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HDBP0037-Epilabo

Purpose and relevance
Information
- Diagram of functional layering

Purpose and relevance

This page describes the electronic and structured exchange of Epilabo Clinical Biology information, project HDBP0037, based on the LaboratoryTestResult use case. Because the involved actors and the exchange principles are identical to this use case, this guide will not elaborate on those topics. However, HDBP0037 does defines additional constraints and usage expectations on the information model.

The Epilabo project covers the data collection of laboratory test results among clinical microbiology labs. The sentinel laboratory network allows the description of the epidemiological evolution of infectious diseases in Belgium. Microbiology laboratories reports at regular basis (currently weekly) their laboratory diagnosed cases for a selection of infectious diseases. This results in a large longitudinal laboratory based database allowing to provide trends over time and distribution by person and place.

Information

The source HDBP0037 DCD lives here [INPUT HYPERLINK]. Information is sent per patient in a structured manner using LaboratoryTestResult message CBBs, as shown in the below-rendered model.

HDBP0037		HDBP0037	There are no (further) constraints on this element Element Id HDBP0037 Short description Base for all elements Definition Base definition for all elements in a resource. Data Type HDBP0037 Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a
LaboratoryTestResults	1..1	HdBe LaboratoryTestResults Message	Element Id HDBP0037.LaboratoryTestResults Short description Base for all elements Definition Base definition for all elements in a resource. Data Type HdBe LaboratoryTestResults Message Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a
Patient	1..1	HdBe Patient	Element Id HDBP0037.LaboratoryTestResults.Patient Short description Patient Definition Root concept of the Patient information model. This root concept contains all data elements of the Patient information model. Data Type HdBe Patient Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a
LaboratoryTestResult	1..1	HdBe LaboratoryTestResult	Element Id HDBP0037.LaboratoryTestResults.LaboratoryTestResult Short description LaboratoryTestResult Definition Root concept of the LaboratoryTestResult information model. This root concept contains all data elements of the LaboratoryTestResult information model. Data Type HdBe LaboratoryTestResult Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a
HealthcareOrganization	0..*	HdBe HealthcareOrganization	Element Id HDBP0037.LaboratoryTestResults.HealthcareOrganization Short description HealthcareOrganization Definition Root concept of the Healthcare Organization information model. This root concept contains all data elements of the Healthcare Organization information model. Data Type HdBe HealthcareOrganization Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a
HealthProfessional	0..*	HdBe HealthProfessional	Element Id HDBP0037.LaboratoryTestResults.HealthProfessional Short description HealthProfessional Definition Root concept of the HealthProfessional information model. This root concept contains all data elements of the HealthProfessional information model. When referring to this information model the role the health professional fulfills in the healthcare process can be addressed additionally. For health professionals, this could be for example main practitioner or referrer. Data Type HdBe HealthProfessional Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a

HDBP0037 includes adaptations and additional conditions for CBB concepts. It adds concepts which are not defined in a CBB or the LaboratoryTestResult message. Additions include the reason for executing the laboratory test. Restrictions are set on which pathogens, test methods, and test results are expected. Also, more focus lays on supporting data about the involved HealthProfessional(s) and HealthcareOrganization(s). These adaptations are represented in the technical implementation, including concepts that are not mapped to a CBB concept.

Diagram of functional layering

The below diagram offers an overview of the layering of information. A description of the diagram and it's used colors:

The blue boxes represent projects are the basis for this implementation guide. More information is given in the CBB's general guidance page.
The green box indicates this implementation guide.