0-best-practice-document-with-sr
type: Bundle
node role: treeRoot
id:
  v: 0-best-practice-document-with-sr
meta:
  version id:
    v: 1
  last updated:
    v: 2023-04-01T20:18:41.341+00:00
  profile:
    v: http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-document-with-sr
    link: http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-document-with-sr
identifier:
  system:
    v: urn:ietf:rfc:3986
type:
  v: document
timestamp:
  v: 2023-04-01T20:18:41.341+00:00
entry:
  full url:
    v: http://example.com/fhir/Composition/0-best-practice
  resource: 0-best-practice
entry:
  full url:
    v: http://example.com/fhir/Patient/BirgitBlum
  resource: BirgitBlum
entry:
  full url:
    v: http://example.com/fhir/Practitioner/MarcMustermann
  resource: MarcMustermann
entry:
  full url:
    v: http://example.com/fhir/Organization/Gruppenpraxis
  resource: Gruppenpraxis
entry:
  full url:
    v: http://example.com/fhir/PractitionerRole/MarcMustermannGruppenpraxis
  resource: MarcMustermannGruppenpraxis
entry:
  full url:
    v: http://example.com/fhir/Practitioner/HansHauser
  resource: HansHauser
entry:
  full url:
    v: http://example.com/fhir/Organization/Kantonsspital
  resource: Kantonsspital
entry:
  full url:
    v: http://example.com/fhir/PractitionerRole/HansHauserKantonsspital
  resource: HansHauserKantonsspital
entry:
  full url:
    v: http://example.com/fhir/Practitioner/EvaErlenmeyer
  resource: EvaErlenmeyer
entry:
  full url:
    v: http://example.com/fhir/Organization/LaborPipette
  resource: LaborPipette
entry:
  full url:
    v: http://example.com/fhir/PractitionerRole/EvaErlenmeyerLaborPipette
  resource: EvaErlenmeyerLaborPipette
entry:
  full url:
    v: http://example.com/fhir/Encounter/FirstEncounter
  resource: FirstEncounter
entry:
  full url:
    v: http://example.com/fhir/Medication/Liquemin
  resource: Liquemin
entry:
  full url:
    v: http://example.com/fhir/Specimen/Serum-0-best-practice
  resource: Serum-0-best-practice
entry:
  full url:
    v: http://example.com/fhir/Specimen/Blood-coag-0-best-practice
  resource: Blood-coag-0-best-practice
entry:
  full url:
    v: http://example.com/fhir/Specimen/Blood-0-best-practice
  resource: Blood-0-best-practice
entry:
  full url:
    v: http://example.com/fhir/ServiceRequest/0-best-practice-ServiceRequest-0
  resource: 0-best-practice-ServiceRequest-0
entry:
  full url:
    v: http://example.com/fhir/ServiceRequest/0-best-practice-ServiceRequest-1
  resource: 0-best-practice-ServiceRequest-1
entry:
  full url:
    v: http://example.com/fhir/ServiceRequest/0-best-practice-ServiceRequest-2
  resource: 0-best-practice-ServiceRequest-2
entry:
  full url:
    v: http://example.com/fhir/ServiceRequest/0-best-practice-ServiceRequest-3
  resource: 0-best-practice-ServiceRequest-3
entry:
  full url:
    v: http://example.com/fhir/ServiceRequest/0-best-practice-ServiceRequest-3-Hb
  resource: 0-best-practice-ServiceRequest-3-Hb
entry:
  full url:
    v: http://example.com/fhir/ServiceRequest/0-best-practice-ServiceRequest-3-Ht
  resource: 0-best-practice-ServiceRequest-3-Ht
entry:
  full url:
    v: http://example.com/fhir/Condition/ConditionTibiaFracture
  resource: ConditionTibiaFracture
entry:
  full url:
    v: http://example.com/fhir/Condition/ConditionAnticoagulation
  resource: ConditionAnticoagulation

0-best-practice
type: Composition
id:
  v: 0-best-practice
meta:
  version id:
    v: 1
  last updated:
    v: 2022-10-20T17:04:38.520+00:00
  profile:
    v: http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-composition-with-sr
    link: http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-composition-with-sr
text:
  status:
    v: additional
  div: Case study chronic renal insufficiency 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.
extension:
  extension:
    url:
      v: enterer
    value: Reference
      link: http://fhir.ch/ig/ch-lab-order/PractitionerRole/MarcMustermannGruppenpraxis
      reference:
        v: PractitionerRole/MarcMustermannGruppenpraxis
  url:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer
extension:
  url:
    v: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactforthisdocument
  value: Reference
    link: http://fhir.ch/ig/ch-lab-order/PractitionerRole/EvaErlenmeyerLaborPipette
    reference:
      v: PractitionerRole/EvaErlenmeyerLaborPipette
extension:
  url:
    v: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactfortheresponsetothisdocument
  value: Reference
    link: http://fhir.ch/ig/ch-lab-order/PractitionerRole/MarcMustermannGruppenpraxis
    reference:
      v: PractitionerRole/MarcMustermannGruppenpraxis
extension:
  url:
    v: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-receiver
  value: Reference
    link: http://fhir.ch/ig/ch-lab-order/PractitionerRole/EvaErlenmeyerLaborPipette
    reference:
      v: PractitionerRole/EvaErlenmeyerLaborPipette
extension:
  url:
    v: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-copyreceiver
  value: Reference
    link: http://fhir.ch/ig/ch-lab-order/PractitionerRole/MarcMustermannGruppenpraxis
    reference:
      v: PractitionerRole/MarcMustermannGruppenpraxis
extension:
  url:
    v: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-copyreceiver
  value: Reference
    link: http://fhir.ch/ig/ch-lab-order/Patient/BirgitBlum
    reference:
      v: Patient/BirgitBlum
status:
  v: final
type:
  coding: http://snomed.info/id/721965002
    system:
      v: http://snomed.info/sct
    code:
      v: 721965002
    display:
      v: Laboratory order (record artifact)
category:
  coding: http://snomed.info/id/721963009
    system:
      v: http://snomed.info/sct
    code:
      v: 721963009
    display:
      v: Order (record artifact)
subject:
  link: http://fhir.ch/ig/ch-lab-order/Patient/BirgitBlum
  reference:
    v: Patient/BirgitBlum
date:
  v: 2025-03-05T11:46:09+02:00
author:
  link: http://fhir.ch/ig/ch-lab-order/PractitionerRole/MarcMustermannGruppenpraxis
  reference:
    v: PractitionerRole/MarcMustermannGruppenpraxis
title:
  v: Laboratory order 0-best-practice
section:
  title:
    v: Laboratory Order by Service Request 0-best-practice
  code:
    coding: http://snomed.info/id/721963009
      system:
        v: http://snomed.info/sct
      code:
        v: 721963009
      display:
        v: Order (record artifact)
  text:
    status:
      v: generated
    div: Laboratory Order by Service Request 0-best-practice
  entry:
    link: http://fhir.ch/ig/ch-lab-order/ServiceRequest/0-best-practice-ServiceRequest-0
    reference:
      v: ServiceRequest/0-best-practice-ServiceRequest-0
  entry:
    link: http://fhir.ch/ig/ch-lab-order/ServiceRequest/0-best-practice-ServiceRequest-1
    reference:
      v: ServiceRequest/0-best-practice-ServiceRequest-1
  entry:
    link: http://fhir.ch/ig/ch-lab-order/ServiceRequest/0-best-practice-ServiceRequest-2
    reference:
      v: ServiceRequest/0-best-practice-ServiceRequest-2
  entry:
    link: http://fhir.ch/ig/ch-lab-order/ServiceRequest/0-best-practice-ServiceRequest-3
    reference:
      v: ServiceRequest/0-best-practice-ServiceRequest-3
  entry:
    link: http://fhir.ch/ig/ch-lab-order/ServiceRequest/0-best-practice-ServiceRequest-3-Hb
    reference:
      v: ServiceRequest/0-best-practice-ServiceRequest-3-Hb
  entry:
    link: http://fhir.ch/ig/ch-lab-order/ServiceRequest/0-best-practice-ServiceRequest-3-Ht
    reference:
      v: ServiceRequest/0-best-practice-ServiceRequest-3-Ht

BirgitBlum
type: Patient
id:
  v: BirgitBlum
meta:
  profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient
    link: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient
text:
  status:
    v: additional
  div: id: BirgitBlum meta: identifier: 80756011110123400002 name: Birgit Blum gender: FEMALE birthDate: Jan 01, 1981 maritalStatus: unverheiratet (Details : {$ech-11-maritalstatus code '5' = '5', given as 'unverheiratet'}) Communications - Language Preferred * Deutsch (Schweiz) (Details : {urn:ietf:bcp:47 code 'de-CH' = 'German (Region=Schweiz)) true
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
  value: Address
    city:
      v: Zürich
    country:
      v: Schweiz
extension:
  url:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeoforigin
  value: Address
    city:
      v: Breitenbach
    state:
      v: BL
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/patient-religion
  value: CodeableConcept
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ReligiousAffiliation
      code:
        v: 1007
      display:
        v: Atheism
identifier:
  system:
    v: urn:oid:2.16.756.5.30.1.123.100.1.1.1
  value:
    v: 80756011110123400002
name:
  family:
    v: Blum
  given:
    v: Birgit
telecom:
  system:
    v: phone
  value:
    v: 079 979 79 79
  use:
    v: home
telecom:
  system:
    v: email
gender:
  v: female
birth date:
  v: 1984-01-01
marital status:
  coding:
    system:
      v: http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus
    code:
      v: 5
    display:
      v: unverheiratet
communication:
  language:
    coding:
      system:
        v: urn:ietf:bcp:47
      code:
        v: de-CH
    text:
      v: Deutsch (Schweiz)
  preferred:
    v: true

MarcMustermann
type: Practitioner
id:
  v: MarcMustermann
meta:
  profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner
    link: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner
text:
  status:
    v: generated
  div: Generated Narrative: Practitioner MarcMustermann Profile: CH Core Practitioner identifier: GLN/7601000050700, urn:oid:2.16.756.5.30.1.123.100.2.1.1/L248519 name: Marc Mustermann (Official) telecom: ph: 033 444 22 11(Work), marc.mustermann@gruppenpraxis.ch
identifier:
  system:
    v: urn:oid:2.51.1.3
  value:
    v: 7601000050700
identifier:
  system:
    v: urn:oid:2.16.756.5.30.1.123.100.2.1.1
  value:
    v: L248519
name:
  use:
    v: official
  family:
    v: Mustermann
  given:
    v: Marc
  prefix:
    v: Dr. med.
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier
      value: code
        v: AC
telecom:
  system:
    v: phone
  value:
    v: 033 444 22 11
  use:
    v: work
telecom:
  system:
    v: email
  use:
    v: work

Gruppenpraxis
type: Organization
id:
  v: Gruppenpraxis
meta:
  profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization-epr
    link: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization-epr
text:
  status:
    v: generated
  div: Generated Narrative: Organization Gruppenpraxis Profile: CH Core Organization EPR identifier: GLN/7601000241115 name: Gruppenpraxis Olten telecom: +41555556677, info@gruppenpraxis.ch, http://www.gruppenpraxis.ch address: Gerbergasse 12 Olten 4600 CH
identifier:
  system:
    v: urn:oid:2.51.1.3
  value:
    v: 7601000241115
name:
  v: Gruppenpraxis Olten
telecom:
  system:
    v: phone
  value:
    v: +41555556677
  use:
    v: work
telecom:
  system:
    v: email
  use:
    v: work
telecom:
  system:
    v: url
  value:
    v: http://www.gruppenpraxis.ch
  use:
    v: work
address:
  line:
    v: Gerbergasse 12
  city:
    v: Olten
  postal code:
    v: 4600
  country:
    v: CH

MarcMustermannGruppenpraxis
type: PractitionerRole
id:
  v: MarcMustermannGruppenpraxis
meta:
  profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole
    link: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole
text:
  status:
    v: generated
  div: Generated Narrative: PractitionerRole MarcMustermannGruppenpraxis Profile: CH Core PractitionerRole practitioner: Practitioner Marc Mustermann (official) organization: Organization Gruppenpraxis Olten
practitioner:
  link: http://fhir.ch/ig/ch-lab-order/Practitioner/MarcMustermann
  reference:
    v: Practitioner/MarcMustermann
organization:
  link: http://fhir.ch/ig/ch-lab-order/Organization/Gruppenpraxis
  reference:
    v: Organization/Gruppenpraxis

HansHauser
type: Practitioner
id:
  v: HansHauser
meta:
  profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner
    link: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner
text:
  status:
    v: generated
  div: Generated Narrative: Practitioner HansHauser Profile: CH Core Practitioner identifier: GLN/7601000050700, urn:oid:2.16.756.5.30.1.123.100.2.1.1/L248519 name: Hans Hauser (Official) telecom: ph: 038 888 22 11(Work), hans.hauser@gruppenpraxis.ch
identifier:
  system:
    v: urn:oid:2.51.1.3
  value:
    v: 7601000050700
identifier:
  system:
    v: urn:oid:2.16.756.5.30.1.123.100.2.1.1
  value:
    v: L248519
name:
  use:
    v: official
  family:
    v: Hauser
  given:
    v: Hans
  prefix:
    v: Dr. med.
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier
      value: code
        v: AC
telecom:
  system:
    v: phone
  value:
    v: 038 888 22 11
  use:
    v: work
telecom:
  system:
    v: email
  use:
    v: work

Kantonsspital
type: Organization
id:
  v: Kantonsspital
meta:
  profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization
    link: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization
text:
  status:
    v: generated
  div: Generated Narrative: Organization Kantonsspital Profile: CH Core Organization identifier: GLN/7601000235503 name: Kantonsspital Zug telecom: +41 45 334 55 66, info@kantonsspital.zug.ch, http://www.kanstonsspital.zug.ch address: Seestrasse 14 Postfach 14 Zug 8000 Schweiz (work)
identifier:
  system:
    v: urn:oid:2.51.1.3
  value:
    v: 7601000235503
name:
  v: Kantonsspital Zug
telecom:
  system:
    v: phone
  value:
    v: +41 45 334 55 66
  use:
    v: work
telecom:
  system:
    v: email
  use:
    v: work
telecom:
  system:
    v: url
  value:
    v: http://www.kanstonsspital.zug.ch
  use:
    v: work
address:
  use:
    v: work
  line:
    v: Seestrasse 14
  line:
    v: Postfach 14
  city:
    v: Zug
  postal code:
    v: 8000
  country:
    v: Schweiz

HansHauserKantonsspital
type: PractitionerRole
id:
  v: HansHauserKantonsspital
meta:
  profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole
    link: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole
text:
  status:
    v: generated
  div: Generated Narrative: PractitionerRole HansHauserKantonsspital Profile: CH Core PractitionerRole practitioner: Practitioner Hans Hauser (official) organization: Organization Kantonsspital Zug
practitioner:
  link: http://fhir.ch/ig/ch-lab-order/Practitioner/HansHauser
  reference:
    v: Practitioner/HansHauser
organization:
  link: http://fhir.ch/ig/ch-lab-order/Organization/Kantonsspital
  reference:
    v: Organization/Kantonsspital

EvaErlenmeyer
type: Practitioner
id:
  v: EvaErlenmeyer
meta:
  profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner
    link: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner
text:
  status:
    v: generated
  div: Generated Narrative: Practitioner EvaErlenmeyer Profile: CH Core Practitioner identifier: GLN/7601000050717, urn:oid:2.16.756.5.30.1.123.100.2.1.1/Y274589 name: Eva Erlenmeyer (Official) telecom: ph: 033 444 55 66(Work), eva.erlenmeyer@labor-pipette.ch
identifier:
  system:
    v: urn:oid:2.51.1.3
  value:
    v: 7601000050717
identifier:
  system:
    v: urn:oid:2.16.756.5.30.1.123.100.2.1.1
  value:
    v: Y274589
name:
  use:
    v: official
  family:
    v: Erlenmeyer
  given:
    v: Eva
  prefix:
    v: Dr. med.
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier
      value: code
        v: AC
telecom:
  system:
    v: phone
  value:
    v: 033 444 55 66
  use:
    v: work
telecom:
  system:
    v: email
  use:
    v: work

LaborPipette
type: Organization
id:
  v: LaborPipette
meta:
  profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization
    link: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization
text:
  status:
    v: generated
  div: Generated Narrative: Organization LaborPipette Profile: CH Core Organization identifier: GLN/7601000234407 name: Labor Pipette telecom: +41223345566, info@labor-pipette.ch, http://www.labor-pipette.ch address: Laborstrasse 23 Olten 4600 CH
identifier:
  system:
    v: urn:oid:2.51.1.3
  value:
    v: 7601000234407
name:
  v: Labor Pipette
telecom:
  system:
    v: phone
  value:
    v: +41223345566
  use:
    v: work
telecom:
  system:
    v: email
  use:
    v: work
telecom:
  system:
    v: url
  value:
    v: http://www.labor-pipette.ch
  use:
    v: work
address:
  line:
    v: Laborstrasse 23
  city:
    v: Olten
  postal code:
    v: 4600
  country:
    v: CH

EvaErlenmeyerLaborPipette
type: PractitionerRole
id:
  v: EvaErlenmeyerLaborPipette
meta:
  profile:
    v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole
    link: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole
text:
  status:
    v: generated
  div: Generated Narrative: PractitionerRole EvaErlenmeyerLaborPipette Profile: CH Core PractitionerRole identifier: urn:oid:2.16.756.5.30.1.123.100.2.1.1/K333333 practitioner: Practitioner Eva Erlenmeyer (official) organization: Organization Labor Pipette
identifier:
  system:
    v: urn:oid:2.16.756.5.30.1.123.100.2.1.1
  value:
    v: K333333
practitioner:
  link: http://fhir.ch/ig/ch-lab-order/Practitioner/EvaErlenmeyer
  reference:
    v: Practitioner/EvaErlenmeyer
organization:
  link: http://fhir.ch/ig/ch-lab-order/Organization/LaborPipette
  reference:
    v: Organization/LaborPipette

FirstEncounter
type: Encounter
id:
  v: FirstEncounter
text:
  status:
    v: generated
  div: Generated Narrative: Encounter FirstEncounter status: In Progress class: ActCode IMP: inpatient encounter subject: Birgit Blum Female, DoB: 1984-01-01 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400002)
status:
  v: in-progress
class:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ActCode
  code:
    v: IMP
  display:
    v: inpatient encounter
subject:
  link: http://fhir.ch/ig/ch-lab-order/Patient/BirgitBlum
  reference:
    v: Patient/BirgitBlum

Liquemin
type: Medication
id:
  v: Liquemin
meta:
  profile:
    v: http://fhir.ch/ig/ch-lab-order/StructureDefinition/ChLabOrderMedication
    link: http://fhir.ch/ig/ch-lab-order/StructureDefinition/ChLabOrderMedication
text:
  status:
    v: generated
  div: Generated Narrative: Medication Liquemin Profile: CH LAB-Order Medication code: LIQUEMIN Inj Lös 25000 IE/5ml status: Active form: Conventional release solution for injection (dose form) Ingredients - Item[x] Strength * Heparin (substance) 5000 international unit (Details: UCUM code[iU] = '[iU]')/0.5 milliliter (Details: UCUM codemL = 'mL') Batches - LotNumber ExpirationDate * 9494788 2024-05-22
code:
  coding:
    system:
      v: urn:oid:2.51.1.1
    code:
      v: 7680151590587
    display:
      v: LIQUEMIN Inj Lös 25000 IE/5ml
  coding:
    system:
      v: http://www.whocc.no/atc
    code:
      v: B01AB01
    display:
      v: Heparin
  text:
    v: LIQUEMIN Inj Lös 25000 IE/5ml
status:
  v: active
form:
  coding: http://snomed.info/id/385219001
    system:
      v: http://snomed.info/sct
    code:
      v: 385219001
    display:
      v: Conventional release solution for injection (dose form)
ingredient:
  item: CodeableConcept
    coding: http://snomed.info/id/372877000
      system:
        v: http://snomed.info/sct
      code:
        v: 372877000
      display:
        v: Heparin (substance)
  strength:
    numerator:
      value:
        v: 5000
      unit:
        v: international unit
      system:
        v: http://unitsofmeasure.org
      code:
        v: [iU]
    denominator:
      value:
        v: 0.5
      unit:
        v: milliliter
      system:
        v: http://unitsofmeasure.org
      code:
        v: mL
batch:
  lot number:
    v: 9494788
  expiration date:
    v: 2024-05-22

Serum-0-best-practice
type: Specimen
id:
  v: Serum-0-best-practice
text:
  status:
    v: generated
  div: Generated Narrative: Specimen Serum-0-best-practice identifier: 48736-12345-75465 accessionIdentifier: 4e88a-12345-dd888 status: Available type: Serum specimen (specimen) subject: Birgit Blum Female, DoB: 1984-01-01 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400002) Collections - Collector Collected[x] BodySite FastingStatus[x] * Practitioner Marc Mustermann (official) 2023-12-01 16:40:17+0000 Structure of median cubital vein (body structure) Patient was fasting prior to the procedure. Containers - Description Type * General specimen container (physical object) General specimen container (physical object)
identifier:
  value:
    v: 48736-12345-75465
accession identifier:
  value:
    v: 4e88a-12345-dd888
status:
  v: available
type:
  coding: http://snomed.info/id/119364003
    system:
      v: http://snomed.info/sct
    code:
      v: 119364003
    display:
      v: Serum specimen (specimen)
subject:
  link: http://fhir.ch/ig/ch-lab-order/Patient/BirgitBlum
  reference:
    v: Patient/BirgitBlum
collection:
  collector:
    link: http://fhir.ch/ig/ch-lab-order/Practitioner/MarcMustermann
    reference:
      v: Practitioner/MarcMustermann
  collected: dateTime
    v: 2023-12-01T16:40:17Z
  body site:
    coding: http://snomed.info/id/49852007
      system:
        v: http://snomed.info/sct
      code:
        v: 49852007
      display:
        v: Structure of median cubital vein (body structure)
  fasting status: CodeableConcept
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0916
      code:
        v: F
      display:
        v: Patient was fasting prior to the procedure.
container:
  description:
    v: General specimen container (physical object)
  type:
    coding: http://snomed.info/id/706053007
      system:
        v: http://snomed.info/sct
      code:
        v: 706053007
      display:
        v: General specimen container (physical object)

Blood-coag-0-best-practice
type: Specimen
id:
  v: Blood-coag-0-best-practice
text:
  status:
    v: generated
  div: Generated Narrative: Specimen Blood-coag-0-best-practice identifier: 48736-55555-75465 accessionIdentifier: 4e88a-66666-dd888 status: Available type: Blood sample subject: Birgit Blum Female, DoB: 1984-01-01 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400002) receivedTime: 2023-12-01 16:40:17+0000 Collections - Collector Collected[x] * Practitioner Marc Mustermann (official) 2023-12-01 17:00:17+0000 Processings - Description Time[x] * Needs to be centrifugated and cooled within 1 hour 2023-12-01 17:00:17+0000 --> 2023-12-01 17:30:17+0000 Containers - Identifier Description Type Additive[x] * 4e88a-bc987-dd888-00001-bcoag Blood collection Luer adaptor, 3.8% Citrate Blood collection Luer adaptor 3.8% Citrate
identifier:
  value:
    v: 48736-55555-75465
accession identifier:
  value:
    v: 4e88a-66666-dd888
status:
  v: available
type:
  coding: http://snomed.info/id/119297000
    system:
      v: http://snomed.info/sct
    code:
      v: 119297000
    display:
      v: Blood sample
subject:
  link: http://fhir.ch/ig/ch-lab-order/Patient/BirgitBlum
  reference:
    v: Patient/BirgitBlum
received time:
  v: 2023-12-01T16:40:17Z
collection:
  collector:
    link: http://fhir.ch/ig/ch-lab-order/Practitioner/MarcMustermann
    reference:
      v: Practitioner/MarcMustermann
  collected: dateTime
    v: 2023-12-01T17:00:17Z
processing:
  description:
    v: Needs to be centrifugated and cooled within 1 hour
  time: Period
    start:
      v: 2023-12-01T17:00:17Z
    end:
      v: 2023-12-01T17:30:17Z
container:
  identifier:
    value:
      v: 4e88a-bc987-dd888-00001-bcoag
  description:
    v: Blood collection Luer adaptor, 3.8% Citrate
  type:
    coding: http://snomed.info/id/702120003
      system:
        v: http://snomed.info/sct
      code:
        v: 702120003
      display:
        v: Blood collection Luer adaptor
  additive: CodeableConcept
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0371
      code:
        v: C38

Blood-0-best-practice
type: Specimen
id:
  v: Blood-0-best-practice
text:
  status:
    v: generated
  div: Generated Narrative: Specimen Blood-0-best-practice identifier: 48736-55555-75465 accessionIdentifier: 4e88a-66666-dd888 status: Available type: Blood sample subject: Birgit Blum Female, DoB: 1984-01-01 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400002) Collections - Collector Collected[x] BodySite * Practitioner Marc Mustermann (official) 2023-12-01 06:40:17+0000 Structure of superficial vein of left upper limb (body structure) Containers - Type * General specimen container (physical object) note: Specimen is grossly lipemic
identifier:
  value:
    v: 48736-55555-75465
accession identifier:
  value:
    v: 4e88a-66666-dd888
status:
  v: available
type:
  coding: http://snomed.info/id/119297000
    system:
      v: http://snomed.info/sct
    code:
      v: 119297000
    display:
      v: Blood sample
subject:
  link: http://fhir.ch/ig/ch-lab-order/Patient/BirgitBlum
  reference:
    v: Patient/BirgitBlum
collection:
  collector:
    link: http://fhir.ch/ig/ch-lab-order/Practitioner/MarcMustermann
    reference:
      v: Practitioner/MarcMustermann
  collected: dateTime
    v: 2023-12-01T06:40:17Z
  body site:
    coding: http://snomed.info/id/721029009
      system:
        v: http://snomed.info/sct
      code:
        v: 721029009
      display:
        v: Structure of superficial vein of left upper limb (body structure)
container:
  type:
    coding: http://snomed.info/id/706053007
      system:
        v: http://snomed.info/sct
      code:
        v: 706053007
      display:
        v: General specimen container (physical object)
note:
  text:
    v: Specimen is grossly lipemic

0-best-practice-ServiceRequest-0
type: ServiceRequest
id:
  v: 0-best-practice-ServiceRequest-0
meta:
  profile:
    v: http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-SR
    link: http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-SR
text:
  status:
    v: generated
  div: Generated Narrative: ServiceRequest 0-best-practice-ServiceRequest-0 Profile: CH LAB-Order-SR identifier: Placer Identifier/Y274589 status: Active intent: Original Order priority: Urgent code: Deep vein thrombosis screening (procedure) subject: Birgit Blum Female, DoB: 1984-01-01 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400002) encounter: Encounter: status = in-progress; class = inpatient encounter (ActCode#IMP) requester: PractitionerRole supportingInfo: Condition Open fracture of tibial plateau (disorder)
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
      code:
        v: PLAC
      display:
        v: Placer Identifier
  system:
    v: urn:oid:2.16.756.5.30.1.123.100.2.1.1
  value:
    v: Y274589
status:
  v: active
intent:
  v: original-order
priority:
  v: urgent
code:
  coding: http://snomed.info/id/401186003
    system:
      v: http://snomed.info/sct
    code:
      v: 401186003
    display:
      v: Deep vein thrombosis screening (procedure)
subject:
  link: http://fhir.ch/ig/ch-lab-order/Patient/BirgitBlum
  reference:
    v: Patient/BirgitBlum
encounter:
  link: http://fhir.ch/ig/ch-lab-order/Encounter/FirstEncounter
  reference:
    v: Encounter/FirstEncounter
requester:
  link: http://fhir.ch/ig/ch-lab-order/PractitionerRole/HansHauserKantonsspital
  reference:
    v: PractitionerRole/HansHauserKantonsspital
supporting info:
  link: http://fhir.ch/ig/ch-lab-order/Condition/ConditionTibiaFracture
  reference:
    v: Condition/ConditionTibiaFracture

0-best-practice-ServiceRequest-1
type: ServiceRequest
id:
  v: 0-best-practice-ServiceRequest-1
meta:
  profile:
    v: http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-SR
    link: http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-SR
text:
  status:
    v: generated
  div: Generated Narrative: ServiceRequest 0-best-practice-ServiceRequest-1 Profile: CH LAB-Order-SR identifier: Placer Identifier/Y274589 basedOn: ServiceRequest Deep vein thrombosis screening (procedure) status: Active intent: Original Order priority: Urgent code: Coagulation factor X activated inhibitor [Mass/volume] in Platelet poor plasma subject: Birgit Blum Female, DoB: 1984-01-01 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400002) requester: PractitionerRole reasonCode: Patient gets Heparin injections reasonReference: Condition Prophylactic anticoagulation given (situation) supportingInfo: Medication LIQUEMIN Inj Lös 25000 IE/5ml specimen: Specimen: identifier = 48736-55555-75465; accessionIdentifier = 4e88a-66666-dd888; status = available; type = Blood sample; receivedTime = 2023-12-01 16:40:17+0000
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
      code:
        v: PLAC
      display:
        v: Placer Identifier
  system:
    v: urn:oid:2.16.756.5.30.1.123.100.2.1.1
  value:
    v: Y274589
based on:
  link: http://fhir.ch/ig/ch-lab-order/ServiceRequest/0-best-practice-ServiceRequest-0
  reference:
    v: ServiceRequest/0-best-practice-ServiceRequest-0
status:
  v: active
intent:
  v: original-order
priority:
  v: urgent
code:
  coding: https://loinc.org/rdf/80627-3
    system:
      v: http://loinc.org
    code:
      v: 80627-3
    display:
      v: Coagulation factor X activated inhibitor [Mass/volume] in Platelet poor plasma
subject:
  link: http://fhir.ch/ig/ch-lab-order/Patient/BirgitBlum
  reference:
    v: Patient/BirgitBlum
requester:
  link: http://fhir.ch/ig/ch-lab-order/PractitionerRole/HansHauserKantonsspital
  reference:
    v: PractitionerRole/HansHauserKantonsspital
reason code:
  coding: http://snomed.info/id/250361003
    system:
      v: http://snomed.info/sct
    code:
      v: 250361003
    display:
      v: Heparin control test (procedure)
  text:
    v: Patient gets Heparin injections
reason reference:
  link: http://fhir.ch/ig/ch-lab-order/Condition/ConditionAnticoagulation
  reference:
    v: Condition/ConditionAnticoagulation
supporting info:
  link: http://fhir.ch/ig/ch-lab-order/Medication/Liquemin
  reference:
    v: Medication/Liquemin
specimen:
  link: http://fhir.ch/ig/ch-lab-order/Specimen/Blood-coag-0-best-practice
  reference:
    v: Specimen/Blood-coag-0-best-practice

0-best-practice-ServiceRequest-2
type: ServiceRequest
id:
  v: 0-best-practice-ServiceRequest-2
meta:
  profile:
    v: http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-SR
    link: http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-SR
text:
  status:
    v: generated
  div: Generated Narrative: ServiceRequest 0-best-practice-ServiceRequest-2 Profile: CH LAB-Order-SR identifier: Placer Identifier/Y274589 basedOn: ServiceRequest Deep vein thrombosis screening (procedure) status: Active intent: Original Order priority: Urgent code: Glucose [Moles/volume] in Serum or Plasma --pre dose glucose subject: Birgit Blum Female, DoB: 1984-01-01 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400002) requester: PractitionerRole reasonCode: Diabetes mellitus screening specimen: Serum specimen
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
      code:
        v: PLAC
      display:
        v: Placer Identifier
  system:
    v: urn:oid:2.16.756.5.30.1.123.100.2.1.1
  value:
    v: Y274589
based on:
  link: http://fhir.ch/ig/ch-lab-order/ServiceRequest/0-best-practice-ServiceRequest-0
  reference:
    v: ServiceRequest/0-best-practice-ServiceRequest-0
status:
  v: active
intent:
  v: original-order
priority:
  v: urgent
code:
  coding: https://loinc.org/rdf/47622-6
    system:
      v: http://loinc.org
    code:
      v: 47622-6
    display:
      v: Glucose [Moles/volume] in Serum or Plasma --pre dose glucose
subject:
  link: http://fhir.ch/ig/ch-lab-order/Patient/BirgitBlum
  reference:
    v: Patient/BirgitBlum
requester:
  link: http://fhir.ch/ig/ch-lab-order/PractitionerRole/HansHauserKantonsspital
  reference:
    v: PractitionerRole/HansHauserKantonsspital
reason code:
  coding: http://snomed.info/id/171183004
    system:
      v: http://snomed.info/sct
    code:
      v: 171183004
    display:
      v: Diabetes mellitus screening (procedure)
  text:
    v: Diabetes mellitus screening
specimen:
  link: http://fhir.ch/ig/ch-lab-order/Specimen/Serum-0-best-practice
  reference:
    v: Specimen/Serum-0-best-practice
  display:
    v: Serum specimen

0-best-practice-ServiceRequest-3
type: ServiceRequest
id:
  v: 0-best-practice-ServiceRequest-3
meta:
  profile:
    v: http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-SR
    link: http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-SR
text:
  status:
    v: generated
  div: Generated Narrative: ServiceRequest 0-best-practice-ServiceRequest-3 Profile: CH LAB-Order-SR identifier: Placer Identifier/Y274589 basedOn: ServiceRequest Deep vein thrombosis screening (procedure) status: Active intent: Original Order priority: Urgent code: Hemoglobin and Hematocrit panel - Blood subject: Birgit Blum Female, DoB: 1984-01-01 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400002) requester: PractitionerRole reasonCode: Anemia screening
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
      code:
        v: PLAC
      display:
        v: Placer Identifier
  system:
    v: urn:oid:2.16.756.5.30.1.123.100.2.1.1
  value:
    v: Y274589
based on:
  link: http://fhir.ch/ig/ch-lab-order/ServiceRequest/0-best-practice-ServiceRequest-0
  reference:
    v: ServiceRequest/0-best-practice-ServiceRequest-0
status:
  v: active
intent:
  v: original-order
priority:
  v: urgent
code:
  coding: https://loinc.org/rdf/24360-0
    system:
      v: http://loinc.org
    code:
      v: 24360-0
    display:
      v: Hemoglobin and Hematocrit panel - Blood
subject:
  link: http://fhir.ch/ig/ch-lab-order/Patient/BirgitBlum
  reference:
    v: Patient/BirgitBlum
requester:
  link: http://fhir.ch/ig/ch-lab-order/PractitionerRole/HansHauserKantonsspital
  reference:
    v: PractitionerRole/HansHauserKantonsspital
reason code:
  coding: http://snomed.info/id/171201007
    system:
      v: http://snomed.info/sct
    code:
      v: 171201007
    display:
      v: Anemia screening (procedure)
  text:
    v: Anemia screening

0-best-practice-ServiceRequest-3-Hb
type: ServiceRequest
id:
  v: 0-best-practice-ServiceRequest-3-Hb
meta:
  profile:
    v: http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-SR
    link: http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-SR
text:
  status:
    v: generated
  div: Generated Narrative: ServiceRequest 0-best-practice-ServiceRequest-3-Hb Profile: CH LAB-Order-SR identifier: Placer Identifier/Y274589 basedOn: ServiceRequest Hemoglobin and Hematocrit panel - Blood status: Active intent: Original Order priority: Urgent code: Hemoglobin [Mass/volume] in Blood subject: Birgit Blum Female, DoB: 1984-01-01 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400002) requester: PractitionerRole specimen: Specimen: identifier = 48736-55555-75465; accessionIdentifier = 4e88a-66666-dd888; status = available; type = Blood sample; note = Specimen is grossly lipemic
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
      code:
        v: PLAC
      display:
        v: Placer Identifier
  system:
    v: urn:oid:2.16.756.5.30.1.123.100.2.1.1
  value:
    v: Y274589
based on:
  link: http://fhir.ch/ig/ch-lab-order/ServiceRequest/0-best-practice-ServiceRequest-3
  reference:
    v: ServiceRequest/0-best-practice-ServiceRequest-3
status:
  v: active
intent:
  v: original-order
priority:
  v: urgent
code:
  coding: https://loinc.org/rdf/718-7
    system:
      v: http://loinc.org
    code:
      v: 718-7
    display:
      v: Hemoglobin [Mass/volume] in Blood
subject:
  link: http://fhir.ch/ig/ch-lab-order/Patient/BirgitBlum
  reference:
    v: Patient/BirgitBlum
requester:
  link: http://fhir.ch/ig/ch-lab-order/PractitionerRole/HansHauserKantonsspital
  reference:
    v: PractitionerRole/HansHauserKantonsspital
specimen:
  link: http://fhir.ch/ig/ch-lab-order/Specimen/Blood-0-best-practice
  reference:
    v: Specimen/Blood-0-best-practice

