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 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

: Renal Insufficiency Panel: Laboratory Order Document - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "LabOrderDocument",
  "meta" : {
    "profile" : [
      🔗 "http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-document-with-sr"
    ]
  },
  "identifier" : {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:uuid:bc4715e6-c46d-4794-a379-b809f24ef05d"
  },
  "type" : "document",
  "timestamp" : "2025-03-05T12:00:00Z",
  "entry" : [
    {
      "fullUrl" : "urn:uuid:1b7b58b1-b952-4190-a0e0-59b4936573a5",
      "resource" : {
        "resourceType" : "Composition",
        "id" : "1b7b58b1-b952-4190-a0e0-59b4936573a5",
        "meta" : {
          "versionId" : "1",
          "lastUpdated" : "2022-10-20T17:04:38.520+00:00",
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-composition-with-sr"
          ]
        },
        "text" : {
          "status" : "additional",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div>Case study Chronic Renal Insufficiency</div><div><h3>Order for Renal Insufficiency Panel</h3><p>Urs Schmid suffers from a chronic renal insufficiency. His doctor wants to determine the stage for further action.</p></div></div>"
        },
        "extension" : [
          {
            "extension" : [
              {
                "url" : "enterer",
                "valueReference" : {
                  "reference" : "urn:uuid:1301bc1f-9d23-4529-b30d-f1a0e792823c"
                }
              }
            ],
            "url" : "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer"
          },
          {
            "url" : "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactfortheresponsetothisdocument",
            "valueReference" : {
              "reference" : "urn:uuid:1301bc1f-9d23-4529-b30d-f1a0e792823c"
            }
          },
          {
            "url" : "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-copyreceiver",
            "valueReference" : {
              "reference" : "urn:uuid:b82ca08b-9476-44a7-9893-74adbe93ab54"
            }
          }
        ],
        "status" : "final",
        "type" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "721965002",
              "display" : "Laboratory order (record artifact)"
            }
          ]
        },
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "721963009",
                "display" : "Order (record artifact)"
              }
            ]
          }
        ],
        "subject" : {
          "reference" : "urn:uuid:b82ca08b-9476-44a7-9893-74adbe93ab54"
        },
        "date" : "2025-03-05T12:00:00Z",
        "author" : [
          {
            "reference" : "urn:uuid:1301bc1f-9d23-4529-b30d-f1a0e792823c"
          }
        ],
        "title" : "CH LAB-Order Renal Insufficiency Panel Document",
        "section" : [
          {
            "title" : "Laboratory Order by Service Request for Renal Insufficiency Panel",
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "721963009",
                  "display" : "Order (record artifact)"
                }
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Laboratory Order: Composition containing the needed Service Requests, estimated GFR and Albumin/Creatinine Ratio</div>"
            },
            "entry" : [
              {
                "reference" : "urn:uuid:248f80c7-3d8c-4aa1-8eb6-53bcbb6c9bec"
              },
              {
                "reference" : "urn:uuid:9ed971bb-247d-446a-80fb-f6aa7eaf374b"
              },
              {
                "reference" : "urn:uuid:87c6a2f7-981d-469e-a5f5-e5ecf6286207"
              },
              {
                "reference" : "urn:uuid:62dd8013-6145-4bbb-8588-b172caaa13af"
              },
              {
                "reference" : "urn:uuid:d1be525d-a58c-410e-9dfb-aef46ce6f0fa"
              },
              {
                "reference" : "urn:uuid:5d616c75-34c9-47f0-8e15-2df623755c41"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:b82ca08b-9476-44a7-9893-74adbe93ab54",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "UrsSchmid",
        "meta" : {
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient"
          ]
        },
        "text" : {
          "status" : "additional",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>id</b>: Urs Schmid</p><p><b>meta</b>:</p><p><b>identifier</b>: 012/08.111111</p><p><b>name</b>: Urs Schmid</p><p><b>gender</b>: MALE</p><p><b>birthDate</b>: Jan 01, 1981</p><p><b>maritalStatus</b>: unverheiratet <span style=\"background: LightGoldenRodYellow\">(Details : {$ech-11-maritalstatus code '5' = '5', given as 'unverheiratet'})</span></p><h3>Communications</h3><table class=\"grid\"><tr><td>-</td><td><b>Language</b></td><td><b>Preferred</b></td></tr><tr><td>*</td><td>Deutsch (Schweiz) <span style=\"background: LightGoldenRodYellow\">(Details : {urn:ietf:bcp:47 code 'de-CH' = 'German (Region=Schweiz))</span></td><td>true</td></tr></table></div>"
        },
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
            "valueAddress" : {
              "city" : "Zürich",
              "country" : "Schweiz"
            }
          },
          {
            "url" : "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeoforigin",
            "valueAddress" : {
              "city" : "Breitenbach",
              "state" : "BL"
            }
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/patient-religion",
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v3-ReligiousAffiliation",
                  "code" : "1007",
                  "display" : "Atheism"
                }
              ]
            }
          }
        ],
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "MR"
                }
              ]
            },
            "system" : "urn:oid:2.16.756.5.30.999999.1",
            "value" : "012/08.111111"
          }
        ],
        "name" : [
          {
            "family" : "Guggindieluft",
            "given" : [
              "Hans"
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "079 979 79 79",
            "use" : "home"
          },
          {
            "system" : "email",
            "value" : "urs.schmid@example.ch"
          }
        ],
        "gender" : "male",
        "birthDate" : "1981-01-01",
        "maritalStatus" : {
          "coding" : [
            {
              "system" : "http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus",
              "code" : "5",
              "display" : "unverheiratet"
            }
          ]
        },
        "communication" : [
          {
            "language" : {
              "coding" : [
                {
                  "system" : "urn:ietf:bcp:47",
                  "code" : "de-CH"
                }
              ],
              "text" : "Deutsch (Schweiz)"
            },
            "preferred" : true
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:d6917aad-86bd-4bb6-af13-795372344206",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "EstherMeier",
        "meta" : {
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_EstherMeier\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner EstherMeier</b></p><a name=\"EstherMeier\"> </a><a name=\"hcEstherMeier\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"https://build.fhir.org/ig/hl7ch/ch-core/StructureDefinition-ch-core-practitioner.html\">CH Core Practitioner</a></p></div><p><b>identifier</b>: <a href=\"https://www.gs1.org/standards/id-keys/gln\" title=\"Global Location Number\">GLN</a>/7601000050700, <code>urn:oid:2.16.756.5.30.1.123.100.2.1.1</code>/L248519</p><p><b>name</b>: Esther Meier (Official)</p><p><b>telecom</b>: ph: 033 444 22 11(Work), <a href=\"mailto:esther.meier@gruppenpraxisolten.ch\">esther.meier@gruppenpraxisolten.ch</a></p></div>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:2.51.1.3",
            "value" : "7601000050700"
          },
          {
            "system" : "urn:oid:2.16.756.5.30.1.123.100.2.1.1",
            "value" : "L248519"
          }
        ],
        "name" : [
          {
            "use" : "official",
            "family" : "Meier",
            "given" : [
              "Esther"
            ],
            "prefix" : [
              "Dr. med."
            ],
            "_prefix" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier",
                    "valueCode" : "AC"
                  }
                ]
              }
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "033 444 22 11",
            "use" : "work"
          },
          {
            "system" : "email",
            "value" : "esther.meier@gruppenpraxisolten.ch",
            "use" : "work"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:1301bc1f-9d23-4529-b30d-f1a0e792823c",
      "resource" : {
        "resourceType" : "PractitionerRole",
        "id" : "EstherMeierGruppenpraxisOlten",
        "meta" : {
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"PractitionerRole_EstherMeierGruppenpraxisOlten\"> </a><p class=\"res-header-id\"><b>Generated Narrative: PractitionerRole EstherMeierGruppenpraxisOlten</b></p><a name=\"EstherMeierGruppenpraxisOlten\"> </a><a name=\"hcEstherMeierGruppenpraxisOlten\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"https://build.fhir.org/ig/hl7ch/ch-core/StructureDefinition-ch-core-practitionerrole.html\">CH Core PractitionerRole</a></p></div><p><b>practitioner</b>: <a href=\"Bundle-LabOrderDocument.html#urn-uuid-d6917aad-86bd-4bb6-af13-795372344206\">Bundle: identifier = UUID:bc4715e6-c46d-4794-a379-b809f24ef05d; type = document; timestamp = 2025-03-05 12:00:00+0000</a></p><p><b>organization</b>: <a href=\"Bundle-LabOrderDocument.html#urn-uuid-9c8584fb-6a33-4ec9-bacd-489c5e1e6bb0\">Bundle: identifier = UUID:bc4715e6-c46d-4794-a379-b809f24ef05d; type = document; timestamp = 2025-03-05 12:00:00+0000</a></p></div>"
        },
        "practitioner" : {
          "reference" : "urn:uuid:d6917aad-86bd-4bb6-af13-795372344206"
        },
        "organization" : {
          "reference" : "urn:uuid:9c8584fb-6a33-4ec9-bacd-489c5e1e6bb0"
        }
      }
    },
    {
      "fullUrl" : "urn:uuid:9c8584fb-6a33-4ec9-bacd-489c5e1e6bb0",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "GruppenpraxisOlten",
        "meta" : {
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization-epr"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_GruppenpraxisOlten\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization GruppenpraxisOlten</b></p><a name=\"GruppenpraxisOlten\"> </a><a name=\"hcGruppenpraxisOlten\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"https://build.fhir.org/ig/hl7ch/ch-core/StructureDefinition-ch-core-organization-epr.html\">CH Core Organization EPR</a></p></div><p><b>identifier</b>: <a href=\"https://www.gs1.org/standards/id-keys/gln\" title=\"Global Location Number\">GLN</a>/7601000241115</p><p><b>name</b>: Gruppenpraxis Olten</p><p><b>telecom</b>: <a href=\"tel:+41555556677\">+41555556677</a>, <a href=\"mailto:info@gruppenpraxisolten.ch\">info@gruppenpraxisolten.ch</a>, <a href=\"http://www.gruppenpraxisolten.ch\">http://www.gruppenpraxisolten.ch</a></p><p><b>address</b>: Gerbergasse 12 Olten 4600 CH </p></div>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:2.51.1.3",
            "value" : "7601000241115"
          }
        ],
        "name" : "Gruppenpraxis Olten",
        "telecom" : [
          {
            "system" : "phone",
            "value" : "+41555556677",
            "use" : "work"
          },
          {
            "system" : "email",
            "value" : "info@gruppenpraxisolten.ch",
            "use" : "work"
          },
          {
            "system" : "url",
            "value" : "http://www.gruppenpraxisolten.ch",
            "use" : "work"
          }
        ],
        "address" : [
          {
            "line" : [
              "Gerbergasse 12"
            ],
            "city" : "Olten",
            "postalCode" : "4600",
            "country" : "CH"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:248f80c7-3d8c-4aa1-8eb6-53bcbb6c9bec",
      "resource" : {
        "resourceType" : "ServiceRequest",
        "id" : "ServiceRequestRenalInsufficiencyPanel",
        "meta" : {
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-SR"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_ServiceRequestRenalInsufficiencyPanel\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest ServiceRequestRenalInsufficiencyPanel</b></p><a name=\"ServiceRequestRenalInsufficiencyPanel\"> </a><a name=\"hcServiceRequestRenalInsufficiencyPanel\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-lab-order-SR.html\">CH LAB-Order-SR</a></p></div><p><b>identifier</b>: Placer Identifier/Y274589</p><p><b>instantiatesCanonical</b>: <a href=\"PlanDefinition-LabServiceRenalInsufficiency.html\">Renal Insufficiency Lab Panel</a></p><p><b>requisition</b>: Placer Identifier/ReqID-123456789</p><p><b>status</b>: Active</p><p><b>intent</b>: Original Order</p><p><b>priority</b>: Urgent</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org LP31398-8}\">Renal function</span></p><p><b>orderDetail</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0119 NW}\">Order Control code</span></p><p><b>subject</b>: <a href=\"Bundle-LabOrderDocument.html#urn-uuid-b82ca08b-9476-44a7-9893-74adbe93ab54\">Bundle: identifier = UUID:bc4715e6-c46d-4794-a379-b809f24ef05d; type = document; timestamp = 2025-03-05 12:00:00+0000</a></p><p><b>requester</b>: <a href=\"Bundle-LabOrderDocument.html#urn-uuid-1301bc1f-9d23-4529-b30d-f1a0e792823c\">Bundle: identifier = UUID:bc4715e6-c46d-4794-a379-b809f24ef05d; type = document; timestamp = 2025-03-05 12:00:00+0000</a></p><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 90688005}\">Chronic renal failure syndrome (disorder)</span></p></div>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "PLAC",
                  "display" : "Placer Identifier"
                }
              ]
            },
            "system" : "urn:oid:2.16.756.5.30.1.123.100.2.1.1",
            "value" : "Y274589"
          }
        ],
        "instantiatesCanonical" : [
          🔗 "http://fhir.ch/ig/ch-lab-order/PlanDefinition/LabServiceRenalInsufficiency"
        ],
        "requisition" : {
          "type" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "PLAC",
                "display" : "Placer Identifier"
              }
            ]
          },
          "system" : "http://example.org/placer-system/req-nr",
          "value" : "ReqID-123456789"
        },
        "status" : "active",
        "intent" : "original-order",
        "priority" : "urgent",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "LP31398-8",
              "display" : "Renal function"
            }
          ]
        },
        "orderDetail" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0119",
                "code" : "NW",
                "display" : "New order/service"
              }
            ],
            "text" : "Order Control code"
          }
        ],
        "subject" : {
          "reference" : "urn:uuid:b82ca08b-9476-44a7-9893-74adbe93ab54"
        },
        "requester" : {
          "reference" : "urn:uuid:1301bc1f-9d23-4529-b30d-f1a0e792823c"
        },
        "reasonCode" : [
          {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "90688005"
              }
            ],
            "text" : "Chronic renal failure syndrome (disorder)"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:9ed971bb-247d-446a-80fb-f6aa7eaf374b",
      "resource" : {
        "resourceType" : "ServiceRequest",
        "id" : "ServiceRequest-eGFR",
        "meta" : {
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-SR"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_ServiceRequest-eGFR\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest ServiceRequest-eGFR</b></p><a name=\"ServiceRequest-eGFR\"> </a><a name=\"hcServiceRequest-eGFR\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-lab-order-SR.html\">CH LAB-Order-SR</a></p></div><p><b>identifier</b>: Placer Identifier/Y274589</p><p><b>instantiatesCanonical</b>: <a href=\"PlanDefinition-LabService-eGFR.html\">Renal Insufficiendy Panel: Service eGFR</a></p><p><b>basedOn</b>: <a href=\"Bundle-LabOrderDocument.html#urn-uuid-248f80c7-3d8c-4aa1-8eb6-53bcbb6c9bec\">Bundle: identifier = UUID:bc4715e6-c46d-4794-a379-b809f24ef05d; type = document; timestamp = 2025-03-05 12:00:00+0000</a></p><p><b>requisition</b>: Placer Identifier/ReqID-123456789</p><p><b>status</b>: Active</p><p><b>intent</b>: Original Order</p><p><b>priority</b>: Urgent</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 98979-8}\">Glomerular filtration rate [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (CKD-EPI 2021)/1.73 sq M</span></p><p><b>orderDetail</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0119 NW}\">Order Control code</span></p><p><b>subject</b>: <a href=\"Bundle-LabOrderDocument.html#urn-uuid-b82ca08b-9476-44a7-9893-74adbe93ab54\">Bundle: identifier = UUID:bc4715e6-c46d-4794-a379-b809f24ef05d; type = document; timestamp = 2025-03-05 12:00:00+0000</a></p><p><b>requester</b>: <a href=\"Bundle-LabOrderDocument.html#urn-uuid-1301bc1f-9d23-4529-b30d-f1a0e792823c\">Bundle: identifier = UUID:bc4715e6-c46d-4794-a379-b809f24ef05d; type = document; timestamp = 2025-03-05 12:00:00+0000</a></p><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 90688005}\">Chronic renal failure syndrome (disorder)</span></p><p><b>specimen</b>: <a href=\"Specimen-Serum.html\">Serum specimen</a></p></div>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "PLAC",
                  "display" : "Placer Identifier"
                }
              ]
            },
            "system" : "urn:oid:2.16.756.5.30.1.123.100.2.1.1",
            "value" : "Y274589"
          }
        ],
        "instantiatesCanonical" : [
          🔗 "http://fhir.ch/ig/ch-lab-order/PlanDefinition/LabService-eGFR"
        ],
        "basedOn" : [
          {
            "reference" : "urn:uuid:248f80c7-3d8c-4aa1-8eb6-53bcbb6c9bec"
          }
        ],
        "requisition" : {
          "type" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "PLAC",
                "display" : "Placer Identifier"
              }
            ]
          },
          "system" : "http://example.org/placer-system/req-nr",
          "value" : "ReqID-123456789"
        },
        "status" : "active",
        "intent" : "original-order",
        "priority" : "urgent",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "98979-8",
              "display" : "Glomerular filtration rate [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (CKD-EPI 2021)/1.73 sq M"
