CH LAB-Order 6-histopath with ServiceRequest and Form

CH LAB-Order (R4), published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 2.0.0 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 6-histopath with ServiceRequest and Form

Document Details

Generated Narrative: Bundle Pathologieauftrag

version: versionId: id (PrimitiveType/Bundle.meta.versionId): native = id -> 1; Last updated: 2019-04-01 20:18:41+0000

Profile: CH ORF Document

Final Document at 2019-03-31 11:46:09+0200 by PractitionerRole for Simone Studer (official) Female, DoB: 1992-01-08 ( Medical record number)

Document Subject

Document Content

Case study 6

Suspected Melanoma, order for histopathology examination

A 45-year-old female patient Simone Studer came for her regular skin check to the Arztpraxis of Dermatologist Armin Ahrens, and this lesion was noted: Junctions nevi consisting of seborrheic area top end and atypical network constructed of many seperate dots, structures , etc , suggesting melanocytic involvement. Excision. Attachement of dermatoscopic images Specimen: 29 x 11 x 5 mm skin ellipse Body Site: Back paralumbar left

The skin sample, including the order form and the dermatoscopic image are sent to the laboratory.

Order-Referral-Form 6-histopath

Additional Resources Included in Document

Entry 1 - fullUrl = http://example.com/fhir/Composition/6-histopath-composition-with-sr-and-form

Resource Composition:

Case study 6
Suspected Melanoma, order for histopathology examination
A 45-year-old female patient Simone Studer came for her regular skin check to the Arztpraxis of Dermatologist Armin Ahrens, and this lesion was noted: Junctions nevi consisting of seborrheic area top end and atypical network constructed of many seperate dots, structures , etc , suggesting melanocytic involvement. Excision. Attachement of dermatoscopic images Specimen: 29 x 11 x 5 mm skin ellipse Body Site: Back paralumbar left
The skin sample, including the order form and the dermatoscopic image are sent to the laboratory.

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

Resource Patient:

id: SimoneStuder
meta:
identifier: 012/08.111113
name: SimoneStuder
gender: FEMALE
birthDate: Jan 08, 1992
maritalStatus: verheiratet (Details : {$ech-11-maritalstatus code '2' = '2', given as 'verheiratet'})
Communications
- Language Preferred
* Italienisch (Schweiz) (Details : {urn:ietf:bcp:47 code 'it-CH' = 'Italian (Region=Schweiz)) true

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

Resource Practitioner:

Generated Narrative: Practitioner ArminAhrens

identifier: GLN/7601000050700, urn:oid:2.16.756.5.30.1.123.100.2.1.1/A123309
name: Armin Ahrens (Official)
telecom: ph: 033 123 22 11(Work), armin.ahrens@arztpraxis.ch
Qualifications
- Code
* Dermatology and venereology

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

Resource Organization:

Generated Narrative: Organization Arztpraxis

identifier: GLN/7601000235503
name: Arztpraxis Messen
contact
telecom: +41555545566, info@arztpraxis.ch, http://www.arztpraxis.ch
address: Doktorgasse 2 Messen 3254 CH

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

Resource PractitionerRole:

Generated Narrative: PractitionerRole ArminAhrensArztpraxis

practitioner: Practitioner Armin Ahrens (official)
organization: Organization Arztpraxis Messen

Entry 6 - 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/A123303
name: Peter Presto (Official)
telecom: ph: 032 333 22 33(Work), peter.presto@arztpraxis.ch

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

Resource PractitionerRole:

Generated Narrative: PractitionerRole PeterPrestoGruppenpraxis

practitioner: Practitioner Peter Presto (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/A123315
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/A123444
practitioner: Practitioner Eva Erlenmeyer (official)
organization: Organization Labor Pipette

Entry 11 - fullUrl = http://example.com/fhir/Coverage/HealthInsuranceCardSimoneStuder

Resource Coverage:

Generated Narrative: Coverage HealthInsuranceCardSimoneStuder

identifier: Insurance Card Number/B123456780
status: Active
type: According to KVG
subscriber: Simone Studer (official) Female, DoB: 1992-01-08 ( Medical record number)
beneficiary: Simone Studer (official) Female, DoB: 1992-01-08 ( Medical record number)
period: ?? --> 2024-12-31

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

Resource Specimen:

Generated Narrative: Specimen Skin

identifier: 48736-12345-75465
accessionIdentifier: 4e99a-12345-dd333
status: Available
type: 29 x 11 x 5 mm skin ellipse
subject: Simone Studer (official) Female, DoB: 1992-01-08 ( Medical record number)
request: ServiceRequest Pathology study
Collections
- Collector Collected[x] BodySite
* PractitionerRole 2015-08-16 06:40:17+0000 No display for Specimen.collection.bodySite
concept: Entire skin of lumbar region of back (body structure)
container

Entry 13 - fullUrl = http://example.com/fhir/DiagnosticReport/skin-dermatoscopy

Resource DiagnosticReport:

Generated Narrative: DiagnosticReport skin-dermatoscopy

Dermatoscopy of skin, Diagnostic Report (Pathology)
Subject No display for Patient
When For 2017-03-02
Reported 2017-03-15 08:13:08+0000
Performer Marc Mustermann, Arztpraxis
Identifier https://www.acmeonline.com/P44444444
Report Details

Entry 14 - fullUrl = http://example.com/fhir/Media/skin-dermatoskopy-image

Resource DocumentReference:

Generated Narrative: DocumentReference skin-dermatoskopy-image

Entry 15 - fullUrl = http://example.com/fhir/Questionnaire/6-histopath

Resource Questionnaire:

Generated Narrative: Questionnaire 6-histopath

version: versionId: id (PrimitiveType/Bundle.entry[14].resource.meta.versionId): native = id -> 1; Last updated: 2023-06-06 20:17:53+0000
Profiles: CH ORF Questionnaire, SDCBaseQuestionnaire, Extractable Questionnaire - StructureMap

Entry 16 - fullUrl = http://example.com/fhir/QuestionnaireResponse/6-histopath

Resource QuestionnaireResponse:

Generated Narrative: QuestionnaireResponse 6-histopath
version: versionId: id (PrimitiveType/Bundle.entry[15].resource.meta.versionId): native = id -> 1; Last updated: 2023-06-06 17:04:38+0000
Profile: CH ORF QuestionnaireResponse
LinkID Text Definition Answer
6-histopath Questionnaire:Lab Order Form Example 6-histopath

order Auftrag

order.placerOrderIdentifier Auftragsnummer des Auftraggebers 123

order.placerOrderIdentifierDomain Identifier Domain der Auftragsnummer des Auftraggebers urn:oid:2.16.756.5.30

order.precedentDocumentIdentifier Identifier des Vorgängerdokuments 1622f2fb-6ba3-4532-9aed-35b158def187

order.notificationContactDocument Dringender Benachrichtigungskontakt für dieses Dokument

order.notificationContactDocument.practitioner Zu benachrichtigende Person

order.notificationContactDocument.practitioner.title Titel Dr. med.

order.notificationContactDocument.practitioner.familyName Name Erlenmeyer

order.notificationContactDocument.practitioner.givenName Vorname Eva

order.notificationContactDocument.practitioner.phone Telefon 033 444 55 66

order.notificationContactDocument.practitioner.email E-Mail eva.erlenmeyer@labor-pipette.ch

order.notificationContactDocumentResponse Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument

order.notificationContactDocumentResponse.practitioner Zu benachrichtigende Person

order.notificationContactDocumentResponse.practitioner.title Titel Dr. med.

order.notificationContactDocumentResponse.practitioner.familyName Name Ahrens

order.notificationContactDocumentResponse.practitioner.givenName Vorname Armin

order.notificationContactDocumentResponse.practitioner.phone Telefon 033 444 55 66

order.notificationContactDocumentResponse.practitioner.email E-Mail armin.ahrens@arztpraxis.ch

order.priority Auftragspriorität RequestPriority routine: Routine

receiver Empfänger

receiver.practitioner Empfangende Person

receiver.practitioner.title Titel Dr. med.

receiver.practitioner.familyName Name Erlenmeyer

receiver.practitioner.givenName Vorname Eva

receiver.practitioner.gln GLN 7601000050703

receiver.practitioner.phone Telefon +41322552525

receiver.practitioner.email E-Mail eva.erlenmeyer@labor-pipette.ch

receiver.organization Empfangende Organisation

receiver.organization.name Name der Organisation Labor Pipette

receiver.organization.streetAddressLine Strasse, Hausnummer, Postfach etc.

receiver.organization.postalCode PLZ 4600

receiver.organization.city Ort Olten

receiver.organization.country Land Schweiz

patient Patient

patient.familyName Name Guggindieluft

patient.maidenName Ledigname Bering

patient.givenName Vorname Hans

patient.localPid Lokale Patienten-ID 11.22.33.5678

patient.birthDate Geburtsdatum 1981-01-01

patient.gender Geschlecht AdministrativeGender male: Male

patient.maritalStatus Zivilstand eCH-011 MaritalStatus 5: unverheiratet

patient.phone Telefon 079 979 79 79

patient.email E-Mail erika@musterfrau.ch

patient.streetAddressLine Strasse, Hausnummer, Postfach etc.

patient.postalCode PLZ 8000

patient.city Ort Zürich

patient.country Land Schweiz

sender Absender

sender.author Verantwortlicher

sender.author.practitioner Verantwortliche Person

sender.author.practitioner.title Titel Dr. med.

sender.author.practitioner.familyName Name Ahrens

sender.author.practitioner.givenName Vorname Armin

sender.author.practitioner.gln GLN 7601000034321

sender.author.practitioner.zsr ZSR A123309

sender.author.practitioner.phone Telefon 033 123 22 11

sender.author.practitioner.email E-Mail armin.ahrens@arztpraxis.ch

sender.author.organization Verantwortliche Organisation

sender.author.organization.name Name der Organisation Gruppenpraxis

sender.author.organization.streetAddressLine Strasse, Hausnummer, Postfach etc.

sender.author.organization.postalCode PLZ 4600

sender.author.organization.city Ort Olten

sender.author.organization.country Land Schweiz

sender.dataenterer Erfasser

sender.dataenterer.practitioner Erfassende Person

sender.dataenterer.practitioner.familyName Name Ahrens

sender.dataenterer.practitioner.givenName Vorname Armin

sender.dataenterer.practitioner.phone Telefon 033 123 22 11

sender.dataenterer.practitioner.email E-Mail armin.ahrens@arztpraxis.ch

receiverCopies Kopieempfänger

receiverCopy Kopieempfangende Organisation oder Person

receiverCopy.organization.name Name der Organisation Praxis Seeblick

receiverCopy.title Titel Dr. med.

receiverCopy.familyName Name Meier

receiverCopy.givenName Vorname Sabine

receiverCopy.phone Telefon 044 333 22 11

receiverCopy.email E-Mail sabine.meier@praxisseeblick.ch

receiverCopy Kopieempfangende Organisation oder Person

receiverCopy.familyName Name Meier

receiverCopy.givenName Vorname Sabine

receiverCopy.phone Telefon 044 333 22 11

receiverCopy.email E-Mail sabine.meier@praxis.ch

receiverCopy.streetAddressLine Strasse, Hausnummer, Postfach etc.

receiverCopy.postalCode PLZ 6330

receiverCopy.city Ort Cham

receiverCopy.country Land Schweiz

labSpecialties Labor Sparten

labSpecialties.pathology Pathology true

labSpecialties.pathology.panels Pathology Panels

labSpecialties.pathology.panels.Autopsy Autopsy report false

labSpecialties.pathology.panels.PathologyStudy Pathology Study false

labSpecialties.pathology.panels.SurgicalPathologyStudy Surgical pathology study true

Documentation for this format

LinkID	Text	Answer
6-histopath		Questionnaire:Lab Order Form Example 6-histopath
order	Auftrag
order.placerOrderIdentifier	Auftragsnummer des Auftraggebers	123
order.placerOrderIdentifierDomain	Identifier Domain der Auftragsnummer des Auftraggebers	urn:oid:2.16.756.5.30
order.precedentDocumentIdentifier	Identifier des Vorgängerdokuments	1622f2fb-6ba3-4532-9aed-35b158def187
order.notificationContactDocument	Dringender Benachrichtigungskontakt für dieses Dokument
order.notificationContactDocument.practitioner	Zu benachrichtigende Person
order.notificationContactDocument.practitioner.title	Titel	Dr. med.
order.notificationContactDocument.practitioner.familyName	Name	Erlenmeyer
order.notificationContactDocument.practitioner.givenName	Vorname	Eva
order.notificationContactDocument.practitioner.phone	Telefon	033 444 55 66
order.notificationContactDocument.practitioner.email	E-Mail	eva.erlenmeyer@labor-pipette.ch
order.notificationContactDocumentResponse	Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument
order.notificationContactDocumentResponse.practitioner	Zu benachrichtigende Person
order.notificationContactDocumentResponse.practitioner.title	Titel	Dr. med.
order.notificationContactDocumentResponse.practitioner.familyName	Name	Ahrens
order.notificationContactDocumentResponse.practitioner.givenName	Vorname	Armin
order.notificationContactDocumentResponse.practitioner.phone	Telefon	033 444 55 66
order.notificationContactDocumentResponse.practitioner.email	E-Mail	armin.ahrens@arztpraxis.ch
order.priority	Auftragspriorität	RequestPriority routine: Routine
receiver	Empfänger
receiver.practitioner	Empfangende Person
receiver.practitioner.title	Titel	Dr. med.
receiver.practitioner.familyName	Name	Erlenmeyer
receiver.practitioner.givenName	Vorname	Eva
receiver.practitioner.gln	GLN	7601000050703
receiver.practitioner.phone	Telefon	+41322552525
receiver.practitioner.email	E-Mail	eva.erlenmeyer@labor-pipette.ch
receiver.organization	Empfangende Organisation
receiver.organization.name	Name der Organisation	Labor Pipette
receiver.organization.streetAddressLine	Strasse, Hausnummer, Postfach etc.
receiver.organization.postalCode	PLZ	4600
receiver.organization.city	Ort	Olten
receiver.organization.country	Land	Schweiz
patient	Patient
patient.familyName	Name	Guggindieluft
patient.maidenName	Ledigname	Bering
patient.givenName	Vorname	Hans
patient.localPid	Lokale Patienten-ID	11.22.33.5678
patient.birthDate	Geburtsdatum	1981-01-01
patient.gender	Geschlecht	AdministrativeGender male: Male
patient.maritalStatus	Zivilstand	eCH-011 MaritalStatus 5: unverheiratet
patient.phone	Telefon	079 979 79 79
patient.email	E-Mail	erika@musterfrau.ch
patient.streetAddressLine	Strasse, Hausnummer, Postfach etc.
patient.postalCode	PLZ	8000
patient.city	Ort	Zürich
patient.country	Land	Schweiz
sender	Absender
sender.author	Verantwortlicher
sender.author.practitioner	Verantwortliche Person
sender.author.practitioner.title	Titel	Dr. med.
sender.author.practitioner.familyName	Name	Ahrens
sender.author.practitioner.givenName	Vorname	Armin
sender.author.practitioner.gln	GLN	7601000034321
sender.author.practitioner.zsr	ZSR	A123309
sender.author.practitioner.phone	Telefon	033 123 22 11
sender.author.practitioner.email	E-Mail	armin.ahrens@arztpraxis.ch
sender.author.organization	Verantwortliche Organisation
sender.author.organization.name	Name der Organisation	Gruppenpraxis
sender.author.organization.streetAddressLine	Strasse, Hausnummer, Postfach etc.
sender.author.organization.postalCode	PLZ	4600
sender.author.organization.city	Ort	Olten
sender.author.organization.country	Land	Schweiz
sender.dataenterer	Erfasser
sender.dataenterer.practitioner	Erfassende Person
sender.dataenterer.practitioner.familyName	Name	Ahrens
sender.dataenterer.practitioner.givenName	Vorname	Armin
sender.dataenterer.practitioner.phone	Telefon	033 123 22 11
sender.dataenterer.practitioner.email	E-Mail	armin.ahrens@arztpraxis.ch
receiverCopies	Kopieempfänger
receiverCopy	Kopieempfangende Organisation oder Person
receiverCopy.organization.name	Name der Organisation	Praxis Seeblick
receiverCopy.title	Titel	Dr. med.
receiverCopy.familyName	Name	Meier
receiverCopy.givenName	Vorname	Sabine
receiverCopy.phone	Telefon	044 333 22 11
receiverCopy.email	E-Mail	sabine.meier@praxisseeblick.ch
receiverCopy	Kopieempfangende Organisation oder Person
receiverCopy.familyName	Name	Meier
receiverCopy.givenName	Vorname	Sabine
receiverCopy.phone	Telefon	044 333 22 11
receiverCopy.email	E-Mail	sabine.meier@praxis.ch
receiverCopy.streetAddressLine	Strasse, Hausnummer, Postfach etc.
receiverCopy.postalCode	PLZ	6330
receiverCopy.city	Ort	Cham
receiverCopy.country	Land	Schweiz
labSpecialties	Labor Sparten
labSpecialties.pathology	Pathology	true
labSpecialties.pathology.panels	Pathology Panels
labSpecialties.pathology.panels.Autopsy	Autopsy report	false
labSpecialties.pathology.panels.PathologyStudy	Pathology Study	false
labSpecialties.pathology.panels.SurgicalPathologyStudy	Surgical pathology study	true
Documentation for this format

Entry 17 - fullUrl = http://example.com/fhir/ServiceRequest/6-histopath-service-request

Resource ServiceRequest:

Generated Narrative: ServiceRequest 6-histopath-service-request

identifier: Placer Identifier/123
status: Active
intent: Original Order
priority: Urgent
code: No display for ServiceRequest.code
concept: Pathology study
subject: Simone Studer (official) Female, DoB: 1992-01-08 ( Medical record number)
requester: PractitionerRole
insurance: Coverage: identifier = Insurance Card Number; status = active; type = According to KVG; period = (?) --> 2024-12-31
specimen: Skin specimen