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.
Order-Referral-Form 4-sepsis
id: SaraSpeckmann meta: identifier: 80756011110123400006 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
Generated Narrative: Practitioner HansHauser Profile: CH Core Practitioner identifier: GLN/7601000050700, urn:oid:2.16.756.5.30.1.123.100.2.1.1/L248519 name: Hans Hauser (Official) telecom: ph: 038 888 22 11(Work), hans.hauser@gruppenpraxis.ch
Generated Narrative: Organization Kantonsspital Profile: CH Core Organization identifier: GLN/7601000235503 name: Kantonsspital Zug telecom: +41 45 334 55 66, info@kantonsspital.zug.ch, http://www.kanstonsspital.zug.ch address: Seestrasse 14 Postfach 14 Zug 8000 Schweiz (work)
Generated Narrative: PractitionerRole HansHauserKantonsspital Profile: CH Core PractitionerRole practitioner: Practitioner Hans Hauser (official) organization: Organization Kantonsspital Zug
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: Specimen Blood-bactec-plus-4-sepsis status: Available type: Blood sample subject: Sara Speckmann Female, DoB: 1975-12-12 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400006) request: ServiceRequest: identifier = Placer Identifier: Y274589; status = active; intent = original-order; priority = urgent; reasonCode = Sepsis screening Collections - Collector Collected[x] BodySite * Practitioner Hans Hauser (official) 2025-03-16 06:20:17+0000 --> 2025-03-16 06:50:17+0000 Structure of superficial vein of left upper limb (body structure) container identifier: 95ab0fb1-6d1c-40f0-9aaa-a68f29238a4e-bactec-plus description: Two BACTEC™ PLUS Aerobic/F Culture Vial, cap color: grey-blue type: Aerobic blood culture bottle (physical object) container identifier: 92af0fee-1aeb-472e-8b57-a885ba33b745-bactec-plus description: Two BACTEC™ PLUS Anaerobic/F Culture Vial, cap color: purple type: Anaerobic blood culture bottle (physical object) note: Each container type contains two blood samples taken 30 minutes apart, so we get 4 vials in total
Structure of superficial vein of left upper limb (body structure)
Two BACTEC™ PLUS Aerobic/F Culture Vial, cap color: grey-blue
Aerobic blood culture bottle (physical object)
Two BACTEC™ PLUS Anaerobic/F Culture Vial, cap color: purple
Anaerobic blood culture bottle (physical object)
Each container type contains two blood samples taken 30 minutes apart, so we get 4 vials in total
Generated Narrative: Specimen Blood-4-sepsis status: Available type: Blood sample subject: Sara Speckmann Female, DoB: 1975-12-12 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400006) request: ServiceRequest: identifier = Placer Identifier: Y274589; status = active; intent = original-order; priority = urgent; reasonCode = Sepsis screening Collections - Collector Collected[x] BodySite * Practitioner Hans Hauser (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
General specimen container (physical object)
Generated Narrative: Specimen Serum-4-sepsis identifier: 11111-15394-75465 accessionIdentifier: 22222-bc987-dd888 status: Available type: Serum specimen (specimen) subject: Sara Speckmann Female, DoB: 1975-12-12 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400006) receivedTime: 2023-12-01 16:40:17+0000 request: ServiceRequest: identifier = Placer Identifier: Y274589; status = active; intent = original-order; priority = urgent; reasonCode = Sepsis screening Collections - Collector Collected[x] * Practitioner Hans Hauser (official) 2023-12-01 06:40:17+0000 Containers - Type * General specimen container (physical object)
Generated Narrative: Questionnaire 4-sepsis 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/4-sepsis#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; hematology Hematology 0..1 group #xD; lab Laborwerte 0..* choice Options: 5 options #xD; microbiology Mikrobiologie 0..1 group #xD; culture Blood by Culture 0..* choice Options: 1 option #xD; id-susc Bacterial Identification and Susceptibility 0..* choice Options: 1 option #xD; cc clinical chemistry 0..1 group #xD; crp CRP 0..* choice Options: 4 options #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 lab http://loinc.org#24360-0 ("Hemoglobin and Hematocrit panel - Blood") http://loinc.org#43113-0 ("Hemoglobin electrophoresis panel in Blood") http://loinc.org#57021-8 ("CBC W Auto Differential panel - Blood") http://loinc.org#58410-2 ("CBC panel - Blood by Automated count") http://loinc.org#57021-8 ("CBC W Auto Differential panel - Blood") Answer options for culture http://loinc.org#90423-5 ("Microorganism preliminary growth detection panel - Blood by Culture") Answer options for id-susc http://loinc.org#85421-6 ("Bacterial identification and susceptibility panel - Isolate") Answer options for crp http://loinc.org#1988-5 ("C reactive protein [Mass/Volume] in Serum or Plasma") http://loinc.org#76485-2 ("C reactive protein [Moles/volume] in Serum or Plasma") http://loinc.org#30522-7 ("C reactive protein [Mass/volume] in Serum or Plasma by High sensitivity method") http://loinc.org#76486-0 ("C reactive protein [Moles/volume] in Serum or Plasma by High sensitivity method")
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
Hemoglobin electrophoresis panel in Blood
Microorganism preliminary growth detection panel - Blood by Culture
Bacterial Identification and Susceptibility
Bacterial identification and susceptibility panel - Isolate
C reactive protein [Mass/Volume] in Serum or Plasma
C reactive protein [Moles/volume] in Serum or Plasma
C reactive protein [Mass/volume] in Serum or Plasma by High sensitivity method
C reactive protein [Moles/volume] in Serum or Plasma by High sensitivity method
Generated Narrative: QuestionnaireResponse 4-sepsis version: 1; Last updated: 2019-04-01 20:17:53+0000 Profile: CH ORF QuestionnaireResponse LinkID Text Definition Answer 4-sepsis Questionnaire:Lab Order Form Example 4-sepsis #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 033 444 55 66 #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 Hauser #xD; order.notificationContactDocumentResponse.practitioner.givenName Vorname Hans #xD; order.notificationContactDocumentResponse.practitioner.phone Telefon 038 888 22 11 #xD; order.notificationContactDocumentResponse.practitioner.email E-Mail hans.hauser@kantonsspital.zug.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 033 444 55 66 #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 Keller #xD; patient.maidenName Ledigname Pusterla #xD; patient.givenName Vorname Klebsiella #xD; patient.localPid Lokale Patienten-ID 11.22.33.5444 #xD; patient.birthDate Geburtsdatum 1975-12-12 #xD; patient.gender Geschlecht AdministrativeGender: female (Female) #xD; patient.maritalStatus Zivilstand eCH-011 MaritalStatus: 2 (verheiratet) #xD; patient.phone Telefon +41 64 123 45 67 #xD; patient.email E-Mail klebsiella.keller@example.ch #xD; patient.streetAddressLine Strasse, Hausnummer, Postfach etc. #xD; patient.postalCode PLZ 6565 #xD; patient.city Ort Lenzburg #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 Hauser #xD; sender.author.practitioner.givenName Vorname Hans #xD; sender.author.practitioner.gln GLN 7601000064321 #xD; sender.author.practitioner.phone Telefon 038 888 22 11 #xD; sender.author.practitioner.email E-Mail hans.hauser@kantonsspital.zug.ch #xD; sender.author.organization Verantwortliche Organisation #xD; sender.author.organization.name Name der Organisation Kantonsspital Zug #xD; sender.author.organization.streetAddressLine Strasse, Hausnummer, Postfach etc. #xD; sender.author.organization.postalCode PLZ 8000 #xD; sender.author.organization.city Ort Zug #xD; sender.author.organization.country Land Schweiz #xD; sender.dataenterer Erfasser #xD; sender.dataenterer.practitioner Erfassende Person #xD; sender.dataenterer.practitioner.familyName Name Egger #xD; sender.dataenterer.practitioner.givenName Vorname Daniela #xD; sender.dataenterer.practitioner.phone Telefon 044 333 55 12 #xD; sender.dataenterer.practitioner.email E-Mail daniela.egger@kantonsspital.zug.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 Costalla #xD; receiverCopy.givenName Vorname Maria #xD; receiverCopy.phone Telefon 079 979 80 80 #xD; receiverCopy.email E-Mail maria.costella@redwin.ch #xD; receiverCopy.streetAddressLine Strasse, Hausnummer, Postfach etc. #xD; receiverCopy.postalCode PLZ 6415 #xD; receiverCopy.city Ort Arth #xD; receiverCopy.country Land Schweiz #xD; hematology Hematology #xD; lab Laborwerte #xD; microbiology Mikrobiologie #xD; culture Blood by Culture LOINC: 90423-5 (Microorganism preliminary growth detection panel - Blood by Culture) #xD; id-susc Bacterial Identification and Susceptibility LOINC: 85421-6 (Bacterial identification and susceptibility panel - Isolate) #xD; cc clinical chemistry #xD; crp CRP #xD; Documentation for this format
Generated Narrative: ServiceRequest 4-sepsis-ServiceRequest Profile: CH LAB-Order-SR identifier: Placer Identifier/Y274589 status: Active intent: Original Order priority: Urgent subject: Sara Speckmann Female, DoB: 1975-12-12 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400006) requester: PractitionerRole reasonCode: Screening for sepsis (procedure)
Generated Narrative: ServiceRequest 4-sepsis-ServiceRequestHbHt Profile: CH LAB-Order-SR identifier: Placer Identifier/Y274589 basedOn: ServiceRequest: identifier = Placer Identifier: Y274589; status = active; intent = original-order; priority = urgent; reasonCode = Sepsis screening status: Active intent: Original Order priority: Urgent code: Hemoglobin and Hematocrit panel - Blood subject: Sara Speckmann Female, DoB: 1975-12-12 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400006) requester: PractitionerRole reasonCode: Screening for sepsis (procedure) specimen: Specimen: status = available; type = Blood sample; note = Specimen is grossly lipemic
Generated Narrative: ServiceRequest 4-sepsis-ServiceRequestCBCDiff Profile: CH LAB-Order-SR identifier: Placer Identifier/Y274589 basedOn: ServiceRequest: identifier = Placer Identifier: Y274589; status = active; intent = original-order; priority = urgent; reasonCode = Sepsis screening status: Active intent: Original Order priority: Urgent code: CBC W Auto Differential panel - Blood subject: Sara Speckmann Female, DoB: 1975-12-12 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400006) requester: PractitionerRole reasonCode: Screening for sepsis (procedure) specimen: Specimen: status = available; type = Blood sample; note = Specimen is grossly lipemic
Generated Narrative: ServiceRequest 4-sepsis-ServiceRequestGrowth Profile: CH LAB-Order-SR identifier: Placer Identifier/Y274589 basedOn: ServiceRequest: identifier = Placer Identifier: Y274589; status = active; intent = original-order; priority = urgent; reasonCode = Sepsis screening status: Active intent: Original Order priority: Urgent code: Microorganism preliminary growth detection panel - Blood by Culture orderDetail: New order/service subject: Sara Speckmann Female, DoB: 1975-12-12 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400006) requester: PractitionerRole reasonCode: Screening for sepsis (procedure) specimen: Specimen: status = available; type = Blood sample; note = Each container type contains two blood samples taken 30 minutes apart, so we get 4 vials in total
Generated Narrative: ServiceRequest 4-sepsis-ServiceRequestCRP Profile: CH LAB-Order-SR identifier: Placer Identifier/Y274589 basedOn: ServiceRequest: identifier = Placer Identifier: Y274589; status = active; intent = original-order; priority = urgent; reasonCode = Sepsis screening status: Active intent: Original Order priority: Urgent code: C reactive protein [Mass/Volume] in Serum or Plasma subject: Sara Speckmann Female, DoB: 1975-12-12 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400006) requester: PractitionerRole reasonCode: Screening for sepsis (procedure) specimen: Specimen: identifier = 11111-15394-75465; accessionIdentifier = 22222-bc987-dd888; status = available; type = Serum specimen (specimen); receivedTime = 2023-12-01 16:40:17+0000