HL7 Europe Patient Summary
1.0.0-xtehr - qa-preview 150

HL7 Europe Patient Summary, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 1.0.0-xtehr built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/eps/ and changes regularly. See the Directory of published versions

EHDSLaboratoryObservation Mapping

EHDSLaboratoryObservation -> MedicalTestResultEuCore
Ongoing alignment: The Xt-EHR logical models are under active revision and continuous refinement. Updates from Xt-EHR will be progressively incorporated into this Implementation Guide to maintain alignment with the evolving EHDS specifications.
Yellow row/cells: In this ballot publication, some row/cells of the mapping table have been left in yellow to indicate areas requiring further review or refinement; including feedback from the Xt-EHR joint action (see note above). These highlights will be addressed in subsequent updates to ensure accuracy and completeness of the mappings.

EHDSLaboratoryObservation -> MedicalTestResultEuCore

This page explains how conceptual elements from the EHDS logical model are expressed in the corresponding FHIR Observation profile or type used by this Implementation Guide.

Mapping Context

EHDSLaboratoryObservation -> MedicalTestResultEuCore
EHDSLaboratoryObservation (Logical Model) Relationship MedicalTestResultEuCore (Observation)
Element Description Relation Resource Element Description Notes
header Common header for all patient-related data. related-to Observation . General metadata. Dataset-level; not usually carried in Observation as-is.
header.subject Patient who is receiving health care. equivalent Observation subject Who/what the observation is about. Reference to Patient (or other allowed subject types).
header.identifier Business identifier for the object. equivalent Observation identifier Business identifier for this observation. Copy over all identifiers if multiple.
header.author[x] Author(s) who issued the resource. no-map Observation Observation lacks a dedicated recorder.
header.date Date and time of authoring/issuing. equivalent Observation issued When the observation result was issued.
header.status Status of the resource. equivalent Observation status Registered | preliminary | final | amended | ... EHDS uses CodeableConcept; Observation.status is a required code. Align to HL7 ObservationStatus.
header.source Source of the information (e.g. patient, proxy). no-map Observation - No core element; use an extension if the source is required.
header.language Language in which the resource is written. equivalent Observation language Language of the resource.
header.directSubject[x] The direct subject of the observation if different from the patient. equivalent Observation focus Focus of the observation when not the primary subject.
observationDate[x] Clinically relevant time or period for the observation. equivalent Observation effective[x] Clinically relevant time or time-period. Map to effectiveDateTime or effectivePeriod.
type Observation type. equivalent Observation code What is being observed.
originalName Original (conventional) name of the observation. equivalent Observation code.text Text representation of the observation code.
method Observation method. equivalent Observation method How it was done.
specimen Specimen used for the observation. equivalent Observation specimen Specimen used for this observation.
order Order this observation belongs to. equivalent Observation basedOn Plan or request fulfilled by this observation.
performer[x] Performer of the observation. equivalent Observation performer Who performed or produced the observation. Supports Practitioner, PractitionerRole, Patient, RelatedPerson.
bodySite Anatomic location and laterality. source-is-broader-than-target Observation bodySite Observed body site.
bodySite Anatomic location and laterality. source-is-broader-than-target Observation extension[bodyStructure]〔R4〕 Observed body structure
bodySite Anatomic location and laterality. equivalent Observation bodyStructure〔R5〕 Observed body structure
result Result of the observation. related-to Observation .
result.value[x] Observation result value. equivalent Observation value[x] Result value.
result.uncertainty Measurement uncertainty type and interval. related-to Quantity extension - See included elements for mapping details
result.uncertaint.value Measurement uncertainty type and interval. equivalent Quantity extension:uncertainty Uncertainty value http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty extension for the Quantity data type.
result.uncertainty.type Type of measurement uncertainty. equivalent Observation extension:uncertaintyType Uncertainty type http://hl7.org/fhir/StructureDefinition/iso21090-uncertaintyType extension for the Quantity data type.
result.dataAbsentReason Why the expected value is missing. equivalent Observation dataAbsentReason Reason for missing result.
referenceRange Reference range(s) for interpretation. equivalent Observation referenceRange Guidance for interpretation.
interpretation Reference interval and result interpretation. equivalent Observation interpretation High/low/abnormal, etc.
note Comments and narrative representation. source-is-broader-than-target Observation note Comment or annotation.
component Sub-observations (e.g. panel members). equivalent Observation component Observation component.
component.code Code representing the observation. equivalent Observation component.code What is being observed.
component.originalName Original name of the component observation. equivalent Observation component.code.text Text representation of the component code.
component.result Result of the sub-observation. related-to Observation component Component result value.
component.result.value[x] Component result value. equivalent Observation component.value[x] Component result value.
component.result.uncertainty Measurement uncertainty type and interval. related-to Quantity extension - See included elements for mapping details
component.result.uncertaint.value Measurement uncertainty type and interval. equivalent Quantity extension:uncertainty Uncertainty value http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty extension for the Quantity data type.
component.result.uncertainty.type Type of measurement uncertainty. equivalent Observation extension:uncertaintyType Uncertainty type http://hl7.org/fhir/StructureDefinition/iso21090-uncertaintyType extension for the Quantity data type.
component.result.dataAbsentReason Why the component value is missing. equivalent Observation component.dataAbsentReason Reason for missing component result.
component.referenceRange Reference range for the component. equivalent Observation component.referenceRange Guidance for interpreting the component value.
component.interpretation Component interpretation. equivalent Observation component.interpretation Interpretation of the component.
derivedFrom[x] Related resource from which this observation is derived. equivalent Observation derivedFrom What the observation is based on. Supports references to Observation, ImagingStudy, DiagnosticReport, etc.
hasMember[x] Group observation that includes the target as a member. equivalent Observation hasMember Related members of a panel or battery.
triggeredBy[x] References to the observation(s) that triggered this observation. equivalent Observation extension:triggeredBy Triggering observation(s)
testKit Laboratory test kit used during measurement. related-to Observation extension:labTestKit Device Laboratory Test Kit
calibrator Calibrator used for the measurement. related-to Observation extension:certifiedRefMaterialCodeable Certified Reference Material: CodeableConcept
calibrator Calibrator used for the measurement. related-to Observation extension:certifiedRefMaterialIdentifier Certified Reference Material: Identifier
accreditationStatus Accreditation status of the laboratory for the observation. related-to Organization extension:qualification Observation.performer (of type Organization), or Observation.performer.organization if performer is of type PractitionerRole. Organization.qualification is preadopted from R5.
previousResults Previous results of the same observation. related-to Observation extension:supportingInfo Other information that may be relevant to this event.
pointOfCareTest Indicates if the observation is a point-of-care test. related-to Observation category Observation Classification

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