Case study Chronic Renal Insufficiency Order for Renal Insufficiency Panel Urs Schmid suffers from a chronic renal insufficiency. His doctor wants to determine the stage for further action.
CH LAB-Order Renal Insufficiency Panel Document
Laboratory Order by Service Request for Renal Insufficiency Panel
Laboratory Order: Composition containing the needed Service Requests, estimated GFR and Albumin/Creatinine Ratio
id: Urs Schmid meta: identifier: 012/08.111111 name: Urs Schmid gender: MALE 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
Generated Narrative: Practitioner EstherMeier Profile: CH Core Practitioner identifier: GLN/7601000050700, urn:oid:2.16.756.5.30.1.123.100.2.1.1/L248519 name: Esther Meier (Official) telecom: ph: 033 444 22 11(Work), esther.meier@gruppenpraxisolten.ch
Generated Narrative: PractitionerRole EstherMeierGruppenpraxisOlten Profile: CH Core PractitionerRole practitioner: Bundle: identifier = UUID:bc4715e6-c46d-4794-a379-b809f24ef05d; type = document; timestamp = 2025-03-05 12:00:00+0000 organization: Bundle: identifier = UUID:bc4715e6-c46d-4794-a379-b809f24ef05d; type = document; timestamp = 2025-03-05 12:00:00+0000
Generated Narrative: Organization GruppenpraxisOlten Profile: CH Core Organization EPR identifier: GLN/7601000241115 name: Gruppenpraxis Olten telecom: +41555556677, info@gruppenpraxisolten.ch, http://www.gruppenpraxisolten.ch address: Gerbergasse 12 Olten 4600 CH
Generated Narrative: ServiceRequest ServiceRequestRenalInsufficiencyPanel Profile: CH LAB-Order-SR identifier: Placer Identifier/Y274589 instantiatesCanonical: Renal Insufficiency Lab Panel requisition: Placer Identifier/ReqID-123456789 status: Active intent: Original Order priority: Urgent code: Renal function orderDetail: Order Control code subject: Bundle: identifier = UUID:bc4715e6-c46d-4794-a379-b809f24ef05d; type = document; timestamp = 2025-03-05 12:00:00+0000 requester: Bundle: identifier = UUID:bc4715e6-c46d-4794-a379-b809f24ef05d; type = document; timestamp = 2025-03-05 12:00:00+0000 reasonCode: Chronic renal failure syndrome (disorder)
Chronic renal failure syndrome (disorder)
Generated Narrative: ServiceRequest ServiceRequest-eGFR Profile: CH LAB-Order-SR identifier: Placer Identifier/Y274589 instantiatesCanonical: Renal Insufficiendy Panel: Service eGFR basedOn: Bundle: identifier = UUID:bc4715e6-c46d-4794-a379-b809f24ef05d; type = document; timestamp = 2025-03-05 12:00:00+0000 requisition: Placer Identifier/ReqID-123456789 status: Active intent: Original Order priority: Urgent code: Glomerular filtration rate [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (CKD-EPI 2021)/1.73 sq M orderDetail: Order Control code subject: Bundle: identifier = UUID:bc4715e6-c46d-4794-a379-b809f24ef05d; type = document; timestamp = 2025-03-05 12:00:00+0000 requester: Bundle: identifier = UUID:bc4715e6-c46d-4794-a379-b809f24ef05d; type = document; timestamp = 2025-03-05 12:00:00+0000 reasonCode: Chronic renal failure syndrome (disorder) specimen: Serum specimen
Glomerular filtration rate [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (CKD-EPI 2021)/1.73 sq M
Generated Narrative: ServiceRequest ServiceRequestCreatinineSerum-eGFR Profile: CH LAB-Order-SR identifier: Placer Identifier/Y274589 instantiatesCanonical: http://fhir.ch/ig/ch-lab-order/PlanDefinition/LabServiceCreatinineSerum basedOn: Bundle: identifier = UUID:bc4715e6-c46d-4794-a379-b809f24ef05d; type = document; timestamp = 2025-03-05 12:00:00+0000 requisition: Placer Identifier/ReqID-123456789 status: Active intent: Original Order priority: Urgent code: Creatinine [Moles/volume] in Serum or Plasma subject: Bundle: identifier = UUID:bc4715e6-c46d-4794-a379-b809f24ef05d; type = document; timestamp = 2025-03-05 12:00:00+0000 occurrence: 2025-01-15 requester: Bundle: identifier = UUID:bc4715e6-c46d-4794-a379-b809f24ef05d; type = document; timestamp = 2025-03-05 12:00:00+0000 reasonCode: Chronic renal failure syndrome (disorder) supportingInfo: MedicationStatement: status = active; medication[x] = ->Medication Product containing only diclofenac (medicinal product); effective[x] = 2023-11-11; dateAsserted = 2023-11-11; note = Patient takes it every day in the morning back pain Condition Chronic renal insufficiency (disorder) specimen: Serum Sample
Creatinine [Moles/volume] in Serum or Plasma
Generated Narrative: ServiceRequest ServiceRequest-uACR Profile: CH LAB-Order-SR identifier: Placer Identifier/Y274589 instantiatesCanonical: Renal Insufficiendy Panel uACR basedOn: Bundle: identifier = UUID:bc4715e6-c46d-4794-a379-b809f24ef05d; type = document; timestamp = 2025-03-05 12:00:00+0000 requisition: Placer Identifier/ReqID-123456789 status: Active intent: Original Order priority: Urgent code: Albumin/Creatinine [Molar Ratio] in Urine orderDetail: Order Control code subject: Bundle: identifier = UUID:bc4715e6-c46d-4794-a379-b809f24ef05d; type = document; timestamp = 2025-03-05 12:00:00+0000 requester: Bundle: identifier = UUID:bc4715e6-c46d-4794-a379-b809f24ef05d; type = document; timestamp = 2025-03-05 12:00:00+0000 reasonCode: Chronic renal failure syndrome (disorder) supportingInfo: MedicationStatement: status = active; medication[x] = ->Medication Product containing only diclofenac (medicinal product); effective[x] = 2023-11-11; dateAsserted = 2023-11-11; note = Patient takes it every day in the morning back pain Condition Chronic renal insufficiency (disorder) specimen: Urine specimen
Albumin/Creatinine [Molar Ratio] in Urine
Generated Narrative: ServiceRequest ServiceRequestAlbuminUrine Profile: CH LAB-Order-SR identifier: Placer Identifier/Y274589 basedOn: Bundle: identifier = UUID:bc4715e6-c46d-4794-a379-b809f24ef05d; type = document; timestamp = 2025-03-05 12:00:00+0000 requisition: Placer Identifier/ReqID-123456789 status: Active intent: Original Order priority: Urgent code: Microalbumin [Moles/volume] in Urine by Detection limit <= 3.0 mg/L orderDetail: Order Control code subject: Bundle: identifier = UUID:bc4715e6-c46d-4794-a379-b809f24ef05d; type = document; timestamp = 2025-03-05 12:00:00+0000 requester: Bundle: identifier = UUID:bc4715e6-c46d-4794-a379-b809f24ef05d; type = document; timestamp = 2025-03-05 12:00:00+0000 reasonCode: Chronic renal failure syndrome (disorder) specimen: Urine specimen note: Please use umol/L as Unit for the ratio calculation umol[albumin]/mmol[creatinine].
Microalbumin [Moles/volume] in Urine by Detection limit <= 3.0 mg/L
Please use umol/L as Unit for the ratio calculation umol[albumin]/mmol[creatinine].
Generated Narrative: ServiceRequest ServiceRequestCreatinineUrine Profile: CH LAB-Order-SR identifier: Placer Identifier/Y274589 basedOn: Bundle: identifier = UUID:bc4715e6-c46d-4794-a379-b809f24ef05d; type = document; timestamp = 2025-03-05 12:00:00+0000 requisition: Placer Identifier/ReqID-123456789 status: Active intent: Original Order priority: Urgent code: Creatinine [Moles/volume] in Urine orderDetail: Order Control code subject: Bundle: identifier = UUID:bc4715e6-c46d-4794-a379-b809f24ef05d; type = document; timestamp = 2025-03-05 12:00:00+0000 requester: Bundle: identifier = UUID:bc4715e6-c46d-4794-a379-b809f24ef05d; type = document; timestamp = 2025-03-05 12:00:00+0000 reasonCode: Chronic renal failure syndrome (disorder) specimen: Urine specimen note: Please use mmol/L for the ratio calculation mol[albumin]/mmol[creatinine]. Most labs in Switzerland use mg[albumin]/mmol[creatinine] as unit for the ratio calculation.
Please use mmol/L for the ratio calculation mol[albumin]/mmol[creatinine]. Most labs in Switzerland use mg[albumin]/mmol[creatinine] as unit for the ratio calculation.