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 6-histopath with ServiceRequest and Form

Case study 6

Suspected Melanoma, order for histopathology examination

A 45-year-old female patient Simone Studer came for her regular skin check to the Arztpraxis of Dermatologist Armin Ahrens, and this lesion was noted: Junctions nevi consisting of seborrheic area top end and atypical network constructed of many seperate dots, structures , etc , suggesting melanocytic involvement. Excision. Attachement of dermatoscopic images Specimen: 29 x 11 x 5 mm skin ellipse Body Site: Back paralumbar left

The skin sample, including the order form and the dermatoscopic image are sent to the laboratory.

Order-Referral-Form 6-histopath

Order-Referral-Form 6-histopath

Additional Document Content

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

id: SimoneStuder

meta:

identifier: 012/08.111113

name: SimoneStuder

gender: FEMALE

birthDate: Jan 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/ArminAhrens (Practitioner/ArminAhrens)

Generated Narrative: Practitioner

ResourcePractitioner "ArminAhrens"

Profile: CH Core Practitioner

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

name: Armin Ahrens (Official)

telecom: ph: 033 123 22 11(WORK), armin.ahrens@arztpraxis.ch

Qualifications

-Code
*Dermatology and venereology (ch-ehealth-codesystem-medreg#1021)

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

Generated Narrative: Organization

ResourceOrganization "Arztpraxis"

Profile: CH Core Organization

identifier: GLN/7601000235503

name: Arztpraxis Messen

Contacts

-TelecomAddress
*+41555545566, info@arztpraxis.ch, http://www.arztpraxis.chDoktorgasse 2 Messen 3254 CH

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

Generated Narrative: PractitionerRole

ResourcePractitionerRole "ArminAhrensArztpraxis"

Profile: CH Core PractitionerRole

practitioner: See on this page: Practitioner/ArminAhrens

organization: See on this page: Organization/Arztpraxis

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

Generated Narrative: Practitioner

ResourcePractitioner "PeterPresto"

Profile: CH Core Practitioner EPR

identifier: GLN/7601022050702, urn:oid:2.16.756.5.30.1.123.100.2.1.1/A123303

name: Peter Presto (Official)

telecom: ph: 032 333 22 33(WORK), peter.presto@arztpraxis.ch

7. http://example.com/fhir/PractitionerRole/PeterPrestoGruppenpraxis (PractitionerRole/PeterPrestoGruppenpraxis)

Generated Narrative: PractitionerRole

ResourcePractitionerRole "PeterPrestoGruppenpraxis"

Profile: CH Core PractitionerRole

practitioner: See on this page: Practitioner/PeterPresto

organization: Organization/Gruppenpraxis "Gruppenpraxis Olten"

8. 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

9. 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

10. 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

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

Generated Narrative: Coverage

ResourceCoverage "HealthInsuranceCardSimoneStuder"

Profile: CH ORF Coverage

identifier: Insurance Card Number/B123456780

status: ACTIVE

type: According to KVG (Coverage Type#KVG)

subscriber: See on this page: Patient/SimoneStuder

beneficiary: See on this page: Patient/SimoneStuder

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

12. http://example.com/fhir/Specimen/Skin (Specimen/Skin)

Generated Narrative: Specimen

ResourceSpecimen "Skin"

identifier: 48736-12345-75465

accessionIdentifier: 4e99a-12345-dd333

status: AVAILABLE

type: 29 x 11 x 5 mm skin ellipse (SNOMED CT#396353007 "Specimen from skin obtained by elliptical excision (specimen)")

subject: See on this page: Patient/SimoneStuder

request: See on this page: ServiceRequest/6-histopath-service-request

Collections

-CollectorCollected[x]BodySite
*See on this page: PractitionerRole/ArminAhrensArztpraxis2015-08-16 06:40:17+0000Entire skin of lumbar region of back (body structure) (SNOMED CT#1149541002)

container

13. http://example.com/fhir/DiagnosticReport/skin-dermatoscopy (DiagnosticReport/skin-dermatoscopy)

Dermatoscopy of skin, Diagnostic Report (Pathology)

SubjectSimone Studer (Official) Female, DoB: 1992-01-08 ( Medical record number/012/08.111113)
When For2017-03-02
Reported2017-03-15 08:13:08+0000
Identifier: https://www.acmeonline.com/P44444444

Report Details

14. http://example.com/fhir/Media/skin-dermatoskopy-image (DocumentReference/skin-dermatoskopy-image)

Generated Narrative: DocumentReference

ResourceDocumentReference "skin-dermatoskopy-image"

15. http://example.com/fhir/Questionnaire/6-histopath (Questionnaire/6-histopath)

Structure

LinkIDTextCardinalityTypeFlagsDescription & Constraintsdoco
.. LabOrderFormExampleQuestionnairehttp://fhir.ch/ig/ch-lab-order/Questionnaire/6-histopath#1.0.0
... orderAuftrag1..1group
.... order.placerOrderIdentifierAuftragsnummer des Auftraggebers0..1string
.... order.placerOrderIdentifierDomainIdentifier Domain der Auftragsnummer des Auftraggebers0..1stringiconicon
.... order.fillerOrderIdentifierAuftragsnummer des Auftragsempfängers0..1string
.... order.fillerOrderIdentifierDomainIdentifier Domain der Auftragsnummer des Auftragsempfängers0..1stringiconicon
.... order.precedentDocumentIdentifierIdentifier des Vorgängerdokuments0..1stringiconicon
.... order.notificationContactDocumentDringender Benachrichtigungskontakt für dieses Dokument0..1group
..... order.notificationContactDocument.practitionerZu benachrichtigende Person0..1group
...... order.notificationContactDocument.practitioner.titleTitel0..1string
...... order.notificationContactDocument.practitioner.familyNameName0..1string
...... order.notificationContactDocument.practitioner.givenNameVorname0..1string
...... order.notificationContactDocument.practitioner.phoneTelefon0..1string
...... order.notificationContactDocument.practitioner.emailE-Mail0..1string
.... order.notificationContactDocumentResponseDringender Benachrichtigungskontakt für die Antwort auf dieses Dokument0..1group
..... order.notificationContactDocumentResponse.practitionerZu benachrichtigende Person0..1group
...... order.notificationContactDocumentResponse.practitioner.titleTitel0..1string
...... order.notificationContactDocumentResponse.practitioner.familyNameName0..1string
...... order.notificationContactDocumentResponse.practitioner.givenNameVorname0..1string
...... order.notificationContactDocumentResponse.practitioner.phoneTelefon0..1string
...... order.notificationContactDocumentResponse.practitioner.emailE-Mail0..1string
.... order.priorityAuftragspriorität0..1choiceOptions: 4 options
... receiverEmpfänger0..1group
.... receiver.practitionerEmpfangende Person0..1group
..... receiver.practitioner.titleTitel0..1string
..... receiver.practitioner.familyNameName0..1string
..... receiver.practitioner.givenNameVorname0..1string
..... receiver.practitioner.glnGLN0..1string
..... receiver.practitioner.zsrZSR0..1string
..... receiver.practitioner.phoneTelefon0..1string
..... receiver.practitioner.emailE-Mail0..1string
.... receiver.organizationEmpfangende Organisation0..1group
..... receiver.organization.nameName der Organisation0..1string
..... receiver.organization.glnGLN0..1string
..... receiver.organization.streetAddressLineStrasse, Hausnummer, Postfach etc.0..*string
..... receiver.organization.postalCodePLZ0..1string
..... receiver.organization.cityOrt0..1string
..... receiver.organization.countryLand0..1string
... patientPatient1..1group
.... patient.familyNameName0..1string
.... patient.maidenNameLedigname0..1string
.... patient.givenNameVorname0..1string
.... patient.localPidLokale Patienten-ID0..1string
.... patient.birthDateGeburtsdatum0..1date
.... patient.genderGeschlecht0..1choiceOptions: 3 options
.... patient.maritalStatusZivilstand0..1choiceDefinition: Patient.maritalStatus
Options: 8 options
.... patient.phoneTelefon0..1string
.... patient.emailE-Mail0..1string
.... patient.streetAddressLineStrasse, Hausnummer, Postfach etc.0..*string
.... patient.postalCodePLZ0..1string
.... patient.cityOrt0..1string
.... patient.countryLand0..1string
.... patient.languageOfCorrespondanceKorrespondenssprache0..1choiceDefinition: Patient.communication:languageOfCorrespondance
Value Set: DocumentEntry.languageCode
.... patient.contactpersonKontaktperson0..1groupDefinition: Patient.contact
..... patient.contactperson.relationshipBeziehung0..1stringDefinition: Patient.contact.relationship.text
..... patient.contactperson.familyNameName0..1stringDefinition: Patient.contact.name.family
..... patient.contactperson.givenNameVorname0..1stringDefinition: Patient.contact.name.given
..... patient.contactperson.phoneTelefon0..*stringDefinition: Patient.contact.telecom.value
..... patient.contactperson.emailE-Mail0..1stringDefinition: Patient.contact.telecom.value
.... sender.authorVerantwortlicher1..1group
..... sender.author.practitionerVerantwortliche Person0..1group
...... sender.author.practitioner.titleTitel0..1string
...... sender.author.practitioner.familyNameName0..1string
...... sender.author.practitioner.givenNameVorname0..1string
...... sender.author.practitioner.glnGLN0..1string
...... sender.author.practitioner.zsrZSR0..1string
...... sender.author.practitioner.phoneTelefon0..1string
...... sender.author.practitioner.emailE-Mail0..1string
..... sender.author.organizationVerantwortliche Organisation0..1group
...... sender.author.organization.nameName der Organisation0..1string
...... sender.author.organization.streetAddressLineStrasse, Hausnummer, Postfach etc.0..*string
...... sender.author.organization.postalCodePLZ0..1string
...... sender.author.organization.cityOrt0..1string
...... sender.author.organization.countryLand0..1string
.... sender.dataentererErfasser0..1group
..... sender.dataenterer.practitionerErfassende Person0..1group
...... sender.dataenterer.practitioner.familyNameName0..1string
...... sender.dataenterer.practitioner.givenNameVorname0..1string
...... sender.dataenterer.practitioner.phoneTelefon0..1string
...... sender.dataenterer.practitioner.emailE-Mail0..1string
... receiverCopiesKopieempfänger0..1group
.... receiverCopyKopieempfangende Organisation oder Person0..*groupDefinition: PractitionerRole
..... receiverCopy.organization.nameName der Organisation0..1stringDefinition: PractitionerRole.practitioner
...... receiverCopy.practitionerRole.practitioner.titleTitel0..1stringDefinition: HumanName.prefix
...... receiverCopy.practitionerRole.practitioner.familyNameName0..1stringDefinition: HumanName.family
...... receiverCopy.practitionerRole.practitioner.givenNameVorname0..1stringDefinition: HumanName.given
...... receiverCopy.practitionerRole.practitioner.phoneTelefon0..1stringDefinition: ContactPoint.value
...... receiverCopy.practitionerRole.practitioner.emailE-Mail0..1stringDefinition: ContactPoint.value
..... receiverCopy.titleTitel0..1stringDefinition: PractitionerRole.organization
...... receiverCopy.practitionerRole.organization.nameName der Organisation0..1stringDefinition: Organization.name
...... receiverCopy.practitionerRole.organization.streetAddressLineStrasse, Hausnummer, Postfach etc.0..*stringDefinition: Address.line
...... receiverCopy.practitionerRole.organization.postalCodePLZ0..1stringDefinition: Address.postalCode
...... receiverCopy.practitionerRole.organization.cityOrt0..1stringDefinition: Address.city
...... receiverCopy.practitionerRole.organization.countryLand0..1stringDefinition: Address.country
..... receiverCopy.familyNameName0..1string
..... receiverCopy.givenNameVorname0..1string
..... receiverCopy.phoneTelefon0..1string
..... receiverCopy.emailE-Mail0..1string
..... receiverCopy.streetAddressLineStrasse, Hausnummer, Postfach etc.0..*string
..... receiverCopy.postalCodePLZ0..1string
..... receiverCopy.cityOrt0..1string
..... receiverCopy.countryLand0..1string
.... receiverCopy.patientPatient selbst0..1booleanDefinition: Patient
.... receiverCopy.relatedPersonAndere Person0..*groupDefinition: RelatedPerson
..... receiverCopy.relatedPerson.familyNameName0..1stringDefinition: RelatedPerson.name.family
..... receiverCopy.relatedPerson.givenNameVorame0..1stringDefinition: RelatedPerson.name.given
..... receiverCopy.relatedPerson.phoneTelefon0..*stringDefinition: RelatedPerson.telecom.value
..... receiverCopy.relatedPerson.emailE-Mail0..1stringDefinition: RelatedPerson.telecom.value
..... receiverCopy.relatedPerson.streetAddressLineStrasse, Hausnummer, Postfach etc.0..*stringDefinition: RelatedPerson.address.line
..... receiverCopy.relatedPerson.postalCodePLZ0..1stringDefinition: RelatedPerson.address.postalCode
..... receiverCopy.relatedPerson.cityOrt0..1stringDefinition: RelatedPerson.address.city
..... receiverCopy.relatedPerson.countryLand0..1stringDefinition: RelatedPerson.address.country
... consentEinverständniserklärung0..1groupDefinition: http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-servicerequest#ServiceRequest.supportingInfo
.... consent.treatmentEinverständnis des Patienten zur Behandlung0..1string
.... consent.patientPrivacyEinverständnis des Patienten zum Datenschutz0..1string
.... consent.researchEinverständnis des Patienten zur Forschung0..1string
.... consent.advancedCareDirectivePatientenverfügung0..1string
... coverageKostenträger0..1groupDefinition: http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-servicerequest#ServiceRequest.insurance
.... coverage.uvgUnfallversicherung (nach UVG)0..1string
.... coverage.kvgGrundversicherung (nach KVG)0..1string
.... coverage.vvgZusatzversicherung (nach VVG)0..1string
.... coverage.vvgOtherAndere (nach VVG)0..1string
... previousResultVorheriges Untersuchungsresultat0..1groupDefinition: http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-servicerequest#ServiceRequest.supportingInfo
.... previousResult.resultUntersuchungsresultat0..*string
... labSpecialtiesLabor Sparten0..1group
.... labSpecialties.pathologyPathology0..1booleanDefinition: 27898-6
..... labSpecialties.pathology.panelsPathology Panels0..1groupEnable When: labSpecialties.pathology = true
...... labSpecialties.pathology.panels.AutopsyAutopsy report0..1booleanDefinition: 18743-5
...... labSpecialties.pathology.panels.PathologyStudyPathology Study0..1booleanDefinition: 11526-1
...... labSpecialties.pathology.panels.SurgicalPathologyStudySurgical pathology study0..1booleanDefinition: 11529-5

doco Documentation for this format

Options Sets

Answer options for order.priority

  • iconhttp://hl7.org/fhir/request-priority#routine ("Routine")
  • iconhttp://hl7.org/fhir/request-priority#urgent ("Urgent")
  • iconhttp://hl7.org/fhir/request-priority#asap ("ASAP")
  • iconhttp://hl7.org/fhir/request-priority#stat ("STAT")

Answer options for patient.gender

  • iconhttp://hl7.org/fhir/administrative-gender#male ("Male")
  • iconhttp://hl7.org/fhir/administrative-gender#female ("Female")
  • iconhttp://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")

16. http://example.com/fhir/QuestionnaireResponse/6-histopath (QuestionnaireResponse/6-histopath)

LinkIDTextDefinitionAnswerdoco
.. 6-histopathQuestionnaireResponse
... orderAuftrag
... receiverEmpfänger
... patientPatient
... receiverCopiesKopieempfänger
... labSpecialtiesLabor Sparten

doco Documentation for this format

17. http://example.com/fhir/ServiceRequest/6-histopath-service-request (ServiceRequest/6-histopath-service-request)

Generated Narrative: ServiceRequest

ResourceServiceRequest "6-histopath-service-request"

Profile: CH LAB-Order-SR

identifier: Placer Identifier/123

status: ACTIVE

intent: ORIGINALORDER

priority: URGENT

code: Pathology study (LOINC#11526-1)

subject: See on this page: Patient/SimoneStuder

requester: See on this page: PractitionerRole/ArminAhrensArztpraxis

insurance: See on this page: Coverage/HealthInsuranceCardSimoneStuder

specimen: See on this page: Specimen/Skin: Skin specimen