CH LAB-Report (R4), published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7ch/ch-lab-report/ and changes regularly. See the Directory of published versions

Changelog

All significant changes to this FHIR implementation guide will be documented on this page.

STU 1 Sequence - v1.0.0 (2024-12-17)

Changed / Updated

• #91: Missing slice of value[x] and component.value[x] in observation: value.ofType(boolean)
• #70: Limit image size to 20 megabytes: Add menu point and page 'Guidance'.
• #73: Results Blood Group: Add more examples
• #77: The graphic 'Resource Overview' has been removed.
• #78: CH LAB-Report Observation Blood Group - Definitions
  • add example Bloodgroup panel with 2 dependent hasMember elements
    • Blood Group ABO Rh Panel
    • Blood Group Panel ABO
    • Blood Group RhD
• #92: Add Profile ChLabObservationBloodGroup with additional valueSets as candidates
• #93: Outcomment SetFmmandStatusRule in all profiles to set them to active.
• #94: Bundle 2-electrophoresis – JSON: section "Laboratory examinations" empty? no amendment: contains subsection "Chemistry studies (set)
• #95: Specimen.type: reduce the minimum cardinality of Specimen.type to 0.
• #96: Duplicate from #95, no amendment
• #99: Insert 'imposeProfile extension (to EU LAB)' into the ChLabReportServiceRequest profile'
• #100: Use Cases in English and other langs: Remove Fig. 1 Resource Overview diagram and place a link to Resource Overview in CH ELM on the profiles page.
• #102: Move referenceRanges from dGFR profiles into examples
• #103: Merge CDK-EPI profiles for males and females, parent is ChLabObservation_eGFR
• #104: Merge Erythrocytes distribuition width, MDRD and CDK-EPI profiles, take codes from valueSet. eGFR calculation uses different formulas with different parameters, the implementation guide uses 3 calculation methods.
• #108: Home: replace sex with (administrative) gender.
• #109: External links to FHIR spec: replace https://www.hl7.org/fhir/ with https://www.hl7.org/fhir/r4/
• #106: CodeableConcept.text with fixed value: remove code.text from all profiles
• #110: Terminology: empty sections: outcomment empty sections in terminology page
• #111: Terminology: Replace Profile name SpecimenAdditiveSubstance with ChLabSpecimenAdditiveSubstance
• #113: ChLab BloodGroup Antibody Screen Tests; 3 Value Sets are used by the Blood Group profile: CH LAB-Report BloodGroup Antibody Result (SNOMED CT coded substances), CH LAB-Report BloodGroup Immunohematology Tests (SNOMED CT coded procedures), CH LAB-Report BloodGroup Antibody Screen Test Result (LOINC codes)
• #114: Profiles: add links to LOINC Codes and NEJM in text of eGFR-CKD-EPI(ASR) 2021 Profile
• #115: Use Cases in English: No amendment, duplicate of #100
• #116: Changelog, refactor bloodgroup examples

Issues resolved without amendment (in IG)

• #97: Typo generated in narrative (tooling side)

STU 1 Sequence - v1.0.0-ballot (2024-05-17)

• #48: Exchange the conformsTo rules with the imposeProfile extension
• #49: Add the FHIR flame to the IG header

DSTU 1 Sequence - v0.1.1 (2023-12-28)

• #270: Technical correction for invalid package
• #52: Update to Version 0.2.0-ci of HL7 Europe Laboratory Report
• #73: Results Blood Group
  • Profile CH LAB-Report Observation Blood Group: Change ValueSet to Results Blood Group - IPS, change binding to 'preferred'
  • Example reporting Blood Group and RhD Result combined and coded with SNOMED CT: BloodGroupAB0RhD
  • Example reporting Blood Group and RhD Result separately and coded with SNOMED CT: BloodGroupCompAB0CompRhD
  • Example reporting ABO group [Type] and Rh [Type] separately in a component and coded with SNOMED CT, the latter proving weak D is in VS: BloodGroupCompAB0CompRhDWeakD
  • Example reporting ABO group [Type], Rh [Type], the result of antibody screen test and the Result of DAT separately in a component and coded with SNOMED CT: BloodGroupCompAB0CompRhDAT
  • Example reporting ABO group [Type] and Rh [Type] as a panel containing 2 hasMember elements: BloodGroupPanel
  • Example reporting ABO group [Type], Rh [Type], the Rhesus phenotyp as uncoded text, and the result of Antibody screen test : BloodGroupCompAB0CompRhDAntibodies
  • #71: Example for renal Insufficiency:
  • CH LAB-Report Observation Results: Renal Insufficiency Panel
• #76: eGFR CKD-EPI 2009 or 2021 formula:
  • CH LAB-Report Observation Results: eGFR - CKD-EPI(ASR) Profile for females
  • CH LAB-Report Observation Results: eGFRcr - CKD-EPI(AS) Creatinin/Cystatin-C based Profile
• #68: Do we need Observation Panel Profiles?
  • CH LAB-Report Observation Results CBC Panel - Blood by Automated count, Results in sliced componentProfile for observation laboratory result of automated Count of Blood Cells. We choose as Unit 10⁹/L or 10¹²/L for Cell Count. We use component slices which contain each Result.
  • CH LAB-Report Observation Results CBC Panel - Blood by Automated count, Results in nested Profiles We use SingleTest Profiles for each CBC Result slicing 'hasMember' element.
• #92: Profile: ChLabObservationBloodGroup
  • Add Antibody ValueSets:
    • ValueSet: ChLabBloodGroupAntibody
    • ValueSet: ChLabBloodGroupAntibodyScreen
    • ValueSet: ChLabBloodGroupAntibodyScreen