Case study 3 Annual gynaecological check-up The doctor`s assistent of the gynaecology department in the Olten group practice, Dr Peter Pap, prepares the next day`s consultations. As the practice only has a minimal laboratory of its own, certain patients are sent to the nearby Pipette laboratory outpatient clinic before the appointment, including the young patient Ms Marina Rubella, born 8. 8. 1992. In her practice software, the MPA prescribes the standard analyses agreed with the laboratory for the gynaecological 3-year check-up for patient Rubella. This also includes the Blood sample for the serotonary for any follow-up prescriptions. The laboratory transmits the results to the practice no later than 90 minutes after the Blood sample has been taken. Dr Pap prescribes the following orders during the consultation: Gynaecological cervical cytology: Pap smear - if indicated, detection and typing of HPV (human papilloma virus) should also be performed. Collection material according to the laboratory`s instructions. The cytological examination is carried out in the Pipette laboratory. The Pipette laboratory does not perform the typing itself. Partial urine status (Combur9 test): carried out by the MPA in the practice: the following parameters are examined: pH, leucocytes, erythrocytes, nitrite, protein, glucose, ketones, urobilinogen, bilirubin (semi-quantitative examinations, results are probably entered manually into the practice laboratory system). Urine bacteriology: collection material according to the laboratory`s instructions. General bact, incl. fungi to the laboratory pipette Transmission of the order is triggered by the MPA (collection time) Supplementary order “Screening before pregnancy”: All tests can be carried out from the materials (serum, EDTA Blood) taken in advance in the outpatient clinic (hepatitis-Bc antibodies, HIV 1+2 (Ak+p24), rubella IgG, lues/syphilis screening test) Mammography: Order for the Dr. Curie X-ray Institute.
Order-Referral-Form 3-gyn
id: MarinaRubella meta: identifier: 80756011110123400005 name: MarinaRubella gender: FEMALE birthDate: Aug 08, 1992 maritalStatus: verheiratet (Details : {$ech-11-maritalstatus code '2' = '2', given as 'verheiratet'}) Communications - Language Preferred * Italienisch (Schweiz) (Details : {urn:ietf:bcp:47 code 'it-CH' = 'Italian (Region=Schweiz)) true
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
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
Generated Narrative: PractitionerRole MarcMustermannGruppenpraxis Profile: CH Core PractitionerRole practitioner: Practitioner Marc Mustermann (official) organization: Organization Gruppenpraxis Olten
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
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
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
Generated Narrative: Practitioner PeterPap Profile: CH Core Practitioner identifier: GLN/7601003050707, urn:oid:2.16.756.5.30.1.123.100.2.1.1/A000001 name: Peter Pap (Official) telecom: ph: 032 333 22 40(Work), peter.pap@gruppenpraxis.ch
Generated Narrative: PractitionerRole PeterPapGruppenpraxis Profile: CH Core PractitionerRole practitioner: Practitioner Peter Pap (official) organization: Organization Gruppenpraxis Olten
Generated Narrative: Specimen Cervix-swab identifier: 48736-12345-12345 accessionIdentifier: 4e88a-12345-aa222 status: Available type: Combined specimen of cytologic material from endocervix, ectocervix, and vaginal fornix (specimen) subject: Marina Rubella (official) Female, DoB: 1992-08-08 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400005) request: ServiceRequest Pap smear tests - FPAR 2.0 set Collections - Collector Collected[x] * Practitioner Peter Pap (official) 2015-08-16 06:40:17+0000 Containers - Type * General specimen container (physical object)
Combined specimen of cytologic material from endocervix, ectocervix, and vaginal fornix (specimen)
General specimen container (physical object)
Generated Narrative: Specimen Blood-gyn status: Available type: Blood sample subject: Marina Rubella (official) Female, DoB: 1992-08-08 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400005) request: ServiceRequest Obstetric 1996 Pnl Ser+Bld Collections - Collector Collected[x] BodySite * Practitioner Peter Pap (official) 2015-08-16 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
Structure of superficial vein of left upper limb (body structure)
Generated Narrative: Specimen Serum-gyn identifier: 48736-12345-75465 accessionIdentifier: 4e88a-12345-dd888 status: Available type: Serum specimen (specimen) subject: Marina Rubella (official) Female, DoB: 1992-08-08 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400005) request: ServiceRequest Obstetric 1996 Pnl Ser+Bld Collections - Collector Collected[x] BodySite FastingStatus[x] * Practitioner Peter Pap (official) 2015-08-16 06:40:17+0000 Structure of median cubital vein (body structure) Patient was fasting prior to the procedure. Containers - Type * General specimen container (physical object)
Structure of median cubital vein (body structure)
Patient was fasting prior to the procedure.
Generated Narrative: Specimen Urine-gyn identifier: 11111-15394-75465 accessionIdentifier: 22222-bc987-dd888 status: Available type: Urine sample subject: Marina Rubella (official) Female, DoB: 1992-08-08 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400005) receivedTime: 2023-12-01 16:40:17+0000 request: ServiceRequest Urinalysis dipstick panel - Urine by Automated test strip Collections - Collector Collected[x] * Practitioner Peter Pap (official) 2023-12-01 06:40:17+0000 Containers - Identifier Description Type * 4e88a-bc987-dd888-12345-urin Uriswab™ : Urine Collection System Urine specimen container (physical object)
Urine specimen container (physical object)
Generated Narrative: Questionnaire 3-gyn version: 1; Last updated: 2019-04-01 20:17:53+0000 Profiles: CH ORF Questionnaire, SDCBaseQuestionnaire, Extractable Questionnaire - StructureMap Structure LinkID Text Cardinality Type Flags Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> LabOrderFormExample Questionnaire http://fhir.ch/ig/ch-lab-order/Questionnaire/3-gyn#3.0.0 order Auftrag 1..1 group order.placerOrderIdentifier Auftragsnummer des Auftraggebers 0..1 string order.placerOrderIdentifierDomain Identifier Domain der Auftragsnummer des Auftraggebers 0..1 string order.fillerOrderIdentifier Auftragsnummer des Auftragsempfängers 0..1 string order.fillerOrderIdentifierDomain Identifier Domain der Auftragsnummer des Auftragsempfängers 0..1 string order.precedentDocumentIdentifier Identifier des Vorgängerdokuments 0..1 string order.notificationContactDocument Dringender Benachrichtigungskontakt für dieses Dokument 0..1 group order.notificationContactDocument.practitioner Zu benachrichtigende Person 0..1 group order.notificationContactDocument.practitioner.title Titel 0..1 string order.notificationContactDocument.practitioner.familyName Name 0..1 string order.notificationContactDocument.practitioner.givenName Vorname 0..1 string order.notificationContactDocument.practitioner.phone Telefon 0..1 string order.notificationContactDocument.practitioner.email E-Mail 0..1 string order.notificationContactDocumentResponse Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument 0..1 group order.notificationContactDocumentResponse.practitioner Zu benachrichtigende Person 0..1 group order.notificationContactDocumentResponse.practitioner.title Titel 0..1 string order.notificationContactDocumentResponse.practitioner.familyName Name 0..1 string order.notificationContactDocumentResponse.practitioner.givenName Vorname 0..1 string order.notificationContactDocumentResponse.practitioner.phone Telefon 0..1 string order.notificationContactDocumentResponse.practitioner.email E-Mail 0..1 string order.priority Auftragspriorität 0..1 choice Options: 4 options receiver Empfänger 0..1 group receiver.practitioner Empfangende Person 0..1 group receiver.practitioner.title Titel 0..1 string receiver.practitioner.familyName Name 0..1 string receiver.practitioner.givenName Vorname 0..1 string receiver.practitioner.gln GLN 0..1 string receiver.practitioner.zsr ZSR 0..1 string receiver.practitioner.phone Telefon 0..1 string receiver.practitioner.email E-Mail 0..1 string receiver.organization Empfangende Organisation 0..1 group receiver.organization.name Name der Organisation 0..1 string receiver.organization.gln GLN 0..1 string Definition: receiver.organization.streetAddressLine Strasse, Hausnummer, Postfach etc. 0..* string receiver.organization.postalCode PLZ 0..1 string receiver.organization.city Ort 0..1 string receiver.organization.country Land 0..1 string patient Patient 1..1 group patient.familyName Name 0..1 string patient.maidenName Ledigname 0..1 string patient.givenName Vorname 0..1 string patient.localPid Lokale Patienten-ID 0..1 string patient.birthDate Geburtsdatum 0..1 date patient.gender Geschlecht 0..1 choice Options: 3 options patient.maritalStatus Zivilstand 0..1 choice Definition: Patient.maritalStatus Options: 8 options patient.phone Telefon 0..1 string patient.email E-Mail 0..1 string patient.streetAddressLine Strasse, Hausnummer, Postfach etc. 0..