HL7 Europe Imaging Report R5
0.1.1-build - 150

HL7 Europe Imaging Report R5, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.1.1-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/imaging-r5/ and changes regularly. See the Directory of published versions

Logical Model: Laboratory report model

Official URL: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSLaboratoryReport Version: 0.1.0
Computable Name: EHDSLaboratoryReport

Copyright/Legal: Copyright HL7 Europe. Licensed under Creative Commons public domain (CC0 1.0).

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 Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EHDSLaboratoryReport 0..* EHDSDocument Laboratory report model

Elements defined in Ancestors:header, presentedForm, header, knowledgeResources
Instances of this logical model can be the target of a Reference
... header 1..1 Base Laboratory Report header
.... eventType 0..* CodeableConcept Event type
Binding Description: (preferred): SNOMED CT
... knowledgeResources 0..0
... healthInsuranceAndPaymentInformation 0..* EHDSCoverage Health insurance and payment information
.... 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

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
EHDSLaboratoryReport.​header.eventType Base preferred Not Stated Unknown
EHDSLaboratoryReport.​body.orderInformation.​orderReason[x] Base preferred Not Stated Unknown
EHDSLaboratoryReport.​body.supportingInformation.​sexForClinicalUse Base preferred Not Stated Unknown
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EHDSLaboratoryReport 0..* EHDSDocument Laboratory report model

Elements defined in Ancestors:header, presentedForm, header, knowledgeResources
Instances of this logical model can be the target of a Reference
... header 1..1 Base Laboratory Report header
.... subject 1..1 EHDSPatient Subject
.... identifier 1..* Identifier Document ID
.... authorship 1..* Base Authorship
..... author[x] 1..1 Author
...... 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
.... status 1..1 CodeableConcept Status of the resource
.... statusReason[x] 0..1 Reason for the current status of the resource.
..... statusReasonCodeableConcept CodeableConcept
..... statusReasonString string
.... language 0..1 CodeableConcept Language
Binding Description: (preferred): BCP 47
.... version 0..1 string Version
.... documentType 1..1 CodeableConcept Document type
Binding Description: (preferred): LOINC
.... documentTitle 1..1 string Document title
.... documentStatus 1..1 CodeableConcept Document status
Binding Description: (preferred): hl7:CompositionStatus
.... period 0..1 Period Period
.... attestation 0..* Base Attestation
..... attester 1..1 EHDSHealthProfessional Attester
..... datetime 1..1 dateTime DateTime
.... legalAuthentication 0..1 Base Legal authentication
..... legalAuthenticator 1..1 EHDSHealthProfessional Legal authenticator
..... datetime 1..1 dateTime DateTime
.... eventType 0..* CodeableConcept Event type
Binding Description: (preferred): SNOMED CT
.... authorSpecialty 0..* CodeableConcept Specialty
Binding Description: (preferred): SNOMED CT
.... custodian 1..1 EHDSOrganisation Document custodian
.... documentFormat 0..1 CodeableConcept Document format
Binding Description: (preferred): HL7 Document Format Codes
.... confidentiality 0..1 CodeableConcept Confidentiality
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
.... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
EHDSLaboratoryReport.​header.language Base preferred Not Stated Unknown
EHDSLaboratoryReport.​header.documentType Base preferred Not Stated Unknown
EHDSLaboratoryReport.​header.documentStatus Base preferred Not Stated Unknown
EHDSLaboratoryReport.​header.eventType Base preferred Not Stated Unknown
EHDSLaboratoryReport.​header.authorSpecialty Base preferred Not Stated Unknown
EHDSLaboratoryReport.​header.documentFormat Base preferred Not Stated Unknown
EHDSLaboratoryReport.​header.confidentiality Base preferred Not Stated Unknown
EHDSLaboratoryReport.​body.orderInformation.​orderReason[x] Base preferred Not Stated Unknown
EHDSLaboratoryReport.​body.supportingInformation.​sexForClinicalUse Base preferred Not Stated Unknown

Summary

Mandatory: 0 element(2 nested mandatory elements)
Prohibited: 1 element

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EHDSLaboratoryReport 0..* EHDSDocument Laboratory report model

Elements defined in Ancestors:header, presentedForm, header, knowledgeResources
Instances of this logical model can be the target of a Reference
... header 1..1 Base Laboratory Report header
.... eventType 0..* CodeableConcept Event type
Binding Description: (preferred): SNOMED CT
... knowledgeResources 0..0
... healthInsuranceAndPaymentInformation 0..* EHDSCoverage Health insurance and payment information
.... 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

doco Documentation for this format

Terminology Bindings (Differential)

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

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EHDSLaboratoryReport 0..* EHDSDocument Laboratory report model

Elements defined in Ancestors:header, presentedForm, header, knowledgeResources
Instances of this logical model can be the target of a Reference
... header 1..1 Base Laboratory Report header
.... subject 1..1 EHDSPatient Subject
.... identifier 1..* Identifier Document ID
.... authorship 1..* Base Authorship
..... author[x] 1..1 Author
...... 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
.... status 1..1 CodeableConcept Status of the resource
.... statusReason[x] 0..1 Reason for the current status of the resource.
..... statusReasonCodeableConcept CodeableConcept
..... statusReasonString string
.... language 0..1 CodeableConcept Language
Binding Description: (preferred): BCP 47
.... version 0..1 string Version
.... documentType 1..1 CodeableConcept Document type
Binding Description: (preferred): LOINC
.... documentTitle 1..1 string Document title
.... documentStatus 1..1 CodeableConcept Document status
Binding Description: (preferred): hl7:CompositionStatus
.... period 0..1 Period Period
.... attestation 0..* Base Attestation
..... attester 1..1 EHDSHealthProfessional Attester
..... datetime 1..1 dateTime DateTime
.... legalAuthentication 0..1 Base Legal authentication
..... legalAuthenticator 1..1 EHDSHealthProfessional Legal authenticator
..... datetime 1..1 dateTime DateTime
.... eventType 0..* CodeableConcept Event type
Binding Description: (preferred): SNOMED CT
.... authorSpecialty 0..* CodeableConcept Specialty
Binding Description: (preferred): SNOMED CT
.... custodian 1..1 EHDSOrganisation Document custodian
.... documentFormat 0..1 CodeableConcept Document format
Binding Description: (preferred): HL7 Document Format Codes
.... confidentiality 0..1 CodeableConcept Confidentiality
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
.... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
EHDSLaboratoryReport.​header.language Base preferred Not Stated Unknown
EHDSLaboratoryReport.​header.documentType Base preferred Not Stated Unknown
EHDSLaboratoryReport.​header.documentStatus Base preferred Not Stated Unknown
EHDSLaboratoryReport.​header.eventType Base preferred Not Stated Unknown
EHDSLaboratoryReport.​header.authorSpecialty Base preferred Not Stated Unknown
EHDSLaboratoryReport.​header.documentFormat Base preferred Not Stated Unknown
EHDSLaboratoryReport.​header.confidentiality Base preferred Not Stated Unknown
EHDSLaboratoryReport.​body.orderInformation.​orderReason[x] Base preferred Not Stated Unknown
EHDSLaboratoryReport.​body.supportingInformation.​sexForClinicalUse Base preferred Not Stated Unknown

Summary

Mandatory: 0 element(2 nested mandatory elements)
Prohibited: 1 element

 

Other representations of profile: CSV, Excel