CH LAB-Order 4-sepsis 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 4-sepsis with ServiceRequest and Form

Document Details

Generated Narrative: Bundle Referral 4-sepsis

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

Profile: CH ORF Document

Final Document at 2019-03-31 11:46:09+0200 by PractitionerRole for Sara Speckmann Female, DoB: 1975-12-12 ( Medical record number)

Document Subject

Unable to resolve subject ''

Document Content

Case study 4

Suspected sepsis

The patient Sara Speckmann, born 12. 12. 1975, has been in the Cantonal Hospital for some time. Last night her general condition deteriorated massively. As there is a suspicion of sepsis, the senior physician in charge, Dr Hans Hauser, orders Blood to be taken from her in the morning for a Blood culture. 30 minutes later, another aerobic and an anaerobic Blood culture is taken, as well as a urine sample. All five samples are further processed in the external laboratory Pipette. There, germs are detected in all materials and then identified by mass spectrometry. The pathogens “Klebsiella pneumoniae” and “Escherichia coli” were detected in the four Blood culture bottles, and the bacterium “Streptococcus mitis” was also detected in one aerobic bottle. The germ identified in the urine sample is normally not pathogenic. An antibiogram is made of all three pathogens detected in the Blood. This shows that the two active substances “amoxicillin+clavulanic acid” and “ceftriaxone” are effective against all three germs. The microbiologist regularly informs Dr Hans Hauser about the various partial results.

Order-Referral-Form 4-sepsis

Additional Resources Included in Document

Entry 1 - fullUrl = http://example.com/fhir/Composition/4-sepsis-composition-with-sr-and-form

Resource Composition:

Case study 4
Suspected sepsis
The patient Sara Speckmann, born 12. 12. 1975, has been in the Cantonal Hospital for some time. Last night her general condition deteriorated massively. As there is a suspicion of sepsis, the senior physician in charge, Dr Hans Hauser, orders Blood to be taken from her in the morning for a Blood culture. 30 minutes later, another aerobic and an anaerobic Blood culture is taken, as well as a urine sample. All five samples are further processed in the external laboratory Pipette. There, germs are detected in all materials and then identified by mass spectrometry. The pathogens “Klebsiella pneumoniae” and “Escherichia coli” were detected in the four Blood culture bottles, and the bacterium “Streptococcus mitis” was also detected in one aerobic bottle. The germ identified in the urine sample is normally not pathogenic. An antibiogram is made of all three pathogens detected in the Blood. This shows that the two active substances “amoxicillin+clavulanic acid” and “ceftriaxone” are effective against all three germs. The microbiologist regularly informs Dr Hans Hauser about the various partial results.

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

Resource Patient:

id: SaraSpeckmann
meta:
identifier: 012/08.111114
name: Sara Speckmann
gender: FEMALE
birthDate: Dec 12, 1975
maritalStatus: verheiratet (Details : {$ech-11-maritalstatus code '2' = '2', given as 'verheiratet'})
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/HansHauser

Resource Practitioner:

Generated Narrative: Practitioner HansHauser

identifier: GLN/7601000050700, urn:oid:2.16.756.5.30.1.123.100.2.1.1/A123313
name: Hans Hauser (Official)
telecom: ph: 038 888 22 11(Work), hans.hauser@gruppenpraxis.ch

Entry 4 - fullUrl = http://example.com/fhir/Organization/Kantonsspital

Resource Organization:

Generated Narrative: Organization Kantonsspital

identifier: GLN/7601000235503
name: Kantonsspital Zug
contact
telecom: +41 45 334 55 66, info@kantonsspital.zug.ch, http://www.kanstonsspital.zug.ch
address: Seestrasse 14 Postfach 14 Zug 8000 Schweiz (work)

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

Resource PractitionerRole:

Generated Narrative: PractitionerRole HansHauserKantonsspital

practitioner: Practitioner Hans Hauser (official)
organization: Organization Kantonsspital Zug

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/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 8 - fullUrl = http://example.com/fhir/PractitionerRole/MarcMustermannGruppenpraxis

Resource PractitionerRole:

Generated Narrative: PractitionerRole MarcMustermannGruppenpraxis

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

Entry 9 - 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 10 - 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 11 - 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 12 - fullUrl = http://example.com/fhir/Coverage/HealthInsuranceCardSaraSpeckmann

Resource Coverage:

Generated Narrative: Coverage HealthInsuranceCardSaraSpeckmann

identifier: Insurance Card Number/A123456780
status: Active
type: According to KVG
subscriber: Sara Speckmann Female, DoB: 1975-12-12 ( Medical record number)
beneficiary: Sara Speckmann Female, DoB: 1975-12-12 ( Medical record number)
period: ?? --> 2024-12-31

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

Resource Specimen:

Generated Narrative: Specimen Blood-bactec-plus

status: Available
type: Blood sample
subject: Sara Speckmann Female, DoB: 1975-12-12 ( Medical record number)
request: ServiceRequest Hemoglobin and Hematocrit panel - Blood
Collections
- Collector Collected[x] BodySite
* Practitioner Hans Hauser (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/Blood-sepsis

Resource Specimen:

Generated Narrative: Specimen Blood-sepsis

status: Available
type: Blood sample
subject: Sara Speckmann Female, DoB: 1975-12-12 ( Medical record number)
request: ServiceRequest Hemoglobin and Hematocrit panel - Blood
Collections
- Collector Collected[x] BodySite
* Practitioner Hans Hauser (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 15 - fullUrl = http://example.com/fhir/Specimen/Urine-sepsis

Resource Specimen:

Generated Narrative: Specimen Urine-sepsis

identifier: 11111-15394-75465
accessionIdentifier: 22222-bc987-dd888
status: Available
type: Urine sample
subject: Sara Speckmann Female, DoB: 1975-12-12 ( Medical record number)
receivedTime: 2023-12-01 16:40:17+0000
request: ServiceRequest Hemoglobin and Hematocrit panel - Blood
Collections
- Collector Collected[x]
* Practitioner Hans Hauser (official) 2023-12-01 06:40:17+0000
container

Entry 16 - fullUrl = http://example.com/fhir/Questionnaire/4-sepsis

Resource Questionnaire:

Generated Narrative: Questionnaire 4-sepsis

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/4-sepsis

Resource QuestionnaireResponse:

Generated Narrative: QuestionnaireResponse 4-sepsis
version: 1; Last updated: 2019-04-01 20:17:53+0000
Profile: CH ORF QuestionnaireResponse
LinkID Text Definition Answer
4-sepsis Questionnaire:Lab Order Form Example 4-sepsis

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 033 444 55 66

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 Hauser

order.notificationContactDocumentResponse.practitioner.givenName Vorname Hans

order.notificationContactDocumentResponse.practitioner.phone Telefon 038 888 22 11

order.notificationContactDocumentResponse.practitioner.email E-Mail hans.hauser@kantonsspital.zug.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 033 444 55 66

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 Keller

patient.maidenName Ledigname Pusterla

patient.givenName Vorname Klebsiella

patient.localPid Lokale Patienten-ID 11.22.33.5444

patient.birthDate Geburtsdatum 1975-12-12

patient.gender Geschlecht AdministrativeGender female: Female

patient.maritalStatus Zivilstand eCH-011 MaritalStatus 2: verheiratet

patient.phone Telefon +41 64 123 45 67

patient.email E-Mail klebsiella.keller@example.ch

patient.streetAddressLine Strasse, Hausnummer, Postfach etc.

patient.postalCode PLZ 6565

patient.city Ort Lenzburg

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 Hauser

sender.author.practitioner.givenName Vorname Hans

sender.author.practitioner.gln GLN 7601000064321

sender.author.practitioner.phone Telefon 038 888 22 11

sender.author.practitioner.email E-Mail hans.hauser@kantonsspital.zug.ch

sender.author.organization Verantwortliche Organisation

sender.author.organization.name Name der Organisation Kantonsspital Zug

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

sender.author.organization.postalCode PLZ 8000

sender.author.organization.city Ort Zug

sender.author.organization.country Land Schweiz

sender.dataenterer Erfasser

sender.dataenterer.practitioner Erfassende Person

sender.dataenterer.practitioner.familyName Name Egger

sender.dataenterer.practitioner.givenName Vorname Daniela

sender.dataenterer.practitioner.phone Telefon 044 333 55 12

sender.dataenterer.practitioner.email E-Mail daniela.egger@kantonsspital.zug.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 Costalla

receiverCopy.givenName Vorname Maria

receiverCopy.phone Telefon 079 979 80 80

receiverCopy.email E-Mail maria.costella@redwin.ch

receiverCopy.streetAddressLine Strasse, Hausnummer, Postfach etc.

receiverCopy.postalCode PLZ 6415

receiverCopy.city Ort Arth

receiverCopy.country Land Schweiz

hematology Hematology

lab Laborwerte

microbiology Mikrobiologie

culture Blood by Culture LOINC 90423-5: Microorganism preliminary growth detection panel - Blood by Culture

id-susc Bacterial Identification and Susceptibility LOINC 85421-6: Bacterial identification and susceptibility panel - Isolate

cc clinical chemistry

crp CRP

Documentation for this format

LinkID	Text	Answer
4-sepsis		Questionnaire:Lab Order Form Example 4-sepsis
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	033 444 55 66
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	Hauser
order.notificationContactDocumentResponse.practitioner.givenName	Vorname	Hans
order.notificationContactDocumentResponse.practitioner.phone	Telefon	038 888 22 11
order.notificationContactDocumentResponse.practitioner.email	E-Mail	hans.hauser@kantonsspital.zug.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	033 444 55 66
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	Keller
patient.maidenName	Ledigname	Pusterla
patient.givenName	Vorname	Klebsiella
patient.localPid	Lokale Patienten-ID	11.22.33.5444
patient.birthDate	Geburtsdatum	1975-12-12
patient.gender	Geschlecht	AdministrativeGender female: Female
patient.maritalStatus	Zivilstand	eCH-011 MaritalStatus 2: verheiratet
patient.phone	Telefon	+41 64 123 45 67
patient.email	E-Mail	klebsiella.keller@example.ch
patient.streetAddressLine	Strasse, Hausnummer, Postfach etc.
patient.postalCode	PLZ	6565
patient.city	Ort	Lenzburg
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	Hauser
sender.author.practitioner.givenName	Vorname	Hans
sender.author.practitioner.gln	GLN	7601000064321
sender.author.practitioner.phone	Telefon	038 888 22 11
sender.author.practitioner.email	E-Mail	hans.hauser@kantonsspital.zug.ch
sender.author.organization	Verantwortliche Organisation
sender.author.organization.name	Name der Organisation	Kantonsspital Zug
sender.author.organization.streetAddressLine	Strasse, Hausnummer, Postfach etc.
sender.author.organization.postalCode	PLZ	8000
sender.author.organization.city	Ort	Zug
sender.author.organization.country	Land	Schweiz
sender.dataenterer	Erfasser
sender.dataenterer.practitioner	Erfassende Person
sender.dataenterer.practitioner.familyName	Name	Egger
sender.dataenterer.practitioner.givenName	Vorname	Daniela
sender.dataenterer.practitioner.phone	Telefon	044 333 55 12
sender.dataenterer.practitioner.email	E-Mail	daniela.egger@kantonsspital.zug.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	Costalla
receiverCopy.givenName	Vorname	Maria
receiverCopy.phone	Telefon	079 979 80 80
receiverCopy.email	E-Mail	maria.costella@redwin.ch
receiverCopy.streetAddressLine	Strasse, Hausnummer, Postfach etc.
receiverCopy.postalCode	PLZ	6415
receiverCopy.city	Ort	Arth
receiverCopy.country	Land	Schweiz
hematology	Hematology
lab	Laborwerte
microbiology	Mikrobiologie
culture	Blood by Culture	LOINC 90423-5: Microorganism preliminary growth detection panel - Blood by Culture
id-susc	Bacterial Identification and Susceptibility	LOINC 85421-6: Bacterial identification and susceptibility panel - Isolate
cc	clinical chemistry
crp	CRP
Documentation for this format

Entry 18 - fullUrl = http://example.com/fhir/ServiceRequest/4-sepsis-service-request

Resource ServiceRequest:

Generated Narrative: ServiceRequest 4-sepsis-service-request

identifier: Placer Identifier/123
status: Active
intent: Original Order
priority: Urgent
code: No display for ServiceRequest.code (concept: Hemoglobin and Hematocrit panel - Blood)
subject: Sara Speckmann Female, DoB: 1975-12-12 ( Medical record number)
requester: PractitionerRole
insurance: Coverage: identifier = Insurance Card Number; status = active; type = According to KVG; period = (?) --> 2024-12-31
specimen:
Specimen: status = available; type = Blood sample; note = Specimen is grossly lipemic
Specimen: status = available; type = Blood sample; note = Specimen is grossly lipemic
Specimen: identifier = 11111-15394-75465; accessionIdentifier = 22222-bc987-dd888; status = available; type = Urine sample; receivedTime = 2023-12-01 16:40:17+0000