Generated Narrative: Questionnaire LabOrder-form Profiles: CH ORF Questionnaire, SDCBaseQuestionnaire, Extractable Questionnaire - StructureMap, Populatable Questionnaire - Expression Structure LinkID Text Cardinality Type Flags Description & Constraints LabOrderFormCaseStudies Questionnaire http://fhir.ch/ig/ch-lab-order/Questionnaire/LabOrder-form#4.0.0-ballot-ci-build #xD; order Auftrag 1..1 group #xD; order.placerOrderIdentifier Auftragsnummer des Auftraggebers 0..1 string #xD; order.placerOrderIdentifierDomain Identifier Domain der Auftragsnummer des Auftraggebers 0..1 string #xD; order.fillerOrderIdentifier Auftragsnummer des Auftragsempfängers 0..1 string #xD; order.fillerOrderIdentifierDomain Identifier Domain der Auftragsnummer des Auftragsempfängers 0..1 string #xD; order.precedentDocumentIdentifier Identifier des Vorgängerdokuments 0..1 string #xD; order.notificationContactDocument Dringender Benachrichtigungskontakt für dieses Dokument 0..1 group #xD; order.notificationContactDocument.practitioner Zu benachrichtigende Person 0..1 group #xD; order.notificationContactDocument.practitioner.title Titel 0..1 string #xD; order.notificationContactDocument.practitioner.familyName Name 0..1 string #xD; order.notificationContactDocument.practitioner.givenName Vorname 0..1 string #xD; order.notificationContactDocument.practitioner.phone Telefon 0..1 string #xD; order.notificationContactDocument.practitioner.email E-Mail 0..1 string #xD; order.notificationContactDocumentResponse Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument 0..1 group #xD; order.notificationContactDocumentResponse.practitioner Zu benachrichtigende Person 0..1 group #xD; order.notificationContactDocumentResponse.practitioner.title Titel 0..1 string #xD; order.notificationContactDocumentResponse.practitioner.familyName Name 0..1 string #xD; order.notificationContactDocumentResponse.practitioner.givenName Vorname 0..1 string #xD; order.notificationContactDocumentResponse.practitioner.phone Telefon 0..1 string #xD; order.notificationContactDocumentResponse.practitioner.email E-Mail 0..1 string #xD; order.priority Auftragspriorität 0..1 choice Options: 4 options #xD; receiver Empfänger 0..1 group #xD; receiver.practitioner Empfangende Person 0..1 group #xD; receiver.practitioner.title Titel 0..1 string #xD; receiver.practitioner.familyName Name 0..1 string #xD; receiver.practitioner.givenName Vorname 0..1 string #xD; receiver.practitioner.gln GLN 0..1 string #xD; receiver.practitioner.zsr ZSR 0..1 string #xD; receiver.practitioner.phone Telefon 0..1 string #xD; receiver.practitioner.email E-Mail 0..1 string #xD; receiver.organization Empfangende Organisation 0..1 group #xD; receiver.organization.name Name der Organisation 0..1 string #xD; receciver.organization.gln GLN 0..1 string Definition: #xD; receiver.organization.streetAddressLine Strasse, Hausnummer, Postfach etc. 0..* string #xD; receiver.organization.postalCode PLZ 0..1 string #xD; receiver.organization.city Ort 0..1 string #xD; receiver.organization.country Land 0..1 string #xD; patient Patient 1..1 group #xD; patient.familyName Name 0..1 string #xD; patient.maidenName Ledigname 0..1 string #xD; patient.givenName Vorname 0..1 string #xD; patient.localPid Lokale Patienten-ID 0..1 string #xD; patient.birthDate Geburtsdatum 0..1 date #xD; patient.gender Geschlecht 0..1 choice Options: 3 options #xD; patient.maritalStatus Zivilstand 0..1 choice Definition: Patient.maritalStatus Options: 8 options #xD; patient.phone Telefon 0..1 string #xD; patient.email E-Mail 0..1 string #xD; patient.streetAddressLine Strasse, Hausnummer, Postfach etc. 0..* string #xD; patient.postalCode PLZ 0..1 string #xD; patient.city Ort 0..1 string #xD; patient.country Land 0..1 string #xD; patient.contactperson Kontaktperson 0..1 group Definition: Patient.contact #xD; patient.contactperson.relationship Beziehung 0..1 string Definition: Patient.contact.relationship.text #xD; patient.contactperson.familyName Name 0..1 string Definition: Patient.contact.name.family #xD; patient.contactperson.givenName Vorname 0..1 string Definition: Patient.contact.name.given #xD; patient.contactperson.phone Telefon 0..* string Definition: Patient.contact.telecom.value #xD; patient.contactperson.email E-Mail 0..1 string Definition: Patient.contact.telecom.value #xD; sender Absender 1..1 group #xD; sender.author Verantwortlicher 1..1 group #xD; sender.author.practitioner Verantwortliche Person 0..1 group #xD; sender.author.practitioner.title Titel 0..1 string #xD; sender.author.practitioner.familyName Name 0..1 string #xD; sender.author.practitioner.givenName Vorname 0..1 string #xD; sender.author.practitioner.gln GLN 0..1 string #xD; sender.author.practitioner.zsr ZSR 0..1 string #xD; sender.author.practitioner.phone Telefon 0..1 string #xD; sender.author.practitioner.email E-Mail 0..1 string #xD; sender.author.organization Verantwortliche Organisation 0..1 group #xD; sender.author.organization.name Name der Organisation 0..1 string #xD; sender.author.organization.streetAddressLine Strasse, Hausnummer, Postfach etc. 0..* string #xD; sender.author.organization.postalCode PLZ 0..1 string #xD; sender.author.organization.city Ort 0..1 string #xD; sender.author.organization.country Land 0..1 string #xD; sender.dataenterer Erfasser 0..1 group #xD; sender.dataenterer.practitioner Erfassende Person 0..1 group #xD; sender.dataenterer.practitioner.familyName Name 0..1 string #xD; sender.dataenterer.practitioner.givenName Vorname 0..1 string #xD; sender.dataenterer.practitioner.phone Telefon 0..1 string #xD; sender.dataenterer.practitioner.email E-Mail 0..1 string #xD; receiverCopies Kopieempfänger 0..1 group #xD; receiverCopy Kopieempfangende Organisation oder Person 0..* group Definition: PractitionerRole #xD; receiverCopy.organization.name Name der Organisation 0..1 string Definition: PractitionerRole.practitioner #xD; receiverCopy.practitionerRole.practitioner.title Titel 0..1 string Definition: HumanName.prefix #xD; receiverCopy.practitionerRole.practitioner.familyName Name 0..1 string Definition: HumanName.family #xD; receiverCopy.practitionerRole.practitioner.givenName Vorname 0..1 string Definition: HumanName.given #xD; receiverCopy.practitionerRole.practitioner.phone Telefon 0..1 string Definition: ContactPoint.value #xD; receiverCopy.practitionerRole.practitioner.email E-Mail 0..1 string Definition: ContactPoint.value #xD; receiverCopy.title Titel 0..1 string Definition: PractitionerRole.organization #xD; receiverCopy.practitionerRole.organization.name Name der Organisation 0..1 string Definition: Organization.name #xD; receiverCopy.practitionerRole.organization.streetAddressLine Strasse, Hausnummer, Postfach etc. 0..* string Definition: Address.line #xD; receiverCopy.practitionerRole.organization.postalCode PLZ 0..1 string Definition: Address.postalCode #xD; receiverCopy.practitionerRole.organization.city Ort 0..1 string Definition: Address.city #xD; receiverCopy.practitionerRole.organization.country Land 0..1 string Definition: Address.country #xD; receiverCopy.familyName Name 0..1 string #xD; receiverCopy.givenName Vorname 0..1 string #xD; receiverCopy.phone Telefon 0..1 string #xD; receiverCopy.email E-Mail 0..1 string #xD; receiverCopy.streetAddressLine Strasse, Hausnummer, Postfach etc. 0..* string #xD; receiverCopy.postalCode PLZ 0..1 string #xD; receiverCopy.city Ort 0..1 string #xD; receiverCopy.country Land 0..1 string #xD; receiverCopy.patient Patient selbst 0..1 boolean Definition: Patient #xD; receiverCopy.relatedPerson Andere Person 0..* group Definition: RelatedPerson #xD; receiverCopy.relatedPerson.familyName Name 0..1 string Definition: RelatedPerson.name.family #xD; receiverCopy.relatedPerson.givenName Vorame 0..1 string Definition: RelatedPerson.name.given #xD; receiverCopy.relatedPerson.phone Telefon 0..* string Definition: RelatedPerson.telecom.value #xD; receiverCopy.relatedPerson.email E-Mail 0..1 string Definition: RelatedPerson.telecom.value #xD; receiverCopy.relatedPerson.streetAddressLine Strasse, Hausnummer, Postfach etc. 0..* string Definition: RelatedPerson.address.line #xD; receiverCopy.relatedPerson.postalCode PLZ 0..1 string Definition: RelatedPerson.address.postalCode #xD; receiverCopy.relatedPerson.city Ort 0..1 string Definition: RelatedPerson.address.city #xD; receiverCopy.relatedPerson.country Land 0..1 string Definition: RelatedPerson.address.country #xD; consent Einverständniserklärung 0..1 group Definition: ServiceRequest.supportingInfo #xD; consent.treatment Einverständnis des Patienten zur Behandlung 0..1 string #xD; consent.patientPrivacy Einverständnis des Patienten zum Datenschutz 0..1 string #xD; consent.research Einverständnis des Patienten zur Forschung 0..1 string #xD; consent.advancedCareDirective Patientenverfügung 0..1 string #xD; coverage Kostenträger 0..1 group Definition: insurance #xD; coverage.uvg Unfallversicherung (nach UVG) 0..1 string #xD; coverage.kvg Grundversicherung (nach KVG) 0..1 string #xD; coverage.vvg Zusatzversicherung (nach VVG) 0..1 string #xD; coverage.vvgOther Andere (nach VVG) 0..1 string #xD; previousResult Vorheriges Untersuchungsresultat 0..1 group Definition: ServiceRequest.supportingInfo #xD; previousResult.result Untersuchungsresultat 0..* string #xD; casestudy Case Studies 0..1 group #xD; 1-tvt Tiefe Venenthrombose Questionnaire 0..1 boolean #xD; 1-tvt.labServices Case Study tiefe Venenthrombose 0..1 group Enable When: 1-tvt = #xD; hematology-1 Hematology 0..1 group #xD; hemato-subset Hämatologie Subset 0..* choice Options: 5 options #xD; coagulation Coagulation 0..1 group #xD; d-dimer D-Dimer 0..* choice Options: 1 option #xD; clinical-chemistry-1 Clinical Chemistry 0..1 group #xD; crp-1 CRP 0..* choice Options: 4 options #xD; 2-pertussis Abklärung Husten Questionnaire 0..1 boolean #xD; 2-pertussis.labServices Case Study Husten 0..1 group Enable When: 2-pertussis = #xD; microbiology-2 Mikrobiologie 0..1 group #xD; per Pertussis and Parapertussis DNA 0..* choice Options: 1 option #xD; hematology-2 Hämatologie 0..1 group #xD; Blood-diff Manual Differential panel - Blood 0..* choice Options: 1 option #xD; clinical-chemistry-2 Klinische Chemie 0..1 group #xD; crp-2 C-reactive Protein 0..