CH LAB-Order 5-biol-monit with ServiceRequest and Form

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 5-biol-monit with ServiceRequest and Form

Document Details

Generated Narrative: Bundle Referral 5-biol-monit

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 Beat Borer Male, DoB: 1986-06-06 ( Medical record number)

Document Subject

Unable to resolve subject ''

Document Content

Case study 5

Collective order “SUVA biological monitoring”

Companies that work with substances hazardous to health and in which employees are exposed to special risks are subject to occupational health screening by SUVA. Biological monitoring is one of the control options. This assesses the exposure of workers to chemical agents by determining the agents or metabolites in biological material (e.g. urine). The Occupational Medical Prevention (AMV) of SUVA sends the laboratory a monthly list with the following information per company (collective order):

Establishment (name, address, establishment number).
Number of employees for biological monitoring
Examinations to be carried out (e.g. arsenic, lead, mercury, mandelic acid). The companies receive a list from the AMV including labels with the affected employees. Here we take the document of an employee Beat Borer, born 6. 6. 1986. The laboratory prints the order forms with the company number and sends the necessary number of urine cups and order forms to the companies. In the company, order forms and urine cups are labelled with the labels supplied by the AMV and given to the employees. The samples, including the order form, are sent from the company to the laboratory.

Order-Referral-Form 5-biol-monit

Additional Resources Included in Document

Entry 1 - fullUrl = http://example.com/fhir/Composition/5-biol-monit-composition-with-sr-and-form

Resource Composition:

Case study 5
Collective order “SUVA biological monitoring”
Companies that work with substances hazardous to health and in which employees are exposed to special risks are subject to occupational health screening by SUVA. Biological monitoring is one of the control options. This assesses the exposure of workers to chemical agents by determining the agents or metabolites in biological material (e.g. urine). The Occupational Medical Prevention (AMV) of SUVA sends the laboratory a monthly list with the following information per company (collective order):
Establishment (name, address, establishment number).
Number of employees for biological monitoring
Examinations to be carried out (e.g. arsenic, lead, mercury, mandelic acid). The companies receive a list from the AMV including labels with the affected employees. Here we take the document of an employee Beat Borer, born 6. 6. 1986. The laboratory prints the order forms with the company number and sends the necessary number of urine cups and order forms to the companies. In the company, order forms and urine cups are labelled with the labels supplied by the AMV and given to the employees. The samples, including the order form, are sent from the company to the laboratory.

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

Resource Patient:

id: BeatBorer
meta:
identifier: 012/08.111115
name: Beat Borer
gender: MALE
birthDate: Jun 06, 1986
maritalStatus: verheiratet (Details : {$ech-11-maritalstatus code '6' = '6', given as 'in eingetragener Partnerschaft'})
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/PauloPorcellini

Resource Practitioner:

Generated Narrative: Practitioner PauloPorcellini

identifier: GLN/7601000050700, urn:oid:2.16.756.5.30.1.123.100.2.1.1/A123307
name: Paulo Porcellini (Official)
telecom: ph: 036 336 22 33(Work), paulo.porcellini@suva.ch

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

Resource Organization:

Generated Narrative: Organization Suva

identifier: urn:oid:2.16.756.5.45/A62088168
name: Suva
contact
telecom: +41322345566, info@suva.ch, http://www.suva.ch
address: Löwenplatz 1 Luzern 6004 CH

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

Resource PractitionerRole:

Generated Narrative: PractitionerRole PauloPorcelliniSuva

practitioner: Practitioner Paulo Porcellini (official)
organization: Organization Suva

Entry 6 - fullUrl = http://example.com/fhir/Practitioner/ArminAhrens

Resource Practitioner:

Generated Narrative: Practitioner ArminAhrens

identifier: GLN/7601000050700, urn:oid:2.16.756.5.30.1.123.100.2.1.1/A123309
name: Armin Ahrens (Official)
telecom: ph: 033 123 22 11(Work), armin.ahrens@arztpraxis.ch
Qualifications
- Code
* Dermatology and venereology

Entry 7 - fullUrl = http://example.com/fhir/Organization/Arztpraxis

Resource Organization:

Generated Narrative: Organization Arztpraxis

identifier: GLN/7601000235503
name: Arztpraxis Messen
contact
telecom: +41555545566, info@arztpraxis.ch, http://www.arztpraxis.ch
address: Doktorgasse 2 Messen 3254 CH

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

Resource PractitionerRole:

Generated Narrative: PractitionerRole ArminAhrensArztpraxis

practitioner: Practitioner Armin Ahrens (official)
organization: Organization Arztpraxis Messen

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/Practitioner/WoodyWorkdoc

Resource Practitioner:

Generated Narrative: Practitioner WoodyWorkdoc

identifier: GLN/7601000050717, urn:oid:2.16.756.5.30.1.123.100.2.1.1/A123301
name: Woody Worksdoc (Official)
telecom: ph: 077 888 88 11(Work), woody.worksdoc@speiser-rails.ch

Entry 13 - fullUrl = http://example.com/fhir/Organization/SpeiserRails

Resource Organization:

Generated Narrative: Organization SpeiserRails

identifier: urn:oid:2.16.756.5.45/A62088168
contact
telecom: +41412345566, info@speiser-rails.ch, http://www.speiser-rails.ch
address: Gleisallee 123 Arbon 9320 CH

Entry 14 - fullUrl = http://example.com/fhir/PractitionerRole/WoodyWorkdocSpeiserRails

Resource PractitionerRole:

Generated Narrative: PractitionerRole WoodyWorkdocSpeiserRails

practitioner: Practitioner Woody Worksdoc (official)
organization: Organization: identifier = urn:oid:2.16.756.5.45#A62088168; telecom = ph: +41412345566(Work),info@speiser-rails.ch(Work),http://www.speiser-rails.ch(Work)

Entry 15 - fullUrl = http://example.com/fhir/Coverage/HealthInsuranceCardBeatBorer

Resource Coverage:

Generated Narrative: Coverage HealthInsuranceCardBeatBorer

identifier: Insurance Card Number/A123456780
status: Active
type: According to UVG
subscriber: Beat Borer Male, DoB: 1986-06-06 ( Medical record number)
beneficiary: Beat Borer Male, DoB: 1986-06-06 ( Medical record number)
period: ?? --> 2024-12-31

Entry 16 - fullUrl = http://example.com/fhir/Specimen/Blood-biol-monit

Resource Specimen:

Generated Narrative: Specimen Blood-biol-monit

status: Available
type: Blood sample
subject: Beat Borer Male, DoB: 1986-06-06 ( Medical record number)
request: ServiceRequest Hemoglobin and Hematocrit panel - Blood
Collections
- Collector Collected[x] BodySite
* Practitioner Paulo Porcellini (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 17 - fullUrl = http://example.com/fhir/Specimen/Urine-biol-monit

Resource Specimen:

Generated Narrative: Specimen Urine-biol-monit

identifier: 11111-15394-75465
accessionIdentifier: 22222-bc987-dd888
status: Available
type: Urine sample
subject: Beat Borer Male, DoB: 1986-06-06 ( Medical record number)
receivedTime: 2023-12-01 16:40:17+0000
request: ServiceRequest Hemoglobin and Hematocrit panel - Blood
Collections
- Collector Collected[x]
* Practitioner Paulo Porcellini (official) 2023-12-01 06:40:17+0000
container

Entry 18 - fullUrl = http://example.com/fhir/Questionnaire/5-biol-monit

Resource Questionnaire:

Generated Narrative: Questionnaire 5-biol-monit

version: 1; Last updated: 2019-04-01 20:17:53+0000
Profiles: CH ORF Questionnaire, SDCBaseQuestionnaire, Extractable Questionnaire - StructureMap

Entry 19 - fullUrl = http://example.com/fhir/QuestionnaireResponse/5-biol-monit

Resource QuestionnaireResponse:

Generated Narrative: QuestionnaireResponse 5-biol-monit
version: 1; Last updated: 2019-04-01 20:17:53+0000
Profile: CH ORF QuestionnaireResponse
LinkID Text Definition Answer
5-biol-monit Questionnaire:Lab Order Form Example 5-biol-monit

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 Porcellini

order.notificationContactDocumentResponse.practitioner.givenName Vorname Paulo

order.notificationContactDocumentResponse.practitioner.phone Telefon 036 336 22 33

order.notificationContactDocumentResponse.practitioner.email E-Mail paulo.porcellini@suva.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 +41322552525

receiver.practitioner.email E-Mail eva.erlenmeyer@labor-pipette.ch

receiver.organization Empfangende Organisation

receiver.organization.name Name der Organisation Organization/LaborPipette

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 Borer

patient.maidenName Ledigname Borer

patient.givenName Vorname Beat

patient.localPid Lokale Patienten-ID 11.22.33.9788

patient.birthDate Geburtsdatum 1986-06-06

patient.gender Geschlecht AdministrativeGender male: Male

patient.maritalStatus Zivilstand eCH-011 MaritalStatus 2: verheiratet

patient.phone Telefon +41 36 123 45 67

patient.email E-Mail beat.borer@example.ch

patient.streetAddressLine Strasse, Hausnummer, Postfach etc.

