CH LAB-Order (R4)
1.0.0 - STU 1 Switzerland flag

CH LAB-Order (R4), published by HL7 Switzerland. This is not an authorized publication; it is the continuous build for version 1.0.0). This version is based on the current content of https://github.com/hl7ch/ch-lab-order/ and changes regularly. See the Directory of published versions

Questionnaire: questionnaire 0-generic

Official URL: http://fhir.ch/ig/ch-lab-order/Questionnaire/0-generic Version: 1.0.0
Active as of 2020-12-17 Computable Name: LabOrderFormExample

Copyright/Legal: CC-BY-SA-4.0

Structure
LinkIdTextCardinalityTypeFlagsDescription & Constraintsdoco
.. LabOrderFormExampleQuestionnairehttp://fhir.ch/ig/ch-lab-order/Questionnaire/0-generic#1.0.0
... orderAuftrag1..1group
.... order.placerOrderIdentifierAuftragsnummer des Auftraggebers0..1string
.... order.placerOrderIdentifierDomainIdentifier Domain der Auftragsnummer des Auftraggebers0..1string
.... order.fillerOrderIdentifierAuftragsnummer des Auftragsempfängers0..1string
.... order.fillerOrderIdentifierDomainIdentifier Domain der Auftragsnummer des Auftragsempfängers0..1string
.... order.precedentDocumentIdentifierIdentifier des Vorgängerdokuments0..1string
.... 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..1stringDefinition: http://fhir.ch/ig/ch-core/StructureDefinition-ch-core-organization-definitions.html#Organization.identifier:GLN
..... 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
... senderAbsender1..1group
.... 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
... receiverCopiesKopieempfangende Organisation oder Person0..1group
.... receiverCopy.practitionerRoleGesundheitsfachperson oder -organisation0..*groupDefinition: PractitionerRole
..... receiverCopy.practitionerRole.practitionerGesundheitsfachperson0..1groupDefinition: 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.practitionerRole.organizationGesundheitsorganisatiton0..1groupDefinition: 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.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: 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: ServiceRequest.insurance
.... coverage.beneficiaryBegünstigter (Patient)0..1groupDefinition: Coverage.beneficiary
..... coverage.beneficiary.ahvn13AHV-Nr. des Patienten0..1stringDefinition: Patient.identifier:AHVN13
.... coverage.kvgKrankenkasse (nach KVG)0..1groupDefinition: Coverage.type
..... coverage.kvg.nameName der Versicherung0..1stringDefinition: Coverage.payor
..... coverage.kvg.insuranceCardNumberKennnummer der Versichertenkarte0..1stringDefinition: Coverage.identifier
.... coverage.uvgUnfallversicherung (nach UVG)0..1groupDefinition: Coverage.type
..... coverage.uvg.nameName der Versicherung0..1stringDefinition: Coverage.payor
..... coverage.uvg.claimNumberSchadennummer0..1stringDefinition: Coverage.identifier
.... coverage.vvgZusatzversicherung (nach VVG)0..1groupDefinition: Coverage.type
..... coverage.vvg.nameName der Versicherung0..1stringDefinition: Coverage.payor
..... coverage.vvg.insuranceCardNumberKennnummer der Versichertenkarte0..1stringDefinition: Coverage.identifier
.... coverage.ivInvalidenversicherung (IV)0..1groupDefinition: Coverage.type
..... coverage.iv.verfuegungsnummerIV-Verfügungsnummer0..1stringDefinition: Coverage.identifier
.... coverage.mvMilitärversicherung (MV)0..1groupDefinition: Coverage.type
..... coverage.mv.versichertennummerMV-Versichertennummer0..1stringDefinition: Coverage.identifier
.... coverage.selfSelbstzahler0..1groupDefinition: Coverage.type
..... coverage.self.patientPatient selbst0..1booleanDefinition: Coverage.payor
..... coverage.self.patientRelatedPersonAndere Person0..1booleanDefinition: Coverage.payor
Enable When: coverage.self.patient = false
..... coverage.self.relatedPersonAndere Person0..1groupDefinition: Coverage.payor
Enable When: coverage.self.patientRelatedPerson = true
...... coverage.self.relatedPerson.familyNameName0..1stringDefinition: RelatedPerson.name.family
...... coverage.self.relatedPerson.givenNameVorname0..1stringDefinition: RelatedPerson.name.given
...... coverage.self.relatedPerson.phoneTelefon0..*stringDefinition: RelatedPerson.telecom.value
...... coverage.self.relatedPerson.emailE-Mail0..1stringDefinition: RelatedPerson.telecom.value
...... coverage.self.relatedPerson.streetAddressLineStrasse, Hausnummer, Postfach etc.0..*stringDefinition: RelatedPerson.address.line
...... coverage.self.relatedPerson.postalCodePLZ0..1stringDefinition: RelatedPerson.address.postalCode
...... coverage.self.relatedPerson.cityOrt0..1stringDefinition: RelatedPerson.address.city
...... coverage.self.relatedPerson.countryLand0..1stringDefinition: RelatedPerson.address.country
.... coverage.otherAnderer Kostenträger0..1groupDefinition: Coverage.type
..... coverage.other.nameName des Kostenträgers0..1stringDefinition: Coverage.payor
..... coverage.other.idBeliebige ID0..1stringDefinition: Coverage.identifier
..... coverage.other.id.noteBemerkung zur ID0..1stringDefinition: Coverage.identifier.type.text
... previousResultVorheriges Untersuchungsresultat0..1groupDefinition: ServiceRequest.supportingInfo
.... previousResult.resultUntersuchungsresultat0..*string
... labSpecialtiesLabor Sparten0..1group
.... labSpecialties.hematologyHematology0..1booleanDefinition: 18723-7
..... labSpecialties.hematology.panelsHematology Panels0..1groupEnable When: labSpecialties.hematology = true
...... labSpecialties.hematology.panels.hemoglobinHematocritPanelBloodHemoglobin and Hematocrit panel - Blood0..1booleanDefinition: 24360-0
...... labSpecialties.hematology.panels.hemoglobinElectrophoresisPanelBloodHemoglobin electrophoresis panel in Blood0..1booleanDefinition: 43113-0
...... labSpecialties.hematology.panels.CBCWAutoDifferentialPanelBloodCBC W Auto Differential panel - Blood0..1booleanDefinition: 57021-8
...... labSpecialties.hematology.panels.CBCPanelBloodAutomatedCountCBC panel - Blood by Automated count0..1booleanDefinition: 58410-2
...... labSpecialties.hematology.panels.AutoDifferentialPanelBloodAuto Differential panel - Blood0..1booleanDefinition: 57023-4
.... labSpecialties.coagulationCoagulation0..1booleanDefinition: 18720-3
..... labSpecialties.coagulation.panelsCoagulation Panels0..1groupEnable When: labSpecialties.coagulation = true
...... labSpecialties.coagulation.panels.ShortFibrinDdimerPlateletpoorplasmaShort Fibrin D-dimer FEU and DDU panel - Platelet poor plasma0..1booleanDefinition: 55398-2
...... labSpecialties.coagulation.panels.INRplateletPoorPlasmaCoagulationAssayINR in Platelet poor plasma or Blood by Coagulation assay0..1booleanDefinition: 38875-1
.... labSpecialties.chemistryClinical Chemistry0..1booleanDefinition: 18719-5
..... labSpecialties.chemistry.panelsChemistry Panels0..1groupEnable When: labSpecialties.chemistry = true
...... labSpecialties.chemistry.panels.CRP-MassProVolumeSerumPlasmaC reactive protein [Mass/Volume] in Serum or Plasma0..1booleanDefinition: 1988-5
...... labSpecialties.chemistry.panels.CRP-MolesProVolumeSerumPlasmaC reactive protein [Moles/volume] in Serum or Plasma0..1booleanDefinition: 76485-2
.... labSpecialties.microbiolMicrobiology0..1booleanDefinition: 18725-2
..... labSpecialties.microbiol.panelsMicrobiology Panels0..1groupEnable When: labSpecialties.microbiol = true
...... labSpecialties.microbiol.panels.BordPertParaperDNABordetella pertussis & Bordetella parapertussis DNA panel0..1booleanDefinition: 90441-7

doco Documentation for this format

Option Sets

Answer options for order.priority

Answer options for patient.gender

Answer options for patient.maritalStatus