CH RAD-Order (R4)
3.0.0-ballot-ci-build - ci-build
CH RAD-Order (R4), published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 3.0.0-ballot-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7ch/ch-rad-order/ and changes regularly. See the Directory of published versions
Document Subject
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Document Content
Entry 1 - fullUrl = http://example.com/fhir/Composition/CompositionRadiologyOrderImagingRequest
Resource Composition:
Radiology Order
Entry 2 - fullUrl = http://example.com/fhir/Questionnaire/QuestionnaireRadiologyOrder
Resource Questionnaire:
Generated Narrative: Questionnaire QuestionnaireRadiologyOrder
Structure
LinkID Text Cardinality Type Flags Description & Constraints QuestionnaireRadiologyOrder Questionnaire http://fhir.ch/ig/ch-rad-order/Questionnaire/QuestionnaireRadiologyOrder#2.0.0-ci-build-assembled order Auftrag 1..1 group order.authoredOn Datum/Zeit der Auftragserteilung 0..1 dateTime Definition: http://fhir.ch/ig/ch-orf/StructureDefinition-ch-orf-servicerequest#ServiceRequest.authoredOn order.placerOrderIdentifier Auftragsnummer des Auftraggebers 0..1 string Definition: ServiceRequest.identifier:placerOrderIdentifier.value order.placerOrderIdentifierDomain Identifier Domain der Auftragsnummer des Auftraggebers 0..1 string Definition: ServiceRequest.identifier:placerOrderIdentifier.system order.fillerOrderIdentifier Auftragsnummer des Auftragsempfängers 0..1 string Definition: ServiceRequest.identifier:fillerOrderIdentifier.value order.fillerOrderIdentifierDomain Identifier Domain der Auftragsnummer des Auftragsempfängers 0..1 string Definition: ServiceRequest.identifier:fillerOrderIdentifier.system order.precedentDocumentIdentifier Identifier des Vorgängerdokuments 0..1 string Definition: Composition.extension:precedentDocument order.notificationContactDocument Dringender Benachrichtigungskontakt für dieses Dokument 0..1 group Definition: Composition.extension:urgentNoficationContactForThisDocument order.notificationContactDocument.practitioner Zu benachrichtigende Person 0..1 group Definition: PractitionerRole.practitioner order.notificationContactDocument.practitioner.title Titel 0..1 string Definition: Practitioner.name.prefix order.notificationContactDocument.practitioner.familyName Name 0..1 string Definition: Practitioner.name.family order.notificationContactDocument.practitioner.givenName Vorname 0..1 string Definition: Practitioner.name.given order.notificationContactDocument.practitioner.phone Telefon 0..1 string Definition: Practitioner.telecom.value order.notificationContactDocument.practitioner.email 0..1 string Definition: Practitioner.telecom.value order.notificationContactDocumentResponse Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument 0..1 group Definition: Composition.extension:urgentNoficationContactForTheResponseToThisDocument order.notificationContactDocumentResponse.practitioner Zu benachrichtigende Person 0..1 group Definition: PractitionerRole.practitioner order.notificationContactDocumentResponse.practitioner.title Titel 0..1 string Definition: Practitioner.name.prefix order.notificationContactDocumentResponse.practitioner.familyName Name 0..1 string Definition: Practitioner.name.family order.notificationContactDocumentResponse.practitioner.givenName Vorname 0..1 string Definition: Practitioner.name.given order.notificationContactDocumentResponse.practitioner.phone Telefon 0..1 string Definition: Practitioner.telecom.value order.notificationContactDocumentResponse.practitioner.email 0..1 string Definition: Practitioner.telecom.value order.priority Auftragspriorität 0..1 choice Definition: ServiceRequest.priority
Options: 4 optionsreceiver Empfänger 0..1 group Definition: Composition.extension:receiver receiver.practitioner Empfangende Person 0..1 group Definition: PractitionerRole.practitioner receiver.practitioner.title Titel 0..1 string Definition: Practitioner.name.prefix receiver.practitioner.familyName Name 0..1 string Definition: Practitioner.name.family receiver.practitioner.givenName Vorname 0..1 string Definition: Practitioner.name.given receiver.practitioner.gln GLN 0..1 string Definition: Practitioner.identifier:GLN.value receiver.practitioner.zsr ZSR 0..1 string Definition: Practitioner.identifier:ZSR.value receiver.practitioner.phone Telefon 0..1 string Definition: Practitioner.telecom.value receiver.practitioner.email 0..1 string Definition: Practitioner.telecom.value receiver.organization Empfangende Organisation 0..1 group Definition: PractitionerRole.organization receiver.organization.name Name der Organisation 0..1 string Definition: Organization.name receiver.organization.gln GLN 0..1 string Definition: Organization.identifier:GLN receiver.organization.streetAddressLine Strasse, Hausnummer, Postfach etc. 0..* string receiver.organization.postalCode PLZ 0..1 string receiver.organization.city Ort 0..1 string receiver.organization.country Land 0..1 string initiator Initiant dieser Anmeldung 0..1 group Definition: Composition.extension:initiator initiator.legalrelation Juristische Beziehung zum Patienten 0..1 choice Definition: Extension.extension:ch-orf-personalrelation
Options: 2 optionsinitiator.personalrelation Persönliche Beziehung zum Patienten? 0..1 choice Definition: Extension.extension:ch-orf-personalrelation
Options: 10 optionsinitiator.practitionerRole Gesundheitsfachperson oder -organisation 0..1 group Definition: PractitionerRole.practitioner initiator.practitionerRole.practitioner Gesundheitsfachperson 0..1 group Definition: PractitionerRole.practitioner initiator.practitionerRole.practitioner.title Titel 0..1 string Definition: Practitioner.name.prefix initiator.practitionerRole.practitioner.familyName Name 0..1 string Definition: Practitioner.name.family initiator.practitionerRole.practitioner.givenName Vorname 0..1 string Definition: Practitioner.name.given initiator.practitionerRole.practitioner.phone Telefon 0..1 string Definition: Practitioner.telecom.value initiator.practitionerRole.practitioner.email 0..1 string Definition: Practitioner.telecom.value initiator.practitionerRole.organization Gesundheitsorganisatiton 0..1 group Definition: PractitionerRole.organization initiator.practitionerRole.organization.name Name der Organisation 0..1 string Definition: Organization.name initiator.practitionerRole.organization.streetAddressLine Strasse, Hausnummer, Postfach etc. 0..* string initiator.practitionerRole.organization.postalCode PLZ 0..1 string initiator.practitionerRole.organization.city Ort 0..1 string initiator.practitionerRole.organization.country Land 0..1 string initiator.relatedPerson Andere Person 0..1 group Definition: RelatedPerson initiator.relatedPerson.familyName Name 0..1 string Definition: RelatedPerson.name.family initiator.relatedPerson.givenName Vorname 0..1 string Definition: RelatedPerson.name.given initiator.relatedPerson.phone Telefon 0..* string Definition: RelatedPerson.telecom.value initiator.relatedPerson.email 0..1 string Definition: RelatedPerson.telecom.value initiator.relatedPerson.streetAddressLine Strasse, Hausnummer, Postfach etc. 0..* string initiator.relatedPerson.postalCode PLZ 0..1 string initiator.relatedPerson.city Ort 0..1 string initiator.relatedPerson.country Land 0..1 string patient Patient 1..1 group Definition: Composition.subject patient.familyName Name 0..1 string Definition: Patient.name.family patient.maidenName Ledigname 0..1 string Definition: Patient.name.family patient.givenName Vorname 0..1 string Definition: Patient.name.given patient.localPid Lokale Patienten-ID 0..1 string Definition: Patient.identifier:LocalPid.value patient.localPidDomain Lokale Patienten-ID Domain 0..1 string Definition: Patient.identifier:LocalPid.system patient.birthDate Geburtsdatum 0..1 date Definition: Patient.birthDate patient.gender Geschlecht 0..1 choice Definition: Patient.gender
Options: 3 optionspatient.maritalStatus Zivilstand 0..1 choice Definition: Patient.maritalStatus
Options: 8 optionspatient.phone Telefon 0..* string Definition: Patient.telecom.value patient.email 0..1 string Definition: Patient.telecom.value patient.streetAddressLine Strasse, Hausnummer, Postfach etc. 0..* string patient.postalCode PLZ 0..1 string patient.city Ort 0..1 string patient.country Land 0..1 string patient.languageOfCorrespondence Korrespondenzsprache 0..1 choice Definition: Patient.communication:languageOfCorrespondence
Value Set: DocumentEntry.languageCodepatient.contactperson Kontaktperson 0..* group Definition: Patient.contact patient.contactperson.relationship Beziehung 0..1 string Definition: Patient.contact.relationship.text patient.contactperson.familyName Name 0..1 string Definition: Patient.contact.name.family patient.contactperson.givenName Vorname 0..1 string Definition: Patient.contact.name.given patient.contactperson.phone Telefon 0..* string Definition: Patient.contact.telecom.value patient.contactperson.email 0..1 string Definition: Patient.contact.telecom.value familydoctor Hausarzt 0..1 group Definition: Patient.generalPractitioner familydoctor.practitioner Hausarzt Person 0..1 group Definition: PractitionerRole.practitioner familydoctor.practitioner.title Titel 0..1 string Definition: Practitioner.name.prefix familydoctor.practitioner.familyName Name 0..1 string Definition: Practitioner.name.family familydoctor.practitioner.givenName Vorname 0..1 string Definition: Practitioner.name.given familydoctor.practitioner.gln GLN 0..1 string Definition: Practitioner.identifier:GLN.value familydoctor.practitioner.zsr ZSR 0..1 string Definition: Practitioner.identifier:ZSR.value familydoctor.practitioner.phone Telefon 0..1 string Definition: Practitioner.telecom.value familydoctor.practitioner.email 0..1 string Definition: Practitioner.telecom.value familydoctor.organization Hausarzt Organisation 0..1 group Definition: PractitionerRole.organization familydoctor.organization.name Name der Organisation 0..1 string Definition: Organization.name familydoctor.organization.gln GLN 0..1 string Definition: Organization.identifier:GLN familydoctor.organization.streetAddressLine Strasse, Hausnummer, Postfach etc. 0..* string familydoctor.organization.postalCode PLZ 0..1 string familydoctor.organization.city Ort 0..1 string familydoctor.organization.country Land 0..1 string requestedEncounter Patientenaufnahme 0..1 group Definition: extension:requestedEncounterDetails requestedEncounter.class Voraussichtlich: Ambulant / Stationär / Notfall 0..1 choice Definition: Encounter.class
Options: 3 optionsrequestedEncounter.desiredAccommodation Zimmerkategorie 0..1 choice Definition: Encounter.extension:desiredAccommodation
Options: 3 optionscoverage Kostenträger 0..1 group Definition: insurance coverage.beneficiary Begünstigter (Patient) 0..1 group Definition: Coverage.beneficiary coverage.beneficiary.ahvn13 AHV-Nr. des Patienten 0..1 string Definition: Patient.identifier:AHVN13 coverage.kvg Krankenkasse (nach KVG) 0..1 group Definition: Coverage.type coverage.kvg.name Name der Versicherung 0..1 string Definition: Coverage.payor coverage.kvg.insuranceCardNumber Kennnummer der Versichertenkarte 0..1 string Definition: Coverage.identifier coverage.uvg Unfallversicherung (nach UVG) 0..1 group Definition: Coverage.type coverage.uvg.name Name der Versicherung 0..1 string Definition: Coverage.payor coverage.uvg.claimNumber Schadennummer 0..1 string Definition: Coverage.identifier coverage.vvg Zusatzversicherung (nach VVG) 0..1 group Definition: Coverage.type coverage.vvg.name Name der Versicherung 0..1 string Definition: Coverage.payor coverage.vvg.insuranceCardNumber Kennnummer der Versichertenkarte 0..1 string Definition: Coverage.identifier coverage.iv Invalidenversicherung (IV) 0..1 group Definition: Coverage.type coverage.iv.verfuegungsnummer IV-Verfügungsnummer 0..1 string Definition: Coverage.identifier coverage.mv Militärversicherung (MV) 0..1 group Definition: Coverage.type coverage.mv.versichertennummer MV-Versichertennummer 0..1 string Definition: Coverage.identifier coverage.self Selbstzahler 0..1 group Definition: Coverage.type coverage.self.patient Patient selbst 0..1 boolean Definition: Coverage.payor coverage.self.patientRelatedPerson Andere Person 0..1 boolean Definition: Coverage.payor
Enable When: coverage.self.patient =coverage.self.relatedPerson Andere Person 0..1 group Definition: Coverage.payor
Enable When: coverage.self.patientRelatedPerson =coverage.self.relatedPerson.familyName Name 0..1 string Definition: RelatedPerson.name.family coverage.self.relatedPerson.givenName Vorname 0..1 string Definition: RelatedPerson.name.given coverage.self.relatedPerson.phone Telefon 0..* string Definition: RelatedPerson.telecom.value coverage.self.relatedPerson.email 0..1 string Definition: RelatedPerson.telecom.value coverage.self.relatedPerson.streetAddressLine Strasse, Hausnummer, Postfach etc. 0..* string coverage.self.relatedPerson.postalCode PLZ 0..1 string coverage.self.relatedPerson.city Ort 0..1 string coverage.self.relatedPerson.country Land 0..1 string coverage.other Anderer Kostenträger 0..1 group Definition: Coverage.type coverage.other.name Name des Kostenträgers 0..1 string Definition: Coverage.payor coverage.other.id Beliebige ID 0..1 string Definition: Coverage.identifier coverage.other.id.note Bemerkung zur ID 0..1 string Definition: Coverage.identifier.type.text sender Absender 1..1 group sender.author Verantwortlicher 1..1 group Definition: Composition.author sender.author.practitioner Verantwortliche Person 0..1 group Definition: PractitionerRole.practitioner sender.author.practitioner.title Titel 0..1 string Definition: Practitioner.name.prefix sender.author.practitioner.familyName Name 0..1 string Definition: Practitioner.name.family sender.author.practitioner.givenName Vorname 0..1 string Definition: Practitioner.name.given sender.author.practitioner.gln GLN 0..1 string Definition: Practitioner.identifier:GLN.value sender.author.practitioner.zsr ZSR 0..1 string Definition: Practitioner.identifier:ZSR.value sender.author.practitioner.phone Telefon 0..1 string Definition: Practitioner.telecom.value sender.author.practitioner.email 0..1 string Definition: Practitioner.telecom.value sender.author.organization Verantwortliche Organisation 0..1 group Definition: PractitionerRole.organization sender.author.organization.name Name der Organisation 0..1 string Definition: Organization.name sender.author.organization.gln GLN 0..1 string Definition: Organization.identifier:GLN sender.author.organization.streetAddressLine Strasse, Hausnummer, Postfach etc. 0..* string sender.author.organization.postalCode PLZ 0..1 string sender.author.organization.city Ort 0..1 string sender.author.organization.country Land 0..1 string sender.dataenterer Erfasser 0..1 group Definition: Composition.extension:dataEnterer sender.dataenterer.practitioner Erfassende Person 0..1 group Definition: PractitionerRole.practitioner sender.dataenterer.practitioner.title Titel 0..1 string Definition: Practitioner.name.prefix sender.dataenterer.practitioner.familyName Name 0..1 string Definition: Practitioner.name.family sender.dataenterer.practitioner.givenName Vorname 0..1 string Definition: Practitioner.name.given sender.dataenterer.practitioner.phone Telefon 0..1 string Definition: Practitioner.telecom.value sender.dataenterer.practitioner.email 0..1 string Definition: Practitioner.telecom.value receiverCopy Kopieempfänger (Kopie dieses Auftrags und aller daraus resultierenden Resultate) 0..1 group Definition: Composition.extension:copyReceiver receiverCopy.practitionerRole Gesundheitsfachperson oder -organisation 0..* group Definition: PractitionerRole receiverCopy.practitionerRole.practitioner Gesundheitsfachperson 0..1 group Definition: PractitionerRole.practitioner receiverCopy.practitionerRole.practitioner.title Titel 0..1 string Definition: Practitioner.name.prefix receiverCopy.practitionerRole.practitioner.familyName Name 0..1 string Definition: Practitioner.name.family receiverCopy.practitionerRole.practitioner.givenName Vorname 0..1 string Definition: Practitioner.name.given receiverCopy.practitionerRole.practitioner.phone Telefon 0..1 string Definition: Practitioner.telecom.value receiverCopy.practitionerRole.practitioner.email 0..1 string Definition: Practitioner.telecom.value receiverCopy.practitionerRole.organization Gesundheitsorganisatiton 0..1 group Definition: PractitionerRole.organization receiverCopy.practitionerRole.organization.name Name der Organisation 0..1 string Definition: Organization.name receiverCopy.practitionerRole.organization.streetAddressLine Strasse, Hausnummer, Postfach etc. 0..* string receiverCopy.practitionerRole.organization.postalCode PLZ 0..1 string receiverCopy.practitionerRole.organization.city Ort 0..1 string receiverCopy.practitionerRole.organization.country Land 0..1 string receiverCopy.patient Patient selbst 0..1 boolean Definition: Patient receiverCopy.relatedPerson Andere Person 0..* group Definition: RelatedPerson receiverCopy.relatedPerson.familyName Name 0..1 string Definition: RelatedPerson.name.family receiverCopy.relatedPerson.givenName Vorname 0..1 string Definition: RelatedPerson.name.given receiverCopy.relatedPerson.phone Telefon 0..* string Definition: RelatedPerson.telecom.value receiverCopy.relatedPerson.email 0..1 string Definition: RelatedPerson.telecom.value receiverCopy.relatedPerson.streetAddressLine Strasse, Hausnummer, Postfach etc. 0..* string receiverCopy.relatedPerson.postalCode PLZ 0..1 string receiverCopy.relatedPerson.city Ort 0..1 string receiverCopy.relatedPerson.country Land 0..1 string antecedentEpisodeOfCare Vorgängiger Aufenthalt in Spital / Heim 0..1 group Definition: Composition.extension:antecedentEpisodeOfCare antecedentEpisodeOfCare.start Von 0..1 dateTime Definition: EpisodeOfCare.Period.end antecedentEpisodeOfCare.end Bis 0..1 dateTime Definition: EpisodeOfCare.Period.end antecedentEpisodeOfCare.organization Spital /Heim 0..1 group Definition: EpisodeOfCare.Period.organization antecedentEpisodeOfCare.organization.name Name der Organisation 0..1 string Definition: Organization.name antecedentEpisodeOfCare.organization.streetAddressLine Strasse, Hausnummer, Postfach etc. 0..* string antecedentEpisodeOfCare.organization.postalCode PLZ 0..1 string antecedentEpisodeOfCare.organization.city Ort 0..1 string antecedentEpisodeOfCare.organization.country Land 0..1 string appointment Ort und Zeit 0..* group Definition: extension:locationAndTime appointment.location Ort der Durchführung 0..1 group Definition: Appointment.participant.actor appointment.location.name Name 1..1 string Definition: Location.name appointment.location.phone Telefon 0..1 string Definition: Location.telecom appointment.location.email 0..1 string Definition: Location.telecom appointment.location.streetAddressLine Strasse, Hausnummer, Postfach etc. 0..* string appointment.location.postalCode PLZ 0..1 string appointment.location.city Ort 0..1 string appointment.location.country Land 0..1 string appointment.requestedPeriod Datum und Zeit, wann der Termin bevorzugt geplant werden soll 0..1 group Definition: Appointment.requestedPeriod appointment.requestedPeriod.start Von 0..1 dateTime Definition: Appointment.requestedPeriod.start appointment.requestedPeriod.end Bis 0..1 dateTime Definition: Appointment.requestedPeriod.end appointment.status Status 1..1 choice Definition: Appointment.status
Options: 3 optionsappointment.patientInstruction Patienteninformation für diesen Termin 0..1 string Definition: Appointment.patientInstruction consent Einverständniserklärung 0..1 group Definition: Composition.extension:patientConsent patient.consent.statement Ist der Patient über die Anmeldung informiert und explizit einverstanden? 0..1 choice Options: 2 options patient.consent.statement.note Anmerkung 0..1 string medicalInformation null 0..1 group requestedService Angeforderte Leistung 1..1 group requestedService.service Leistung 1..1 choice Definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-servicerequest-definitions#ServiceRequest.category
Value Set: Requested Servicereason Klinische Fragestellung 0..1 group reason.question Fragestellung 0..* string Definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-servicerequest-definitions#ServiceRequest.reasonCode imagingService Bildgebendes Verfahren 0..1 group imagingService.type Art 0..1 choice Definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-servicerequest-definitions#ServiceRequest.code
Value Set: Modality TypeorderDetail Weitere Angaben zur Bildgebung 0..1 group orderDetail.imagingRegion Region 0..* choice Definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-servicerequestServiceRequest.orderDetail:imagingRegion
Value Set: Imaging RegionorderDetail.imagingFocus Fokus 0..* choice Definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-servicerequest-definitions#ServiceRequest.bodySite
Value Set: Imaging FocusorderDetail.laterality Seitenangabe 0..1 choice Definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-servicerequest-definitions.html#ServiceRequest.orderDetail:laterality
Value Set: LateralityorderDetail.viewType Ansicht 0..* choice Definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-servicerequest-definitions#orderDetail:viewType
Value Set: View TypeorderDetail.maneuverType Manöver 0..* choice Definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-servicerequest-definitions#orderDetail:maneuverType
Value Set: Maneuver TypeorderDetail.guidanceForAction Handlungsanleitung 0..* choice Definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-servicerequest-definitions#orderDetail:guidanceForAction
Enable When:
Value Set: Guidance for ActiondesiredRadiologist Gewünschter Radiologe für die Befundung / für die Intervention 0..1 group Definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-servicerequest-definitions#performer desiredRadiologist.familyName Name 0..1 string Definition: Practitioner.name.family desiredRadiologist.givenName Vorname 0..1 string Definition: Practitioner.name.given diagnosis null 0..1 group diagnosisList Diagnosen und Befunde 0..1 group diagnosisList.primaryDiagnosis Hauptdiagnose 0..* string Definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-servicerequest-definitions#reasonReference diagnosisList.secondaryDiagnosis Nebendiagnose 0..* string Definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-servicerequest-definitions#ServiceRequest.supportingInfo:diagnosis diagnosisList.bodyHeight Grösse (cm) 0..1 quantity Definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-servicerequest-definitionServiceRequest.supportingInfo:bodyHeight diagnosisList.bodyWeight Gewicht (kg) 0..1 quantity Definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-servicerequest-definitions#supportingInfo:#ServiceRequest.supportingInfo:bodyWeight caveats null 0..1 group caveatList Caveats 0..1 group Definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-servicerequest-definitions#ServiceRequest.supportingInfo:caveats caveatList.bloodCoagulation Beinträchtigte Blutgerinnung 1..1 choice Definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-caveat-condition-definitions#Condition.category.coding.code
Value Set: Qualifier Value
Initial Value: Coding = SNOMED CT#373068000 "Undetermined (qualifier value)"caveatList.bloodCoagulation.INR INR 0..1 group Definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-caveat-condition-definitions#Condition.evidence.detail
Enable When: caveatList.bloodCoagulation =caveatList.bloodCoagulation.INR.quantity Wert (INR) 0..1 quantity Definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-INR-observation-definitions#Observation.valueQuantity caveatList.bloodCoagulation.INR.dateTime Zeitpunkt der Bestimmung 0..1 dateTime Definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-INR-observation-definitions#Observation.effectiveDateTime caveatList.bloodCoagulation.platelets Thrombozyten 0..1 group Definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-caveat-condition-definitions#Condition.evidence.detail caveatList.bloodCoagulation.platelets.quantity Wert (10^9/L) 0..1 quantity Definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-platelets-observation-definitions#Observation.valueQuantity caveatList.bloodCoagulation.platelets.dateTime Zeitpunkt der Bestimmung 0..1 dateTime Definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-platelets-observation-definitions#Observation.effectiveDateTime caveatList.renalInsufficiency Niereninsuffizienz 1..1 choice Definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-caveat-condition-definitions#Condition.code
Value Set: Qualifier Value
Initial Value: Coding = SNOMED CT#373068000 "Undetermined (qualifier value)"caveatList.renalInsufficiency.creatinineClearance Creatinin-Clearance 0..1 group Definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-caveat-condition-definitions#Condition.evidence.detail caveatList.renalInsufficiency.creatinineClearance.quantity Wert (mL/min) 0..1 quantity Definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-creatinineclearance-observation-definitions#Observation.valueQuantity caveatList.renalInsufficiency.creatinineClearance.dateTime Zeitpunkt der Bestimmung 0..1 dateTime Definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-creatinineclearance-observation-definitions#Observation.effectiveDateTime caveatList.renalInsufficiency.creatinine Creatinin 0..1 group Definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-caveat-condition-definitions#Condition.evidence.detail caveatList.renalInsufficiency.creatinine.quantity Wert (µmol/L) 0..1 quantity Definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-creatinine-observation-definitions#Observation.valueQuantity caveatList.renalInsufficiency.creatinine.dateTime Zeitpunkt der Bestimmung 0..1 dateTime Definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-creatinine-observation-definitions#Observation.effectiveDateTime caveatList.claustrophobia Klaustrophobie 1..1 choice Definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-caveat-condition-definitions#Condition.code
Value Set: Qualifier Value
Initial Value: Coding = SNOMED CT#373068000 "Undetermined (qualifier value)"caveatList.bodyPiercing Körperpiercing 1..1 choice Definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-caveat-condition-definitions#Condition.code
Value Set: Qualifier Value
Initial Value: Coding = SNOMED CT#373068000 "Undetermined (qualifier value)"caveatList.device Device (Herzschrittmacher, Herzklappenersatz, Insulinpumpe etc.) 0..* choice Definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-caveat-condition-definitions#ch-rad-order-caveat-type
Value Set: Caveat DevicecaveatList.hyperthyroidism Hyperthyreose 1..1 choice Definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-caveat-condition-definitions#Condition.code
Value Set: Qualifier Value
Initial Value: Coding = SNOMED CT#373068000 "Undetermined (qualifier value)"caveatList.diabetes Diabetes mellitus 1..1 choice Definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-caveat-condition-definitions#Condition.code
Value Set: Qualifier Value
Initial Value: Coding = SNOMED CT#373068000 "Undetermined (qualifier value)"caveatList.gravida Schwangerschaft 1..1 choice Definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-caveat-condition-definitions#Condition.code
Value Set: Qualifier Value
Initial Value: Coding = SNOMED CT#373068000 "Undetermined (qualifier value)"caveatList.contrastMediaAllergy Kontrastmittelallergie 1..1 choice Definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-caveat-condition-definitions#Condition.code
Value Set: Qualifier Value
Initial Value: Coding = SNOMED CT#373068000 "Undetermined (qualifier value)"caveatList.drugPrescription Relevante Medikamente 1..1 group caveatList.drugPrescription.metformin Metformin 1..1 choice Definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-caveat-condition-definitions#Condition.code
Value Set: Qualifier Value
Initial Value: Coding = SNOMED CT#373068000 "Undetermined (qualifier value)"caveatList.drugPrescription.betaBlocker Betablocker 1..1 choice Definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-caveat-condition-definitions#Condition.code
Value Set: Qualifier Value
Initial Value: Coding = SNOMED CT#373068000 "Undetermined (qualifier value)"previousResults Vorherige Untersuchungsresultate 0..1 group attachedFile Datei 0..* attachment Definition: DocumentReference.content.attachment.data attachedFile.description Beschreibung 0..1 string Definition: DocumentReference.description dicomObject DICOM Objekt 0..* group dicomObject.sopInstanceUid DICOM SOP Instance UID 1..1 string Definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-imagingstudy-definitions#ImagingStudy.series.instance.uid dicomObject.sopClass DICOM SOP Class 1..1 choice Definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-imagingstudy-definitions#ImagingStudy.series.instance.sopClass.value
Value Set: https://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1dicomObject.modality DICOM Series Modality 1..1 choice Definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-imagingstudy-definitions#.ImagingStudy.series.modality.coding
Value Set: https://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.htmldicomObject.SeriesInstanceUid DICOM Series Instance UID 1..1 string Definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-imagingstudy-definitions#ImagingStudy.series.uid dicomObject.studyInstanceUid DICOM Study Instance UID 1..1 string Definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-imagingstudy-definitions#ImagingStudy.identifier dicomObject.acsn ACSN 0..1 string Definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-imagingstudy-definitions#ImagingStudy.identifier note Bemerkungen 0..1 group note.text Kommentar 0..1 string Definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-servicerequest-definitions#ServiceRequest.note.text
Documentation for this formatOptions Sets
Answer options for order.priority
- http://hl7.org/fhir/request-priority#routine ("Die Anfrage hat normale Priorität.")
- http://hl7.org/fhir/request-priority#urgent ("Die Anfrage sollte dringend bearbeitet werden - höhere Priorität als normal.")
- http://hl7.org/fhir/request-priority#asap ("Die Anfrage sollte so schnell wie möglich bearbeitet werden - höhere Priorität als dringend.")
- http://hl7.org/fhir/request-priority#stat ("Die Anfrage sollte sofort bearbeitet werden - höchstmögliche Priorität. Z.B. bei einem Notfall.")
Answer options for initiator.legalrelation
- http://snomed.info/sct#373068000 ("Nicht definiert")
- http://snomed.info/sct#58626002 ("Gesetzlicher Vertreter")
Answer options for initiator.personalrelation
- http://snomed.info/sct#66089001 ("Tochter")
- http://snomed.info/sct#65616008 ("Sohn")
- http://snomed.info/sct#127849001 ("Ehemann")
- http://snomed.info/sct#127850001 ("Ehefrau")
- http://snomed.info/sct#394921008 ("Partner (eingetragene Partnerschaft)")
- http://snomed.info/sct#70924004 ("Bruder")
- http://snomed.info/sct#27733009 ("Schwester")
- http://snomed.info/sct#72705000 ("Mutter")
- http://snomed.info/sct#66839005 ("Vater")
- http://snomed.info/sct#48385004 ("Bekannt")
Answer options for patient.gender
- http://hl7.org/fhir/administrative-gender#male ("Männlich")
- http://hl7.org/fhir/administrative-gender#female ("Weiblich")
- http://hl7.org/fhir/administrative-gender#other ("Anderes")
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 requestedEncounter.class
- http://terminology.hl7.org/CodeSystem/v3-ActCode#AMB ("Ambulant")
- http://terminology.hl7.org/CodeSystem/v3-ActCode#IMP ("Stationär")
- http://terminology.hl7.org/CodeSystem/v3-ActCode#EMER ("Notfall")
Answer options for requestedEncounter.desiredAccommodation
- http://fhir.ch/ig/ch-core/CodeSystem/bfs-medstats-21-encountertype#1 ("allgemein")
- http://fhir.ch/ig/ch-core/CodeSystem/bfs-medstats-21-encountertype#2 ("halbprivat")
- http://fhir.ch/ig/ch-core/CodeSystem/bfs-medstats-21-encountertype#3 ("privat")
Answer options for appointment.status
- http://hl7.org/fhir/appointmentstatus#proposed ("Wunsch des Patienten (vorgeschlagen)")
- http://hl7.org/fhir/appointmentstatus#pending ("Vom Patienten bestätigt, aber vom Leistungserbringer noch nicht (ausstehend)")
- http://hl7.org/fhir/appointmentstatus#booked ("Vom Patienten und Leistungserbringer bestätigt (gebucht)")
Answer options for patient.consent.statement
- http://fhir.ch/ig/ch-orf/CodeSystem/ch-orf-cs-consentstatus#ExplicitAgreement ("Patient is informed and has explicitly agreed")
- http://fhir.ch/ig/ch-orf/CodeSystem/ch-orf-cs-consentstatus#Other ("Other situation such as 'implicit agreement', 'agreed by legal guardian' etc.")
Entry 3 - fullUrl = http://example.com/fhir/QuestionnaireResponse/QuestionnaireResponseRadiologyOrderImagingRequest
Resource QuestionnaireResponse:
Generated Narrative: QuestionnaireResponse QuestionnaireResponseRadiologyOrderImagingRequest
LinkID Text Definition Answer QuestionnaireResponseRadiologyOrderImagingRequest Questionnaire:QuestionnaireRadiologyOrder order Auftrag order.authoredOn Datum/Zeit der Auftragserteilung 2024-11-17T11:28:17+01:00 order.placerOrderIdentifier Auftragsnummer des Auftraggebers 123 order.placerOrderIdentifierDomain Identifier Domain der Auftragsnummer des Auftraggebers urn:oid:2.999.1.3.4.5.6.7 order.fillerOrderIdentifier Auftragsnummer des Auftragsempfängers 456 order.fillerOrderIdentifierDomain Identifier Domain der Auftragsnummer des Auftragsempfängers urn:oid:2.999.7.8.9.10.11 order.precedentDocumentIdentifier Identifier des Vorgängerdokuments order.notificationContactDocument Dringender Benachrichtigungskontakt für dieses Dokument order.notificationContactDocument.practitioner Zu benachrichtigende Person order.notificationContactDocument.practitioner.title Titel order.notificationContactDocument.practitioner.familyName Name order.notificationContactDocument.practitioner.givenName Vorname order.notificationContactDocument.practitioner.phone Telefon order.notificationContactDocument.practitioner.email order.notificationContactDocumentResponse Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument order.notificationContactDocumentResponse.practitioner Zu benachrichtigende Person order.notificationContactDocumentResponse.practitioner.title Titel Dr. med. order.notificationContactDocumentResponse.practitioner.familyName Name Rderplacer order.notificationContactDocumentResponse.practitioner.givenName Vorname Ottilie order.notificationContactDocumentResponse.practitioner.phone Telefon 044 333 22 11 order.notificationContactDocumentResponse.practitioner.email ottilie.rderplacer@happydoctors.ch order.priority Auftragspriorität RequestPriority routine: Routine receiver Empfänger receiver.practitioner Empfangende Person receiver.practitioner.title Titel Dr. med. receiver.practitioner.familyName Name Rderfiller receiver.practitioner.givenName Vorname Otto receiver.practitioner.gln GLN 7601000087232 receiver.practitioner.zsr ZSR A123262 receiver.practitioner.phone Telefon 044 412 00 99 receiver.practitioner.email otto.rderfiller@happyhospital.ch receiver.organization Empfangende Organisation receiver.organization.name Name der Organisation Radiologie Klinik Happyhospital receiver.organization.streetAddressLine Strasse, Hausnummer, Postfach etc. Kantonsstrasse 133 receiver.organization.postalCode PLZ 8000 receiver.organization.city Ort Zürich receiver.organization.country Land Schweiz initiator Initiant dieser Anmeldung initiator.legalrelation Juristische Beziehung zum Patienten initiator.personalrelation Persönliche Beziehung zum Patienten? initiator.practitionerRole Gesundheitsfachperson oder -organisation initiator.practitionerRole.practitioner Gesundheitsfachperson initiator.practitionerRole.practitioner.title Titel initiator.practitionerRole.practitioner.familyName Name initiator.practitionerRole.practitioner.givenName Vorname initiator.practitionerRole.practitioner.phone Telefon initiator.practitionerRole.practitioner.email initiator.practitionerRole.organization Gesundheitsorganisatiton initiator.practitionerRole.organization.name Name der Organisation initiator.practitionerRole.organization.streetAddressLine Strasse, Hausnummer, Postfach etc. initiator.practitionerRole.organization.postalCode PLZ initiator.practitionerRole.organization.city Ort initiator.practitionerRole.organization.country Land initiator.relatedPerson initiator.relatedPerson.familyName Name initiator.relatedPerson.givenName Vorname patient Patient patient.familyName Name Ufferer patient.maidenName Ledigname Leidend patient.givenName Vorname Susanna patient.localPid Lokale Patienten-ID 11.22.33.4567 patient.localPidDomain Lokale Patienten-ID Domain urn:oid:2.999.1.2.3.4 patient.birthDate Geburtsdatum 1945-03-14 patient.gender Geschlecht AdministrativeGender female: Female patient.maritalStatus Zivilstand eCH-011 MaritalStatus 3: verwitwet patient.phone Telefon 079 979 79 79 patient.email susanna@ufferer.ch patient.streetAddressLine Strasse, Hausnummer, Postfach etc. Musterweg 6a patient.postalCode PLZ 8000 patient.city Ort Zürich patient.country Land Schweiz patient.languageOfCorrespondence Korrespondenzsprache Tags for the Identification of Languages de-CH: German (Switzerland) patient.contactperson Kontaktperson patient.contactperson.relationship Beziehung Guter Freund patient.contactperson.familyName Name Freund patient.contactperson.givenName Vorname Max patient.contactperson.phone Telefon 079 111 22 33 patient.contactperson.email max@freund.ch familydoctor Hausarzt familydoctor.practitioner Hausarzt Person familydoctor.practitioner.title Titel Dr. med. familydoctor.practitioner.familyName Name Rderplacer familydoctor.practitioner.givenName Vorname Ottilie familydoctor.practitioner.gln GLN familydoctor.practitioner.zsr ZSR familydoctor.practitioner.phone Telefon familydoctor.practitioner.email familydoctor.organization Hausarzt Organisation familydoctor.organization.name Name der Organisation familydoctor.organization.country Land requestedEncounter Patientenaufnahme requestedEncounter.class Voraussichtlich: Ambulant / Stationär / Notfall ActCode AMB: ambulatory requestedEncounter.desiredAccommodation Zimmerkategorie coverage Kostenträger coverage.kvg Krankenkasse (nach KVG) coverage.kvg.name Name der Versicherung OrgSanitas coverage.kvg.insuranceCardNumber Kennnummer der Versichertenkarte 80756015090002647590 sender Absender sender.author Verantwortlicher sender.author.practitioner Verantwortliche Person sender.author.practitioner.title Titel Dr. med. sender.author.practitioner.familyName Name Rderplacer sender.author.practitioner.givenName Vorname Ottilie sender.author.practitioner.gln GLN 7601000618627 sender.author.practitioner.zsr ZSR A123321 sender.author.practitioner.phone Telefon 044 333 22 11 sender.author.practitioner.email ottilie.rderplacer@happydoctors.ch sender.author.organization Verantwortliche Organisation sender.author.organization.name Name der Organisation Gemeinschaftspraxis Happydoctors sender.author.organization.streetAddressLine Strasse, Hausnummer, Postfach etc. Happystrasse 14 sender.author.organization.postalCode PLZ 8000 sender.author.organization.city Ort Zürich sender.author.organization.country Land Schweiz sender.dataenterer Erfasser sender.dataenterer.practitioner Erfassende Person sender.dataenterer.practitioner.familyName Name Ataenterer sender.dataenterer.practitioner.givenName Vorname Doris sender.dataenterer.practitioner.phone Telefon 044 333 22 12 sender.dataenterer.practitioner.email d.ataenterer@happydoctors.ch receiverCopy Kopieempfänger (Kopie dieses Auftrags und aller daraus resultierenden Resultate) receiverCopy.practitionerRole Gesundheitsfachperson oder -organisation receiverCopy.practitionerRole.practitioner Gesundheitsfachperson receiverCopy.practitionerRole.practitioner.title Titel receiverCopy.practitionerRole.practitioner.familyName Name receiverCopy.practitionerRole.practitioner.givenName Vorname receiverCopy.practitionerRole.practitioner.phone Telefon receiverCopy.practitionerRole.practitioner.email receiverCopy.practitionerRole.organization receiverCopy.practitionerRole.organization.name Name der Organisation receiverCopy.practitionerRole.organization.streetAddressLine Strasse, Hausnummer, Postfach etc. receiverCopy.practitionerRole.organization.postalCode PLZ receiverCopy.practitionerRole.organization.city Ort receiverCopy.practitionerRole.organization.country Land receiverCopy.patient Patient selbst true antecedentEpisodeOfCare Vorgängiger Aufenthalt in Spital / Heim antecedentEpisodeOfCare.start Von antecedentEpisodeOfCare.end Bis antecedentEpisodeOfCare.organization Spital /Heim antecedentEpisodeOfCare.organization.name Name der Organisation antecedentEpisodeOfCare.organization.streetAddressLine Strasse, Hausnummer, Postfach etc. antecedentEpisodeOfCare.organization.postalCode PLZ antecedentEpisodeOfCare.organization.city Ort antecedentEpisodeOfCare.organization.country Land appointment Ort und Zeit appointment.location Ort der Durchführung appointment.location.name Name Radiologie Klinik Happyhospital appointment.location.streetAddressLine Strasse, Hausnummer, Postfach etc. Kantonsstrasse 133 appointment.location.postalCode PLZ 8000 appointment.location.city Ort Zürich appointment.location.country Land Schweiz appointment.requestedPeriod Datum und Zeit, wann der Termin bevorzugt geplant werden soll appointment.requestedPeriod.start Von 2024-11-18 appointment.requestedPeriod.end Bis 2024-11-25 appointment.status AppointmentStatus pending: Pending consent Einverständniserklärung patient.consent.statement Ist der Patient über die Anmeldung informiert und explizit einverstanden? Consent Status ExplicitAgreement: Patient is informed and has explicitly agreed patient.consent.statement.note Anmerkung medicalInformation requestedService Angeforderte Leistung requestedService.service Leistung Requested Service ImagingRequest: Bildgebende Diagnostik reason Klinische Fragestellung reason.question Fragestellung Pneumonie ? imagingService Bildgebendes Verfahren imagingService.type Art RadLex radiology lexicon RID10345: projection radiography orderDetail Weitere Angaben zur Bildgebung orderDetail.imagingRegion Region RadLex radiology lexicon RID1243: Thorax orderDetail.imagingFocus Fokus RadLex radiology lexicon RID1301: Lung orderDetail.laterality Seitenangabe orderDetail.viewType Ansicht orderDetail.maneuverType Manöver orderDetail.guidanceForAction Handlungsanleitung desiredRadiologist Gewünschter Radiologe für die Befundung / für die Intervention desiredRadiologist.familyName Name Rderfiller desiredRadiologist.givenName Vorname Otto diagnosis diagnosisList Diagnosen und Befunde diagnosisList.primaryDiagnosis Hauptdiagnose Verdacht auf Pneumonie diagnosisList.secondaryDiagnosis Nebendiagnose diagnosisList.bodyHeight Grösse (cm) 176 cm (Details: UCUM codecm = 'cm') diagnosisList.bodyWeight Gewicht (kg) 99 kg (Details: UCUM codekg = 'kg') caveats caveatList Caveats caveatList.bloodCoagulation Beinträchtigte Blutgerinnung SNOMED CT 52101004: Present caveatList.bloodCoagulation.INR INR caveatList.bloodCoagulation.INR.quantity Wert (INR) 2.7 caveatList.bloodCoagulation.INR.dateTime Zeitpunkt der Bestimmung 2024-02-01T10:10:00.000+00:00 caveatList.bloodCoagulation.platelets Thrombozyten caveatList.bloodCoagulation.platelets.quantity Wert (10^9/L) 200 10^9/L (Details: UCUM code10^9/L = '10^9/L') caveatList.bloodCoagulation.platelets.dateTime Zeitpunkt der Bestimmung 2024-02-01T10:10:00.000+00:00 caveatList.renalInsufficiency Niereninsuffizienz SNOMED CT 52101004: Present caveatList.renalInsufficiency.creatinineClearance Creatinin-Clearance caveatList.renalInsufficiency.creatinineClearance.quantity Wert (mL/min) 55 mL/min (Details: UCUM codemL/min = 'mL/min') caveatList.renalInsufficiency.creatinineClearance.dateTime Zeitpunkt der Bestimmung 2024-02-01T10:10:00.000+00:00 caveatList.renalInsufficiency.creatinine Creatinin caveatList.renalInsufficiency.creatinine.quantity Wert (µmol/L) 90 umol/L (Details: UCUM codeumol/L = 'umol/L') caveatList.renalInsufficiency.creatinine.dateTime Zeitpunkt der Bestimmung 2024-02-01T10:10:00.000+00:00 caveatList.claustrophobia Klaustrophobie SNOMED CT 373068000: Undetermined (qualifier value) caveatList.bodyPiercing Körperpiercing SNOMED CT 373068000: Undetermined (qualifier value) caveatList.device Device (Herzschrittmacher, Herzklappenersatz, Insulinpumpe etc.) SNOMED CT 441509002: Cardiac pacemaker in situ caveatList.hyperthyroidism Hyperthyreose SNOMED CT 373068000: Undetermined (qualifier value) caveatList.diabetes Diabetes mellitus SNOMED CT 373068000: Undetermined (qualifier value) caveatList.gravida Schwangerschaft SNOMED CT 373068000: Undetermined (qualifier value) caveatList.contrastMediaAllergy Kontrastmittelallergie SNOMED CT 373068000: Undetermined (qualifier value) caveatList.drugPrescription Relevante Medikamente caveatList.drugPrescription.metformin Metformin SNOMED CT 373068000: Undetermined (qualifier value) caveatList.drugPrescription.betaBlocker Betablocker SNOMED CT 373068000: Undetermined (qualifier value) previousResults Vorherige Untersuchungsresultate attachedFile Datei application/pdf: VGVzdCBCZWZ1bmQgTm9uIERpY29t attachedFile.description Beschreibung Befund Thorax-Rx 2022 dicomObject DICOM Objekt dicomObject.sopInstanceUid DICOM SOP Instance UID 2.16.124.113543.1154777499.30246.19789.3503430045.1.1 dicomObject.sopClass DICOM SOP Class [not stated] 1.2.840.10008.5.1.4.1.1.1: 1.2.840.10008.5.1.4.1.1.1 dicomObject.modality DICOM Series Modality [not stated] DX: DX dicomObject.SeriesInstanceUid DICOM Series Instance UID 2.16.124.113543.1154777499.30246.19789.3503430045.1 dicomObject.studyInstanceUid DICOM Study Instance UID 2.16.124.113543.1154777499.30246.19789.3503430045 dicomObject.acsn ACSN 2819497684894126 note Bemerkungen note.text Kommentar Patientin ist sehr ängstlich
Documentation for this format
Entry 4 - fullUrl = http://example.com/fhir/ServiceRequest/ServiceRequestRadiologyOrder
Resource ServiceRequest:
Generated Narrative: ServiceRequest ServiceRequestRadiologyOrder
CH ORF Location and Time: Appointment: status = proposed; patientInstruction = Wunschtermin der Patientin; requestedPeriod = 2019-04-01 15:00:00+0000 --> 2019-04-01 15:30:00+0000
identifier: Placer Identifier/12345
status: Active
intent: Order
category: Bildgebende Diagnostik
priority: Routine
code: No display for ServiceRequest.code (concept: projection radiography)
orderDetail: No display for ServiceRequest.orderDetail ()
subject: Susanna Ufferer (official) Female, DoB: 1945-03-14
requester: PractitionerRole
performer: PractitionerRole
insurance: Coverage: identifier = Insurance Card Number; status = active; type = Krankenversicherung (obligat.)
supportingInfo:
- No display for ServiceRequest.supportingInfo (reference: ->Observation Body height)
- No display for ServiceRequest.supportingInfo (reference: ->Observation Body weight)
- No display for ServiceRequest.supportingInfo (reference: ->Condition )
- No display for ServiceRequest.supportingInfo (reference: ->Condition )
- No display for ServiceRequest.supportingInfo (reference: ->Condition Blood coagulation disorder (disorder))
- No display for ServiceRequest.supportingInfo (reference: ->Condition Renal insufficiency (disorder))
- No display for ServiceRequest.supportingInfo (reference: ->Condition Body piercing (finding))
- No display for ServiceRequest.supportingInfo (reference: ->Condition Cardiac pacemaker in situ)
- No display for ServiceRequest.supportingInfo (reference: ->Condition Metformin (substance))
- No display for ServiceRequest.supportingInfo (reference: ->DocumentReference: status = current; description = Befund Thorax-Rx vom 1.2.23; Eyample of Non-DICOM Attachment)
bodySite: Chest wall
note: Bemerkung/Kommentar
Entry 5 - fullUrl = http://example.com/fhir/Patient/PatSUfferer
Resource Patient:
Generated Narrative: Patient PatSUfferer
Susanna Ufferer (official) Female, DoB: 1945-03-14
Alt. Name: Leidend (Name changed for Marriage) Contact Detail
- +41 79 979 79 79
- susanna@ufferer.ch
- Musterweg 6a Zürich 8000 Schweiz (home)
Entry 6 - fullUrl = http://example.com/fhir/PractitionerRole/RoleDAtaenterer
Resource PractitionerRole:
Generated Narrative: PractitionerRole RoleDAtaenterer
practitioner: Practitioner Doris Ataenterer
organization: Organization Praxis Happy Doctors
Entry 7 - fullUrl = http://example.com/fhir/Practitioner/PractDAtaenterer
Resource Practitioner:
Generated Narrative: Practitioner PractDAtaenterer
name: Doris Ataenterer
telecom: +41 44 333 22 11, d.ataenterer@happydoctors.ch
Entry 8 - fullUrl = http://example.com/fhir/PractitionerRole/RoleORderplacer
Resource PractitionerRole:
Generated Narrative: PractitionerRole RoleORderplacer
practitioner: Practitioner Ottilie Rderplacer (official)
organization: Organization Praxis Happy Doctors
Entry 9 - fullUrl = http://example.com/fhir/Practitioner/PractORderplacer
Resource Practitioner:
Generated Narrative: Practitioner PractORderplacer
identifier: GLN/7601002331470
name: Ottilie Rderplacer (Official)
telecom: +41 44 333 22 11, o.rderplacer@happydoctors.ch
Entry 10 - fullUrl = http://example.com/fhir/PractitionerRole/RoleORderfiller
Resource PractitionerRole:
Generated Narrative: PractitionerRole RoleORderfiller
practitioner: Practitioner Otto Rderfiller (official)
organization: Organization Radiologie Klinik Happy Hospital
Entry 11 - fullUrl = http://example.com/fhir/Organization/OrgHappyDoctors
Resource Organization:
Generated Narrative: Organization OrgHappyDoctors
name: Praxis Happy Doctors
Contacts
Address Happystrasse 14 Zürich 8000 Schweiz
Entry 12 - fullUrl = http://example.com/fhir/Organization/OrgRadHappyHospital
Resource Organization:
Generated Narrative: Organization OrgRadHappyHospital
name: Radiologie Klinik Happy Hospital
Contacts
Address Kantonsstrasse 133 Haus C Zürich 8000 Schweiz
Entry 13 - fullUrl = http://example.com/fhir/Practitioner/PractORderfiller
Resource Practitioner:
Generated Narrative: Practitioner PractORderfiller
identifier: GLN/7601000618627
name: Otto Rderfiller (Official)
telecom: +41 44 412 00 99, o.rderfiller@OrgRadHappyHospital.ch
Entry 14 - fullUrl = http://example.com/fhir/Condition/PrimaryDiagnosis
Resource Condition:
Generated Narrative: Condition PrimaryDiagnosis
clinicalStatus: Active
category: Problem List Item
code: Primary Diagnosis
Entry 15 - fullUrl = http://example.com/fhir/Observation/BodyHeight
Resource Observation:
Generated Narrative: Observation BodyHeight
status: Final
category: Vital Signs
code: Body height
subject: Susanna Ufferer (official) Female, DoB: 1945-03-14
effective: 2019-04-01 10:10:00+0000
value: 176 cm (Details: UCUM codecm = 'cm')
Entry 16 - fullUrl = http://example.com/fhir/Observation/BodyWeight
Resource Observation:
Generated Narrative: Observation BodyWeight
status: Final
category: Vital Signs
code: Body weight
subject: Susanna Ufferer (official) Female, DoB: 1945-03-14
effective: 2019-04-01 10:10:00+0000
value: 99 kg (Details: UCUM codekg = 'kg')
Entry 17 - fullUrl = http://example.com/fhir/Condition/SecondaryDiagnosis1
Resource Condition:
Generated Narrative: Condition SecondaryDiagnosis1
clinicalStatus: Active
category: Problem List Item
code: Secondary Diagnosis 1
Entry 18 - fullUrl = http://example.com/fhir/Condition/SecondaryDiagnosis2
Resource Condition:
Generated Narrative: Condition SecondaryDiagnosis2
clinicalStatus: Active
category: Problem List Item
code: Secondary Diagnosis 2
Entry 19 - fullUrl = http://example.com/fhir/Coverage/CoverageKVG
Resource Coverage:
Generated Narrative: Coverage CoverageKVG
identifier: Insurance Card Number/80756015090002647590
status: Active
type: Krankenversicherung (obligat.)
beneficiary: Susanna Ufferer (official) Female, DoB: 1945-03-14
Generated Narrative: Organization #OrgSanitas
name: OrgSanitas
Entry 20 - fullUrl = http://example.com/fhir/Condition/CaveatBloodCoagulation
Resource Condition:
Generated Narrative: Condition CaveatBloodCoagulation
CH RAD-Order Caveat Type: SNOMED CT 64779008: Blood coagulation disorder (disorder)
CH RAD-Order Qualifier Value: SNOMED CT 52101004: Present (qualifier value)
clinicalStatus: Active
category: Problem List Item
code: Blood coagulation disorder (disorder)
subject: Susanna Ufferer (official) Female, DoB: 1945-03-14
evidence
evidence
Entry 21 - fullUrl = http://example.com/fhir/Observation/CaveatBloodCoagulationINR
Resource Observation:
Generated Narrative: Observation CaveatBloodCoagulationINR
status: Final
code: INR in Blood by Coagulation assay
subject: Susanna Ufferer (official) Female, DoB: 1945-03-14
effective: 2019-04-01 10:10:00+0000
value: 2.3 INR (Details: UCUM code{INR} = '{INR}')
Entry 22 - fullUrl = http://example.com/fhir/Observation/CaveatBloodCoagulationPlatelets
Resource Observation:
Generated Narrative: Observation CaveatBloodCoagulationPlatelets
status: Final
code: Platelets [#/volume] in Blood
subject: Susanna Ufferer (official) Female, DoB: 1945-03-14
effective: 2019-04-01 10:10:00+0000
value: 150000 10^9/L (Details: UCUM code10*9/uL = '10*9/uL')
Entry 23 - fullUrl = http://example.com/fhir/Condition/CaveatBodyPiercing
Resource Condition:
Generated Narrative: Condition CaveatBodyPiercing
CH RAD-Order Caveat Type: SNOMED CT 879862001: Body piercing (finding)
CH RAD-Order Qualifier Value: SNOMED CT 52101004: Present (qualifier value)
clinicalStatus: Active
category: Problem List Item
code: Body piercing (finding)
Entry 24 - fullUrl = http://example.com/fhir/Condition/CaveatRenalInsufficiency
Resource Condition:
Generated Narrative: Condition CaveatRenalInsufficiency
CH RAD-Order Caveat Type: SNOMED CT 723188008: Renal insufficiency (disorder)
CH RAD-Order Qualifier Value: SNOMED CT 52101004: Present (qualifier value)
clinicalStatus: Active
category: Problem List Item
code: Renal insufficiency (disorder)
subject: Susanna Ufferer (official) Female, DoB: 1945-03-14
evidence
evidence
Entry 25 - fullUrl = http://example.com/fhir/Observation/CaveatRenalInsufficiencyCreatinineClearance
Resource Observation:
Generated Narrative: Observation CaveatRenalInsufficiencyCreatinineClearance
status: Final
code: Creatinine renal clearance in Urine and Serum or Plasma collected for unspecified duration
subject: Susanna Ufferer (official) Female, DoB: 1945-03-14
effective: 2019-04-01 10:10:00+0000
value: 55 ml/min (Details: UCUM codemL/min = 'mL/min')
Entry 26 - fullUrl = http://example.com/fhir/Observation/CaveatRenalInsufficiencyCreatinine
Resource Observation:
Generated Narrative: Observation CaveatRenalInsufficiencyCreatinine
status: Final
code: Creatinine [Moles/volume] in Serum, Plasma or Blood
subject: Susanna Ufferer (official) Female, DoB: 1945-03-14
effective: 2019-04-01 10:10:00+0000
value: 90 µmol/l (Details: UCUM codeumol/L = 'umol/L')
Entry 27 - fullUrl = http://example.com/fhir/Condition/CaveatDrugPrescriptionMetformin
Resource Condition:
Generated Narrative: Condition CaveatDrugPrescriptionMetformin
CH RAD-Order Caveat Type: SNOMED CT 1290126002: Drug therapy with explicit context (situation)
CH RAD-Order Qualifier Value: SNOMED CT 52101004: Present (qualifier value)
clinicalStatus: Active
category: Problem List Item
code: Metformin (substance)
Entry 28 - fullUrl = http://example.com/fhir/Condition/CaveatDeviceCardiacPacemaker
Resource Condition:
Generated Narrative: Condition CaveatDeviceCardiacPacemaker
CH RAD-Order Caveat Type: SNOMED CT 397578001: Device in situ (finding)
CH RAD-Order Qualifier Value: SNOMED CT 52101004: Present (qualifier value)
clinicalStatus: Active
category: Problem List Item
code: Cardiac pacemaker in situ
Entry 29 - fullUrl = http://example.com/fhir/DocumentReference/DocumentReferenceNonDicom
Resource DocumentReference:
Generated Narrative: DocumentReference DocumentReferenceNonDicom
status: Current
description:
Befund Thorax-Rx vom 1.2.23; Eyample of Non-DICOM Attachment
content
Attachments
ContentType Data Title application/pdf VGVzdCBCZWZ1bmQgTm9uIERpY29t
Befund_Rx_Thorax_S_Ufferer_20190401.pdf