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.
Order-Referral-Form 4-sepsis
id: SaraSpeckmann meta: identifier: 80756011110123400006 name: Sara Speckmann gender: FEMALE birthDate: Dec 12, 1975 maritalStatus: verheiratet (Details : {$ech-11-maritalstatus code '2' = '2', given as 'verheiratet'}) Communications - Language Preferred * Deutsch (Schweiz) (Details : {urn:ietf:bcp:47 code 'de-CH' = 'German (Region=Schweiz)) true
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
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)
Generated Narrative: PractitionerRole HansHauserKantonsspital Profile: CH Core PractitionerRole practitioner: Practitioner Hans Hauser (official) organization: Organization Kantonsspital Zug
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: Specimen Blood-bactec-plus-4-sepsis status: Available type: Blood sample subject: Sara Speckmann Female, DoB: 1975-12-12 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400006) request: ServiceRequest: identifier = Placer Identifier: Y274589; status = active; intent = original-order; priority = urgent; reasonCode = Sepsis screening Collections - Collector Collected[x] BodySite * Practitioner Hans Hauser (official) 2025-03-16 06:20:17+0000 --> 2025-03-16 06:50:17+0000 Structure of superficial vein of left upper limb (body structure) container identifier: 95ab0fb1-6d1c-40f0-9aaa-a68f29238a4e-bactec-plus description: Two BACTEC™ PLUS Aerobic/F Culture Vial, cap color: grey-blue type: Aerobic blood culture bottle (physical object) container identifier: 92af0fee-1aeb-472e-8b57-a885ba33b745-bactec-plus description: Two BACTEC™ PLUS Anaerobic/F Culture Vial, cap color: purple type: Anaerobic blood culture bottle (physical object) note: Each container type contains two blood samples taken 30 minutes apart, so we get 4 vials in total
Structure of superficial vein of left upper limb (body structure)
Two BACTEC™ PLUS Aerobic/F Culture Vial, cap color: grey-blue
Aerobic blood culture bottle (physical object)
Two BACTEC™ PLUS Anaerobic/F Culture Vial, cap color: purple
Anaerobic blood culture bottle (physical object)
Each container type contains two blood samples taken 30 minutes apart, so we get 4 vials in total
Generated Narrative: Specimen Blood-4-sepsis status: Available type: Blood sample subject: Sara Speckmann Female, DoB: 1975-12-12 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400006) request: ServiceRequest: identifier = Placer Identifier: Y274589; status = active; intent = original-order; priority = urgent; reasonCode = Sepsis screening Collections - Collector Collected[x] BodySite * Practitioner Hans Hauser (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
General specimen container (physical object)
Generated Narrative: Specimen Serum-4-sepsis identifier: 11111-15394-75465 accessionIdentifier: 22222-bc987-dd888 status: Available type: Serum specimen (specimen) subject: Sara Speckmann Female, DoB: 1975-12-12 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400006) receivedTime: 2023-12-01 16:40:17+0000 request: ServiceRequest: identifier = Placer Identifier: Y274589; status = active; intent = original-order; priority = urgent; reasonCode = Sepsis screening Collections - Collector Collected[x] * Practitioner Hans Hauser (official) 2023-12-01 06:40:17+0000 Containers - Type * General specimen container (physical object)
Generated Narrative: Questionnaire 4-sepsis 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/4-sepsis#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 hematology Hematology 0..1 group lab Laborwerte 0..* choice Options: 5 options microbiology Mikrobiologie 0..1 group culture Blood by Culture 0..* choice Options: 1 option id-susc Bacterial Identification and Susceptibility 0..* choice Options: 1 option cc clinical chemistry 0..1 group crp CRP 0..* choice Options: 4 options <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 lab http://loinc.org#24360-0 ("Hemoglobin and Hematocrit panel - Blood") http://loinc.org#43113-0 ("Hemoglobin electrophoresis panel in Blood") http://loinc.org#57021-8 ("CBC W Auto Differential panel - Blood") http://loinc.org#58410-2 ("CBC panel - Blood by Automated count") http://loinc.org#57021-8 ("CBC W Auto Differential panel - Blood") Answer options for culture http://loinc.org#90423-5 ("Microorganism preliminary growth detection panel - Blood by Culture") Answer options for id-susc http://loinc.org#85421-6 ("Bacterial identification and susceptibility panel - Isolate") Answer options for crp http://loinc.org#1988-5 ("C reactive protein [Mass/Volume] in Serum or Plasma") http://loinc.org#76485-2 ("C reactive protein [Moles/volume] in Serum or Plasma") http://loinc.org#30522-7 ("C reactive protein [Mass/volume] in Serum or Plasma by High sensitivity method") http://loinc.org#76486-0 ("C reactive protein [Moles/volume] in Serum or Plasma by High sensitivity method")
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
Hemoglobin electrophoresis panel in Blood
Microorganism preliminary growth detection panel - Blood by Culture
Bacterial Identification and Susceptibility
Bacterial identification and susceptibility panel - Isolate
C reactive protein [Mass/Volume] in Serum or Plasma
C reactive protein [Moles/volume] in Serum or Plasma
C reactive protein [Mass/volume] in Serum or Plasma by High sensitivity method
C reactive protein [Moles/volume] in Serum or Plasma by High sensitivity method
Generated Narrative: QuestionnaireResponse 4-sepsis 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"/> 4-sepsis Questionnaire:Lab Order Form Example 4-sepsis 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 033 444 55 66 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 Hauser order.notificationContactDocumentResponse.practitioner.givenName Vorname Hans order.notificationContactDocumentResponse.practitioner.phone Telefon 038 888 22 11 order.notificationContactDocumentResponse.practitioner.email E-Mail hans.hauser@kantonsspital.zug.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 033 444 55 66 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 Keller patient.maidenName Ledigname Pusterla patient.givenName Vorname Klebsiella patient.localPid Lokale Patienten-ID 11.22.33.5444 patient.birthDate Geburtsdatum 1975-12-12 patient.gender Geschlecht AdministrativeGender female: Female patient.maritalStatus Zivilstand eCH-011 MaritalStatus 2: verheiratet patient.phone Telefon +41 64 123 45 67 patient.email E-Mail klebsiella.keller@example.ch patient.streetAddressLine Strasse, Hausnummer, Postfach etc. patient.postalCode PLZ 6565 patient.city Ort Lenzburg 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 Hauser sender.author.practitioner.givenName Vorname Hans sender.author.practitioner.gln GLN 7601000064321 sender.author.practitioner.phone Telefon 038 888 22 11 sender.author.practitioner.email E-Mail hans.hauser@kantonsspital.zug.ch sender.author.organization Verantwortliche Organisation sender.author.organization.name Name der Organisation Kantonsspital Zug sender.author.organization.streetAddressLine Strasse, Hausnummer, Postfach etc. sender.author.organization.postalCode PLZ 8000 sender.author.organization.city Ort Zug sender.author.organization.country Land Schweiz sender.dataenterer Erfasser sender.dataenterer.practitioner Erfassende Person sender.dataenterer.practitioner.familyName Name Egger sender.dataenterer.practitioner.givenName Vorname Daniela sender.dataenterer.practitioner.phone Telefon 044 333 55 12 sender.dataenterer.practitioner.email E-Mail daniela.egger@kantonsspital.zug.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 Costalla receiverCopy.givenName Vorname Maria receiverCopy.phone Telefon 079 979 80 80 receiverCopy.email E-Mail maria.costella@redwin.ch receiverCopy.streetAddressLine Strasse, Hausnummer, Postfach etc. receiverCopy.postalCode PLZ 6415 receiverCopy.city Ort Arth receiverCopy.country Land Schweiz hematology Hematology lab Laborwerte microbiology Mikrobiologie culture Blood by Culture LOINC 90423-5: Microorganism preliminary growth detection panel - Blood by Culture id-susc Bacterial Identification and Susceptibility LOINC 85421-6: Bacterial identification and susceptibility panel - Isolate cc clinical chemistry crp CRP <img src="[binary]" alt="doco" style="background-color: inherit"/> Documentation for this format
Generated Narrative: ServiceRequest 4-sepsis-ServiceRequest Profile: CH LAB-Order-SR identifier: Placer Identifier/Y274589 status: Active intent: Original Order priority: Urgent subject: Sara Speckmann Female, DoB: 1975-12-12 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400006) requester: PractitionerRole reasonCode: Screening for sepsis (procedure)
Generated Narrative: ServiceRequest 4-sepsis-ServiceRequestHbHt Profile: CH LAB-Order-SR identifier: Placer Identifier/Y274589 basedOn: ServiceRequest: identifier = Placer Identifier: Y274589; status = active; intent = original-order; priority = urgent; reasonCode = Sepsis screening status: Active intent: Original Order priority: Urgent code: Hemoglobin and Hematocrit panel - Blood subject: Sara Speckmann Female, DoB: 1975-12-12 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400006) requester: PractitionerRole reasonCode: Screening for sepsis (procedure) specimen: Specimen: status = available; type = Blood sample; note = Specimen is grossly lipemic
Generated Narrative: ServiceRequest 4-sepsis-ServiceRequestCBCDiff Profile: CH LAB-Order-SR identifier: Placer Identifier/Y274589 basedOn: ServiceRequest: identifier = Placer Identifier: Y274589; status = active; intent = original-order; priority = urgent; reasonCode = Sepsis screening status: Active intent: Original Order priority: Urgent code: CBC W Auto Differential panel - Blood subject: Sara Speckmann Female, DoB: 1975-12-12 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400006) requester: PractitionerRole reasonCode: Screening for sepsis (procedure) specimen: Specimen: status = available; type = Blood sample; note = Specimen is grossly lipemic
Generated Narrative: ServiceRequest 4-sepsis-ServiceRequestGrowth Profile: CH LAB-Order-SR identifier: Placer Identifier/Y274589 basedOn: ServiceRequest: identifier = Placer Identifier: Y274589; status = active; intent = original-order; priority = urgent; reasonCode = Sepsis screening status: Active intent: Original Order priority: Urgent code: Microorganism preliminary growth detection panel - Blood by Culture orderDetail: New order/service subject: Sara Speckmann Female, DoB: 1975-12-12 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400006) requester: PractitionerRole reasonCode: Screening for sepsis (procedure) specimen: Specimen: status = available; type = Blood sample; note = Each container type contains two blood samples taken 30 minutes apart, so we get 4 vials in total
Generated Narrative: ServiceRequest 4-sepsis-ServiceRequestCRP Profile: CH LAB-Order-SR identifier: Placer Identifier/Y274589 basedOn: ServiceRequest: identifier = Placer Identifier: Y274589; status = active; intent = original-order; priority = urgent; reasonCode = Sepsis screening status: Active intent: Original Order priority: Urgent code: C reactive protein [Mass/Volume] in Serum or Plasma subject: Sara Speckmann Female, DoB: 1975-12-12 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400006) requester: PractitionerRole reasonCode: Screening for sepsis (procedure) specimen: Specimen: identifier = 11111-15394-75465; accessionIdentifier = 22222-bc987-dd888; status = available; type = Serum specimen (specimen); receivedTime = 2023-12-01 16:40:17+0000