Case study 5 Collective order “SUVA biological monitoring” Companies that work with substances hazardous to health and in which employees are exposed to special risks are subject to occupational health screening by SUVA. Biological monitoring is one of the control options. This assesses the exposure of workers to chemical agents by determining the agents or metabolites in biological material (e.g. urine). The Occupational Medical Prevention (AMV) of SUVA sends the laboratory a monthly list with the following information per company (collective order): Establishment (name, address, establishment number). Number of employees for biological monitoring Examinations to be carried out (e.g. arsenic, lead, mercury, mandelic acid). The companies receive a list from the AMV including labels with the affected employees. Here we take the document of an employee Beat Borer, born 6. 6. 1986. The laboratory prints the order forms with the company number and sends the necessary number of urine cups and order forms to the companies. In the company, order forms and urine cups are labelled with the labels supplied by the AMV and given to the employees. The samples, including the order form, are sent from the company to the laboratory.
Order-Referral-Form 5-biol-monit
id: BeatBorer meta: identifier: 80756011110123400007 name: Beat Borer gender: MALE birthDate: Jun 06, 1986 maritalStatus: verheiratet (Details : {$ech-11-maritalstatus code '6' = '6', given as 'in eingetragener Partnerschaft'}) Communications - Language Preferred * Deutsch (Schweiz) (Details : {urn:ietf:bcp:47 code 'de-CH' = 'German (Region=Schweiz)) true
Generated Narrative: Practitioner PauloPorcellini Profile: CH Core Practitioner EPR identifier: GLN/7601000050700, urn:oid:2.16.756.5.30.1.123.100.2.1.1/L248519 name: Paulo Porcellini (Official) telecom: ph: 036 336 22 33(Work), paulo.porcellini@suva.ch
Generated Narrative: Organization Suva Profile: CH Core Organization identifier: urn:oid:2.16.756.5.45/A62088168 name: Suva telecom: +41322345566, info@suva.ch, http://www.suva.ch address: Löwenplatz 1 Luzern 6004 CH
Generated Narrative: PractitionerRole PauloPorcelliniSuva Profile: CH Core PractitionerRole practitioner: Practitioner Paulo Porcellini (official) organization: Organization Suva
Generated Narrative: Practitioner ArminAhrens Profile: CH Core Practitioner identifier: GLN/7601000050700, urn:oid:2.16.756.5.30.1.123.100.2.1.1/G999999 name: Armin Ahrens (Official) telecom: ph: 033 123 22 11(Work), armin.ahrens@arztpraxis.ch Qualifications - Code * Dermatology and venereology
Generated Narrative: Organization Arztpraxis Profile: CH Core Organization identifier: GLN/7601000235503 name: Arztpraxis Messen telecom: +41555545566, info@arztpraxis.ch, http://www.arztpraxis.ch address: Doktorgasse 2 Messen 3254 CH
Generated Narrative: PractitionerRole ArminAhrensArztpraxis Profile: CH Core PractitionerRole practitioner: Practitioner Armin Ahrens (official) organization: Organization Arztpraxis Messen
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 WoodyWorkdoc Profile: CH Core Practitioner EPR identifier: GLN/7601000050717, urn:oid:2.16.756.5.30.1.123.100.2.1.1/L248519 name: Woody Worksdoc (Official) telecom: ph: 077 888 88 11(Work), woody.worksdoc@speiser-rails.ch
Generated Narrative: Organization SpeiserRails Profile: CH Core Organization identifier: urn:oid:2.16.756.5.45/A62088168 telecom: +41412345566, info@speiser-rails.ch, http://www.speiser-rails.ch address: Gleisallee 123 Arbon 9320 CH
Generated Narrative: PractitionerRole WoodyWorkdocSpeiserRails Profile: CH Core PractitionerRole practitioner: Practitioner Woody Worksdoc (official) organization: Organization: identifier = urn:oid:2.16.756.5.45#A62088168; telecom = ph: +41412345566(Work),info@speiser-rails.ch(Work),http://www.speiser-rails.ch(Work)
Generated Narrative: Specimen Blood-biol-monit status: Available type: Blood sample subject: Beat Borer Male, DoB: 1986-06-06 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400007) request: ServiceRequest Toxicology panel - Blood Collections - Collector Collected[x] BodySite * Practitioner Paulo Porcellini (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)
General specimen container (physical object)
Generated Narrative: Specimen Urine-biol-monit identifier: 11111-15394-75465 accessionIdentifier: 22222-bc987-dd888 status: Available type: Urine sample subject: Beat Borer Male, DoB: 1986-06-06 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400007) receivedTime: 2023-12-01 16:40:17+0000 request: ServiceRequest Heavy metals panel - Urine Collections - Collector Collected[x] * Practitioner Paulo Porcellini (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 5-biol-monit 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/5-biol-monit#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 toxicology Toxicology 0..1 group tox Toxic Content 0..* choice Options: 3 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 tox http://loinc.org#29587-3 ("Toxicology panel - Blood") http://loinc.org#54454-4 ("Arsenic fractions panel - Urine") http://loinc.org#29589-9 ("Heavy metals panel - Urine")
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
Generated Narrative: QuestionnaireResponse 5-biol-monit 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"/> 5-biol-monit Questionnaire:Lab Order Form Example 5-biol-monit 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 Porcellini order.notificationContactDocumentResponse.practitioner.givenName Vorname Paulo order.notificationContactDocumentResponse.practitioner.phone Telefon 036 336 22 33 order.notificationContactDocumentResponse.practitioner.email E-Mail paulo.porcellini@suva.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 Organization/LaborPipette 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 Borer patient.maidenName Ledigname Borer patient.givenName Vorname Beat patient.localPid Lokale Patienten-ID 11.22.33.9788 patient.birthDate Geburtsdatum 1986-06-06 patient.gender Geschlecht AdministrativeGender male: Male patient.maritalStatus Zivilstand eCH-011 MaritalStatus 2: verheiratet patient.phone Telefon +41 36 123 45 67 patient.email E-Mail beat.borer@example.ch patient.streetAddressLine Strasse, Hausnummer, Postfach etc. patient.postalCode PLZ 8008 patient.city Ort Rapperswil 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 Porcellini sender.author.practitioner.givenName Vorname Paulo sender.author.practitioner.gln GLN 7601000034545 sender.author.practitioner.phone Telefon 036 336 22 33 sender.author.practitioner.email E-Mail paulo.porcellini@suva.ch sender.author.organization Verantwortliche Organisation sender.author.organization.name Name der Organisation Suva sender.author.organization.streetAddressLine Strasse, Hausnummer, Postfach etc. sender.author.organization.postalCode PLZ 6004 sender.author.organization.city Ort Luzern sender.author.organization.country Land Schweiz sender.dataenterer Erfasser sender.dataenterer.practitioner Erfassende Person sender.dataenterer.practitioner.familyName Name Porcellini sender.dataenterer.practitioner.givenName Vorname Paulo sender.dataenterer.practitioner.phone Telefon 036 336 22 33 sender.dataenterer.practitioner.email E-Mail paulo.porcellini@suva.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 Musterfrau receiverCopy.givenName Vorname Erika receiverCopy.phone Telefon 079 979 79 79 receiverCopy.email E-Mail erika@musterfrau.ch receiverCopy.streetAddressLine Strasse, Hausnummer, Postfach etc. receiverCopy.postalCode PLZ 8000 receiverCopy.city Ort Zürich receiverCopy.country Land Schweiz hematology Hematology lab Laborwerte toxicology Toxicology tox Toxic Content <img src="[binary]" alt="doco" style="background-color: inherit"/> Documentation for this format
Generated Narrative: ServiceRequest 5-biol-monit-ServiceRequest Profile: CH LAB-Order-SR identifier: Placer Identifier/Y274589 status: Active intent: Original Order priority: Urgent subject: Beat Borer Male, DoB: 1986-06-06 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400007) requester: PractitionerRole reasonCode: Toxicology screening test (procedure)
Generated Narrative: ServiceRequest 5-biol-monit-ServiceRequestToxPanelBlood Profile: CH LAB-Order-SR identifier: Placer Identifier/Y274589 basedOn: ServiceRequest: identifier = Placer Identifier: Y274589; status = active; intent = original-order; priority = urgent; reasonCode = Toxicology screening test status: Active intent: Original Order priority: Urgent code: Toxicology panel - Blood subject: Beat Borer Male, DoB: 1986-06-06 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400007) requester: PractitionerRole reasonCode: Toxicology screening test (procedure) specimen: Specimen: status = available; type = Blood sample; note = Specimen is grossly lipemic
Generated Narrative: ServiceRequest 5-biol-monit-ServiceRequestHeavyMetalsUrine Profile: CH LAB-Order-SR identifier: Placer Identifier/Y274589 basedOn: ServiceRequest: identifier = Placer Identifier: Y274589; status = active; intent = original-order; priority = urgent; reasonCode = Toxicology screening test status: Active intent: Original Order priority: Urgent code: Heavy metals panel - Urine subject: Beat Borer Male, DoB: 1986-06-06 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#80756011110123400007) requester: PractitionerRole reasonCode: Toxicology screening test (procedure) specimen: Specimen: identifier = 11111-15394-75465; accessionIdentifier = 22222-bc987-dd888; status = available; type = Urine sample; receivedTime = 2023-12-01 16:40:17+0000