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. Biological monitoring SUVA
Laboratory Order with Service Request 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: 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