EHDS Logical Information Models, published by Xt-EHR. This guide is not an authorized publication; it is the continuous build for version 0.4.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Xt-EHR/xt-ehr-common/ and changes regularly. See the Directory of published versions
Each producer of a laboratory report SHALL be abe to provide basic information, such as type of the report, authorship, status of the report, title, etc. These information is crucial for safe identification of the report and for searchability of the report using standardized searching parameters.
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.
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.
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'
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.
The person or organization taking responsibility for the medical content of the document
Short
The person or organisation taking responsibility for the content of the document.
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.
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.
Each EHR system that is a producer of a laboratory report SHALL be able to provide the entire report as issued by the laboratory in a human readable format, e.g. PDF.
EHR systems that consume laboratory report SHALL render human readable version of the report to the endusers.
46. EHDSLaboratoryReport.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
Each EHR system that is a producer of a laboratory report SHALL be able to provide structured information about the laboratory investigation, such as order information, supporting information, specimen details and result data.
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.
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.
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
Each EHR system that is a producer of a laboratory report SHOULD be able to provide attachments related to the report, such as documents, diagrams, images of the results, etc.
Each producer of a laboratory report SHALL be abe to provide basic information, such as type of the report, authorship, status of the report, title, etc. These information is crucial for safe identification of the report and for searchability of the report using standardized searching parameters.
Each EHR system that is a producer of a laboratory report SHALL be able to provide the entire report as issued by the laboratory in a human readable format, e.g. PDF.
Each EHR system that is a producer of a laboratory report SHALL be able to provide structured information about the laboratory investigation, such as order information, supporting information, specimen details and result data.
Each EHR system that is a producer of a laboratory report SHOULD be able to provide attachments related to the report, such as documents, diagrams, images of the results, etc.
Each producer of a laboratory report SHALL be abe to provide basic information, such as type of the report, authorship, status of the report, title, etc. These information is crucial for safe identification of the report and for searchability of the report using standardized searching parameters.
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.
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.
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'
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.
The person or organization taking responsibility for the medical content of the document
Short
The person or organisation taking responsibility for the content of the document.
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.
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.
Each EHR system that is a producer of a laboratory report SHALL be able to provide the entire report as issued by the laboratory in a human readable format, e.g. PDF.
EHR systems that consume laboratory report SHALL render human readable version of the report to the endusers.
46. EHDSLaboratoryReport.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
Each EHR system that is a producer of a laboratory report SHALL be able to provide structured information about the laboratory investigation, such as order information, supporting information, specimen details and result data.
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.
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.
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
Each EHR system that is a producer of a laboratory report SHOULD be able to provide attachments related to the report, such as documents, diagrams, images of the results, etc.
