CH LAB-Order (R4)
2.0.0 - trial-use Switzerland flag

This page is part of the CH LAB-Order (R4) (v2.0.0: STU 2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Example Bundle: CH LAB-Order 3-gyn with ServiceRequest

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.

Laboratory Order with Service Request 3-gyn

Laboratory Order with Service Request 3-gyn

Additional Document Content

2. http://example.com/fhir/Patient/MarinaRubella (Patient/MarinaRubella)

id: MarinaRubella

meta:

identifier: 012/08.111113

name: MarinaRubella

gender: FEMALE

birthDate: Aug 08, 1992

maritalStatus: verheiratet (Details : {$ech-11-maritalstatus code '2' = '2', given as 'verheiratet'})

Communications

-LanguagePreferred
*Italienisch (Schweiz) (Details : {urn:ietf:bcp:47 code 'it-CH' = 'Italian (Region=Schweiz))true

3. http://example.com/fhir/Practitioner/MarcMustermann (Practitioner/MarcMustermann)

Generated Narrative: Practitioner

ResourcePractitioner "MarcMustermann"

Profile: CH Core Practitioner

identifier: GLN/7601000050700, urn:oid:2.16.756.5.30.1.123.100.2.1.1/A123309

name: Marc Mustermann (Official)

telecom: ph: 033 444 22 11(WORK), marc.mustermann@gruppenpraxis.ch

4. http://example.com/fhir/Organization/Gruppenpraxis (Organization/Gruppenpraxis)

Generated Narrative: Organization

ResourceOrganization "Gruppenpraxis"

Profile: CH Core Organization EPR

identifier: GLN/7601000241115

name: Gruppenpraxis Olten

Contacts

-TelecomAddress
*+41555556677, info@gruppenpraxis.ch, http://www.gruppenpraxis.chGerbergasse 12 Olten 4600 CH

5. http://example.com/fhir/PractitionerRole/MarcMustermannGruppenpraxis (PractitionerRole/MarcMustermannGruppenpraxis)

Generated Narrative: PractitionerRole

ResourcePractitionerRole "MarcMustermannGruppenpraxis"

Profile: CH Core PractitionerRole

practitioner: See on this page: Practitioner/MarcMustermann

organization: See on this page: Organization/Gruppenpraxis

6. http://example.com/fhir/Practitioner/EvaErlenmeyer (Practitioner/EvaErlenmeyer)

Generated Narrative: Practitioner

ResourcePractitioner "EvaErlenmeyer"

Profile: CH Core Practitioner

identifier: GLN/7601000050717, urn:oid:2.16.756.5.30.1.123.100.2.1.1/A123315

name: Eva Erlenmeyer (Official)

telecom: ph: 033 444 55 66(WORK), eva.erlenmeyer@labor-pipette.ch

7. http://example.com/fhir/Organization/LaborPipette (Organization/LaborPipette)

Generated Narrative: Organization

ResourceOrganization "LaborPipette"

Profile: CH Core Organization

identifier: GLN/7601000234407

name: Labor Pipette

Contacts

-TelecomAddress
*+41223345566, info@labor-pipette.ch, http://www.labor-pipette.chLaborstrasse 23 Olten 4600 CH

8. http://example.com/fhir/PractitionerRole/EvaErlenmeyerLaborPipette (PractitionerRole/EvaErlenmeyerLaborPipette)

Generated Narrative: PractitionerRole

ResourcePractitionerRole "EvaErlenmeyerLaborPipette"

Profile: CH Core PractitionerRole

identifier: urn:oid:2.16.756.5.30.1.123.100.2.1.1/A123444

practitioner: See on this page: Practitioner/EvaErlenmeyer

organization: See on this page: Organization/LaborPipette

9. http://example.com/fhir/Practitioner/PeterPap (Practitioner/PeterPap)

Generated Narrative: Practitioner

ResourcePractitioner "PeterPap"

Profile: CH Core Practitioner

identifier: GLN/7601003050707, urn:oid:2.16.756.5.30.1.123.100.2.1.1/A123305

name: Peter Pap (Official)

telecom: ph: 032 333 22 40(WORK), peter.pap@gruppenpraxis.ch

10. http://example.com/fhir/PractitionerRole/PeterPapGruppenpraxis (PractitionerRole/PeterPapGruppenpraxis)

Generated Narrative: PractitionerRole

ResourcePractitionerRole "PeterPapGruppenpraxis"

Profile: CH Core PractitionerRole

practitioner: See on this page: Practitioner/PeterPap

organization: See on this page: Organization/Gruppenpraxis

11. http://example.com/fhir/Coverage/HealthInsuranceCardMarinaRubella (Coverage/HealthInsuranceCardMarinaRubella)

Generated Narrative: Coverage

ResourceCoverage "HealthInsuranceCardMarinaRubella"

Profile: CH ORF Coverage

identifier: Insurance Card Number/A123456780

status: ACTIVE

type: According to KVG (Coverage Type#KVG)

subscriber: See on this page: Patient/MarinaRubella

beneficiary: See on this page: Patient/MarinaRubella

period: ?? --> 2024-12-31

12. http://example.com/fhir/Specimen/Cervix-swab (Specimen/Cervix-swab)

Generated Narrative: Specimen

ResourceSpecimen "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) (SNOMED CT#430387006)

subject: See on this page: Patient/MarinaRubella

request: See on this page: ServiceRequest/3-gyn-service-request

Collections

-CollectorCollected[x]
*See on this page: Practitioner/PeterPap2015-08-16 06:40:17+0000

container

13. http://example.com/fhir/Specimen/Blood-gyn (Specimen/Blood-gyn)

Generated Narrative: Specimen

ResourceSpecimen "Blood-gyn"

status: AVAILABLE

type: Blood sample (SNOMED CT#119297000)

subject: See on this page: Patient/MarinaRubella

request: See on this page: ServiceRequest/3-gyn-service-request

Collections

-CollectorCollected[x]BodySite
*See on this page: Practitioner/PeterPap2015-08-16 06:40:17+0000Structure of superficial vein of left upper limb (body structure) (SNOMED CT#721029009)

container

note: Specimen is grossly lipemic

14. http://example.com/fhir/Specimen/Serum-gyn (Specimen/Serum-gyn)

Generated Narrative: Specimen

ResourceSpecimen "Serum-gyn"

identifier: 48736-12345-75465

accessionIdentifier: 4e88a-12345-dd888

status: AVAILABLE

type: Serum specimen (specimen) (SNOMED CT#119364003)

subject: See on this page: Patient/MarinaRubella

request: See on this page: ServiceRequest/3-gyn-service-request

Collections

-CollectorCollected[x]BodySiteFastingStatus[x]
*See on this page: Practitioner/PeterPap2015-08-16 06:40:17+0000Structure of median cubital vein (body structure) (SNOMED CT#49852007)Patient was fasting prior to the procedure. (relevantClincialInformation#F)

container

15. http://example.com/fhir/Specimen/Urine-gyn (Specimen/Urine-gyn)

Generated Narrative: Specimen

ResourceSpecimen "Urine-gyn"

identifier: 11111-15394-75465

accessionIdentifier: 22222-bc987-dd888

status: AVAILABLE

type: Urine sample (SNOMED CT#122575003)

subject: See on this page: Patient/MarinaRubella

receivedTime: 2023-12-01 16:40:17+0000

request: See on this page: ServiceRequest/3-gyn-service-request

Collections

-CollectorCollected[x]
*See on this page: Practitioner/PeterPap2023-12-01 06:40:17+0000

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16. http://example.com/fhir/ServiceRequest/3-gyn-service-request (ServiceRequest/3-gyn-service-request)

Generated Narrative: ServiceRequest

ResourceServiceRequest "3-gyn-service-request"

Profile: CH LAB-Order-SR

identifier: Placer Identifier/123

status: ACTIVE

intent: ORIGINALORDER

priority: ROUTINE

code: Pap smear tests - FPAR 2.0 set (LOINC#86662-4; LOINC#14503-7 "Human papilloma virus 16+18 Ag [Presence] in Cervix"; LOINC#50556-0 "Urinalysis dipstick panel - Urine by Automated test strip"; LOINC#24364-2 "Obstetric 1996 Pnl Ser+Bld")

subject: See on this page: Patient/MarinaRubella

requester: See on this page: PractitionerRole/PeterPapGruppenpraxis

insurance: See on this page: Coverage/HealthInsuranceCardMarinaRubella

specimen: