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 Klebsiella pneumoniae - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Observation ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "observationMALDI-TOF-Kpneu"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-observation-r4-r5"^^xsd:anyURI ;
fhir:link <http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-observation-r4-r5>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation observationMALDI-TOF-Kpneu</b></p><a name=\"observationMALDI-TOF-Kpneu\"> </a><a name=\"hcobservationMALDI-TOF-Kpneu\"> </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 56415008}\">Klebsiella pneumoniae (organism)</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>"^^rdf:XMLLiteral
  ] ; # 
  fhir:extension ( [
    ( fhir:extension [
fhir:url [ fhir:v "type"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://fhir.ch/ig/ch-lab-order/CodeSystem/triggeredby-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "reflex" ] ;
fhir:display [ fhir:v "Reflex test" ]         ] )       ]     ] [
fhir:url [ fhir:v "observation"^^xsd:anyURI ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "Observation/4-sepsis-ObservationMicrobiolGrowthAerobic" ] ;
fhir:display [ fhir:v "Microbiological Growth Aerobic" ]       ]     ] ) ;
fhir:url [ fhir:v "http://fhir.ch/ig/ch-lab-order/StructureDefinition/observation-triggeredBy"^^xsd:anyURI ]
  ] ) ; # 
  fhir:basedOn ( [
fhir:reference [ fhir:v "ServiceRequest/4-sepsis-ServiceRequest" ]
  ] ) ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:code [
    ( fhir:coding [
a loinc:41852-5 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "41852-5" ] ;
fhir:display [ fhir:v "Microorganism or agent identified in Specimen" ]     ] )
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/SaraSpeckmann" ] ;
fhir:display [ fhir:v "Sara Speckmann" ]
  ] ; # 
  fhir:effective [
a fhir:Period ;
fhir:start [ fhir:v "2025-03-16T06:20:17Z"^^xsd:dateTime ] ;
fhir:end [ fhir:v "2025-03-16T06:50:17Z"^^xsd:dateTime ]
  ] ; # 
  fhir:issued [ fhir:v "2025-03-16T07:10:17Z"^^xsd:dateTime] ; # 
  fhir:performer ( [
fhir:reference [ fhir:v "PractitionerRole/EvaErlenmeyerLaborPipette" ] ;
fhir:display [ fhir:v "E. Erlenmeyer, Labor Pipette" ]
  ] ) ; # 
  fhir:derivedFrom ( [
fhir:reference [ fhir:v "Observation/4-sepsis-ObservationMicrobiolGrowthAerobic" ]
  ] ) ; # 
  fhir:component ( [
fhir:code [
      ( fhir:coding [
a loinc:76346-6 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "76346-6" ] ;
fhir:display [ fhir:v "Microorganism identified in Isolate by MS.MALDI-TOF" ]       ] )     ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
a sct:56415008 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "56415008" ] ;
fhir:display [ fhir:v "Klebsiella pneumoniae (organism)" ]       ] )     ]
  ] [
fhir:code [
      ( fhir:coding [
a loinc:18862-3 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "18862-3" ] ;
fhir:display [ fhir:v "Amoxicillin+Clavulanate [Susceptibility]" ]       ] )     ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
a sct:131196009 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "131196009" ] ;
fhir:display [ fhir:v "Susceptible (qualifier value)" ]       ] )     ]
  ] [
fhir:code [
      ( fhir:coding [
a loinc:18895-3 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "18895-3" ] ;
fhir:display [ fhir:v "cefTRIAXone [Susceptibility]" ]       ] )     ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
a sct:131196009 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "131196009" ] ;
fhir:display [ fhir:v "Susceptible (qualifier value)" ]       ] )     ]
  ] ) . #