* choice Options: 1 option #xD; 3-gyn Gynäkologische Vorsorge Questionnaire 0..1 boolean #xD; 3-gyn.labServices Case Study Gynäkologische Vorsorge 0..1 group Enable When: 3-gyn = #xD; cytology Cytology and Microbiology 0..1 group #xD; cervicalSmear Cervical Smear 0..* choice Options: 2 options #xD; urin Urin 0..1 group #xD; combur9 Combur-9 0..* choice Options: 1 option #xD; obstetricalPanels Schwangerschaftsvorsorge 0..1 group #xD; obstetric Obstetric 1996 panel – Serum and Blood 0..* choice Options: 1 option #xD; 4-sepis Abklärung Sepsis Questionnaire 0..1 boolean #xD; 4-sepis.labServices Case Study Sepis 0..1 group Enable When: 4-sepis = #xD; hematology-4 Hematology 0..1 group #xD; lab-4 Laborwerte 0..* choice Options: 5 options #xD; microbiology-4 Mikrobiologie 0..1 group #xD; culture Blood by Culture 0..* choice Options: 1 option #xD; id-susc Bacterial Identification and Susceptibility 0..* choice Options: 1 option #xD; clinical-chemistry-4 Klinische Chemie 0..1 group #xD; crp-4 CRP 0..* choice Options: 4 options #xD; 5-biol-monit Biologisches Monitoring Questionnaire 0..1 boolean #xD; 5-biol-monit.labServices Case Study biologisches Monitoring 0..1 group Enable When: 5-biol-monit = #xD; hematology-5 Hematology 0..1 group #xD; lab-5 Laborwerte 0..* choice Options: 5 options #xD; toxicology Toxicology 0..1 group #xD; tox Toxic Content 0..* choice Options: 3 options #xD; 6-histopath Pathologische Untersuchung einer Gewebsprobe Questionnaire 0..1 boolean #xD; 6-histopath.labServices Case Study Pathologische Untersuchung einer Gewebsprobe 0..1 group Enable When: 6-histopath = #xD; labSpecialties Labor Sparten 0..1 group #xD; labSpecialties.pathology Pathology 0..1 boolean #xD; labSpecialties.pathology.panels Pathology Panels 0..1 group Enable When: labSpecialties.pathology = #xD; labSpecialties.pathology.panels.Autopsy Autopsy report 0..1 boolean #xD; labSpecialties.pathology.panels.PathologyStudy Pathology Study 0..1 boolean #xD; labSpecialties.pathology.panels.SurgicalPathologyStudy Surgical pathology study 0..1 boolean #xD; Documentation for this format Options Sets Answer options for order.priority http://hl7.org/fhir/request-priority#routine ("Routine") http://hl7.org/fhir/request-priority#urgent ("Urgent") http://hl7.org/fhir/request-priority#asap ("ASAP") http://hl7.org/fhir/request-priority#stat ("STAT") Answer options for patient.gender http://hl7.org/fhir/administrative-gender#male ("Male") http://hl7.org/fhir/administrative-gender#female ("Female") http://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") Answer options for hemato-subset http://loinc.org#24360-0 ("Hemoglobin and Hematocrit panel - Blood") http://loinc.org#43113-0 ("Hemoglobin electrophoresis panel in Blood") http://loinc.org#57021-8 ("CBC W Auto Differential panel - Blood") http://loinc.org#58410-2 ("CBC panel - Blood by Automated count") http://loinc.org#57021-8 ("CBC W Auto Differential panel - Blood") Answer options for d-dimer http://loinc.org#55398-2 ("Short Fibrin D-dimer FEU and DDU panel - Platelet poor plasma") Answer options for crp-1 http://loinc.org#1988-5 ("C reactive protein [Mass/Volume] in Serum or Plasma") http://loinc.org#76485-2 ("C reactive protein [Moles/volume] in Serum or Plasma") http://loinc.org#30522-7 ("C reactive protein [Mass/volume] in Serum or Plasma by High sensitivity method") http://loinc.org#76486-0 ("C reactive protein [Moles/volume] in Serum or Plasma by High sensitivity method") Answer options for per http://loinc.org#90441-7 ("B pert+parapert DNA Pnl Nph") Answer options for Blood-diff