Lab

The FHIM Laboratory domain focuses on laboratory orders and the electronic reporting of laboratory results, especially to an Electronic Health Record. The information classes in this domain do not include data which are used solely to operate the laboratory, or any other data which is not reported to an external entity. It is noted that in the course of developing this domain, this package at one time contained certain elements gleaned from existing systems related to Quality Control, including Sterility Control Results and Lab Quality Assurance. These were removed, but may need to be re-visited if we encounter use-cases that require the transmittal of such information. Nevertheless, such use cases would likely be modeled in a separate sub-domain or package, as the focus would be quite different. Note that the Clinical Laboratory Improvement Amendments (CLIA) of 1988 Subpart K (Quality Systems for Nonwaived Testing) defines the quality assurance requirements of CLIA-certified laboratories.

The Laboratory domain currently does not address the needs of blood banking, transfusion services, autopsy, genomics, or food safety. While some elements required by these disciplines may exist in this model for other reasons, we have not addressed their needs. In addition, it is noted that forensics, e.g., chain of custody concerns are not fully modeled.

This domain is heavily influenced by the work of the ONC S&I Framework's Lab Results Interface (LRI) Initiative, which produced an HL7 Version 2.5.1 Implementation Guide for laboratory results which in turn is required for Meaningful Use. Other influences include the existing systems in use by DOD, IHS, and VA; HL7 Version 3; BRIDG; and the Life Sciences Domain Analysis Model developed by the National Cancer Institute.

See the Diagram Documentation for a walkthrough of the major concepts.

_Lab
patientLocation Property patientLocation Property patientLocation patientLocation Property Property healthcareOrder_patientLocation Polyline coordinates describing hotspot on the image healthcareOrder Property healthcareOrder Property healthcareOrder healthcareOrder Property Property healthcarePromise_healthcareOrder Polyline coordinates describing hotspot on the image healthcarePromise Property healthcarePromise Property healthcarePromise healthcarePromise Property Property healthcareOrder_healthcarePromise Polyline coordinates describing hotspot on the image microscopyFinding Property microscopyFinding Property microscopyFinding microscopyFinding Property Property Association Polyline coordinates describing hotspot on the image accessionEvent Property accessionEvent Property accessionEvent accessionEvent Property Property Association Polyline coordinates describing hotspot on the image specimen Property specimen Property specimen specimen Property Property Association Polyline coordinates describing hotspot on the image Dependency Polyline coordinates describing hotspot on the image accessionEvent Property accessionEvent Property accessionEvent accessionEvent Property Property labTestPromise_accessionEvent Polyline coordinates describing hotspot on the image additive Property additive Property additive additive Property Property specimenContainer_additive Polyline coordinates describing hotspot on the image additive Property additive Property additive additive Property Property specimenProcessingEvent_additive Polyline coordinates describing hotspot on the image reportableResult Property reportableResult Property reportableResult reportableResult Property Property relatedResult_reportableResult Polyline coordinates describing hotspot on the image relatedResult Property relatedResult Property relatedResult relatedResult Property Property reportableResult_relatedResult Polyline coordinates describing hotspot on the image collectingLocation Property collectingLocation Property collectingLocation collectingLocation Property Property specimenCollectionEvent_collectingLocation Polyline coordinates describing hotspot on the image requestingLocation Property requestingLocation Property requestingLocation requestingLocation Property Property labTestRequest_requestingLocation Polyline coordinates describing hotspot on the image specimenCollectionPromise Property specimenCollectionPromise Property specimenCollectionPromise specimenCollectionPromise Property Property specimenCollectionEvent_specimenCollectionPromise Polyline coordinates describing hotspot on the image Generalization Polyline coordinates describing hotspot on the image Generalization Polyline coordinates describing hotspot on the image deviceInstance Property deviceInstance Property deviceInstance deviceInstance Property Property reportableResult_deviceInstance Polyline coordinates describing hotspot on the image billingProcedureList Property billingProcedureList Property billingProcedureList billingProcedureList Property Property labTestPromise_billingProcedureList Polyline coordinates describing hotspot on the image procedure Property procedure Property procedure procedure Property Property procedureList_procedure Polyline coordinates describing hotspot on the image labTestPerformed Property labTestPerformed Property labTestPerformed labTestPerformed Property Property reportableResult_reportableLabTest Polyline coordinates describing hotspot on the image labTestRequested Property labTestRequested Property labTestRequested labTestRequested Property Property labTestRequest_labTestRequested Polyline coordinates describing hotspot on the image labTestPromised Property labTestPromised Property labTestPromised labTestPromised Property Property labTestPromise_labTestPromised Polyline coordinates describing hotspot on the image performingLabsPromise Property performingLabsPromise Property performingLabsPromise performingLabsPromise Property Property labReferral_performingLabsPromise Polyline coordinates describing hotspot on the image labReferral Property labReferral Property labReferral labReferral Property Property labTestPromise_labReferral Polyline coordinates describing hotspot on the image specimen Property specimen Property specimen specimen Property Property specimenProcessingEvent_specimen Polyline coordinates describing hotspot on the image specimenProcessingEvent Property specimenProcessingEvent Property specimenProcessingEvent specimenProcessingEvent Property Property specimen_specimenProcessingEvent Polyline coordinates describing hotspot on the image interpretation Property interpretation Property interpretation interpretation Property Property reportableResult_interpretation Polyline coordinates describing hotspot on the image pathologyReportSection Property pathologyReportSection Property pathologyReportSection pathologyReportSection Property Property pathologyResult_labReportSection Polyline coordinates describing hotspot on the image specimenCollectionEvent Property specimenCollectionEvent Property specimenCollectionEvent specimenCollectionEvent Property Property labTestPromise_specimenCollectionEvent Polyline coordinates describing hotspot on the image Generalization Polyline coordinates describing hotspot on the image image Property image Property image image Property Property pathologyResult_image Polyline coordinates describing hotspot on the image diagnosis Property diagnosis Property diagnosis diagnosis Property Property pathologyResult_diagnosis Polyline coordinates describing hotspot on the image referenceRangeCriterion Property referenceRangeCriterion Property referenceRangeCriterion referenceRangeCriterion Property Property measurementWithReferenceRangeResult_referenceRangeCriterion Polyline coordinates describing hotspot on the image Generalization Polyline coordinates describing hotspot on the image commentEvent Property commentEvent Property commentEvent commentEvent Property Property reportableResult_commentEvent Polyline coordinates describing hotspot on the image antibiotic Property antibiotic Property antibiotic antibiotic Property Property antibioticSensitivityObservationEvent_antibiotic Polyline coordinates describing hotspot on the image organismObserved Property organismObserved Property organismObserved organismObserved Property Property microbeIdentification_organismObserved Polyline coordinates describing hotspot on the image Generalization Polyline coordinates describing hotspot on the image Generalization Polyline coordinates describing hotspot on the image antibioticSensitivity Property antibioticSensitivity Property antibioticSensitivity antibioticSensitivity Property Property microbeIdentification_antibioticSensitivity Polyline coordinates describing hotspot on the image Generalization Polyline coordinates describing hotspot on the image Generalization Polyline coordinates describing hotspot on the image reportableResult Property reportableResult Property reportableResult reportableResult Property Property labTestPromise_reportableResult Polyline coordinates describing hotspot on the image definedPatientEvent Property definedPatientEvent Property definedPatientEvent definedPatientEvent Property Property specimen_definedPatientEvent Polyline coordinates describing hotspot on the image specimen Property specimen Property specimen specimen Property Property specimenAssessment_Specimen Polyline coordinates describing hotspot on the image specimenAssessment Property specimenAssessment Property specimenAssessment specimenAssessment Property Property labTestPromise_specimenAssessment Polyline coordinates describing hotspot on the image Generalization Polyline coordinates describing hotspot on the image specimenHandling Property specimenHandling Property specimenHandling specimenHandling Property Property specimenAssessment_specimenHandling Polyline coordinates describing hotspot on the image Generalization Polyline coordinates describing hotspot on the image specimen specimenCollectionEvent specimen specimenCollectionEvent specimen specimen specimenCollectionEvent specimenCollectionEvent specimenCollectionEvent_specimen Polyline coordinates describing hotspot on the image specimenContainer Property specimenContainer Property specimenContainer specimenContainer Property Property specimen_container Polyline coordinates describing hotspot on the image relatedLabPromise Property relatedLabPromise Property relatedLabPromise relatedLabPromise Property Property labTestPromise_relatedLabPromise Polyline coordinates describing hotspot on the image labTestPromise Property labTestPromise Property labTestPromise labTestPromise Property Property relatedLabPromise_labTestPromise Polyline coordinates describing hotspot on the image OrderContext evaluationFinding MicroscopyFinding sourceSiteModifier sourceSite collectionSite collectionMethod SpecimenCollectionRequest PreOperativeDiagnosis PostOperativeDiagnosis OperativeFindings MicroscopicExamination GrossDescription FrozenSection BriefClinicalHistory PathologyReportSection quantity additiveType SpecimenAdditive accessionId accessionDate AccessionEvent relatedResultCategory RelatedResult telecom serviceType name id dateRange category address ServiceDeliveryLocation statusModifier statusChangeDateTime status scheduledDateTime priority orderModality fillerSupplementalInfo fillerOrderId expectedAvailabilityDate discontinueDate dateAccepted chargeToPracticeCost chargeToPracticeCode PromiseContext DeviceInstance precedence ProcedureListEntry subId name LabTest processCategory groupedSpecimenCount description dateTime SpecimenProcessingEvent status remarks priority placerOrderId orderDate cost LabReferral Procedure assistantResultInterpreter principalResultInterpreter interpretatationText interpretation InterpretationEvent reason TestException Comment url title size language hash dateCreated data contentType Image diagnosisModifier diagnosisCode contextCode Diagnosis text referenceRangeKind low high effectiveDate criterionDescription appliesTo ageRange ReferenceRange residentAnatomicPathologist clinicalPathologist anatomicPathologist PathologyResult dateTime comment author Annotation status kind identifier description category Substance stage Parasite strain organismTaxon Organism organismQuantity description MicrobeIdentification userDefinedAccessCheck transcription resultStatus reportDate reReleaseReason probability performer observationSite observationMethod negationIndicator laboratoryDirector id dateTimeOfAnalysis dateTimeObserved dateDeemedReportable ReportableResult text sectionTitle LabReportSection timeBeforeOrSinceEvent eventType DefinedPatientEvent minimumInhibitoryConcentration AntibioticSensitivityObservationEvent value MeasurementWithReferenceRangeResult transportationMethod shipmentId SpecimenTransportation location SpecimenStorage lowTemperature highTemperature dateTimeEnd dateTimeBegin SpecimenHandling status specimenTypeModifier specimenType specimenRole specimenOrigin specimenExpirationDateTime parent note identifier handlingCode dateTimeReceived dangerCode Specimen specimenQuantity separatorType id description containerType containerHeight containerDiameter containerCapacity capType bottomDeltaQuantity barrierDeltaQuantity SpecimenContainer relatedPromiseCategory RelatedLabPromise medicalDirector producersReference dateReportCompleted LabTestPromise temperature specimenQuality specimenCondition rejectReason numberOfContainers isSpecimenAvailable dateTime currentQuantity containerCondition appropriateness SpecimenAssessment sourceSiteModifier sourceSite performer dateTime comment collectionSite collectionMethod collectionAmount SpecimenCollectionEvent SpecimenCollectionPromise orderedObservation frequency specimenActionCode resultsReleaseCategory referralType intendedDuration LabTestRequest

Classifiers

Diagrams

Properties:

Alias
Keywords
NameLab
Name Expression
NamespaceFHIM
Nesting PackageFHIM
Owned Template Signature
OwnerFHIM
Owning Template Parameter
Qualified NameFHIM::Lab
Stereotype
Template Parameter
VisibilityPublic