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 1.7.0-ci-build 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

: 51aDoc - Susceptibility: Variant with 'hasMember' - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "51aDoc-Susceptibility",
  "identifier" : {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:uuid:7bb4d082-a40f-4771-b062-2851af2f7b7de"
  },
  "type" : "document",
  "timestamp" : "2023-09-10T12:00:00+02:00",
  "entry" : [
    {
      "fullUrl" : "http://test.fhir.ch/r4/Composition/51aComp-Susceptibility",
      "resource" : {
        "resourceType" : "Composition",
        "id" : "51aComp-Susceptibility",
        "language" : "de-CH",
        "identifier" : {
          "system" : "urn:ietf:rfc:3986",
          "value" : "urn:uuid:7bb4d082-a40f-4771-b062-2851af2f7b7de"
        },
        "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-001"
        },
        "date" : "2023-09-10T12:00:00+02:00",
        "author" : [
          {
            🔗 "reference" : "Organization/1Org-Labor"
          }
        ],
        "title" : "Laborbericht vom 10.09.2023",
        "section" : [
          {
            "title" : "Resistenztestung",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "18769-0",
                  "display" : "Microbial susceptibility tests Set"
                }
              ]
            },
            "entry" : [
              {
                "reference" : "Observation/51aObs-Susceptibility"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/DiagnosticReport/51aDR-Susceptibility",
      "resource" : {
        "resourceType" : "DiagnosticReport",
        "id" : "51aDR-Susceptibility",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition",
            "valueReference" : {
              "reference" : "Composition/51aComp-Susceptibility"
            }
          }
        ],
        "identifier" : [
          {
            "system" : "urn:ietf:rfc:3986",
            "value" : "urn:uuid:7bb4d082-a40f-4771-b062-2851af2f7b7de"
          }
        ],
        "basedOn" : [
          {
            "reference" : "ServiceRequest/51aSR-Susceptibility"
          }
        ],
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "11502-2",
              "display" : "Laboratory report"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/Pat-001"
        },
        "performer" : [
          {
            🔗 "reference" : "Organization/1Org-Labor"
          }
        ],
        "specimen" : [
          {
            "reference" : "Specimen/51aSpec-Susceptibility"
          }
        ],
        "result" : [
          {
            "reference" : "Observation/51aObs-Susceptibility"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Patient/Pat-001",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "Pat-001",
        "identifier" : [
          {
            "system" : "urn:oid:2.16.756.5.32",
            "value" : "7562295883070"
          }
        ],
        "name" : [
          {
            "family" : "M",
            "given" : [
              "D"
            ]
          }
        ],
        "gender" : "male",
        "birthDate" : "1960-08-22",
        "address" : [
          {
            "use" : "home",
            "city" : "Bern",
            "state" : "BE",
            "postalCode" : "3000",
            "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/51aObs-Susceptibility",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "51aObs-Susceptibility",
        "status" : "final",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                "code" : "laboratory",
                "display" : "Laboratory"
              }
            ]
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "29579-0",
              "display" : "Mycobacterial susceptibility panel by Method for Slow-growing mycobacteria"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/Pat-001"
        },
        "effectiveDateTime" : "2023-09-10T14:20:00+02:00",
        "performer" : [
          {
            🔗 "reference" : "Organization/1Org-Labor"
          }
        ],
        "specimen" : {
          "reference" : "Specimen/51aSpec-Susceptibility"
        },
        "hasMember" : [
          {
            "reference" : "Observation/51aObs-Susceptibility-Ethambutol"
          },
          {
            "reference" : "Observation/51aObs-Susceptibility-Isoniazid"
          },
          {
            "reference" : "Observation/51aObs-Susceptibility-Streptomycin"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Observation/51aObs-Susceptibility-Ethambutol",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "51aObs-Susceptibility-Ethambutol",
        "status" : "final",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                "code" : "laboratory",
                "display" : "Laboratory"
              }
            ]
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "20381-0",
              "display" : "Ethambutol [Susceptibility] by Method for Slow-growing mycobacteria"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/Pat-001"
        },
        "effectiveDateTime" : "2023-09-10T14:20:00+02:00",
        "performer" : [
          {
            🔗 "reference" : "Organization/1Org-Labor"
          }
        ],
        "valueQuantity" : {
          "value" : 5,
          "unit" : "milligram per liter",
          "system" : "http://unitsofmeasure.org",
          "code" : "mg/L"
        },
        "interpretation" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code" : "S",
                "display" : "Susceptible"
              }
            ]
          }
        ],
        "specimen" : {
          "reference" : "Specimen/51aSpec-Susceptibility"
        }
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Observation/51aObs-Susceptibility-Isoniazid",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "51aObs-Susceptibility-Isoniazid",
        "status" : "final",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                "code" : "laboratory",
                "display" : "Laboratory"
              }
            ]
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "20383-6",
              "display" : "Isoniazid [Susceptibility] by Method for Slow-growing mycobacteria"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/Pat-001"
        },
        "effectiveDateTime" : "2023-09-10T14:20:00+02:00",
        "performer" : [
          {
            🔗 "reference" : "Organization/1Org-Labor"
          }
        ],
        "valueQuantity" : {
          "value" : 0.1,
          "unit" : "milligram per liter",
          "system" : "http://unitsofmeasure.org",
          "code" : "mg/L"
        },
        "interpretation" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code" : "R",
                "display" : "Resistant"
              }
            ]
          }
        ],
        "specimen" : {
          "reference" : "Specimen/51aSpec-Susceptibility"
        }
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Observation/51aObs-Susceptibility-Streptomycin",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "51aObs-Susceptibility-Streptomycin",
        "status" : "final",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                "code" : "laboratory",
                "display" : "Laboratory"
              }
            ]
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "20462-8",
              "display" : "Streptomycin [Susceptibility] by Method for Slow-growing mycobacteria"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/Pat-001"
        },
        "effectiveDateTime" : "2023-09-10T14:20:00+02:00",
        "performer" : [
          {
            🔗 "reference" : "Organization/1Org-Labor"
          }
        ],
        "valueQuantity" : {
          "value" : 20,
          "unit" : "milligram per liter",
          "system" : "http://unitsofmeasure.org",
          "code" : "mg/L"
        },
        "interpretation" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code" : "S",
                "display" : "Susceptible"
              }
            ]
          }
        ],
        "specimen" : {
          "reference" : "Specimen/51aSpec-Susceptibility"
        }
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Specimen/51aSpec-Susceptibility",
      "resource" : {
        "resourceType" : "Specimen",
        "id" : "51aSpec-Susceptibility",
        "type" : {
          "text" : "Material declared by Observation.code or non-mandatory"
        },
        "subject" : {
          🔗 "reference" : "Patient/Pat-001"
        },
        "collection" : {
          "collectedDateTime" : "2023-09-08"
        }
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/ServiceRequest/51aSR-Susceptibility",
      "resource" : {
        "resourceType" : "ServiceRequest",
        "id" : "51aSR-Susceptibility",
        "identifier" : [
          {
            "value" : "26500923622"
          }
        ],
        "status" : "completed",
        "intent" : "order",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "29579-0",
              "display" : "Mycobacterial susceptibility panel by Method for Slow-growing mycobacteria"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/Pat-001"
        },
        "requester" : {
          🔗 "reference" : "PractitionerRole/PR-PeterHauser"
        },
        "specimen" : [
          {
            "reference" : "Specimen/51aSpec-Susceptibility"
          }
        ]
      }
    },
    {
      "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/PR-PeterHauser",
      "resource" : {
        "resourceType" : "PractitionerRole",
        "id" : "PR-PeterHauser",
        "practitioner" : {
          🔗 "reference" : "Practitioner/Pract-PeterHauser"
        },
        "organization" : {
          🔗 "reference" : "Organization/Org-PeterHauser"
        }
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Practitioner/Pract-PeterHauser",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "Pract-PeterHauser",
        "identifier" : [
          {
            "system" : "urn:oid:2.51.1.3",
            "value" : "7601000000514"
          }
        ],
        "name" : [
          {
            "family" : "Hauser",
            "given" : [
              "Peter"
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "email",
            "value" : "peter.hauser@hauserpraxis.ch"
          },
          {
            "system" : "phone",
            "value" : "+41 79 222 33 44"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://test.fhir.ch/r4/Organization/Org-PeterHauser",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "Org-PeterHauser",
        "identifier" : [
          {
            "system" : "urn:oid:2.16.756.5.45",
            "value" : "A74966168"
          }
        ],
        "name" : "Praxis Dr. Hauser",
        "address" : [
          {
            "line" : [
              "Hauptstrasse 10"
            ],
            "_line" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
                    "valueString" : "Hauptstrasse"
                  },
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
                    "valueString" : "10"
                  }
                ]
              }
            ],
            "city" : "Solothurn",
            "postalCode" : "4500"
          }
        ]
      }
    }
  ]
}