EHDS Logical Information Models
0.2.1 - qa-preview

EHDS Logical Information Models, published by Xt-EHR. This guide is not an authorized publication; it is the continuous build for version 0.2.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/costateixeira/xt-ehr-common/ and changes regularly. See the Directory of published versions

## Logical Model: Laboratory report model

Official URL: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSLaboratoryReport | Version: 0.2.1
Draft as of 2025-12-03 | Computable Name: EHDSLaboratoryReport

EHDS refined base model for Laboratory result report

Usages:

- This Logical Model is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
EHDSLaboratoryReport |  | 0..* | EHDSDocument | Laboratory report model Elements defined in Ancestors:header, header, presentedForm Instances of this logical model can be the target of a Reference
header |  | 1..1 | Base | Laboratory Report header
subject |  | 1..1 | EHDSPatient | Patient/subject information
identifier |  | 1..* | Identifier | Unique identifier of the document
authorship |  | 1..* | Base | Authorship of the laboratory report
author[x] |  | 1..1 |  | Author(s) by whom the resource was/were authored. Multiple authors could be provided.
authorEHDSHealthProfessional |  |  | EHDSHealthProfessional |
authorEHDSOrganisation |  |  | EHDSOrganisation |
authorEHDSDevice |  |  | EHDSDevice |
datetime |  | 1..1 | dateTime | Date and time of authoring/issuing
lastUpdate |  | 0..1 | dateTime | Date and time of the last update to the resource (may be used for technical corrections).
status |  | 1..1 | CodeableConcept | Status of the resource or document
statusReason[x] |  | 0..1 |  | Reason for the current status of the resource.
statusReasonCodeableConcept |  |  | CodeableConcept |
statusReasonString |  |  | string |
language |  | 0..1 | CodeableConcept | Language in which the resource is written. Language is expressed by the IETF language tag. Binding Description: (preferred): BCP 47
documentType |  | 1..1 | CodeableConcept | Type of document at hand, e.g. 60591-5 Patient summary document. Binding Description: (preferred): LOINC
documentTitle |  | 1..1 | string | 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'
period |  | 0..1 | Period | Time of service that is being documented
version |  | 0..1 | string | Business version of the document.
attestation |  | 0..* | Base | Document attestation details
attester[x] |  | 1..1 |  | Attester who validated the document. Multiple attesters could be provided.
attesterEHDSHealthProfessional |  |  | EHDSHealthProfessional |
attesterEHDSDevice |  |  | EHDSDevice |
datetime |  | 1..1 | dateTime | Date and time of the approval of the document by Attester.
legalAuthentication |  | 0..1 | Base | Document legal authentication details
legalAuthenticator[x] |  | 1..1 |  | The person or organization taking responsibility for the medical content of the document
legalAuthenticatorEHDSHealthProfessional |  |  | EHDSHealthProfessional |
legalAuthenticatorEHDSOrganisation |  |  | EHDSOrganisation |
datetime |  | 1..1 | dateTime | Date and time when the document was authorised.
eventType |  | 0..* | CodeableConcept | 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. Binding Description: (preferred): SNOMED CT
serviceSpecialty |  | 0..* | CodeableConcept | Additional details about where the content was created (e.g. clinical specialty) Binding Description: (preferred): SNOMED CT
custodian |  | 0..1 | EHDSOrganisation | Organisation that is in charge of maintaining the document/report.
confidentiality |  | 0..1 | CodeableConcept | Level of confidentiality of the document. Implicit value is normal. Binding Description: (preferred): hl7:Confidentiality
presentedForm |  | 0..* | EHDSAttachment | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
healthInsuranceAndPaymentInformation |  | 0..* | EHDSCoverage | Health insurance and payment information
intendedRecipient[x] |  | 0..* |  | Intended recipient
intendedRecipientEHDSPatient |  |  | EHDSPatient |
intendedRecipientEHDSRelatedPerson |  |  | EHDSRelatedPerson |
intendedRecipientEHDSHealthProfessional |  |  | EHDSHealthProfessional |
intendedRecipientEHDSOrganisation |  |  | EHDSOrganisation |
intendedRecipientEHDSDevice |  |  | EHDSDevice |
body |  | 0..1 | Base | Laboratory Report structured body
orderInformation |  | 0..* | Base | Order Information (Laboratory Result Report could respond to multiple test orders)
orderId |  | 1..* | Identifier | An identifier of the laboratory test order. Laboratory Result Report may respond to multiple orders.
orderDateAndTime |  | 0..1 | dateTime | Date and time of the order placement.
orderPlacer[x] |  | 0..1 |  | The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.
orderPlacerEHDSHealthProfessional |  |  | EHDSHealthProfessional |
orderPlacerEHDSOrganisation |  |  | EHDSOrganisation |
orderPlacerEHDSPatient |  |  | EHDSPatient |
orderReasonText |  | 0..* | string | An explanation or justification for why this service is being requested in textual form.
orderReason[x] |  | 0..* |  | An explanation or justification for why this service is being requested in coded form. Binding Description: (preferred): SNOMED CT
orderReasonCodeableConcept |  |  | CodeableConcept |
orderReasonEHDSCondition |  |  | EHDSCondition |
orderReasonEHDSObservation |  |  | EHDSObservation |
clinicalQuestion |  | 0..1 | string | Specification of clinical question (goal of the investigation) to be answered by the laboratory investigation.
supportingInformation |  | 0..1 | Base | 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.
observation |  | 0..* | EHDSObservation | Clinical findings and other observations.
condition |  | 0..* | EHDSCondition | Condition that may influence the service or result interpretation.
medicationAdministration |  | 0..* | EHDSMedicationAdministration | Medication administered before ordering the service.
sexForClinicalUse |  | 0..* | CodeableConcept | 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 Binding Description: (preferred): HL7 sex-parameter-for-clinical-use
vaccination |  | 0..* | EHDSImmunisation | Vaccination history of the patient.
otherSupportingInformation |  | 0..* | Resource | Any other type of relevant supporting information
specimen |  | 0..* | EHDSSpecimen | Specimen information
serviceRequest |  | 0..* | EHDSServiceRequest | Specification of requested service or services
resultData |  | 1..1 | Base | Laboratory report result data
commentsInterpretationAndRecommendations |  | 0..* | Narrative | Narrative Comments, such as a textual interpretation or advice accompanying the result report, for example. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
laboratoryTestResults |  | 0..* | EHDSLaboratoryObservation | Observation details (report could consist of multiple observations)
attachments[x] |  | 0..* |  | Report attachments data elements
attachmentsEHDSAttachment |  |  | EHDSAttachment |
attachmentsEHDSMedia |  |  | EHDSMedia |
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
EHDSLaboratoryReport.​header.language | Base | preferred |  | Not State | Unknown
EHDSLaboratoryReport.​header.documentType | Base | preferred |  | Not State | Unknown
EHDSLaboratoryReport.​header.eventType | Base | preferred |  | Not State | Unknown
EHDSLaboratoryReport.​header.serviceSpecialty | Base | preferred |  | Not State | Unknown
EHDSLaboratoryReport.​header.confidentiality | Base | preferred |  | Not State | Unknown
EHDSLaboratoryReport.​body.orderInformation.​orderReason[x] | Base | preferred |  | Not State | Unknown
EHDSLaboratoryReport.​body.supportingInformation.​sexForClinicalUse | Base | preferred |  | Not State | Unknown

This structure is derived from EHDSDocument

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
EHDSLaboratoryReport |  | 0..* | EHDSDocument | Laboratory report model Elements defined in Ancestors:header, header, presentedForm Instances of this logical model can be the target of a Reference
header |  | 1..1 | Base | Laboratory Report header
authorship |  | 1..* | Base | Authorship of the laboratory report
author[x] |  | 1..1 | EHDSHealthProfessional, EHDSOrganisation, EHDSDevice | Author(s) by whom the resource was/were authored. Multiple authors could be provided.
attestation |  |  |  |
attester[x] |  | 1..1 | EHDSHealthProfessional, EHDSDevice | Attester who validated the document. Multiple attesters could be provided.
legalAuthentication |  |  |  |
legalAuthenticator[x] |  | 1..1 | EHDSHealthProfessional, EHDSOrganisation | The person or organization taking responsibility for the medical content of the document
eventType |  | 0..* | CodeableConcept | 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. Binding Description: (preferred): SNOMED CT
healthInsuranceAndPaymentInformation |  | 0..* | EHDSCoverage | Health insurance and payment information
intendedRecipient[x] |  | 0..* |  | Intended recipient
intendedRecipientEHDSPatient |  |  | EHDSPatient |
intendedRecipientEHDSRelatedPerson |  |  | EHDSRelatedPerson |
intendedRecipientEHDSHealthProfessional |  |  | EHDSHealthProfessional |
intendedRecipientEHDSOrganisation |  |  | EHDSOrganisation |
intendedRecipientEHDSDevice |  |  | EHDSDevice |
body |  | 0..1 | Base | Laboratory Report structured body
orderInformation |  | 0..* | Base | Order Information (Laboratory Result Report could respond to multiple test orders)
orderId |  | 1..* | Identifier | An identifier of the laboratory test order. Laboratory Result Report may respond to multiple orders.
orderDateAndTime |  | 0..1 | dateTime | Date and time of the order placement.
orderPlacer[x] |  | 0..1 |  | The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.
orderPlacerEHDSHealthProfessional |  |  | EHDSHealthProfessional |
orderPlacerEHDSOrganisation |  |  | EHDSOrganisation |
orderPlacerEHDSPatient |  |  | EHDSPatient |
orderReasonText |  | 0..* | string | An explanation or justification for why this service is being requested in textual form.
orderReason[x] |  | 0..* |  | An explanation or justification for why this service is being requested in coded form. Binding Description: (preferred): SNOMED CT
orderReasonCodeableConcept |  |  | CodeableConcept |
orderReasonEHDSCondition |  |  | EHDSCondition |
orderReasonEHDSObservation |  |  | EHDSObservation |
clinicalQuestion |  | 0..1 | string | Specification of clinical question (goal of the investigation) to be answered by the laboratory investigation.
supportingInformation |  | 0..1 | Base | 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.
observation |  | 0..* | EHDSObservation | Clinical findings and other observations.
condition |  | 0..* | EHDSCondition | Condition that may influence the service or result interpretation.
medicationAdministration |  | 0..* | EHDSMedicationAdministration | Medication administered before ordering the service.
sexForClinicalUse |  | 0..* | CodeableConcept | 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 Binding Description: (preferred): HL7 sex-parameter-for-clinical-use
vaccination |  | 0..* | EHDSImmunisation | Vaccination history of the patient.
otherSupportingInformation |  | 0..* | Resource | Any other type of relevant supporting information
specimen |  | 0..* | EHDSSpecimen | Specimen information
serviceRequest |  | 0..* | EHDSServiceRequest | Specification of requested service or services
resultData |  | 1..1 | Base | Laboratory report result data
commentsInterpretationAndRecommendations |  | 0..* | Narrative | Narrative Comments, such as a textual interpretation or advice accompanying the result report, for example. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
laboratoryTestResults |  | 0..* | EHDSLaboratoryObservation | Observation details (report could consist of multiple observations)
attachments[x] |  | 0..* |  | Report attachments data elements
attachmentsEHDSAttachment |  |  | EHDSAttachment |
attachmentsEHDSMedia |  |  | EHDSMedia |
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
EHDSLaboratoryReport.​header.eventType | Base | preferred |  | Not State | Unknown
EHDSLaboratoryReport.​body.orderInformation.​orderReason[x] | Base | preferred |  | Not State | Unknown
EHDSLaboratoryReport.​body.supportingInformation.​sexForClinicalUse | Base | preferred |  | Not State | Unknown

