CH LAB-Order (R4)
3.0.0-ci-build - ci-build Switzerland flag

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

Document Details

Generated Narrative: Bundle Laboratory Order 3-gyn

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

Profile: CH LAB-Order Document with Service Request

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.

Laboratory Order with Service Request 3-gyn

Laboratory Order with Service Request 3-gyn

Additional Resources Included in Document

Entry 1 - fullUrl = http://example.com/fhir/Composition/3-gyn-with-sr

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

-LanguagePreferred
*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

-CollectorCollected[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

-CollectorCollected[x]BodySite
*Practitioner Peter Pap (official)2015-08-16 06:40:17+0000No 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

-CollectorCollected[x]BodySiteFastingStatus[x]
*Practitioner Peter Pap (official)2015-08-16 06:40:17+0000No 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

-CollectorCollected[x]
*Practitioner Peter Pap (official)2023-12-01 06:40:17+0000

container

Entry 16 - 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: