EHDS Logical Information Models
0.4.0 - draft

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

## Logical Model: EHDSLaboratoryReport - Detailed Descriptions

Draft as of 2026-03-03

Definitions for the EHDSLaboratoryReport logical model.

- Key Elements Table
- Differential Elements Table
- Snapshot Elements Table

Guidance on how to interpret the contents of this table can be foundhere

0. EHDSLaboratoryReport
Definition | Laboratory result report model. Base definition for all types defined in FHIR type system.
Short | Laboratory report modelBase for all types and resources
Control | 0..*
Is Modifier | false
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. EHDSLaboratoryReport.header
Definition | Basic metadata for this information
Short | Laboratory Report header
Control | 1..1
Type | Base
4. EHDSLaboratoryReport.header.subject
Definition | Patient/subject information
Short | Patient/subject information
Control | 1..1
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSPatient
6. EHDSLaboratoryReport.header.identifier
Definition | Business identifier for the object, unique within its system. Supporting disambiguation between different contexts (systems/countries).
Short | Unique identifier of the document
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 1..*
Type | Identifier
8. EHDSLaboratoryReport.header.author[x]
Definition | 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.
Control | 1..*
Type | Choice of: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSOrganisation, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDevice
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
10. EHDSLaboratoryReport.header.date
Definition | Date and optionally time of authoring/issuing
Short | Date of finalising/issuing the document
Control | 1..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
12. EHDSLaboratoryReport.header.status
Definition | Status of the resource or document
Short | Status of the document
Control | 1..1
Type | CodeableConcept
14. EHDSLaboratoryReport.header.source
Definition | 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.
Control | 0..0
Type | CodeableConcept
16. EHDSLaboratoryReport.header.language
Definition | Language in which the resource is written. Language is expressed by the IETF language tag.
Short | Language in which the resource is written. Language is expressed by the IETF language tag.
Control | 0..1
Binding | BCP 47
Type | CodeableConcept
18. EHDSLaboratoryReport.header.documentType
Definition | Type of document at hand, e.g. 60591-5 Patient summary document.
Short | Type of document at hand, e.g. 60591-5 Patient summary document.
Control | 1..1
Binding | LOINC
Type | CodeableConcept
20. EHDSLaboratoryReport.header.documentTitle
Definition | 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'
Control | 1..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
22. EHDSLaboratoryReport.header.period
Definition | Time of service that is being documented
Short | Time of service that is being documented
Control | 0..1
Type | Period
24. EHDSLaboratoryReport.header.version
Definition | Business version of the document. The exact algorithm for versioning is decided by the producer/custodian
Short | Business version of the document. The exact algorithm for versioning is decided by the producer/custodian
Note | This is a business version Id, not a resource version Id (see discussion)
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
26. EHDSLaboratoryReport.header.attestation
Definition | Document attestation details
Short | Document attestation details
Control | 0..*
Type | Base
28. EHDSLaboratoryReport.header.attestation.attester[x]
Definition | 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.
Control | 1..1
Type | Choice of: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDevice
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
30. EHDSLaboratoryReport.header.attestation.datetime
Definition | Date and time of the approval of the document by Attester
Short | Date and time of the approval of the document by Attester
Control | 1..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
32. EHDSLaboratoryReport.header.legalAuthentication
Definition | Document legal authentication details
Short | Document legal authentication details
Control | 0..*
Type | Base
34. EHDSLaboratoryReport.header.legalAuthentication.legalAuthenticator[x]
Definition | The person or organization taking responsibility for the medical content of the document
Short | The person or organisation taking responsibility for the medical content of the document (typically the person who signs it)
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.
Control | 1..1
Type | Choice of: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSOrganisation
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
36. EHDSLaboratoryReport.header.legalAuthentication.datetime
Definition | Date and time when the document was authorised
Short | Date and time when the document was authorised
Control | 1..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
38. EHDSLaboratoryReport.header.eventType
Definition | 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.
Control | 0..*
Binding | SNOMED CT
Type | CodeableConcept
40. EHDSLaboratoryReport.header.serviceSpecialty
Definition | Additional details about where the content was created (e.g. clinical specialty)
Short | Additional details about where the content was created (e.g. clinical specialty)
Control | 0..*
Binding | SNOMED CT
Type | CodeableConcept
42. EHDSLaboratoryReport.header.custodian
Definition | Organisation that is in charge of maintaining the document/report.
Short | Organisation that is in charge of maintaining the document/report.
Control | 0..1
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSOrganisation
44. EHDSLaboratoryReport.presentedForm
Definition | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
Short | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
Control | 0..*
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAttachment
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
Short | Intended recipient
Control | 0..*
Type | Choice of: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSPatient, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSRelatedPerson, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSOrganisation, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDevice
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
48. EHDSLaboratoryReport.body
Definition | Laboratory Report structured body
Short | Laboratory Report structured body
Control | 0..1
Type | Base
50. EHDSLaboratoryReport.body.orderInformation
Definition | Order Information (Laboratory Result Report could respond to multiple test orders)
Short | Order Information (Laboratory Result Report could respond to multiple test orders)
Control | 0..*
Type | Base
52. EHDSLaboratoryReport.body.orderInformation.orderId
Definition | An identifier of the laboratory test order. Laboratory Result Report may respond to multiple orders.
Short | An identifier of the laboratory test order. Laboratory Result Report may respond to multiple orders.
Control | 1..*
Type | Identifier
54. EHDSLaboratoryReport.body.orderInformation.orderDateAndTime
Definition | Date and time of the order placement.
Short | Date and time of the order placement.
Control | 0..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
56. EHDSLaboratoryReport.body.orderInformation.orderPlacer[x]
Definition | 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.
Control | 0..1
Type | Choice of: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSOrganisation, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSPatient
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
58. EHDSLaboratoryReport.body.orderInformation.orderReason[x]
Definition | An explanation or justification for why this service is being requested in coded form.
Short | An explanation or justification for why this service is being requested in coded form.
Control | 0..*
Binding | SNOMED CT
Type | Choice of: CodeableConcept, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSCondition, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservation, string
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
60. EHDSLaboratoryReport.body.orderInformation.clinicalQuestion
Definition | Specification of clinical question (goal of the investigation) to be answered by the laboratory investigation.
Short | Specification of clinical question (goal of the investigation) to be answered by the laboratory investigation.
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
62. EHDSLaboratoryReport.body.supportingInformation
Definition | 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.
Control | 0..1
Type | Base
64. EHDSLaboratoryReport.body.supportingInformation.observation
Definition | Clinical findings and other observations.
Short | Clinical findings and other observations.
Control | 0..*
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservation
66. EHDSLaboratoryReport.body.supportingInformation.condition
Definition | Condition that may influence the service or result interpretation.
Short | Condition that may influence the service or result interpretation.
Control | 0..*
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSCondition
68. EHDSLaboratoryReport.body.supportingInformation.medicationAdministration
Definition | Medication administered before ordering the service.
Short | Medication administered before ordering the service.
Control | 0..*
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSMedicationAdministration
70. EHDSLaboratoryReport.body.supportingInformation.sexForClinicalUse
Definition | 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
Control | 0..1
Binding | HL7 sex-parameter-for-clinical-use
Type | CodeableConcept
72. EHDSLaboratoryReport.body.supportingInformation.vaccination
Definition | Vaccination history of the patient.
Short | Vaccination history of the patient.
Control | 0..*
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSImmunisation
74. EHDSLaboratoryReport.body.supportingInformation.otherSupportingInformation
Definition | Any other type of relevant supporting information
Short | Any other type of relevant supporting information
Control | 0..*
Type | Resource
76. EHDSLaboratoryReport.body.specimen
Definition | Specimen information
Short | Specimen information
Control | 0..*
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSSpecimen
78. EHDSLaboratoryReport.body.serviceRequest
Definition | Specification of requested service or services
Short | Specification of requested service or services
Control | 0..*
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSServiceRequest
80. EHDSLaboratoryReport.body.resultData
Definition | Laboratory report result data
Short | Laboratory report result data
Control | 1..1
Type | Base
82. EHDSLaboratoryReport.body.resultData.commentsInterpretationAndRecommendations
Definition | Narrative Comments, such as a textual interpretation or advice accompanying the result report, for example.
Short | Narrative Comments, such as a textual interpretation or advice accompanying the result report, for example.
Control | 0..*
Type | Narrative
84. EHDSLaboratoryReport.body.resultData.laboratoryTestResults
Definition | Observation details (report could consist of multiple observations)
Short | Observation details (report could consist of multiple observations)
Control | 0..*
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSLaboratoryObservation
86. EHDSLaboratoryReport.attachments
Definition | Report attachments
Short | Report attachments
Control | 0..*
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAttachment

Guidance on how to interpret the contents of this table can be foundhere

0. EHDSLaboratoryReport
Definition | Laboratory result report model.
Short | Laboratory report model
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. EHDSLaboratoryReport.header
Short | Laboratory Report header
4. EHDSLaboratoryReport.header.author[x]
Definition | 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.
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
6. EHDSLaboratoryReport.header.attestation
8. EHDSLaboratoryReport.header.attestation.attester[x]
Definition | Attester who validated laboratory result report. Multiple attesters could be provided.
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.
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
10. EHDSLaboratoryReport.header.legalAuthentication
12. EHDSLaboratoryReport.header.legalAuthentication.legalAuthenticator[x]
Definition | The person or organization taking responsibility for the medical 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.
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
14. EHDSLaboratoryReport.header.eventType
Binding | SNOMED CT
16. 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
Short | Intended recipient
Control | 0..*
Type | Choice of: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSPatient, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSRelatedPerson, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSOrganisation, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDevice
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
18. EHDSLaboratoryReport.body
Definition | Laboratory Report structured body
Short | Laboratory Report structured body
Control | 0..1
Type | Base
20. EHDSLaboratoryReport.body.orderInformation
Definition | Order Information (Laboratory Result Report could respond to multiple test orders)
Short | Order Information (Laboratory Result Report could respond to multiple test orders)
Control | 0..*
Type | Base
22. EHDSLaboratoryReport.body.orderInformation.orderId
Definition | An identifier of the laboratory test order. Laboratory Result Report may respond to multiple orders.
Short | An identifier of the laboratory test order. Laboratory Result Report may respond to multiple orders.
Control | 1..*
Type | Identifier
24. EHDSLaboratoryReport.body.orderInformation.orderDateAndTime
Definition | Date and time of the order placement.
Short | Date and time of the order placement.
Control | 0..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
26. EHDSLaboratoryReport.body.orderInformation.orderPlacer[x]
Definition | 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.
Control | 0..1
Type | Choice of: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSOrganisation, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSPatient
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
28. EHDSLaboratoryReport.body.orderInformation.orderReason[x]
Definition | An explanation or justification for why this service is being requested in coded form.
Short | An explanation or justification for why this service is being requested in coded form.
Control | 0..*
Binding | SNOMED CT
Type | Choice of: CodeableConcept, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSCondition, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservation, string
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
30. EHDSLaboratoryReport.body.orderInformation.clinicalQuestion
Definition | Specification of clinical question (goal of the investigation) to be answered by the laboratory investigation.
Short | Specification of clinical question (goal of the investigation) to be answered by the laboratory investigation.
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
32. EHDSLaboratoryReport.body.supportingInformation
Definition | 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.
Control | 0..1
Type | Base
34. EHDSLaboratoryReport.body.supportingInformation.observation
Definition | Clinical findings and other observations.
Short | Clinical findings and other observations.
Control | 0..*
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservation
36. EHDSLaboratoryReport.body.supportingInformation.condition
Definition | Condition that may influence the service or result interpretation.
Short | Condition that may influence the service or result interpretation.
Control | 0..*
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSCondition
38. EHDSLaboratoryReport.body.supportingInformation.medicationAdministration
Definition | Medication administered before ordering the service.
Short | Medication administered before ordering the service.
Control | 0..*
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSMedicationAdministration
40. EHDSLaboratoryReport.body.supportingInformation.sexForClinicalUse
Definition | 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
Control | 0..1
Binding | HL7 sex-parameter-for-clinical-use
Type | CodeableConcept
42. EHDSLaboratoryReport.body.supportingInformation.vaccination
Definition | Vaccination history of the patient.
Short | Vaccination history of the patient.
Control | 0..*
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSImmunisation
44. EHDSLaboratoryReport.body.supportingInformation.otherSupportingInformation
Definition | Any other type of relevant supporting information
Short | Any other type of relevant supporting information
Control | 0..*
Type | Resource
46. EHDSLaboratoryReport.body.specimen
Definition | Specimen information
Short | Specimen information
Control | 0..*
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSSpecimen
48. EHDSLaboratoryReport.body.serviceRequest
Definition | Specification of requested service or services
Short | Specification of requested service or services
Control | 0..*
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSServiceRequest
50. EHDSLaboratoryReport.body.resultData
Definition | Laboratory report result data
Short | Laboratory report result data
Control | 1..1
Type | Base
52. EHDSLaboratoryReport.body.resultData.commentsInterpretationAndRecommendations
Definition | Narrative Comments, such as a textual interpretation or advice accompanying the result report, for example.
Short | Narrative Comments, such as a textual interpretation or advice accompanying the result report, for example.
Control | 0..*
Type | Narrative
54. EHDSLaboratoryReport.body.resultData.laboratoryTestResults
Definition | Observation details (report could consist of multiple observations)
Short | Observation details (report could consist of multiple observations)
Control | 0..*
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSLaboratoryObservation
56. EHDSLaboratoryReport.attachments
Definition | Report attachments
Short | Report attachments
Control | 0..*
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAttachment

Guidance on how to interpret the contents of this table can be foundhere

0. EHDSLaboratoryReport
Definition | Laboratory result report model.
Short | Laboratory report model
Control | 0..*
Is Modifier | false
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. EHDSLaboratoryReport.header
Definition | Basic metadata for this information
Short | Laboratory Report header
Control | 1..1
Type | Base
4. EHDSLaboratoryReport.header.subject
Definition | Patient/subject information
Short | Patient/subject information
Control | 1..1
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSPatient
6. EHDSLaboratoryReport.header.identifier
Definition | Business identifier for the object, unique within its system. Supporting disambiguation between different contexts (systems/countries).
Short | Unique identifier of the document
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 1..*
Type | Identifier
8. EHDSLaboratoryReport.header.author[x]
Definition | 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.
Control | 1..*
Type | Choice of: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSOrganisation, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDevice
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
10. EHDSLaboratoryReport.header.date
Definition | Date and optionally time of authoring/issuing
Short | Date of finalising/issuing the document
Control | 1..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
12. EHDSLaboratoryReport.header.status
Definition | Status of the resource or document
Short | Status of the document
Control | 1..1
Type | CodeableConcept
14. EHDSLaboratoryReport.header.source
Definition | 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.
Control | 0..0
Type | CodeableConcept
16. EHDSLaboratoryReport.header.language
Definition | Language in which the resource is written. Language is expressed by the IETF language tag.
Short | Language in which the resource is written. Language is expressed by the IETF language tag.
Control | 0..1
Binding | BCP 47
Type | CodeableConcept
18. EHDSLaboratoryReport.header.documentType
Definition | Type of document at hand, e.g. 60591-5 Patient summary document.
Short | Type of document at hand, e.g. 60591-5 Patient summary document.
Control | 1..1
Binding | LOINC
Type | CodeableConcept
20. EHDSLaboratoryReport.header.documentTitle
Definition | 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'
Control | 1..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
22. EHDSLaboratoryReport.header.period
Definition | Time of service that is being documented
Short | Time of service that is being documented
Control | 0..1
Type | Period
24. EHDSLaboratoryReport.header.version
Definition | Business version of the document. The exact algorithm for versioning is decided by the producer/custodian
Short | Business version of the document. The exact algorithm for versioning is decided by the producer/custodian
Note | This is a business version Id, not a resource version Id (see discussion)
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
26. EHDSLaboratoryReport.header.attestation
Definition | Document attestation details
Short | Document attestation details
Control | 0..*
Type | Base
28. EHDSLaboratoryReport.header.attestation.attester[x]
Definition | 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.
Control | 1..1
Type | Choice of: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDevice
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
30. EHDSLaboratoryReport.header.attestation.datetime
Definition | Date and time of the approval of the document by Attester
Short | Date and time of the approval of the document by Attester
Control | 1..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
32. EHDSLaboratoryReport.header.legalAuthentication
Definition | Document legal authentication details
Short | Document legal authentication details
Control | 0..*
Type | Base
34. EHDSLaboratoryReport.header.legalAuthentication.legalAuthenticator[x]
Definition | The person or organization taking responsibility for the medical content of the document
Short | The person or organisation taking responsibility for the medical content of the document (typically the person who signs it)
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.
Control | 1..1
Type | Choice of: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSOrganisation
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
36. EHDSLaboratoryReport.header.legalAuthentication.datetime
Definition | Date and time when the document was authorised
Short | Date and time when the document was authorised
Control | 1..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
38. EHDSLaboratoryReport.header.eventType
Definition | 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.
Control | 0..*
Binding | SNOMED CT
Type | CodeableConcept
40. EHDSLaboratoryReport.header.serviceSpecialty
Definition | Additional details about where the content was created (e.g. clinical specialty)
Short | Additional details about where the content was created (e.g. clinical specialty)
Control | 0..*
Binding | SNOMED CT
Type | CodeableConcept
42. EHDSLaboratoryReport.header.custodian
Definition | Organisation that is in charge of maintaining the document/report.
Short | Organisation that is in charge of maintaining the document/report.
Control | 0..1
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSOrganisation
44. EHDSLaboratoryReport.presentedForm
Definition | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
Short | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
Control | 0..*
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAttachment
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
Short | Intended recipient
Control | 0..*
Type | Choice of: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSPatient, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSRelatedPerson, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSOrganisation, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDevice
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
48. EHDSLaboratoryReport.body
Definition | Laboratory Report structured body
Short | Laboratory Report structured body
Control | 0..1
Type | Base
50. EHDSLaboratoryReport.body.orderInformation
Definition | Order Information (Laboratory Result Report could respond to multiple test orders)
Short | Order Information (Laboratory Result Report could respond to multiple test orders)
Control | 0..*
Type | Base
52. EHDSLaboratoryReport.body.orderInformation.orderId
Definition | An identifier of the laboratory test order. Laboratory Result Report may respond to multiple orders.
Short | An identifier of the laboratory test order. Laboratory Result Report may respond to multiple orders.
Control | 1..*
Type | Identifier
54. EHDSLaboratoryReport.body.orderInformation.orderDateAndTime
Definition | Date and time of the order placement.
Short | Date and time of the order placement.
Control | 0..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
56. EHDSLaboratoryReport.body.orderInformation.orderPlacer[x]
Definition | 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.
Control | 0..1
Type | Choice of: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSOrganisation, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSPatient
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
58. EHDSLaboratoryReport.body.orderInformation.orderReason[x]
Definition | An explanation or justification for why this service is being requested in coded form.
Short | An explanation or justification for why this service is being requested in coded form.
Control | 0..*
Binding | SNOMED CT
Type | Choice of: CodeableConcept, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSCondition, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservation, string
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
60. EHDSLaboratoryReport.body.orderInformation.clinicalQuestion
Definition | Specification of clinical question (goal of the investigation) to be answered by the laboratory investigation.
Short | Specification of clinical question (goal of the investigation) to be answered by the laboratory investigation.
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
62. EHDSLaboratoryReport.body.supportingInformation
Definition | 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.
Control | 0..1
Type | Base
64. EHDSLaboratoryReport.body.supportingInformation.observation
Definition | Clinical findings and other observations.
Short | Clinical findings and other observations.
Control | 0..*
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservation
66. EHDSLaboratoryReport.body.supportingInformation.condition
Definition | Condition that may influence the service or result interpretation.
Short | Condition that may influence the service or result interpretation.
Control | 0..*
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSCondition
68. EHDSLaboratoryReport.body.supportingInformation.medicationAdministration
Definition | Medication administered before ordering the service.
Short | Medication administered before ordering the service.
Control | 0..*
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSMedicationAdministration
70. EHDSLaboratoryReport.body.supportingInformation.sexForClinicalUse
Definition | 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
Control | 0..1
Binding | HL7 sex-parameter-for-clinical-use
Type | CodeableConcept
72. EHDSLaboratoryReport.body.supportingInformation.vaccination
Definition | Vaccination history of the patient.
Short | Vaccination history of the patient.
Control | 0..*
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSImmunisation
74. EHDSLaboratoryReport.body.supportingInformation.otherSupportingInformation
Definition | Any other type of relevant supporting information
Short | Any other type of relevant supporting information
Control | 0..*
Type | Resource
76. EHDSLaboratoryReport.body.specimen
Definition | Specimen information
Short | Specimen information
Control | 0..*
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSSpecimen
78. EHDSLaboratoryReport.body.serviceRequest
Definition | Specification of requested service or services
Short | Specification of requested service or services
Control | 0..*
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSServiceRequest
80. EHDSLaboratoryReport.body.resultData
Definition | Laboratory report result data
Short | Laboratory report result data
Control | 1..1
Type | Base
82. EHDSLaboratoryReport.body.resultData.commentsInterpretationAndRecommendations
Definition | Narrative Comments, such as a textual interpretation or advice accompanying the result report, for example.
Short | Narrative Comments, such as a textual interpretation or advice accompanying the result report, for example.
Control | 0..*
Type | Narrative
84. EHDSLaboratoryReport.body.resultData.laboratoryTestResults
Definition | Observation details (report could consist of multiple observations)
Short | Observation details (report could consist of multiple observations)
Control | 0..*
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSLaboratoryObservation
86. EHDSLaboratoryReport.attachments
Definition | Report attachments
Short | Report attachments
Control | 0..*
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAttachment