Sharing Laboratory Reports

From IHE Wiki
Jump to navigation Jump to search

Sharing Laboratory Reports (XD-LAB) addresses the sharing of laboratory reports among a community of healthcare settings and care providers.


This Content Integration Profile describes a clinical laboratory report as an electronic document to be published towards a document sharing resource such as an Electronic Health Record (EHR) or a Personal Health Record (PHR) shared by a community of care providers, using one of the document sharing profiles defined in ITI-TF. Such an electronic document contains the set of releasable results produced by a clinical laboratory in fulfillment of one or more test Orders for a patient.
The report is both human-readable and importable in the consumer systems so as to consolidate their patient medical records.
The scope of this profile covers all laboratory specialties except anatomic pathology.

Ihe lab xd-lab ip.jpg


Facilitates Patient Care Coordination

  • Enables the caregiver to obtain at once the laboratory reports produced during previous episodes of care, which enhances continuity of care.
  • Reduces over-ordering and over blood sampling from the patient by sharing the last laboratory reports among the various physicians attending the patient.
  • Enables the physician to consolidate their patient biological history by importing into their EHR the structured and coded data embedded in the electronic laboratory report.
  • Allows a public health laboratory to share broadly its reports related to a suspected outbreak


The Sharing Laboratory Reports (XD-LAB) Integration Profile provides an electronic format for the laboratory report, to make this report:

  • human-readable: displayed on screen or printed out, with a proper and clear layout and presentation.
  • machine-readable: Each observation displayed in the report is also represented in the document as a set of structured and coded data that can be imported in the database of any consumer of the document.

This double capacity is achieved by leverageing the [Clinical Document Architecture Release 2] (CDAr2) standard from [HL7]
The XD-LAB Integration Profile covers six major use cases:

  • At discharge time, a hospital physician publishing a summary laboratory report with the most significant results obtained during the patient stay.
  • The bio-medical scientist of a private laboratory publishes a report for a patient into the regional Patient Health Record.
  • An ambulatory physician shares a laboratory report obtained from a laboratory.
  • A private or public laboratory publishes automatically all its reports in a shared document repository.
  • A healthcare institution produces a cumulative report of all laboratory tests performed for the patient during the encounter.
  • A public health laboratory shares its reports into a regional repository.

The standard CDAr2 leveraged by XD-LAB enables to share reports embedding images and charts, which are faithfully rendered by a web browser supporting RFC 2397:

Ihe lab xd-lab example.jpg

Systems Affected

Systems involved in this profile are:

  • A system owning a laboratory report and willing to publish it into a document sharing infrastructure. Depending upon the use cases, this can be the system of a clinical laboratory (LIS), the EHR of an ambulatory physician, the EMR of a care setting, the system of a public health laboratory. Each of these systems can play the role of Content Creator.
  • The system operated by a professional caregiver who wants to view a laboratory report, and may want to import its structured and coded results into its own database. This system plays the role of Content Consumer.

Actors & Transactions:

Xd-lab actor transaction.JPG


Profile Status: Trial Implementation

Documents: IHE Laboratory Technical Framework:

  • Vol. 1 - Section 9 (XD-LAB profile overview)
  • Vol. 3 - Sections 2 through 6 (options, bindings, content)
  • Vol. 4 - Sections 2 through 4 (LOINC subset for test codes)

Underlying Standards:

See Also

Related Profiles

  • Integration Profiles XD-LAB depends on

Consumer Information

This page is based on the Profile Template