory Report Types

eHDSI Laboratory Report Types

eHDSI Laboratory Specimen Type

This Value Set is used for the kind of material that forms the specimen

eHDSI Laboratory Study Types

eHDSI Laboratory Study Types. Notes: Note 1: 26436-6 (Laboratory studies) enables issuing a report putting together observations from multiple specialties (disciplines) in the same text block, allowing delivery of a global interpretation comment at the end of the text block that will be rendered at the end of the report. Note 2: Mycology and parasitology, as well as bacteriology, are part of the 18725-2 (Microbiology studies (set)) studies. Note 3: Virology MAY be included in 18725-2 (MICROBIOLOGY STUDIES) or 18727-8 (SEROLOGY STUDIES) or split between both study types, depending upon the Content Creator Actor’s choice.

eHDSI Laboratory Technique

This Value Set is used to encode laboratory technique for the result measurement

eHDSI Language

The Value Set is used to identify the language the document will be written with.

eHDSI Medical Device

eHDSI Medical Device

eHDSI Microorganism

eHDSI Morphologic Abnormality

eHDSI Morphologic Abnormality

The Value Set is used to code the morphological abnormalities of the anatomical location where the material is taken.

eHDSI Observation category

This Value Set is used for the Laboratory Observation Results Category code

eHDSI Observation Interpretation

This Value Set is used for a rough qualitative interpretation of the Laboratory Observation Results

eHDSI Performer Function

Laboratory Performer Function

eHDSI Presence Absence

The Value Set is used to describe presence and absence findings (qualifier values) of the Laboratory Test Results

eHDSI Rare Disease

The Value Set is used to describe the problems and medication reasons.

eHDSI Reaction Allergy

Value Set is used to encode clinical manifestation of the allergic reaction.

eHDSI Reference Range Applies To

This value set defines a set of codes that can be used to indicate the particular target population the reference range applies to

eHDSI Reference Range Meaning

This value set defines a set of codes for a reference range qualifier

eHDSI Unit

eHDSI Unit

Structures: Resource Profiles

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

Body structure: Laboratory

This profile defines how to represent Body Structure in HL7 FHIR for the purpose of this guide.

Bundle: Laboratory

This profile defines how to use a Bundle to represent a Laboratory Result Report in HL7 FHIR for the purpose of this guide.

Composition: Laboratory

This profile defines how to constrain the Clinical document profile (Composition) to represent a Laboratory Report for the purpose of this guide.

Coverage: Laboratory

This profile defines how to represent Health insurance and payment information in HL7 FHIR for the purpose of this guide.

Device: measuring

This profile defines how to represent a measuring Device in HL7 FHIR for the purpose of this guide.

Device: specimen subject

This profile defines how to represent a device in HL7 FHIR, when used as specimen subject, for the purpose of this guide.

DiagnosticReport: Laboratory

This profile defines how to constrain the DiagnosticReport resource to represent a Laboratory Report for the purpose of this guide.

Observation Results: Laboratory

This profile constrains the Observation resource to represent results produced by laboratory tests or panels/studies for the purpose of this guide. This observation may represent the result of a simple laboratory test such as hematocrit or it may group the set of results produced by a multi-test study or panel such as a complete blood count, a dynamic function test, a urine specimen study. In the latter case, the observation carries the overall conclusion of the study and or a global interpretation by the producer of the study, in the comment element; and references the atomic results of the study as “has-member” child observations.

Organization: Laboratory

This profile defines how to represent Organizations in HL7 FHIR for the purpose of this guide.

Patient: Animal

This profile defines how to represent an Animal as subject of care in FHIR for the purpose of this guide. This is used to identify the species when a specimen is collected from an animal

Patient: Laboratory

This profile defines how to represent Patients in HL7 FHIR for the purpose of this guide.

Practitioner: Laboratory

This profile defines how to represent Practitioners in HL7 FHIR for the purpose of this guide.

PractitionerRole: Laboratory

This profile defines how to represent Practitioners (with thier roles) in HL7 FHIR for the purpose of this guide.

ServiceRequest: Laboratory

This profile defines how to represent a Laboratory Order in HL7 FHIR for the purpose of this guide.

Specimen: Laboratory

This profile defines how to represent Specimens in HL7 FHIR for the purpose of this guide.

Structures: Data Type Profiles

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

Quantity: Laboratory

This profile of the Quantity data type constraints the Quantity (Eu Lab) profile defining a core value set for UCUM. The Quantity (Eu Lab) imposes the usage of the UCUM as the code system for units and allows expressing uncertainty of measurement.

Ratio: Laboratory

This profile of the Ratio data type constraints the Ratio (Eu Lab) profile defining a core value set for UCUM. The Ratio (Eu Lab) imposes the usage of the UCUM as the code system for units and allows expressing uncertainty of measurement.

Terminology: Value Sets

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

eHDSI Animal Species with exceptions

The Value Set is used to code the animal species of specimen subject (animal of the patient). It also includes exceptional values.

eHDSI Body Site with exceptions

The Value Set is used for the details about the anatomical location of a specimen in the Laboratory Result Report or the target body location of a procedure in the Patient Summary. It includes also exceptional values.

eHDSI Body Structure Location Qualifier with exceptions

This Value Set is used for the body structure location qualifier. Concepts modifying the anatomic location. It also includes exceptional values.

eHDSI Laboratory Codes with exceptions

This Value Set is used for the standard laboratory codes. It also includes exceptional values.

eHDSI Laboratory Specimen Type with exceptions

This Value Set is used for the kind of material that forms the specimen. It also includes exceptional values

eHDSI Laboratory Study Types with exceptions

eHDSI Laboratory Study Types. Notes: Note 1: 26436-6 (Laboratory studies) enables issuing a report putting together observations from multiple specialties (disciplines) in the same text block, allowing delivery of a global interpretation comment at the end of the text block that will be rendered at the end of the report. Note 2: Mycology and parasitology, as well as bacteriology, are part of the 18725-2 (Microbiology studies (set)) studies. Note 3: Virology MAY be included in 18725-2 (MICROBIOLOGY STUDIES) or 18727-8 (SEROLOGY STUDIES) or split between both study types, depending upon the Content Creator Actor’s choice. It includes also exceptional values.

eHDSI Laboratory Technique with exceptions

This Value Set is used to encode laboratory technique for the result measurement. It also includes exceptional values.

eHDSI Medical Device with exceptions

eHDSI Medical Device. The Value Set contains exceptional values.

eHDSI Morphologic Abnormality with exceptions

The Value Set is used to code the morphological abnormalities of the anatomical location where the material is taken. It also includes exceptional values.

eHDSI Observation Interpretation with exceptions

This Value Set is used for a rough qualitative interpretation of the Laboratory Observation Results. It also includes exceptional values.

eHDSI Order Reason

The Value Set is used to code clinical conditions relevant for the laboratory results interpretation. It is defined as the union of: (a) EHDSIIllnessandDisorder (b) EHDSIRareDisease (c) EHDSIReactionAllergy (d) EHDSIExceptionalValue

eHDSI Reference Range Applies To with exceptions

This value set defines a set of codes that can be used to indicate the particular target population the reference range applies to. It also includes exceptional values.

eHDSI Reference Range Meaning with exceptions

This value set defines a set of codes for a reference range qualifier. It also includes exceptional values.

eHDSI Results Coded Value Laboratory with exceptions

The Value Set is used to code the value of laboratory observation result. It is defined as the union of: (a) eHDSIBloodGroup (b) eHDSIPresenceAbsence (c) eHDSIMicroorganism (d) eHDSIExceptionalValue

Example: Example Instances

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

Bundle: example

Bundle: Laboratory Result Report for POC

Composition: example

Composition: example of Laboratory Report

DiagnosticReport: example

DiagnosticReport: example of Laboratory Report

Observation: Blood Group

Observation: example of Blood Group result

Observation: Ratio example

Observation: example with ratio result and test kit specified

Patient: example

Patient: example

ServiceRequest: example

ServiceRequest: example of Hemoglobin and Hematocrit panel order

Specimen: animal subject

Specimen: example of animal subject

Specimen: bodyStructure example

Specimen: example of Blood specimen with BodyStructure specified

Specimen: device subject

Specimen: example of device subject