CH LAB-Order (R4)
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This page is part of the CH LAB-Order (R4) (v2.0.0-ballot: STU 2 Ballot 1) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: 3-gyn - XML Representation

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<Composition xmlns="http://hl7.org/fhir">
  <id value="3-gyn"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-02-18T17:04:38.520+00:00"/>
    <profile
             value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition"/>
  </meta>
  <text>
    <status value="additional"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><div>Laboratory Order</div><div><h3>Case study 3: Annual gynaecological check-up</h3><p>The doctor`s assistent of the gynaecology department in the Olten group practice, Dr Peter Pap, prepares the next day`s consultations. As the practice only has a minimal laboratory of its own, certain patients are sent to the nearby Pipette laboratory outpatient clinic before the appointment, including the young patient Ms Marina Rubella, born 8. 8. 1992. In her practice software, the MPA prescribes the standard analyses agreed with the laboratory for the gynaecological 3-year check-up for patient Rubella. This also includes the Blood sample for the serotonary for any follow-up prescriptions. The laboratory transmits the results to the practice no later than 90 minutes after the Blood sample has been taken. Dr Pap prescribes the following orders during the consultation:</p><ul><li>Gynaecological cervical cytology: Pap smear - if indicated, detection and typing of HPV (human papilloma virus) should also be performed. Collection material according to the laboratory`s instructions. The cytological examination is carried out in the Pipette laboratory. The Pipette laboratory does not perform the typing itself.</li><li>Partial urine status (Combur9 test): carried out by the MPA in the practice: the following parameters are examined: pH, leucocytes, erythrocytes, nitrite, protein, glucose, ketones, urobilinogen, bilirubin (semi-quantitative examinations, results are probably entered manually into the practice laboratory system).</li><li>Urine bacteriology: collection material according to the laboratory`s instructions. General bact, incl. fungi to the laboratory pipette Transmission of the order is triggered by the MPA (collection time)</li><li>Supplementary order “Screening before pregnancy”: All tests can be carried out from the materials (serum, EDTA Blood) taken in advance in the outpatient clinic (hepatitis-Bc antibodies, HIV 1+2 (Ak+p24), rubella IgG, lues/syphilis screening test)</li><li>Mammography: Order for the Dr. Curie X-ray Institute.</li></ul><p>Matching FHIR questionnaire that meets this specification: <a href="https://fhir.ch/ig/ch-lab-order/Questionnaire-3-gyn.xml.html">3-gyn.xml</a> <a href="https://fhir.ch/ig/ch-lab-order/Questionnaire-3-gyn.json.html">3-gyn.json</a></p></div></div>
  </text>
  <extension
             url="http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer">
    <extension url="enterer">
      <valueReference>
        <reference value="PractitionerRole/PeterPapGruppenpraxis"/>
      </valueReference>
    </extension>
  </extension>
  <extension
             url="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-receiver">
    <valueReference>
      <reference value="PractitionerRole/EvaErlenmeyerLaborPipette"/>
    </valueReference>
  </extension>
  <extension
             url="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-copyreceiver">
    <valueReference>
      <reference value="PractitionerRole/MarcMustermannArztpraxis"/>
    </valueReference>
  </extension>
  <status value="final"/>
  <type>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="721965002"/>
      <display value="Laboratory order (record artifact)"/>
    </coding>
  </type>
  <category>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="721963009"/>
      <display value="Order (record artifact)"/>
    </coding>
  </category>
  <subject>
    <reference value="Patient/MarinaRubella"/>
  </subject>
  <date value="2020-03-31T11:46:09+02:00"/>
  <author>
    <reference value="PractitionerRole/PeterPapGruppenpraxis"/>
  </author>
  <title value="Referral 3-gyn"/>
  <section>
    <title value="Order-Referral-Form 3-gyn"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="93037-0"/>
        <display value="Portable medical order form"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml">Order-Referral-Form 3-gyn</div>
    </text>
    <entry>
      <reference value="Questionnaire/3-gyn"/>
    </entry>
    <entry>
      <reference value="QuestionnaireResponse/3-gyn"/>
    </entry>
    <entry>
      <reference value="ServiceRequest/3-gyn"/>
    </entry>
  </section>
</Composition>