4-sepsis-document-with-sr
type: Bundle
node role: treeRoot
id:
  v: 4-sepsis-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/4-sepsis-with-sr
  resource: 4-sepsis-with-sr
entry:
  full url:
    v: http://example.com/fhir/Patient/SaraSpeckmann
  resource: SaraSpeckmann
entry:
  full url:
    v: http://example.com/fhir/Practitioner/HansHauser
  resource: HansHauser
entry:
  full url:
    v: http://example.com/fhir/Organization/Kantonsspital
  resource: Kantonsspital
entry:
  full url:
    v: http://example.com/fhir/PractitionerRole/HansHauserKantonsspital
  resource: HansHauserKantonsspital
entry:
  full url:
    v: http://example.com/fhir/Practitioner/MarcMustermann
  resource: MarcMustermann
entry:
  full url:
    v: http://example.com/fhir/Organization/Gruppenpraxis
  resource: Gruppenpraxis
entry:
  full url:
    v: http://example.com/fhir/PractitionerRole/MarcMustermannGruppenpraxis
  resource: MarcMustermannGruppenpraxis
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/Specimen/Blood-bactec-plus-4-sepsis
  resource: Blood-bactec-plus-4-sepsis
entry:
  full url:
    v: http://example.com/fhir/Specimen/Blood-4-sepsis
  resource: Blood-4-sepsis
entry:
  full url:
    v: http://example.com/fhir/Specimen/Serum-4-sepsis
  resource: Serum-4-sepsis
entry:
  full url:
    v: http://example.com/fhir/ServiceRequest/4-sepsis-ServiceRequest
  resource: 4-sepsis-ServiceRequest
entry:
  full url:
    v: http://example.com/fhir/ServiceRequest/4-sepsis-ServiceRequestHbHt
  resource: 4-sepsis-ServiceRequestHbHt
entry:
  full url:
    v: http://example.com/fhir/ServiceRequest/4-sepsis-ServiceRequestCBCDiff
  resource: 4-sepsis-ServiceRequestCBCDiff
entry:
  full url:
    v: http://example.com/fhir/ServiceRequest/4-sepsis-ServiceRequestGrowth
  resource: 4-sepsis-ServiceRequestGrowth
entry:
  full url:
    v: http://example.com/fhir/ServiceRequest/4-sepsis-ServiceRequestCRP
  resource: 4-sepsis-ServiceRequestCRP

4-sepsis-with-sr
type: Composition
id:
  v: 4-sepsis-with-sr
meta:
  version id:
    v: 1
  last updated:
    v: 2021-02-18T17:04:38.520+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: Laboratory Order Case study 4: Suspected sepsis The patient Sara Speckmann, born 12. 12. 1975, has been in the Cantonal Hospital for some time. Last night her general condition deteriorated massively. As there is a suspicion of sepsis, the senior physician in charge, Dr Hans Hauser, orders Blood to be taken from her in the morning for a Blood culture. 30 minutes later, another aerobic and an anaerobic Blood culture is taken, as well as a urine sample. All five samples are further processed in the external laboratory Pipette. There, germs are detected in all materials and then identified by mass spectrometry. The pathogens “Klebsiella pneumoniae” and “Escherichia coli” were detected in the four Blood culture bottles, and the bacterium “Streptococcus mitis” was also detected in one aerobic bottle. The germ identified in the urine sample is normally not pathogenic. An antibiogram is made of all three pathogens detected in the Blood. This shows that the two active substances “amoxicillin+clavulanic acid” and “ceftriaxone” are effective against all three germs. The microbiologist regularly informs Dr Hans Hauser about the various partial results.
extension:
  extension:
    url:
      v: enterer
    value: Reference
      link: http://fhir.ch/ig/ch-lab-order/PractitionerRole/HansHauserKantonsspital
      reference:
        v: PractitionerRole/HansHauserKantonsspital
  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/HansHauserKantonsspital
    reference:
      v: PractitionerRole/HansHauserKantonsspital
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/SaraSpeckmann
    reference:
      v: Patient/SaraSpeckmann
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/SaraSpeckmann
  reference:
    v: Patient/SaraSpeckmann
date:
  v: 2025-03-05T11:46:09+02:00
author:
  link: http://fhir.ch/ig/ch-lab-order/PractitionerRole/HansHauserKantonsspital
  reference:
    v: PractitionerRole/HansHauserKantonsspital
title:
  v: Laboratory Order 4-sepsis
section:
  title:
    v: Laboratory Order with Service Request 4-sepsis
  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 4-sepsis
  entry:
    link: http://fhir.ch/ig/ch-lab-order/ServiceRequest/4-sepsis-ServiceRequest
    reference:
      v: ServiceRequest/4-sepsis-ServiceRequest
  entry:
    link: http://fhir.ch/ig/ch-lab-order/ServiceRequest/4-sepsis-ServiceRequestHbHt
    reference:
      v: ServiceRequest/4-sepsis-ServiceRequestHbHt
  entry:
    link: http://fhir.ch/ig/ch-lab-order/ServiceRequest/4-sepsis-ServiceRequestCBCDiff
    reference:
      v: ServiceRequest/4-sepsis-ServiceRequestCBCDiff
  entry:
    link: http://fhir.ch/ig/ch-lab-order/ServiceRequest/4-sepsis-ServiceRequestCRP
    reference:
      v: ServiceRequest/4-sepsis-ServiceRequestCRP
  entry:
    link: http://fhir.ch/ig/ch-lab-order/ServiceRequest/4-sepsis-ServiceRequestGrowth
    reference:
      v: ServiceRequest/4-sepsis-ServiceRequestGrowth

SaraSpeckmann
type: Patient
id:
  v: SaraSpeckmann
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: 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
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
  value: Address
    city:
      v: Aarau
    country:
      v: Schweiz
extension:
  url:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeoforigin
  value: Address
    city:
      v: Lenzburg
    state:
      v: AG
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/patient-religion
  value: CodeableConcept
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ReligiousAffiliation
      code:
        v: 1025
      display:
        v: Jehovah's Witnesses
identifier:
  system:
    v: urn:oid:2.16.756.5.30.1.123.100.1.1.1
  value:
    v: 80756011110123400006
name:
  family:
    v: Speckmann
  given:
    v: Sara
telecom:
  system:
    v: phone
  value:
    v: +41 64 888 45 67
  use:
    v: home
telecom:
  system:
    v: email
gender:
  v: female
birth date:
  v: 1975-12-12
marital status:
  coding:
    system:
      v: http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus
    code:
      v: 2
    display:
      v: verheiratet
communication:
  language:
    coding:
      system:
        v: urn:ietf:bcp:47
      code:
        v: de-CH
    text:
      v: Deutsch (Schweiz)
  preferred:
    v: true

HansHauser
type: Practitioner
id:
  v: HansHauser
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 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
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: Hauser
  given:
    v: Hans
  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: 038 888 22 11
  use:
    v: work
telecom:
  system:
    v: email
  use:
    v: work

Kantonsspital
type: Organization
id:
  v: Kantonsspital
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 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)
identifier:
  system:
    v: urn:oid:2.51.1.3
  value:
    v: 7601000235503
name:
  v: Kantonsspital Zug
telecom:
  system:
    v: phone
  value:
    v: +41 45 334 55 66
  use:
    v: work
telecom:
  system:
    v: email
  use:
    v: work
telecom:
  system:
    v: url
  value:
    v: http://www.kanstonsspital.zug.ch
  use:
    v: work
address:
  use:
    v: work
  line:
    v: Seestrasse 14
  line:
    v: Postfach 14
  city:
    v: Zug
  postal code:
    v: 8000
  country:
    v: Schweiz

HansHauserKantonsspital
type: PractitionerRole
id:
  v: HansHauserKantonsspital
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 HansHauserKantonsspital Profile: CH Core PractitionerRole practitioner: Practitioner Hans Hauser (official) organization: Organization Kantonsspital Zug
practitioner:
  link: http://fhir.ch/ig/ch-lab-order/Practitioner/HansHauser
  reference:
    v: Practitioner/HansHauser
organization:
  link: http://fhir.ch/ig/ch-lab-order/Organization/Kantonsspital
  reference:
    v: Organization/Kantonsspital

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

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

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

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

Blood-bactec-plus-4-sepsis
type: Specimen
id:
  v: Blood-bactec-plus-4-sepsis
text:
  status:
    v: generated
  div: 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
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/SaraSpeckmann
  reference:
    v: Patient/SaraSpeckmann
request:
  link: http://fhir.ch/ig/ch-lab-order/ServiceRequest/4-sepsis-ServiceRequest
  reference:
    v: ServiceRequest/4-sepsis-ServiceRequest
collection:
  collector:
    link: http://fhir.ch/ig/ch-lab-order/Practitioner/HansHauser
    reference:
      v: Practitioner/HansHauser
  collected: Period
    start:
      v: 2025-03-16T06:20:17Z
    end:
      v: 2025-03-16T06:50:17Z
  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:
  description:
    v: Two BACTEC™ PLUS Aerobic/F Culture Vial, cap color: grey-blue
  type:
    coding: http://snomed.info/id/767385003
      system:
        v: http://snomed.info/sct
      code:
        v: 767385003
      display:
        v: Aerobic blood culture bottle (physical object)
container:
  description:
    v: Two BACTEC™ PLUS Anaerobic/F Culture Vial, cap color: purple
  type:
    coding: http://snomed.info/id/767383005
      system:
        v: http://snomed.info/sct
      code:
        v: 767383005
      display:
        v: Anaerobic blood culture bottle (physical object)
note:
  text:
    v: Each container type contains two blood samples taken 30 minutes apart, so we get 4 vials in total

Blood-4-sepsis
type: Specimen
id:
  v: Blood-4-sepsis
text:
  status:
    v: generated
  div: 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
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/SaraSpeckmann
  reference:
    v: Patient/SaraSpeckmann
request:
  link: http://fhir.ch/ig/ch-lab-order/ServiceRequest/4-sepsis-ServiceRequest
  reference:
    v: ServiceRequest/4-sepsis-ServiceRequest
collection:
  collector:
    link: http://fhir.ch/ig/ch-lab-order/Practitioner/HansHauser
    reference:
      v: Practitioner/HansHauser
  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

Serum-4-sepsis
type: Specimen
id:
  v: Serum-4-sepsis
text:
  status:
    v: generated
  div: 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)
identifier:
  value:
    v: 11111-15394-75465
accession identifier:
  value:
    v: 22222-bc987-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/SaraSpeckmann
  reference:
    v: Patient/SaraSpeckmann
received time:
  v: 2023-12-01T16:40:17Z
request:
  link: http://fhir.ch/ig/ch-lab-order/ServiceRequest/4-sepsis-ServiceRequest
  reference:
    v: ServiceRequest/4-sepsis-ServiceRequest
collection:
  collector:
    link: http://fhir.ch/ig/ch-lab-order/Practitioner/HansHauser
    reference:
      v: Practitioner/HansHauser
  collected: dateTime
    v: 2023-12-01T06:40:17Z
container:
  type:
    coding: http://snomed.info/id/706053007
      system:
        v: http://snomed.info/sct
      code:
        v: 706053007
      display:
        v: General specimen container (physical object)

4-sepsis-ServiceRequest
type: ServiceRequest
id:
  v: 4-sepsis-ServiceRequest
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 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)
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/SaraSpeckmann
  reference:
    v: Patient/SaraSpeckmann
requester:
  link: http://fhir.ch/ig/ch-lab-order/PractitionerRole/HansHauserKantonsspital
  reference:
    v: PractitionerRole/HansHauserKantonsspital
reason code:
  coding: http://snomed.info/id/870441004
    system:
      v: http://snomed.info/sct
    code:
      v: 870441004
  text:
    v: Screening for sepsis (procedure)

4-sepsis-ServiceRequestHbHt
type: ServiceRequest
id:
  v: 4-sepsis-ServiceRequestHbHt
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 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
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/4-sepsis-ServiceRequest
  reference:
    v: ServiceRequest/4-sepsis-ServiceRequest
status:
  v: active
intent:
  v: original-order
priority:
  v: urgent
code:
  coding: https://loinc.org/rdf/24360-0
    system:
      v: http://loinc.org
    code:
      v: 24360-0
    display:
      v: Hemoglobin and Hematocrit panel - Blood
subject:
  link: http://fhir.ch/ig/ch-lab-order/Patient/SaraSpeckmann
  reference:
    v: Patient/SaraSpeckmann
requester:
  link: http://fhir.ch/ig/ch-lab-order/PractitionerRole/HansHauserKantonsspital
  reference:
    v: PractitionerRole/HansHauserKantonsspital
reason code:
  coding: http://snomed.info/id/870441004
    system:
      v: http://snomed.info/sct
    code:
      v: 870441004
  text:
    v: Screening for sepsis (procedure)
specimen:
  link: http://fhir.ch/ig/ch-lab-order/Specimen/Blood-4-sepsis
  reference:
    v: Specimen/Blood-4-sepsis

4-sepsis-ServiceRequestCBCDiff
type: ServiceRequest
id:
  v: 4-sepsis-ServiceRequestCBCDiff
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 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
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/4-sepsis-ServiceRequest
  reference:
    v: ServiceRequest/4-sepsis-ServiceRequest
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/SaraSpeckmann
  reference:
    v: Patient/SaraSpeckmann
requester:
  link: http://fhir.ch/ig/ch-lab-order/PractitionerRole/HansHauserKantonsspital
  reference:
    v: PractitionerRole/HansHauserKantonsspital
reason code:
  coding: http://snomed.info/id/870441004
    system:
      v: http://snomed.info/sct
    code:
      v: 870441004
  text:
    v: Screening for sepsis (procedure)
specimen:
  link: http://fhir.ch/ig/ch-lab-order/Specimen/Blood-4-sepsis
  reference:
    v: Specimen/Blood-4-sepsis

4-sepsis-ServiceRequestGrowth
type: ServiceRequest
id:
  v: 4-sepsis-ServiceRequestGrowth
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 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
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/4-sepsis-ServiceRequest
  reference:
    v: ServiceRequest/4-sepsis-ServiceRequest
status:
  v: active
intent:
  v: original-order
priority:
  v: urgent
code:
  coding: https://loinc.org/rdf/90423-5
    system:
      v: http://loinc.org
    code:
      v: 90423-5
    display:
      v: Microorganism preliminary growth detection panel - Blood by Culture
order detail:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v2-0119
    code:
      v: NW
    display:
      v: New order/service
subject:
  link: http://fhir.ch/ig/ch-lab-order/Patient/SaraSpeckmann
  reference:
    v: Patient/SaraSpeckmann
requester:
  link: http://fhir.ch/ig/ch-lab-order/PractitionerRole/HansHauserKantonsspital
  reference:
    v: PractitionerRole/HansHauserKantonsspital
reason code:
  coding: http://snomed.info/id/870441004
    system:
      v: http://snomed.info/sct
    code:
      v: 870441004
  text:
    v: Screening for sepsis (procedure)
specimen:
  link: http://fhir.ch/ig/ch-lab-order/Specimen/Blood-bactec-plus-4-sepsis
  reference:
    v: Specimen/Blood-bactec-plus-4-sepsis

4-sepsis-ServiceRequestCRP
type: ServiceRequest
id:
  v: 4-sepsis-ServiceRequestCRP
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 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
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/4-sepsis-ServiceRequest
  reference:
    v: ServiceRequest/4-sepsis-ServiceRequest
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/SaraSpeckmann
  reference:
    v: Patient/SaraSpeckmann
requester:
  link: http://fhir.ch/ig/ch-lab-order/PractitionerRole/HansHauserKantonsspital
  reference:
    v: PractitionerRole/HansHauserKantonsspital
reason code:
  coding: http://snomed.info/id/870441004
    system:
      v: http://snomed.info/sct
    code:
      v: 870441004
  text:
    v: Screening for sepsis (procedure)
specimen:
  link: http://fhir.ch/ig/ch-lab-order/Specimen/Serum-4-sepsis
  reference:
    v: Specimen/Serum-4-sepsis