CH LAB-Order (R4)
2.0.0 - ci-build
CH LAB-Order (R4)
2.0.0 - ci-build
CH LAB-Order (R4), published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 2.0.0 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
A patient, Tobias Timmermann, presents to Dr. med. Marc Mustermann at the Olten group practice on 09.03.2016. He verbally identifies himself via his master data as Tobias Timmermann, 01.01.1984. He reports unclear leg pain in the left lower leg as well as simultaneously occurring respiratory pain and cough. The doctor carries out the anamnesis and physical examination and prescribes the following laboratory parameters:
The doctor carries out the Blood count and the CRP determination himself by means of point of care diagnostics, the D-dimer diagnostics is prescribed as quantitative diagnostics in an external sending laboratory. To obtain the sample, a Blood sample is taken lying down (1 EDTA tube, 2 citrate tubes of 5 ml). The order is transmitted to the external laboratory and the sample is sent to the external dispatch laboratory by courier ordered by telephone. The results of the internal point of care diagnostics (Blood count and CRP) are entered in the patient`s laboratory sheet in the doctor`s office software (manually or via locally installed electronic interfaces). A prescription is therefore issued by the doctor to the patient for self-administration of an anti-thrombotic agent. The results of the sending-in laboratory arrive electronically at the GP`s on the same evening and are also entered in the patient`s laboratory sheet. By using the present exchange format, this process can be fully automated. After a telephone enquiry by the doctor at the sending laboratory due to a borderline D-dimer result, the information is given that a deep vein thrombosis cannot be ruled out in this situation by means of D-dimer and the patient is therefore called back the next day for a sonography of the legs.
As it is probably a primary leg vein thrombosis, Dr Eva Erlenmeier from the Pipette laboratory sends feedback to Dr Mustermann with the recommendation to carry out a thrombophilia screening, which includes the following analyses: Quick, aPTT, fibrinogen, antithrombin (funct.), thrombin time I 2.5 NIH/ml, APC resistance, D-dimers, protein C, (aPTT method), protein S antigen. The analyses can be carried out directly from the samples of the citrate tubes sent along.
2. http://example.com/fhir/Patient/TobiasTimmermann (Patient/TobiasTimmermann)
id: TobiasTimmermann
meta:
identifier: 012/08.111111
name: Tobias Timmermann
gender: MALE
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
3. http://example.com/fhir/Practitioner/MarcMustermann (Practitioner/MarcMustermann)
Generated Narrative: Practitioner
Resource Practitioner "MarcMustermann"
Profile: CH Core Practitioner
identifier: GLN/7601000050700,
urn:oid:2.16.756.5.30.1.123.100.2.1.1/A123309name: Marc Mustermann (OFFICIAL)
telecom: ph: 033 444 22 11(WORK), marc.mustermann@gruppenpraxis.ch
4. http://example.com/fhir/Organization/Gruppenpraxis (Organization/Gruppenpraxis)
Generated Narrative: Organization
Resource Organization "Gruppenpraxis"
Profile: CH Core Organization EPR
identifier: GLN/7601000241115
name: Gruppenpraxis Olten
Contacts
Telecom Address +41555556677, info@gruppenpraxis.ch, http://www.gruppenpraxis.ch Gerbergasse 12 Olten 4600 CH
5. http://example.com/fhir/PractitionerRole/MarcMustermannGruppenpraxis (PractitionerRole/MarcMustermannGruppenpraxis)
Generated Narrative: PractitionerRole
Resource PractitionerRole "MarcMustermannGruppenpraxis"
Profile: CH Core PractitionerRole
practitioner: See above (Practitioner/MarcMustermann)
organization: See above (Organization/Gruppenpraxis)
6. http://example.com/fhir/Practitioner/EvaErlenmeyer (Practitioner/EvaErlenmeyer)
Generated Narrative: Practitioner
Resource Practitioner "EvaErlenmeyer"
Profile: CH Core Practitioner
identifier: GLN/7601000050717,
urn:oid:2.16.756.5.30.1.123.100.2.1.1/A123315name: Eva Erlenmeyer (OFFICIAL)
telecom: ph: 033 444 55 66(WORK), eva.erlenmeyer@labor-pipette.ch
7. http://example.com/fhir/Organization/LaborPipette (Organization/LaborPipette)
Generated Narrative: Organization
Resource Organization "LaborPipette"
Profile: CH Core Organization
identifier: GLN/7601000234407
name: Labor Pipette
Contacts
Telecom Address +41223345566, info@labor-pipette.ch, http://www.labor-pipette.ch Laborstrasse 23 Olten 4600 CH
8. http://example.com/fhir/PractitionerRole/EvaErlenmeyerLaborPipette (PractitionerRole/EvaErlenmeyerLaborPipette)
Generated Narrative: PractitionerRole
Resource PractitionerRole "EvaErlenmeyerLaborPipette"
Profile: CH Core PractitionerRole
identifier:
urn:oid:2.16.756.5.30.1.123.100.2.1.1/A123444practitioner: See above (Practitioner/EvaErlenmeyer)
organization: See above (Organization/LaborPipette)
9. http://example.com/fhir/Coverage/HealthInsuranceCardTobiasTimmermann (Coverage/HealthInsuranceCardTobiasTimmermann)
Resource Coverage "HealthInsuranceCardTobiasTimmermann"
identifier:
http://ehic.com/insurer/123456789/member/A123456780-1status: ACTIVE
type: According to KVG (Coverage Type#KVG)
subscriber: See above (Patient/TobiasTimmermann)
beneficiary: See above (Patient/TobiasTimmermann)
period: ?? --> 2024-12-31
10. http://example.com/fhir/Specimen/Serum-1-tvt (Specimen/Serum-1-tvt)
Resource Specimen "Serum-1-tvt"
identifier: 48736-12345-75465
accessionIdentifier: 4e88a-12345-dd888
status: AVAILABLE
type: Serum specimen (specimen) (SNOMED CT#119364003)
subject: See above (Patient/TobiasTimmermann)
Collections
Collector Collected[x] BodySite FastingStatus[x] See above (Practitioner/MarcMustermann) 2015-08-16 06:40:17+0000 Structure of median cubital vein (body structure) (SNOMED CT#49852007) Patient was fasting prior to the procedure. (relevantClincialInformation#F) container
11. http://example.com/fhir/Specimen/Blood-coag-1-tvt (Specimen/Blood-coag-1-tvt)
Resource Specimen "Blood-coag-1-tvt"
identifier: 48736-55555-75465
accessionIdentifier: 4e88a-66666-dd888
status: AVAILABLE
type: Blood sample (SNOMED CT#119297000)
subject: See above (Patient/TobiasTimmermann)
receivedTime: 2023-12-01 16:40:17+0000
Collections
Collector Collected[x] See above (Practitioner/MarcMustermann) 2023-12-01 17:00:17+0000 Processings
Time[x] 2023-12-01 17:00:17+0000 --> 2023-12-01 17:30:17+0000 container
12. http://example.com/fhir/Specimen/Blood-1-tvt (Specimen/Blood-1-tvt)
Resource Specimen "Blood-1-tvt"
status: AVAILABLE
type: Blood sample (SNOMED CT#119297000)
subject: See above (Patient/TobiasTimmermann)
Collections
Collector Collected[x] BodySite See above (Practitioner/MarcMustermann) 2015-08-16 06:40:17+0000 Structure of superficial vein of left upper limb (body structure) (SNOMED CT#721029009) container
note: Specimen is grossly lipemic
13. http://example.com/fhir/ServiceRequest/1-tvt-service-request (ServiceRequest/1-tvt-service-request)
Generated Narrative: ServiceRequest
Resource ServiceRequest "1-tvt-service-request"
Profile: CH ORF ServiceRequest
identifier: Placer Identifier/123
status: ACTIVE
intent: ORIGINALORDER
category: Order (record artifact) (SNOMED CT#721963009)
priority: URGENT
code: CBC panel - Blood by Automated count (LOINC#58410-2; LOINC#57023-4 "Auto Differential panel - Blood"; LOINC#55398-2 "Short Fibrin D-dimer FEU and DDU panel - Platelet poor plasma"; LOINC#1988-5 "C reactive protein [Mass/Volume] in Serum or Plasma")
subject: See above (Patient/TobiasTimmermann)
requester: See above (PractitionerRole/MarcMustermannGruppenpraxis)
insurance: See above (Coverage/HealthInsuranceCardTobiasTimmermann)
specimen: