CH LAB-Report (R4)
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This page is part of the CH LAB-Report (R4) (v1.0.0-ballot: STU 1 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Example Bundle: Bundle 3-breath-test

id: EmilEmmenegger

meta:

identifier: 012/08.111111

name: Emil Emmenegger

gender: MALE

birthDate: Jan 01, 1981

maritalStatus: unverheiratet (Details : {$ech-11-maritalstatus code '5' = '5', given as 'unverheiratet'})

Communications

-LanguagePreferred
*Deutsch (Schweiz) (Details : {urn:ietf:bcp:47 code 'de-CH' = 'German (Region=Schweiz))true

Case Study Breath Test

3-breath-test

A patient, Emil Emmenegger, presents to Dr. med. Theo Tillmann at the Olten group practice on 09.03.2024. He complains of abdominal pain, which often occurs after consuming milk or milk products. He is referred to the laboratory Schildknecht, where Dr. med. Katrin Klauser performs a breath test with lactose provocation.


Laboratory examinations

Chemistry studies (set)


Additional Document Content


2. urn:uuid:aa659dd8-28be-4c7e-ab27-286c5beff53c (DiagnosticReport/aa659dd8-28be-4c7e-ab27-286c5beff53c)

Laboratory report

SubjectNot done yet
When For2024-03-13 01:43:30+0000
Identifier: URI/urn:uuid:075e3f2d-7ed8-4b6e-a3bb-9b784f5006c0

Report Details

CodeValue
Lactose challenge (hydrogen breath test) panel (Exhl gas)


3. urn:uuid:9b3d24a2-9d79-4d3a-b3e2-7dd8fdde5eff (Patient/9b3d24a2-9d79-4d3a-b3e2-7dd8fdde5eff)

id: EmilEmmenegger

meta:

identifier: 012/08.111111

name: Emil Emmenegger

gender: MALE

birthDate: Jan 01, 1981

maritalStatus: unverheiratet (Details : {$ech-11-maritalstatus code '5' = '5', given as 'unverheiratet'})

Communications

-LanguagePreferred
*Deutsch (Schweiz) (Details : {urn:ietf:bcp:47 code 'de-CH' = 'German (Region=Schweiz))true


4. urn:uuid:f36365f1-4b7e-4458-99af-d950b8608ea7 (Observation/f36365f1-4b7e-4458-99af-d950b8608ea7)

Generated Narrative: Observation

ResourceObservation "f36365f1-4b7e-4458-99af-d950b8608ea7"

Profile: CH LAB Observation Results: Laboratory Report

status: FINAL

category: Laboratory (Observation Category Codes#laboratory), Chemical pathology (qualifier value) (SNOWMED CT#394596001), Chemistry studies (set) (LOINC#18719-5)

code: Lactose challenge (hydrogen breath test) panel (Exhl gas) (LOINC#50584-2 "Lactose challenge (hydrogen breath test) panel - Exhaled gas")

subject: See on this page: urn:uuid:9b3d24a2-9d79-4d3a-b3e2-7dd8fdde5eff: Emil Emmenegger

effective: 2024-03-13 01:43:30+0000

performer: See on this page: urn:uuid:49f8e829-1242-47a9-b958-32be38d09e5b: Katrin Klauser

method: Hydrogen breath test (procedure) (SNOWMED CT#252233000)

specimen: See on this page: urn:uuid:85c72094-e3e8-4d3a-8a18-c2812310fd10: Gas-3-breath-test

device: See on this page: urn:uuid:b2b5e406-02d0-46de-85bb-561fe37040bb: Breath-Test System

component

code: Hydrogen/Expired gas [Volume Fraction] in Exhaled gas --pre dose lactose PO (LOINC#33490-4)

value: 5 [ppm] (Details: UCUM code [ppm] = '[ppm]')

component

code: Hydrogen/Expired gas [Volume Fraction] in Exhaled gas --30 minutes post dose lactose PO (LOINC#33491-2)

value: 9 [ppm] (Details: UCUM code [ppm] = '[ppm]')

component

code: Hydrogen/Expired gas [Volume Fraction] in Exhaled gas --1 hour post dose lactose PO (LOINC#33492-0)

value: 27 [ppm] (Details: UCUM code [ppm] = '[ppm]')

component

code: Hydrogen/Expired gas [Volume Fraction] in Exhaled gas --1.5 hours post dose lactose PO (LOINC#33493-8)

value: 47 [ppm] (Details: UCUM code [ppm] = '[ppm]')

component

code: Hydrogen/Expired gas [Volume Fraction] in Exhaled gas --2 hours post dose lactose PO (LOINC#33494-6)

value: 76 [ppm] (Details: UCUM code [ppm] = '[ppm]')

component

code: Hydrogen/Expired gas [Volume Fraction] in Exhaled gas --2.5 hours post dose lactose PO (LOINC#33495-3)

value: 96 [ppm] (Details: UCUM code [ppm] = '[ppm]')

component

code: Hydrogen/Expired gas [Volume Fraction] in Exhaled gas --3 hours post dose lactose PO (LOINC#33496-1)

value: 59 [ppm] (Details: UCUM code [ppm] = '[ppm]')

component

code: Methane/Expired gas [Volume Fraction] in Exhaled gas --pre dose lactose PO (LOINC#33497-9)

value: 3 [ppm] (Details: UCUM code [ppm] = '[ppm]')

component

code: Methane/Expired gas [Volume Fraction] in Exhaled gas --30 minutes post dose lactose PO (LOINC#33498-7)

value: 6 [ppm] (Details: UCUM code [ppm] = '[ppm]')

component

code: Methane/Expired gas [Volume Fraction] in Exhaled gas --1 hour post dose lactose PO (LOINC#33499-5)

value: 14 [ppm] (Details: UCUM code [ppm] = '[ppm]')

component

code: Methane/Expired gas [Volume Fraction] in Exhaled gas --1.5 hours post dose lactose PO (LOINC#33500-0)

value: 13 [ppm] (Details: UCUM code [ppm] = '[ppm]')

component

code: Methane/Expired gas [Volume Fraction] in Exhaled gas --2 hours post dose lactose PO (LOINC#33480-5)

value: 18 [ppm] (Details: UCUM code [ppm] = '[ppm]')

component

code: Methane/Expired gas [Volume Fraction] in Exhaled gas --2.5 hours post dose lactose PO (LOINC#33481-3)

value: 18 [ppm] (Details: UCUM code [ppm] = '[ppm]')

component

code: Methane/Expired gas [Volume Fraction] in Exhaled gas --3 hours post dose lactose PO (LOINC#33482-1)

value: 13 [ppm] (Details: UCUM code [ppm] = '[ppm]')

component

code: Stomach cramps (finding) (SNOWMED CT#51197009)

value: false

component

code: Flatulence symptom (finding) (SNOWMED CT#308698004)

value: false

component

code: Nausea (finding) (SNOWMED CT#422587007)

value: false

component

code: Diarrhea (finding) (SNOWMED CT#62315008)

value: false


5. urn:uuid:85c72094-e3e8-4d3a-8a18-c2812310fd10 (Specimen/85c72094-e3e8-4d3a-8a18-c2812310fd10)

Generated Narrative: Specimen

ResourceSpecimen "85c72094-e3e8-4d3a-8a18-c2812310fd10"

Profile: CH LAB Specimen

identifier: 48736-12345-99887

accessionIdentifier: 4e88a-12345-dd888

status: AVAILABLE

type: Gas, exhaled (=breath) (specimenType#EXG)

subject: See on this page: urn:uuid:9b3d24a2-9d79-4d3a-b3e2-7dd8fdde5eff: Emil Emmenegger

Collections

-CollectorCollected[x]BodySiteFastingStatus[x]
*See on this page: urn:uuid:d55425b0-406c-4dde-9ea8-6b0dffbd75ab2024-03-13 01:43:30+0000Structure of median cubital vein (body structure) (SNOWMED CT#49852007)Patient was fasting prior to the procedure. (relevantClincialInformation#F)

container


6. urn:uuid:3771d254-cee2-498e-a448-c5660ccd583d (PractitionerRole/3771d254-cee2-498e-a448-c5660ccd583d)

Generated Narrative: PractitionerRole

ResourcePractitionerRole "3771d254-cee2-498e-a448-c5660ccd583d"

Profile: CH LAB PractitionerRole

practitioner: See on this page: urn:uuid:d55425b0-406c-4dde-9ea8-6b0dffbd75ab: Dr. med. Theo Tillmann

organization: See on this page: urn:uuid:8816b3f6-376f-4e2d-b83f-53e69e2b7ffb

code: Generalist Medical Practitioners (unknown#2211)


7. urn:uuid:d55425b0-406c-4dde-9ea8-6b0dffbd75ab (Practitioner/d55425b0-406c-4dde-9ea8-6b0dffbd75ab)

Generated Narrative: Practitioner

ResourcePractitioner "d55425b0-406c-4dde-9ea8-6b0dffbd75ab"

Profile: CH LAB Practitioner

identifier: GLN/7601000050441, urn:oid:2.16.756.5.30.1.123.100.2.1.1/A123444

name: Theo Tillmann (Official)

telecom: ph: 033 444 22 11(WORK), theo.tillmann@gruppenpraxis.ch

address: Doktorgasse 2 Messen 3254 CH

Qualifications

-Code
*Doctor of Medicine (degreeLicenseCertificate#MD)


8. urn:uuid:8816b3f6-376f-4e2d-b83f-53e69e2b7ffb (Organization/8816b3f6-376f-4e2d-b83f-53e69e2b7ffb)

Generated Narrative: Organization

ResourceOrganization "8816b3f6-376f-4e2d-b83f-53e69e2b7ffb"

Profile: CH Core Organization

identifier: GLN/7601054050718

name: Gruppenpraxis Messen

Contacts

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


9. urn:uuid:49f8e829-1242-47a9-b958-32be38d09e5b (Practitioner/49f8e829-1242-47a9-b958-32be38d09e5b)

Generated Narrative: Practitioner

ResourcePractitioner "49f8e829-1242-47a9-b958-32be38d09e5b"

Profile: CH LAB Practitioner

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

name: Katrin Klauser (Official)

telecom: ph: 033 444 55 66(WORK), katrin.klauser@labor-schildknecht.ch

address: Laborstrasse 23 Olten 4600 CH

Qualifications

-Code
*Doctor of Medicine (degreeLicenseCertificate#MD)


10. urn:uuid:525e02f3-cac3-4cdc-a497-ce6e441b8a80 (PractitionerRole/525e02f3-cac3-4cdc-a497-ce6e441b8a80)

Generated Narrative: PractitionerRole

ResourcePractitionerRole "525e02f3-cac3-4cdc-a497-ce6e441b8a80"

Profile: CH LAB PractitionerRole

practitioner: See on this page: urn:uuid:49f8e829-1242-47a9-b958-32be38d09e5b

organization: See on this page: urn:uuid:8030393e-d1c2-409f-841b-0c3af4e68494

code: Medical and Pathology Laboratory Technicians (unknown#3212)


11. urn:uuid:8030393e-d1c2-409f-841b-0c3af4e68494 (Organization/8030393e-d1c2-409f-841b-0c3af4e68494)

Generated Narrative: Organization

ResourceOrganization "8030393e-d1c2-409f-841b-0c3af4e68494"

Profile: CH Core Organization

identifier: GLN/7601000234407

name: Labor Schildknecht

contact

telecom: +41223345566

address: Laborstrasse 23 Olten 4600 CH (work)

contact

name: Dr. Katrin Klauser(Official)

telecom: katrin.klauser@labor-schildknecht.ch

address: Laborstrasse 23 4. Stock Olten 4600 CH


12. urn:uuid:b2b5e406-02d0-46de-85bb-561fe37040bb (Device/b2b5e406-02d0-46de-85bb-561fe37040bb)

Generated Narrative: Device

ResourceDevice "b2b5e406-02d0-46de-85bb-561fe37040bb"

identifier: http://www.labor-schildknecht.ch/devices/id/345888

status: ACTIVE

manufacturer: QuinTron Instrument Company

lotNumber: lot.5432

serialNumber: 889977