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 2.0.0 to 2.0.1

• Removed the Composition.section:attachment slice and added guidance on DiagnosticReport.media for additional data associated with the report (FHIR-53138).
• Updated the eu-lab-1 and eu-lab-2 invariants to explicitly support the R5 value[x] and component.value[x] extensions, and added examples covering all valid ways a laboratory result value may be expressed (FHIR-56821).

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).