Case study 3 Annual gynaecological check-up The doctor`s assistent of the gynaecology department in the Olten group practice, Dr Peter Pap, prepares the next day`s consultations. As the practice only has a minimal laboratory of its own, certain patients are sent to the nearby Pipette laboratory outpatient clinic before the appointment, including the young patient Ms Marina Rubella, born 8. 8. 1992. In her practice software, the MPA prescribes the standard analyses agreed with the laboratory for the gynaecological 3-year check-up for patient Rubella. This also includes the Blood sample for the serotonary for any follow-up prescriptions. The laboratory transmits the results to the practice no later than 90 minutes after the Blood sample has been taken. Dr Pap prescribes the following orders during the consultation: Gynaecological cervical cytology: Pap smear - if indicated, detection and typing of HPV (human papilloma virus) should also be performed. Collection material according to the laboratory`s instructions. The cytological examination is carried out in the Pipette laboratory. The Pipette laboratory does not perform the typing itself. Partial urine status (Combur9 test): carried out by the MPA in the practice: the following parameters are examined: pH, leucocytes, erythrocytes, nitrite, protein, glucose, ketones, urobilinogen, bilirubin (semi-quantitative examinations, results are probably entered manually into the practice laboratory system). Urine bacteriology: collection material according to the laboratory`s instructions. General bact, incl. fungi to the laboratory pipette Transmission of the order is triggered by the MPA (collection time) Supplementary order “Screening before pregnancy”: All tests can be carried out from the materials (serum, EDTA Blood) taken in advance in the outpatient clinic (hepatitis-Bc antibodies, HIV 1+2 (Ak+p24), rubella IgG, lues/syphilis screening test) Mammography: Order for the Dr. Curie X-ray Institute.
Order-Referral-Form 3-gyn
id: MarinaRubella meta: identifier: 80756011110123400005 name: MarinaRubella gender: FEMALE birthDate: Aug 08, 1992 maritalStatus: verheiratet (Details : {$ech-11-maritalstatus code '2' = '2', given as 'verheiratet'}) Communications - Language Preferred * Italienisch (Schweiz) (Details : {urn:ietf:bcp:47 code 'it-CH' = 'Italian (Region=Schweiz)) true
Generated Narrative: Practitioner MarcMustermann Profile: CH Core Practitioner identifier: GLN/7601000050700, urn:oid:2.16.756.5.30.1.123.100.2.1.1/L248519 name: Marc Mustermann (Official) telecom: ph: 033 444 22 11(Work), marc.mustermann@gruppenpraxis.ch
Generated Narrative: Organization Gruppenpraxis Profile: CH Core Organization EPR identifier: GLN/7601000241115 name: Gruppenpraxis Olten telecom: +41555556677, info@gruppenpraxis.ch, http://www.gruppenpraxis.ch address: Gerbergasse 12 Olten 4600 CH
Generated Narrative: PractitionerRole MarcMustermannGruppenpraxis Profile: CH Core PractitionerRole practitioner: Practitioner Marc Mustermann (official) organization: Organization Gruppenpraxis Olten
Generated Narrative: Practitioner EvaErlenmeyer Profile: CH Core Practitioner identifier: GLN/7601000050717, urn:oid:2.16.756.5.30.1.123.100.2.1.1/Y274589 name: Eva Erlenmeyer (Official) telecom: ph: 033 444 55 66(Work), eva.erlenmeyer@labor-pipette.ch
Generated Narrative: Organization LaborPipette Profile: CH Core Organization identifier: GLN/7601000234407 name: Labor Pipette telecom: +41223345566, info@labor-pipette.ch, http://www.labor-pipette.ch address: Laborstrasse 23 Olten 4600 CH
Generated Narrative: PractitionerRole EvaErlenmeyerLaborPipette Profile: CH Core PractitionerRole identifier: urn:oid:2.16.756.5.30.1.123.100.2.1.1/K333333 practitioner: Practitioner Eva Erlenmeyer (official) organization: Organization Labor Pipette
Generated Narrative: Practitioner PeterPap Profile: CH Core Practitioner identifier: GLN/7601003050707, urn:oid:2.16.756.5.30.1.123.100.2.1.1/A000001 name: Peter Pap (Official) telecom: ph: 032 333 22 40(Work), peter.pap@gruppenpraxis.ch
Generated Narrative: PractitionerRole PeterPapGruppenpraxis Profile: CH Core PractitionerRole practitioner: Practitioner Peter Pap (official) organization: Organization Gruppenpraxis Olten
Generated Narrative: Specimen Cervix-swab identifier: 48736-12345-12345 accessionIdentifier: 4e88a-12345-aa222 status: Available type: Combined specimen of cytologic material from endocervix, ectocervix, and vaginal fornix (specimen) subject: Marina Rubella (official) Female, DoB: 1992-08-08 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400005) request: ServiceRequest Pap smear tests - FPAR 2.0 set Collections - Collector Collected[x] * Practitioner Peter Pap (official) 2015-08-16 06:40:17+0000 Containers - Type * General specimen container (physical object)
Combined specimen of cytologic material from endocervix, ectocervix, and vaginal fornix (specimen)
General specimen container (physical object)
Generated Narrative: Specimen Blood-gyn status: Available type: Blood sample subject: Marina Rubella (official) Female, DoB: 1992-08-08 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400005) request: ServiceRequest Obstetric 1996 Pnl Ser+Bld Collections - Collector Collected[x] BodySite * Practitioner Peter Pap (official) 2015-08-16 06:40:17+0000 Structure of superficial vein of left upper limb (body structure) Containers - Type * General specimen container (physical object) note: Specimen is grossly lipemic
Structure of superficial vein of left upper limb (body structure)
Generated Narrative: Specimen Serum-gyn identifier: 48736-12345-75465 accessionIdentifier: 4e88a-12345-dd888 status: Available type: Serum specimen (specimen) subject: Marina Rubella (official) Female, DoB: 1992-08-08 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400005) request: ServiceRequest Obstetric 1996 Pnl Ser+Bld Collections - Collector Collected[x] BodySite FastingStatus[x] * Practitioner Peter Pap (official) 2015-08-16 06:40:17+0000 Structure of median cubital vein (body structure) Patient was fasting prior to the procedure. Containers - Type * General specimen container (physical object)
Structure of median cubital vein (body structure)
Patient was fasting prior to the procedure.
Generated Narrative: Specimen Urine-gyn identifier: 11111-15394-75465 accessionIdentifier: 22222-bc987-dd888 status: Available type: Urine sample subject: Marina Rubella (official) Female, DoB: 1992-08-08 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400005) receivedTime: 2023-12-01 16:40:17+0000 request: ServiceRequest Urinalysis dipstick panel - Urine by Automated test strip Collections - Collector Collected[x] * Practitioner Peter Pap (official) 2023-12-01 06:40:17+0000 Containers - Identifier Description Type * 4e88a-bc987-dd888-12345-urin Uriswab™ : Urine Collection System Urine specimen container (physical object)
Urine specimen container (physical object)
Generated Narrative: Questionnaire 3-gyn version: 1; Last updated: 2019-04-01 20:17:53+0000 Profiles: CH ORF Questionnaire, SDCBaseQuestionnaire, Extractable Questionnaire - StructureMap Structure LinkID Text Cardinality Type Flags Description & Constraints LabOrderFormExample Questionnaire http://fhir.ch/ig/ch-lab-order/Questionnaire/3-gyn#3.0.0 #xD; order Auftrag 1..1 group #xD; order.placerOrderIdentifier Auftragsnummer des Auftraggebers 0..1 string #xD; order.placerOrderIdentifierDomain Identifier Domain der Auftragsnummer des Auftraggebers 0..1 string #xD; order.fillerOrderIdentifier Auftragsnummer des Auftragsempfängers 0..1 string #xD; order.fillerOrderIdentifierDomain Identifier Domain der Auftragsnummer des Auftragsempfängers 0..1 string #xD; order.precedentDocumentIdentifier Identifier des Vorgängerdokuments 