Laboratory value


PARAMETER CASE REPORT FORM RESPONSE OPTIONS
CRP
Ferritin
Bilirubin
D-dimer
Gamma glutamyl transferase
Aspartate aminotransferase
Lactate dehydrogenase
Cardiac troponin
Hemoglobin
Creatinine
Lactate
Leukocytes
Lymphocytes
Neutrophils
Partial thromboplastin time
Platelets
INR
Albumin in serum
Antithrombin
Procalcitonin
Interleukin 6
Natriuretic peptide.B prohormone N-Terminal
Fibrinogen

This profile of a FHIR Observation is from the Laboratory Module of the Medical Informatics Initiative (MII). Further information and examples can be found in the MII's Implementation Guide.

The Observation is a generic structure to exchange laboratory values and is not limited to LOINC codes provided in the ValueSet shown below. This is merely included to provide guidance on which LOINC codes can be used to capture the requested parameters or which LOINC codes should possibly be queried in an existing database. There can be no stipulation to restrict parameters to single codes or units because this would contradict the existing practices in laboratories.


Observation Laboratory

Canonical: https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/ObservationLab

idS Σ0..1System.String
versionIdΣ0..1id
lastUpdatedΣ0..1instant
sourceS Σ0..1uri
profileS Σ0..*canonical(StructureDefinition)
securityΣ0..*CodingBinding
tagΣ0..*Coding
useΣ ?!0..1codeBinding
systemS Σ1..1uriFixed Value
versionΣ0..1string
codeS Σ1..1codeFixed Value
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
systemS Σ1..1uri
valueS Σ1..1string
periodΣ I0..1Period
assignerS Σ I1..1MII-Reference(Organization)
basedOnΣ I0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)
partOfΣ I0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)
statusS Σ ?!1..1codeBinding
loinc-observationS Σ1..1Coding
observation-categoryS Σ1..1Coding
textΣ0..1string
codeS Σ1..1CodeableConceptBinding
subjectS Σ I1..1MII-Reference(Patient | Group | Device | Location)
focusΣ I0..*Reference(Resource)
encounterS Σ I0..1Reference(Encounter)
QuelleKlinischesBezugsdatumS I0..1Extension(Coding)
issuedS Σ0..1instant
performerΣ I0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)
valueS Σ1..1decimal
comparatorΣ ?!0..1codeBinding
unitS Σ1..1string
systemS Σ I1..1uriFixed Value
codeS Σ1..1code
systemS Σ1..1uri
versionΣ0..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
dataAbsentReasonS I0..1CodeableConceptBinding
interpretationS0..*CodeableConceptBinding
noteS0..*Annotation
bodySite0..0CodeableConcept
methodS0..1CodeableConcept
referenceS Σ I0..1string
typeΣ0..1uriBinding
identifierS Σ0..1Identifier
displayΣ0..1string
deviceS I0..1Reference(Device | DeviceMetric)
lowI0..1SimpleQuantity
highI0..1SimpleQuantity
type0..1CodeableConceptBinding
appliesTo0..*CodeableConcept
ageI0..1Range
text0..1string
hasMemberΣ I0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)
derivedFromΣ I0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)
codeΣ1..1CodeableConcept
valueQuantityQuantity
valueCodeableConceptCodeableConcept
valueStringstring
valueBooleanboolean
valueIntegerinteger
valueRangeRange
valueRatioRatio
valueSampledDataSampledData
valueTimetime
valueDateTimedateTime
valuePeriodPeriod
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)


ValueSets

ValueSet 'LaboratoryTestsGECCO'

Version1.0.6
Published byBerlin Institute of Health at Charité (BIH)
StatusActive
ExperimentalFalse

Laboratory tests in the context of Covid-19

Contact Information

Website: https://www.bihealth.org/en/re...

This value set includes codes from the following code systems:

  • The following codes from system: http://loinc.org

    CodeDisplay
    48421-2C reactive protein [Mass/volume] in Capillary blood
    71426-1C reactive protein [Mass/volume] in Blood by High sensitivity method
    76486-0C reactive protein [Moles/volume] in Serum or Plasma by High sensitivity method
    30522-7C reactive protein [Mass/volume] in Serum or Plasma by High sensitivity method
    1988-5C reactive protein [Mass/volume] in Serum or Plasma
    76485-2C reactive protein [Moles/volume] in Serum or Plasma
    20567-4Ferritin [Mass/volume] in Serum or Plasma by Immunoassay
    86914-9Ferritin goal [Mass/volume] Serum or Plasma
    14723-1Ferritin [Moles/volume] in Serum or Plasma
    2276-4Ferritin [Mass/volume] in Serum or Plasma
    24373-3Ferritin [Mass/volume] in Blood
    1971-1Bilirubin.indirect [Mass/volume] in Serum or Plasma
    1975-2Bilirubin.total [Mass/volume] in Serum or Plasma
    14631-6Bilirubin.total [Moles/volume] in Serum or Plasma
    59828-4Bilirubin.total [Mass/volume] in Venous blood
    59827-6Bilirubin.total [Mass/volume] in Arterial blood
    42719-5Bilirubin.total [Mass/volume] in Blood
    48066-5Fibrin D-dimer DDU [Mass/volume] in Platelet poor plasma
    48065-7Fibrin D-dimer FEU [Mass/volume] in Platelet poor plasma
    48067-3Fibrin D-dimer FEU [Mass/volume] in Platelet poor plasma by Immunoassay
    55398-2Short Fibrin D-dimer FEU and DDU panel - Platelet poor plasma
    71427-9Fibrin D-dimer FEU [Mass/volume] in Blood by Immunoassay
    7799-0Fibrin D-dimer [Units/volume] in Platelet poor plasma
    91556-1Fibrin D-dimer DDU [Mass/volume] in Blood by Immunoassay
    38898-3Fibrin D-dimer [Titer] in Platelet poor plasma
    3246-6Fibrin D-dimer [Units/volume] in Platelet poor plasma by Immunoassay
    48058-2Fibrin D-dimer DDU [Mass/volume] in Platelet poor plasma by Immunoassay
    2325-9Gamma glutamyl transferase/Aspartate aminotransferase [Enzymatic activity ratio] in Serum or Plasma
    2324-2Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma
    1920-8Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma
    30239-8Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma by With P-5'-P
    88112-8Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma by No addition of P-5'-P
    2532-0Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma
    14805-6Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma by Pyruvate to lactate reaction
    14804-9Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma by Lactate to pyruvate reaction
    14803-1Lactate dehydrogenase [Enzymatic activity/volume] in Body fluid by Lactate to pyruvate reaction
    60017-1Lactate dehydrogenase [Enzymatic activity/volume] in Body fluid by Pyruvate to lactate reaction
    49563-0Troponin I.cardiac [Mass/volume] in Serum or Plasma by Detection limit <= 0.01 ng/mL
    89579-7Troponin I.cardiac [Mass/volume] in Serum or Plasma by High sensitivity method
    67151-1Troponin T.cardiac [Mass/volume] in Serum or Plasma by High sensitivity method
    6598-7Troponin T.cardiac [Mass/volume] in Serum or Plasma
    6597-9Troponin T.cardiac [Mass/volume] in Venous blood
    48425-3Troponin T.cardiac [Mass/volume] in Blood
    42757-5Troponin I.cardiac [Mass/volume] in Blood
    10839-9Troponin I.cardiac [Mass/volume] in Serum or Plasma
    76769-9Hemoglobin [Mass/volume] in Venous blood by Oximetry
    59260-0Hemoglobin [Moles/volume] in Blood
    718-7Hemoglobin [Mass/volume] in Blood
    20509-6Hemoglobin [Mass/volume] in Blood by calculation
    55782-7Hemoglobin [Mass/volume] in Blood by Oximetry
    75928-2Hemoglobin [Moles/volume] in Arterial blood
    14775-1Hemoglobin [Mass/volume] in Arterial blood by Oximetry
    30313-1Hemoglobin [Mass/volume] in Arterial blood
    30350-3Hemoglobin [Mass/volume] in Venous blood
    30351-1Hemoglobin [Mass/volume] in Mixed venous blood
    30352-9Hemoglobin [Mass/volume] in Capillary blood
    76768-1Hemoglobin [Mass/volume] in Mixed venous blood by Oximetry
    21232-4Creatinine [Mass/volume] in Arterial blood
    38483-4Creatinine [Mass/volume] in Blood
    59826-8Creatinine [Moles/volume] in Blood
    12190-5Creatinine [Mass/volume] in Body fluid
    25386-4Creatinine [Moles/volume] in Body fluid
    2160-0Creatinine [Mass/volume] in Serum or Plasma
    14682-9Creatinine [Moles/volume] in Serum or Plasma
    14118-4Lactate [Mass/volume] in Serum or Plasma
    59032-3Lactate [Mass/volume] in Blood
    32693-4Lactate [Moles/volume] in Blood
    2520-5Lactate [Moles/volume] in Cerebral spinal fluid
    19239-3Lactate [Moles/volume] in Capillary blood
    19240-1Lactate [Moles/volume] in Mixed venous blood
    2518-9Lactate [Moles/volume] in Arterial blood
    2519-7Lactate [Moles/volume] in Venous blood
    2524-7Lactate [Moles/volume] in Serum or Plasma
    30242-2Lactate [Mass/volume] in Arterial blood
    27941-4Lactate [Mass/volume] in Cerebral spinal fluid
    49498-9Leukocytes [#/volume] in Blood by Estimate
    6690-2Leukocytes [#/volume] in Blood by Automated count
    804-5Leukocytes [#/volume] in Blood by Manual count
    26464-8Leukocytes [#/volume] in Blood
    732-8Lymphocytes [#/volume] in Blood by Manual count
    731-0Lymphocytes [#/volume] in Blood by Automated count
    30364-4Lymphocytes [#/volume] in Blood by Flow cytometry (FC)
    26474-7Lymphocytes [#/volume] in Blood
    753-4Neutrophils [#/volume] in Blood by Manual count
    751-8Neutrophils [#/volume] in Blood by Automated count
    26499-4Neutrophils [#/volume] in Blood
    16631-4aPTT in Blood by Coagulation 1:1 saline
    43734-3aPTT in Platelet poor plasma by Coagulation 1:1 saline
    14979-9aPTT in Platelet poor plasma by Coagulation assay
    3173-2aPTT in Blood by Coagulation assay
    74775-8Platelets [#/volume] in Platelet rich plasma by Automated count
    13056-7Platelets [#/volume] in Plasma by Automated count
    26516-5Platelets [#/volume] in Plasma
    74464-9Platelets [#/volume] in Capillary blood by Manual count
    778-1Platelets [#/volume] in Blood by Manual count
    49497-1Platelets [#/volume] in Blood by Estimate
    777-3Platelets [#/volume] in Blood by Automated count
    26515-7Platelets [#/volume] in Blood
    6301-6INR in Platelet poor plasma by Coagulation assay
    46418-0INR in Capillary blood by Coagulation assay
    34714-6INR in Blood by Coagulation assay
    76631-1Albumin [Mass/volume] in Blood by Bromocresol purple (BCP) dye binding method
    62235-7Albumin [Moles/volume] in Serum or Plasma by Bromocresol green (BCG) dye binding method
    62234-0Albumin [Moles/volume] in Serum or Plasma by Bromocresol purple (BCP) dye binding method
    61152-5Albumin [Mass/volume] in Serum or Plasma by Bromocresol purple (BCP) dye binding method
    61151-7Albumin [Mass/volume] in Serum or Plasma by Bromocresol green (BCG) dye binding method
    2862-1Albumin [Mass/volume] in Serum or Plasma by Electrophoresis
    1751-7Albumin [Mass/volume] in Serum or Plasma
    54347-0Albumin [Moles/volume] in Serum or Plasma
    3176-5Antithrombin [Moles/volume] in Platelet poor plasma by Chromogenic method
    91120-6Antithrombin in Platelet poor plasma by Chromo.no addition of heparin
    3174-0Antithrombin [Units/volume] in Platelet poor plasma by Chromogenic method
    27811-9Antithrombin actual/normal in Platelet poor plasma by Chromogenic method
    27812-7Antithrombin Ag actual/normal in Platelet poor plasma by Immunoassay
    75241-0Procalcitonin [Mass/volume] in Serum or Plasma by Immunoassay
    33959-8Procalcitonin [Mass/volume] in Serum or Plasma
    44322-6Interleukin 6 [Presence] in Serum or Plasma
    26881-3Interleukin 6 [Mass/volume] in Serum or Plasma
    49919-4Interleukin 6 [Mass/volume] in Cerebral spinal fluid
    49732-1Interleukin 6 [Mass/volume] in Body fluid
    33762-6Natriuretic peptide.B prohormone N-Terminal [Mass/volume] in Serum or Plasma
    16859-1Fibrinogen [Presence] in Platelet poor plasma
    30902-1Fibrinogen [Mass/volume] in Platelet poor plasma by Heat denaturation
    48664-7Fibrinogen [Mass/volume] in Platelet poor plasma by Coagulation.derived
    3255-7Fibrinogen [Mass/volume] in Platelet poor plasma by Coagulation assay


Examples

CRP

{
    "resourceType": "Observation",
    "id": "laboratory-creatinine",
    "meta": {
        "profile":  [
            "https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/ObservationLab"
        ]
    },
    "identifier":  [
        {
            "type": {
                "coding":  [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "OBI"
                    }
                ]
            },
            "system": "https://www.charite.de/fhir/CodeSystem/lab-identifiers",
            "value": "2160-0_creatinine-mass-per-volume-in-serum-or-plasma",
            "assigner": {
                "reference": "Organization/Charité"
            }
        }
    ],
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://loinc.org",
                    "code": "26436-6"
                },
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "laboratory"
                }
            ]
        }
    ],
    "valueQuantity": {
        "system": "http://unitsofmeasure.org",
        "value": 0.9,
        "code": "mg/dL",
        "unit": "mg/dL"
    },
    "status": "final",
    "code": {
        "coding":  [
            {
                "code": "2160-0",
                "system": "http://loinc.org",
                "display": "Creatinine [Mass/volume] in Serum or Plasma"
            }
        ],
        "text": "Creatinine"
    },
    "subject": {
        "reference": "Patient/gecco-patient"
    },
    "effectiveDateTime": "2020-10-16T08:49:21+02:00"
}