MyHealth@Eu Patient Summary
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EHDS Laboratory Observation Map

EHDSLaboratoryObservation -> MedicalTestResultEuCore
Ongoing alignment: The Xt-EHR logical models are under active revision and continuous refinement. Updates from Xt-EHR will be progressively incorporated into this Implementation Guide to maintain alignment with the evolving EHDS specifications.
Yellow row/cells: In this ballot publication, some row/cells of the mapping table have been left in yellow to indicate areas requiring further review or refinement; including feedback from the Xt-EHR joint action (see note above). These highlights will be addressed in subsequent updates to ensure accuracy and completeness of the mappings.

EHDSLaboratoryObservation -> MedicalTestResultEuCore

This page explains how conceptual elements from the EHDS logical model are expressed in the corresponding FHIR Observation profile or type used by this Implementation Guide.

Mapping Context

EHDSLaboratoryObservation -> MedicalTestResultEuCore
EHDSLaboratoryObservation (Logical Model) Relationship MedicalTestResultEuCore (Observation)
Element Description Relation Resource Element Description Notes
header Common header for all patient-related data. related-to Observation . General metadata. Dataset-level; not usually carried in Observation as-is.
header.subject Patient/subject this laboratory observation is about. equivalent Observation subject Reference to the patient or subject of the observation. Reference to Patient (or other subject).
header.identifier Business identifier for the object. equivalent Observation identifier Business identifier for this observation.
header.authorship Resource authoring details. related-to Observation performer Who performed/issued the observation. Can reference Practitioner, PractitionerRole, Organization, Patient, RelatedPerson.
header.authorship.author[x] Who created/issued the laboratory observation record. equivalent Observation performer Who performed/issued the observation. This element is 1.. in the model 0.. in the profile.
header.authorship.datetime Date/time the resource was issued. equivalent Observation issued When the observation was issued. This element is 1.. in the model 0.. in the profile.
header.lastUpdate Last technical correction/update. source-is-broader-than-target Observation meta.lastUpdated When the resource version was last changed. FHIR meta.lastUpdated is system-level; EHDS header may carry richer audit info.
header.status Status of the dataset/resource (technical/administrative). no map - - - Do not confuse with Observation.status.
header.statusReason[x] Reason for current dataset status. no map - - -
header.language Language of the resource (IETF tag). equivalent Observation language Language used in narrative/notes.
header.directSubject[x] Direct subject of the observation if different from the patient. related-to Observation focus What the observation is about when it is not the patient. Use when the observation targets device, specimen, location, etc.
observationDate[x] Clinically relevant time or time period for the observation. equivalent Observation effective[x] Time or time-period the observation applies to.
code Observation code. equivalent Observation code Code representing the observation. Inherited from EHDSObservation.
name Name of the observation. related-to Observation code.text Human-readable name of the observation.
originalName Original (conventional) name of the observation. related-to Observation code.text Original/conventional label. May be carried as narrative text if different from display.
method Observation method. equivalent Observation method How the observation was made.
specimen Specimen used for this observation. equivalent Observation specimen Specimen that is the source of the measurement.
order Identifies order and order placer this observation belongs to. equivalent Observation basedOn Reference to the originating order.
performer[x] Performer of the observation. equivalent Observation performer Who performed the observation.
anatomicLocation Anatomic location and laterality where the observation was performed. equivalent Observation bodySite Body site of the observation.
result Result of the observation. related-to Observation value[x] The result value of the observation. See the value sub-elements below.
result.value.text Observation result value as text. equivalent Observation valueString Text result value.
result.value.numeric Observation result value as quantity. equivalent Observation valueQuantity Numeric result with units.
result.value.range Observation result value as range. equivalent Observation valueRange Range result value.
result.value.coded Observation result value as codeable concept. equivalent Observation valueCodeableConcept Coded result value.
result.uncertainty Measurement uncertainty type and interval if needed. no map - - - No direct element in Observation R4.
dataAbsentReason Reason why the expected value is missing. equivalent Observation dataAbsentReason Reason for missing value.
referenceRange Reference range for interpretation. equivalent Observation referenceRange Guidance for interpretation.
interpretation Information about reference intervals and result interpretation. equivalent Observation interpretation Interpretation of the result.
resultDescription Comments and narrative representation of the result. related-to Observation note.text Narrative comments on the result.
component Component observations (sub-observations). related-to Observation component Multiple components of a single observation.
component.code Code for the component observation. equivalent Observation component.code Component code.
component.originalName Original (conventional) name of the component. related-to Observation component.code.text Component label text.
component.result.value.text Component result value as text. equivalent Observation component.valueString Text component result value.
component.result.value.numeric Component result value as quantity. equivalent Observation component.valueQuantity Numeric component result with units.
component.result.value.range Component result value as range. equivalent Observation component.valueRange Range component result value.
component.result.value.coded Component result value as codeable concept. equivalent Observation component.valueCodeableConcept Coded component result value.
component.dataAbsentReason Reason why the expected component value is missing. equivalent Observation component.dataAbsentReason Reason for missing component value.
component.referenceRange Reference range for the component. equivalent Observation component.referenceRange Component reference range.
component.interpretation Interpretation for the component result. equivalent Observation component.interpretation Component result interpretation.
derivedFrom[x] Reference to the related resource from which the observation has been made. equivalent Observation derivedFrom Related resource used to derive the observation.
triggeredBy[x] References to the observation(s) that triggered this observation. no map - - - Observation.triggeredBy is not in R4.
hasMember[x] Group observation including the target as a member. equivalent Observation hasMember Related member observations.
testKit Laboratory test kit used during measurement. related-to Observation device Device used to generate the measurement.
calibrator Calibrator used for the measurement. no map - - - No direct element; consider an extension if needed.
accreditationStatus Accreditation status of the laboratory for the observation. no map - - - No direct element; consider an extension or organization qualification.
previousResults Previous results of the same observation. related-to Observation derivedFrom Link to prior observations.
pointOfCareTest Indicates if the observation is a point-of-care test. no map - - - No direct element; consider category or an extension.

Return to overview: EHDS Logical Models -> FHIR Profiles