* string patient.postalCode PLZ 0..1 string patient.city Ort 0..1 string patient.country Land 0..1 string patient.languageOfCorrespondance Korrespondenssprache 0..1 choice Definition: Patient.communication:languageOfCorrespondance Value Set: DocumentEntry.languageCode patient.contactperson Kontaktperson 0..1 group Definition: Patient.contact patient.contactperson.relationship Beziehung 0..1 string Definition: Patient.contact.relationship.text patient.contactperson.familyName Name 0..1 string Definition: Patient.contact.name.family patient.contactperson.givenName Vorname 0..1 string Definition: Patient.contact.name.given patient.contactperson.phone Telefon 0..* string Definition: Patient.contact.telecom.value patient.contactperson.email E-Mail 0..1 string Definition: Patient.contact.telecom.value sender Absender 1..1 group sender.author Verantwortlicher 1..1 group sender.author.practitioner Verantwortliche Person 0..1 group sender.author.practitioner.title Titel 0..1 string sender.author.practitioner.familyName Name 0..1 string sender.author.practitioner.givenName Vorname 0..1 string sender.author.practitioner.gln GLN 0..1 string sender.author.practitioner.zsr ZSR 0..1 string sender.author.practitioner.phone Telefon 0..1 string sender.author.practitioner.email E-Mail 0..1 string sender.author.organization Verantwortliche Organisation 0..1 group sender.author.organization.name Name der Organisation 0..1 string sender.author.organization.streetAddressLine Strasse, Hausnummer, Postfach etc. 0..* string sender.author.organization.postalCode PLZ 0..1 string sender.author.organization.city Ort 0..1 string sender.author.organization.country Land 0..1 string sender.dataenterer Erfasser 0..1 group sender.dataenterer.practitioner Erfassende Person 0..1 group sender.dataenterer.practitioner.familyName Name 0..1 string sender.dataenterer.practitioner.givenName Vorname 0..1 string sender.dataenterer.practitioner.phone Telefon 0..1 string sender.dataenterer.practitioner.email E-Mail 0..1 string receiverCopies Kopieempfänger 0..1 group receiverCopy Kopieempfangende Organisation oder Person 0..* group Definition: PractitionerRole receiverCopy.organization.name Name der Organisation 0..1 string Definition: PractitionerRole.practitioner receiverCopy.practitionerRole.practitioner.title Titel 0..1 string Definition: HumanName.prefix receiverCopy.practitionerRole.practitioner.familyName Name 0..1 string Definition: HumanName.family receiverCopy.practitionerRole.practitioner.givenName Vorname 0..1 string Definition: HumanName.given receiverCopy.practitionerRole.practitioner.phone Telefon 0..1 string Definition: ContactPoint.value receiverCopy.practitionerRole.practitioner.email E-Mail 0..1 string Definition: ContactPoint.value receiverCopy.title Titel 0..1 string Definition: PractitionerRole.organization receiverCopy.practitionerRole.organization.name Name der Organisation 0..1 string Definition: Organization.name receiverCopy.practitionerRole.organization.streetAddressLine Strasse, Hausnummer, Postfach etc. 0..* string Definition: Address.line receiverCopy.practitionerRole.organization.postalCode PLZ 0..1 string Definition: Address.postalCode receiverCopy.practitionerRole.organization.city Ort 0..1 string Definition: Address.city receiverCopy.practitionerRole.organization.country Land 0..1 string Definition: Address.country receiverCopy.familyName Name 0..1 string receiverCopy.givenName Vorname 0..1 string receiverCopy.phone Telefon 0..1 string receiverCopy.email E-Mail 0..1 string receiverCopy.streetAddressLine Strasse, Hausnummer, Postfach etc. 0..