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
EHDSLaboratoryReport |  | 0..* | EHDSDocument | Laboratory report model Elements defined in Ancestors:header, header, presentedForm Instances of this logical model can be the target of a Reference
header |  | 1..1 | Base | Laboratory Report header
subject |  | 1..1 | EHDSPatient | Patient/subject information
identifier |  | 1..* | Identifier | Unique identifier of the document
authorship |  | 1..* | Base | Authorship of the laboratory report
author[x] |  | 1..1 |  | Author(s) by whom the resource was/were authored. Multiple authors could be provided.
authorEHDSHealthProfessional |  |  | EHDSHealthProfessional |
authorEHDSOrganisation |  |  | EHDSOrganisation |
authorEHDSDevice |  |  | EHDSDevice |
datetime |  | 1..1 | dateTime | Date and time of authoring/issuing
lastUpdate |  | 0..1 | dateTime | Date and time of the last update to the resource (may be used for technical corrections).
status |  | 1..1 | CodeableConcept | Status of the resource or document
statusReason[x] |  | 0..1 |  | Reason for the current status of the resource.
statusReasonCodeableConcept |  |  | CodeableConcept |
statusReasonString |  |  | string |
language |  | 0..1 | CodeableConcept | Language in which the resource is written. Language is expressed by the IETF language tag. Binding Description: (preferred): BCP 47
documentType |  | 1..1 | CodeableConcept | Type of document at hand, e.g. 60591-5 Patient summary document. Binding Description: (preferred): LOINC
documentTitle |  | 1..1 | string | 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'
period |  | 0..1 | Period | Time of service that is being documented
version |  | 0..1 | string | Business version of the document.
attestation |  | 0..* | Base | Document attestation details
attester[x] |  | 1..1 |  | Attester who validated the document. Multiple attesters could be provided.
attesterEHDSHealthProfessional |  |  | EHDSHealthProfessional |
attesterEHDSDevice |  |  | EHDSDevice |
datetime |  | 1..1 | dateTime | Date and time of the approval of the document by Attester.
legalAuthentication |  | 0..1 | Base | Document legal authentication details
legalAuthenticator[x] |  | 1..1 |  | The person or organization taking responsibility for the medical content of the document
legalAuthenticatorEHDSHealthProfessional |  |  | EHDSHealthProfessional |
legalAuthenticatorEHDSOrganisation |  |  | EHDSOrganisation |
datetime |  | 1..1 | dateTime | Date and time when the document was authorised.
eventType |  | 0..* | CodeableConcept | 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. Binding Description: (preferred): SNOMED CT
serviceSpecialty |  | 0..* | CodeableConcept | Additional details about where the content was created (e.g. clinical specialty) Binding Description: (preferred): SNOMED CT
custodian |  | 0..1 | EHDSOrganisation | Organisation that is in charge of maintaining the document/report.
confidentiality |  | 0..1 | CodeableConcept | Level of confidentiality of the document. Implicit value is normal. Binding Description: (preferred): hl7:Confidentiality
presentedForm |  | 0..* | EHDSAttachment | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
healthInsuranceAndPaymentInformation |  | 0..* | EHDSCoverage | Health insurance and payment information
intendedRecipient[x] |  | 0..* |  | Intended recipient
intendedRecipientEHDSPatient |  |  | EHDSPatient |
intendedRecipientEHDSRelatedPerson |  |  | EHDSRelatedPerson |
intendedRecipientEHDSHealthProfessional |  |  | EHDSHealthProfessional |
intendedRecipientEHDSOrganisation |  |  | EHDSOrganisation |
intendedRecipientEHDSDevice |  |  | EHDSDevice |
body |  | 0..1 | Base | Laboratory Report structured body
orderInformation |  | 0..* | Base | Order Information (Laboratory Result Report could respond to multiple test orders)
orderId |  | 1..* | Identifier | An identifier of the laboratory test order. Laboratory Result Report may respond to multiple orders.
orderDateAndTime |  | 0..1 | dateTime | Date and time of the order placement.
orderPlacer[x] |  | 0..1 |  | The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.
orderPlacerEHDSHealthProfessional |  |  | EHDSHealthProfessional |
orderPlacerEHDSOrganisation |  |  | EHDSOrganisation |
orderPlacerEHDSPatient |  |  | EHDSPatient |
orderReasonText |  | 0..* | string | An explanation or justification for why this service is being requested in textual form.
orderReason[x] |  | 0..* |  | An explanation or justification for why this service is being requested in coded form. Binding Description: (preferred): SNOMED CT
orderReasonCodeableConcept |  |  | CodeableConcept |
orderReasonEHDSCondition |  |  | EHDSCondition |
orderReasonEHDSObservation |  |  | EHDSObservation |
clinicalQuestion |  | 0..1 | string | Specification of clinical question (goal of the investigation) to be answered by the laboratory investigation.
supportingInformation |  | 0..1 | Base | 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.
observation |  | 0..* | EHDSObservation | Clinical findings and other observations.
condition |  | 0..* | EHDSCondition | Condition that may influence the service or result interpretation.
medicationAdministration |  | 0..* | EHDSMedicationAdministration | Medication administered before ordering the service.
sexForClinicalUse |  | 0..* | CodeableConcept | 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 Binding Description: (preferred): HL7 sex-parameter-for-clinical-use
vaccination |  | 0..* | EHDSImmunisation | Vaccination history of the patient.
otherSupportingInformation |  | 0..* | Resource | Any other type of relevant supporting information
specimen |  | 0..* | EHDSSpecimen | Specimen information
serviceRequest |  | 0..* | EHDSServiceRequest | Specification of requested service or services
resultData |  | 1..1 | Base | Laboratory report result data
commentsInterpretationAndRecommendations |  | 0..* | Narrative | Narrative Comments, such as a textual interpretation or advice accompanying the result report, for example. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
laboratoryTestResults |  | 0..* | EHDSLaboratoryObservation | Observation details (report could consist of multiple observations)
attachments[x] |  | 0..* |  | Report attachments data elements
attachmentsEHDSAttachment |  |  | EHDSAttachment |
attachmentsEHDSMedia |  |  | EHDSMedia |
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
EHDSLaboratoryReport.​header.language | Base | preferred |  | Not State | Unknown
EHDSLaboratoryReport.​header.documentType | Base | preferred |  | Not State | Unknown
EHDSLaboratoryReport.​header.eventType | Base | preferred |  | Not State | Unknown
EHDSLaboratoryReport.​header.serviceSpecialty | Base | preferred |  | Not State | Unknown
EHDSLaboratoryReport.​header.confidentiality | Base | preferred |  | Not State | Unknown
EHDSLaboratoryReport.​body.orderInformation.​orderReason[x] | Base | preferred |  | Not State | Unknown
EHDSLaboratoryReport.​body.supportingInformation.​sexForClinicalUse | Base | preferred |  | Not State | Unknown

This structure is derived from EHDSDocument

Summary

Mandatory: 0 element(2 nested mandatory elements)

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
EHDSLaboratoryReport |  | 0..* | EHDSDocument | Laboratory report model Elements defined in Ancestors:header, header, presentedForm Instances of this logical model can be the target of a Reference
header |  | 1..1 | Base | Laboratory Report header
subject |  | 1..1 | EHDSPatient | Patient/subject information
identifier |  | 1..* | Identifier | Unique identifier of the document
authorship |  | 1..* | Base | Authorship of the laboratory report
author[x] |  | 1..1 |  | Author(s) by whom the resource was/were authored. Multiple authors could be provided.
authorEHDSHealthProfessional |  |  | EHDSHealthProfessional |
authorEHDSOrganisation |  |  | EHDSOrganisation |
authorEHDSDevice |  |  | EHDSDevice |
datetime |  | 1..1 | dateTime | Date and time of authoring/issuing
lastUpdate |  | 0..1 | dateTime | Date and time of the last update to the resource (may be used for technical corrections).
status |  | 1..1 | CodeableConcept | Status of the resource or document
statusReason[x] |  | 0..1 |  | Reason for the current status of the resource.
statusReasonCodeableConcept |  |  | CodeableConcept |
statusReasonString |  |  | string |
language |  | 0..1 | CodeableConcept | Language in which the resource is written. Language is expressed by the IETF language tag. Binding Description: (preferred): BCP 47
documentType |  | 1..1 | CodeableConcept | Type of document at hand, e.g. 60591-5 Patient summary document. Binding Description: (preferred): LOINC
documentTitle |  | 1..1 | string | 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'
period |  | 0..1 | Period | Time of service that is being documented
version |  | 0..1 | string | Business version of the document.
attestation |  | 0..* | Base | Document attestation details
attester[x] |  | 1..1 |  | Attester who validated the document. Multiple attesters could be provided.
attesterEHDSHealthProfessional |  |  | EHDSHealthProfessional |
attesterEHDSDevice |  |  | EHDSDevice |
datetime |  | 1..1 | dateTime | Date and time of the approval of the document by Attester.
legalAuthentication |  | 0..1 | Base | Document legal authentication details
legalAuthenticator[x] |  | 1..1 |  | The person or organization taking responsibility for the medical content of the document
legalAuthenticatorEHDSHealthProfessional |  |  | EHDSHealthProfessional |
legalAuthenticatorEHDSOrganisation |  |  | EHDSOrganisation |
datetime |  | 1..1 | dateTime | Date and time when the document was authorised.
eventType |  | 0..* | CodeableConcept | 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. Binding Description: (preferred): SNOMED CT
serviceSpecialty |  | 0..* | CodeableConcept | Additional details about where the content was created (e.g. clinical specialty) Binding Description: (preferred): SNOMED CT
custodian |  | 0..1 | EHDSOrganisation | Organisation that is in charge of maintaining the document/report.
confidentiality |  | 0..1 | CodeableConcept | Level of confidentiality of the document. Implicit value is normal. Binding Description: (preferred): hl7:Confidentiality
presentedForm |  | 0..* | EHDSAttachment | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
healthInsuranceAndPaymentInformation |  | 0..* | EHDSCoverage | Health insurance and payment information
intendedRecipient[x] |  | 0..* |  | Intended recipient
intendedRecipientEHDSPatient |  |  | EHDSPatient |
intendedRecipientEHDSRelatedPerson |  |  | EHDSRelatedPerson |
intendedRecipientEHDSHealthProfessional |  |  | EHDSHealthProfessional |
intendedRecipientEHDSOrganisation |  |  | EHDSOrganisation |
intendedRecipientEHDSDevice |  |  | EHDSDevice |
body |  | 0..1 | Base | Laboratory Report structured body
orderInformation |  | 0..* | Base | Order Information (Laboratory Result Report could respond to multiple test orders)
orderId |  | 1..* | Identifier | An identifier of the laboratory test order. Laboratory Result Report may respond to multiple orders.
orderDateAndTime |  | 0..1 | dateTime | Date and time of the order placement.
orderPlacer[x] |  | 0..1 |  | The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.
orderPlacerEHDSHealthProfessional |  |  | EHDSHealthProfessional |
orderPlacerEHDSOrganisation |  |  | EHDSOrganisation |
orderPlacerEHDSPatient |  |  | EHDSPatient |
orderReasonText |  | 0..* | string | An explanation or justification for why this service is being requested in textual form.
orderReason[x] |  | 0..* |  | An explanation or justification for why this service is being requested in coded form. Binding Description: (preferred): SNOMED CT
orderReasonCodeableConcept |  |  | CodeableConcept |
orderReasonEHDSCondition |  |  | EHDSCondition |
orderReasonEHDSObservation |  |  | EHDSObservation |
clinicalQuestion |  | 0..1 | string | Specification of clinical question (goal of the investigation) to be answered by the laboratory investigation.
supportingInformation |  | 0..1 | Base | 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.
observation |  | 0..* | EHDSObservation | Clinical findings and other observations.
condition |  | 0..* | EHDSCondition | Condition that may influence the service or result interpretation.
medicationAdministration |  | 0..* | EHDSMedicationAdministration | Medication administered before ordering the service.
sexForClinicalUse |  | 0..* | CodeableConcept | 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 Binding Description: (preferred): HL7 sex-parameter-for-clinical-use
vaccination |  | 0..* | EHDSImmunisation | Vaccination history of the patient.
otherSupportingInformation |  | 0..* | Resource | Any other type of relevant supporting information
specimen |  | 0..* | EHDSSpecimen | Specimen information
serviceRequest |  | 0..* | EHDSServiceRequest | Specification of requested service or services
resultData |  | 1..1 | Base | Laboratory report result data
commentsInterpretationAndRecommendations |  | 0..* | Narrative | Narrative Comments, such as a textual interpretation or advice accompanying the result report, for example. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
laboratoryTestResults |  | 0..* | EHDSLaboratoryObservation | Observation details (report could consist of multiple observations)
attachments[x] |  | 0..* |  | Report attachments data elements
attachmentsEHDSAttachment |  |  | EHDSAttachment |
attachmentsEHDSMedia |  |  | EHDSMedia |
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
EHDSLaboratoryReport.​header.language | Base | preferred |  | Not State | Unknown
EHDSLaboratoryReport.​header.documentType | Base | preferred |  | Not State | Unknown
EHDSLaboratoryReport.​header.eventType | Base | preferred |  | Not State | Unknown
EHDSLaboratoryReport.​header.serviceSpecialty | Base | preferred |  | Not State | Unknown
EHDSLaboratoryReport.​header.confidentiality | Base | preferred |  | Not State | Unknown
EHDSLaboratoryReport.​body.orderInformation.​orderReason[x] | Base | preferred |  | Not State | Unknown
EHDSLaboratoryReport.​body.supportingInformation.​sexForClinicalUse | Base | preferred |  | Not State | Unknown

Differential View

This structure is derived from EHDSDocument

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
EHDSLaboratoryReport |  | 0..* | EHDSDocument | Laboratory report model Elements defined in Ancestors:header, header, presentedForm Instances of this logical model can be the target of a Reference
header |  | 1..1 | Base | Laboratory Report header
authorship |  | 1..* | Base | Authorship of the laboratory report
author[x] |  | 1..1 | EHDSHealthProfessional, EHDSOrganisation, EHDSDevice | Author(s) by whom the resource was/were authored. Multiple authors could be provided.
attestation |  |  |  |
attester[x] |  | 1..1 | EHDSHealthProfessional, EHDSDevice | Attester who validated the document. Multiple attesters could be provided.
legalAuthentication |  |  |  |
legalAuthenticator[x] |  | 1..1 | EHDSHealthProfessional, EHDSOrganisation | The person or organization taking responsibility for the medical content of the document
eventType |  | 0..* | CodeableConcept | 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. Binding Description: (preferred): SNOMED CT
healthInsuranceAndPaymentInformation |  | 0..* | EHDSCoverage | Health insurance and payment information
intendedRecipient[x] |  | 0..* |  | Intended recipient
intendedRecipientEHDSPatient |  |  | EHDSPatient |
intendedRecipientEHDSRelatedPerson |  |  | EHDSRelatedPerson |
intendedRecipientEHDSHealthProfessional |  |  | EHDSHealthProfessional |
intendedRecipientEHDSOrganisation |  |  | EHDSOrganisation |
intendedRecipientEHDSDevice |  |  | EHDSDevice |
body |  | 0..1 | Base | Laboratory Report structured body
orderInformation |  | 0..* | Base | Order Information (Laboratory Result Report could respond to multiple test orders)
orderId |  | 1..* | Identifier | An identifier of the laboratory test order. Laboratory Result Report may respond to multiple orders.
orderDateAndTime |  | 0..1 | dateTime | Date and time of the order placement.
orderPlacer[x] |  | 0..1 |  | The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.
orderPlacerEHDSHealthProfessional |  |  | EHDSHealthProfessional |
orderPlacerEHDSOrganisation |  |  | EHDSOrganisation |
orderPlacerEHDSPatient |  |  | EHDSPatient |
orderReasonText |  | 0..* | string | An explanation or justification for why this service is being requested in textual form.
orderReason[x] |  | 0..* |  | An explanation or justification for why this service is being requested in coded form. Binding Description: (preferred): SNOMED CT
orderReasonCodeableConcept |  |  | CodeableConcept |
orderReasonEHDSCondition |  |  | EHDSCondition |
orderReasonEHDSObservation |  |  | EHDSObservation |
clinicalQuestion |  | 0..1 | string | Specification of clinical question (goal of the investigation) to be answered by the laboratory investigation.
supportingInformation |  | 0..1 | Base | 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.
observation |  | 0..* | EHDSObservation | Clinical findings and other observations.
condition |  | 0..* | EHDSCondition | Condition that may influence the service or result interpretation.
medicationAdministration |  | 0..* | EHDSMedicationAdministration | Medication administered before ordering the service.
sexForClinicalUse |  | 0..* | CodeableConcept | 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 Binding Description: (preferred): HL7 sex-parameter-for-clinical-use
vaccination |  | 0..* | EHDSImmunisation | Vaccination history of the patient.
otherSupportingInformation |  | 0..* | Resource | Any other type of relevant supporting information
specimen |  | 0..* | EHDSSpecimen | Specimen information
serviceRequest |  | 0..* | EHDSServiceRequest | Specification of requested service or services
resultData |  | 1..1 | Base | Laboratory report result data
commentsInterpretationAndRecommendations |  | 0..* | Narrative | Narrative Comments, such as a textual interpretation or advice accompanying the result report, for example. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
laboratoryTestResults |  | 0..* | EHDSLaboratoryObservation | Observation details (report could consist of multiple observations)
attachments[x] |  | 0..* |  | Report attachments data elements
attachmentsEHDSAttachment |  |  | EHDSAttachment |
attachmentsEHDSMedia |  |  | EHDSMedia |
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
EHDSLaboratoryReport.​header.eventType | Base | preferred |  | Not State | Unknown
EHDSLaboratoryReport.​body.orderInformation.​orderReason[x] | Base | preferred |  | Not State | Unknown
EHDSLaboratoryReport.​body.supportingInformation.​sexForClinicalUse | Base | preferred |  | Not State | Unknown

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
EHDSLaboratoryReport |  | 0..* | EHDSDocument | Laboratory report model Elements defined in Ancestors:header, header, presentedForm Instances of this logical model can be the target of a Reference
header |  | 1..1 | Base | Laboratory Report header
subject |  | 1..1 | EHDSPatient | Patient/subject information
identifier |  | 1..* | Identifier | Unique identifier of the document
authorship |  | 1..* | Base | Authorship of the laboratory report
author[x] |  | 1..1 |  | Author(s) by whom the resource was/were authored. Multiple authors could be provided.
authorEHDSHealthProfessional |  |  | EHDSHealthProfessional |
authorEHDSOrganisation |  |  | EHDSOrganisation |
authorEHDSDevice |  |  | EHDSDevice |
datetime |  | 1..1 | dateTime | Date and time of authoring/issuing
lastUpdate |  | 0..1 | dateTime | Date and time of the last update to the resource (may be used for technical corrections).
status |  | 1..1 | CodeableConcept | Status of the resource or document
statusReason[x] |  | 0..1 |  | Reason for the current status of the resource.
statusReasonCodeableConcept |  |  | CodeableConcept |
statusReasonString |  |  | string |
language |  | 0..1 | CodeableConcept | Language in which the resource is written. Language is expressed by the IETF language tag. Binding Description: (preferred): BCP 47
documentType |  | 1..1 | CodeableConcept | Type of document at hand, e.g. 60591-5 Patient summary document. Binding Description: (preferred): LOINC
documentTitle |  | 1..1 | string | 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'
period |  | 0..1 | Period | Time of service that is being documented
version |  | 0..1 | string | Business version of the document.
attestation |  | 0..* | Base | Document attestation details
attester[x] |  | 1..1 |  | Attester who validated the document. Multiple attesters could be provided.
attesterEHDSHealthProfessional |  |  | EHDSHealthProfessional |
attesterEHDSDevice |  |  | EHDSDevice |
datetime |  | 1..1 | dateTime | Date and time of the approval of the document by Attester.
legalAuthentication |  | 0..1 | Base | Document legal authentication details
legalAuthenticator[x] |  | 1..1 |  | The person or organization taking responsibility for the medical content of the document
legalAuthenticatorEHDSHealthProfessional |  |  | EHDSHealthProfessional |
legalAuthenticatorEHDSOrganisation |  |  | EHDSOrganisation |
datetime |  | 1..1 | dateTime | Date and time when the document was authorised.
eventType |  | 0..* | CodeableConcept | 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. Binding Description: (preferred): SNOMED CT
serviceSpecialty |  | 0..* | CodeableConcept | Additional details about where the content was created (e.g. clinical specialty) Binding Description: (preferred): SNOMED CT
custodian |  | 0..1 | EHDSOrganisation | Organisation that is in charge of maintaining the document/report.
confidentiality |  | 0..1 | CodeableConcept | Level of confidentiality of the document. Implicit value is normal. Binding Description: (preferred): hl7:Confidentiality
presentedForm |  | 0..* | EHDSAttachment | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
healthInsuranceAndPaymentInformation |  | 0..* | EHDSCoverage | Health insurance and payment information
intendedRecipient[x] |  | 0..* |  | Intended recipient
intendedRecipientEHDSPatient |  |  | EHDSPatient |
intendedRecipientEHDSRelatedPerson |  |  | EHDSRelatedPerson |
intendedRecipientEHDSHealthProfessional |  |  | EHDSHealthProfessional |
intendedRecipientEHDSOrganisation |  |  | EHDSOrganisation |
intendedRecipientEHDSDevice |  |  | EHDSDevice |
body |  | 0..1 | Base | Laboratory Report structured body
orderInformation |  | 0..* | Base | Order Information (Laboratory Result Report could respond to multiple test orders)
orderId |  | 1..* | Identifier | An identifier of the laboratory test order. Laboratory Result Report may respond to multiple orders.
orderDateAndTime |  | 0..1 | dateTime | Date and time of the order placement.
orderPlacer[x] |  | 0..1 |  | The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.
orderPlacerEHDSHealthProfessional |  |  | EHDSHealthProfessional |
orderPlacerEHDSOrganisation |  |  | EHDSOrganisation |
orderPlacerEHDSPatient |  |  | EHDSPatient |
orderReasonText |  | 0..* | string | An explanation or justification for why this service is being requested in textual form.
orderReason[x] |  | 0..* |  | An explanation or justification for why this service is being requested in coded form. Binding Description: (preferred): SNOMED CT
orderReasonCodeableConcept |  |  | CodeableConcept |
orderReasonEHDSCondition |  |  | EHDSCondition |
orderReasonEHDSObservation |  |  | EHDSObservation |
clinicalQuestion |  | 0..1 | string | Specification of clinical question (goal of the investigation) to be answered by the laboratory investigation.
supportingInformation |  | 0..1 | Base | 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.
observation |  | 0..* | EHDSObservation | Clinical findings and other observations.
condition |  | 0..* | EHDSCondition | Condition that may influence the service or result interpretation.
medicationAdministration |  | 0..* | EHDSMedicationAdministration | Medication administered before ordering the service.
sexForClinicalUse |  | 0..* | CodeableConcept | 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 Binding Description: (preferred): HL7 sex-parameter-for-clinical-use
vaccination |  | 0..* | EHDSImmunisation | Vaccination history of the patient.
otherSupportingInformation |  | 0..* | Resource | Any other type of relevant supporting information
specimen |  | 0..* | EHDSSpecimen | Specimen information
serviceRequest |  | 0..* | EHDSServiceRequest | Specification of requested service or services
resultData |  | 1..1 | Base | Laboratory report result data
commentsInterpretationAndRecommendations |  | 0..* | Narrative | Narrative Comments, such as a textual interpretation or advice accompanying the result report, for example. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
laboratoryTestResults |  | 0..* | EHDSLaboratoryObservation | Observation details (report could consist of multiple observations)
attachments[x] |  | 0..* |  | Report attachments data elements
attachmentsEHDSAttachment |  |  | EHDSAttachment |
attachmentsEHDSMedia |  |  | EHDSMedia |
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
EHDSLaboratoryReport.​header.language | Base | preferred |  | Not State | Unknown
EHDSLaboratoryReport.​header.documentType | Base | preferred |  | Not State | Unknown
EHDSLaboratoryReport.​header.eventType | Base | preferred |  | Not State | Unknown
EHDSLaboratoryReport.​header.serviceSpecialty | Base | preferred |  | Not State | Unknown
EHDSLaboratoryReport.​header.confidentiality | Base | preferred |  | Not State | Unknown
EHDSLaboratoryReport.​body.orderInformation.​orderReason[x] | Base | preferred |  | Not State | Unknown
EHDSLaboratoryReport.​body.supportingInformation.​sexForClinicalUse | Base | preferred |  | Not State | Unknown

This structure is derived from EHDSDocument

Summary

Mandatory: 0 element(2 nested mandatory elements)

Other representations of profile: CSV, Excel