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. For a full list of available versions, see the Directory of published versions

Example Bundle: CH LAB-Order 4-sepsis with ServiceRequest


Laboratory Order

Case study 4: Suspected sepsis

The patient Sara Speckmann, born 12. 12. 1975, has been in the Cantonal Hospital for some time. Last night her general condition deteriorated massively. As there is a suspicion of sepsis, the senior physician in charge, Dr Hans Hauser, orders Blood to be taken from her in the morning for a Blood culture. 30 minutes later, another aerobic and an anaerobic Blood culture is taken, as well as a urine sample. All five samples are further processed in the external laboratory Pipette. There, germs are detected in all materials and then identified by mass spectrometry. The pathogens “Klebsiella pneumoniae” and “Escherichia coli” were detected in the four Blood culture bottles, and the bacterium “Streptococcus mitis” was also detected in one aerobic bottle. The germ identified in the urine sample is normally not pathogenic. An antibiogram is made of all three pathogens detected in the Blood. This shows that the two active substances “amoxicillin+clavulanic acid” and “ceftriaxone” are effective against all three germs. The microbiologist regularly informs Dr Hans Hauser about the various partial results.


Laboratory Order with Service Request 4-sepsis

Laboratory Order with Service Request 4-sepsis

Additional Document Content


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

id: SaraSpeckmann

meta:

identifier: 012/08.111114

name: Sara Speckmann

gender: FEMALE

birthDate: Dec 12, 1975

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

Communications

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


3. 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


4. 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)


5. 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


6. 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


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/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


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/HealthInsuranceCardSaraSpeckmann (Coverage/HealthInsuranceCardSaraSpeckmann)

Generated Narrative: Coverage

ResourceCoverage "HealthInsuranceCardSaraSpeckmann"

Profile: CH ORF Coverage

identifier: Insurance Card Number/A123456780

status: ACTIVE

type: According to KVG (Coverage Type#KVG)

subscriber: See on this page: Patient/SaraSpeckmann

beneficiary: See on this page: Patient/SaraSpeckmann

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


13. http://example.com/fhir/Specimen/Blood-bactec-plus (Specimen/Blood-bactec-plus)

Generated Narrative: Specimen

ResourceSpecimen "Blood-bactec-plus"

status: AVAILABLE

type: Blood sample (SNOMED CT#119297000)

subject: See on this page: Patient/SaraSpeckmann

request: See on this page: ServiceRequest/4-sepsis-service-request

Collections

-CollectorCollected[x]BodySite
*See on this page: Practitioner/HansHauser2015-08-16 06:40:17+0000Structure of superficial vein of left upper limb (body structure) (SNOMED CT#721029009)

container

note: Specimen is grossly lipemic


14. http://example.com/fhir/Specimen/Blood-sepsis (Specimen/Blood-sepsis)

Generated Narrative: Specimen

ResourceSpecimen "Blood-sepsis"

status: AVAILABLE

type: Blood sample (SNOMED CT#119297000)

subject: See on this page: Patient/SaraSpeckmann

request: See on this page: ServiceRequest/4-sepsis-service-request

Collections

-CollectorCollected[x]BodySite
*See on this page: Practitioner/HansHauser2015-08-16 06:40:17+0000Structure of superficial vein of left upper limb (body structure) (SNOMED CT#721029009)

container

note: Specimen is grossly lipemic


15. http://example.com/fhir/Specimen/Urine-sepsis (Specimen/Urine-sepsis)

Generated Narrative: Specimen

ResourceSpecimen "Urine-sepsis"

identifier: 11111-15394-75465

accessionIdentifier: 22222-bc987-dd888

status: AVAILABLE

type: Urine sample (SNOMED CT#122575003)

subject: See on this page: Patient/SaraSpeckmann

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

request: See on this page: ServiceRequest/4-sepsis-service-request

Collections

-CollectorCollected[x]
*See on this page: Practitioner/HansHauser2023-12-01 06:40:17+0000

container


16. http://example.com/fhir/ServiceRequest/4-sepsis-service-request (ServiceRequest/4-sepsis-service-request)

Generated Narrative: ServiceRequest

ResourceServiceRequest "4-sepsis-service-request"

Profile: CH LAB-Order-SR

identifier: Placer Identifier/123

status: ACTIVE

intent: ORIGINALORDER

priority: URGENT

code: Hemoglobin and Hematocrit panel - Blood (LOINC#24360-0; LOINC#43113-0 "Hemoglobin electrophoresis panel in Blood"; LOINC#57021-8 "CBC W Auto Differential panel - Blood"; LOINC#58410-2 "CBC panel - Blood by Automated count"; LOINC#90423-5 "Microorganism preliminary growth detection panel - Blood by Culture"; LOINC#85421-6 "Bacterial identification and susceptibility panel - Isolate"; LOINC#1988-5 "C reactive protein [Mass/Volume] in Serum or Plasma")

subject: See on this page: Patient/SaraSpeckmann

requester: See on this page: PractitionerRole/HansHauserKantonsspital

insurance: See on this page: Coverage/HealthInsuranceCardSaraSpeckmann

specimen: