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 - XML Representation

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<Observation xmlns="http://hl7.org/fhir">
  <id value="observationMALDI-TOF-Kpneu"/>
  <meta>
    <profile
             value="http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-observation-r4-r5"/>
  </meta>
  <text>
    <status value="extensions"/>
    <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>
  </text>
  <extension
             url="http://fhir.ch/ig/ch-lab-order/StructureDefinition/observation-triggeredBy">
    <extension url="type">
      <valueCodeableConcept>
        <coding>
          <system
                  value="http://fhir.ch/ig/ch-lab-order/CodeSystem/triggeredby-type"/>
          <code value="reflex"/>
          <display value="Reflex test"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="observation">
      <valueReference>🔗 
        <reference
                   value="Observation/4-sepsis-ObservationMicrobiolGrowthAerobic"/>
        <display value="Microbiological Growth Aerobic"/>
      </valueReference>
    </extension>
  </extension>
  <basedOn>🔗 
    <reference value="ServiceRequest/4-sepsis-ServiceRequest"/>
  </basedOn>
  <status value="final"/>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="41852-5"/>
      <display value="Microorganism or agent identified in Specimen"/>
    </coding>
  </code>
  <subject>🔗 
    <reference value="Patient/SaraSpeckmann"/>
    <display value="Sara Speckmann"/>
  </subject>
  <effectivePeriod>
    <start value="2025-03-16T06:20:17Z"/>
    <end value="2025-03-16T06:50:17Z"/>
  </effectivePeriod>
  <issued value="2025-03-16T07:10:17Z"/>
  <performer>🔗 
    <reference value="PractitionerRole/EvaErlenmeyerLaborPipette"/>
    <display value="E. Erlenmeyer, Labor Pipette"/>
  </performer>
  <derivedFrom>🔗 
    <reference
               value="Observation/4-sepsis-ObservationMicrobiolGrowthAerobic"/>
  </derivedFrom>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="76346-6"/>
        <display value="Microorganism identified in Isolate by MS.MALDI-TOF"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="56415008"/>
        <display value="Klebsiella pneumoniae (organism)"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="18862-3"/>
        <display value="Amoxicillin+Clavulanate [Susceptibility]"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="131196009"/>
        <display value="Susceptible (qualifier value)"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="18895-3"/>
        <display value="cefTRIAXone [Susceptibility]"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="131196009"/>
        <display value="Susceptible (qualifier value)"/>
      </coding>
    </valueCodeableConcept>
  </component>
</Observation>