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

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Official URL: https://hl7.cz/fhir/lab/ImplementationGuide/hl7.fhir.cz.lab				Version: 0.5.0
Draft as of 2025-07-01				Computable Name: HL7CzLaboratoryImplementationGuide

Introduction

This implementation guide is based on FHIR version R4. Specify a set of rules that will be used for HL7 FHIR to define how to represent Laboratory Report in the Czech national context, in line with European eHN guidelines.

Its main objective is to define the content components and the preferred structure to be used to construct a laboratory report. The purpose of this standard is to define the representation of the laboratory report as a patient's medical record for the purpose of electronic exchange of health information between individuals, healthcare providers and infrastructure in the Czech Republic.

This guide does not describe how to exchange this message.

Content Overview

This guide is divided into several pages which are listed at the top of each page in the menu bar.

• Home: This page provides the introduction, scope short, references, dependencies, cross version analysis and IP statement for this guide.
• Introduction:
  • Scope and content: This segment contains general information about Laboratory Report.
  • Background: This segment contains background information about Laboratory Report.
• Functional:
  • Use cases: This segment contains information about use cases.
  • Workflow: This segment contains information about workflow.
  • Logical models: This segment contains information about logical models.
  • Terminology considerations: This segment contains information about terminology.
• Implementation:
  • Mapping to profiles: This segment contains information about logical model maps to profiles.
  • Examples: This segment contains information about examples.
  • Obligations: This segment contains information about obligations.
• About:
  • Authors: This segment contains informaction about authors.
  • Downloads: This segment contains informaction about downloads.
  • Dependencies: This segment contains informaction about dependencies.
  • Copyright: This segment contains informaction about copyright.
• Artifacts: This page provides a list of the FHIR artifacts defined as part of this implementation guide.

References

• Related specifications:
  • EHDS Logical Information Models
    • This specification has inspired many of the design patterns defined in this IG.
  • HL7 Czech Laboratory Order IG
    • This specification has many of together design patterns defined in this IG.
  • HL7 Europe Laboratory Report
    • This specification has many of together design patterns defined in this IG.
  • HL7 Czech Base and Core Implementation Guide
    • Where possible this specification has been aligned with choices made in CZ core.

Dependencies

Package hl7.fhir.uv.extensions.r4#5.2.0 This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Mon, Feb 10, 2025 21:45+1100+11:00)

Package hl7.fhir.eu.extensions#current This guide lists the extensions speciifed for the European REALM. (built Wed, Apr 23, 2025 06:27+0000+00:00)

Package hl7.fhir.uv.ips#1.1.0 International Patient Summary (IPS) FHIR Implementation Guide (built Tue, Nov 22, 2022 03:24+0000+00:00)

Package hl7.fhir.eu.extensions.r4#current This guide lists the extensions speciifed for the European REALM. (built Wed, Apr 23, 2025 06:27+0000+00:00)

Package hl7.fhir.eu.base.r4#current This guide collects base and core profiles to be used in the European context. It also includes common artifacts, such as the profiles describing the European Health Insurance Card. (built Sun, May 4, 2025 13:55+0000+00:00)

Package hl7.fhir.eu.laboratory#0.2.0-ci This guide describes how the Laboratory Report can be represented in the European REALM. (built Tue, Apr 1, 2025 09:29+0000+00:00)

Package hl7.fhir.eu.base#0.1.0-ballot This guide collects base and core profiles to be used in the European context. It also includes common artifacts, such as the profiles describing the European Health Insurance Card. (built Sun, May 4, 2025 13:55+0000+00:00)

Package hl7.fhir.cz.terminology#current HL7 Czech Terminology Implementation Guide (built Wed, Apr 16, 2025 10:35+0000+00:00)

Package hl7.fhir.cz.core#0.3.0 HL7 Czech Base and Core Resources Implementation Guide (built Tue, Jun 3, 2025 14:18+0000+00:00)

Cross Version Analysis

This is an R4 IG. None of the features it uses are changed in R4B, so it can be used as is with R4B} systems. Packages for both R4 (hl7.fhir.cz.lab.r4) and R4B (hl7.fhir.cz.lab.r4b) are available.

