CH LAB-Order document best-practice - CH LAB-Order (R4) v3.0.0-ci-build

CH LAB-Order (R4), published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 3.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7ch/ch-lab-order/ and changes regularly. See the Directory of published versions

Example Bundle: CH LAB-Order document best-practice

Document Details

Generated Narrative: Bundle Laboratory order 0-best-practice

version: 1; Last updated: 2023-04-01 20:18:41+0000

Profile: CH LAB-Order Document with Service Request

Final Document at 2019-03-31 11:46:09+0200 by PractitionerRole for Birgit Blum Female, DoB: 1984-01-01 ( Medical record number)

Document Subject

Unable to resolve subject ''

Document Content

Case study 0

Best practice example: Control of Anticoagulation effect

Mrs Birgit Blum had an unfortunate fall while skiing and sustained a open tibial plateau fracture. She was transferred to the Kantonsspital, a centre hospital, by helicopter and is waiting there for her operation. The patient is administered Liquemin 5000 E s.c. daily to prevent thromboembolic events, and the effect. To monitor the effect of this treatment, regular blood tests are carried out to determine anti-Xa activity. A special sample vessel with citrate additive is used for this purpose. The sample must be centrifuged and cooled within one hour.

Laboratory Order by Service Request 0-best-practice

Additional Resources Included in Document

Entry 1 - fullUrl = http://example.com/fhir/Composition/0-best-practice

Resource Composition:

Case study 0
Best practice example: Control of Anticoagulation effect
Mrs Birgit Blum had an unfortunate fall while skiing and sustained a open tibial plateau fracture. She was transferred to the Kantonsspital, a centre hospital, by helicopter and is waiting there for her operation. The patient is administered Liquemin 5000 E s.c. daily to prevent thromboembolic events, and the effect. To monitor the effect of this treatment, regular blood tests are carried out to determine anti-Xa activity. A special sample vessel with citrate additive is used for this purpose. The sample must be centrifuged and cooled within one hour.

Entry 2 - fullUrl = http://example.com/fhir/Patient/BirgitBlum

Resource Patient:

id: BirgitBlum
meta:
identifier: 012/08.111111
name: Birgit Blum
gender: FEMALE
birthDate: Jan 01, 1981
maritalStatus: unverheiratet (Details : {$ech-11-maritalstatus code '5' = '5', given as 'unverheiratet'})
Communications
- Language Preferred
* Deutsch (Schweiz) (Details : {urn:ietf:bcp:47 code 'de-CH' = 'German (Region=Schweiz)) true

Entry 3 - fullUrl = http://example.com/fhir/Encounter/FirstEncounter

Resource Encounter:

Generated Narrative: Encounter FirstEncounter

status: In Progress
class: inpatient encounter
subject: Birgit Blum Female, DoB: 1984-01-01 ( Medical record number)

Entry 4 - fullUrl = http://example.com/fhir/Medication/Liquemin

Resource Medication:

Generated Narrative: Medication Liquemin

code: LIQUEMIN 5000 IE/0.5ml s.c. (aH 06/23)
status: Active
ingredient
Batches
- LotNumber ExpirationDate
* 9494788 2024-05-22

Entry 5 - fullUrl = http://example.com/fhir/Practitioner/MarcMustermann

Resource Practitioner:

Generated Narrative: Practitioner MarcMustermann

identifier: GLN/7601000050700, urn:oid:2.16.756.5.30.1.123.100.2.1.1/A123309
name: Marc Mustermann (Official)
telecom: ph: 033 444 22 11(Work), marc.mustermann@gruppenpraxis.ch

Entry 6 - fullUrl = http://example.com/fhir/Organization/Gruppenpraxis

Resource Organization:

Generated Narrative: Organization Gruppenpraxis

identifier: GLN/7601000241115
name: Gruppenpraxis Olten
contact
telecom: +41555556677, info@gruppenpraxis.ch, http://www.gruppenpraxis.ch
address: Gerbergasse 12 Olten 4600 CH

Entry 7 - fullUrl = http://example.com/fhir/PractitionerRole/MarcMustermannGruppenpraxis

Resource PractitionerRole:

Generated Narrative: PractitionerRole MarcMustermannGruppenpraxis

practitioner: Practitioner Marc Mustermann (official)
organization: Organization Gruppenpraxis Olten

Entry 8 - fullUrl = http://example.com/fhir/Practitioner/HansHauser

Resource Practitioner:

Generated Narrative: Practitioner HansHauser

identifier: GLN/7601000050700, urn:oid:2.16.756.5.30.1.123.100.2.1.1/A123313
name: Hans Hauser (Official)
telecom: ph: 038 888 22 11(Work), hans.hauser@gruppenpraxis.ch

Entry 9 - fullUrl = http://example.com/fhir/Organization/Kantonsspital

Resource Organization:

Generated Narrative: Organization Kantonsspital

identifier: GLN/7601000235503
name: Kantonsspital Zug
contact
telecom: +41 45 334 55 66, info@kantonsspital.zug.ch, http://www.kanstonsspital.zug.ch
address: Seestrasse 14 Postfach 14 Zug 8000 Schweiz (work)

Entry 10 - fullUrl = http://example.com/fhir/PractitionerRole/HansHauserKantonsspital

Resource PractitionerRole:

Generated Narrative: PractitionerRole HansHauserKantonsspital

practitioner: Practitioner Hans Hauser (official)
organization: Organization Kantonsspital Zug

Entry 11 - fullUrl = http://example.com/fhir/Practitioner/EvaErlenmeyer

Resource Practitioner:

Generated Narrative: Practitioner EvaErlenmeyer

identifier: GLN/7601000050717, urn:oid:2.16.756.5.30.1.123.100.2.1.1/A123315
name: Eva Erlenmeyer (Official)
telecom: ph: 033 444 55 66(Work), eva.erlenmeyer@labor-pipette.ch

Entry 12 - fullUrl = http://example.com/fhir/Organization/LaborPipette

Resource Organization:

Generated Narrative: Organization LaborPipette

identifier: GLN/7601000234407
name: Labor Pipette
contact
telecom: +41223345566, info@labor-pipette.ch, http://www.labor-pipette.ch
address: Laborstrasse 23 Olten 4600 CH

Entry 13 - fullUrl = http://example.com/fhir/PractitionerRole/EvaErlenmeyerLaborPipette

Resource PractitionerRole:

Generated Narrative: PractitionerRole EvaErlenmeyerLaborPipette

identifier: urn:oid:2.16.756.5.30.1.123.100.2.1.1/A123444
practitioner: Practitioner Eva Erlenmeyer (official)
organization: Organization Labor Pipette

Entry 14 - fullUrl = http://example.com/fhir/Specimen/Serum-0-best-practice

Resource Specimen:

Generated Narrative: Specimen Serum-0-best-practice

identifier: 48736-12345-75465
accessionIdentifier: 4e88a-12345-dd888
status: Available
type: Serum specimen (specimen)
subject: Birgit Blum Female, DoB: 1984-01-01 ( Medical record number)
Collections
- Collector Collected[x] BodySite FastingStatus[x]
* Practitioner Marc Mustermann (official) 2023-12-01 16:40:17+0000 No display for Specimen.collection.bodySite (concept: Structure of median cubital vein (body structure)) Patient was fasting prior to the procedure.
container

Entry 15 - fullUrl = http://example.com/fhir/Specimen/Blood-coag-0-best-practice

Resource Specimen:

Generated Narrative: Specimen Blood-coag-0-best-practice

identifier: 48736-55555-75465
accessionIdentifier: 4e88a-66666-dd888
status: Available
type: Blood sample
subject: Birgit Blum Female, DoB: 1984-01-01 ( Medical record number)
receivedTime: 2023-12-01 16:40:17+0000
Collections
- Collector Collected[x]
* Practitioner Marc Mustermann (official) 2023-12-01 17:00:17+0000
Processings
- Description Time[x]
* Needs to be centrifugated and cooled within 1 hour 2023-12-01 17:00:17+0000 --> 2023-12-01 17:30:17+0000
container

Entry 16 - fullUrl = http://example.com/fhir/Specimen/Blood-0-best-practice

Resource Specimen:

Generated Narrative: Specimen Blood-0-best-practice

identifier: 48736-55555-75465
accessionIdentifier: 4e88a-66666-dd888
status: Available
type: Blood sample
subject: Birgit Blum Female, DoB: 1984-01-01 ( Medical record number)
Collections
- Collector Collected[x] BodySite
* Practitioner Marc Mustermann (official) 2023-12-01 06:40:17+0000 No display for Specimen.collection.bodySite (concept: Structure of superficial vein of left upper limb (body structure))
container
note: Specimen is grossly lipemic

Entry 17 - fullUrl = http://example.com/fhir/ServiceRequest/0-best-practice-service-request-0

Resource ServiceRequest:

Generated Narrative: ServiceRequest 0-best-practice-service-request-0

identifier: Placer Identifier/123
basedOn:
ServiceRequest Coagulation factor X activated inhibitor [Mass/volume] in Platelet poor plasma
ServiceRequest Glucose [Moles/volume] in Serum or Plasma --pre dose glucose
ServiceRequest Hemoglobin and Hematocrit panel - Blood
status: Active
intent: Original Order
priority: Urgent
subject: Birgit Blum Female, DoB: 1984-01-01 ( Medical record number)
encounter: Encounter: status = in-progress; class = inpatient encounter (ActCode#IMP)
requester: PractitionerRole
supportingInfo: No display for ServiceRequest.supportingInfo (reference: ->Condition Open fracture of tibial plateau (disorder))

