Generated Narrative: StructureDefinition EHDSLaboratoryReport Language: en Name Flags Card. Type Description & Constraints EHDSLaboratoryReport 0..* EHDSDocument Laboratory report model Elements defined in Ancestors:header, presentedForm, header, knowledgeResources Instances of this logical model can be the target of a Reference #xD; header 1..1 Base Laboratory Report header #xD; eventType 0..* CodeableConcept Event type Binding Description: (preferred): SNOMED CT #xD; knowledgeResources 0..0 Related documents and information sources #xD; healthInsuranceAndPaymentInformation 0..* EHDSCoverage Health insurance and payment information #xD; intendedRecipient[x] 0..* Intended recipient #xD; intendedRecipientEHDSPatient EHDSPatient #xD; intendedRecipientEHDSRelatedPerson EHDSRelatedPerson #xD; intendedRecipientEHDSHealthProfessional EHDSHealthProfessional #xD; intendedRecipientEHDSOrganisation EHDSOrganisation #xD; intendedRecipientEHDSDevice EHDSDevice #xD; body 0..1 Base Laboratory Report structured body #xD; orderInformation 0..* Base Order Information (Laboratory Result Report could respond to multiple test orders) #xD; orderId 1..* Identifier An identifier of the laboratory test order. Laboratory Result Report may respond to multiple orders. #xD; orderDateAndTime 0..1 dateTime Date and time of the order placement. #xD; orderPlacer[x] 0..1 The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself. #xD; orderPlacerEHDSHealthProfessional EHDSHealthProfessional #xD; orderPlacerEHDSOrganisation EHDSOrganisation #xD; orderPlacerEHDSPatient EHDSPatient #xD; orderReasonText 0..* string An explanation or justification for why this service is being requested in textual form. #xD; orderReason[x] 0..* An explanation or justification for why this service is being requested in coded form. Binding Description: (preferred): SNOMED CT #xD; orderReasonCodeableConcept CodeableConcept #xD; orderReasonEHDSCondition EHDSCondition #xD; orderReasonEHDSObservation EHDSObservation #xD; clinicalQuestion 0..1 string Specification of clinical question (goal of the investigation) to be answered by the laboratory investigation. #xD; <a href="StructureDefinition-EHDSLaboratoryReport-definitions.html#EHDSLaboratoryReport.body.supportingInformation" title="Additional clinical information about the patient or specimen that may influence the services or their interpretations. This information includes diagnosis, clinical findings and other observations. In laboratory ordering these are typically referred to as 'ask at order entry questions (AOEs).' This includes observations explicitly requested by the producer (filler) to provide context or supporting information needed to complete the order. For example, reporting the amount of inspired oxygen for blood gas measurements.">supportingInformation 0..1 Base Additional clinical information about the patient or specimen that may influence the services or their interpretations. This information includes diagnosis, clinical findings and other observations. In laboratory ordering these are typically referred to as 'ask at order entry questions (AOEs).' This includes observations explicitly requested by the producer (filler) to provide context or supporting information needed to complete the order. For example, reporting the amount of inspired oxygen for blood gas measurements. #xD; observation 0..* EHDSObservation Clinical findings and other observations. #xD; condition 0..* EHDSCondition Condition that may influence the service or result interpretation. #xD; medicationAdministration 0..* EHDSMedicationAdministration Medication administered before ordering the service. #xD; <a href="StructureDefinition-EHDSLaboratoryReport-definitions.html#EHDSLaboratoryReport.body.supportingInformation.sexForClinicalUse" title="A Sex Parameter for Clinical Use is a parameter that provides guidance on how a recipient should apply settings or reference ranges that are derived from observable information such as an organ inventory, recent hormone lab tests, genetic testing, menstrual status, obstetric history, etc.. This property is intended for use in clinical decision making, and indicates that treatment or diagnostic tests should consider best practices associated with the relevant reference population">sexForClinicalUse 0..* CodeableConcept A Sex Parameter for Clinical Use is a parameter that provides guidance on how a recipient should apply settings or reference ranges that are derived from observable information such as an organ inventory, recent hormone lab tests, genetic testing, menstrual status, obstetric history, etc.. This property is intended for use in clinical decision making, and indicates that treatment or diagnostic tests should consider best practices associated with the relevant reference population Binding Description: (preferred): HL7 sex-parameter-for-clinical-use #xD; vaccination 0..* EHDSImmunisation Vaccination history of the patient. #xD; otherSupportingInformation 0..* Resource Any other type of relevant supporting information #xD; specimen 0..* EHDSSpecimen Specimen information #xD; serviceRequest 0..* EHDSServiceRequest Specification of requested service or services #xD; resultData 1..1 Base Laboratory report result data #xD; commentsInterpretationAndRecommendations 0..* Narrative Narrative Comments, such as a textual interpretation or advice accompanying the result report, for example. This profile does not constrain the narrative in regard to content, language, or traceability to data elements #xD; laboratoryTestResults 0..* EHDSLaboratoryObservation Observation details (report could consist of multiple observations) #xD; attachments[x] 0..* Report attachments data elements #xD; attachmentsEHDSAttachment EHDSAttachment #xD; attachmentsEHDSMedia EHDSMedia #xD; Documentation for this format
EHDS refined base model for Laboratory result report
Copyright HL7 Europe. Licensed under Creative Commons public domain (CC0 1.0).
Common header for all patient-related data
Author(s) by whom the resource was/were authored. Multiple authors could be provided.
Date and time of the issuing the document/resource by its author.
Date and time of the last update to the resource
Date and time of the last update to the document/information
Reason for the current status of the resource.
Language in which the resource is written. Language is expressed by the IETF language tag.
A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
Identifies the type of document at hand, e.g. Discharge report.
Document title, such as Discharge Report, Laboratory Result Report, etc.
The status of the Discharge report. E.g., preliminary, final.
Time of service that is being documented
Attester who validated the document. Mulitple attesters could be provided.
Date and time of the approval of the document by Attester.
The person taking responsibility for the medical content of the document
Date and time when the document was authorized.
Categorization of the event covered by the document (e.g. laboratory study types, imaging study types including modality, etc.). Selection of such tags or labels depends on the use case and agreement betwen data sharing parties. This meta-data element serves primarily for searching and filtering purpuses.
Additional details about where the content was created (e.g. clinical specialty)
Organisation that is in charge of maintaining the document/report.
An identifier of the document constraints, encoding, structure, and template that the document conforms to beyond the base format indicated in the mimeType.
Level of confidentiality of the document. Implicit value is normal.
Related documents and information sources
Health insurance and payment information
Information recipient (intended recipient or recipients of the report, additional recipients might be identified by the ordering party, e.g. GP, other specialist), if applicable
Order Information (Laboratory Result Report could respond to multiple test orders)
An identifier of the laboratory test order. Laboratory Result Report may respond to multiple orders.
The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.
An explanation or justification for why this service is being requested in textual form.
An explanation or justification for why this service is being requested in coded form.
Specification of clinical question (goal of the investigation) to be answered by the laboratory investigation.
Additional clinical information about the patient or specimen that may influence the services or their interpretations. This information includes diagnosis, clinical findings and other observations. In laboratory ordering these are typically referred to as 'ask at order entry questions (AOEs).' This includes observations explicitly requested by the producer (filler) to provide context or supporting information needed to complete the order. For example, reporting the amount of inspired oxygen for blood gas measurements.
Clinical findings and other observations.
Condition that may influence the service or result interpretation.
Medication administered before ordering the service.
A Sex Parameter for Clinical Use is a parameter that provides guidance on how a recipient should apply settings or reference ranges that are derived from observable information such as an organ inventory, recent hormone lab tests, genetic testing, menstrual status, obstetric history, etc.. This property is intended for use in clinical decision making, and indicates that treatment or diagnostic tests should consider best practices associated with the relevant reference population
Any other type of relevant supporting information
Specification of requested service or services
Narrative Comments, such as a textual interpretation or advice accompanying the result report, for example.
Observation details (report could consist of multiple observations)