http://loinc.org#57782-5 ("CBC W Ordered Manual Differential panel - Blood") Answer options for crp-2 http://loinc.org#1988-5 ("C reactive protein [Mass/volume] in Serum or Plasma") Answer options for cervicalSmear http://loinc.org#86662-4 ("Pap smear tests - FPAR 2.0 set") http://loinc.org#14503-7 ("Human papilloma virus 16+18 Ag [Presence] in Cervix") Answer options for combur9 http://loinc.org#50556-0 ("Urinalysis dipstick panel - Urine by Automated test strip") Answer options for obstetric http://loinc.org#24364-2 ("Obstetric 1996 Pnl Ser+Bld") Answer options for lab-4 http://loinc.org#24360-0 ("Hemoglobin and Hematocrit panel - Blood") http://loinc.org#43113-0 ("Hemoglobin electrophoresis panel in Blood") http://loinc.org#57021-8 ("CBC W Auto Differential panel - Blood") http://loinc.org#58410-2 ("CBC panel - Blood by Automated count") http://loinc.org#57021-8 ("CBC W Auto Differential panel - Blood") Answer options for culture http://loinc.org#90423-5 ("Microorganism preliminary growth detection panel - Blood by Culture") Answer options for id-susc http://loinc.org#85421-6 ("Bacterial identification and susceptibility panel - Isolate") Answer options for crp-4 http://loinc.org#1988-5 ("C reactive protein [Mass/Volume] in Serum or Plasma") http://loinc.org#76485-2 ("C reactive protein [Moles/volume] in Serum or Plasma") http://loinc.org#30522-7 ("C reactive protein [Mass/volume] in Serum or Plasma by High sensitivity method") http://loinc.org#76486-0 ("C reactive protein [Moles/volume] in Serum or Plasma by High sensitivity method") Answer options for lab-5 http://loinc.org#24360-0 ("Hemoglobin and Hematocrit panel - Blood") http://loinc.org#43113-0 ("Hemoglobin electrophoresis panel in Blood") http://loinc.org#57021-8 ("CBC W Auto Differential panel - Blood") http://loinc.org#58410-2 ("CBC panel - Blood by Automated count") http://loinc.org#57021-8 ("CBC W Auto Differential panel - Blood") Answer options for tox http://loinc.org#29587-3 ("Toxicology panel - Blood") http://loinc.org#54454-4 ("Arsenic fractions panel - Urine") http://loinc.org#29589-9 ("Heavy metals panel - Urine")
The practitioner that is to be used to pre-populate the form
Identifier Domain der Auftragsnummer des Auftraggebers
Identifier Domain der Auftragsnummer des Auftragsempfängers
Dringender Benachrichtigungskontakt für dieses Dokument
Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument
Kopieempfangende Organisation oder Person
Einverständnis des Patienten zur Behandlung
Einverständnis des Patienten zum Datenschutz
Einverständnis des Patienten zur Forschung
Hemoglobin electrophoresis panel in Blood
Short Fibrin D-dimer FEU and DDU panel - Platelet poor plasma
C reactive protein [Mass/Volume] in Serum or Plasma
C reactive protein [Moles/volume] in Serum or Plasma
C reactive protein [Mass/volume] in Serum or Plasma by High sensitivity method
C reactive protein [Moles/volume] in Serum or Plasma by High sensitivity method
CBC W Ordered Manual Differential panel - Blood
C reactive protein [Mass/volume] in Serum or Plasma
Human papilloma virus 16+18 Ag [Presence] in Cervix
Urinalysis dipstick panel - Urine by Automated test strip
Microorganism preliminary growth detection panel - Blood by Culture
Bacterial Identification and Susceptibility
Bacterial identification and susceptibility panel - Isolate
Pathologische Untersuchung einer Gewebsprobe Questionnaire
Case Study Pathologische Untersuchung einer Gewebsprobe