CH LAB-Order (R4)
3.0.0-ci-build - 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
Document Details
Generated Narrative: Bundle Laboratory Order 4-sepsis
version: 1; Last updated: 2019-04-01 20:18:41+0000
Profile: CH LAB-Order Document with Service Request
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
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 1 - fullUrl = http://example.com/fhir/Composition/4-sepsis-with-sr
Resource Composition:
Laboratory OrderCase 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
/A123313name: 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
/A123309name: 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
/A123315name: 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
/A123444practitioner: 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/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
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