CH LAB-Order 4-sepsis with ServiceRequest

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 4-sepsis with ServiceRequest

Laboratory Order

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.

Laboratory Order with Service Request 4-sepsis

See above (ServiceRequest/4-sepsis-service-request)

Additional Document Content

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

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

3. http://example.com/fhir/Practitioner/HansHauser (Practitioner/HansHauser)

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

4. http://example.com/fhir/Organization/Kantonsspital (Organization/Kantonsspital)

Generated Narrative: Organization
Resource Organization "Kantonsspital"
Profile: CH Core Organization
identifier: GLN/7601000235503
name: Kantonsspital Zug
Contacts
- Telecom Address
* +41 45 334 55 66, info@kantonsspital.zug.ch, http://www.kanstonsspital.zug.ch Seestrasse 14 Postfach 14 Zug 8000 Schweiz (WORK)

5. http://example.com/fhir/PractitionerRole/HansHauserKantonsspital (PractitionerRole/HansHauserKantonsspital)

Generated Narrative: PractitionerRole
Resource PractitionerRole "HansHauserKantonsspital"
Profile: CH Core PractitionerRole
practitioner: See above (Practitioner/HansHauser)
organization: See above (Organization/Kantonsspital)

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/Coverage/HealthInsuranceCardSaraSpeckmann (Coverage/HealthInsuranceCardSaraSpeckmann)

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

10. http://example.com/fhir/Specimen/Blood-bactec-plus (Specimen/Blood-bactec-plus)

Generated Narrative: Specimen
Resource Specimen "Blood-bactec-plus"
status: AVAILABLE
type: Blood sample (SNOMED CT#119297000)
subject: See above (Patient/SaraSpeckmann)
request: See above (ServiceRequest/4-sepsis-service-request)
Collections
- Collector Collected[x] BodySite
* See above (Practitioner/HansHauser) 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

11. http://example.com/fhir/Specimen/Blood-sepsis (Specimen/Blood-sepsis)

Generated Narrative: Specimen
Resource Specimen "Blood-sepsis"
status: AVAILABLE
type: Blood sample (SNOMED CT#119297000)
subject: See above (Patient/SaraSpeckmann)
request: See above (ServiceRequest/4-sepsis-service-request)
Collections
- Collector Collected[x] BodySite
* See above (Practitioner/HansHauser) 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

12. http://example.com/fhir/Specimen/Urine-sepsis (Specimen/Urine-sepsis)

Generated Narrative: Specimen
Resource Specimen "Urine-sepsis"
identifier: 11111-15394-75465
accessionIdentifier: 22222-bc987-dd888
status: AVAILABLE
type: Urine sample (SNOMED CT#122575003)
subject: See above (Patient/SaraSpeckmann)
receivedTime: 2023-12-01 16:40:17+0000
request: See above (ServiceRequest/4-sepsis-service-request)
Collections
- Collector Collected[x]
* See above (Practitioner/HansHauser) 2023-12-01 06:40:17+0000
container

13. http://example.com/fhir/ServiceRequest/4-sepsis-service-request (ServiceRequest/4-sepsis-service-request)

Generated Narrative: ServiceRequest
Resource ServiceRequest "4-sepsis-service-request"
Profile: CH ORF ServiceRequest
identifier: Placer Identifier/123
status: ACTIVE
intent: ORIGINALORDER
category: Order (record artifact) (SNOMED CT#721963009)
priority: URGENT
code: Hemoglobin and Hematocrit panel - Blood (LOINC#24360-0; LOINC#43113-0 "Hemoglobin electrophoresis panel in Blood"; LOINC#57021-8 "CBC W Auto Differential panel - Blood"; LOINC#58410-2 "CBC panel - Blood by Automated count"; LOINC#57023-4 "Auto Differential panel - Blood"; LOINC#90423-5 "Microorganism preliminary growth detection panel - Blood by Culture"; LOINC#85421-6 "Bacterial identification and susceptibility panel - Isolate"; LOINC#1988-5 "C reactive protein [Mass/Volume] in Serum or Plasma")
subject: See above (Patient/SaraSpeckmann)
requester: See above (PractitionerRole/HansHauserKantonsspital)
insurance: See above (Coverage/HealthInsuranceCardSaraSpeckmann)
specimen:
See above (Specimen/Blood-bactec-plus)
See above (Specimen/Blood-sepsis)
See above (Specimen/Urine-sepsis)

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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