0-best-practice-ServiceRequest-3-Ht
type: ServiceRequest
id:
  v: 0-best-practice-ServiceRequest-3-Ht
meta:
  profile:
    v: http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-SR
    link: http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-SR
text:
  status:
    v: generated
  div: Generated Narrative: ServiceRequest 0-best-practice-ServiceRequest-3-Ht Profile: CH LAB-Order-SR identifier: Placer Identifier/Y274589 basedOn: ServiceRequest Hemoglobin and Hematocrit panel - Blood status: Active intent: Original Order priority: Urgent code: Hematocrit [Volume Fraction] of Blood by calculation subject: Birgit Blum Female, DoB: 1984-01-01 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400002) requester: PractitionerRole specimen: Specimen: identifier = 48736-55555-75465; accessionIdentifier = 4e88a-66666-dd888; status = available; type = Blood sample; note = Specimen is grossly lipemic
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
      code:
        v: PLAC
      display:
        v: Placer Identifier
  system:
    v: urn:oid:2.16.756.5.30.1.123.100.2.1.1
  value:
    v: Y274589
based on:
  link: http://fhir.ch/ig/ch-lab-order/ServiceRequest/0-best-practice-ServiceRequest-3
  reference:
    v: ServiceRequest/0-best-practice-ServiceRequest-3
status:
  v: active
intent:
  v: original-order
priority:
  v: urgent
code:
  coding: https://loinc.org/rdf/20570-8
    system:
      v: http://loinc.org
    code:
      v: 20570-8
    display:
      v: Hematocrit [Volume Fraction] of Blood by calculation
subject:
  link: http://fhir.ch/ig/ch-lab-order/Patient/BirgitBlum
  reference:
    v: Patient/BirgitBlum
requester:
  link: http://fhir.ch/ig/ch-lab-order/PractitionerRole/HansHauserKantonsspital
  reference:
    v: PractitionerRole/HansHauserKantonsspital
specimen:
  link: http://fhir.ch/ig/ch-lab-order/Specimen/Blood-0-best-practice
  reference:
    v: Specimen/Blood-0-best-practice

ConditionTibiaFracture
type: Condition
id:
  v: ConditionTibiaFracture
meta:
  profile:
    v: http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-diagnosis-condition
    link: http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-diagnosis-condition
text:
  status:
    v: generated
  div: Generated Narrative: Condition ConditionTibiaFracture Profile: CH LAB-Order Diagnosis Condition clinicalStatus: Active verificationStatus: Confirmed category: Problem List Item severity: Severe (severity modifier) (qualifier value) code: Open fracture of tibial plateau (disorder) bodySite: Bone structure of proximal left tibia (body structure) subject: Birgit Blum encounter: Encounter: status = in-progress; class = inpatient encounter (ActCode#IMP) onset: 2024-02-05 recordedDate: 2024-02-05 asserter: Birgit Blum Evidences - Code * Open fracture of upper end of tibia (disorder)
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-clinical
    code:
      v: active
verification status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-ver-status
    code:
      v: confirmed
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-category
    code:
      v: problem-list-item
severity:
  coding: http://snomed.info/id/24484000
    system:
      v: http://snomed.info/sct
    code:
      v: 24484000
    display:
      v: Severe (severity modifier) (qualifier value)
code:
  coding: http://snomed.info/id/446980008
    system:
      v: http://snomed.info/sct
    code:
      v: 446980008
    display:
      v: Open fracture of tibial plateau (disorder)
body site:
  coding: http://snomed.info/id/719496004
    system:
      v: http://snomed.info/sct
    code:
      v: 719496004
  text:
    v: Bone structure of proximal left tibia (body structure)
subject:
  link: http://fhir.ch/ig/ch-lab-order/Patient/BirgitBlum
  reference:
    v: Patient/BirgitBlum
  display:
    v: Birgit Blum
encounter:
  link: http://fhir.ch/ig/ch-lab-order/Encounter/FirstEncounter
  reference:
    v: Encounter/FirstEncounter
onset: dateTime
  v: 2024-02-05
recorded date:
  v: 2024-02-05
asserter:
  link: http://fhir.ch/ig/ch-lab-order/PractitionerRole/HansHauserKantonsspital
  reference:
    v: PractitionerRole/HansHauserKantonsspital
  display:
    v: Birgit Blum
evidence:
  code:
    coding: http://snomed.info/id/111645003
      system:
        v: http://snomed.info/sct
      code:
        v: 111645003
      display:
        v: Open fracture of upper end of tibia (disorder)

ConditionAnticoagulation
type: Condition
id:
  v: ConditionAnticoagulation
meta:
  profile:
    v: http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-diagnosis-condition
    link: http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-diagnosis-condition
text:
  status:
    v: generated
  div: Generated Narrative: Condition ConditionAnticoagulation Profile: CH LAB-Order Diagnosis Condition clinicalStatus: Active verificationStatus: Confirmed category: Problem List Item code: Prophylactic anticoagulation given (situation) subject: Birgit Blum encounter: Encounter: status = in-progress; class = inpatient encounter (ActCode#IMP) onset: 2024-02-05 recordedDate: 2024-02-05 asserter: Birgit Blum Evidences - Code * Open fracture of upper end of tibia (disorder)
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-clinical
    code:
      v: active
verification status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-ver-status
    code:
      v: confirmed
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-category
    code:
      v: problem-list-item
code:
  coding: http://snomed.info/id/122621000119109
    system:
      v: http://snomed.info/sct
    code:
      v: 122621000119109
    display:
      v: Prophylactic anticoagulation given (situation)
subject:
  link: http://fhir.ch/ig/ch-lab-order/Patient/BirgitBlum
  reference:
    v: Patient/BirgitBlum
  display:
    v: Birgit Blum
encounter:
  link: http://fhir.ch/ig/ch-lab-order/Encounter/FirstEncounter
  reference:
    v: Encounter/FirstEncounter
onset: dateTime
  v: 2024-02-05
recorded date:
  v: 2024-02-05
asserter:
  link: http://fhir.ch/ig/ch-lab-order/PractitionerRole/HansHauserKantonsspital
  reference:
    v: PractitionerRole/HansHauserKantonsspital
  display:
    v: Birgit Blum
evidence:
  code:
    coding: http://snomed.info/id/111645003
      system:
        v: http://snomed.info/sct
      code:
        v: 111645003
      display:
        v: Open fracture of upper end of tibia (disorder)