1-tvt-document-with-sr
type: Bundle
node role: treeRoot
id:
  v: 1-tvt-document-with-sr
meta:
  version id:
    v: 1
  last updated:
    v: 2019-04-01T20:18:41.341+00:00
  profile:
    v: http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-document-with-sr
    link: http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-document-with-sr
identifier:
  system:
    v: urn:ietf:rfc:3986
type:
  v: document
timestamp:
  v: 2019-04-01T20:18:41.341+00:00
entry:
  full url:
    v: http://example.com/fhir/Composition/1-tvt-CompositionWithSR
  resource: 1-tvt-CompositionWithSR
entry:
  full url:
    v: http://example.com/fhir/Patient/TobiasTimmermann
  resource: TobiasTimmermann
entry:
  full url:
    v: http://example.com/fhir/Practitioner/MarcMustermann
  resource: MarcMustermann
entry:
  full url:
    v: http://example.com/fhir/PractitionerRole/MarcMustermannGruppenpraxis
  resource: MarcMustermannGruppenpraxis
entry:
  full url:
    v: http://example.com/fhir/Organization/Gruppenpraxis
  resource: Gruppenpraxis
entry:
  full url:
    v: http://example.com/fhir/Practitioner/EvaErlenmeyer
  resource: EvaErlenmeyer
entry:
  full url:
    v: http://example.com/fhir/Organization/LaborPipette
  resource: LaborPipette
entry:
  full url:
    v: http://example.com/fhir/PractitionerRole/EvaErlenmeyerLaborPipette
  resource: EvaErlenmeyerLaborPipette
entry:
  full url:
    v: http://example.com/fhir/Coverage/HealthInsuranceCardTobiasTimmermann
  resource: HealthInsuranceCardTobiasTimmermann
entry:
  full url:
    v: http://example.com/fhir/Condition/ConditionRenalInsufficiency
  resource: ConditionRenalInsufficiency
entry:
  full url:
    v: http://example.com/fhir/Specimen/Serum-1-tvt
  resource: Serum-1-tvt
entry:
  full url:
    v: http://example.com/fhir/Specimen/Blood-coag-1-tvt
  resource: Blood-coag-1-tvt
entry:
  full url:
    v: http://example.com/fhir/Specimen/Blood-1-tvt
  resource: Blood-1-tvt
entry:
  full url:
    v: http://example.com/fhir/ServiceRequest/1-tvt-ServiceRequest-0
  resource: 1-tvt-ServiceRequest-0
entry:
  full url:
    v: http://example.com/fhir/ServiceRequest/1-tvt-ServiceRequest-1
  resource: 1-tvt-ServiceRequest-1
entry:
  full url:
    v: http://example.com/fhir/ServiceRequest/1-tvt-ServiceRequest-2
  resource: 1-tvt-ServiceRequest-2
entry:
  full url:
    v: http://example.com/fhir/ServiceRequest/1-tvt-ServiceRequest-3
  resource: 1-tvt-ServiceRequest-3
entry:
  full url:
    v: http://example.com/fhir/ServiceRequest/1-tvt-ServiceRequest-4
  resource: 1-tvt-ServiceRequest-4
entry:
  full url:
    v: http://example.com/fhir/ServiceRequest/1-tvt-ServiceRequest-5
  resource: 1-tvt-ServiceRequest-5

1-tvt-CompositionWithSR
type: Composition
id:
  v: 1-tvt-CompositionWithSR
meta:
  version id:
    v: 1
  last updated:
    v: 2022-10-20T17:04:38.520+00:00
  profile:
    v: http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-composition-with-sr
    link: http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-composition-with-sr
text:
  status:
    v: additional
  div: Case study 1 Suspicion of deep vein thrombosis A patient, Tobias Timmermann, presents to Dr. med. Marc Mustermann at the Olten group practice on 09.03.2016. He verbally identifies himself via his master data as Tobias Timmermann, 01.01.1984. He reports unclear leg pain in the left lower leg as well as simultaneously occurring respiratory pain and cough. The doctor carries out the anamnesis and physical examination and prescribes the following laboratory parameters: Blood cell count incl. differentiation CRP D-dimer The doctor carries out the Blood count and the CRP determination himself by means of point of care diagnostics, the D-dimer diagnostics is prescribed as quantitative diagnostics in an external sending laboratory. To obtain the sample, a Blood sample is taken lying down (1 EDTA tube, 2 citrate tubes of 5 ml). The order is transmitted to the external laboratory and the sample is sent to the external dispatch laboratory by courier ordered by telephone. The results of the internal point of care diagnostics (Blood count and CRP) are entered in the patient`s laboratory sheet in the doctor`s office software (manually or via locally installed electronic interfaces). A prescription is therefore issued by the doctor to the patient for self-administration of an anti-thrombotic agent. The results of the sending-in laboratory arrive electronically at the GP`s on the same evening and are also entered in the patient`s laboratory sheet. By using the present exchange format, this process can be fully automated. After a telephone enquiry by the doctor at the sending laboratory due to a borderline D-dimer result, the information is given that a deep vein thrombosis cannot be ruled out in this situation by means of D-dimer and the patient is therefore called back the next day for a sonography of the legs. As it is probably a primary leg vein thrombosis, Dr Eva Erlenmeier from the Pipette laboratory sends feedback to Dr Mustermann with the recommendation to carry out a thromb…
extension:
  extension:
    url:
      v: enterer
    value: Reference
      link: http://fhir.ch/ig/ch-lab-order/PractitionerRole/MarcMustermannGruppenpraxis
      reference:
        v: PractitionerRole/MarcMustermannGruppenpraxis
  url:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer
extension:
  url:
    v: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactforthisdocument
  value: Reference
    link: http://fhir.ch/ig/ch-lab-order/PractitionerRole/EvaErlenmeyerLaborPipette
    reference:
      v: PractitionerRole/EvaErlenmeyerLaborPipette
extension:
  url:
    v: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactfortheresponsetothisdocument
  value: Reference
    link: http://fhir.ch/ig/ch-lab-order/PractitionerRole/MarcMustermannGruppenpraxis
    reference:
      v: PractitionerRole/MarcMustermannGruppenpraxis
extension:
  url:
    v: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-receiver
  value: Reference
    link: http://fhir.ch/ig/ch-lab-order/PractitionerRole/EvaErlenmeyerLaborPipette
    reference:
      v: PractitionerRole/EvaErlenmeyerLaborPipette
extension:
  url:
    v: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-copyreceiver
  value: Reference
    link: http://fhir.ch/ig/ch-lab-order/PractitionerRole/MarcMustermannGruppenpraxis
    reference:
      v: PractitionerRole/MarcMustermannGruppenpraxis
extension:
  url:
    v: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-copyreceiver
  value: Reference
    link: http://fhir.ch/ig/ch-lab-order/Patient/TobiasTimmermann
    reference:
      v: Patient/TobiasTimmermann
status:
  v: final
type:
  coding: http://snomed.info/id/721965002
    system:
      v: http://snomed.info/sct
    code:
      v: 721965002
    display:
      v: Laboratory order (record artifact)
category:
  coding: http://snomed.info/id/721963009
    system:
      v: http://snomed.info/sct
    code:
      v: 721963009
    display:
      v: Order (record artifact)
subject:
  link: http://fhir.ch/ig/ch-lab-order/Patient/TobiasTimmermann
  reference:
    v: Patient/TobiasTimmermann
date:
  v: 2025-03-05T11:46:09+02:00
author:
  link: http://fhir.ch/ig/ch-lab-order/PractitionerRole/MarcMustermannGruppenpraxis
  reference:
    v: PractitionerRole/MarcMustermannGruppenpraxis
title:
  v: Laboratory order 1-tvt
section:
  title:
    v: Laboratory Order with Service Request 1-tvt
  code:
    coding: http://snomed.info/id/721963009
      system:
        v: http://snomed.info/sct
      code:
        v: 721963009
      display:
        v: Order (record artifact)
  text:
    status:
      v: generated
    div: Laboratory Order with Service Request 1-tvt
  entry:
    link: http://fhir.ch/ig/ch-lab-order/ServiceRequest/1-tvt-ServiceRequest-0
    reference:
      v: ServiceRequest/1-tvt-ServiceRequest-0
  entry:
    link: http://fhir.ch/ig/ch-lab-order/ServiceRequest/1-tvt-ServiceRequest-1
    reference:
      v: ServiceRequest/1-tvt-ServiceRequest-1
  entry:
    link: http://fhir.ch/ig/ch-lab-order/ServiceRequest/1-tvt-ServiceRequest-2
    reference:
      v: ServiceRequest/1-tvt-ServiceRequest-2
  entry:
    link: http://fhir.ch/ig/ch-lab-order/ServiceRequest/1-tvt-ServiceRequest-3
    reference:
      v: ServiceRequest/1-tvt-ServiceRequest-3
  entry:
    link: http://fhir.ch/ig/ch-lab-order/ServiceRequest/1-tvt-ServiceRequest-4
    reference:
      v: ServiceRequest/1-tvt-ServiceRequest-4
  entry:
    link: http://fhir.ch/ig/ch-lab-order/ServiceRequest/1-tvt-ServiceRequest-5
    reference:
      v: ServiceRequest/1-tvt-ServiceRequest-5

TobiasTimmermann
type: Patient
id:
  v: TobiasTimmermann
meta:
  profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient
    link: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient
text:
  status:
    v: additional
  div: id: TobiasTimmermann meta: identifier: 80756011110123400003 name: Tobias Timmermann gender: MALE birthDate: Jan 01, 1981 maritalStatus: unverheiratet (Details : {$ech-11-maritalstatus code '5' = '5', given as 'unverheiratet'}) Communications - Language Preferred * Deutsch (Schweiz) (Details : {urn:ietf:bcp:47 code 'de-CH' = 'German (Region=Schweiz)) true
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
  value: Address
    city:
      v: Zürich
    country:
      v: Schweiz
extension:
  url:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeoforigin
  value: Address
    city:
      v: Breitenbach
    state:
      v: BL
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/patient-religion
  value: CodeableConcept
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ReligiousAffiliation
      code:
        v: 1007
      display:
        v: Atheism
identifier:
  system:
    v: urn:oid:2.16.756.5.30.1.123.100.1.1.1
  value:
    v: 80756011110123400003
name:
  family:
    v: Timmermann
  given:
    v: Tobias
telecom:
  system:
    v: phone
  value:
    v: 079 979 79 79
  use:
    v: home
telecom:
  system:
    v: email
gender:
  v: male
birth date:
  v: 1984-01-01
marital status:
  coding:
    system:
      v: http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus
    code:
      v: 5
    display:
      v: unverheiratet
communication:
  language:
    coding:
      system:
        v: urn:ietf:bcp:47
      code:
        v: de-CH
    text:
      v: Deutsch (Schweiz)
  preferred:
    v: true

MarcMustermann
type: Practitioner
id:
  v: MarcMustermann
meta:
  profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner
    link: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner
text:
  status:
    v: generated
  div: 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
identifier:
  system:
    v: urn:oid:2.51.1.3
  value:
    v: 7601000050700
identifier:
  system:
    v: urn:oid:2.16.756.5.30.1.123.100.2.1.1
  value:
    v: L248519
name:
  use:
    v: official
  family:
    v: Mustermann
  given:
    v: Marc
  prefix:
    v: Dr. med.
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier
      value: code
        v: AC
telecom:
  system:
    v: phone
  value:
    v: 033 444 22 11
  use:
    v: work
telecom:
  system:
    v: email
  use:
    v: work

MarcMustermannGruppenpraxis
type: PractitionerRole
id:
  v: MarcMustermannGruppenpraxis
meta:
  profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole
    link: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole
text:
  status:
    v: generated
  div: Generated Narrative: PractitionerRole MarcMustermannGruppenpraxis Profile: CH Core PractitionerRole practitioner: Practitioner Marc Mustermann (official) organization: Organization Gruppenpraxis Olten
practitioner:
  link: http://fhir.ch/ig/ch-lab-order/Practitioner/MarcMustermann
  reference:
    v: Practitioner/MarcMustermann
organization:
  link: http://fhir.ch/ig/ch-lab-order/Organization/Gruppenpraxis
  reference:
    v: Organization/Gruppenpraxis

Gruppenpraxis
type: Organization
id:
  v: Gruppenpraxis
meta:
  profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization-epr
    link: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization-epr
text:
  status:
    v: generated
  div: 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
identifier:
  system:
    v: urn:oid:2.51.1.3
  value:
    v: 7601000241115
name:
  v: Gruppenpraxis Olten
telecom:
  system:
    v: phone
  value:
    v: +41555556677
  use:
    v: work
telecom:
  system:
    v: email
  use:
    v: work
telecom:
  system:
    v: url
  value:
    v: http://www.gruppenpraxis.ch
  use:
    v: work
address:
  line:
    v: Gerbergasse 12
  city:
    v: Olten
  postal code:
    v: 4600
  country:
    v: CH

EvaErlenmeyer
type: Practitioner
id:
  v: EvaErlenmeyer
meta:
  profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner
    link: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner
text:
  status:
    v: generated
  div: 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
identifier:
  system:
    v: urn:oid:2.51.1.3
  value:
    v: 7601000050717
identifier:
  system:
    v: urn:oid:2.16.756.5.30.1.123.100.2.1.1
  value:
    v: Y274589
name:
  use:
    v: official
  family:
    v: Erlenmeyer
  given:
    v: Eva
  prefix:
    v: Dr. med.
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier
      value: code
        v: AC
telecom:
  system:
    v: phone
  value:
    v: 033 444 55 66
  use:
    v: work
telecom:
  system:
    v: email
  use:
    v: work

LaborPipette
type: Organization
id:
  v: LaborPipette
meta:
  profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization
    link: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization
text:
  status:
    v: generated
  div: 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
identifier:
  system:
    v: urn:oid:2.51.1.3
  value:
    v: 7601000234407
name:
  v: Labor Pipette
telecom:
  system:
    v: phone
  value:
    v: +41223345566
  use:
    v: work
telecom:
  system:
    v: email
  use:
    v: work
telecom:
  system:
    v: url
  value:
    v: http://www.labor-pipette.ch
  use:
    v: work
address:
  line:
    v: Laborstrasse 23
  city:
    v: Olten
  postal code:
    v: 4600
  country:
    v: CH

EvaErlenmeyerLaborPipette
type: PractitionerRole
id:
  v: EvaErlenmeyerLaborPipette
meta:
  profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole
    link: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole
text:
  status:
    v: generated
  div: 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
identifier:
  system:
    v: urn:oid:2.16.756.5.30.1.123.100.2.1.1
  value:
    v: K333333
practitioner:
  link: http://fhir.ch/ig/ch-lab-order/Practitioner/EvaErlenmeyer
  reference:
    v: Practitioner/EvaErlenmeyer
organization:
  link: http://fhir.ch/ig/ch-lab-order/Organization/LaborPipette
  reference:
    v: Organization/LaborPipette

HealthInsuranceCardTobiasTimmermann
type: Coverage
id:
  v: HealthInsuranceCardTobiasTimmermann
meta:
  profile:
    v: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage
    link: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage
text:
  status:
    v: generated
  div: Generated Narrative: Coverage HealthInsuranceCardTobiasTimmermann Profile: CH ORF Coverage identifier: Insurance Card Number/80756011110123400003 status: Active type: Krankenversicherung (obligat.) subscriber: Tobias Timmermann Male, DoB: 1984-01-01 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400003) beneficiary: Tobias Timmermann Male, DoB: 1984-01-01 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400003) period: ?? --> 2024-12-31 payor: Krankenkasse AG (Identifier: http://example.org/insurer/123456789)
identifier:
  type:
    coding:
      system:
        v: http://fhir.ch/ig/ch-orf/CodeSystem/ch-orf-cs-coverageidentifiertype
      code:
        v: VeKa
      display:
        v: Insurance Card Number
  system:
    v: http://example.org/insurer/123456789/member
  value:
    v: 80756011110123400003
status:
  v: active
type:
  coding:
    system:
      v: http://fhir.ch/ig/ch-core/CodeSystem/bfs-medstats-25-mainguarantor
    code:
      v: 1
    display:
      v: Krankenversicherung (obligat.)
subscriber:
  link: http://fhir.ch/ig/ch-lab-order/Patient/TobiasTimmermann
  reference:
    v: Patient/TobiasTimmermann
beneficiary:
  link: http://fhir.ch/ig/ch-lab-order/Patient/TobiasTimmermann
  reference:
    v: Patient/TobiasTimmermann
period:
  end:
    v: 2024-12-31
payor:
  identifier:
    system:
      v: http://example.org/insurer
    value:
      v: 123456789
  display:
    v: Krankenkasse AG

ConditionRenalInsufficiency
type: Condition
id:
  v: ConditionRenalInsufficiency
text:
  status:
    v: generated
  div: Generated Narrative: Condition ConditionRenalInsufficiency clinicalStatus: Active verificationStatus: Confirmed category: Problem List Item severity: Mild (qualifier value) code: Chronic renal insufficiency (disorder) subject: Tobias Timmermann onset: 2023-08-05 recordedDate: 2023-10-05 asserter: Tobias Timmermann
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-clinical
    code:
      v: active
verification status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-ver-status
    code:
      v: confirmed
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-category
    code:
      v: problem-list-item
severity:
  coding: http://snomed.info/id/255604002
    system:
      v: http://snomed.info/sct
    code:
      v: 255604002
    display:
      v: Mild (qualifier value)
code:
  coding: http://snomed.info/id/723190009
    system:
      v: http://snomed.info/sct
    code:
      v: 723190009
    display:
      v: Chronic renal insufficiency (disorder)
subject:
  link: http://fhir.ch/ig/ch-lab-order/Patient/TobiasTimmermann
  reference:
    v: Patient/TobiasTimmermann
  display:
    v: Tobias Timmermann
onset: dateTime
  v: 2023-08-05
recorded date:
  v: 2023-10-05
asserter:
  link: http://fhir.ch/ig/ch-lab-order/Patient/TobiasTimmermann
  reference:
    v: Patient/TobiasTimmermann
  display:
    v: Tobias Timmermann

Serum-1-tvt
type: Specimen
id:
  v: Serum-1-tvt
text:
  status:
    v: generated
  div: Generated Narrative: Specimen Serum-1-tvt identifier: 48736-12345-75465 accessionIdentifier: 4e88a-12345-dd888 status: Available type: Serum specimen (specimen) subject: Tobias Timmermann Male, DoB: 1984-01-01 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400003) Collections - Collector Collected[x] BodySite FastingStatus[x] * Practitioner Marc Mustermann (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)
identifier:
  value:
    v: 48736-12345-75465
accession identifier:
  value:
    v: 4e88a-12345-dd888
status:
  v: available
type:
  coding: http://snomed.info/id/119364003
    system:
      v: http://snomed.info/sct
    code:
      v: 119364003
    display:
      v: Serum specimen (specimen)
subject:
  link: http://fhir.ch/ig/ch-lab-order/Patient/TobiasTimmermann
  reference:
    v: Patient/TobiasTimmermann
collection:
  collector:
    link: http://fhir.ch/ig/ch-lab-order/Practitioner/MarcMustermann
    reference:
      v: Practitioner/MarcMustermann
  collected: dateTime
    v: 2015-08-16T06:40:17Z
  body site:
    coding: http://snomed.info/id/49852007
      system:
        v: http://snomed.info/sct
      code:
        v: 49852007
      display:
        v: Structure of median cubital vein (body structure)
  fasting status: CodeableConcept
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0916
      code:
        v: F
      display:
        v: Patient was fasting prior to the procedure.
container:
  type:
    coding: http://snomed.info/id/706053007
      system:
        v: http://snomed.info/sct
      code:
        v: 706053007
      display:
        v: General specimen container (physical object)

Blood-coag-1-tvt
type: Specimen
id:
  v: Blood-coag-1-tvt
text:
  status:
    v: generated
  div: Generated Narrative: Specimen Blood-coag-1-tvt identifier: 48736-55555-75465 accessionIdentifier: 4e88a-66666-dd888 status: Available type: Blood sample subject: Tobias Timmermann Male, DoB: 1984-01-01 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400003) receivedTime: 2023-12-01 16:40:17+0000 Collections - Collector Collected[x] * Practitioner Marc Mustermann (official) 2023-12-01 17:00:17+0000 Processings - Time[x] * 2023-12-01 17:00:17+0000 --> 2023-12-01 17:30:17+0000 Containers - Identifier Description Type Additive[x] * 4e88a-bc987-dd888-00001-bcoag S-Monovette grün Blood collection Luer adaptor 3.8% Citrate
identifier:
  value:
    v: 48736-55555-75465
accession identifier:
  value:
    v: 4e88a-66666-dd888
status:
  v: available
type:
  coding: http://snomed.info/id/119297000
    system:
      v: http://snomed.info/sct
    code:
      v: 119297000
    display:
      v: Blood sample
subject:
  link: http://fhir.ch/ig/ch-lab-order/Patient/TobiasTimmermann
  reference:
    v: Patient/TobiasTimmermann
received time:
  v: 2023-12-01T16:40:17Z
collection:
  collector:
    link: http://fhir.ch/ig/ch-lab-order/Practitioner/MarcMustermann
    reference:
      v: Practitioner/MarcMustermann
  collected: dateTime
    v: 2023-12-01T17:00:17Z
processing:
  time: Period
    start:
      v: 2023-12-01T17:00:17Z
    end:
      v: 2023-12-01T17:30:17Z
container:
  identifier:
    value:
      v: 4e88a-bc987-dd888-00001-bcoag
  description:
    v: S-Monovette grün
  type:
    coding: http://snomed.info/id/702120003
      system:
        v: http://snomed.info/sct
      code:
        v: 702120003
      display:
        v: Blood collection Luer adaptor
  additive: CodeableConcept
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0371
      code:
        v: C38
      display:
        v: 3.8% Citrate

Blood-1-tvt
type: Specimen
id:
  v: Blood-1-tvt
text:
  status:
    v: generated
  div: Generated Narrative: Specimen Blood-1-tvt status: Available type: Blood sample subject: Tobias Timmermann Male, DoB: 1984-01-01 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400003) Collections - Collector Collected[x] BodySite * Practitioner Marc Mustermann (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
status:
  v: available
type:
  coding: http://snomed.info/id/119297000
    system:
      v: http://snomed.info/sct
    code:
      v: 119297000
    display:
      v: Blood sample
subject:
  link: http://fhir.ch/ig/ch-lab-order/Patient/TobiasTimmermann
  reference:
    v: Patient/TobiasTimmermann
collection:
  collector:
    link: http://fhir.ch/ig/ch-lab-order/Practitioner/MarcMustermann
    reference:
      v: Practitioner/MarcMustermann
  collected: dateTime
    v: 2015-08-16T06:40:17Z
  body site:
    coding: http://snomed.info/id/721029009
      system:
        v: http://snomed.info/sct
      code:
        v: 721029009
      display:
        v: Structure of superficial vein of left upper limb (body structure)
container:
  type:
    coding: http://snomed.info/id/706053007
      system:
        v: http://snomed.info/sct
      code:
        v: 706053007
      display:
        v: General specimen container (physical object)
note:
  text:
    v: Specimen is grossly lipemic

1-tvt-ServiceRequest-0
type: ServiceRequest
id:
  v: 1-tvt-ServiceRequest-0
meta:
  profile:
    v: http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-SR
    link: http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-SR
text:
  status:
    v: generated
  div: Generated Narrative: ServiceRequest 1-tvt-ServiceRequest-0 Profile: CH LAB-Order-SR identifier: Placer Identifier/Y274589 status: Active intent: Original Order priority: Urgent subject: Tobias Timmermann Male, DoB: 1984-01-01 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400003) requester: PractitionerRole reasonCode: Deep venous thrombosis of lower extremity (disorder) insurance: Coverage: identifier = Insurance Card Number: 80756011110123400003; status = active; type = Krankenversicherung (obligat.); period = (?) --> 2024-12-31
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
      code:
        v: PLAC
      display:
        v: Placer Identifier
  system:
    v: urn:oid:2.16.756.5.30.1.123.100.2.1.1
  value:
    v: Y274589
status:
  v: active
intent:
  v: original-order
priority:
  v: urgent
subject:
  link: http://fhir.ch/ig/ch-lab-order/Patient/TobiasTimmermann
  reference:
    v: Patient/TobiasTimmermann
requester:
  link: http://fhir.ch/ig/ch-lab-order/PractitionerRole/MarcMustermannGruppenpraxis
  reference:
    v: PractitionerRole/MarcMustermannGruppenpraxis
reason code:
  coding: http://snomed.info/id/404223003
    system:
      v: http://snomed.info/sct
    code:
      v: 404223003
  text:
    v: Deep venous thrombosis of lower extremity (disorder)
insurance:
  link: http://fhir.ch/ig/ch-lab-order/Coverage/HealthInsuranceCardTobiasTimmermann
  reference:
    v: Coverage/HealthInsuranceCardTobiasTimmermann

1-tvt-ServiceRequest-1
type: ServiceRequest
id:
  v: 1-tvt-ServiceRequest-1
meta:
  profile:
    v: http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-SR
    link: http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-SR
text:
  status:
    v: generated
  div: Generated Narrative: ServiceRequest 1-tvt-ServiceRequest-1 Profile: CH LAB-Order-SR identifier: Placer Identifier/Y274589 basedOn: ServiceRequest: identifier = Placer Identifier: Y274589; status = active; intent = original-order; priority = urgent; reasonCode = Deep venous thrombosis of lower extremity (disorder) status: Active intent: Original Order priority: Urgent code: CBC panel - Blood by Automated count subject: Tobias Timmermann Male, DoB: 1984-01-01 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400003) requester: PractitionerRole reasonCode: Deep venous thrombosis of lower extremity (disorder) insurance: Coverage: identifier = Insurance Card Number: 80756011110123400003; status = active; type = Krankenversicherung (obligat.); period = (?) --> 2024-12-31 specimen: Specimen: status = available; type = Blood sample; note = Specimen is grossly lipemic
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
      code:
        v: PLAC
      display:
        v: Placer Identifier
  system:
    v: urn:oid:2.16.756.5.30.1.123.100.2.1.1
  value:
    v: Y274589
based on:
  link: http://fhir.ch/ig/ch-lab-order/ServiceRequest/1-tvt-ServiceRequest-0
  reference:
    v: ServiceRequest/1-tvt-ServiceRequest-0
status:
  v: active
intent:
  v: original-order
priority:
  v: urgent
code:
  coding: https://loinc.org/rdf/58410-2
    system:
      v: http://loinc.org
    code:
      v: 58410-2
    display:
      v: CBC panel - Blood by Automated count
subject:
  link: http://fhir.ch/ig/ch-lab-order/Patient/TobiasTimmermann
  reference:
    v: Patient/TobiasTimmermann
requester:
  link: http://fhir.ch/ig/ch-lab-order/PractitionerRole/MarcMustermannGruppenpraxis
  reference:
    v: PractitionerRole/MarcMustermannGruppenpraxis
reason code:
  coding: http://snomed.info/id/404223003
    system:
      v: http://snomed.info/sct
    code:
      v: 404223003
  text:
    v: Deep venous thrombosis of lower extremity (disorder)
insurance:
  link: http://fhir.ch/ig/ch-lab-order/Coverage/HealthInsuranceCardTobiasTimmermann
  reference:
    v: Coverage/HealthInsuranceCardTobiasTimmermann
specimen:
  link: http://fhir.ch/ig/ch-lab-order/Specimen/Blood-1-tvt
  reference:
    v: Specimen/Blood-1-tvt

1-tvt-ServiceRequest-2
type: ServiceRequest
id:
  v: 1-tvt-ServiceRequest-2
meta:
  profile:
    v: http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-SR
    link: http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-SR
text:
  status:
    v: generated
  div: Generated Narrative: ServiceRequest 1-tvt-ServiceRequest-2 Profile: CH LAB-Order-SR identifier: Placer Identifier/Y274589 basedOn: ServiceRequest: identifier = Placer Identifier: Y274589; status = active; intent = original-order; priority = urgent; reasonCode = Deep venous thrombosis of lower extremity (disorder) status: Active intent: Original Order priority: Urgent code: CBC W Auto Differential panel - Blood subject: Tobias Timmermann Male, DoB: 1984-01-01 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400003) requester: PractitionerRole reasonCode: Deep venous thrombosis of lower extremity (disorder) insurance: Coverage: identifier = Insurance Card Number: 80756011110123400003; status = active; type = Krankenversicherung (obligat.); period = (?) --> 2024-12-31 specimen: Specimen: status = available; type = Blood sample; note = Specimen is grossly lipemic
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
      code:
        v: PLAC
      display:
        v: Placer Identifier
  system:
    v: urn:oid:2.16.756.5.30.1.123.100.2.1.1
  value:
    v: Y274589
based on:
  link: http://fhir.ch/ig/ch-lab-order/ServiceRequest/1-tvt-ServiceRequest-0
  reference:
    v: ServiceRequest/1-tvt-ServiceRequest-0
status:
  v: active
intent:
  v: original-order
priority:
  v: urgent
code:
  coding: https://loinc.org/rdf/57021-8
    system:
      v: http://loinc.org
    code:
      v: 57021-8
    display:
      v: CBC W Auto Differential panel - Blood
subject:
  link: http://fhir.ch/ig/ch-lab-order/Patient/TobiasTimmermann
  reference:
    v: Patient/TobiasTimmermann
requester:
  link: http://fhir.ch/ig/ch-lab-order/PractitionerRole/MarcMustermannGruppenpraxis
  reference:
    v: PractitionerRole/MarcMustermannGruppenpraxis
reason code:
  coding: http://snomed.info/id/404223003
    system:
      v: http://snomed.info/sct
    code:
      v: 404223003
  text:
    v: Deep venous thrombosis of lower extremity (disorder)
insurance:
  link: http://fhir.ch/ig/ch-lab-order/Coverage/HealthInsuranceCardTobiasTimmermann
  reference:
    v: Coverage/HealthInsuranceCardTobiasTimmermann
specimen:
  link: http://fhir.ch/ig/ch-lab-order/Specimen/Blood-1-tvt
  reference:
    v: Specimen/Blood-1-tvt

1-tvt-ServiceRequest-3
type: ServiceRequest
id:
  v: 1-tvt-ServiceRequest-3
meta:
  profile:
    v: http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-SR
    link: http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-SR
text:
  status:
    v: generated
  div: Generated Narrative: ServiceRequest 1-tvt-ServiceRequest-3 Profile: CH LAB-Order-SR identifier: Placer Identifier/Y274589 basedOn: ServiceRequest: identifier = Placer Identifier: Y274589; status = active; intent = original-order; priority = urgent; reasonCode = Deep venous thrombosis of lower extremity (disorder) status: Active intent: Original Order priority: Urgent code: Short Fibrin D-dimer FEU and DDU panel - Platelet poor plasma subject: Tobias Timmermann Male, DoB: 1984-01-01 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400003) requester: PractitionerRole reasonCode: Deep venous thrombosis of lower extremity (disorder) insurance: Coverage: identifier = Insurance Card Number: 80756011110123400003; status = active; type = Krankenversicherung (obligat.); period = (?) --> 2024-12-31 specimen: Specimen: identifier = 48736-55555-75465; accessionIdentifier = 4e88a-66666-dd888; status = available; type = Blood sample; receivedTime = 2023-12-01 16:40:17+0000
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
      code:
        v: PLAC
      display:
        v: Placer Identifier
  system:
    v: urn:oid:2.16.756.5.30.1.123.100.2.1.1
  value:
    v: Y274589
based on:
  link: http://fhir.ch/ig/ch-lab-order/ServiceRequest/1-tvt-ServiceRequest-0
  reference:
    v: ServiceRequest/1-tvt-ServiceRequest-0
status:
  v: active
intent:
  v: original-order
priority:
  v: urgent
code:
  coding: https://loinc.org/rdf/55398-2
    system:
      v: http://loinc.org
    code:
      v: 55398-2
    display:
      v: Short Fibrin D-dimer FEU and DDU panel - Platelet poor plasma
subject:
  link: http://fhir.ch/ig/ch-lab-order/Patient/TobiasTimmermann
  reference:
    v: Patient/TobiasTimmermann
requester:
  link: http://fhir.ch/ig/ch-lab-order/PractitionerRole/MarcMustermannGruppenpraxis
  reference:
    v: PractitionerRole/MarcMustermannGruppenpraxis
reason code:
  coding: http://snomed.info/id/404223003
    system:
      v: http://snomed.info/sct
    code:
      v: 404223003
  text:
    v: Deep venous thrombosis of lower extremity (disorder)
insurance:
  link: http://fhir.ch/ig/ch-lab-order/Coverage/HealthInsuranceCardTobiasTimmermann
  reference:
    v: Coverage/HealthInsuranceCardTobiasTimmermann
specimen:
  link: http://fhir.ch/ig/ch-lab-order/Specimen/Blood-coag-1-tvt
  reference:
    v: Specimen/Blood-coag-1-tvt

1-tvt-ServiceRequest-4
type: ServiceRequest
id:
  v: 1-tvt-ServiceRequest-4
meta:
  profile:
    v: http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-SR
    link: http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-SR
text:
  status:
    v: generated
  div: Generated Narrative: ServiceRequest 1-tvt-ServiceRequest-4 Profile: CH LAB-Order-SR identifier: Placer Identifier/Y274589 basedOn: ServiceRequest: identifier = Placer Identifier: Y274589; status = active; intent = original-order; priority = urgent; reasonCode = Deep venous thrombosis of lower extremity (disorder) status: Active intent: Original Order priority: Urgent code: C reactive protein [Mass/Volume] in Serum or Plasma subject: Tobias Timmermann Male, DoB: 1984-01-01 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400003) requester: PractitionerRole reasonCode: Deep venous thrombosis of lower extremity (disorder) insurance: Coverage: identifier = Insurance Card Number: 80756011110123400003; status = active; type = Krankenversicherung (obligat.); period = (?) --> 2024-12-31 specimen: Serum specimen
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
      code:
        v: PLAC
      display:
        v: Placer Identifier
  system:
    v: urn:oid:2.16.756.5.30.1.123.100.2.1.1
  value:
    v: Y274589
based on:
  link: http://fhir.ch/ig/ch-lab-order/ServiceRequest/1-tvt-ServiceRequest-0
  reference:
    v: ServiceRequest/1-tvt-ServiceRequest-0
status:
  v: active
intent:
  v: original-order
priority:
  v: urgent
code:
  coding: https://loinc.org/rdf/1988-5
    system:
      v: http://loinc.org
    code:
      v: 1988-5
    display:
      v: C reactive protein [Mass/Volume] in Serum or Plasma
subject:
  link: http://fhir.ch/ig/ch-lab-order/Patient/TobiasTimmermann
  reference:
    v: Patient/TobiasTimmermann
requester:
  link: http://fhir.ch/ig/ch-lab-order/PractitionerRole/MarcMustermannGruppenpraxis
  reference:
    v: PractitionerRole/MarcMustermannGruppenpraxis
reason code:
  coding: http://snomed.info/id/404223003
    system:
      v: http://snomed.info/sct
    code:
      v: 404223003
  text:
    v: Deep venous thrombosis of lower extremity (disorder)
insurance:
  link: http://fhir.ch/ig/ch-lab-order/Coverage/HealthInsuranceCardTobiasTimmermann
  reference:
    v: Coverage/HealthInsuranceCardTobiasTimmermann
specimen:
  link: http://fhir.ch/ig/ch-lab-order/Specimen/Serum-1-tvt
  reference:
    v: Specimen/Serum-1-tvt
  display:
    v: Serum specimen

1-tvt-ServiceRequest-5
type: ServiceRequest
id:
  v: 1-tvt-ServiceRequest-5
meta:
  profile:
    v: http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-SR
    link: http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-SR
text:
  status:
    v: generated
  div: Generated Narrative: ServiceRequest 1-tvt-ServiceRequest-5 Profile: CH LAB-Order-SR identifier: Placer Identifier/Y274589 basedOn: ServiceRequest: identifier = Placer Identifier: Y274589; status = active; intent = original-order; priority = urgent; reasonCode = Deep venous thrombosis of lower extremity (disorder) status: Active intent: Original Order priority: Urgent code: 25-Hydroxyvitamin D3+25-Hydroxyvitamin D2 [Mass/volume] in Serum or Plasma subject: Tobias Timmermann Male, DoB: 1984-01-01 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400003) requester: PractitionerRole reasonCode: Limitation of Vit. D Lab Analyse reasonReference: Condition Chronic renal insufficiency (disorder) insurance: Coverage: identifier = Insurance Card Number: 80756011110123400003; status = active; type = Krankenversicherung (obligat.); period = (?) --> 2024-12-31 supportingInfo: Condition Chronic renal insufficiency (disorder) specimen: Serum specimen
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
      code:
        v: PLAC
      display:
        v: Placer Identifier
  system:
    v: urn:oid:2.16.756.5.30.1.123.100.2.1.1
  value:
    v: Y274589
based on:
  link: http://fhir.ch/ig/ch-lab-order/ServiceRequest/1-tvt-ServiceRequest-0
  reference:
    v: ServiceRequest/1-tvt-ServiceRequest-0
status:
  v: active
intent:
  v: original-order
priority:
  v: urgent
code:
  coding: https://loinc.org/rdf/62292-8
    system:
      v: http://loinc.org
    code:
      v: 62292-8
    display:
      v: 25-Hydroxyvitamin D3+25-Hydroxyvitamin D2 [Mass/volume] in Serum or Plasma
subject:
  link: http://fhir.ch/ig/ch-lab-order/Patient/TobiasTimmermann
  reference:
    v: Patient/TobiasTimmermann
requester:
  link: http://fhir.ch/ig/ch-lab-order/PractitionerRole/MarcMustermannGruppenpraxis
  reference:
    v: PractitionerRole/MarcMustermannGruppenpraxis
reason code:
  coding: http://snomed.info/id/723190009
    system:
      v: http://snomed.info/sct
    code:
      v: 723190009
    display:
      v: Chronic renal insufficiency (disorder)
  text:
    v: Limitation of Vit. D Lab Analyse
reason reference:
  link: http://fhir.ch/ig/ch-lab-order/Condition/ConditionRenalInsufficiency
  reference:
    v: Condition/ConditionRenalInsufficiency
insurance:
  link: http://fhir.ch/ig/ch-lab-order/Coverage/HealthInsuranceCardTobiasTimmermann
  reference:
    v: Coverage/HealthInsuranceCardTobiasTimmermann
supporting info:
  link: http://fhir.ch/ig/ch-lab-order/Condition/ConditionRenalInsufficiency
  reference:
    v: Condition/ConditionRenalInsufficiency
specimen:
  link: http://fhir.ch/ig/ch-lab-order/Specimen/Serum-1-tvt
  reference:
    v: Specimen/Serum-1-tvt
  display:
    v: Serum specimen