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

: CH LAB-Order Observation Example of MALDI-TOF Escherichia coli - JSON Representation

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{
  "resourceType" : "Observation",
  "id" : "observationMALDI-TOF-Ecoli",
  "meta" : {
    "profile" : [
      🔗 "http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-observation-r4-r5"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation observationMALDI-TOF-Ecoli</b></p><a name=\"observationMALDI-TOF-Ecoli\"> </a><a name=\"hcobservationMALDI-TOF-Ecoli\"> </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-observation-r4-r5.html\">My Observation Profile</a></p></div><blockquote><p><b>Triggered By Observation Extension</b></p><ul><li>type: <span title=\"Codes:{http://fhir.ch/ig/ch-lab-order/CodeSystem/triggeredby-type reflex}\">Reflex test</span></li><li>observation: <a href=\"Observation-4-sepsis-ObservationMicrobiolGrowthAerobic.html\">Microbiological Growth Aerobic</a></li></ul></blockquote><p><b>basedOn</b>: <a href=\"ServiceRequest-4-sepsis-ServiceRequest.html\">ServiceRequest: identifier = Placer Identifier: Y274589; status = active; intent = original-order; priority = urgent; reasonCode = Sepsis screening</a></p><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 41852-5}\">Microorganism or agent identified in Specimen</span></p><p><b>subject</b>: <a href=\"Patient-SaraSpeckmann.html\">Sara Speckmann</a></p><p><b>effective</b>: 2025-03-16 06:20:17+0000 --&gt; 2025-03-16 06:50:17+0000</p><p><b>issued</b>: 2025-03-16 07:10:17+0000</p><p><b>performer</b>: <a href=\"PractitionerRole-EvaErlenmeyerLaborPipette.html\">E. Erlenmeyer, Labor Pipette</a></p><p><b>derivedFrom</b>: <a href=\"Observation-4-sepsis-ObservationMicrobiolGrowthAerobic.html\">Observation Microorganism preliminary growth [Presence] in Blood by Aerobe culture</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 76346-6}\">Microorganism identified in Isolate by MS.MALDI-TOF</span></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 112283007}\">Escherichia coli</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 18862-3}\">Amoxicillin+Clavulanate [Susceptibility]</span></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 131196009}\">Susceptible (qualifier value)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 18895-3}\">cefTRIAXone [Susceptibility]</span></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 131196009}\">Susceptible (qualifier value)</span></p></blockquote></div>"
  },
  "extension" : [
    {
      "extension" : [
        {
          "url" : "type",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://fhir.ch/ig/ch-lab-order/CodeSystem/triggeredby-type",
                "code" : "reflex",
                "display" : "Reflex test"
              }
            ]
          }
        },
        {
          "url" : "observation",
          "valueReference" : {
            🔗 "reference" : "Observation/4-sepsis-ObservationMicrobiolGrowthAerobic",
            "display" : "Microbiological Growth Aerobic"
          }
        }
      ],
      "url" : "http://fhir.ch/ig/ch-lab-order/StructureDefinition/observation-triggeredBy"
    }
  ],
  "basedOn" : [
    {
      🔗 "reference" : "ServiceRequest/4-sepsis-ServiceRequest"
    }
  ],
  "status" : "final",
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "41852-5",
        "display" : "Microorganism or agent identified in Specimen"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/SaraSpeckmann",
    "display" : "Sara Speckmann"
  },
  "effectivePeriod" : {
    "start" : "2025-03-16T06:20:17Z",
    "end" : "2025-03-16T06:50:17Z"
  },
  "issued" : "2025-03-16T07:10:17Z",
  "performer" : [
    {
      🔗 "reference" : "PractitionerRole/EvaErlenmeyerLaborPipette",
      "display" : "E. Erlenmeyer, Labor Pipette"
    }
  ],
  "derivedFrom" : [
    {
      🔗 "reference" : "Observation/4-sepsis-ObservationMicrobiolGrowthAerobic"
    }
  ],
  "component" : [
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "76346-6",
            "display" : "Microorganism identified in Isolate by MS.MALDI-TOF"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "112283007",
            "display" : "Escherichia coli"
          }
        ]
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "18862-3",
            "display" : "Amoxicillin+Clavulanate [Susceptibility]"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "131196009",
            "display" : "Susceptible (qualifier value)"
          }
        ]
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "18895-3",
            "display" : "cefTRIAXone [Susceptibility]"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "131196009",
            "display" : "Susceptible (qualifier value)"
          }
        ]
      }
    }
  ]
}