CH LAB-Order 3-gyn 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 3-gyn with ServiceRequest and Form

Document Details

Generated Narrative: Bundle Laboratory Order by Form 3-gyn

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 Marina Rubella (official) Female, DoB: 1992-08-08 ( Medical record number)

Document Subject

Unable to resolve subject ''

Document Content

Case study 3

Annual gynaecological check-up

The doctor`s assistent of the gynaecology department in the Olten group practice, Dr Peter Pap, prepares the next day`s consultations. As the practice only has a minimal laboratory of its own, certain patients are sent to the nearby Pipette laboratory outpatient clinic before the appointment, including the young patient Ms Marina Rubella, born 8. 8. 1992. In her practice software, the MPA prescribes the standard analyses agreed with the laboratory for the gynaecological 3-year check-up for patient Rubella. This also includes the Blood sample for the serotonary for any follow-up prescriptions. The laboratory transmits the results to the practice no later than 90 minutes after the Blood sample has been taken. Dr Pap prescribes the following orders during the consultation:

Gynaecological cervical cytology: Pap smear - if indicated, detection and typing of HPV (human papilloma virus) should also be performed. Collection material according to the laboratory`s instructions. The cytological examination is carried out in the Pipette laboratory. The Pipette laboratory does not perform the typing itself.
Partial urine status (Combur9 test): carried out by the MPA in the practice: the following parameters are examined: pH, leucocytes, erythrocytes, nitrite, protein, glucose, ketones, urobilinogen, bilirubin (semi-quantitative examinations, results are probably entered manually into the practice laboratory system).
Urine bacteriology: collection material according to the laboratory`s instructions. General bact, incl. fungi to the laboratory pipette Transmission of the order is triggered by the MPA (collection time)
Supplementary order “Screening before pregnancy”: All tests can be carried out from the materials (serum, EDTA Blood) taken in advance in the outpatient clinic (hepatitis-Bc antibodies, HIV 1+2 (Ak+p24), rubella IgG, lues/syphilis screening test)
Mammography: Order for the Dr. Curie X-ray Institute.

Order-Referral-Form 3-gyn

Additional Resources Included in Document

Entry 1 - fullUrl = http://example.com/fhir/Composition/with3-gyn-composition-with-sr-and-form

Resource Composition:

Case study 3
Annual gynaecological check-up
The doctor`s assistent of the gynaecology department in the Olten group practice, Dr Peter Pap, prepares the next day`s consultations. As the practice only has a minimal laboratory of its own, certain patients are sent to the nearby Pipette laboratory outpatient clinic before the appointment, including the young patient Ms Marina Rubella, born 8. 8. 1992. In her practice software, the MPA prescribes the standard analyses agreed with the laboratory for the gynaecological 3-year check-up for patient Rubella. This also includes the Blood sample for the serotonary for any follow-up prescriptions. The laboratory transmits the results to the practice no later than 90 minutes after the Blood sample has been taken. Dr Pap prescribes the following orders during the consultation:
Gynaecological cervical cytology: Pap smear - if indicated, detection and typing of HPV (human papilloma virus) should also be performed. Collection material according to the laboratory`s instructions. The cytological examination is carried out in the Pipette laboratory. The Pipette laboratory does not perform the typing itself.
Partial urine status (Combur9 test): carried out by the MPA in the practice: the following parameters are examined: pH, leucocytes, erythrocytes, nitrite, protein, glucose, ketones, urobilinogen, bilirubin (semi-quantitative examinations, results are probably entered manually into the practice laboratory system).
Urine bacteriology: collection material according to the laboratory`s instructions. General bact, incl. fungi to the laboratory pipette Transmission of the order is triggered by the MPA (collection time)
Supplementary order “Screening before pregnancy”: All tests can be carried out from the materials (serum, EDTA Blood) taken in advance in the outpatient clinic (hepatitis-Bc antibodies, HIV 1+2 (Ak+p24), rubella IgG, lues/syphilis screening test)
Mammography: Order for the Dr. Curie X-ray Institute.

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

Resource Patient:

id: MarinaRubella
meta:
identifier: 012/08.111113
name: MarinaRubella
gender: FEMALE
birthDate: Aug 08, 1992
maritalStatus: verheiratet (Details : {$ech-11-maritalstatus code '2' = '2', given as 'verheiratet'})
Communications
- Language Preferred
* Italienisch (Schweiz) (Details : {urn:ietf:bcp:47 code 'it-CH' = 'Italian (Region=Schweiz)) true

Entry 3 - 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 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/MarcMustermannGruppenpraxis

Resource PractitionerRole:

Generated Narrative: PractitionerRole MarcMustermannGruppenpraxis

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

Entry 6 - 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 7 - 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 8 - 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 9 - fullUrl = http://example.com/fhir/Practitioner/PeterPap

Resource Practitioner:

Generated Narrative: Practitioner PeterPap

identifier: GLN/7601003050707, urn:oid:2.16.756.5.30.1.123.100.2.1.1/A123305
name: Peter Pap (Official)
telecom: ph: 032 333 22 40(Work), peter.pap@gruppenpraxis.ch

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

Resource PractitionerRole:

Generated Narrative: PractitionerRole PeterPapGruppenpraxis

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

Entry 11 - fullUrl = http://example.com/fhir/Coverage/HealthInsuranceCardMarinaRubella

Resource Coverage:

Generated Narrative: Coverage HealthInsuranceCardMarinaRubella

identifier: Insurance Card Number/A123456780
status: Active
type: According to KVG
subscriber: Marina Rubella (official) Female, DoB: 1992-08-08 ( Medical record number)
beneficiary: Marina Rubella (official) Female, DoB: 1992-08-08 ( Medical record number)
period: ?? --> 2024-12-31

Entry 12 - fullUrl = http://example.com/fhir/Specimen/Cervix-swab

Resource Specimen:

Generated Narrative: Specimen Cervix-swab

identifier: 48736-12345-12345
accessionIdentifier: 4e88a-12345-aa222
status: Available
type: Combined specimen of cytologic material from endocervix, ectocervix, and vaginal fornix (specimen)
subject: Marina Rubella (official) Female, DoB: 1992-08-08 ( Medical record number)
request: ServiceRequest Pap smear tests - FPAR 2.0 set
Collections
- Collector Collected[x]
* Practitioner Peter Pap (official) 2015-08-16 06:40:17+0000
container

Entry 13 - fullUrl = http://example.com/fhir/Specimen/Blood-gyn

Resource Specimen:

Generated Narrative: Specimen Blood-gyn

status: Available
type: Blood sample
subject: Marina Rubella (official) Female, DoB: 1992-08-08 ( Medical record number)
request: ServiceRequest Pap smear tests - FPAR 2.0 set
Collections
- Collector Collected[x] BodySite
* Practitioner Peter Pap (official) 2015-08-16 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 14 - fullUrl = http://example.com/fhir/Specimen/Serum-gyn

Resource Specimen:

Generated Narrative: Specimen Serum-gyn

identifier: 48736-12345-75465
accessionIdentifier: 4e88a-12345-dd888
status: Available
type: Serum specimen (specimen)
subject: Marina Rubella (official) Female, DoB: 1992-08-08 ( Medical record number)
request: ServiceRequest Pap smear tests - FPAR 2.0 set
Collections
- Collector Collected[x] BodySite FastingStatus[x]
* Practitioner Peter Pap (official) 2015-08-16 06:40:17+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/Urine-gyn

Resource Specimen:

Generated Narrative: Specimen Urine-gyn

identifier: 11111-15394-75465
accessionIdentifier: 22222-bc987-dd888
status: Available
type: Urine sample
subject: Marina Rubella (official) Female, DoB: 1992-08-08 ( Medical record number)
receivedTime: 2023-12-01 16:40:17+0000
request: ServiceRequest Pap smear tests - FPAR 2.0 set
Collections
- Collector Collected[x]
* Practitioner Peter Pap (official) 2023-12-01 06:40:17+0000
container

Entry 16 - fullUrl = http://example.com/fhir/Questionnaire/3-gyn

Resource Questionnaire:

Generated Narrative: Questionnaire 3-gyn

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

Entry 17 - fullUrl = http://example.com/fhir/QuestionnaireResponse/3-gyn

Resource QuestionnaireResponse:

Generated Narrative: QuestionnaireResponse 3-gyn
version: 1; Last updated: 2019-04-01 20:17:53+0000
Profile: CH ORF QuestionnaireResponse
LinkID Text Definition Answer
3-gyn Questionnaire:Lab Order Form Example 3-gyn