* string receiverCopy.postalCode PLZ 0..1 string receiverCopy.city Ort 0..1 string receiverCopy.country Land 0..1 string receiverCopy.patient Patient selbst 0..1 boolean Definition: Patient receiverCopy.relatedPerson Andere Person 0..* group Definition: RelatedPerson receiverCopy.relatedPerson.familyName Name 0..1 string Definition: RelatedPerson.name.family receiverCopy.relatedPerson.givenName Vorame 0..1 string Definition: RelatedPerson.name.given receiverCopy.relatedPerson.phone Telefon 0..* string Definition: RelatedPerson.telecom.value receiverCopy.relatedPerson.email E-Mail 0..1 string Definition: RelatedPerson.telecom.value receiverCopy.relatedPerson.streetAddressLine Strasse, Hausnummer, Postfach etc. 0..* string Definition: RelatedPerson.address.line receiverCopy.relatedPerson.postalCode PLZ 0..1 string Definition: RelatedPerson.address.postalCode receiverCopy.relatedPerson.city Ort 0..1 string Definition: RelatedPerson.address.city receiverCopy.relatedPerson.country Land 0..1 string Definition: RelatedPerson.address.country consent Einverständniserklärung 0..1 group Definition: ServiceRequest.supportingInfo consent.treatment Einverständnis des Patienten zur Behandlung 0..1 string consent.patientPrivacy Einverständnis des Patienten zum Datenschutz 0..1 string consent.research Einverständnis des Patienten zur Forschung 0..1 string consent.advancedCareDirective Patientenverfügung 0..1 string coverage Kostenträger 0..1 group Definition: insurance coverage.uvg Unfallversicherung (nach UVG) 0..1 string coverage.kvg Grundversicherung (nach KVG) 0..1 string coverage.vvg Zusatzversicherung (nach VVG) 0..1 string coverage.vvgOther Andere (nach VVG) 0..1 string previousResult Vorheriges Untersuchungsresultat 0..1 group Definition: ServiceRequest.supportingInfo previousResult.result Untersuchungsresultat 0..* string cytology Cytology and Microbiology 0..1 group cervicalSmear Cervical Smear 0..* choice Options: 2 options urin Urin 0..1 group combur9 Combur-9 0..* choice Options: 1 option obstetricalPanels Schwangerschaftsvorsorge 0..1 group obstetric Obstetric 1996 panel – Serum and Blood 0..* choice Options: 1 option <img src="[binary]" alt="doco" style="background-color: inherit"/> Documentation for this format Options Sets Answer options for order.priority http://hl7.org/fhir/request-priority#routine ("Routine") http://hl7.org/fhir/request-priority#urgent ("Urgent") http://hl7.org/fhir/request-priority#asap ("ASAP") http://hl7.org/fhir/request-priority#stat ("STAT") Answer options for patient.gender http://hl7.org/fhir/administrative-gender#male ("Male") http://hl7.org/fhir/administrative-gender#female ("Female") http://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 cervicalSmear http://loinc.org#86662-4 ("Pap smear tests - FPAR 2.0 set") http://loinc.org#14503-7 ("Human papilloma virus 16+18 Ag [Presence] in Cervix") Answer options for combur9 http://loinc.org#50556-0 ("Urinalysis dipstick panel - Urine by Automated test strip") Answer options for obstetric http://loinc.org#24364-2 ("Obstetric 1996 Pnl Ser+Bld")
The practitioner that is to be used to pre-populate the form
Identifier Domain der Auftragsnummer des Auftraggebers
Identifier Domain der Auftragsnummer des Auftragsempfängers
Dringender Benachrichtigungskontakt für dieses Dokument
Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument
Kopieempfangende Organisation oder Person
Einverständnis des Patienten zur Behandlung
Einverständnis des Patienten zum Datenschutz
Einverständnis des Patienten zur Forschung
Human papilloma virus 16+18 Ag [Presence] in Cervix
Urinalysis dipstick panel - Urine by Automated test strip
Generated Narrative: QuestionnaireResponse 3-gyn version: 1; Last updated: 2019-04-01 20:17:53+0000 Profile: CH ORF QuestionnaireResponse LinkID Text Definition Answer<img src="[binary]" alt="doco" style="background-color: inherit"/> 3-gyn Questionnaire:Lab Order Form Example 3-gyn order Auftrag order.placerOrderIdentifier Auftragsnummer des Auftraggebers 123 order.placerOrderIdentifierDomain Identifier Domain der Auftragsnummer des Auftraggebers urn:oid:2.16.756.5.30.1.123.100.2.1.1 order.precedentDocumentIdentifier Identifier des Vorgängerdokuments 1622f2fb-6ba3-4532-9aed-35b158def187 order.notificationContactDocument Dringender Benachrichtigungskontakt für dieses Dokument order.notificationContactDocument.practitioner Zu benachrichtigende Person order.notificationContactDocument.practitioner.title Titel Dr. med. order.notificationContactDocument.practitioner.familyName Name Erlenmeyer order.notificationContactDocument.practitioner.givenName Vorname Eva order.notificationContactDocument.practitioner.phone Telefon 044 333 22 11 order.notificationContactDocument.practitioner.email E-Mail eva.erlenmeyer@labor-pipette.ch order.notificationContactDocumentResponse Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument order.notificationContactDocumentResponse.practitioner Zu benachrichtigende Person order.notificationContactDocumentResponse.practitioner.title Titel Dr. med. order.notificationContactDocumentResponse.practitioner.familyName Name Pap order.notificationContactDocumentResponse.practitioner.givenName Vorname Peter order.notificationContactDocumentResponse.practitioner.phone Telefon 032 333 22 40 order.notificationContactDocumentResponse.practitioner.email E-Mail peter.pap@gruppenpraxis.ch order.priority Auftragspriorität RequestPriority routine: Routine receiver Empfänger receiver.practitioner Empfangende Person receiver.practitioner.title Titel Dr. med. receiver.practitioner.familyName Name Erlenmeyer receiver.practitioner.givenName Vorname Eva receiver.practitioner.gln GLN 7601000050703 receiver.practitioner.phone Telefon +41322552525 receiver.practitioner.email E-Mail eva.erlenmeyer@labor-pipette.ch receiver.organization Empfangende Organisation receiver.organization.name Name der Organisation Labor Pipette receiver.organization.streetAddressLine Strasse, Hausnummer, Postfach etc. receiver.organization.postalCode PLZ 4600 receiver.organization.city Ort Olten receiver.organization.country Land Schweiz patient Patient patient.familyName Name Rubella patient.maidenName Ledigname Berlusconi patient.givenName Vorname Marina patient.localPid Lokale Patienten-ID 11.22.33.5678 patient.birthDate Geburtsdatum 1981-01-01 patient.gender Geschlecht AdministrativeGender female: Female patient.maritalStatus Zivilstand eCH-011 MaritalStatus 2: verheiratet patient.phone Telefon 079 979 79 79 patient.email E-Mail marina.rubella@example.ch patient.streetAddressLine Strasse, Hausnummer, Postfach etc. patient.postalCode PLZ 8000 patient.city Ort Zürich patient.country Land Schweiz sender Absender sender.author Verantwortlicher sender.author.practitioner Verantwortliche Person sender.author.practitioner.title Titel Dr. med. sender.author.practitioner.familyName Name Pap sender.author.practitioner.givenName Vorname Peter sender.author.practitioner.gln GLN 7601000034321 sender.author.practitioner.phone Telefon 032 333 22 40 sender.author.practitioner.email E-Mail peter.pap@gruppenpraxis.ch sender.author.organization Verantwortliche Organisation sender.author.organization.name Name der Organisation Gruppenpraxis Olten sender.author.organization.streetAddressLine Strasse, Hausnummer, Postfach etc. sender.author.organization.postalCode PLZ 4600 sender.author.organization.city Ort Olten sender.author.organization.country Land Schweiz sender.dataenterer Erfasser sender.dataenterer.practitioner Erfassende Person sender.dataenterer.practitioner.familyName Name Federer sender.dataenterer.practitioner.givenName Vorname Alice sender.dataenterer.practitioner.phone Telefon 044 222 22 12 sender.dataenterer.practitioner.email E-Mail alice.federer@praxisseeblick.ch receiverCopies Kopieempfänger receiverCopy Kopieempfangende Organisation oder Person receiverCopy.organization.name Name der Organisation Praxis Seeblick receiverCopy.title Titel Dr. med. receiverCopy.familyName Name Meier receiverCopy.givenName Vorname Sabine receiverCopy.phone Telefon 044 333 22 11 receiverCopy.email E-Mail sabine.meier@praxisseeblick.ch receiverCopy Kopieempfangende Organisation oder Person receiverCopy.familyName Name Rubella receiverCopy.givenName Vorname Marina receiverCopy.phone Telefon +41 64 123 45 67 receiverCopy.email E-Mail marina.rubella@example.ch receiverCopy.streetAddressLine Strasse, Hausnummer, Postfach etc. receiverCopy.postalCode PLZ 6780 receiverCopy.city Ort Airolo receiverCopy.country Land Schweiz cytology Cytology and Microbiology cervicalSmear Cervical Smear urin Urin combur9 Combur-9 LOINC 50556-0: Urinalysis dipstick panel - Urine by Automated test strip obstetricalPanels Schwangerschaftsvorsorge obstetric Obstetric 1996 panel – Serum and Blood LOINC 24364-2: Obstetric 1996 Pnl Ser+Bld <img src="[binary]" alt="doco" style="background-color: inherit"/> Documentation for this format
Generated Narrative: ServiceRequest 3-gyn-service-request-smear-test Profile: CH LAB-Order-SR identifier: Placer Identifier/Y274589 status: Active intent: Original Order priority: Routine code: Pap smear tests - FPAR 2.0 set subject: Marina Rubella (official) Female, DoB: 1992-08-08 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400005) requester: PractitionerRole reasonCode: Routine gynecologic examination (procedure) specimen: Specimen: identifier = 48736-12345-12345; accessionIdentifier = 4e88a-12345-aa222; status = available; type = Combined specimen of cytologic material from endocervix, ectocervix, and vaginal fornix (specimen)
Routine gynecologic examination (procedure)
Generated Narrative: ServiceRequest 3-gyn-service-request-hpv Profile: CH LAB-Order-SR identifier: Placer Identifier/Y274589 status: Active intent: Original Order priority: Routine code: Human papilloma virus 16+18 Ag [Presence] in Cervix subject: Marina Rubella (official) Female, DoB: 1992-08-08 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400005) requester: PractitionerRole reasonCode: Routine gynecologic examination (procedure) specimen: Specimen: identifier = 48736-12345-12345; accessionIdentifier = 4e88a-12345-aa222; status = available; type = Combined specimen of cytologic material from endocervix, ectocervix, and vaginal fornix (specimen)
Generated Narrative: ServiceRequest 3-gyn-service-request-urine-panel Profile: CH LAB-Order-SR identifier: Placer Identifier/Y274589 status: Active intent: Original Order priority: Routine code: Urinalysis dipstick panel - Urine by Automated test strip subject: Marina Rubella (official) Female, DoB: 1992-08-08 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400005) requester: PractitionerRole reasonCode: Routine gynecologic examination (procedure) specimen: Specimen: identifier = 11111-15394-75465; accessionIdentifier = 22222-bc987-dd888; status = available; type = Urine sample; receivedTime = 2023-12-01 16:40:17+0000
Generated Narrative: ServiceRequest 3-gyn-service-request-obstetric-panel Profile: CH LAB-Order-SR identifier: Placer Identifier/Y274589 status: Active intent: Original Order priority: Routine code: Obstetric 1996 Pnl Ser+Bld subject: Marina Rubella (official) Female, DoB: 1992-08-08 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400005) requester: PractitionerRole reasonCode: Routine gynecologic examination (procedure) specimen: Specimen: status = available; type = Blood sample; note = Specimen is grossly lipemic Specimen: identifier = 48736-12345-75465; accessionIdentifier = 4e88a-12345-dd888; status = available; type = Serum specimen (specimen)