Entry 18 - fullUrl = http://example.com/fhir/ServiceRequest/0-best-practice-service-request-1

Resource ServiceRequest:

Generated Narrative: ServiceRequest 0-best-practice-service-request-1

identifier: Placer Identifier/123
status: Active
intent: Original Order
priority: Urgent
code: No display for ServiceRequest.code (concept: Coagulation factor X activated inhibitor [Mass/volume] in Platelet poor plasma)
subject: Birgit Blum Female, DoB: 1984-01-01 ( Medical record number)
requester: PractitionerRole
supportingInfo: No display for ServiceRequest.supportingInfo (reference: ->Medication LIQUEMIN 5000 IE/0.5ml s.c. (aH 06/23))
specimen: Specimen: identifier = 48736-55555-75465; accessionIdentifier = 4e88a-66666-dd888; status = available; type = Blood sample; receivedTime = 2023-12-01 16:40:17+0000

Entry 19 - fullUrl = http://example.com/fhir/ServiceRequest/0-best-practice-service-request-2

Resource ServiceRequest:

Generated Narrative: ServiceRequest 0-best-practice-service-request-2

identifier: Placer Identifier/123
status: Active
intent: Original Order
priority: Urgent
code: No display for ServiceRequest.code (concept: Glucose [Moles/volume] in Serum or Plasma --pre dose glucose)
subject: Birgit Blum Female, DoB: 1984-01-01 ( Medical record number)
requester: PractitionerRole
specimen: Serum specimen

Entry 20 - fullUrl = http://example.com/fhir/ServiceRequest/0-best-practice-service-request-3

Resource ServiceRequest:

Generated Narrative: ServiceRequest 0-best-practice-service-request-3

identifier: Placer Identifier/123
basedOn:
ServiceRequest Hemoglobin [Mass/volume] in Blood
ServiceRequest Hematocrit [Volume Fraction] of Blood
status: Active
intent: Original Order
priority: Urgent
code: No display for ServiceRequest.code (concept: Hemoglobin and Hematocrit panel - Blood)
subject: Birgit Blum Female, DoB: 1984-01-01 ( Medical record number)
requester: PractitionerRole

Entry 21 - fullUrl = http://example.com/fhir/ServiceRequest/0-best-practice-service-request-3-hb

Resource ServiceRequest:

Generated Narrative: ServiceRequest 0-best-practice-service-request-3-hb

identifier: Placer Identifier/123
status: Active
intent: Original Order
priority: Urgent
code: No display for ServiceRequest.code (concept: Hemoglobin [Mass/volume] in Blood)
subject: Birgit Blum Female, DoB: 1984-01-01 ( Medical record number)
requester: PractitionerRole
specimen: Specimen: identifier = 48736-55555-75465; accessionIdentifier = 4e88a-66666-dd888; status = available; type = Blood sample; note = Specimen is grossly lipemic

Entry 22 - fullUrl = http://example.com/fhir/ServiceRequest/0-best-practice-service-request-3-ht

Resource ServiceRequest:

Generated Narrative: ServiceRequest 0-best-practice-service-request-3-ht

identifier: Placer Identifier/123
status: Active
intent: Original Order
priority: Urgent
code: No display for ServiceRequest.code (concept: Hematocrit [Volume Fraction] of Blood)
subject: Birgit Blum Female, DoB: 1984-01-01 ( Medical record number)
requester: PractitionerRole
specimen: Specimen: identifier = 48736-55555-75465; accessionIdentifier = 4e88a-66666-dd888; status = available; type = Blood sample; note = Specimen is grossly lipemic

Entry 23 - fullUrl = http://example.com/fhir/Condition/ConditionTibiaFracture

Resource Condition:

Generated Narrative: Condition ConditionTibiaFracture

clinicalStatus: Active
verificationStatus: Confirmed
category: diagnosis
severity: Severe (severity modifier) (qualifier value)
code: Open fracture of tibial plateau (disorder)
bodySite: Bone structure of proximal left tibia (body structure)
subject: Birgit Blum
encounter: Encounter: status = in-progress; class = inpatient encounter (ActCode#IMP)
onset: 2024-02-05
recordedDate: 2024-02-05
evidence

Entry 24 - fullUrl = http://example.com/fhir/Condition/ConditionAnticoagulation

Resource Condition:

Generated Narrative: Condition ConditionAnticoagulation

clinicalStatus: Active
verificationStatus: Confirmed
category: Procedure (procedure)
code: Prophylactic anticoagulation given (situation)
subject: Birgit Blum
encounter: Encounter: status = in-progress; class = inpatient encounter (ActCode#IMP)
onset: 2024-02-05
recordedDate: 2024-02-05
evidence