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 Erlenmeyer

order.notificationContactDocument.practitioner.givenName Vorname Eva

order.notificationContactDocument.practitioner.phone Telefon 044 333 22 11

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 Pap

order.notificationContactDocumentResponse.practitioner.givenName Vorname Peter

order.notificationContactDocumentResponse.practitioner.phone Telefon 032 333 22 40

order.notificationContactDocumentResponse.practitioner.email E-Mail peter.pap@gruppenpraxis.ch

order.priority Auftragspriorität RequestPriority routine: Routine

receiver Empfänger

receiver.practitioner Empfangende Person

receiver.practitioner.title Titel Dr. med.

receiver.practitioner.familyName Name Erlenmeyer

receiver.practitioner.givenName Vorname Eva

receiver.practitioner.gln GLN 7601000050703

receiver.practitioner.phone Telefon +41322552525

receiver.practitioner.email E-Mail eva.erlenmeyer@labor-pipette.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 Rubella

patient.maidenName Ledigname Berlusconi

patient.givenName Vorname Marina

patient.localPid Lokale Patienten-ID 11.22.33.5678

patient.birthDate Geburtsdatum 1981-01-01

patient.gender Geschlecht AdministrativeGender female: Female

patient.maritalStatus Zivilstand eCH-011 MaritalStatus 2: verheiratet

patient.phone Telefon 079 979 79 79

patient.email E-Mail marina.rubella@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 Pap

sender.author.practitioner.givenName Vorname Peter

sender.author.practitioner.gln GLN 7601000034321

sender.author.practitioner.phone Telefon 032 333 22 40

sender.author.practitioner.email E-Mail peter.pap@gruppenpraxis.ch

sender.author.organization Verantwortliche Organisation

sender.author.organization.name Name der Organisation Gruppenpraxis Olten

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

sender.author.organization.postalCode PLZ 4600

sender.author.organization.city Ort Olten

sender.author.organization.country Land Schweiz

sender.dataenterer Erfasser

sender.dataenterer.practitioner Erfassende Person

sender.dataenterer.practitioner.familyName Name Federer

sender.dataenterer.practitioner.givenName Vorname Alice

sender.dataenterer.practitioner.phone Telefon 044 222 22 12

sender.dataenterer.practitioner.email E-Mail alice.federer@praxisseeblick.ch

receiverCopies Kopieempfänger

receiverCopy Kopieempfangende Organisation oder Person

receiverCopy.organization.name Name der Organisation Praxis Seeblick

receiverCopy.title Titel Dr. med.

receiverCopy.familyName Name Meier

receiverCopy.givenName Vorname Sabine

receiverCopy.phone Telefon 044 333 22 11

receiverCopy.email E-Mail sabine.meier@praxisseeblick.ch

receiverCopy Kopieempfangende Organisation oder Person

receiverCopy.familyName Name Rubella

receiverCopy.givenName Vorname Marina

receiverCopy.phone Telefon +41 64 123 45 67

receiverCopy.email E-Mail marina.rubella@example.ch

receiverCopy.streetAddressLine Strasse, Hausnummer, Postfach etc.

receiverCopy.postalCode PLZ 6780

receiverCopy.city Ort Airolo

receiverCopy.country Land Schweiz

cytology Cytology and Microbiology

cervicalSmear Cervical Smear

urin Urin

combur9 Combur-9 LOINC 50556-0: Urinalysis dipstick panel - Urine by Automated test strip

obstetricalPanels Schwangerschaftsvorsorge

obstetric Obstetric 1996 panel – Serum and Blood LOINC 24364-2: Obstetric 1996 Pnl Ser+Bld

Documentation for this format

LinkID	Text	Answer
3-gyn		Questionnaire:Lab Order Form Example 3-gyn
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	Erlenmeyer
order.notificationContactDocument.practitioner.givenName	Vorname	Eva
order.notificationContactDocument.practitioner.phone	Telefon	044 333 22 11
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	Pap
order.notificationContactDocumentResponse.practitioner.givenName	Vorname	Peter
order.notificationContactDocumentResponse.practitioner.phone	Telefon	032 333 22 40
order.notificationContactDocumentResponse.practitioner.email	E-Mail	peter.pap@gruppenpraxis.ch
order.priority	Auftragspriorität	RequestPriority routine: Routine
receiver	Empfänger
receiver.practitioner	Empfangende Person
receiver.practitioner.title	Titel	Dr. med.
receiver.practitioner.familyName	Name	Erlenmeyer
receiver.practitioner.givenName	Vorname	Eva
receiver.practitioner.gln	GLN	7601000050703
receiver.practitioner.phone	Telefon	+41322552525
receiver.practitioner.email	E-Mail	eva.erlenmeyer@labor-pipette.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	Rubella
patient.maidenName	Ledigname	Berlusconi
patient.givenName	Vorname	Marina
patient.localPid	Lokale Patienten-ID	11.22.33.5678
patient.birthDate	Geburtsdatum	1981-01-01
patient.gender	Geschlecht	AdministrativeGender female: Female
patient.maritalStatus	Zivilstand	eCH-011 MaritalStatus 2: verheiratet
patient.phone	Telefon	079 979 79 79
patient.email	E-Mail	marina.rubella@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	Pap
sender.author.practitioner.givenName	Vorname	Peter
sender.author.practitioner.gln	GLN	7601000034321
sender.author.practitioner.phone	Telefon	032 333 22 40
sender.author.practitioner.email	E-Mail	peter.pap@gruppenpraxis.ch
sender.author.organization	Verantwortliche Organisation
sender.author.organization.name	Name der Organisation	Gruppenpraxis Olten
sender.author.organization.streetAddressLine	Strasse, Hausnummer, Postfach etc.
sender.author.organization.postalCode	PLZ	4600
sender.author.organization.city	Ort	Olten
sender.author.organization.country	Land	Schweiz
sender.dataenterer	Erfasser
sender.dataenterer.practitioner	Erfassende Person
sender.dataenterer.practitioner.familyName	Name	Federer
sender.dataenterer.practitioner.givenName	Vorname	Alice
sender.dataenterer.practitioner.phone	Telefon	044 222 22 12
sender.dataenterer.practitioner.email	E-Mail	alice.federer@praxisseeblick.ch
receiverCopies	Kopieempfänger
receiverCopy	Kopieempfangende Organisation oder Person
receiverCopy.organization.name	Name der Organisation	Praxis Seeblick
receiverCopy.title	Titel	Dr. med.
receiverCopy.familyName	Name	Meier
receiverCopy.givenName	Vorname	Sabine
receiverCopy.phone	Telefon	044 333 22 11
receiverCopy.email	E-Mail	sabine.meier@praxisseeblick.ch
receiverCopy	Kopieempfangende Organisation oder Person
receiverCopy.familyName	Name	Rubella
receiverCopy.givenName	Vorname	Marina
receiverCopy.phone	Telefon	+41 64 123 45 67
receiverCopy.email	E-Mail	marina.rubella@example.ch
receiverCopy.streetAddressLine	Strasse, Hausnummer, Postfach etc.
receiverCopy.postalCode	PLZ	6780
receiverCopy.city	Ort	Airolo
receiverCopy.country	Land	Schweiz
cytology	Cytology and Microbiology
cervicalSmear	Cervical Smear
urin	Urin
combur9	Combur-9	LOINC 50556-0: Urinalysis dipstick panel - Urine by Automated test strip
obstetricalPanels	Schwangerschaftsvorsorge
obstetric	Obstetric 1996 panel – Serum and Blood	LOINC 24364-2: Obstetric 1996 Pnl Ser+Bld
Documentation for this format

Entry 18 - fullUrl = http://example.com/fhir/ServiceRequest/3-gyn-service-request

Resource ServiceRequest:

Generated Narrative: ServiceRequest 3-gyn-service-request

identifier: Placer Identifier/123
status: Active
intent: Original Order
priority: Routine
code: No display for ServiceRequest.code (concept: Pap smear tests - FPAR 2.0 set)
subject: Marina Rubella (official) Female, DoB: 1992-08-08 ( Medical record number)
requester: PractitionerRole
insurance: Coverage: identifier = Insurance Card Number; status = active; type = According to KVG; period = (?) --> 2024-12-31
specimen:
Specimen: identifier = 48736-12345-12345; accessionIdentifier = 4e88a-12345-aa222; status = available; type = Combined specimen of cytologic material from endocervix, ectocervix, and vaginal fornix (specimen)
Specimen: status = available; type = Blood sample; note = Specimen is grossly lipemic
Specimen: identifier = 48736-12345-75465; accessionIdentifier = 4e88a-12345-dd888; status = available; type = Serum specimen (specimen)
Specimen: identifier = 11111-15394-75465; accessionIdentifier = 22222-bc987-dd888; status = available; type = Urine sample; receivedTime = 2023-12-01 16:40:17+0000