CH LAB-Order (R4)
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CH LAB-Order (R4), published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 3.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7ch/ch-lab-order/ and changes regularly. See the Directory of published versions

Example Bundle: CH LAB-Order 2-pertussis with ServiceRequest

Document Details

Generated Narrative: Bundle Laboratory Order 2-pertussis with Service Request

version: 1; Last updated: 2019-04-01 20:18:41+0000

Profile: CH LAB-Order Document with Service Request

Final Document at 2020-03-31 11:46:09+0200 by PractitionerRole for Emil Kummer Male, DoB: 2017-05-05 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400004)


Document Subject

id: EmilKummer

meta:

identifier: 80756011110123400004

name: Emil Kummer

gender: MALE

birthDate: May 05, 2014

maritalStatus: ledig (Details : {$ech-11-maritalstatus code '1' = '1', given as 'ledig'})

Communications

-LanguagePreferred
*Deutsch (Schweiz) (Details : {urn:ietf:bcp:47 code 'de-CH' = 'German (Region=Schweiz))true

Document Content

Case study 2

Suspicion of whooping cough

A mother visits the family doctor Peter Presto of the Olten group practice with her 6-year-old son Emil Kummer, born 5 May 2014, because the child has been coughing increasingly for a fortnight, with cramping cough attacks, and has a fever. The doctor`s receptionist measures the fever, takes a fingertip Blood sample from the son, determines the CRP and prepares a Blood smear. The doctor suspects a viral infection, but wants to rule out whooping cough, although the child has been vaccinated against it. As he is under time pressure due to an emergency, he does not want to do the necessary throat swab himself, but asks the mother to accompany the child to the nearby laboratory to have the swab done in peace. He prepares a laboratory order to carry out a pertussis PCR on the child`s throat swab and gives the order to the mother. The mother herself is not sure whether she herself has been vaccinated against pertussis. Consequently, the family doctor Peter Presto gives her the pertussis vaccination right away and recommends that the same be done for the child`s father and grandparents. In the meantime, the MPA has looked at the son`s Blood smear under the microscope and finds a lot of reactive lymphocytes, which seem suspicious to her. She is unsure and asks the doctor, who gives the order to give the child`s Blood smears to the mother and also to have them examined more closely in the laboratory. The mother arrives at the laboratory with her son, where the doctor`s order is first to establish the son`s identity. Then a pharyngeal swab and a right cubital venepuncture are taken from the child in the laboratory`s Blood collection room and passed on to the laboratory together with the Blood smears and the doctor`s examination order.


Laboratory Order with Service Request 2-pertussis

Laboratory Order with Service Request 2-pertussis

Additional Resources Included in Document


Entry 1 - fullUrl = http://example.com/fhir/Composition/2-pertussis-with-sr

Resource Composition:

Case study 2

Suspicion of whooping cough

A mother visits the family doctor Peter Presto of the Olten group practice with her 6-year-old son Emil Kummer, born 5 May 2014, because the child has been coughing increasingly for a fortnight, with cramping cough attacks, and has a fever. The doctor`s receptionist measures the fever, takes a fingertip Blood sample from the son, determines the CRP and prepares a Blood smear. The doctor suspects a viral infection, but wants to rule out whooping cough, although the child has been vaccinated against it. As he is under time pressure due to an emergency, he does not want to do the necessary throat swab himself, but asks the mother to accompany the child to the nearby laboratory to have the swab done in peace. He prepares a laboratory order to carry out a pertussis PCR on the child`s throat swab and gives the order to the mother. The mother herself is not sure whether she herself has been vaccinated against pertussis. Consequently, the family doctor Peter Presto gives her the pertussis vaccination right away and recommends that the same be done for the child`s father and grandparents. In the meantime, the MPA has looked at the son`s Blood smear under the microscope and finds a lot of reactive lymphocytes, which seem suspicious to her. She is unsure and asks the doctor, who gives the order to give the child`s Blood smears to the mother and also to have them examined more closely in the laboratory. The mother arrives at the laboratory with her son, where the doctor`s order is first to establish the son`s identity. Then a pharyngeal swab and a right cubital venepuncture are taken from the child in the laboratory`s Blood collection room and passed on to the laboratory together with the Blood smears and the doctor`s examination order.


Entry 2 - fullUrl = http://example.com/fhir/Patient/EmilKummer

Resource Patient:

id: EmilKummer

meta:

identifier: 80756011110123400004

name: Emil Kummer

gender: MALE

birthDate: May 05, 2014

maritalStatus: ledig (Details : {$ech-11-maritalstatus code '1' = '1', given as 'ledig'})

Communications

-LanguagePreferred
*Deutsch (Schweiz) (Details : {urn:ietf:bcp:47 code 'de-CH' = 'German (Region=Schweiz))true

Entry 3 - fullUrl = http://example.com/fhir/Practitioner/PeterPresto

Resource Practitioner:

Generated Narrative: Practitioner PeterPresto

identifier: GLN/7601022050702, urn:oid:2.16.756.5.30.1.123.100.2.1.1/L248519

name: Peter Presto (Official)

telecom: ph: 032 333 22 33(Work), peter.presto@arztpraxis.ch


Entry 4 - fullUrl = http://example.com/fhir/Organization/Gruppenpraxis

Resource Organization:

Generated Narrative: Organization Gruppenpraxis

identifier: GLN/7601000241115

name: Gruppenpraxis Olten

contact

telecom: +41555556677, info@gruppenpraxis.ch, http://www.gruppenpraxis.ch

address: Gerbergasse 12 Olten 4600 CH


Entry 5 - fullUrl = http://example.com/fhir/PractitionerRole/PeterPrestoGruppenpraxis

Resource PractitionerRole:

Generated Narrative: PractitionerRole PeterPrestoGruppenpraxis

practitioner: Practitioner Peter Presto (official)

organization: Organization Gruppenpraxis Olten


Entry 6 - fullUrl = http://example.com/fhir/Practitioner/MarcMustermann

Resource Practitioner:

Generated Narrative: Practitioner MarcMustermann

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


Entry 7 - fullUrl = http://example.com/fhir/PractitionerRole/MarcMustermannGruppenpraxis

Resource PractitionerRole:

Generated Narrative: PractitionerRole MarcMustermannGruppenpraxis

practitioner: Practitioner Marc Mustermann (official)

organization: Organization Gruppenpraxis Olten


Entry 8 - fullUrl = http://example.com/fhir/Practitioner/EvaErlenmeyer

Resource Practitioner:

Generated Narrative: Practitioner EvaErlenmeyer

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


Entry 9 - fullUrl = http://example.com/fhir/Organization/LaborPipette

Resource Organization:

Generated Narrative: Organization LaborPipette

identifier: GLN/7601000234407

name: Labor Pipette

contact

telecom: +41223345566, info@labor-pipette.ch, http://www.labor-pipette.ch

address: Laborstrasse 23 Olten 4600 CH


Entry 10 - fullUrl = http://example.com/fhir/PractitionerRole/EvaErlenmeyerLaborPipette

Resource PractitionerRole:

Generated Narrative: PractitionerRole EvaErlenmeyerLaborPipette

identifier: urn:oid:2.16.756.5.30.1.123.100.2.1.1/K333333

practitioner: Practitioner Eva Erlenmeyer (official)

organization: Organization Labor Pipette


Entry 11 - fullUrl = http://example.com/fhir/Specimen/Serum-2-pertussis

Resource Specimen:

Generated Narrative: Specimen Serum-2-pertussis

identifier: 48736-12345-75465

accessionIdentifier: 4e88a-12345-dd888

status: Available

type: Serum specimen (specimen)

subject: Emil Kummer Male, DoB: 2017-05-05 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400004)

Collections

-CollectorCollected[x]
*Practitioner Peter Presto (official)2015-08-16 06:40:17+0000

container


Entry 12 - fullUrl = http://example.com/fhir/Specimen/ThroatSwab-2-pertussis

Resource Specimen:

Generated Narrative: Specimen ThroatSwab-2-pertussis

identifier: 48736-222333-75465

accessionIdentifier: 4e88a-bc987-dd888

status: Available

type: Throat swab (specimen)

subject: Emil Kummer Male, DoB: 2017-05-05 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400004)

receivedTime: 2023-12-01 16:40:17+0000

request: ServiceRequest Respiratory disease screening (procedure)

Collections

-CollectorCollected[x]MethodBodySite
*Practitioner Peter Presto (official)2023-12-01 06:40:17+0000Oral swab (specimen)No display for Specimen.collection.bodySite (concept: Entire throat (surface region of neck) (body structure))

container

note: Some notes to Sample


Entry 13 - fullUrl = http://example.com/fhir/Specimen/Blood-2-pertussis

Resource Specimen:

Generated Narrative: Specimen Blood-2-pertussis

status: Available

type: Blood sample

subject: Emil Kummer Male, DoB: 2017-05-05 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400004)

Collections

-CollectorCollected[x]BodySite
*Practitioner Peter Presto (official)2015-08-16 06:40:17+0000No display for Specimen.collection.bodySite (concept: Structure of capillary of skin (body structure))

container


Entry 14 - fullUrl = http://example.com/fhir/ServiceRequest/2-pertussis-ServiceRequest

Resource ServiceRequest:

Generated Narrative: ServiceRequest 2-pertussis-ServiceRequest

identifier: Placer Identifier/Y274589

status: Active

intent: Original Order

priority: Urgent

code: No display for ServiceRequest.code (concept: Respiratory disease screening (procedure))

orderDetail: No display for ServiceRequest.orderDetail ()

subject: Emil Kummer Male, DoB: 2017-05-05 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400004)

requester: PractitionerRole


Entry 15 - fullUrl = http://example.com/fhir/ServiceRequest/2-pertussis-ServiceRequestCBC

Resource ServiceRequest:

Generated Narrative: ServiceRequest 2-pertussis-ServiceRequestCBC

identifier: Placer Identifier/Y274589

basedOn: ServiceRequest Respiratory disease screening (procedure)

status: Active

intent: Original Order

priority: Urgent

code: No display for ServiceRequest.code (concept: CBC panel - Blood by Automated count)

orderDetail: No display for ServiceRequest.orderDetail ()

subject: Emil Kummer Male, DoB: 2017-05-05 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400004)

requester: PractitionerRole

specimen: Specimen: status = available; type = Blood sample


Entry 16 - fullUrl = http://example.com/fhir/ServiceRequest/2-pertussis-ServiceRequestCRP

Resource ServiceRequest:

Generated Narrative: ServiceRequest 2-pertussis-ServiceRequestCRP

identifier: Placer Identifier/Y274589

basedOn: ServiceRequest Respiratory disease screening (procedure)

status: Active

intent: Original Order

priority: Urgent

code: No display for ServiceRequest.code (concept: CBC panel - Blood by Automated count)

orderDetail: No display for ServiceRequest.orderDetail ()

subject: Emil Kummer Male, DoB: 2017-05-05 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400004)

requester: PractitionerRole

specimen: Specimen: identifier = 48736-12345-75465; accessionIdentifier = 4e88a-12345-dd888; status = available; type = Serum specimen (specimen)


Entry 17 - fullUrl = http://example.com/fhir/ServiceRequest/2-pertussis-ServiceRequestAddTest

Resource ServiceRequest:

Generated Narrative: ServiceRequest 2-pertussis-ServiceRequestAddTest

identifier: Placer Identifier/Y274589

basedOn: ServiceRequest Respiratory disease screening (procedure)

status: Active

intent: Order

priority: Urgent

code: No display for ServiceRequest.code (concept: Bordetella pertussis and Bordetella parapertussis DNA panel - Nasopharynx)

orderDetail: No display for ServiceRequest.orderDetail ()

subject: Emil Kummer Male, DoB: 2017-05-05 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400004)

requester: PractitionerRole

specimen: Specimen: identifier = 48736-222333-75465; accessionIdentifier = 4e88a-bc987-dd888; status = available; type = Throat swab (specimen); receivedTime = 2023-12-01 16:40:17+0000; note = Some notes to Sample