HL7 Europe Laboratory Report
2.0.0 - ci-build 150

HL7 Europe Laboratory Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 2.0.0 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

Change Log

This page summarizes the main changes applied to this version of the guide.

From 0.1.1 to 2.0.0

🔧 Model Alignment and Refactoring

  • Aligned model maps with the Xt-EHR model (FHIR-53126).
  • Added attachments section (FHIR-53138).
  • Updated dependencies, including fix to hl7.fhir.eu.extensions.r4 (FHIR-53210).
  • Updated bodyStructure references (FHIR-44969).
  • Updated resource references to align with revised base profile names (FHIR-44969).
  • Updated DIagRptStatus-to-CompStatus-map.fsh (FHIR-53126).
  • Added terminology expansion parameter support and documentation updates (sct-expansion-params.fsh, index updates).

🧹 Scope Reduction and Cleanup

  • Removed ConceptMaps and associated diagrams (FHIR-53126).
  • Removed logical models based on the eHN guidelines (FHIR-53126).
  • Cleaned up obsolete or unused configuration elements (FHIR-53210, FHIR-53224).

🧪 Profiles, Bundles, and Examples

  • Updated lab-related profiles:

    • bundle.fsh
    • bundle-lab.fsh
    • composition-lab.fsh
    • diagnosticReport-lab.fsh
    • observation-lab.fsh (FHIR-44969, FHIR-53224, FHIR-53529, FHIR-53584, FHIR-55624, FHIR-56181)
  • Updated animal/device related profile handling (FHIR-50157, FHIR-53530, FHIR-56314).
  • Added dedicated device profiles and related value sets for laboratory reporting (FHIR-53530).
  • Added and aligned laboratory accreditation extension usage across Observation/ServiceRequest and examples (FHIR-53127, FHIR-53224).
  • Added cross-version support for DiagnosticReport.media.link mapping.
  • Added missing-data guidance and alignment of animal examples to RelatedPerson-based representation (FHIR-56314, FHIR-55624).

  • Updated bundle definitions:

    • Bundle-MicroCultureSuscLabResultDetailed.fsh
    • Bundle-IT-CDA2FHIR.fsh
    • Bundle-HepatitisPanel.fsh (FHIR-53224, FHIR-55624, FHIR-56181)
  • Created and refined NPU-microbiology-example.fsh (maintainance update, no dedicated FHIR tracker).
  • Updated example definitions and references (Examples.fsh) (FHIR-55624, FHIR-56314).
  • Updated alias definitions (alias-systems.fsh, alias-lab.fsh) (FHIR-46043, FHIR-53210, FHIR-53224, FHIR-53529).
  • Added guidance on result ordering/grouping and section modeling variants in lab report narrative.
  • Added guidance on MTR/LTR, panels, and reflex tests.

🛠 Build and Infrastructure

  • Updated sushi-config.yaml and aliases (FHIR-53210, FHIR-53224).
  • Fixed QA errors (FHIR-53224).
  • Added new supporting scripts
  • Updated documentation (README.md, index.md) (FHIR-53126).

From 0.1.0 to 0.1.1

  • Obligation codes fixed.
  • Obligation URL fixed.
  • Invariant pat-cnt-2or3-char error fixed.
  • Fixed typos.
  • Fixed ConceptMap.sourceUri and ConceptMap.targetUri errors.
  • Changed pattern discriminator to value.
  • Implemented a workaround to fix the issue with polymorphic element for R5 extension.
  • Bundle profile: changed the cardinality of the Patient slice to ..* (fix).
  • Added missing example binding for Patient.animal.
  • Updated some non-required value sets (Body Structure site laterality; site Qualifier; Specimen Types; Lab Technique) (FHIR-46043).