            }
          ]
        },
        "orderDetail" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0119",
                "code" : "NW",
                "display" : "New order/service"
              }
            ],
            "text" : "Order Control code"
          }
        ],
        "subject" : {
          "reference" : "urn:uuid:b82ca08b-9476-44a7-9893-74adbe93ab54"
        },
        "requester" : {
          "reference" : "urn:uuid:1301bc1f-9d23-4529-b30d-f1a0e792823c"
        },
        "reasonCode" : [
          {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "90688005"
              }
            ],
            "text" : "Chronic renal failure syndrome (disorder)"
          }
        ],
        "specimen" : [
          {
            🔗 "reference" : "Specimen/Serum",
            "display" : "Serum specimen"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:87c6a2f7-981d-469e-a5f5-e5ecf6286207",
      "resource" : {
        "resourceType" : "ServiceRequest",
        "id" : "ServiceRequestCreatinineSerum-eGFR",
        "meta" : {
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-SR"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_ServiceRequestCreatinineSerum-eGFR\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest ServiceRequestCreatinineSerum-eGFR</b></p><a name=\"ServiceRequestCreatinineSerum-eGFR\"> </a><a name=\"hcServiceRequestCreatinineSerum-eGFR\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-lab-order-SR.html\">CH LAB-Order-SR</a></p></div><p><b>identifier</b>: Placer Identifier/Y274589</p><p><b>instantiatesCanonical</b>: <code>http://fhir.ch/ig/ch-lab-order/PlanDefinition/LabServiceCreatinineSerum</code></p><p><b>basedOn</b>: <a href=\"Bundle-LabOrderDocument.html#urn-uuid-9ed971bb-247d-446a-80fb-f6aa7eaf374b\">Bundle: identifier = UUID:bc4715e6-c46d-4794-a379-b809f24ef05d; type = document; timestamp = 2025-03-05 12:00:00+0000</a></p><p><b>requisition</b>: Placer Identifier/ReqID-123456789</p><p><b>status</b>: Active</p><p><b>intent</b>: Original Order</p><p><b>priority</b>: Urgent</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 14682-9}\">Creatinine [Moles/volume] in Serum or Plasma</span></p><p><b>subject</b>: <a href=\"Bundle-LabOrderDocument.html#urn-uuid-b82ca08b-9476-44a7-9893-74adbe93ab54\">Bundle: identifier = UUID:bc4715e6-c46d-4794-a379-b809f24ef05d; type = document; timestamp = 2025-03-05 12:00:00+0000</a></p><p><b>occurrence</b>: 2025-01-15</p><p><b>requester</b>: <a href=\"Bundle-LabOrderDocument.html#urn-uuid-1301bc1f-9d23-4529-b30d-f1a0e792823c\">Bundle: identifier = UUID:bc4715e6-c46d-4794-a379-b809f24ef05d; type = document; timestamp = 2025-03-05 12:00:00+0000</a></p><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 90688005}\">Chronic renal failure syndrome (disorder)</span></p><p><b>supportingInfo</b>: </p><ul><li><a href=\"MedicationStatement-Diclofenac.html\">MedicationStatement: status = active; medication[x] = -&gt;Medication Product containing only diclofenac (medicinal product); effective[x] = 2023-11-11; dateAsserted = 2023-11-11; note = Patient takes it every day in the morning back pain</a></li><li><a href=\"Condition-Renal-insufficiency.html\">Condition Chronic renal insufficiency (disorder)</a></li></ul><p><b>specimen</b>: <a href=\"Specimen-Serum.html\">Serum Sample</a></p></div>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "PLAC",
                  "display" : "Placer Identifier"
                }
              ]
            },
            "system" : "urn:oid:2.16.756.5.30.1.123.100.2.1.1",
            "value" : "Y274589"
          }
        ],
        "instantiatesCanonical" : [
          🔗 "http://fhir.ch/ig/ch-lab-order/PlanDefinition/LabServiceCreatinineSerum"
        ],
        "basedOn" : [
          {
            "reference" : "urn:uuid:9ed971bb-247d-446a-80fb-f6aa7eaf374b"
          }
        ],
        "requisition" : {
          "type" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "PLAC",
                "display" : "Placer Identifier"
              }
            ]
          },
          "system" : "http://example.org/placer-system/req-nr",
          "value" : "ReqID-123456789"
        },
        "status" : "active",
        "intent" : "original-order",
        "priority" : "urgent",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "14682-9",
              "display" : "Creatinine [Moles/volume] in Serum or Plasma"
            }
          ]
        },
        "subject" : {
          "reference" : "urn:uuid:b82ca08b-9476-44a7-9893-74adbe93ab54"
        },
        "occurrenceDateTime" : "2025-01-15",
        "requester" : {
          "reference" : "urn:uuid:1301bc1f-9d23-4529-b30d-f1a0e792823c"
        },
        "reasonCode" : [
          {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "90688005"
              }
            ],
            "text" : "Chronic renal failure syndrome (disorder)"
          }
        ],
        "supportingInfo" : [
          {
            🔗 "reference" : "MedicationStatement/Diclofenac"
          },
          {
            🔗 "reference" : "Condition/Renal-insufficiency"
          }
        ],
        "specimen" : [
          {
            🔗 "reference" : "Specimen/Serum",
            "display" : "Serum Sample"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:62dd8013-6145-4bbb-8588-b172caaa13af",
      "resource" : {
        "resourceType" : "ServiceRequest",
        "id" : "ServiceRequest-uACR",
        "meta" : {
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-SR"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_ServiceRequest-uACR\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest ServiceRequest-uACR</b></p><a name=\"ServiceRequest-uACR\"> </a><a name=\"hcServiceRequest-uACR\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-lab-order-SR.html\">CH LAB-Order-SR</a></p></div><p><b>identifier</b>: Placer Identifier/Y274589</p><p><b>instantiatesCanonical</b>: <a href=\"PlanDefinition-LabService-uACR.html\">Renal Insufficiendy Panel uACR</a></p><p><b>basedOn</b>: <a href=\"Bundle-LabOrderDocument.html#urn-uuid-248f80c7-3d8c-4aa1-8eb6-53bcbb6c9bec\">Bundle: identifier = UUID:bc4715e6-c46d-4794-a379-b809f24ef05d; type = document; timestamp = 2025-03-05 12:00:00+0000</a></p><p><b>requisition</b>: Placer Identifier/ReqID-123456789</p><p><b>status</b>: Active</p><p><b>intent</b>: Original Order</p><p><b>priority</b>: Urgent</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 14585-4}\">Albumin/Creatinine [Molar Ratio] in Urine</span></p><p><b>orderDetail</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0119 NW}\">Order Control code</span></p><p><b>subject</b>: <a href=\"Bundle-LabOrderDocument.html#urn-uuid-b82ca08b-9476-44a7-9893-74adbe93ab54\">Bundle: identifier = UUID:bc4715e6-c46d-4794-a379-b809f24ef05d; type = document; timestamp = 2025-03-05 12:00:00+0000</a></p><p><b>requester</b>: <a href=\"Bundle-LabOrderDocument.html#urn-uuid-1301bc1f-9d23-4529-b30d-f1a0e792823c\">Bundle: identifier = UUID:bc4715e6-c46d-4794-a379-b809f24ef05d; type = document; timestamp = 2025-03-05 12:00:00+0000</a></p><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 90688005}\">Chronic renal failure syndrome (disorder)</span></p><p><b>supportingInfo</b>: </p><ul><li><a href=\"MedicationStatement-Diclofenac.html\">MedicationStatement: status = active; medication[x] = -&gt;Medication Product containing only diclofenac (medicinal product); effective[x] = 2023-11-11; dateAsserted = 2023-11-11; note = Patient takes it every day in the morning back pain</a></li><li><a href=\"Condition-Renal-insufficiency.html\">Condition Chronic renal insufficiency (disorder)</a></li></ul><p><b>specimen</b>: <a href=\"Specimen-Urine.html\">Urine specimen</a></p></div>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "PLAC",
                  "display" : "Placer Identifier"
                }
              ]
            },
            "system" : "urn:oid:2.16.756.5.30.1.123.100.2.1.1",
            "value" : "Y274589"
          }
        ],
        "instantiatesCanonical" : [
          🔗 "http://fhir.ch/ig/ch-lab-order/PlanDefinition/LabService-uACR"
        ],
        "basedOn" : [
          {
            "reference" : "urn:uuid:248f80c7-3d8c-4aa1-8eb6-53bcbb6c9bec"
          }
        ],
        "requisition" : {
          "type" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "PLAC",
                "display" : "Placer Identifier"
              }
            ]
          },
          "system" : "http://example.org/placer-system/req-nr",
          "value" : "ReqID-123456789"
        },
        "status" : "active",
        "intent" : "original-order",
        "priority" : "urgent",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "14585-4",
              "display" : "Albumin/Creatinine [Molar Ratio] in Urine"
            }
          ]
        },
        "orderDetail" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0119",
                "code" : "NW",
                "display" : "New order/service"
              }
            ],
            "text" : "Order Control code"
          }
        ],
        "subject" : {
          "reference" : "urn:uuid:b82ca08b-9476-44a7-9893-74adbe93ab54"
        },
        "requester" : {
          "reference" : "urn:uuid:1301bc1f-9d23-4529-b30d-f1a0e792823c"
        },
        "reasonCode" : [
          {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "90688005"
              }
            ],
            "text" : "Chronic renal failure syndrome (disorder)"
          }
        ],
        "supportingInfo" : [
          {
            🔗 "reference" : "MedicationStatement/Diclofenac"
          },
          {
            🔗 "reference" : "Condition/Renal-insufficiency"
          }
        ],
        "specimen" : [
          {
            🔗 "reference" : "Specimen/Urine",
            "display" : "Urine specimen"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:d1be525d-a58c-410e-9dfb-aef46ce6f0fa",
      "resource" : {
        "resourceType" : "ServiceRequest",
        "id" : "ServiceRequestAlbuminUrine",
        "meta" : {
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-SR"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_ServiceRequestAlbuminUrine\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest ServiceRequestAlbuminUrine</b></p><a name=\"ServiceRequestAlbuminUrine\"> </a><a name=\"hcServiceRequestAlbuminUrine\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-lab-order-SR.html\">CH LAB-Order-SR</a></p></div><p><b>identifier</b>: Placer Identifier/Y274589</p><p><b>basedOn</b>: <a href=\"Bundle-LabOrderDocument.html#urn-uuid-62dd8013-6145-4bbb-8588-b172caaa13af\">Bundle: identifier = UUID:bc4715e6-c46d-4794-a379-b809f24ef05d; type = document; timestamp = 2025-03-05 12:00:00+0000</a></p><p><b>requisition</b>: Placer Identifier/ReqID-123456789</p><p><b>status</b>: Active</p><p><b>intent</b>: Original Order</p><p><b>priority</b>: Urgent</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 77158-4}\">Microalbumin [Moles/volume] in Urine by Detection limit &lt;= 3.0 mg/L</span></p><p><b>orderDetail</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0119 NW}\">Order Control code</span></p><p><b>subject</b>: <a href=\"Bundle-LabOrderDocument.html#urn-uuid-b82ca08b-9476-44a7-9893-74adbe93ab54\">Bundle: identifier = UUID:bc4715e6-c46d-4794-a379-b809f24ef05d; type = document; timestamp = 2025-03-05 12:00:00+0000</a></p><p><b>requester</b>: <a href=\"Bundle-LabOrderDocument.html#urn-uuid-1301bc1f-9d23-4529-b30d-f1a0e792823c\">Bundle: identifier = UUID:bc4715e6-c46d-4794-a379-b809f24ef05d; type = document; timestamp = 2025-03-05 12:00:00+0000</a></p><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 90688005}\">Chronic renal failure syndrome (disorder)</span></p><p><b>specimen</b>: <a href=\"Specimen-Urine.html\">Urine specimen</a></p><p><b>note</b>: </p><blockquote><div><p>Please use umol/L as Unit for the ratio calculation umol[albumin]/mmol[creatinine].</p>\n</div></blockquote></div>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "PLAC",
                  "display" : "Placer Identifier"
                }
              ]
            },
            "system" : "urn:oid:2.16.756.5.30.1.123.100.2.1.1",
            "value" : "Y274589"
          }
        ],
        "basedOn" : [
          {
            "reference" : "urn:uuid:62dd8013-6145-4bbb-8588-b172caaa13af"
          }
        ],
        "requisition" : {
          "type" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "PLAC",
                "display" : "Placer Identifier"
              }
            ]
          },
          "system" : "http://example.org/placer-system/req-nr",
          "value" : "ReqID-123456789"
        },
        "status" : "active",
        "intent" : "original-order",
        "priority" : "urgent",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "77158-4",
              "display" : "Microalbumin [Moles/volume] in Urine by Detection limit <= 3.0 mg/L"
            }
          ]
        },
        "orderDetail" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0119",
                "code" : "NW",
                "display" : "New order/service"
              }
            ],
            "text" : "Order Control code"
          }
        ],
        "subject" : {
          "reference" : "urn:uuid:b82ca08b-9476-44a7-9893-74adbe93ab54"
        },
        "requester" : {
          "reference" : "urn:uuid:1301bc1f-9d23-4529-b30d-f1a0e792823c"
        },
        "reasonCode" : [
          {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "90688005"
              }
            ],
            "text" : "Chronic renal failure syndrome (disorder)"
          }
        ],
        "specimen" : [
          {
            🔗 "reference" : "Specimen/Urine",
            "display" : "Urine specimen"
          }
        ],
        "note" : [
          {
            "text" : "Please use umol/L as Unit for the ratio calculation umol[albumin]/mmol[creatinine]."
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:5d616c75-34c9-47f0-8e15-2df623755c41",
      "resource" : {
        "resourceType" : "ServiceRequest",
        "id" : "ServiceRequestCreatinineUrine",
        "meta" : {
          "profile" : [
            🔗 "http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-SR"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_ServiceRequestCreatinineUrine\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest ServiceRequestCreatinineUrine</b></p><a name=\"ServiceRequestCreatinineUrine\"> </a><a name=\"hcServiceRequestCreatinineUrine\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-lab-order-SR.html\">CH LAB-Order-SR</a></p></div><p><b>identifier</b>: Placer Identifier/Y274589</p><p><b>basedOn</b>: <a href=\"Bundle-LabOrderDocument.html#urn-uuid-62dd8013-6145-4bbb-8588-b172caaa13af\">Bundle: identifier = UUID:bc4715e6-c46d-4794-a379-b809f24ef05d; type = document; timestamp = 2025-03-05 12:00:00+0000</a></p><p><b>requisition</b>: Placer Identifier/ReqID-123456789</p><p><b>status</b>: Active</p><p><b>intent</b>: Original Order</p><p><b>priority</b>: Urgent</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 14683-7}\">Creatinine [Moles/volume] in Urine</span></p><p><b>orderDetail</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0119 NW}\">Order Control code</span></p><p><b>subject</b>: <a href=\"Bundle-LabOrderDocument.html#urn-uuid-b82ca08b-9476-44a7-9893-74adbe93ab54\">Bundle: identifier = UUID:bc4715e6-c46d-4794-a379-b809f24ef05d; type = document; timestamp = 2025-03-05 12:00:00+0000</a></p><p><b>requester</b>: <a href=\"Bundle-LabOrderDocument.html#urn-uuid-1301bc1f-9d23-4529-b30d-f1a0e792823c\">Bundle: identifier = UUID:bc4715e6-c46d-4794-a379-b809f24ef05d; type = document; timestamp = 2025-03-05 12:00:00+0000</a></p><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 90688005}\">Chronic renal failure syndrome (disorder)</span></p><p><b>specimen</b>: <a href=\"Specimen-Urine.html\">Urine specimen</a></p><p><b>note</b>: </p><blockquote><div><p>Please use mmol/L for the ratio calculation mol[albumin]/mmol[creatinine]. Most labs in Switzerland use mg[albumin]/mmol[creatinine] as unit for the ratio calculation.</p>\n</div></blockquote></div>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "PLAC",
                  "display" : "Placer Identifier"
                }
              ]
            },
            "system" : "urn:oid:2.16.756.5.30.1.123.100.2.1.1",
            "value" : "Y274589"
          }
        ],
        "basedOn" : [
          {
            "reference" : "urn:uuid:62dd8013-6145-4bbb-8588-b172caaa13af"
          }
        ],
        "requisition" : {
          "type" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "PLAC",
                "display" : "Placer Identifier"
              }
            ]
          },
          "system" : "http://example.org/placer-system/req-nr",
          "value" : "ReqID-123456789"
        },
        "status" : "active",
        "intent" : "original-order",
        "priority" : "urgent",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "14683-7",
              "display" : "Creatinine [Moles/volume] in Urine"
            }
          ]
        },
        "orderDetail" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0119",
                "code" : "NW",
                "display" : "New order/service"
              }
            ],
            "text" : "Order Control code"
          }
        ],
        "subject" : {
          "reference" : "urn:uuid:b82ca08b-9476-44a7-9893-74adbe93ab54"
        },
        "requester" : {
          "reference" : "urn:uuid:1301bc1f-9d23-4529-b30d-f1a0e792823c"
        },
        "reasonCode" : [
          {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "90688005"
              }
            ],
            "text" : "Chronic renal failure syndrome (disorder)"
          }
        ],
        "specimen" : [
          {
            🔗 "reference" : "Specimen/Urine",
            "display" : "Urine specimen"
          }
        ],
        "note" : [
          {
            "text" : "Please use mmol/L for the ratio calculation mol[albumin]/mmol[creatinine]. Most labs in Switzerland use mg[albumin]/mmol[creatinine] as unit for the ratio calculation."
          }
        ]
      }
    }
  ]
}