Bundle 3-breath-test - CH LAB-Report (R4) v1.0.0-ballot

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. 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

Language

Preferred

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)

See on this page: urn:uuid:f36365f1-4b7e-4458-99af-d950b8608ea7: Observation-3-breath-test

Additional Document Content

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

Laboratory report
Subject Not done yet
When For 2024-03-13 01:43:30+0000
Identifier: URI/urn:uuid:075e3f2d-7ed8-4b6e-a3bb-9b784f5006c0
Report Details
Code Value
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
- Language Preferred
* 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
- Collector Collected[x] BodySite FastingStatus[x]
* See on this page: urn:uuid:d55425b0-406c-4dde-9ea8-6b0dffbd75ab 2024-03-13 01:43:30+0000 Structure 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
- Telecom Address
* +41555545566, info@gruppenpraxis.ch, http://www.gruppenpraxis.ch Doktorgasse 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