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review usecases and translations
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lpg-tech committed Dec 7, 2023
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20 changes: 10 additions & 10 deletions input/pagecontent/usecases-english.md
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Expand Up @@ -49,18 +49,16 @@ Example document:

<a href='https://build.fhir.org/ig/hl7ch/ch-lab-order/branches/master/Bundle-1-tvt-document-by-form-document.html'>tvt by Form</a>



### Use Case 3: Requesting additional examinations of the same sample

It is not uncommon for the results of laboratory tests to lead to the request for additional tests on the same sample. In the example 1-tvt, venous thrombophilia may be suspected, so that further laboratory tests can detect hereditary causes such as factor V Leiden mutation, prothrombin gene mutation, antithrombin deficiency, etc.

* Details of the requested service
* ServiceRequest.category is RequestForAdditionalExam

### Use Case 4: Requesting existing lab results and images
### Use Case 4: Requesting existing lab results and images (out of scope)

Sometimes the physician also wants information about previous laboratory tests, e.g., to assess the prostate-specific antigen (PSA) trend.
Sometimes the physician also wants information about previous laboratory tests, e.g., to assess the prostate-specific antigen (PSA) trend. It is not covered here.

### Use Case 5: Collective request for toxicological testing (biological monitoring)

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Example document: [5-biol-monit.xml](https://github.com/hl7ch/ch-lab-order/tree/master/input/examples/bundle/5-biol-monit.xml). Work lists are processed, which last over a longer period of time (days/weeks). Generally, specific examinations are requested on multiple patients.

### Use Case 5: Suggestion of additional or alternative examinations by the laboratory physician (order recipient, receiver)
### Use Case 6: Suggestion of additional or alternative examinations by the laboratory physician (order recipient, receiver)

After the laboratory order has been received and processed, the situation may arise in which the laboratory physician wishes to make suggestions for additional or alternative examinations to the author of the order. He can use the received order document for this purpose, exchange the personal data of the sender and receiver through his information system, and send it back with the suggestions for further or alternative laboratory examinations.

* ServiceRequest.category: ProposalForAdditionalExam

### Use Case 6: Findings and further data on the patient's health status
### Use Case 7: Findings and further data on the patient's health status

If this is of particular interest for the interpretation of the prescribed examination, it must be possible to include further data on the patient's state of health in the laboratory order. These are existing findings, medical reports and documents.

* ServiceRequest.reasonCode ServiceRequest.reasonReference

### Use Case 7: Information on the sample, preanalytics
Sample form with proposal for additional investigations for microbioligical, haematological und chemistry tests in response: [2-pertussis](http://fhir.ch/ig/ch-lab-order/Questionnaire-2-pertussis.html).

### Use Case 8: Information on the sample, preanalytics

For certain tests, the order and sample alone are not sufficient to determine the laboratory result. In such cases, observations on the sample collection must be supplied to the laboratory. An example of this is the determination of creatinine clearance in 24 h urine. For this purpose, the laboratory must know the amount of urine collected during a certain period of time. Therefore the ordering party provides the laboratory with the urine volume, as well as a sample of the urine and serum.

Expand All @@ -98,11 +98,11 @@ For certain tests, the order and sample alone are not sufficient to determine th

Another example is the Synacthen(ACTH) function test, where a basal Blood sample is collected in the morning fasting, followed immediately by the Synacthen injection, and a second Blood sample is collected an hour later.

* Basal serum sample fasting and administration of Synacthen(ACTH): Specimen.collection.collected[collectedDateTime], a second serum sample is collected 60 minutes later: Specimen.collection.collected[collectedDateTime]
* Basal serum sample fasting and administration of Synacthen(ACTH): Specimen.collection.collected[collectedDateTime], a second sample is collected 60 minutes later: Specimen.collection.collected[collectedDateTime]

### Use Case 8: Additional information on the context of the sample
### Use Case 9: Additional information on the context of the sample

For Blood gas analyses, the amount of oxygen administered to the patient is sometimes of concern
For Blood gas analyses, the amount of oxygen administered to the patient is of concern

* ServiceRequest.reasonReference (Condition | Observation | DiagnosticReport)
* ServiceRequest.supportingInfo, e.g. O2 4 liters/min.
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