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-ci-build 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-ballot

• #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

publisher note: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber

• reduce cardinality versionNumber of composition to 0..1
• align DiagnosticReport and Composition to EU Laboratory
• align Observation to EU Laboratory
• use Devices on examples
• use presentedForm to add base 64 encoded PDF
• add 2 examples with image results: electrophoresis and H2-CH4 Breath Test

• replace method $sct#82962001 “Protein electrophoresis (procedure)” with $sct#703450007 “Electrophoresis technique (qualifier value)”

• add simple example for a laboratory observation result: Observation-Ht

• #73 Results Blood Group
  • Profile CH LAB 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: BloodGroupRhSimple
  • Example reporting Blood Group and RhD Result separately and coded with SNOMED CT: BloodGroupRh
  • Example reporting the BloodGroup, Rhd and Coombs-Test Result as HTML Table: BloodGroupFreeText
• #71 Example for renal Insufficiency:
  • CH LAB Observation Results: Renal Insufficiency Panel
• #76 eGFR CKD-EPI 2009 or 2021 formula:
  • CH LAB Observation Results: eGFR - CKD-EPI(ASR) Profile for females
  • CH LAB Observation Results: eGFR - CKD-EPI(ASR) Profile for males
  • CH LAB Observation Results: eGFRcr - CKD-EPI(AS) Creatinin based Profile
  • CH LAB Observation Results: eGFRcr-cys - CKD-EPI(AS) Creatinin and Cystatin-C based Profile
• #68 Do we need Observation Panel Profiles?:
  • CH LAB 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 Observation Results CBC Panel - Blood by Automated count, Results in nested Profiles We use SingleTest Profiles for each CBC Result slicing ‘hasMember’ element.

  • added examples for Profiles:
    • StructureDefinition​/ch-lab-observation-cbc
    • StructureDefinition​/ch-lab-observation-egfr-cr-ckd-epi-2021
    • StructureDefinition​/ch-lab-observation-egfr-cr-cys-ckd-epi-2021
    • StructureDefinition-specimen-additive-substance
    • StructureDefininion-ch-lab-observation-albumin-creatinine-urine-ratio