HL7 CZ Laboratory IG
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HL7 CZ Laboratory IG, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.5.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/cz-lab/ and changes regularly. See the Directory of published versions

Artifacts Summary

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

Actors

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

Actor Laboratory report Consumer L1

A system receiving/querying and using a L1 Laboratory report.

Actor Laboratory report Consumer L2

S system receiving/querying and using a L2 Laboratory report.

Actor Laboratory report Consumer L3

A system receiving/querying and using a L3 Laboratory report.

Actor Laboratory report Creator L1

A system generating and sending/providing a L1 Laboratory report to a Consumer for report storage and sharing.

Actor Laboratory report Creator L2

A system generating and sending/providing a L2 Laboratory report to a Consumer for report storage and sharing.

Actor Laboratory report Creator L3

A system generating and sending/providing a L3 Laboratory report to a Consumer for report storage and sharing.

Obligations

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

Bundle: Obligations

This profile defines obligations for a bundle in FHIR for the purpose of this guide.

Composition: Obligations

This profile defines obligations for a composition in FHIR for the purpose of this guide.

Diagnostic Report: Obligations

This profile defines obligations for a diagnostic report in FHIR for the purpose of this guide.

DocumentReference: Obligations

This profile defines obligations for a bundle in FHIR for the purpose of this guide.

Encounter: Obligations

This profile defines obligations for an encounter in FHIR for the purpose of this guide.

Organization: Obligations

This profile defines obligations for an organization in FHIR for the purpose of this guide.

Patient Animal: Obligations

This profile defines obligations for an animal Patient in FHIR for the purpose of this guide.

Patient: Obligations

This profile defines obligations for an human Patient in FHIR for the purpose of this guide.

Specimen: Obligations

This profile defines obligations for a specimen in FHIR for the purpose of this guide.

Czech logical model (Informative)

Logical model in czech language. Informative for this version of the guide.

A - Laboratorní zpráva

Zpráva z laboratorního vyšetření

A.1.1, A1.2 - Pacient

Pacient

A.1.3 - Preferované systémy

Informace o zdravotním pojištění

A.1.4 - Příjemce dokumentu

Informace o zamýšleném příjemci dokumentu

A.1.5 - Autor dokumentu

Autor dokumentu dle zákona 372/2011 §54 odst. (3)

A.1.6 - Ověřil

Ověřil

A.1.7 - Zodpovídá

Zodpovídá

A.1.9 - Electronic signatures

Electronic signatures According to Act No. 327/2011, §54a Section A1.7 of the eHN guideline.

A.2.1, A.2.2 - Objednávka

Objednávka

A.2.3 - Informace o vzorku

Informace o vzorku

A.2.4 - Datové elementy výsledku vyšetření

Datové elementy výsledku vyšetření

A.3 - Presented form

Presented form - Entire report as issued. Various formats could be provided, pdf format is recommended.

A.4 - Additional attachments

Laboratory Report - Laboratory Report additional attachments - A.4

Structures: Logical Models

These define data models that represent the domain covered by this implementation guide in more business-friendly terms than the underlying FHIR resources.

A - Laboratory Report

Laboratory Report. eHN guideline model.

A.1.1, A1.2 - Subject of care

Patient or Subject of care. Sections A1.1 and A1.2 of the eHN guideline.

A.1.3 - Health insurance and payment information

Health insurance and payment information. Section A1.3 of the eHN guideline.

A.1.4 - Information recipient

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. Section A1.4 of the eHN guideline.

A.1.5 - Author

Author (by whom the Laboratory result report or a subset of its results was authored). Section A1.5 of the eHN guideline.

A.1.6 - Result validator

Result validator. Section A1.6 of the eHN guideline.

A.1.7 - Legal authenticator

Legal authenticator (The person taking responsibility for the medical content of the document). Section A1.7 of the eHN guideline.

A.1.9 - Electronic signatures

Electronic signatures According to Act No. 327/2011, §54a Section A1.7 of the eHN guideline.

A.2.1, A.2.2 - Order

Order information and reason. Sections A2 and A3 of the eHN guideline.

A.2.3 - Specimen information

Specimen information. Section A4 of the eHN guideline.

A.2.4 - Results data elements

Results data elements. Section A5 of the eHN guideline.

A.3 - Presented form

Presented form - Entire report as issued. Various formats could be provided, pdf format is recommended.

A.4 - Additional attachments

Laboratory Report - Laboratory Report additional attachments - A.4

Structures: Resource Profiles

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

Attachment: Lab Report (CZ)

Czech profile for attachment.

Bundle - Laboratory Result Report

This profile represents the constraints applied to the Bundle resource by the Czech national laboratory report FHIR Implementation Guide.

Composition: Laboratory Report

Clinical document used to represent a Laboratory Report in the scope of the Czech national interoperability project.

DiagnosticReport: Laboratory Report

Diagnostic Report used to represent an entry of a Laboratory Report, including its context, for the scope of the Czech national interoperability project.

Observation Laboratory (CZ)

This profile constrains the Observation resource to represent results produced by laboratory tests or panels/studies.

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.

Practitioner: Obligations

This profile defines obligations for a practitioner in FHIR for the purpose of this guide.

ServiceRequest: Laboratory Order

ServiceRequest used to represent a Laboratory Order for the scope of the Czech national interoperability project.

Specimen Laboratory (CZ)

Czech profile for a specimen in a laboratory report. In some laboratory reports, specimen information is allowed to be minimal as many informations concerning the specimen are implied by the observations done.

Structures: Extension Definitions

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

Document Based On Order

This extension provides a link to the order [(Reference(ServiceRequest)] or requisition [ServiceRequest.requisition (i.e., 'Request.groupIdentifier')] that this report document is based on and fulfills.

Document DiagnosticReport Reference

This extension provides a reference to the DiagnosticReport instance that is associated with this document.

ExtNote (CZ)

CzExtNote

Extension - Clinically Relevant Time

Clinically Relevant Time Code

Information recipient

This extension applies to the Composition resource and is used to represent an intended recipient of the composition.

Požadavek na akreditaci

Vyšetření má být provedeno pouze laboratoří, která má akreditaci pro dané vyšetření.

Terminology: Value Sets

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

Laboratory Container Types (CZ)

Laboratory Container Types ValueSet

Laboratory Report Types (CZ)

Typy laboratorních zpráv

Laboratory Speciality Types (CZ)

Typy specializací laboratorní medicíny podle SNOMED CT pro použití v českých laboratorních implementacích (např. sekce v Composition, klasifikace laboratoře apod.).

Laboratory Study Types (CZ)

Typy laboratorních vyšetření

Laboratory Techniques

Laboratory technique (method of measurement) used for the result measurement (based on SNOMED CT).

Národní číselník laboratorních položek

Sada obsahuje všechny položky kódového systému NČLP, které se používají pro identifikaci laboratorních testů, a to jak na laboratorních žádankách, tak v laboratorních nálezech a jiných typech zdravotnické dokumentace.

ValueSet - Clinically Relevant Time

Codes of the clinically relevant times

Terminology: Concept Maps

These define transformations to convert between codes by systems conforming with this implementation guide.

CZ Attachment Model to this guide Map

CZ Imaging Report Attachment Model to this guide mapping

DiagnosticReport to Composition status

Proposed relationship between the statused used in the DiagnosticReport resource and that used for the Composition.

eHN Author to this guide Map

eHN Author Model to this guide Map

eHN Lab Report to this guide Map

eHN Lab Report to this guide Map

eHN Order to this guide Map

eHN Order to this guide Map

eHN Payer to this guide Map

eHN Payer Model to this guide Map

eHN Recipient to this guide Map

eHN Legal Authenticator Model to this guide Map

eHN Recipient to this guide Map

eHN Recipient Model to this guide Map

eHN Result to this guide Map

eHN Result Model to this guide Map

eHN Specimen to this guide Map

eHN Specimen Model to this guide Map

eHN Subject to this guide Map

eHN Subject Model to this guide Map

eHN Validator to this guide Map

eHN Validator Model to this guide Map

Example: Example Instances

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

CZ Lab Order Specimen Example

Czech Lab Order - example of a specimen

CZ Lab Order Specimen Example

Czech Lab Order - example of a specimen

CZ Lab Order Specimen Example

Czech Lab Order - example of a specimen

CZ Lab Order Specimen Example - Urine

Czech Lab Order - example of a urine specimen

CZ Lab Report Bundle Example

Czech Lab Report - basic example of a bundle containing lab observation(s)

CZ Lab Report Bundle Example

Czech Lab Report - example of a bundle containing containing several laboratory results as would occur in a real-life report

CZ Lab Report Bundle Example

Czech Lab Report - example of a bundle containing lab observations of various result types

CZ Lab Report Bundle Example - Minimal

Czech Lab Report - example of a minimal bundle containing lab observations

Coverage example

Example of insurance by a health insurance company

Example Laboratory Order

Example instance of CZ_ServiceRequestLab for a blood test

Nemocnice Žlábek Dolní

Zdravotnické zařízení, které žádá laboratorní vyšetření.

Organization - Healthcare insurance company

Example of insurance organisation

Organization: Registering healthcare provider example

Fiktivní registrující poskytovatel zdravotní péče

Serum glucose

Example of a lab result – numeric, scale-based evaluation, preliminary (unreleased)

Serum urea

Example of a numeric lab result including measurement uncertainty, scale-based evaluation, reference ranges for a female aged 15–150 years, released

Sodík v séru

Example of a lab result not delivered due to a broken tube, with a comment on the result

Urine color

Example of a lab result – free text

Urine nitrites

Example of a lab result – coded text

Zyrgana

Fictitious patient for the purpose of the example

deviceAnalyzerUrea

Analyzátor BioAnalyt 6000

deviceKitUrea

Testovací souprava Urea enzymatic assay

practitionerRoleSejdlova

Role Mgr. Kvildy Šejdlové (provádějící laborant)

practitionerRoleVycichlo

Role MUDr. Erazima Vyčichla (žádající lékař)

practitionerRoleZybradlo

Role MUDr. Kvida Zýbradla (legal authenticator výsledku)

practitionerSejdlova

Virtuální laborantka Mgr. Kvilda Šejdlová

practitionerVycichlo

Virtuální lékař MUDr. Erazim Vyčichlo

practitionerZybradlo

Virtuální lékař MUDr. Kvido Zýbradlo