CH LAB-Report (R4)
1.0.0-ballot - ballot Switzerland flag

This page is part of the CH LAB-Report (R4) (v1.0.0-ballot: STU 1 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

CH LAB Composition: Laboratory Report

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

CH LAB Device: Analyzer

Holds Laboratory Analyzer Data

CH LAB Device: TestKit

Holds Laboratory Test-Kit Data

CH LAB DiagnosticReport: Laboratory Report

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

CH LAB Document: Laboratory Report

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

CH LAB Observation Results CBC Panel - Blood by Automated count, Results in nested Profiles

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.

CH LAB Observation Results CBC Panel - Blood by Automated count, Results in sliced component

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

CH LAB Observation Results: Albumin/Creatinine Ratio in Urine

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

CH LAB Observation Results: Erythrocyte distribution width [Entitic volume] by Automated count

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

CH LAB Observation Results: Erythrocyte distribution width [Ratio] by Automated count

This profile constrains the ChLabObservationSingleTest profile for the purpose of laboratory Erythrocyte Distribution Width Ratio.

CH LAB Observation Results: ErythrocyteCount

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

CH LAB Observation Results: Hemoglobin

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

CH LAB Observation Results: Hemotocrit

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

CH LAB Observation Results: Laboratory Report

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

CH LAB Observation Results: LeucocyteCount

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

CH LAB Observation Results: Mean Corpuscular Hemoglobin

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

CH LAB Observation Results: Mean Corpuscular Hemoglobin Concentration

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

CH LAB Observation Results: MeanCorpuscularVolume

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

CH LAB Observation Results: Panel

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.

CH LAB Observation Results: Platelet Count

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

CH LAB Observation Results: Platelet Distribution With

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

CH LAB Observation Results: Platelet Mean Volume

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

CH LAB Observation Results: Renal Insufficiency Panel

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

CH LAB Observation Results: Single Test

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

CH LAB Observation Results: eGFR - CKD-EPI(ASR) Profile for females

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

CH LAB Observation Results: eGFR - CKD-EPI(ASR) Profile for males

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

CH LAB Observation Results: eGFR - MDRD Profile for females

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

CH LAB Observation Results: eGFR - MDRD Profile for males

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

CH LAB Observation Results: eGFR Profiles

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

CH LAB Observation Results: eGFRcr - CKD-EPI(AS) Creatinin based Profile

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: 98980-6]. 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]

CH LAB Observation Results: eGFRcr-cys - CKD-EPI(AS) Creatinin and Cystatin-C based Profile

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: 98980-6]. 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]

CH LAB Patient

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

CH LAB Practitioner

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

CH LAB PractitionerRole

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

CH LAB ServiceRequest: Laboratory Order

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

CH LAB Specimen

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

Substance: Specimen Additive Substance

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

Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

CH Lab Results Blood Group Antibody

ValueSet Blood Group Antibody

ChLab BloodGroup Antibody Screen Tests

Detects 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.

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

Afinion™ 2

Example of a Hematology Analyzer

Afinion™ CRP Test

Example of a laboratory Testkit

Albumin Creatinin Ratio Urin

Example of Laboratory Test Result

Blood CBC Sample

Example for Specimen for automated CBC Examination

Blood Group ABO

Example reporting just blood group ABO System

Blood Group ABO Rh Panel

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

Blood Group Panel with Component ABO and Component Rh

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

Blood Group Rh

Example reporting just blood group Rh System

Blood Group Rh combined

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

Bundle 1-tvt

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

Bundle 2-electrophoresis

Example of a Laboratory Report containing images

Bundle 3-breath-test

Example of a laboratory report containing scalar results in chronological order

Bundle 4-sepsis

Example of a Laboratory Report for suspected sepsis

Combur Urin Test Streifen - Device

Example of a laboratory Testkit

Dipotassium EDTA (ethylenediaminetetraacetate)

Specimen Additive Substance EDTA

Erythrocyte Count

Red blood Cells Result

Erythrocyte Distribution Width

RDW-SD Result

Erythrocyte Distribution Width Ratio

RDW-CV Result

Example of Observation Result Panel

Contains nested Laboratory observation results

Example of Result eGFR-cr CKD-EPI 2021

eGFR-cr CKD-EPI 2021

Example of Result eGFR-cr-cys CKD-EPI 2021

eGFR-cr-cys CKD-EPI 2021

Example of estimated Glomerulum Filtration Rate

eGFR

Hematocrit

Hematocrit Result

Hematocrit

Single Laboratory Test Result

Hemoglobin

Hemoglobin Result

Hemoglobin

Single Laboratory Test Result

Leucocyte Count

White blood Cells Result

MCH

MCH Result

MCHC

MCHC Result

MCV

MCV Result

Observation CBC panel using 'hasMember'

Example to illustrate ChLabObservationCBCPanel

Observation Results: Renal Insufficiency Panel

Panel containing Laboratory Results in case of Renal Insufficiency

Observation-eGFR-CKD-EPI-female

Example of an Observation Instance with component.referenceRange

Observation-eGFR-CKD-EPI-male

Example of an Observation Instance with component.referenceRange

Observation-eGFR-MDRD-female

Example of an Observation Instance with component.referenceRange

Observation-eGFR-MDRD-male

Example of an Observation Instance with component.referenceRange

Platelet Count

Platelet Count Result

Result CBC Panel - Blood by Automated count, Results in sliced component

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

Roche CARDIAC D-Dimer Testkit

Example of a laboratory Testkit

Sysmex XP-300

Example of a Hematology Analyzer

Urin

Speciment EU Laboratory