HL7 Czech Lab Epidemiology Guide, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/lab-epi/ and changes regularly. See the Directory of published versions

Scope and content

Purpose of the Document

The purpose of this Implementation Guide is to define and describe a data interface based on HL7 FHIR, designed for electronic reporting of microbiological test results from laboratory information systems to the central Infectious Diseases Information System (ISIN), thereby supporting data collection within the SCOPE-IS project.

The guide focuses on the essential data elements required for reporting and also considers relevant legal, regulatory, and organizational aspects.

Scope of the Document

This Implementation Guide describes the design of an HL7 FHIR-based interface for electronic reporting of microbiological test results.

It does not cover the transport layer, authentication, security mechanisms, or specific implementation details — these are subject to separate technical and integration specifications.

The document focuses on:

• the structure and definitions of data for profiling the content of the report in the HL7 FHIR environment,
• an overview of related legal, regulatory, and organizational aspects.

Included Areas

This Implementation Guide includes:

• the definition of the content of electronic reporting of microbiological findings in the HL7 FHIR format,
• the description of actors (laboratory, requester, collection site, patient) and their identification,
• the design of the dataset based on the data elements described in the source document (material, method, method details, agent, results, antibiotic susceptibility),
• recommendations for the use of existing national code systems and FHIR profiles consistent with the laboratory result report standard,
• the definition of legal, regulatory, and organizational aspects relevant to infectious disease reporting.

Excluded Areas

This Implementation Guide does not include:

• the design of the transport layer and communication protocols (message transmission, authentication, encryption),
• the design of internal processes and data models of laboratory information systems,
• the detailed design of FHIR profiles, JSON or XML structures, and specific API interfaces (these will be addressed in subsequent technical specifications),
• reporting from sources other than laboratories (e.g., outpatient physicians, inpatient facilities).