CH LAB-Order (R4)
2.0.0 - ci-build Switzerland flag

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 document best-practice

Case study 0

Best practice example: Control of Anticoagulation effect

Mrs Birgit Blum had an unfortunate fall while skiing and sustained a multifragmentary tibial plateau fracture. She was transferred to the Kantonsspital, a centre hospital, by helicopter and is waiting there for her operation. The patient is administered Liquemin 5000 E s.c. daily to prevent thromboembolic events, and the effect. A To monitor the effect of this treatment, regular blood tests are carried out to determine anti-Xa activity. A special sample vessel with citrate additive is used for this purpose. The sample must be centrifuged and cooled within one hour. An important entry from her list of problems is heart disease.

Laboratory Order by Service Request 0-best-practice

Laboratory Order by Service Request 0-best-practice

Additional Document Content

2. http://example.com/fhir/Patient/BirgitBlum (Patient/BirgitBlum)

id: BirgitBlum

meta:

identifier: 012/08.111111

name: Birgit Blum

gender: FEMALE

birthDate: Jan 01, 1981

maritalStatus: unverheiratet (Details : {$ech-11-maritalstatus code '5' = '5', given as 'unverheiratet'})

Communications

-LanguagePreferred
*Deutsch (Schweiz) (Details : {urn:ietf:bcp:47 code 'de-CH' = 'German (Region=Schweiz))true

3. http://example.com/fhir/Encounter/FirstEncounter (Encounter/FirstEncounter)

Not done yet

4. http://example.com/fhir/Medication/Liquemin (Medication/Liquemin)

Generated Narrative: Medication

Resource Medication "Liquemin"

Profile: CH LAB-Order Medication

code: LIQUEMIN 5000 IE/0.5ml s.c. (aH 06/23) (unknown#7680388470010; unknown#6687498; WHO ATC#B01AB01 "Heparin")

status: ACTIVE

Ingredients

-Strength
*5000 international unit (Details: UCUM code [iU] = '[iU]')/0.5 milliliter (Details: UCUM code mL = 'mL')

Batches

-LotNumberExpirationDate
*94947882024-05-22

5. http://example.com/fhir/Practitioner/MarcMustermann (Practitioner/MarcMustermann)

Generated Narrative: Practitioner

Resource Practitioner "MarcMustermann"

Profile: CH Core Practitioner

identifier: GLN/7601000050700, urn:oid:2.16.756.5.30.1.123.100.2.1.1/A123309

name: Marc Mustermann (Official)

telecom: ph: 033 444 22 11(WORK), marc.mustermann@gruppenpraxis.ch

6. http://example.com/fhir/Organization/Gruppenpraxis (Organization/Gruppenpraxis)

Generated Narrative: Organization

Resource Organization "Gruppenpraxis"

Profile: CH Core Organization EPR

identifier: GLN/7601000241115

name: Gruppenpraxis Olten

Contacts

-TelecomAddress
*+41555556677, info@gruppenpraxis.ch, http://www.gruppenpraxis.chGerbergasse 12 Olten 4600 CH

7. http://example.com/fhir/PractitionerRole/MarcMustermannGruppenpraxis (PractitionerRole/MarcMustermannGruppenpraxis)

Generated Narrative: PractitionerRole

Resource PractitionerRole "MarcMustermannGruppenpraxis"

Profile: CH Core PractitionerRole

practitioner: See on this page: Practitioner/MarcMustermann

organization: See on this page: Organization/Gruppenpraxis

8. http://example.com/fhir/Practitioner/HansHauser (Practitioner/HansHauser)

Generated Narrative: Practitioner

Resource Practitioner "HansHauser"

Profile: CH Core Practitioner

identifier: GLN/7601000050700, urn:oid:2.16.756.5.30.1.123.100.2.1.1/A123313

name: Hans Hauser (Official)

telecom: ph: 038 888 22 11(WORK), hans.hauser@gruppenpraxis.ch

9. http://example.com/fhir/Organization/Kantonsspital (Organization/Kantonsspital)

Generated Narrative: Organization

Resource Organization "Kantonsspital"

Profile: CH Core Organization

identifier: GLN/7601000235503

name: Kantonsspital Zug

Contacts

-TelecomAddress
*+41 45 334 55 66, info@kantonsspital.zug.ch, http://www.kanstonsspital.zug.chSeestrasse 14 Postfach 14 Zug 8000 Schweiz (work)

10. http://example.com/fhir/PractitionerRole/HansHauserKantonsspital (PractitionerRole/HansHauserKantonsspital)

Generated Narrative: PractitionerRole

Resource PractitionerRole "HansHauserKantonsspital"

Profile: CH Core PractitionerRole

practitioner: See on this page: Practitioner/HansHauser

organization: See on this page: Organization/Kantonsspital

11. http://example.com/fhir/Practitioner/EvaErlenmeyer (Practitioner/EvaErlenmeyer)

Generated Narrative: Practitioner

Resource Practitioner "EvaErlenmeyer"

Profile: CH Core Practitioner

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

12. http://example.com/fhir/Organization/LaborPipette (Organization/LaborPipette)

Generated Narrative: Organization

Resource Organization "LaborPipette"

Profile: CH Core Organization

identifier: GLN/7601000234407

name: Labor Pipette

Contacts

-TelecomAddress
*+41223345566, info@labor-pipette.ch, http://www.labor-pipette.chLaborstrasse 23 Olten 4600 CH

13. http://example.com/fhir/PractitionerRole/EvaErlenmeyerLaborPipette (PractitionerRole/EvaErlenmeyerLaborPipette)

Generated Narrative: PractitionerRole

Resource PractitionerRole "EvaErlenmeyerLaborPipette"

Profile: CH Core PractitionerRole

identifier: urn:oid:2.16.756.5.30.1.123.100.2.1.1/A123444

practitioner: See on this page: Practitioner/EvaErlenmeyer

organization: See on this page: Organization/LaborPipette

14. http://example.com/fhir/Specimen/Serum-0-best-practice (Specimen/Serum-0-best-practice)

Generated Narrative: Specimen

Resource Specimen "Serum-0-best-practice"

identifier: 48736-12345-75465

accessionIdentifier: 4e88a-12345-dd888

status: AVAILABLE

type: Serum specimen (specimen) (SNOMED CT#119364003)

subject: See on this page: Patient/BirgitBlum

Collections

-CollectorCollected[x]BodySiteFastingStatus[x]
*See on this page: Practitioner/MarcMustermann2023-12-01 16:40:17+0000Structure of median cubital vein (body structure) (SNOMED CT#49852007)Patient was fasting prior to the procedure. (relevantClincialInformation#F)

container

15. http://example.com/fhir/Specimen/Blood-coag-0-best-practice (Specimen/Blood-coag-0-best-practice)

Generated Narrative: Specimen

Resource Specimen "Blood-coag-0-best-practice"

identifier: 48736-55555-75465

accessionIdentifier: 4e88a-66666-dd888

status: AVAILABLE

type: Blood sample (SNOMED CT#119297000)

subject: See on this page: Patient/BirgitBlum

receivedTime: 2023-12-01 16:40:17+0000

Collections

-CollectorCollected[x]
*See on this page: Practitioner/MarcMustermann2023-12-01 17:00:17+0000

Processings

-DescriptionTime[x]
*Needs to be centrifugated and cooled within 1 hour2023-12-01 17:00:17+0000 --> 2023-12-01 17:30:17+0000

container

16. http://example.com/fhir/Specimen/Blood-0-best-practice (Specimen/Blood-0-best-practice)

Generated Narrative: Specimen

Resource Specimen "Blood-0-best-practice"

identifier: 48736-55555-75465

accessionIdentifier: 4e88a-66666-dd888

status: AVAILABLE

type: Blood sample (SNOMED CT#119297000)

subject: See on this page: Patient/BirgitBlum

Collections

-CollectorCollected[x]BodySite
*See on this page: Practitioner/MarcMustermann2023-12-01 06:40:17+0000Structure of superficial vein of left upper limb (body structure) (SNOMED CT#721029009)

container

note: Specimen is grossly lipemic

17. http://example.com/fhir/ServiceRequest/0-best-practice-service-request-0 (ServiceRequest/0-best-practice-service-request-0)

Generated Narrative: ServiceRequest

Resource ServiceRequest "0-best-practice-service-request-0"

Profile: CH LAB-Order-SR Container

identifier: Placer Identifier/123

basedOn:

status: ACTIVE

intent: ORIGINALORDER

priority: URGENT

subject: See on this page: Patient/BirgitBlum

encounter: See on this page: Encounter/FirstEncounter

requester: See on this page: PractitionerRole/HansHauserKantonsspital

supportingInfo:

  • Condition/ConditionTibiaFracture
  • Medication/Liquemin

18. http://example.com/fhir/ServiceRequest/0-best-practice-service-request-1 (ServiceRequest/0-best-practice-service-request-1)

Generated Narrative: ServiceRequest

Resource ServiceRequest "0-best-practice-service-request-1"

Profile: CH LAB-Order-SR Single-test

identifier: Placer Identifier/123111

status: ACTIVE

intent: ORIGINALORDER

priority: URGENT

code: Coagulation factor X activated inhibitor [Mass/volume] in Platelet poor plasma (LOINC#80627-3)

subject: See on this page: Patient/BirgitBlum

requester: See on this page: PractitionerRole/HansHauserKantonsspital

specimen: See on this page: Specimen/Blood-coag-0-best-practice

19. http://example.com/fhir/ServiceRequest/0-best-practice-service-request-2 (ServiceRequest/0-best-practice-service-request-2)

Generated Narrative: ServiceRequest

Resource ServiceRequest "0-best-practice-service-request-2"

Profile: CH LAB-Order-SR Single-test

identifier: Placer Identifier/123

status: ACTIVE

intent: ORIGINALORDER

priority: URGENT

code: Glucose [Moles/volume] in Serum or Plasma --pre dose glucose (LOINC#47622-6)

subject: See on this page: Patient/BirgitBlum

requester: See on this page: PractitionerRole/HansHauserKantonsspital

specimen: See on this page: Specimen/Serum-0-best-practice: Serum specimen

20. http://example.com/fhir/ServiceRequest/0-best-practice-service-request-3 (ServiceRequest/0-best-practice-service-request-3)

Generated Narrative: ServiceRequest

Resource ServiceRequest "0-best-practice-service-request-3"

Profile: CH LAB-Order-SR Container

identifier: Placer Identifier/123

basedOn:

status: ACTIVE

intent: ORIGINALORDER

priority: URGENT

code: Hemoglobin and Hematocrit panel - Blood (LOINC#24360-0)

subject: See on this page: Patient/BirgitBlum

requester: See on this page: PractitionerRole/HansHauserKantonsspital

21. http://example.com/fhir/ServiceRequest/0-best-practice-service-request-3-hb (ServiceRequest/0-best-practice-service-request-3-hb)

Generated Narrative: ServiceRequest

Resource ServiceRequest "0-best-practice-service-request-3-hb"

Profile: CH LAB-Order-SR Single-test

identifier: Placer Identifier/123

status: ACTIVE

intent: ORIGINALORDER

priority: URGENT

code: Hemoglobin [Mass/volume] in Blood (LOINC#718-7)

subject: See on this page: Patient/BirgitBlum

requester: See on this page: PractitionerRole/HansHauserKantonsspital

specimen: See on this page: Specimen/Blood-0-best-practice

22. http://example.com/fhir/ServiceRequest/0-best-practice-service-request-3-ht (ServiceRequest/0-best-practice-service-request-3-ht)

Generated Narrative: ServiceRequest

Resource ServiceRequest "0-best-practice-service-request-3-ht"

Profile: CH LAB-Order-SR Single-test

identifier: Placer Identifier/123

status: ACTIVE

intent: ORIGINALORDER

priority: URGENT

code: Hematocrit [Volume Fraction] of Blood (LOINC#20570-8)

subject: See on this page: Patient/BirgitBlum

requester: See on this page: PractitionerRole/HansHauserKantonsspital

specimen: See on this page: Specimen/Blood-0-best-practice

23. http://example.com/fhir/Condition/ConditionTibiaFracture (Condition/ConditionTibiaFracture)

Generated Narrative: Condition

Resource Condition "ConditionTibiaFracture"

Profile: CH LAB-Order Diagnosis Condition

clinicalStatus: Active (Condition Clinical Status Codes#active)

verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)

category: diagnosis (SNOMED CT#439401001)

severity: Severe (severity modifier) (qualifier value) (SNOMED CT#24484000)

code: Open fracture of tibial plateau (disorder) (SNOMED CT#446980008)

bodySite: Bone structure of proximal left tibia (body structure) (SNOMED CT#719496004)

subject: See on this page: Patient/BirgitBlum: Birgit Blum

encounter: See on this page: Encounter/FirstEncounter

onset: 2023-12-05

recordedDate: 2023-12-05

evidence