CH LAB-Order 3-gyn with ServiceRequest - CH LAB-Order (R4) v2.0.0

CH LAB-Order (R4)
2.0.0 - 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 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

Example Bundle: CH LAB-Order 3-gyn with ServiceRequest

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

See above (ServiceRequest/3-gyn-service-request)

Additional Document Content

2. http://example.com/fhir/Patient/MarinaRubella (Patient/MarinaRubella)

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

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/A123309
name: 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/A123315
name: 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/A123444
practitioner: See above (Practitioner/EvaErlenmeyer)
organization: See above (Organization/LaborPipette)

9. http://example.com/fhir/Practitioner/PeterPap (Practitioner/PeterPap)

Generated Narrative: Practitioner
Resource Practitioner "PeterPap"
Profile: CH Core Practitioner
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

10. http://example.com/fhir/PractitionerRole/PeterPapGruppenpraxis (PractitionerRole/PeterPapGruppenpraxis)

Generated Narrative: PractitionerRole
Resource PractitionerRole "PeterPapGruppenpraxis"
Profile: CH Core PractitionerRole
practitioner: See above (Practitioner/PeterPap)
organization: See above (Organization/Gruppenpraxis)

11. http://example.com/fhir/Coverage/HealthInsuranceCardMarinaRubella (Coverage/HealthInsuranceCardMarinaRubella)

Generated Narrative: Coverage
Resource Coverage "HealthInsuranceCardMarinaRubella"
identifier: http://ehic.com/insurer/123456789/member/A123456780
status: ACTIVE
type: According to KVG (Coverage Type#KVG)
subscriber: See above (Patient/MarinaRubella)
beneficiary: See above (Patient/MarinaRubella)
period: ?? --> 2024-12-31

12. http://example.com/fhir/Specimen/Cervix-swab (Specimen/Cervix-swab)

Generated Narrative: Specimen
Resource 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) (SNOMED CT#430387006)
subject: See above (Patient/MarinaRubella)
request: See above (ServiceRequest/3-gyn-service-request)
Collections
- Collector Collected[x]
* See above (Practitioner/PeterPap) 2015-08-16 06:40:17+0000
container

13. http://example.com/fhir/Specimen/Blood-gyn (Specimen/Blood-gyn)

Generated Narrative: Specimen
Resource Specimen "Blood-gyn"
status: AVAILABLE
type: Blood sample (SNOMED CT#119297000)
subject: See above (Patient/MarinaRubella)
request: See above (ServiceRequest/3-gyn-service-request)
Collections
- Collector Collected[x] BodySite
* See above (Practitioner/PeterPap) 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

14. http://example.com/fhir/Specimen/Serum-gyn (Specimen/Serum-gyn)

Generated Narrative: Specimen
Resource Specimen "Serum-gyn"
identifier: 48736-12345-75465
accessionIdentifier: 4e88a-12345-dd888
status: AVAILABLE
type: Serum specimen (specimen) (SNOMED CT#119364003)
subject: See above (Patient/MarinaRubella)
request: See above (ServiceRequest/3-gyn-service-request)
Collections
- Collector Collected[x] BodySite FastingStatus[x]
* See above (Practitioner/PeterPap) 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

15. http://example.com/fhir/Specimen/Urine-gyn (Specimen/Urine-gyn)

Generated Narrative: Specimen
Resource Specimen "Urine-gyn"
identifier: 11111-15394-75465
accessionIdentifier: 22222-bc987-dd888
status: AVAILABLE
type: Urine sample (SNOMED CT#122575003)
subject: See above (Patient/MarinaRubella)
receivedTime: 2023-12-01 16:40:17+0000
request: See above (ServiceRequest/3-gyn-service-request)
Collections
- Collector Collected[x]
* See above (Practitioner/PeterPap) 2023-12-01 06:40:17+0000
container

16. http://example.com/fhir/ServiceRequest/3-gyn-service-request (ServiceRequest/3-gyn-service-request)

Generated Narrative: ServiceRequest
Resource ServiceRequest "3-gyn-service-request"
Profile: CH ORF ServiceRequest
identifier: Placer Identifier/123
status: ACTIVE
intent: ORIGINALORDER
category: Order (record artifact) (SNOMED CT#721963009)
priority: ROUTINE
code: Pap smear tests - FPAR 2.0 set (LOINC#86662-4; LOINC#14503-7 "Human papilloma virus 16+18 Ag [Presence] in Cervix"; LOINC#50556-0 "Urinalysis dipstick panel - Urine by Automated test strip"; LOINC#24364-2 "Obstetric 1996 Pnl Ser+Bld")
subject: See above (Patient/MarinaRubella)
requester: See above (PractitionerRole/PeterPapGruppenpraxis)
insurance: See above (Coverage/HealthInsuranceCardMarinaRubella)
specimen:
See above (Specimen/Cervix-swab)
See above (Specimen/Blood-gyn)
See above (Specimen/Serum-gyn)
See above (Specimen/Urine-gyn)

IG © 2023+ HL7 Switzerland. Package ch.fhir.ig.ch-lab-order#2.0.0 based on FHIR 4.0.1. Generated 2024-02-12
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