CH LAB-Order (R4)
3.0.0 - ci-build Switzerland flag

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 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 3-gyn with ServiceRequest

Document Details

Document Subject

id: MarinaRubella

meta:

identifier: 80756011110123400005

name: MarinaRubella

gender: FEMALE

birthDate: Aug 08, 1992

maritalStatus: verheiratet (Details : {$ech-11-maritalstatus code '2' = '2', given as 'verheiratet'})

Communications

-LanguagePreferred
*Italienisch (Schweiz) (Details : {urn:ietf:bcp:47 code 'it-CH' = 'Italian (Region=Schweiz))true

Document Content

Case study 3

Annual gynaecological check-up

The doctor`s assistent of the gynaecology department in the Olten group practice, Dr Peter Pap, prepares the next day`s consultations. As the practice only has a minimal laboratory of its own, certain patients are sent to the nearby Pipette laboratory outpatient clinic before the appointment, including the young patient Ms Marina Rubella, born 8. 8. 1992. In her practice software, the MPA prescribes the standard analyses agreed with the laboratory for the gynaecological 3-year check-up for patient Rubella. This also includes the Blood sample for the serotonary for any follow-up prescriptions. The laboratory transmits the results to the practice no later than 90 minutes after the Blood sample has been taken. Dr Pap prescribes the following orders during the consultation:

  • Gynaecological cervical cytology: Pap smear - if indicated, detection and typing of HPV (human papilloma virus) should also be performed. Collection material according to the laboratory`s instructions. The cytological examination is carried out in the Pipette laboratory. The Pipette laboratory does not perform the typing itself.
  • Partial urine status (Combur9 test): carried out by the MPA in the practice: the following parameters are examined: pH, leucocytes, erythrocytes, nitrite, protein, glucose, ketones, urobilinogen, bilirubin (semi-quantitative examinations, results are probably entered manually into the practice laboratory system).
  • Urine bacteriology: collection material according to the laboratory`s instructions. General bact, incl. fungi to the laboratory pipette Transmission of the order is triggered by the MPA (collection time)
  • Supplementary order “Screening before pregnancy”: All tests can be carried out from the materials (serum, EDTA Blood) taken in advance in the outpatient clinic (hepatitis-Bc antibodies, HIV 1+2 (Ak+p24), rubella IgG, lues/syphilis screening test)
  • Mammography: Order for the Dr. Curie X-ray Institute.

Laboratory Order with Service Request 3-gyn

Laboratory Order with Service Request 3-gyn

Additional Resources Included in Document

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

Resource Patient:

id: MarinaRubella

meta:

identifier: 80756011110123400005

name: MarinaRubella

gender: FEMALE

birthDate: Aug 08, 1992

maritalStatus: verheiratet (Details : {$ech-11-maritalstatus code '2' = '2', given as 'verheiratet'})

Communications

-LanguagePreferred
*Italienisch (Schweiz) (Details : {urn:ietf:bcp:47 code 'it-CH' = 'Italian (Region=Schweiz))true

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

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

Resource Organization:

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/MarcMustermannGruppenpraxis

Resource PractitionerRole:

practitioner: Practitioner Marc Mustermann (official)

organization: Organization Gruppenpraxis Olten

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

Resource 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 7 - fullUrl = http://example.com/fhir/Organization/LaborPipette

Resource 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 8 - fullUrl = http://example.com/fhir/PractitionerRole/EvaErlenmeyerLaborPipette

Resource 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 9 - fullUrl = http://example.com/fhir/Practitioner/PeterPap

Resource Practitioner:

identifier: GLN/7601003050707, urn:oid:2.16.756.5.30.1.123.100.2.1.1/A000001

name: Peter Pap (Official)

telecom: ph: 032 333 22 40(Work), peter.pap@gruppenpraxis.ch

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

Resource PractitionerRole:

practitioner: Practitioner Peter Pap (official)

organization: Organization Gruppenpraxis Olten

Entry 11 - fullUrl = http://example.com/fhir/Specimen/Cervix-swab

Resource Specimen:

identifier: 48736-12345-12345

accessionIdentifier: 4e88a-12345-aa222

status: Available

type: Combined specimen of cytologic material from endocervix, ectocervix, and vaginal fornix (specimen)

subject: Marina Rubella (official) Female, DoB: 1992-08-08 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400005)

request: ServiceRequest Pap smear tests - FPAR 2.0 set

Collections

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

container

Entry 12 - fullUrl = http://example.com/fhir/Specimen/Blood-gyn

Resource Specimen:

status: Available

type: Blood sample

subject: Marina Rubella (official) Female, DoB: 1992-08-08 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400005)

request: ServiceRequest Obstetric 1996 Pnl Ser+Bld

Collections

-CollectorCollected[x]BodySite
*Practitioner Peter Pap (official)2015-08-16 06:40:17+0000No display for Specimen.collection.bodySite (concept: Structure of superficial vein of left upper limb (body structure))

container

note:

Specimen is grossly lipemic

Entry 13 - fullUrl = http://example.com/fhir/Specimen/Serum-gyn

Resource Specimen:

identifier: 48736-12345-75465

accessionIdentifier: 4e88a-12345-dd888

status: Available

type: Serum specimen (specimen)

subject: Marina Rubella (official) Female, DoB: 1992-08-08 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400005)

request: ServiceRequest Obstetric 1996 Pnl Ser+Bld

Collections

-CollectorCollected[x]BodySiteFastingStatus[x]
*Practitioner Peter Pap (official)2015-08-16 06:40:17+0000No display for Specimen.collection.bodySite (concept: Structure of median cubital vein (body structure))Patient was fasting prior to the procedure.

container

Entry 14 - fullUrl = http://example.com/fhir/Specimen/Urine-gyn

Resource Specimen:

identifier: 11111-15394-75465

accessionIdentifier: 22222-bc987-dd888

status: Available

type: Urine sample

subject: Marina Rubella (official) Female, DoB: 1992-08-08 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400005)

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

request: ServiceRequest Urinalysis dipstick panel - Urine by Automated test strip

Collections

-CollectorCollected[x]
*Practitioner Peter Pap (official)2023-12-01 06:40:17+0000

container

Entry 15 - fullUrl = http://example.com/fhir/ServiceRequest/3-gyn-service-request-smear-test

Resource ServiceRequest:

identifier: Placer Identifier/Y274589

status: Active

intent: Original Order

priority: Routine

code: No display for ServiceRequest.code (concept: Pap smear tests - FPAR 2.0 set)

subject: Marina Rubella (official) Female, DoB: 1992-08-08 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400005)

requester: PractitionerRole

specimen: Specimen: identifier = 48736-12345-12345; accessionIdentifier = 4e88a-12345-aa222; status = available; type = Combined specimen of cytologic material from endocervix, ectocervix, and vaginal fornix (specimen)

Entry 16 - fullUrl = http://example.com/fhir/ServiceRequest/3-gyn-service-request-hpv

Resource ServiceRequest:

identifier: Placer Identifier/Y274589

status: Active

intent: Original Order

priority: Routine

code: No display for ServiceRequest.code (concept: Human papilloma virus 16+18 Ag [Presence] in Cervix)

subject: Marina Rubella (official) Female, DoB: 1992-08-08 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400005)

requester: PractitionerRole

specimen: Specimen: identifier = 48736-12345-12345; accessionIdentifier = 4e88a-12345-aa222; status = available; type = Combined specimen of cytologic material from endocervix, ectocervix, and vaginal fornix (specimen)

Entry 17 - fullUrl = http://example.com/fhir/ServiceRequest/3-gyn-service-request-urine-panel

Resource ServiceRequest:

identifier: Placer Identifier/Y274589

status: Active

intent: Original Order

priority: Routine

code: No display for ServiceRequest.code (concept: Urinalysis dipstick panel - Urine by Automated test strip)

subject: Marina Rubella (official) Female, DoB: 1992-08-08 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400005)

requester: PractitionerRole

specimen: Specimen: identifier = 11111-15394-75465; accessionIdentifier = 22222-bc987-dd888; status = available; type = Urine sample; receivedTime = 2023-12-01 16:40:17+0000

Entry 18 - fullUrl = http://example.com/fhir/ServiceRequest/3-gyn-service-request-obstetric-panel

Resource ServiceRequest:

identifier: Placer Identifier/Y274589

status: Active

intent: Original Order

priority: Routine

code: No display for ServiceRequest.code (concept: Obstetric 1996 Pnl Ser+Bld)

subject: Marina Rubella (official) Female, DoB: 1992-08-08 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400005)

requester: PractitionerRole

specimen: