CH LAB-Order (R4)
2.0.0 - trial-use
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
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.
2. http://example.com/fhir/Patient/SaraSpeckmann (Patient/SaraSpeckmann)
id: SaraSpeckmann
meta:
identifier: 012/08.111114
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
3. http://example.com/fhir/Practitioner/HansHauser (Practitioner/HansHauser)
Generated Narrative: Practitioner
ResourcePractitioner "HansHauser"
Profile: CH Core Practitioner
identifier: GLN/7601000050700,
urn:oid:2.16.756.5.30.1.123.100.2.1.1
/A123313name: Hans Hauser (Official)
telecom: ph: 038 888 22 11(WORK), hans.hauser@gruppenpraxis.ch
4. http://example.com/fhir/Organization/Kantonsspital (Organization/Kantonsspital)
Generated Narrative: Organization
ResourceOrganization "Kantonsspital"
Profile: CH Core Organization
identifier: GLN/7601000235503
name: Kantonsspital Zug
Contacts
Telecom Address +41 45 334 55 66, info@kantonsspital.zug.ch, http://www.kanstonsspital.zug.ch Seestrasse 14 Postfach 14 Zug 8000 Schweiz (work)
5. http://example.com/fhir/PractitionerRole/HansHauserKantonsspital (PractitionerRole/HansHauserKantonsspital)
Generated Narrative: PractitionerRole
ResourcePractitionerRole "HansHauserKantonsspital"
Profile: CH Core PractitionerRole
practitioner: See on this page: Practitioner/HansHauser
organization: See on this page: Organization/Kantonsspital
6. 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
/A123309name: Marc Mustermann (Official)
telecom: ph: 033 444 22 11(WORK), marc.mustermann@gruppenpraxis.ch
7. 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
Telecom Address +41555556677, info@gruppenpraxis.ch, http://www.gruppenpraxis.ch Gerbergasse 12 Olten 4600 CH
8. 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
9. 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
/A123315name: Eva Erlenmeyer (Official)
telecom: ph: 033 444 55 66(WORK), eva.erlenmeyer@labor-pipette.ch
10. http://example.com/fhir/Organization/LaborPipette (Organization/LaborPipette)
Generated Narrative: Organization
ResourceOrganization "LaborPipette"
Profile: CH Core Organization
identifier: GLN/7601000234407
name: Labor Pipette
Contacts
Telecom Address +41223345566, info@labor-pipette.ch, http://www.labor-pipette.ch Laborstrasse 23 Olten 4600 CH
11. 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
/A123444practitioner: See on this page: Practitioner/EvaErlenmeyer
organization: See on this page: Organization/LaborPipette
12. http://example.com/fhir/Coverage/HealthInsuranceCardSaraSpeckmann (Coverage/HealthInsuranceCardSaraSpeckmann)
ResourceCoverage "HealthInsuranceCardSaraSpeckmann"
Profile: CH ORF Coverage
identifier: Insurance Card Number/A123456780
status: ACTIVE
type: According to KVG (Coverage Type#KVG)
subscriber: See on this page: Patient/SaraSpeckmann
beneficiary: See on this page: Patient/SaraSpeckmann
period: ?? --> 2024-12-31
13. http://example.com/fhir/Specimen/Blood-bactec-plus (Specimen/Blood-bactec-plus)
ResourceSpecimen "Blood-bactec-plus"
status: AVAILABLE
type: Blood sample (SNOMED CT#119297000)
subject: See on this page: Patient/SaraSpeckmann
request: See on this page: ServiceRequest/4-sepsis-service-request
Collections
Collector Collected[x] BodySite See on this page: Practitioner/HansHauser 2015-08-16 06:40:17+0000 Structure of superficial vein of left upper limb (body structure) (SNOMED CT#721029009) container
note: Specimen is grossly lipemic
14. http://example.com/fhir/Specimen/Blood-sepsis (Specimen/Blood-sepsis)
ResourceSpecimen "Blood-sepsis"
status: AVAILABLE
type: Blood sample (SNOMED CT#119297000)
subject: See on this page: Patient/SaraSpeckmann
request: See on this page: ServiceRequest/4-sepsis-service-request
Collections
Collector Collected[x] BodySite See on this page: Practitioner/HansHauser 2015-08-16 06:40:17+0000 Structure of superficial vein of left upper limb (body structure) (SNOMED CT#721029009) container
note: Specimen is grossly lipemic
15. http://example.com/fhir/Specimen/Urine-sepsis (Specimen/Urine-sepsis)
ResourceSpecimen "Urine-sepsis"
identifier: 11111-15394-75465
accessionIdentifier: 22222-bc987-dd888
status: AVAILABLE
type: Urine sample (SNOMED CT#122575003)
subject: See on this page: Patient/SaraSpeckmann
receivedTime: 2023-12-01 16:40:17+0000
request: See on this page: ServiceRequest/4-sepsis-service-request
Collections
Collector Collected[x] See on this page: Practitioner/HansHauser 2023-12-01 06:40:17+0000 container
16. http://example.com/fhir/ServiceRequest/4-sepsis-service-request (ServiceRequest/4-sepsis-service-request)
Generated Narrative: ServiceRequest
ResourceServiceRequest "4-sepsis-service-request"
Profile: CH LAB-Order-SR
identifier: Placer Identifier/123
status: ACTIVE
intent: ORIGINALORDER
priority: URGENT
code: Hemoglobin and Hematocrit panel - Blood (LOINC#24360-0; LOINC#43113-0 "Hemoglobin electrophoresis panel in Blood"; LOINC#57021-8 "CBC W Auto Differential panel - Blood"; LOINC#58410-2 "CBC panel - Blood by Automated count"; LOINC#90423-5 "Microorganism preliminary growth detection panel - Blood by Culture"; LOINC#85421-6 "Bacterial identification and susceptibility panel - Isolate"; LOINC#1988-5 "C reactive protein [Mass/Volume] in Serum or Plasma")
subject: See on this page: Patient/SaraSpeckmann
requester: See on this page: PractitionerRole/HansHauserKantonsspital
insurance: See on this page: Coverage/HealthInsuranceCardSaraSpeckmann
specimen: