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

Example Bundle: Referral 2-pertussis

Laboratory Order

Case study 2: Suspicion of whooping cough

A mother visits the family doctor Peter Presto of the Olten group practice with her 6-year-old son Emil Kummer, born 5 May 2014, because the child has been coughing increasingly for a fortnight, with cramping cough attacks, and has a fever. The doctor`s receptionist measures the fever, takes a fingertip Blood sample from the son, determines the CRP and prepares a Blood smear. The doctor suspects a viral infection, but wants to rule out whooping cough, although the child has been vaccinated against it. As he is under time pressure due to an emergency, he does not want to do the necessary throat swab himself, but asks the mother to accompany the child to the nearby laboratory to have the swab done in peace. He prepares a laboratory order to carry out a pertussis PCR on the child`s throat swab and gives the order to the mother. The mother herself is not sure whether she herself has been vaccinated against pertussis. Consequently, the family doctor Peter Presto gives her the pertussis vaccination right away and recommends that the same be done for the child`s father and grandparents. In the meantime, the MPA has looked at the son`s Blood smear under the microscope and finds a lot of reactive lymphocytes, which seem suspicious to her. She is unsure and asks the doctor, who gives the order to give the child`s Blood smears to the mother and also to have them examined more closely in the laboratory. The mother arrives at the laboratory with her son, where the doctor`s order is first to establish the son`s identity. Then a pharyngeal swab and a right cubital venepuncture are taken from the child in the laboratory`s Blood collection room and passed on to the laboratory together with the Blood smears and the doctor`s examination order.

Matching FHIR questionnaire that meets this specification: 2-pertussis.xml 2-pertussis.json

Order-Referral-Form 2-pertussis

Order-Referral-Form 2-pertussis

Additional Document Content

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

id: EmilKummer

meta:

identifier: 012/08.111112

name: Emil Kummer

gender: MALE

birthDate: May 05, 2014

maritalStatus: ledig (Details : {$ech-11-maritalstatus code '1' = '1', given as 'ledig'})

Communications

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

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

Generated Narrative: Practitioner

Resource Practitioner "PeterPresto"

Profile: CH Core Practitioner EPR

identifier: id: 7601022050702, id: A123303

name: Peter Presto (OFFICIAL)

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

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

Generated Narrative: Organization

Resource Organization "Gruppenpraxis"

Profile: CH Core Organization EPR

identifier: id: 7601000241115

name: Gruppenpraxis Olten

Contacts

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

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

Generated Narrative: PractitionerRole

Resource PractitionerRole "PeterPrestoGruppenpraxis"

Profile: CH Core PractitionerRole

practitioner: See above (Practitioner/PeterPresto)

organization: See above (Organization/Gruppenpraxis)

6. http://example.com/fhir/Questionnaire/2-pertussis (Questionnaire/2-pertussis)

Structure

LinkIdTextCardinalityTypeFlagsDescription & Constraintsdoco
.. LabOrderFormExampleQuestionnairehttp://fhir.ch/ig/ch-lab-order/Questionnaire/2-pertussis#1.0.0
... orderAuftrag1..1group
.... order.placerOrderIdentifierAuftragsnummer des Auftraggebers0..1string
.... order.placerOrderIdentifierDomainIdentifier Domain der Auftragsnummer des Auftraggebers0..1stringicon
.... order.fillerOrderIdentifierAuftragsnummer des Auftragsempfängers0..1string
.... order.fillerOrderIdentifierDomainIdentifier Domain der Auftragsnummer des Auftragsempfängers0..1stringicon
.... order.precedentDocumentIdentifierIdentifier des Vorgängerdokuments0..1stringicon
.... order.notificationContactDocumentDringender Benachrichtigungskontakt für dieses Dokument0..1group
..... order.notificationContactDocument.practitionerZu benachrichtigende Person0..1group
...... order.notificationContactDocument.practitioner.titleTitel0..1string
...... order.notificationContactDocument.practitioner.familyNameName0..1string
...... order.notificationContactDocument.practitioner.givenNameVorname0..1string
...... order.notificationContactDocument.practitioner.phoneTelefon0..1string
...... order.notificationContactDocument.practitioner.emailE-Mail0..1string
.... order.notificationContactDocumentResponseDringender Benachrichtigungskontakt für die Antwort auf dieses Dokument0..1group
..... order.notificationContactDocumentResponse.practitionerZu benachrichtigende Person0..1group
...... order.notificationContactDocumentResponse.practitioner.titleTitel0..1string
...... order.notificationContactDocumentResponse.practitioner.familyNameName0..1string
...... order.notificationContactDocumentResponse.practitioner.givenNameVorname0..1string
...... order.notificationContactDocumentResponse.practitioner.phoneTelefon0..1string
...... order.notificationContactDocumentResponse.practitioner.emailE-Mail0..1string
.... order.priorityAuftragspriorität0..1choiceOptions: 4 options
... receiverEmpfänger0..1group
.... receiver.practitionerEmpfangende Person0..1group
..... receiver.practitioner.titleTitel0..1string
..... receiver.practitioner.familyNameName0..1string
..... receiver.practitioner.givenNameVorname0..1string
..... receiver.practitioner.glnGLN0..1string
..... receiver.practitioner.zsrZSR0..1string
..... receiver.practitioner.phoneTelefon0..1string
..... receiver.practitioner.emailE-Mail0..1string
.... receiver.organizationEmpfangende Organisation0..1group
..... receiver.organization.nameName der Organisation0..1string
..... receiver.organization.glnGLN0..1stringDefinition: http://fhir.ch/ig/ch-core/StructureDefinition-ch-core-organization-definitions.html#Organization.identifier:GLN
..... receiver.organization.streetAddressLineStrasse, Hausnummer, Postfach etc.0..*string
..... receiver.organization.postalCodePLZ0..1string
..... receiver.organization.cityOrt0..1string
..... receiver.organization.countryLand0..1string
... patientPatient1..1group
.... patient.familyNameName0..1string
.... patient.maidenNameLedigname0..1string
.... patient.givenNameVorname0..1string
.... patient.localPidLokale Patienten-ID0..1string
.... patient.birthDateGeburtsdatum0..1date
.... patient.genderGeschlecht0..1choiceOptions: 3 options
.... patient.maritalStatusZivilstand0..1choiceDefinition: Patient.maritalStatus
Options: 8 options
.... patient.phoneTelefon0..1string
.... patient.emailE-Mail0..1string
.... patient.streetAddressLineStrasse, Hausnummer, Postfach etc.0..*string
.... patient.postalCodePLZ0..1string
.... patient.cityOrt0..1string
.... patient.countryLand0..1string
.... patient.languageOfCorrespondanceKorrespondenssprache0..1choiceDefinition: Patient.communication:languageOfCorrespondance
Value Set: DocumentEntry.languageCode
.... patient.contactpersonKontaktperson0..1groupDefinition: Patient.contact
..... patient.contactperson.relationshipBeziehung0..1stringDefinition: Patient.contact.relationship.text
..... patient.contactperson.familyNameName0..1stringDefinition: Patient.contact.name.family
..... patient.contactperson.givenNameVorname0..1stringDefinition: Patient.contact.name.given
..... patient.contactperson.phoneTelefon0..*stringDefinition: Patient.contact.telecom.value
..... patient.contactperson.emailE-Mail0..1stringDefinition: Patient.contact.telecom.value
.... sender.authorVerantwortlicher1..1group
..... sender.author.practitionerVerantwortliche Person0..1group
...... sender.author.practitioner.titleTitel0..1string
...... sender.author.practitioner.familyNameName0..1string
...... sender.author.practitioner.givenNameVorname0..1string
...... sender.author.practitioner.glnGLN0..1string
...... sender.author.practitioner.zsrZSR0..1string
...... sender.author.practitioner.phoneTelefon0..1string
...... sender.author.practitioner.emailE-Mail0..1string
..... sender.author.organizationVerantwortliche Organisation0..1group
...... sender.author.organization.nameName der Organisation0..1string
...... sender.author.organization.streetAddressLineStrasse, Hausnummer, Postfach etc.0..*string
...... sender.author.organization.postalCodePLZ0..1string
...... sender.author.organization.cityOrt0..1string
...... sender.author.organization.countryLand0..1string
.... sender.dataentererErfasser0..1group
..... sender.dataenterer.practitionerErfassende Person0..1group
...... sender.dataenterer.practitioner.familyNameName0..1string
...... sender.dataenterer.practitioner.givenNameVorname0..1string
...... sender.dataenterer.practitioner.phoneTelefon0..1string
...... sender.dataenterer.practitioner.emailE-Mail0..1string
... receiverCopiesKopieempfänger0..1group
.... receiverCopyKopieempfangende Organisation oder Person0..*groupDefinition: PractitionerRole
..... receiverCopy.organization.nameName der Organisation0..1stringDefinition: PractitionerRole.practitioner
...... receiverCopy.practitionerRole.practitioner.titleTitel0..1stringDefinition: HumanName.prefix
...... receiverCopy.practitionerRole.practitioner.familyNameName0..1stringDefinition: HumanName.family
...... receiverCopy.practitionerRole.practitioner.givenNameVorname0..1stringDefinition: HumanName.given
...... receiverCopy.practitionerRole.practitioner.phoneTelefon0..1stringDefinition: ContactPoint.value
...... receiverCopy.practitionerRole.practitioner.emailE-Mail0..1stringDefinition: ContactPoint.value
..... receiverCopy.titleTitel0..1stringDefinition: PractitionerRole.organization
...... receiverCopy.practitionerRole.organization.nameName der Organisation0..1stringDefinition: Organization.name
...... receiverCopy.practitionerRole.organization.streetAddressLineStrasse, Hausnummer, Postfach etc.0..*stringDefinition: Address.line
...... receiverCopy.practitionerRole.organization.postalCodePLZ0..1stringDefinition: Address.postalCode
...... receiverCopy.practitionerRole.organization.cityOrt0..1stringDefinition: Address.city
...... receiverCopy.practitionerRole.organization.countryLand0..1stringDefinition: Address.country
..... receiverCopy.familyNameName0..1string
..... receiverCopy.givenNameVorname0..1string
..... receiverCopy.phoneTelefon0..1string
..... receiverCopy.emailE-Mail0..1string
..... receiverCopy.streetAddressLineStrasse, Hausnummer, Postfach etc.0..*string
..... receiverCopy.postalCodePLZ0..1string
..... receiverCopy.cityOrt0..1string
..... receiverCopy.countryLand0..1string
.... receiverCopy.patientPatient selbst0..1booleanDefinition: Patient
.... receiverCopy.relatedPersonAndere Person0..*groupDefinition: RelatedPerson
..... receiverCopy.relatedPerson.familyNameName0..1stringDefinition: RelatedPerson.name.family
..... receiverCopy.relatedPerson.givenNameVorame0..1stringDefinition: RelatedPerson.name.given
..... receiverCopy.relatedPerson.phoneTelefon0..*stringDefinition: RelatedPerson.telecom.value
..... receiverCopy.relatedPerson.emailE-Mail0..1stringDefinition: RelatedPerson.telecom.value
..... receiverCopy.relatedPerson.streetAddressLineStrasse, Hausnummer, Postfach etc.0..*stringDefinition: RelatedPerson.address.line
..... receiverCopy.relatedPerson.postalCodePLZ0..1stringDefinition: RelatedPerson.address.postalCode
..... receiverCopy.relatedPerson.cityOrt0..1stringDefinition: RelatedPerson.address.city
..... receiverCopy.relatedPerson.countryLand0..1stringDefinition: RelatedPerson.address.country
... consentEinverständniserklärung0..1groupDefinition: http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-servicerequest#ServiceRequest.supportingInfo
.... consent.treatmentEinverständnis des Patienten zur Behandlung0..1string
.... consent.patientPrivacyEinverständnis des Patienten zum Datenschutz0..1string
.... consent.researchEinverständnis des Patienten zur Forschung0..1string
.... consent.advancedCareDirectivePatientenverfügung0..1string
... coverageKostenträger0..1groupDefinition: http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-servicerequest#ServiceRequest.insurance
.... coverage.uvgUnfallversicherung (nach UVG)0..1string
.... coverage.kvgGrundversicherung (nach KVG)0..1string
.... coverage.vvgZusatzversicherung (nach VVG)0..1string
.... coverage.vvgOtherAndere (nach VVG)0..1string
... previousResultVorheriges Untersuchungsresultat0..1groupDefinition: http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-servicerequest#ServiceRequest.supportingInfo
.... previousResult.resultUntersuchungsresultat0..*string
... microbiologyMikrobiologie0..1group
.... perPertussis and Parapertussis DNA0..*choiceOptions: 1 option
... hematologyHämatologie0..1group
.... Blood-diffManual Differential panel - Blood0..*choiceOptions: 1 option
... clinical chemistryKlinische Chemie0..1group
.... crpC-reactive Protein0..*choiceOptions: 1 option

doco Documentation for this format

Option Sets

Answer options for order.priority

  • iconhttp://hl7.org/fhir/request-priority#routine ("Routine")
  • iconhttp://hl7.org/fhir/request-priority#urgent ("Urgent")
  • iconhttp://hl7.org/fhir/request-priority#asap ("ASAP")
  • iconhttp://hl7.org/fhir/request-priority#stat ("STAT")

Answer options for patient.gender

  • iconhttp://hl7.org/fhir/administrative-gender#male ("Male")
  • iconhttp://hl7.org/fhir/administrative-gender#female ("Female")
  • iconhttp://hl7.org/fhir/administrative-gender#other ("Other")

Answer options for patient.maritalStatus

  • http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus#1 ("ledig")
  • http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus#2 ("verheiratet")
  • http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus#3 ("verwitwet")
  • http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus#4 ("geschieden")
  • http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus#5 ("unverheiratet")
  • http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus#6 ("in eingetragener Partnerschaft")
  • http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus#7 ("aufgelöste Partnerschaft")
  • http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus#9 ("unbekannt")

Answer options for per

  • http://loinc.org#90441-7 ("B pert+parapert DNA Pnl Nph")

Answer options for Blood-diff

  • http://loinc.org#24318-8 ("Manual diff Bld")

Answer options for crp

  • http://loinc.org#1988-5 ("C reactive protein [Mass/volume] in Serum or Plasma")

7. http://example.com/fhir/QuestionnaireResponse/2-pertussis (QuestionnaireResponse/2-pertussis)

LinkIdTextDefinitionAnswerdoco
.. 2-pertussisQuestionnaireResponse
... orderAuftrag
... receiverEmpfänger
... patientPatient
... receiverCopiesKopieempfänger
... microbiologyMikrobiologie
... hematologyHämatologie
... clinical chemistryKlinische Chemie

doco Documentation for this format

8. http://example.com/fhir/ServiceRequest/2-pertussis (ServiceRequest/2-pertussis)

Generated Narrative: ServiceRequest

Resource ServiceRequest "2-pertussis"

Profile: CH ORF ServiceRequest

identifier: Placer Identifier: 123

status: ACTIVE

intent: ORIGINALORDER

category: Anforderung Laboruntersuchung (ch-lab-order-servicerequest-categories#RequestForLabExam)

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")

subject: See above (Patient/EmilKummer)

requester: See above (PractitionerRole/PeterPrestoGruppenpraxis)

insurance: Coverage/HealthInsuranceCard

specimen: