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 4-sepsis with ServiceRequest

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

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

Laboratory Order with Service Request 4-sepsis

Additional Resources Included in Document


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

Resource Composition:

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.


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

-LanguagePreferred
*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

-CollectorCollected[x]BodySite
*Practitioner Hans Hauser (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/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

-CollectorCollected[x]BodySite
*Practitioner Hans Hauser (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 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

-CollectorCollected[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

insurance: Coverage: identifier = Insurance Card Number; status = active; type = According to KVG; period = (?) --> 2024-12-31

specimen: