CH ELM (R4)
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CH ELM (R4), published by Federal Office of Public Health FOPH. This guide is not an authorized publication; it is the continuous build for version 1.8.0-cibuild built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/ahdis/ch-elm/ and changes regularly. See the Directory of published versions

: 3Doc - Carbapenemase-producing Enterobacteriaceae (CPE) - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "3Doc-CPE",
  "identifier" : {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:uuid:1301332d-6012-443f-9690-72913db2e3cc"
  },
  "type" : "document",
  "timestamp" : "2023-08-05T11:30:00+02:00",
  "entry" : [
    {
      "fullUrl" : "http://test.fhir.ch/r4/Composition/3Comp-CPE",
      "resource" : {
        "resourceType" : "Composition",
        "id" : "3Comp-CPE",
        "language" : "de-CH",
        "identifier" : {
          "system" : "urn:ietf:rfc:3986",
          "value" : "urn:uuid:1301332d-6012-443f-9690-72913db2e3cc"
        },
        "status" : "final",
        "type" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "version" : "http://snomed.info/sct/2011000195101",
              "code" : "4241000179101",
              "display" : "Laborbericht"
            },
            {
              "system" : "http://loinc.org",
              "code" : "11502-2",
              "display" : "Laboratory report"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/Pat-002"
        },
        "date" : "2023-08-05T11:30:00+02:00",
        "author" : [
          {
            🔗 "reference" : "Organization/1Org-Labor"
          }
        ],
        "title" : "Laborbericht vom 05.08.2023",
        "section" : [
          {
            "title" : "Analyseergebnisse der mikrobiologischen Untersuchung",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "18725-2",
                  "display" : "Microbiology studies (set)"
                }
              ]
            },
            "entry" : [
              {
                "reference" : "Observation/3Obs-CPE"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/DiagnosticReport/3DR-CPE",
      "resource" : {
        "resourceType" : "DiagnosticReport",
        "id" : "3DR-CPE",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition",
            "valueReference" : {
              "reference" : "Composition/3Comp-CPE"
            }
          }
        ],
        "identifier" : [
          {
            "system" : "urn:ietf:rfc:3986",
            "value" : "urn:uuid:1301332d-6012-443f-9690-72913db2e3cc"
          }
        ],
        "basedOn" : [
          {
            "reference" : "ServiceRequest/3SR-Order"
          }
        ],
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "11502-2",
              "display" : "Laboratory report"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/Pat-002"
        },
        "performer" : [
          {
            🔗 "reference" : "Organization/1Org-Labor"
          }
        ],
        "specimen" : [
          {
            "reference" : "Specimen/3Spec-Specimen"
          }
        ],
        "result" : [
          {
            "reference" : "Observation/3Obs-CPE"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Patient/Pat-002",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "Pat-002",
        "identifier" : [
          {
            "system" : "urn:oid:2.16.756.5.32",
            "value" : "7561234567897"
          }
        ],
        "name" : [
          {
            "family" : "F",
            "given" : [
              "H"
            ]
          }
        ],
        "gender" : "female",
        "birthDate" : "1985-10-17",
        "address" : [
          {
            "use" : "home",
            "city" : "Derendingen",
            "state" : "SO",
            "postalCode" : "4552",
            "country" : "CH",
            "_country" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding",
                  "valueCoding" : {
                    "system" : "urn:iso:std:iso:3166",
                    "code" : "CH"
                  }
                }
              ]
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Observation/3Obs-CPE",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "3Obs-CPE",
        "status" : "final",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                "code" : "laboratory",
                "display" : "Laboratory"
              }
            ]
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "85827-4",
              "display" : "Carbapenem resistance bla OXA-48-like gene [Presence] by Molecular method"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/Pat-002"
        },
        "effectiveDateTime" : "2023-08-04T08:25:00+02:00",
        "performer" : [
          {
            🔗 "reference" : "Organization/1Org-Labor"
          }
        ],
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "56415008",
              "display" : "Klebsiella pneumoniae (organism)"
            }
          ]
        },
        "interpretation" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code" : "POS",
                "display" : "Positive"
              }
            ]
          }
        ],
        "specimen" : {
          "reference" : "Specimen/3Spec-Specimen"
        }
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Specimen/3Spec-Specimen",
      "resource" : {
        "resourceType" : "Specimen",
        "id" : "3Spec-Specimen",
        "subject" : {
          "reference" : "Patient/Pat-002"
        },
        "collection" : {
          "collectedDateTime" : "2023-08-01"
        }
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/ServiceRequest/3SR-Order",
      "resource" : {
        "resourceType" : "ServiceRequest",
        "id" : "3SR-Order",
        "identifier" : [
          {
            "value" : "34854112365"
          }
        ],
        "status" : "completed",
        "intent" : "order",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "85827-4",
              "display" : "Carbapenem resistance bla OXA-48-like gene [Presence] by Molecular method"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/Pat-002"
        },
        "requester" : {
          🔗 "reference" : "PractitionerRole/1PR-KsAbc"
        },
        "specimen" : [
          {
            "reference" : "Specimen/3Spec-Specimen"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Organization/1Org-Labor",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "1Org-Labor",
        "identifier" : [
          {
            "system" : "urn:oid:2.51.1.3",
            "value" : "7601002331470"
          }
        ],
        "name" : "SanLab"
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/PractitionerRole/1PR-KsAbc",
      "resource" : {
        "resourceType" : "PractitionerRole",
        "id" : "1PR-KsAbc",
        "practitioner" : {
          🔗 "reference" : "Practitioner/1Pract-KsAbc"
        },
        "organization" : {
          🔗 "reference" : "Organization/1Org-KsAbc"
        }
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Practitioner/1Pract-KsAbc",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "1Pract-KsAbc",
        "identifier" : [
          {
            "system" : "urn:oid:2.51.1.3",
            "value" : "7601000234438"
          },
          {
            "system" : "urn:oid:2.16.756.5.30.1.123.100.2.1.1",
            "value" : "Y604801"
          }
        ],
        "name" : [
          {
            "family" : "Giacometti",
            "given" : [
              "Monika"
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "email",
            "value" : "m.giacometti@ks-abc.ch"
          },
          {
            "system" : "phone",
            "value" : "+41 79 111 44 55"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Organization/1Org-KsAbc",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "1Org-KsAbc",
        "extension" : [
          {
            "url" : "http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-ext-department",
            "valueString" : "Abteilung 2"
          }
        ],
        "identifier" : [
          {
            "system" : "urn:oid:2.16.756.5.45",
            "value" : "A99684215"
          }
        ],
        "name" : "Kantonsspital ABC",
        "address" : [
          {
            "line" : [
              "Aortastrasse 22"
            ],
            "_line" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
                    "valueString" : "Aortastrasse"
                  },
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
                    "valueString" : "22"
                  },
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox",
                    "valueString" : "18"
                  }
                ]
              }
            ],
            "city" : "Bern",
            "postalCode" : "3000"
          }
        ]
      }
    }
  ]
}