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 6-histopath with ServiceRequest

Case study 6

Suspected Melanoma, order for histopathology examination

A 45-year-old female patient Simone Studer came for her regular skin check to the Arztpraxis of Dermatologist Armin Ahrens, and this lesion was noted: Junctions nevi consisting of seborrheic area top end and atypical network constructed of many seperate dots, structures , etc , suggesting melanocytic involvement. Excision. Attachement of dermatoscopic images Specimen: 29 x 11 x 5 mm skin ellipse Body Site: Back paralumbar left

The skin sample, including the order form and the dermatoscopic image are sent to the laboratory.

Laboratory Order with ServiceRequest 6-histopath

Laboratory Order with Service Request 6-histopath

Additional Document Content

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

id: SimoneStuder

meta:

identifier: 012/08.111113

name: SimoneStuder

gender: FEMALE

birthDate: Jan 08, 1992

maritalStatus: verheiratet (Details : {$ech-11-maritalstatus code '2' = '2', given as 'verheiratet'})

Communications

-LanguagePreferred
*Italienisch (Schweiz) (Details : {urn:ietf:bcp:47 code 'it-CH' = 'Italian (Region=Schweiz))true

3. http://example.com/fhir/Practitioner/ArminAhrens (Practitioner/ArminAhrens)

Generated Narrative: Practitioner

ResourcePractitioner "ArminAhrens"

Profile: CH Core Practitioner

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

name: Armin Ahrens (Official)

telecom: ph: 033 123 22 11(WORK), armin.ahrens@arztpraxis.ch

Qualifications

-Code
*Dermatology and venereology (ch-ehealth-codesystem-medreg#1021)

4. http://example.com/fhir/Organization/Arztpraxis (Organization/Arztpraxis)

Generated Narrative: Organization

ResourceOrganization "Arztpraxis"

Profile: CH Core Organization

identifier: GLN/7601000235503

name: Arztpraxis Messen

Contacts

-TelecomAddress
*+41555545566, info@arztpraxis.ch, http://www.arztpraxis.chDoktorgasse 2 Messen 3254 CH

5. http://example.com/fhir/PractitionerRole/ArminAhrensArztpraxis (PractitionerRole/ArminAhrensArztpraxis)

Generated Narrative: PractitionerRole

ResourcePractitionerRole "ArminAhrensArztpraxis"

Profile: CH Core PractitionerRole

practitioner: See on this page: Practitioner/ArminAhrens

organization: See on this page: Organization/Arztpraxis

6. http://example.com/fhir/Practitioner/PeterPresto (Practitioner/PeterPresto)

Generated Narrative: Practitioner

ResourcePractitioner "PeterPresto"

Profile: CH Core Practitioner EPR

identifier: GLN/7601022050702, urn:oid:2.16.756.5.30.1.123.100.2.1.1/A123303

name: Peter Presto (Official)

telecom: ph: 032 333 22 33(WORK), peter.presto@arztpraxis.ch

7. 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

8. http://example.com/fhir/PractitionerRole/PeterPrestoGruppenpraxis (PractitionerRole/PeterPrestoGruppenpraxis)

Generated Narrative: PractitionerRole

ResourcePractitionerRole "PeterPrestoGruppenpraxis"

Profile: CH Core PractitionerRole

practitioner: See on this page: Practitioner/PeterPresto

organization: See on this page: Organization/Gruppenpraxis

9. 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

10. 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

11. 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

12. http://example.com/fhir/Coverage/HealthInsuranceCardSimoneStuder (Coverage/HealthInsuranceCardSimoneStuder)

Generated Narrative: Coverage

ResourceCoverage "HealthInsuranceCardSimoneStuder"

Profile: CH ORF Coverage

identifier: Insurance Card Number/B123456780

status: ACTIVE

type: According to KVG (Coverage Type#KVG)

subscriber: See on this page: Patient/SimoneStuder

beneficiary: See on this page: Patient/SimoneStuder

period: ?? --> 2024-12-31

13. http://example.com/fhir/Specimen/Skin (Specimen/Skin)

Generated Narrative: Specimen

ResourceSpecimen "Skin"

identifier: 48736-12345-75465

accessionIdentifier: 4e99a-12345-dd333

status: AVAILABLE

type: 29 x 11 x 5 mm skin ellipse (SNOMED CT#396353007 "Specimen from skin obtained by elliptical excision (specimen)")

subject: See on this page: Patient/SimoneStuder

request: See on this page: ServiceRequest/6-histopath-service-request

Collections

-CollectorCollected[x]BodySite
*See on this page: PractitionerRole/ArminAhrensArztpraxis2015-08-16 06:40:17+0000Entire skin of lumbar region of back (body structure) (SNOMED CT#1149541002)

container

14. http://example.com/fhir/DiagnosticReport/skin-dermatoscopy (DiagnosticReport/skin-dermatoscopy)

Dermatoscopy of skin, Diagnostic Report (Pathology)

SubjectSimone Studer (Official) Female, DoB: 1992-01-08 ( Medical record number/012/08.111113)
When For2017-03-02
Reported2017-03-15 08:13:08+0000
Identifier: https://www.acmeonline.com/P44444444

Report Details

15. http://example.com/fhir/Media/skin-dermatoskopy-image (DocumentReference/skin-dermatoskopy-image)

Generated Narrative: DocumentReference

ResourceDocumentReference "skin-dermatoskopy-image"

16. http://example.com/fhir/ServiceRequest/6-histopath-service-request (ServiceRequest/6-histopath-service-request)

Generated Narrative: ServiceRequest

ResourceServiceRequest "6-histopath-service-request"

Profile: CH LAB-Order-SR

identifier: Placer Identifier/123

status: ACTIVE

intent: ORIGINALORDER

priority: URGENT

code: Pathology study (LOINC#11526-1)

subject: See on this page: Patient/SimoneStuder

requester: See on this page: PractitionerRole/ArminAhrensArztpraxis

insurance: See on this page: Coverage/HealthInsuranceCardSimoneStuder

specimen: See on this page: Specimen/Skin: Skin specimen