patient.postalCode PLZ 8008

patient.city Ort Rapperswil

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 Porcellini

sender.author.practitioner.givenName Vorname Paulo

sender.author.practitioner.gln GLN 7601000034545

sender.author.practitioner.phone Telefon 036 336 22 33

sender.author.practitioner.email E-Mail paulo.porcellini@suva.ch

sender.author.organization Verantwortliche Organisation

sender.author.organization.name Name der Organisation Suva

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

sender.author.organization.postalCode PLZ 6004

sender.author.organization.city Ort Luzern

sender.author.organization.country Land Schweiz

sender.dataenterer Erfasser

sender.dataenterer.practitioner Erfassende Person

sender.dataenterer.practitioner.familyName Name Porcellini

sender.dataenterer.practitioner.givenName Vorname Paulo

sender.dataenterer.practitioner.phone Telefon 036 336 22 33

sender.dataenterer.practitioner.email E-Mail paulo.porcellini@suva.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 Musterfrau

receiverCopy.givenName Vorname Erika

receiverCopy.phone Telefon 079 979 79 79

receiverCopy.email E-Mail erika@musterfrau.ch

receiverCopy.streetAddressLine Strasse, Hausnummer, Postfach etc.

receiverCopy.postalCode PLZ 8000

receiverCopy.city Ort Zürich

receiverCopy.country Land Schweiz

hematology Hematology

lab Laborwerte

toxicology Toxicology

tox Toxic Content

Documentation for this format

LinkID	Text	Answer
5-biol-monit		Questionnaire:Lab Order Form Example 5-biol-monit
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	Porcellini
order.notificationContactDocumentResponse.practitioner.givenName	Vorname	Paulo
order.notificationContactDocumentResponse.practitioner.phone	Telefon	036 336 22 33
order.notificationContactDocumentResponse.practitioner.email	E-Mail	paulo.porcellini@suva.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	+41322552525
receiver.practitioner.email	E-Mail	eva.erlenmeyer@labor-pipette.ch
receiver.organization	Empfangende Organisation
receiver.organization.name	Name der Organisation	Organization/LaborPipette
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	Borer
patient.maidenName	Ledigname	Borer
patient.givenName	Vorname	Beat
patient.localPid	Lokale Patienten-ID	11.22.33.9788
patient.birthDate	Geburtsdatum	1986-06-06
patient.gender	Geschlecht	AdministrativeGender male: Male
patient.maritalStatus	Zivilstand	eCH-011 MaritalStatus 2: verheiratet
patient.phone	Telefon	+41 36 123 45 67
patient.email	E-Mail	beat.borer@example.ch
patient.streetAddressLine	Strasse, Hausnummer, Postfach etc.
patient.postalCode	PLZ	8008
patient.city	Ort	Rapperswil
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	Porcellini
sender.author.practitioner.givenName	Vorname	Paulo
sender.author.practitioner.gln	GLN	7601000034545
sender.author.practitioner.phone	Telefon	036 336 22 33
sender.author.practitioner.email	E-Mail	paulo.porcellini@suva.ch
sender.author.organization	Verantwortliche Organisation
sender.author.organization.name	Name der Organisation	Suva
sender.author.organization.streetAddressLine	Strasse, Hausnummer, Postfach etc.
sender.author.organization.postalCode	PLZ	6004
sender.author.organization.city	Ort	Luzern
sender.author.organization.country	Land	Schweiz
sender.dataenterer	Erfasser
sender.dataenterer.practitioner	Erfassende Person
sender.dataenterer.practitioner.familyName	Name	Porcellini
sender.dataenterer.practitioner.givenName	Vorname	Paulo
sender.dataenterer.practitioner.phone	Telefon	036 336 22 33
sender.dataenterer.practitioner.email	E-Mail	paulo.porcellini@suva.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	Musterfrau
receiverCopy.givenName	Vorname	Erika
receiverCopy.phone	Telefon	079 979 79 79
receiverCopy.email	E-Mail	erika@musterfrau.ch
receiverCopy.streetAddressLine	Strasse, Hausnummer, Postfach etc.
receiverCopy.postalCode	PLZ	8000
receiverCopy.city	Ort	Zürich
receiverCopy.country	Land	Schweiz
hematology	Hematology
lab	Laborwerte
toxicology	Toxicology
tox	Toxic Content
Documentation for this format

Entry 20 - fullUrl = http://example.com/fhir/ServiceRequest/5-biol-monit-service-request

Resource ServiceRequest:

Generated Narrative: ServiceRequest 5-biol-monit-service-request

identifier: Placer Identifier/123123
status: Active
intent: Original Order
priority: Urgent
code: No display for ServiceRequest.code (concept: Hemoglobin and Hematocrit panel - Blood)
subject: Beat Borer Male, DoB: 1986-06-06 ( Medical record number)
requester: PractitionerRole
insurance: Coverage: identifier = Insurance Card Number; status = active; type = According to UVG; period = (?) --> 2024-12-31
specimen:
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