CH LAB-Order 4-sepsis with ServiceRequest - CH LAB-Order (R4) v3.0.0-ci-build

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 4-sepsis with ServiceRequest

Document Details

Generated Narrative: Bundle Laboratory Order 4-sepsis

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

Profile: CH LAB-Order Document with Service Request

Final Document at 2025-03-05 11:46:09+0200 by PractitionerRole for Sara Speckmann Female, DoB: 1975-12-12 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400006)

Document Subject

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

Document Content

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.

Laboratory Order with Service Request 4-sepsis

Additional Resources Included in Document

Entry 1 - fullUrl = http://example.com/fhir/Composition/4-sepsis-with-sr

Resource Composition:

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.

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

Resource Patient:

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

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

Resource Practitioner:

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

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

Resource Organization:

Generated Narrative: Organization Kantonsspital

Profile: CH Core Organization
identifier: GLN/7601000235503
name: Kantonsspital Zug
contact
telecom: +41 45 334 55 66, info@kantonsspital.zug.ch, http://www.kanstonsspital.zug.ch
address: Seestrasse 14 Postfach 14 Zug 8000 Schweiz (work)

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

Resource PractitionerRole:

Generated Narrative: PractitionerRole HansHauserKantonsspital

Profile: CH Core PractitionerRole
practitioner: Practitioner Hans Hauser (official)
organization: Organization Kantonsspital Zug

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

Resource Practitioner:

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

Entry 7 - fullUrl = http://example.com/fhir/Organization/Gruppenpraxis

Resource Organization:

Generated Narrative: Organization Gruppenpraxis

Profile: CH Core Organization EPR
identifier: GLN/7601000241115
name: Gruppenpraxis Olten
contact
telecom: +41555556677, info@gruppenpraxis.ch, http://www.gruppenpraxis.ch
address: Gerbergasse 12 Olten 4600 CH

Entry 8 - fullUrl = http://example.com/fhir/PractitionerRole/MarcMustermannGruppenpraxis

Resource PractitionerRole:

Generated Narrative: PractitionerRole MarcMustermannGruppenpraxis

Profile: CH Core PractitionerRole
practitioner: Practitioner Marc Mustermann (official)
organization: Organization Gruppenpraxis Olten

Entry 9 - fullUrl = http://example.com/fhir/Practitioner/EvaErlenmeyer

Resource Practitioner:

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

Entry 10 - fullUrl = http://example.com/fhir/Organization/LaborPipette

Resource Organization:

Generated Narrative: Organization LaborPipette

Profile: CH Core Organization
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 11 - fullUrl = http://example.com/fhir/PractitionerRole/EvaErlenmeyerLaborPipette

Resource PractitionerRole:

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

Entry 12 - fullUrl = http://example.com/fhir/Specimen/Blood-bactec-plus-4-sepsis

Resource Specimen:

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 No display for Specimen.collection.bodySite (concept: Structure of superficial vein of left upper limb (body structure))
container
container
note: Each container type contains two blood samples taken 30 minutes apart, so we get 4 vials in total

Entry 13 - fullUrl = http://example.com/fhir/Specimen/Blood-4-sepsis

Resource Specimen:

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 No display for Specimen.collection.bodySite (concept: Structure of superficial vein of left upper limb (body structure))
container
note: Specimen is grossly lipemic

Entry 14 - fullUrl = http://example.com/fhir/Specimen/Serum-4-sepsis

Resource Specimen:

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
container

Entry 15 - fullUrl = http://example.com/fhir/ServiceRequest/4-sepsis-ServiceRequest

Resource ServiceRequest:

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

Entry 16 - fullUrl = http://example.com/fhir/ServiceRequest/4-sepsis-ServiceRequestHbHt

Resource ServiceRequest:

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: No display for ServiceRequest.code (concept: 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
specimen: Specimen: status = available; type = Blood sample; note = Specimen is grossly lipemic

Entry 17 - fullUrl = http://example.com/fhir/ServiceRequest/4-sepsis-ServiceRequestCBCDiff

Resource ServiceRequest:

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: No display for ServiceRequest.code (concept: 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
specimen: Specimen: status = available; type = Blood sample; note = Specimen is grossly lipemic

Entry 18 - fullUrl = http://example.com/fhir/ServiceRequest/4-sepsis-ServiceRequestGrowth

Resource ServiceRequest:

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: No display for ServiceRequest.code (concept: Microorganism preliminary growth detection panel - Blood by Culture)
orderDetail: No display for ServiceRequest.orderDetail ()
subject: Sara Speckmann Female, DoB: 1975-12-12 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400006)
requester: PractitionerRole
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

Entry 19 - fullUrl = http://example.com/fhir/ServiceRequest/4-sepsis-ServiceRequestCRP

Resource ServiceRequest:

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: No display for ServiceRequest.code (concept: 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
specimen: Specimen: identifier = 11111-15394-75465; accessionIdentifier = 22222-bc987-dd888; status = available; type = Serum specimen (specimen); receivedTime = 2023-12-01 16:40:17+0000