IP statements

This publication includes IP covered under the following statements.

• Copyright HL7. Licensed under creative commons public domain
  Show Usage
  • specimenType: Bundle/CZ-LabReport-Bundle-Example and Specimen/CZ-LabResult-Specimen-Example
• ISO Maintains the copyright on the country codes, and controls it's use carefully. For futher details see the ISO 3166 web page: https://www.iso.org/iso-3166-country-codes.html
  Show Usage
  • ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code: AttachmentImagingReport2FHIRcz, AttachmentsCz... Show 45 more, AuthorLabEhnCz, Bundle/CZ-LabReport-Bundle-Example, CZ_Attachment, CZ_BundleLab, CZ_CompositionLabReport, CZ_DiagnosticReportLab, CZ_ExtNote, CZ_LabClinicallyRelevantTime, CZ_LabClinicallyRelevantTimeVS, CZ_LabContainerTypesVS, CZ_LabReportTypesVS, CZ_LabSpecialityTypesVS, CZ_LabStudyTypesVS, CZ_LabTechniqueVs, CZ_NclpLabpolVS, CZ_ObservationResultLaboratory, CZ_ServiceRequestLab, CZ_SpecimenLab, CompositionBasedOnOrderOrRequisition, ConceptMapDiagRptStatus2CompStatus, DiagnosticReportReference, ElectronicSignaturesLabEhnCz, HL7CzLaboratoryImplementationGuide, InformationRecipient, LabReportEhnCz, LabRpt2FHIR, LabRptAuthor2FHIR, LabRptResult2FHIR, LabRptSubject2Fhir, LegalAuth2Fhir, LegalAuthenticatorLabEhnCz, Order2Fhir, OrderLabEhnCz, Patient/Zyrgana, Payer2Fhir, PayerLabEhnCz, PresentedFormCz, Recipient2FHIR, RecipientLabEhnCz, ResultLabEhnCz, Specimen2Fhir, SpecimenLabEhnCz, SubjectLabEhnCz, Validator2Fhir and ValidatorLabEhnCz
• The UCUM codes, UCUM table (regardless of format), and UCUM Specification are copyright 1999-2009, Regenstrief Institute, Inc. and the Unified Codes for Units of Measures (UCUM) Organization. All rights reserved. https://ucum.org/trac/wiki/TermsOfUse
  Show Usage
  • Unified Code for Units of Measure (UCUM): Bundle/CZ-LabReport-Bundle-Example and Observation/CZ-LabResult-Observation-Example
• This material contains content from LOINC. LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc.
  Show Usage
  • LOINC: Bundle/CZ-LabReport-Bundle-Example, CZ_CompositionLabReport... Show 4 more, CZ_DiagnosticReportLab, CZ_LabReportTypesVS, CZ_LabStudyTypesVS and CZ_ObservationResultLaboratory
• This material contains content that is copyright of SNOMED International. Implementers of these specifications must have the appropriate SNOMED CT Affiliate license - for more information contact https://www.snomed.org/get-snomed or info@snomed.org.
  Show Usage
  • SNOMED Clinical Terms® (SNOMED CT®): Bundle/CZ-LabReport-Bundle-Example, CZ_CompositionLabReport... Show 9 more, CZ_DiagnosticReportLab, CZ_LabClinicallyRelevantTime, CZ_LabClinicallyRelevantTimeVS, CZ_LabContainerTypesVS, CZ_LabSpecialityTypesVS, CZ_LabTechniqueVs, CZ_ObservationResultLaboratory, ServiceRequest/CZ-LabResult-ServiceRequest-Example and Specimen/CZ-LabResult-Specimen-Example
• This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html
  Show Usage
  • Observation Category Codes: Bundle/CZ-LabReport-Bundle-Example, CZ_ObservationResultLaboratory and Observation/CZ-LabResult-Observation-Example
  • identifierType: Patient/Zyrgana
  • ObservationInterpretation: Bundle/CZ-LabReport-Bundle-Example and Observation/CZ-LabResult-Observation-Example