CH LAB-Order (R4)
2.0.0 - trial-use Switzerland flag

This page is part of the CH LAB-Order (R4) (v2.0.0: STU 2) based on FHIR (HL7® FHIR® Standard) 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

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 open 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. 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.

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

ResourceMedication "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 codemL = 'mL')

Batches

-LotNumberExpirationDate
*94947882024-05-22

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

Generated Narrative: Practitioner

ResourcePractitioner "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

ResourceOrganization "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

ResourcePractitionerRole "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

ResourcePractitioner "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

ResourceOrganization "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

ResourcePractitionerRole "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

ResourcePractitioner "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

ResourceOrganization "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

ResourcePractitionerRole "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

ResourceSpecimen "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

ResourceSpecimen "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

ResourceSpecimen "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

ResourceServiceRequest "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

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

Generated Narrative: ServiceRequest

ResourceServiceRequest "0-best-practice-service-request-1"

Profile: CH LAB-Order-SR Single-test

identifier: Placer Identifier/123

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

supportingInfo: Medication/Liquemin

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

ResourceServiceRequest "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

ResourceServiceRequest "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

ResourceServiceRequest "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

ResourceServiceRequest "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

ResourceCondition "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: 2024-02-05

recordedDate: 2024-02-05

evidence

24. http://example.com/fhir/Condition/ConditionAnticoagulation (Condition/ConditionAnticoagulation)

Generated Narrative: Condition

ResourceCondition "ConditionAnticoagulation"

Profile: CH LAB-Order Diagnosis Condition

clinicalStatus: Active (Condition Clinical Status Codes#active)

verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)

category: Procedure (procedure) (SNOMED CT#71388002)

code: Prophylactic anticoagulation given (situation) (SNOMED CT#122621000119109)

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

encounter: See on this page: Encounter/FirstEncounter

onset: 2024-02-05

recordedDate: 2024-02-05

evidence