CH LAB-Order 2-pertussis with ServiceRequest and Form - 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 2-pertussis with ServiceRequest and Form

Document Details

Generated Narrative: Bundle Laboratory Order by Form 2-pertussis

version: 1; Last updated: 2019-04-01 20:18:41+0000

Profile: CH ORF Document

Final Document at 2020-03-31 11:46:09+0200 by PractitionerRole for Emil Kummer Male, DoB: 2017-05-05 ( Medical record number)

Document Subject

Unable to resolve subject ''

Document Content

Case study 2

Suspicion of whooping cough

A mother visits the family doctor Peter Presto of the Olten group practice with her 6-year-old son Emil Kummer, born 5 May 2014, because the child has been coughing increasingly for a fortnight, with cramping cough attacks, and has a fever. The doctor`s receptionist measures the fever, takes a fingertip Blood sample from the son, determines the CRP and prepares a Blood smear. The doctor suspects a viral infection, but wants to rule out whooping cough, although the child has been vaccinated against it. As he is under time pressure due to an emergency, he does not want to do the necessary throat swab himself, but asks the mother to accompany the child to the nearby laboratory to have the swab done in peace. He prepares a laboratory order to carry out a pertussis PCR on the child`s throat swab and gives the order to the mother. The mother herself is not sure whether she herself has been vaccinated against pertussis. Consequently, the family doctor Peter Presto gives her the pertussis vaccination right away and recommends that the same be done for the child`s father and grandparents. In the meantime, the MPA has looked at the son`s Blood smear under the microscope and finds a lot of reactive lymphocytes, which seem suspicious to her. She is unsure and asks the doctor, who gives the order to give the child`s Blood smears to the mother and also to have them examined more closely in the laboratory. The mother arrives at the laboratory with her son, where the doctor`s order is first to establish the son`s identity. Then a pharyngeal swab and a right cubital venepuncture are taken from the child in the laboratory`s Blood collection room and passed on to the laboratory together with the Blood smears and the doctor`s examination order.

Order-Referral-Form 2-pertussis

Additional Resources Included in Document

Entry 1 - fullUrl = http://example.com/fhir/Composition/2-pertussis-composition-with-sr-and-form

Resource Composition:

Case study 2
Suspicion of whooping cough
A mother visits the family doctor Peter Presto of the Olten group practice with her 6-year-old son Emil Kummer, born 5 May 2014, because the child has been coughing increasingly for a fortnight, with cramping cough attacks, and has a fever. The doctor`s receptionist measures the fever, takes a fingertip Blood sample from the son, determines the CRP and prepares a Blood smear. The doctor suspects a viral infection, but wants to rule out whooping cough, although the child has been vaccinated against it. As he is under time pressure due to an emergency, he does not want to do the necessary throat swab himself, but asks the mother to accompany the child to the nearby laboratory to have the swab done in peace. He prepares a laboratory order to carry out a pertussis PCR on the child`s throat swab and gives the order to the mother. The mother herself is not sure whether she herself has been vaccinated against pertussis. Consequently, the family doctor Peter Presto gives her the pertussis vaccination right away and recommends that the same be done for the child`s father and grandparents. In the meantime, the MPA has looked at the son`s Blood smear under the microscope and finds a lot of reactive lymphocytes, which seem suspicious to her. She is unsure and asks the doctor, who gives the order to give the child`s Blood smears to the mother and also to have them examined more closely in the laboratory. The mother arrives at the laboratory with her son, where the doctor`s order is first to establish the son`s identity. Then a pharyngeal swab and a right cubital venepuncture are taken from the child in the laboratory`s Blood collection room and passed on to the laboratory together with the Blood smears and the doctor`s examination order.

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

Resource Patient:

id: EmilKummer
meta:
identifier: 012/08.111112
name: Emil Kummer
gender: MALE
birthDate: May 05, 2014
maritalStatus: ledig (Details : {$ech-11-maritalstatus code '1' = '1', given as 'ledig'})
Communications
- Language Preferred
* Deutsch (Schweiz) (Details : {urn:ietf:bcp:47 code 'de-CH' = 'German (Region=Schweiz)) true

Entry 3 - fullUrl = http://example.com/fhir/Practitioner/PeterPresto

Resource Practitioner:

Generated Narrative: Practitioner PeterPresto

identifier: GLN/7601022050702, urn:oid:2.16.756.5.30.1.123.100.2.1.1/A123303
name: Peter Presto (Official)
telecom: ph: 032 333 22 33(Work), peter.presto@arztpraxis.ch

Entry 4 - 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 5 - fullUrl = http://example.com/fhir/PractitionerRole/PeterPrestoGruppenpraxis

Resource PractitionerRole:

Generated Narrative: PractitionerRole PeterPrestoGruppenpraxis

practitioner: Practitioner Peter Presto (official)
organization: Organization Gruppenpraxis Olten

Entry 6 - 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 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/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 9 - 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 10 - 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 11 - fullUrl = http://example.com/fhir/Coverage/health-insurance-card-emil-kummer

Resource Coverage:

Generated Narrative: Coverage health-insurance-card-emil-kummer

identifier: Insurance Card Number/A123456780-1
status: Active
type: According to KVG
subscriber: Emil Kummer Male, DoB: 2017-05-05 ( Medical record number)
beneficiary: Emil Kummer Male, DoB: 2017-05-05 ( Medical record number)
period: ?? --> 2024-12-31

Entry 12 - fullUrl = http://example.com/fhir/Specimen/Serum-2-pertussis

Resource Specimen:

Generated Narrative: Specimen Serum-2-pertussis

identifier: 48736-12345-75465
accessionIdentifier: 4e88a-12345-dd888
status: Available
type: Serum specimen (specimen)
subject: Emil Kummer Male, DoB: 2017-05-05 ( Medical record number)
Collections
- Collector Collected[x]
* Practitioner Peter Presto (official) 2015-08-16 06:40:17+0000
container

Entry 13 - fullUrl = http://example.com/fhir/Specimen/Throat-swab-2-pertussis

Resource Specimen:

Generated Narrative: Specimen Throat-swab-2-pertussis

identifier: 48736-222333-75465
accessionIdentifier: 4e88a-bc987-dd888
status: Available
type: Throat swab (specimen)
subject: Emil Kummer Male, DoB: 2017-05-05 ( Medical record number)
receivedTime: 2023-12-01 16:40:17+0000
request: ServiceRequest CBC panel - Blood by Automated count
Collections
- Collector Collected[x] Method BodySite
* Practitioner Peter Presto (official) 2023-12-01 06:40:17+0000 Oral swab (specimen) No display for Specimen.collection.bodySite (concept: Entire throat (surface region of neck) (body structure))
container
note: Some notes to Sample

Entry 14 - fullUrl = http://example.com/fhir/Specimen/Blood-2-pertussis

Resource Specimen:

Generated Narrative: Specimen Blood-2-pertussis

status: Available
type: Blood sample
subject: Emil Kummer Male, DoB: 2017-05-05 ( Medical record number)
Collections
- Collector Collected[x] BodySite
* Practitioner Peter Presto (official) 2015-08-16 06:40:17+0000 No display for Specimen.collection.bodySite (concept: Structure of capillary of skin (body structure))
container

Entry 15 - fullUrl = http://example.com/fhir/Questionnaire/2-pertussis

Resource Questionnaire:

Generated Narrative: Questionnaire 2-pertussis

version: 1; Last updated: 2019-04-01 20:17:53+0000
Profiles: CH ORF Questionnaire, SDCBaseQuestionnaire, Extractable Questionnaire - StructureMap

Entry 16 - fullUrl = http://example.com/fhir/QuestionnaireResponse/2-pertussis

Resource QuestionnaireResponse:

Generated Narrative: QuestionnaireResponse 2-pertussis
version: 1; Last updated: 2019-04-01 20:17:53+0000
Profile: CH ORF QuestionnaireResponse
LinkID Text Definition Answer
2-pertussis Questionnaire:Lab Order Form Example 2-pertussis

order Auftrag

order.placerOrderIdentifier Auftragsnummer des Auftraggebers 123

order.placerOrderIdentifierDomain Identifier Domain der Auftragsnummer des Auftraggebers urn:oid:2.16.756.5.30

order.precedentDocumentIdentifier Identifier des Vorgängerdokuments 1622f2fb-6ba3-4532-9aed-35b158def187

order.notificationContactDocument Dringender Benachrichtigungskontakt für dieses Dokument

order.notificationContactDocument.practitioner Zu benachrichtigende Person

order.notificationContactDocument.practitioner.title Titel Dr. med.

order.notificationContactDocument.practitioner.familyName Name Presto

order.notificationContactDocument.practitioner.givenName Vorname Peter

order.notificationContactDocument.practitioner.phone Telefon 032 333 22 33

order.notificationContactDocument.practitioner.email E-Mail eva.erlenmeyer@labor-pipette.ch

order.notificationContactDocumentResponse Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument

order.notificationContactDocumentResponse.practitioner Zu benachrichtigende Person

order.notificationContactDocumentResponse.practitioner.title Titel Dr. med.

order.notificationContactDocumentResponse.practitioner.familyName Name Erlenmeyer

order.notificationContactDocumentResponse.practitioner.givenName Vorname Eva

order.notificationContactDocumentResponse.practitioner.phone Telefon 033 444 55 66

order.notificationContactDocumentResponse.practitioner.email E-Mail eva.erlenmeyer@labor-pipette.ch

order.priority Auftragspriorität RequestPriority routine: Routine

receiver Empfänger

receiver.practitioner Empfangende Person

receiver.practitioner.title Titel Dr. med.

receiver.practitioner.familyName Name Presto

receiver.practitioner.givenName Vorname Peter

receiver.practitioner.gln GLN 7601000050703

receiver.practitioner.phone Telefon +41322552525

receiver.practitioner.email E-Mail peter.presto@arztpraxis.ch

receiver.organization Empfangende Organisation

receiver.organization.name Name der Organisation Labor Pipette

receiver.organization.streetAddressLine Strasse, Hausnummer, Postfach etc.

receiver.organization.postalCode PLZ 4600

receiver.organization.city Ort Olten

receiver.organization.country Land Schweiz

patient Patient

patient.familyName Name Kummer

patient.maidenName Ledigname Bering

patient.givenName Vorname Emil

patient.localPid Lokale Patienten-ID 012/08.111102

patient.birthDate Geburtsdatum 2014-05-05

patient.gender Geschlecht AdministrativeGender male: Male

patient.maritalStatus Zivilstand eCH-011 MaritalStatus 1: ledig

patient.phone Telefon 079 989 89 89

patient.email E-Mail vera.kummer@example.ch

patient.streetAddressLine Strasse, Hausnummer, Postfach etc.

patient.postalCode PLZ 8000

patient.city Ort Zürich

patient.country Land Schweiz

sender Absender

sender.author Verantwortlicher

sender.author.practitioner Verantwortliche Person

sender.author.practitioner.title Titel Dr. med.

sender.author.practitioner.familyName Name Presto

sender.author.practitioner.givenName Vorname Peter

sender.author.practitioner.gln GLN 7601000034321

sender.author.practitioner.phone Telefon 032 333 22 33

sender.author.practitioner.email E-Mail peter.presto@arztpraxis.ch

sender.author.organization Verantwortliche Organisation

sender.author.organization.name Name der Organisation Praxis Seeblick

sender.author.organization.streetAddressLine Strasse, Hausnummer, Postfach etc.

sender.author.organization.postalCode PLZ 8000

sender.author.organization.city Ort Zürich

sender.author.organization.country Land Schweiz

sender.dataenterer Erfasser

sender.dataenterer.practitioner Erfassende Person

sender.dataenterer.practitioner.familyName Name Presto

sender.dataenterer.practitioner.givenName Vorname Peter

sender.dataenterer.practitioner.phone Telefon 032 333 22 33

sender.dataenterer.practitioner.email E-Mail peter.presto@arztpraxis.ch

receiverCopies Kopieempfänger

receiverCopy Kopieempfangende Organisation oder Person

receiverCopy.organization.name Name der Organisation Gruppenpraxis

receiverCopy.title Titel Dr. med.

receiverCopy.familyName Name Hauser

receiverCopy.givenName Vorname Hans

receiverCopy.phone Telefon 038 888 22 11

receiverCopy.email E-Mail hans.hauser@gruppenpraxis.ch

receiverCopy Kopieempfangende Organisation oder Person

receiverCopy.familyName Name Kummer

receiverCopy.givenName Vorname Claudia

receiverCopy.phone Telefon 079 979 79 79

receiverCopy.email E-Mail claudia.kummer@redwin.ch

receiverCopy.streetAddressLine Strasse, Hausnummer, Postfach etc.

receiverCopy.postalCode PLZ 8000

receiverCopy.city Ort Zürich

receiverCopy.country Land Schweiz

microbiology Mikrobiologie

per Pertussis and Parapertussis DNA LOINC 90441-7: B pert+parapert DNA Pnl Nph

hematology Hämatologie

Blood-diff Manual Differential panel - Blood LOINC 24318-8: Manual diff Bld

clinical chemistry Klinische Chemie

crp C-reactive Protein LOINC 1988-5: C reactive protein [Mass/volume] in Serum or Plasma

Documentation for this format

LinkID	Text	Answer
2-pertussis		Questionnaire:Lab Order Form Example 2-pertussis
order	Auftrag
order.placerOrderIdentifier	Auftragsnummer des Auftraggebers	123
order.placerOrderIdentifierDomain	Identifier Domain der Auftragsnummer des Auftraggebers	urn:oid:2.16.756.5.30
order.precedentDocumentIdentifier	Identifier des Vorgängerdokuments	1622f2fb-6ba3-4532-9aed-35b158def187
order.notificationContactDocument	Dringender Benachrichtigungskontakt für dieses Dokument
order.notificationContactDocument.practitioner	Zu benachrichtigende Person
order.notificationContactDocument.practitioner.title	Titel	Dr. med.
order.notificationContactDocument.practitioner.familyName	Name	Presto
order.notificationContactDocument.practitioner.givenName	Vorname	Peter
order.notificationContactDocument.practitioner.phone	Telefon	032 333 22 33
order.notificationContactDocument.practitioner.email	E-Mail	eva.erlenmeyer@labor-pipette.ch
order.notificationContactDocumentResponse	Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument
order.notificationContactDocumentResponse.practitioner	Zu benachrichtigende Person
order.notificationContactDocumentResponse.practitioner.title	Titel	Dr. med.
order.notificationContactDocumentResponse.practitioner.familyName	Name	Erlenmeyer
order.notificationContactDocumentResponse.practitioner.givenName	Vorname	Eva
order.notificationContactDocumentResponse.practitioner.phone	Telefon	033 444 55 66
order.notificationContactDocumentResponse.practitioner.email	E-Mail	eva.erlenmeyer@labor-pipette.ch
order.priority	Auftragspriorität	RequestPriority routine: Routine
receiver	Empfänger
receiver.practitioner	Empfangende Person
receiver.practitioner.title	Titel	Dr. med.
receiver.practitioner.familyName	Name	Presto
receiver.practitioner.givenName	Vorname	Peter
receiver.practitioner.gln	GLN	7601000050703
receiver.practitioner.phone	Telefon	+41322552525
receiver.practitioner.email	E-Mail	peter.presto@arztpraxis.ch
receiver.organization	Empfangende Organisation
receiver.organization.name	Name der Organisation	Labor Pipette
receiver.organization.streetAddressLine	Strasse, Hausnummer, Postfach etc.
receiver.organization.postalCode	PLZ	4600
receiver.organization.city	Ort	Olten
receiver.organization.country	Land	Schweiz
patient	Patient
patient.familyName	Name	Kummer
patient.maidenName	Ledigname	Bering
patient.givenName	Vorname	Emil
patient.localPid	Lokale Patienten-ID	012/08.111102
patient.birthDate	Geburtsdatum	2014-05-05
patient.gender	Geschlecht	AdministrativeGender male: Male
patient.maritalStatus	Zivilstand	eCH-011 MaritalStatus 1: ledig
patient.phone	Telefon	079 989 89 89
patient.email	E-Mail	vera.kummer@example.ch
patient.streetAddressLine	Strasse, Hausnummer, Postfach etc.
patient.postalCode	PLZ	8000
patient.city	Ort	Zürich
patient.country	Land	Schweiz
sender	Absender
sender.author	Verantwortlicher
sender.author.practitioner	Verantwortliche Person
sender.author.practitioner.title	Titel	Dr. med.
sender.author.practitioner.familyName	Name	Presto
sender.author.practitioner.givenName	Vorname	Peter
sender.author.practitioner.gln	GLN	7601000034321
sender.author.practitioner.phone	Telefon	032 333 22 33
sender.author.practitioner.email	E-Mail	peter.presto@arztpraxis.ch
sender.author.organization	Verantwortliche Organisation
sender.author.organization.name	Name der Organisation	Praxis Seeblick
sender.author.organization.streetAddressLine	Strasse, Hausnummer, Postfach etc.
sender.author.organization.postalCode	PLZ	8000
sender.author.organization.city	Ort	Zürich
sender.author.organization.country	Land	Schweiz
sender.dataenterer	Erfasser
sender.dataenterer.practitioner	Erfassende Person
sender.dataenterer.practitioner.familyName	Name	Presto
sender.dataenterer.practitioner.givenName	Vorname	Peter
sender.dataenterer.practitioner.phone	Telefon	032 333 22 33
sender.dataenterer.practitioner.email	E-Mail	peter.presto@arztpraxis.ch
receiverCopies	Kopieempfänger
receiverCopy	Kopieempfangende Organisation oder Person
receiverCopy.organization.name	Name der Organisation	Gruppenpraxis
receiverCopy.title	Titel	Dr. med.
receiverCopy.familyName	Name	Hauser
receiverCopy.givenName	Vorname	Hans
receiverCopy.phone	Telefon	038 888 22 11
receiverCopy.email	E-Mail	hans.hauser@gruppenpraxis.ch
receiverCopy	Kopieempfangende Organisation oder Person
receiverCopy.familyName	Name	Kummer
receiverCopy.givenName	Vorname	Claudia
receiverCopy.phone	Telefon	079 979 79 79
receiverCopy.email	E-Mail	claudia.kummer@redwin.ch
receiverCopy.streetAddressLine	Strasse, Hausnummer, Postfach etc.
receiverCopy.postalCode	PLZ	8000
receiverCopy.city	Ort	Zürich
receiverCopy.country	Land	Schweiz
microbiology	Mikrobiologie
per	Pertussis and Parapertussis DNA	LOINC 90441-7: B pert+parapert DNA Pnl Nph
hematology	Hämatologie
Blood-diff	Manual Differential panel - Blood	LOINC 24318-8: Manual diff Bld
clinical chemistry	Klinische Chemie
crp	C-reactive Protein	LOINC 1988-5: C reactive protein [Mass/volume] in Serum or Plasma
Documentation for this format

Entry 17 - fullUrl = http://example.com/fhir/ServiceRequest/2-pertussis-service-request

Resource ServiceRequest:

Generated Narrative: ServiceRequest 2-pertussis-service-request

identifier: Placer Identifier/123
status: Active
intent: Original Order
priority: Urgent
code: No display for ServiceRequest.code (concept: CBC panel - Blood by Automated count)
orderDetail: No display for ServiceRequest.orderDetail ()
subject: Emil Kummer Male, DoB: 2017-05-05 ( Medical record number)
requester: PractitionerRole
insurance: Coverage: identifier = Insurance Card Number; status = active; type = According to KVG; period = (?) --> 2024-12-31
specimen:
Specimen: identifier = 48736-222333-75465; accessionIdentifier = 4e88a-bc987-dd888; status = available; type = Throat swab (specimen); receivedTime = 2023-12-01 16:40:17+0000; note = Some notes to Sample
Specimen: status = available; type = Blood sample
Specimen: identifier = 48736-12345-75465; accessionIdentifier = 4e88a-12345-dd888; status = available; type = Serum specimen (specimen)