This profile defines how to represent Specimen Additive Substances in HL7 FHIR for the purpose of this guide.

This profile constrains the Composition resource for the purpose of laboratory test reports in Switzerland.

Holds Laboratory Analyzer Data

Holds Laboratory Test-Kit Data

This profile constrains the DiagnosticReport resource for the purpose of laboratory test reports in Switzerland.

This profile constrains the Bundle resource for the purpose of laboratory test reports in Switzerland.

This panel is the traditional hemogram plus platelet count which must now be reported with with hemograms according to current US re-imbursement rule The panel includes 2 different RDWs to accommodate the two different ways of reporting them. (Most automated instruments report as a percent ). The hemoglobin produced by the automatic counters does not use a counting method to generate the hemoglobin so we have used the fotometry version of hemoglobin in this panel.

Profile for observation laboratory result of automated Count of Blood Cells. We choose as Unit 10⁹/L or 10¹²/L for Cell Count.

This profile constrains the ChLabObservationSingleTest profile determine ratio of the concentration of albumin and creatinine in urine.

Profile to report Blood Group and RhD data. In addition to the code element valuesets delivered from EU Laboratory we have added 3 supplement value sets: CH LAB-Report BloodGroup Antibody Screen Test Result, CH LAB-Report BloodGroup Antibody Result, CH LAB-Report BloodGroup Immunohematology Tests. These value sets have a candidate binding, i.e. they are candidates to substitute general value sets in some defined situations.

This profile constrains the ChLabObservationSingleTest profile for the purpose of laboratory Erythrocyte Distribuition Width in Switzerland.

This profile constrains the ChLabObservationSingleTest profile for the purpose of laboratory erythrocyte count.

This profile constrains the ChLabObservationSingleTest profile for the purpose of laboratory hemoglobin.

This profile constrains the ChLabObservationSingleTest profile for the purpose of laboratory hemotocrit in Switzerland.

This profile constrains the Observation resource for the purpose of laboratory test reports in Switzerland.

This profile constrains the ChLabObservationSingleTest profile for the purpose of laboratory leucocyte count.

This profile constrains the ChLabObservationSingleTest profile for the purpose of laboratory MCHC in Switzerland.

This profile constrains the ChLabObservationSingleTest profile for the purpose of laboratory MCH in Switzerland.

This profile constrains the ChLabObservationSingleTest profile for the purpose of laboratory MCV.

This profile constrains the ChLabObservationResultsLaboratory profile to represent only a panel / battery of laboratory test results for the HL7 Swiss project. The top-level observation contains only further observations-panels and observations-single-tests in the hasMember element. The observation-panels may carry a conclusion in the note element and/or a global interpretation by the producer of the study, in the interpretation element; value[x] and component elements are not allowed and have to be shown in the observation-single-test profile.

This profile constrains the ChLabObservationSingleTest profile for the purpose of laboratory platelet count.

This profile constrains the ChLabObservationSingleTest profile for the purpose of laboratory platelet count.

This profile constrains the ChLabObservationSingleTest profile for the purpose of laboratory platelet mean volume.

This panel collects the lab results in relation to renal insufiency.

This profile constrains the ChLabObservationResultsLaboratory profile to represent single test results for the HL7 Swiss project. The profile enables only value[x] and component elements, hasMemer elemens are not allowed

Renal function can be determined by laboratory measurement of serum creatinine, from which the estimated glomerular filtration rate (eGFR) can be calculated.

Renal function can be determined by laboratory measurement of serum creatinine, from which the estimated glomerular (eGFR_MDMR) filtration rate can be calculated. Further input parameters are age, race and gender.
Note: The MDRD equation is hardly used any more and is replaced by the CKD-EPI equation.
GFR Calculators:

Glomerular filtration rate (GFR) is considered the best overall index of kidney function; however measured GFR is not practical in the routine clinical setting. Estimated glomerular filtration rate (eGFR) is a suitable alternative and can be calculated for adults >= 18 years using an equation incorporating the patient's age, gender, and measured serum/plasma/blood creatinine only (eGFRcr) (this term) or both serum/plasma/blood creatinine and serum/plasma cystatin-C (eGFRcr-cys) LOINC: 98979-8. The serum/plasma/blood creatinine value is based on a measurement procedure that is traceable to the isotope dilution mass spectrometry (IDMS) reference measurement procedure for creatinine. The 2021 CKD-EPI equations used for eGFRcr and eGFRcr-cys do not have a race term as does the older estimating equations that they replace. https://www.nejm.org/doi/pdf/10.1056/NEJMoa2102953

There is a corresponding calculator

For children below 18 y there is a Pediatric GFR Calculator

Renal function can be determined by laboratory measurement of serum creatinine, from which the estimated glomerular (eGFR_CKD_EPI) filtration rate can be calculated. Further input parameters are age, race, gender, body height and weight.

Use this calculator: or GFR Calculators:

This profile constrains the Patient resource for the purpose of laboratory test reports in Switzerland.

This profile constrains the Practitioner resource for the purpose of laboratory test reports in Switzerland.

This profile constrains the PractitionerRole resource for the purpose of laboratory test reports in Switzerland.

This profile constrains the ServiceRequest resource for the purpose of laboratory orders in Switzerland.

This profile constrains the Specimen resource for the purpose of laboratory test reports in Switzerland.

This value set is used in the ChLabObservationBloodGroup profile. It contains results of Blood Group Antibodies (substance) coded with SNOMED CT. It is used in the ChLabObservationBloodGroup profile

This value set is used in the ChLabObservationBloodGroup profile. It represents atypical IgG antibodies prior to transfusion or during pregnancy. The screening test is designed specifically to detect IgG antibodies and some IgM antibodies (non ABO) may also be detected. Antibodies detected by the antibody screen should then be identified, and a titer performed if the antibody identified is considered to be clinically significant during pregnancy.

This value set is used in the ChLabObservationBloodGroup profile. It contains Laboratory tests related to immunohematology

ValueSet for the allowed codes ENTVOL and RATIO

ValueSet for the allowed eGFR among males and eGFR among females codes

ValueSet for the allowed eGFRcr and eGFRcr-cys codes among non-blacks

ValueSet for the allowed eGFRcr and eGFRcr-cys codes, has no race term

Example of a Hematology Analyzer

Example of a laboratory Testkit

Example of Laboratory Test Result

Example for Specimen for automated CBC Examination

Example reporting just blood group ABO System

Example reporting Blood Group and RhD Result separately in a member and coded with SNOMED CT

Example reporting ABO group [Type] and Rh [Type] separately in a component and coded with SNOMED CT

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

Example reporting ABO group [Type] and Rh [Type] separately in a component and coded with SNOMED CT

Example reporting Anti-C and Anti-K

Example reporting just blood group Rh System

Example reporting Blood Group and RhD Result combined and coded with SNOMED CT

Example of a Laboratory Report for scenario deep vein thrombosis, containing Results from Hematology, Coagulation and Clinical Chemistry

Example of a Laboratory Report containing images

Example of a laboratory report containing scalar results in chronological order

Example of a Laboratory Report for suspected sepsis

Example of a laboratory Testkit

Specimen Additive Substance EDTA

Red blood Cells Result

RDW-SD Result

RDW-CV Result

Contains nested Laboratory observation results

eGFR-cr CKD-EPI 2021 based on Creatinin

eGFR-cr-cys CKD-EPI 2021 based on Creatinine and Cystatin C

eGFR

Hematocrit Result

Single Laboratory Test Result

Hemoglobin Result

Single Laboratory Test Result

White blood Cells Result

MCH Result

MCHC Result

MCV Result

Example to illustrate ChLabObservationCBCPanel

Panel containing Laboratory Results in case of Renal Insufficiency

Example of an Observation Instance with component.referenceRange

Example of an Observation Instance with component.referenceRange

Example of an Observation Instance with component.referenceRange

Example of an Observation Instance with component.referenceRange

Platelet Count Result

laboratory result of automated Count of Blood Cells, Sysmex XN RunScreen

Example of a laboratory Testkit

Example of a Hematology Analyzer

Specimen EU Laboratory