0..1 string #xD; order.notificationContactDocument Dringender Benachrichtigungskontakt für dieses Dokument 0..1 group #xD; order.notificationContactDocument.practitioner Zu benachrichtigende Person 0..1 group #xD; order.notificationContactDocument.practitioner.title Titel 0..1 string #xD; order.notificationContactDocument.practitioner.familyName Name 0..1 string #xD; order.notificationContactDocument.practitioner.givenName Vorname 0..1 string #xD; order.notificationContactDocument.practitioner.phone Telefon 0..1 string #xD; order.notificationContactDocument.practitioner.email E-Mail 0..1 string #xD; order.notificationContactDocumentResponse Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument 0..1 group #xD; order.notificationContactDocumentResponse.practitioner Zu benachrichtigende Person 0..1 group #xD; order.notificationContactDocumentResponse.practitioner.title Titel 0..1 string #xD; order.notificationContactDocumentResponse.practitioner.familyName Name 0..1 string #xD; order.notificationContactDocumentResponse.practitioner.givenName Vorname 0..1 string #xD; order.notificationContactDocumentResponse.practitioner.phone Telefon 0..1 string #xD; order.notificationContactDocumentResponse.practitioner.email E-Mail 0..1 string #xD; order.priority Auftragspriorität 0..1 choice Options: 4 options #xD; receiver Empfänger 0..1 group #xD; receiver.practitioner Empfangende Person 0..1 group #xD; receiver.practitioner.title Titel 0..1 string #xD; receiver.practitioner.familyName Name 0..1 string #xD; receiver.practitioner.givenName Vorname 0..1 string #xD; receiver.practitioner.gln GLN 0..1 string #xD; receiver.practitioner.zsr ZSR 0..1 string #xD; receiver.practitioner.phone Telefon 0..1 string #xD; receiver.practitioner.email E-Mail 0..1 string #xD; receiver.organization Empfangende Organisation 0..1 group #xD; receiver.organization.name Name der Organisation 0..1 string #xD; receiver.organization.gln GLN 0..1 string Definition: #xD; receiver.organization.streetAddressLine Strasse, Hausnummer, Postfach etc. 0..* string #xD; receiver.organization.postalCode PLZ 0..1 string #xD; receiver.organization.city Ort 0..1 string #xD; receiver.organization.country Land 0..1 string #xD; patient Patient 1..1 group #xD; patient.familyName Name 0..1 string #xD; patient.maidenName Ledigname 0..1 string #xD; patient.givenName Vorname 0..1 string #xD; patient.localPid Lokale Patienten-ID 0..1 string #xD; patient.birthDate Geburtsdatum 0..1 date #xD; patient.gender Geschlecht 0..1 choice Options: 3 options #xD; patient.maritalStatus Zivilstand 0..1 choice Definition: Patient.maritalStatus Options: 8 options #xD; patient.phone Telefon 0..1 string #xD; patient.email E-Mail 0..1 string #xD; patient.streetAddressLine Strasse, Hausnummer, Postfach etc. 0..* string #xD; patient.postalCode PLZ 0..1 string #xD; patient.city Ort 0..1 string #xD; patient.country Land 0..1 string #xD; patient.languageOfCorrespondance Korrespondenssprache 0..1 choice Definition: Patient.communication:languageOfCorrespondance Value Set: DocumentEntry.languageCode #xD; patient.contactperson Kontaktperson 0..1 group Definition: Patient.contact #xD; patient.contactperson.relationship Beziehung 0..1 string Definition: Patient.contact.relationship.text #xD; patient.contactperson.familyName Name 0..1 string Definition: Patient.contact.name.family #xD; patient.contactperson.givenName Vorname 0..1 string Definition: Patient.contact.name.given #xD; patient.contactperson.phone Telefon 0..* string Definition: Patient.contact.telecom.value #xD; patient.contactperson.email E-Mail 0..1 string Definition: Patient.contact.telecom.value #xD; sender Absender 1..1 group #xD; sender.author Verantwortlicher 1..1 group #xD; sender.author.practitioner Verantwortliche Person 0..1 group #xD; sender.author.practitioner.title Titel 0..1 string #xD; sender.author.practitioner.familyName Name 0..1 string #xD; sender.author.practitioner.givenName Vorname 0..1 string #xD; sender.author.practitioner.gln GLN 0..1 string #xD; sender.author.practitioner.zsr ZSR 0..1 string #xD; sender.author.practitioner.phone Telefon 0..1 string #xD; sender.author.practitioner.email E-Mail 0..1 string #xD; sender.author.organization Verantwortliche Organisation 0..1 group #xD; sender.author.organization.name Name der Organisation 0..1 string #xD; sender.author.organization.streetAddressLine Strasse, Hausnummer, Postfach etc. 0..* string #xD; sender.author.organization.postalCode PLZ 0..1 string #xD; sender.author.organization.city Ort 0..1 string #xD; sender.author.organization.country Land 0..1 string #xD; sender.dataenterer Erfasser 0..1 group #xD; sender.dataenterer.practitioner Erfassende Person 0..1 group #xD; sender.dataenterer.practitioner.familyName Name 0..1 string #xD; sender.dataenterer.practitioner.givenName Vorname 0..1 string #xD; sender.dataenterer.practitioner.phone Telefon 0..1 string #xD; sender.dataenterer.practitioner.email E-Mail 0..1 string #xD; receiverCopies Kopieempfänger 0..1 group #xD; receiverCopy Kopieempfangende Organisation oder Person 0..* group Definition: PractitionerRole #xD; receiverCopy.organization.name Name der Organisation 0..1 string Definition: PractitionerRole.practitioner #xD; receiverCopy.practitionerRole.practitioner.title Titel 0..1 string Definition: HumanName.prefix #xD; receiverCopy.practitionerRole.practitioner.familyName Name 0..1 string Definition: HumanName.family #xD; receiverCopy.practitionerRole.practitioner.givenName Vorname 0..1 string Definition: HumanName.given #xD; receiverCopy.practitionerRole.practitioner.phone Telefon 0..1 string Definition: ContactPoint.value #xD; receiverCopy.practitionerRole.practitioner.email E-Mail 0..1 string Definition: ContactPoint.value #xD; receiverCopy.title Titel 0..1 string Definition: PractitionerRole.organization #xD; receiverCopy.practitionerRole.organization.name Name der Organisation 0..1 string Definition: Organization.name #xD; receiverCopy.practitionerRole.organization.streetAddressLine Strasse, Hausnummer, Postfach etc. 0..* string Definition: Address.line #xD; receiverCopy.practitionerRole.organization.postalCode PLZ 0..1 string Definition: Address.postalCode #xD; receiverCopy.practitionerRole.organization.city Ort 0..1 string Definition: Address.city #xD; receiverCopy.practitionerRole.organization.country Land 0..1 string Definition: Address.country #xD; receiverCopy.familyName Name 0..1 string #xD; receiverCopy.givenName Vorname 0..1 string #xD; receiverCopy.phone Telefon 0..1 string #xD; receiverCopy.email E-Mail 0..1 string #xD; receiverCopy.streetAddressLine Strasse, Hausnummer, Postfach etc. 0..* string #xD; receiverCopy.postalCode PLZ 0..1 string #xD; receiverCopy.city Ort 0..1 string #xD; receiverCopy.country Land 0..1 string #xD; receiverCopy.patient Patient selbst 0..1 boolean Definition: Patient #xD; receiverCopy.relatedPerson Andere Person 0..* group Definition: RelatedPerson #xD; receiverCopy.relatedPerson.familyName Name 0..1 string Definition: RelatedPerson.name.family #xD; receiverCopy.relatedPerson.givenName Vorame 0..1 string Definition: RelatedPerson.name.given #xD; receiverCopy.relatedPerson.phone Telefon 0..* string Definition: RelatedPerson.telecom.value #xD; receiverCopy.relatedPerson.email E-Mail 0..1 string Definition: RelatedPerson.telecom.value #xD; receiverCopy.relatedPerson.streetAddressLine Strasse, Hausnummer, Postfach etc. 0..* string Definition: RelatedPerson.address.line #xD; receiverCopy.relatedPerson.postalCode PLZ 0..1 string Definition: RelatedPerson.address.postalCode #xD; receiverCopy.relatedPerson.city Ort 0..1 string Definition: RelatedPerson.address.city #xD; receiverCopy.relatedPerson.country Land 0..1 string Definition: RelatedPerson.address.country #xD; consent Einverständniserklärung 0..1 group Definition: ServiceRequest.supportingInfo #xD; consent.treatment Einverständnis des Patienten zur Behandlung 0..1 string #xD; consent.patientPrivacy Einverständnis des Patienten zum Datenschutz 0..1 string #xD; consent.research Einverständnis des Patienten zur Forschung 0..1 string #xD; consent.advancedCareDirective Patientenverfügung 0..1 string #xD; coverage Kostenträger 0..1 group Definition: insurance #xD; coverage.uvg Unfallversicherung (nach UVG) 0..1 string #xD; coverage.kvg Grundversicherung (nach KVG) 0..1 string #xD; coverage.vvg Zusatzversicherung (nach VVG) 0..1 string #xD; coverage.vvgOther Andere (nach VVG) 0..1 string #xD; previousResult Vorheriges Untersuchungsresultat 0..1 group Definition: ServiceRequest.supportingInfo #xD; previousResult.result Untersuchungsresultat 0..* string #xD; cytology Cytology and Microbiology 0..1 group #xD; cervicalSmear Cervical Smear 0..* choice Options: 2 options #xD; urin Urin 0..1 group #xD; combur9 Combur-9 0..* choice Options: 1 option #xD; obstetricalPanels Schwangerschaftsvorsorge 0..1 group #xD; obstetric Obstetric 1996 panel – Serum and Blood 0..* choice Options: 1 option #xD; Documentation for this format Options Sets Answer options for order.priority http://hl7.org/fhir/request-priority#routine ("Routine") http://hl7.org/fhir/request-priority#urgent ("Urgent") http://hl7.org/fhir/request-priority#asap ("ASAP") http://hl7.org/fhir/request-priority#stat ("STAT") Answer options for patient.gender http://hl7.org/fhir/administrative-gender#male ("Male") http://hl7.org/fhir/administrative-gender#female ("Female") http://hl7.org/fhir/administrative-gender#other ("Other") Answer options for patient.maritalStatus http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus#1 ("ledig") http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus#2 ("verheiratet") http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus#3 ("verwitwet") http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus#4 ("geschieden") http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus#5 ("unverheiratet") http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus#6 ("in eingetragener Partnerschaft") http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus#7 ("aufgelöste Partnerschaft") http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus#9 ("unbekannt") Answer options for cervicalSmear http://loinc.org#86662-4 ("Pap smear tests - FPAR 2.0 set") http://loinc.org#14503-7 ("Human papilloma virus 16+18 Ag [Presence] in Cervix") Answer options for combur9 http://loinc.org#50556-0 ("Urinalysis dipstick panel - Urine by Automated test strip") Answer options for obstetric http://loinc.org#24364-2 ("Obstetric 1996 Pnl Ser+Bld")
The practitioner that is to be used to pre-populate the form
Identifier Domain der Auftragsnummer des Auftraggebers
Identifier Domain der Auftragsnummer des Auftragsempfängers
Dringender Benachrichtigungskontakt für dieses Dokument
Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument
Kopieempfangende Organisation oder Person
Einverständnis des Patienten zur Behandlung
Einverständnis des Patienten zum Datenschutz
Einverständnis des Patienten zur Forschung
Human papilloma virus 16+18 Ag [Presence] in Cervix
Urinalysis dipstick panel - Urine by Automated test strip
Generated Narrative: QuestionnaireResponse 3-gyn version: 1; Last updated: 2019-04-01 20:17:53+0000 Profile: CH ORF QuestionnaireResponse LinkID Text Definition Answer 3-gyn Questionnaire:Lab Order Form Example 3-gyn #xD; order Auftrag #xD; order.placerOrderIdentifier Auftragsnummer des Auftraggebers 123 #xD; order.placerOrderIdentifierDomain Identifier Domain der Auftragsnummer des Auftraggebers urn:oid:2.16.756.5.30.1.123.100.2.1.1 #xD; order.precedentDocumentIdentifier Identifier des Vorgängerdokuments 1622f2fb-6ba3-4532-9aed-35b158def187 #xD; order.notificationContactDocument Dringender Benachrichtigungskontakt für dieses Dokument #xD; order.notificationContactDocument.practitioner Zu benachrichtigende Person #xD; order.notificationContactDocument.practitioner.title Titel Dr. med. #xD; order.notificationContactDocument.practitioner.familyName Name Erlenmeyer #xD; order.notificationContactDocument.practitioner.givenName Vorname Eva #xD; order.notificationContactDocument.practitioner.phone Telefon 044 333 22 11 #xD; order.notificationContactDocument.practitioner.email E-Mail eva.erlenmeyer@labor-pipette.ch #xD; order.notificationContactDocumentResponse Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument #xD; order.notificationContactDocumentResponse.practitioner Zu benachrichtigende Person #xD; order.notificationContactDocumentResponse.practitioner.title Titel Dr. med. #xD; order.notificationContactDocumentResponse.practitioner.familyName Name Pap #xD; order.notificationContactDocumentResponse.practitioner.givenName Vorname Peter #xD; order.notificationContactDocumentResponse.practitioner.phone Telefon 032 333 22 40 #xD; order.notificationContactDocumentResponse.practitioner.email E-Mail peter.pap@gruppenpraxis.ch #xD; order.priority Auftragspriorität RequestPriority: routine (Routine) #xD; receiver Empfänger #xD; receiver.practitioner Empfangende Person #xD; receiver.practitioner.title Titel Dr. med. #xD; receiver.practitioner.familyName Name Erlenmeyer #xD; receiver.practitioner.givenName Vorname Eva #xD; receiver.practitioner.gln GLN 7601000050703 #xD; receiver.practitioner.phone Telefon +41322552525 #xD; receiver.practitioner.email E-Mail eva.erlenmeyer@labor-pipette.ch #xD; receiver.organization Empfangende Organisation #xD; receiver.organization.name Name der Organisation Labor Pipette #xD; receiver.organization.streetAddressLine Strasse, Hausnummer, Postfach etc. #xD; receiver.organization.postalCode PLZ 4600 #xD; receiver.organization.city Ort Olten #xD; receiver.organization.country Land Schweiz #xD; patient Patient #xD; patient.familyName Name Rubella #xD; patient.maidenName Ledigname Berlusconi #xD; patient.givenName Vorname Marina #xD; patient.localPid Lokale Patienten-ID 11.22.33.5678 #xD; patient.birthDate Geburtsdatum 1981-01-01 #xD; patient.gender Geschlecht AdministrativeGender: female (Female) #xD; patient.maritalStatus Zivilstand eCH-011 MaritalStatus: 2 (verheiratet) #xD; patient.phone Telefon 079 979 79 79 #xD; patient.email E-Mail marina.rubella@example.ch #xD; patient.streetAddressLine Strasse, Hausnummer, Postfach etc. #xD; patient.postalCode PLZ 8000 #xD; patient.city Ort Zürich #xD; patient.country Land Schweiz #xD; sender Absender #xD; sender.author Verantwortlicher #xD; sender.author.practitioner Verantwortliche Person #xD; sender.author.practitioner.title Titel Dr. med. #xD; sender.author.practitioner.familyName Name Pap #xD; sender.author.practitioner.givenName Vorname Peter #xD; sender.author.practitioner.gln GLN 7601000034321 #xD; sender.author.practitioner.phone Telefon 032 333 22 40 #xD; sender.author.practitioner.email E-Mail peter.pap@gruppenpraxis.ch #xD; sender.author.organization Verantwortliche Organisation #xD; sender.author.organization.name Name der Organisation Gruppenpraxis Olten #xD; sender.author.organization.streetAddressLine Strasse, Hausnummer, Postfach etc. #xD; sender.author.organization.postalCode PLZ 4600 #xD; sender.author.organization.city Ort Olten #xD; sender.author.organization.country Land Schweiz #xD; sender.dataenterer Erfasser #xD; sender.dataenterer.practitioner Erfassende Person #xD; sender.dataenterer.practitioner.familyName Name Federer #xD; sender.dataenterer.practitioner.givenName Vorname Alice #xD; sender.dataenterer.practitioner.phone Telefon 044 222 22 12 #xD; sender.dataenterer.practitioner.email E-Mail alice.federer@praxisseeblick.ch #xD; receiverCopies Kopieempfänger #xD; receiverCopy Kopieempfangende Organisation oder Person #xD; receiverCopy.organization.name Name der Organisation Praxis Seeblick #xD; receiverCopy.title Titel Dr. med. #xD; receiverCopy.familyName Name Meier #xD; receiverCopy.givenName Vorname Sabine #xD; receiverCopy.phone Telefon 044 333 22 11 #xD; receiverCopy.email E-Mail sabine.meier@praxisseeblick.ch #xD; receiverCopy Kopieempfangende Organisation oder Person #xD; receiverCopy.familyName Name Rubella #xD; receiverCopy.givenName Vorname Marina #xD; receiverCopy.phone Telefon +41 64 123 45 67 #xD; receiverCopy.email E-Mail marina.rubella@example.ch #xD; receiverCopy.streetAddressLine Strasse, Hausnummer, Postfach etc. #xD; receiverCopy.postalCode PLZ 6780 #xD; receiverCopy.city Ort Airolo #xD; receiverCopy.country Land Schweiz #xD; cytology Cytology and Microbiology #xD; cervicalSmear Cervical Smear #xD; urin Urin #xD; combur9 Combur-9 LOINC: 50556-0 (Urinalysis dipstick panel - Urine by Automated test strip) #xD; obstetricalPanels Schwangerschaftsvorsorge #xD; obstetric Obstetric 1996 panel – Serum and Blood LOINC: 24364-2 (Obstetric 1996 Pnl Ser+Bld) #xD; Documentation for this format
Generated Narrative: ServiceRequest 3-gyn-service-request-smear-test Profile: CH LAB-Order ServiceRequest identifier: Placer Identifier/Y274589 status: Active intent: Original Order priority: Routine code: Pap smear tests - FPAR 2.0 set subject: Marina Rubella (official) Female, DoB: 1992-08-08 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400005) requester: PractitionerRole reasonCode: Routine gynecologic examination (procedure) specimen: Specimen: identifier = 48736-12345-12345; accessionIdentifier = 4e88a-12345-aa222; status = available; type = Combined specimen of cytologic material from endocervix, ectocervix, and vaginal fornix (specimen)
Routine gynecologic examination (procedure)
Generated Narrative: ServiceRequest 3-gyn-service-request-hpv Profile: CH LAB-Order ServiceRequest identifier: Placer Identifier/Y274589 status: Active intent: Original Order priority: Routine code: Human papilloma virus 16+18 Ag [Presence] in Cervix subject: Marina Rubella (official) Female, DoB: 1992-08-08 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400005) requester: PractitionerRole reasonCode: Routine gynecologic examination (procedure) specimen: Specimen: identifier = 48736-12345-12345; accessionIdentifier = 4e88a-12345-aa222; status = available; type = Combined specimen of cytologic material from endocervix, ectocervix, and vaginal fornix (specimen)
Generated Narrative: ServiceRequest 3-gyn-service-request-urine-panel Profile: CH LAB-Order ServiceRequest identifier: Placer Identifier/Y274589 status: Active intent: Original Order priority: Routine code: Urinalysis dipstick panel - Urine by Automated test strip subject: Marina Rubella (official) Female, DoB: 1992-08-08 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400005) requester: PractitionerRole reasonCode: Routine gynecologic examination (procedure) specimen: Specimen: identifier = 11111-15394-75465; accessionIdentifier = 22222-bc987-dd888; status = available; type = Urine sample; receivedTime = 2023-12-01 16:40:17+0000
Generated Narrative: ServiceRequest 3-gyn-service-request-obstetric-panel Profile: CH LAB-Order ServiceRequest identifier: Placer Identifier/Y274589 status: Active intent: Original Order priority: Routine code: Obstetric 1996 Pnl Ser+Bld subject: Marina Rubella (official) Female, DoB: 1992-08-08 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400005) requester: PractitionerRole reasonCode: Routine gynecologic examination (procedure) specimen: Specimen: status = available; type = Blood sample; note = Specimen is grossly lipemic Specimen: identifier = 48736-12345-75465; accessionIdentifier = 4e88a-12345-dd888; status = available; type = Serum specimen (specimen)