HL7 Europe Laboratory Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.2.0-ci built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/laboratory/ and changes regularly. See the Directory of published versions
| Draft as of 2026-03-27 |
Definitions for the Range-eu-lab data type profile.
Guidance on how to interpret the contents of this table can be foundhere
| 0. Range | |
| Definition | A measured range (or a range that can potentially be measured) and uncertainty of the measurement. This profile imposes that the code system for units be UCUM. A set of ordered Quantities defined by a low and high limit. |
| Short | A measured range using UCUMSet of values bounded by low and high |
| Comments | The stated low and high value are assumed to have arbitrarily high precision when it comes to determining which values are in the range. I.e. 1.99 is not in the range 2 -> 3. |
| Control | 0..* This element is affected by the following invariants: ele-1 |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) rng-2: If present, low SHALL have a lower value than high ( low.empty() or high.empty() or (low <= high))rng-2: If present, low SHALL have a lower value than high (low.empty() or high.empty() or (low <= high)) |
| 2. Range.extension:uncertainty | |
| Slice Name | uncertainty |
| Definition | The primary measure of variance/uncertainty of the value (the square root of the sum of the squares of the differences between all data points and the mean). |
| Short | Standard Deviation (same units as the quantity) |
| Comments | standardDeviation has the same units as the quantity. It is used to normalize the data for computing the distribution function. Applications that cannot deal with probability distributions can still get an idea about the confidence level by looking at standardDeviation. |
| Control | 0..1 |
| Type | Extension(Uncertainty) (Extension Type: decimal) |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 4. Range.extension:uncertaintyType | |
| Slice Name | uncertaintyType |
| Definition | A code specifying the type of probability distribution for the uncertainty. |
| Short | Probability Distribution Type for uncertainty |
| Comments | This is only meaningful if there is also an uncertainty extension. If there is an uncertainty extension with no type, this means that the probability distribution type is unknown. In that case, the uncertainty has the meaning of an informal guess. |
| Control | 0..1 |
| Type | Extension(Uncertainty type) (Extension Type: code) |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
Guidance on how to interpret the contents of this table can be foundhere
| 0. Range | |
| Definition | A measured range (or a range that can potentially be measured) and uncertainty of the measurement. This profile imposes that the code system for units be UCUM. |
| Short | A measured range using UCUM |
| 2. Range.extension:uncertainty | |
| Slice Name | uncertainty |
| Control | 0..1 |
| Type | Extension(Uncertainty) (Extension Type: decimal) |
| 4. Range.extension:uncertaintyType | |
| Slice Name | uncertaintyType |
| Control | 0..1 |
| Type | Extension(Uncertainty type) (Extension Type: code) |
| 6. Range.low | |
| 8. Range.low.system | |
| Control | 1..? |
| Pattern Value | http://unitsofmeasure.org |
| 10. Range.low.code | |
| Control | 1..? |
| 12. Range.high | |
| 14. Range.high.system | |
| Control | 1..? |
| Pattern Value | http://unitsofmeasure.org |
| 16. Range.high.code | |
| Control | 1..? |
Guidance on how to interpret the contents of this table can be foundhere
| 0. Range | |
| Definition | A measured range (or a range that can potentially be measured) and uncertainty of the measurement. This profile imposes that the code system for units be UCUM. |
| Short | A measured range using UCUM |
| Comments | The stated low and high value are assumed to have arbitrarily high precision when it comes to determining which values are in the range. I.e. 1.99 is not in the range 2 -> 3. |
| Control | 0..* This element is affected by the following invariants: ele-1 |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))rng-2: If present, low SHALL have a lower value than high ( low.empty() or high.empty() or (low <= high)) |
| 2. Range.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 4. Range.extension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | Additional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on Range.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 6. Range.extension:uncertainty | |
| Slice Name | uncertainty |
| Definition | The primary measure of variance/uncertainty of the value (the square root of the sum of the squares of the differences between all data points and the mean). |
| Short | Standard Deviation (same units as the quantity) |
| Comments | standardDeviation has the same units as the quantity. It is used to normalize the data for computing the distribution function. Applications that cannot deal with probability distributions can still get an idea about the confidence level by looking at standardDeviation. |
| Control | 0..1 |
| Type | Extension(Uncertainty) (Extension Type: decimal) |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 8. Range.extension:uncertaintyType | |
| Slice Name | uncertaintyType |
| Definition | A code specifying the type of probability distribution for the uncertainty. |
| Short | Probability Distribution Type for uncertainty |
| Comments | This is only meaningful if there is also an uncertainty extension. If there is an uncertainty extension with no type, this means that the probability distribution type is unknown. In that case, the uncertainty has the meaning of an informal guess. |
| Control | 0..1 |
| Type | Extension(Uncertainty type) (Extension Type: code) |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 10. Range.low | |
| Definition | The low limit. The boundary is inclusive. |
| Short | Low limit |
| Comments | If the low element is missing, the low boundary is not known. |
| Control | 0..1 |
| Type | Quantity(SimpleQuantity) |
| Is Modifier | false |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 12. Range.low.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 14. Range.low.extension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | Additional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on Range.low.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 16. Range.low.value | |
| Definition | The value of the measured amount. The value includes an implicit precision in the presentation of the value. |
| Short | Numerical value (with implicit precision) |
| Comments | The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). |
| Control | 0..1 |
| Type | decimal |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Precision is handled implicitly in almost all cases of measurement. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 18. Range.low.comparator | |
| Definition | Not allowed to be used in this context |
| Short | < | <= | >= | > - how to understand the value |
| Control | 0..0 |
| Binding | The codes SHALL be taken from QuantityComparator (required to http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1)How the Quantity should be understood and represented. |
| Type | code |
| Is Modifier | true because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. |
| Meaning if Missing | If there is no comparator, then there is no modification of the value |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 20. Range.low.unit | |
| Definition | A human-readable form of the unit. |
| Short | Unit representation |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 22. Range.low.system | |
| Definition | The identification of the system that provides the coded form of the unit. |
| Short | System that defines coded unit form |
| Control | 1..1 This element is affected by the following invariants: qty-3 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need to know the system that defines the coded form of the unit. |
| Pattern Value | http://unitsofmeasure.org |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 24. Range.low.code | |
| Definition | A computer processable form of the unit in some unit representation system. |
| Short | Coded form of the unit |
| Comments | The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. |
| Control | 1..1 |
| Type | code |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 26. Range.high | |
| Definition | The high limit. The boundary is inclusive. |
| Short | High limit |
| Comments | If the high element is missing, the high boundary is not known. |
| Control | 0..1 |
| Type | Quantity(SimpleQuantity) |
| Is Modifier | false |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 28. Range.high.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 30. Range.high.extension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | Additional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on Range.high.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 32. Range.high.value | |
| Definition | The value of the measured amount. The value includes an implicit precision in the presentation of the value. |
| Short | Numerical value (with implicit precision) |
| Comments | The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). |
| Control | 0..1 |
| Type | decimal |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Precision is handled implicitly in almost all cases of measurement. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 34. Range.high.comparator | |
| Definition | Not allowed to be used in this context |
| Short | < | <= | >= | > - how to understand the value |
| Control | 0..0 |
| Binding | The codes SHALL be taken from QuantityComparator (required to http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1)How the Quantity should be understood and represented. |
| Type | code |
| Is Modifier | true because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. |
| Meaning if Missing | If there is no comparator, then there is no modification of the value |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 36. Range.high.unit | |
| Definition | A human-readable form of the unit. |
| Short | Unit representation |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 38. Range.high.system | |
| Definition | The identification of the system that provides the coded form of the unit. |
| Short | System that defines coded unit form |
| Control | 1..1 This element is affected by the following invariants: qty-3 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need to know the system that defines the coded form of the unit. |
| Pattern Value | http://unitsofmeasure.org |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 40. Range.high.code | |
| Definition | A computer processable form of the unit in some unit representation system. |
| Short | Coded form of the unit |
| Comments | The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. |
| Control | 1..1 |
| Type | code |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |