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: EHDSLaboratoryReport - Detailed Descriptions

Draft as of 2025-12-03

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 | EHDS refined base model for Laboratory result report 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 | Common header for all patient-related data
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
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.authorship
Definition | Resource authoring details
Short | Authorship of the laboratory report
Control | 1..*
Type | Base
10. EHDSLaboratoryReport.header.authorship.author[x]
Definition | Author(s) by whom the laboratory result report was authored. Multiple authors could be provided.
Short | Author(s) by whom the resource was/were authored. Multiple authors could be provided.
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..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]
12. EHDSLaboratoryReport.header.authorship.datetime
Definition | Date and time of authoring/issuing
Short | Date and time of authoring/issuing
Control | 1..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
14. EHDSLaboratoryReport.header.lastUpdate
Definition | Date and time of the last update to the resource (may be used for technical corrections).
Short | Date and time of the last update to the resource (may be used for technical corrections).
Control | 0..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
16. EHDSLaboratoryReport.header.status
Definition | Status of the resource or document
Short | Status of the resource or document
Control | 1..1
Type | CodeableConcept
18. EHDSLaboratoryReport.header.statusReason[x]
Definition | Reason for the current status of the resource.
Short | Reason for the current status of the resource.
Control | 0..1
Type | Choice of: CodeableConcept, 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
20. 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
22. 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
24. 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
26. EHDSLaboratoryReport.header.period
Definition | Time of service that is being documented
Short | Time of service that is being documented
Control | 0..1
Type | Period
28. EHDSLaboratoryReport.header.version
Definition | Business version of the document.
Short | Business version of the document.
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
30. EHDSLaboratoryReport.header.attestation
Definition | Document attestation details
Short | Document attestation details
Control | 0..*
Type | Base
32. EHDSLaboratoryReport.header.attestation.attester[x]
Definition | Attester who validated laboratory result report. Multiple attesters could be provided.
Short | Attester who validated the document. 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.
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]
34. 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
36. EHDSLaboratoryReport.header.legalAuthentication
Definition | Document legal authentication details
Short | Document legal authentication details
Control | 0..1
Type | Base
38. EHDSLaboratoryReport.header.legalAuthentication.legalAuthenticator[x]
Definition | The person or organization taking responsibility for the medical content of the document
Short | 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.
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]
40. 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
42. 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
44. 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
46. 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
48. EHDSLaboratoryReport.header.confidentiality
Definition | Level of confidentiality of the document. Implicit value is normal.
Short | Level of confidentiality of the document. Implicit value is normal.
Control | 0..1
Binding | hl7:Confidentiality
Type | CodeableConcept
50. 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
52. EHDSLaboratoryReport.healthInsuranceAndPaymentInformation
Definition | Health insurance and payment information
Short | Health insurance and payment information
Control | 0..*
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSCoverage
54. 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]
56. EHDSLaboratoryReport.body
Definition | Laboratory Report structured body
Short | Laboratory Report structured body
Control | 0..1
Type | Base
58. 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
60. 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
62. 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
64. 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]
66. EHDSLaboratoryReport.body.orderInformation.orderReasonText
Definition | An explanation or justification for why this service is being requested in textual form.
Short | An explanation or justification for why this service is being requested in textual form.
Control | 0..*
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
68. 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
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
70. 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
72. 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
74. 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
76. 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
78. 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
80. 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..*
Binding | HL7 sex-parameter-for-clinical-use
Type | CodeableConcept
82. 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
84. EHDSLaboratoryReport.body.supportingInformation.otherSupportingInformation
Definition | Any other type of relevant supporting information
Short | Any other type of relevant supporting information
Control | 0..*
Type | Resource
86. EHDSLaboratoryReport.body.specimen
Definition | Specimen information
Short | Specimen information
Control | 0..*
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSSpecimen
88. 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
90. EHDSLaboratoryReport.body.resultData
Definition | Laboratory report result data
Short | Laboratory report result data
Control | 1..1
Type | Base
92. 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
94. 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
96. EHDSLaboratoryReport.attachments[x]
Definition | Report attachments data elements
Short | Report attachments data elements
Control | 0..*
Type | Choice of: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAttachment, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSMedia
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]

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

0. EHDSLaboratoryReport
Definition | EHDS refined base model for Laboratory result report
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.authorship
Short | Authorship of the laboratory report
6. EHDSLaboratoryReport.header.authorship.author[x]
Definition | Author(s) by whom the laboratory result report was authored. Multiple authors could be provided.
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]
8. EHDSLaboratoryReport.header.attestation
10. 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]
12. EHDSLaboratoryReport.header.legalAuthentication
14. EHDSLaboratoryReport.header.legalAuthentication.legalAuthenticator[x]
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]
16. EHDSLaboratoryReport.header.eventType
Binding | SNOMED CT
18. EHDSLaboratoryReport.healthInsuranceAndPaymentInformation
Definition | Health insurance and payment information
Short | Health insurance and payment information
Control | 0..*
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSCoverage
20. 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]
22. EHDSLaboratoryReport.body
Definition | Laboratory Report structured body
Short | Laboratory Report structured body
Control | 0..1
Type | Base
24. 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
26. 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
28. 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
30. 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]
32. EHDSLaboratoryReport.body.orderInformation.orderReasonText
Definition | An explanation or justification for why this service is being requested in textual form.
Short | An explanation or justification for why this service is being requested in textual form.
Control | 0..*
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
34. 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
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
36. 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
38. 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
40. 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
42. 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
44. 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
46. 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..*
Binding | HL7 sex-parameter-for-clinical-use
Type | CodeableConcept
48. 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
50. EHDSLaboratoryReport.body.supportingInformation.otherSupportingInformation
Definition | Any other type of relevant supporting information
Short | Any other type of relevant supporting information
Control | 0..*
Type | Resource
52. EHDSLaboratoryReport.body.specimen
Definition | Specimen information
Short | Specimen information
Control | 0..*
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSSpecimen
54. 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
56. EHDSLaboratoryReport.body.resultData
Definition | Laboratory report result data
Short | Laboratory report result data
Control | 1..1
Type | Base
58. 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
60. 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
62. EHDSLaboratoryReport.attachments[x]
Definition | Report attachments data elements
Short | Report attachments data elements
Control | 0..*
Type | Choice of: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAttachment, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSMedia
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]

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

0. EHDSLaboratoryReport
Definition | EHDS refined base model for Laboratory result report
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 | Common header for all patient-related data
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
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.authorship
Definition | Resource authoring details
Short | Authorship of the laboratory report
Control | 1..*
Type | Base
10. EHDSLaboratoryReport.header.authorship.author[x]
Definition | Author(s) by whom the laboratory result report was authored. Multiple authors could be provided.
Short | Author(s) by whom the resource was/were authored. Multiple authors could be provided.
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..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]
12. EHDSLaboratoryReport.header.authorship.datetime
Definition | Date and time of authoring/issuing
Short | Date and time of authoring/issuing
Control | 1..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
14. EHDSLaboratoryReport.header.lastUpdate
Definition | Date and time of the last update to the resource (may be used for technical corrections).
Short | Date and time of the last update to the resource (may be used for technical corrections).
Control | 0..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
16. EHDSLaboratoryReport.header.status
Definition | Status of the resource or document
Short | Status of the resource or document
Control | 1..1
Type | CodeableConcept
18. EHDSLaboratoryReport.header.statusReason[x]
Definition | Reason for the current status of the resource.
Short | Reason for the current status of the resource.
Control | 0..1
Type | Choice of: CodeableConcept, 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
20. 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
22. 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
24. 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
26. EHDSLaboratoryReport.header.period
Definition | Time of service that is being documented
Short | Time of service that is being documented
Control | 0..1
Type | Period
28. EHDSLaboratoryReport.header.version
Definition | Business version of the document.
Short | Business version of the document.
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
30. EHDSLaboratoryReport.header.attestation
Definition | Document attestation details
Short | Document attestation details
Control | 0..*
Type | Base
32. EHDSLaboratoryReport.header.attestation.attester[x]
Definition | Attester who validated laboratory result report. Multiple attesters could be provided.
Short | Attester who validated the document. 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.
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]
34. 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
36. EHDSLaboratoryReport.header.legalAuthentication
Definition | Document legal authentication details
Short | Document legal authentication details
Control | 0..1
Type | Base
38. EHDSLaboratoryReport.header.legalAuthentication.legalAuthenticator[x]
Definition | The person or organization taking responsibility for the medical content of the document
Short | 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.
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]
40. 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
42. 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
44. 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
46. 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
48. EHDSLaboratoryReport.header.confidentiality
Definition | Level of confidentiality of the document. Implicit value is normal.
Short | Level of confidentiality of the document. Implicit value is normal.
Control | 0..1
Binding | hl7:Confidentiality
Type | CodeableConcept
50. 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
52. EHDSLaboratoryReport.healthInsuranceAndPaymentInformation
Definition | Health insurance and payment information
Short | Health insurance and payment information
Control | 0..*
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSCoverage
54. 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]
56. EHDSLaboratoryReport.body
Definition | Laboratory Report structured body
Short | Laboratory Report structured body
Control | 0..1
Type | Base
58. 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
60. 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
62. 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
64. 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]
66. EHDSLaboratoryReport.body.orderInformation.orderReasonText
Definition | An explanation or justification for why this service is being requested in textual form.
Short | An explanation or justification for why this service is being requested in textual form.
Control | 0..*
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
68. 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
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
70. 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
72. 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
74. 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
76. 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
78. 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
80. 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..*
Binding | HL7 sex-parameter-for-clinical-use
Type | CodeableConcept
82. 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
84. EHDSLaboratoryReport.body.supportingInformation.otherSupportingInformation
Definition | Any other type of relevant supporting information
Short | Any other type of relevant supporting information
Control | 0..*
Type | Resource
86. EHDSLaboratoryReport.body.specimen
Definition | Specimen information
Short | Specimen information
Control | 0..*
Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSSpecimen
88. 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
90. EHDSLaboratoryReport.body.resultData
Definition | Laboratory report result data
Short | Laboratory report result data
Control | 1..1
Type | Base
92. 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
94. 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
96. EHDSLaboratoryReport.attachments[x]
Definition | Report attachments data elements
Short | Report attachments data elements
Control | 0..*
Type | Choice of: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAttachment, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSMedia
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]