CH RAD-Order (R4)
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CH RAD-Order (R4), published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 2.0.0-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

Example QuestionnaireResponse: QuestionniaireResponse Radiology Order

Generated Narrative: QuestionnaireResponse QuestionnaireResponseRadiologyOrder

LinkIDTextDefinitionAnswerdoco
.. QuestionnaireResponseRadiologyOrderQuestionnaire:http://fhir.ch/ig/ch-rad-order/StructureDefinition/QuestionnaireRadiologyOrder
... orderAuftrag
.... order.placerOrderIdentifierAuftragsnummer des Auftraggebers123
.... order.placerOrderIdentifierDomainIdentifier Domain der Auftragsnummer des Auftraggebersurn:oid:2.999.1.3.4.5.6.7
.... order.fillerOrderIdentifierAuftragsnummer des Auftragsempfängers456
.... order.fillerOrderIdentifierDomainIdentifier Domain der Auftragsnummer des Auftragsempfängersurn:oid:2.999.7.8.9.10.11
.... order.previousDocumentIdentifierIdentifier des Vorgängerdokuments1622f2fb-6ba3-4532-9aed-35b158def187
.... order.notificationContactDocumentDringender Benachrichtigungskontakt für dieses Dokument
..... order.notificationContactDocument.practitionerZu benachrichtigende Person
...... order.notificationContactDocument.practitioner.titleTitelDr. med.
...... order.notificationContactDocument.practitioner.familyNameNameRderfiller
...... order.notificationContactDocument.practitioner.givenNameVornameOtto
...... order.notificationContactDocument.practitioner.phoneTelefon044 412 00 99
...... order.notificationContactDocument.practitioner.emailE-Mailotto.rderfiller@happyhosptial.ch
.... order.notificationContactDocumentResponseDringender Benachrichtigungskontakt für die Antwort auf dieses Dokument
..... order.notificationContactDocumentResponse.practitionerZu benachrichtigende Person
...... order.notificationContactDocumentResponse.practitioner.titleTitelDr. med.
...... order.notificationContactDocumentResponse.practitioner.familyNameNameRderplacer
...... order.notificationContactDocumentResponse.practitioner.givenNameVornameOttilie
...... order.notificationContactDocumentResponse.practitioner.phoneTelefon044 333 22 11
...... order.notificationContactDocumentResponse.practitioner.emailE-Mailottilie.rderplacer@happydoctors.ch
.... order.priorityAuftragsprioritätRequestPriority routine: Routine
... receiverEmpfänger
.... receiver.practitionerEmpfangende Person
..... receiver.practitioner.titleTitelDr. med.
..... receiver.practitioner.familyNameNameRderfiller
..... receiver.practitioner.givenNameVornameOtto
..... receiver.practitioner.glnGLN7601000201041
..... receiver.practitioner.zsrZSRA123262
..... receiver.practitioner.phoneTelefon044 412 00 99
..... receiver.practitioner.emailE-Mailotto.rderfiller@happyhospital.ch
.... receiver.organizationEmpfangende Organisation
..... receiver.organization.nameName der OrganisationSpital Happyhospital
..... receiver.organization.streetAddressLineStrasse, Hausnummer, Postfach etc.
..... receiver.organization.postalCodePLZ8000
..... receiver.organization.cityOrtZürich
..... receiver.organization.countryLandSchweiz
... initiatorInitiant dieser Anmeldung
.... initiator.legalrelationJuristische Beziehung zum PatientenSNOMED CT (all versions) 373068000: Nicht definiert
.... initiator.personalrelationPersönliche Beziehung zum Patienten?SNOMED CT (all versions) 65616008: Son
.... initiator.relatedPersonAndere Person
..... initiator.relatedPerson.familyNameNameLeidend
..... initiator.relatedPerson.givenNameVornameFritz
... patientPatient
.... patient.familyNameNameUfferer
.... patient.maidenNameLedignameLeidend
.... patient.givenNameVornameSusanna
.... patient.localPidLokale Patienten-ID11.22.33.4567
.... patient.localPidDomainLokale Patienten-ID Domainurn:oid:2.999.1.2.3.4
.... patient.birthDateGeburtsdatum1970-03-14
.... patient.genderGeschlechtAdministrativeGender female: Female
.... patient.maritalStatusZivilstandeCH-011 MaritalStatus 3: verwitwet
.... patient.phoneTelefon079 979 79 79
.... patient.emailE-Mailsusanna@ufferer.ch
.... patient.streetAddressLineStrasse, Hausnummer, Postfach etc.Musterweg 6a
.... patient.postalCodePLZ8000
.... patient.cityOrtZürich
.... patient.countryLandSchweiz
.... patient.languageOfCorrespondenceKorrespondenzspracheTags for the Identification of Languages de-CH: German (Switzerland)
.... patient.contactpersonKontaktperson
..... patient.contactperson.relationshipBeziehungGuter Freund
..... patient.contactperson.familyNameNameFreund
..... patient.contactperson.givenNameVornameMax
..... patient.contactperson.phoneTelefon079 111 22 33
..... patient.contactperson.emailE-Mailmax@freund.ch
.... familydoctorHausarzt
..... familydoctor.practitionerHausarzt Person
...... familydoctor.practitioner.titleTitelDr. med.
...... familydoctor.practitioner.familyNameNameMeier
...... familydoctor.practitioner.givenNameSabine
... requestedEncounterPatientenaufnahme
.... requestedEncounter.classVoraussichtlich: Ambulant / Stationär / NotfallActCode EMER: emergency
.... requestedEncounter.desiredAccommodationZimmerkategorieBFS Medizinische Statistik - 21 1.3.V02 - Klasse / Classe / Classe 2: halbprivat
... coverageKostenträger
.... coverage.kvgKrankenkasse (nach KVG)
..... coverage.kvg.nameName der VersicherungSanitas
..... coverage.kvg.insuranceCardNumberKennnummer der Versichertenkarte80756015090002647590
... senderAbsender
.... sender.authorVerantwortlicher
..... sender.author.practitionerVerantwortliche Person
...... sender.author.practitioner.titleTitelDr. med.
...... sender.author.practitioner.familyNameNameRderplacer
...... sender.author.practitioner.givenNameVornameOttilie
...... sender.author.practitioner.glnGLN7601000618627
...... sender.author.practitioner.zsrZSRA123321
...... sender.author.practitioner.phoneTelefon044 333 22 11
...... sender.author.practitioner.emailE-Mailottilie.rderplacer@happydoctors.ch
..... sender.author.organizationVerantwortliche Organisation
...... sender.author.organization.nameName der OrganisationPraxis Happydoctors
...... sender.author.organization.streetAddressLineStrasse, Hausnummer, Postfach etc.Happystrasse 133
...... sender.author.organization.postalCodePLZ8000
...... sender.author.organization.cityOrtZürich
...... sender.author.organization.countryLandSchweiz
.... sender.dataentererErfasser
..... sender.dataenterer.practitionerErfassende Person
...... sender.dataenterer.practitioner.familyNameNameBoss
...... sender.dataenterer.practitioner.givenNameVornameStabilo
...... sender.dataenterer.practitioner.phoneTelefon044 333 22 12
...... sender.dataenterer.practitioner.emailE-Mailstabilo.boss@praxisseeblick.ch
... receiverCopyKopieempfänger (Kopie dieses Auftrags und aller daraus resultierenden Resultate)
.... receiverCopy.practitionerRoleGesundheitsfachperson oder -organisation
..... receiverCopy.practitionerRole.practitionerGesundheitsfachperson
...... receiverCopy.practitionerRole.practitioner.titleTitelDr. med.
...... receiverCopy.practitionerRole.practitioner.familyNameNameMeier
...... receiverCopy.practitionerRole.practitioner.givenNameVornameSabine
...... receiverCopy.practitionerRole.practitioner.phoneTelefon044 333 22 11
...... receiverCopy.practitionerRole.practitioner.emailE-Mailsabine.meier@praxisseeblick.ch
..... receiverCopy.practitionerRole.organizationGesundheitsorganisatiton
...... receiverCopy.practitionerRole.organization.nameName der OrganisationPraxis Seeblick
...... receiverCopy.practitionerRole.organization.streetAddressLineStrasse, Hausnummer, Postfach etc.Seestrasse 133
...... receiverCopy.practitionerRole.organization.postalCodePLZ8000
...... receiverCopy.practitionerRole.organization.cityOrtZürich
...... receiverCopy.practitionerRole.organization.countryLandSchweiz
.... receiverCopy.patientPatient selbsttrue
... antecedentEpisodeOfCareVorgängiger Aufenthalt in Spital / Heim
.... antecedentEpisodeOfCare.startVon2023-05-22
.... antecedentEpisodeOfCare.endBis2023-05-27
.... antecedentEpisodeOfCare.managingOrganizationSpital /Heim
..... antecedentEpisodeOfCare.managingOrganization.nameName der OrganisationSpital Hinterfultigen
... appointmentOrt und Zeit der Durchführung der angeforderten Leistung
.... appointment.locationOrt der Durchführung
..... appointment.location.nameNameNotfall Spital Happyhospital
.... appointment.statusAppointmentStatus pending: Pending
... consentEinverständniserklärung
.... patient.consent.statementIst der Patient über die Anmeldung informiert und explizit einverstanden?Consent Status Other: Other situation such as 'implicit agreement', 'agreed by legal guardian' etc.
..... patient.consent.statement.noteAnmerkungVoraussichtlich einverstanden; Sohn wird die Situation beim nä. Besuch mit Pat. besprechen
... requestedServiceAngeforderte Leistung
.... requestedService.serviceLeistungRequested Service ImagingRequest: Bildgebende Diagnostik
... reasonKlinische Fragestellung
.... reason.questionFragestellungDiagnostic Question
... imagingServiceBildgebendes Verfahren
.... imagingService.typeArtRadLex radiology lexicon RID10345: projection radiography
... orderDetailWeitere Angaben zur Bildgebung
.... orderDetail.imagingRegionRegionRadLex radiology lexicon RID1243: Thorax
.... orderDetail.imagingFocusFokusRadLex radiology lexicon RID2468: Chest wall
.... orderDetail.lateralitySeitenangabe
.... orderDetail.viewTypeAnsicht
.... orderDetail.maneuverTypeManöver
.... orderDetail.guidanceForActionHandlungsanleitung
... desiredRadiologistGewünschter Radiologe für die Befundung / für die Intervention
.... desiredRadiologist.familyNameNameRderfiller
.... desiredRadiologist.givenNameVornameOtto
... diagnosisListDiagnosen und Befunde
.... diagnosisList.primaryDiagnosisHauptdiagnosePrimary Diagnosis
.... diagnosisList.secondaryDiagnosisNebendiagnose
.... diagnosisList.bodyHeightGrösse (cm)176 cm (Details: UCUM codecm = 'cm')
.... diagnosisList.bodyWeightGewicht (kg)99 kg (Details: UCUM codekg = 'kg')
... caveatCaveats
.... caveatList.bloodCoagulationBeinträchtigte BlutgerinnungSNOMED CT (all versions) 52101004: Present
..... caveatList.bloodCoagulation.INRINR
...... caveatList.bloodCoagulation.INR.quantityWert (INR)2.7
....... caveatList.bloodCoagulation.INR.dateTimeZeitpunkt der Bestimmung2024-02-01T10:10:00.000+00:00
..... caveatList.bloodCoagulation.plateletsThrombozyten
...... caveatList.bloodCoagulation.platelets.quantityWert (10^9/L)98 10^9/L (Details: UCUM code10^9/L = '10^9/L')
....... caveatList.bloodCoagulation.INR.dateTimeZeitpunkt der Bestimmung2024-02-01T10:10:00.000+00:00
.... caveatList.renalInsufficiencyNiereninsuffizienzSNOMED CT (all versions) 52101004: Present
..... caveatList.renalInsufficiency.creatinineClearanceCreatinin-Clearance
...... caveatList.renalInsufficiency.creatinineClearance.quantityWert (mL/min)55 mL/min (Details: UCUM codemL/min = 'mL/min')
....... caveatList.renalInsufficiency.creatinineClearance.dateTimeZeitpunkt der Bestimmung2024-02-01T10:10:00.000+00:00
..... caveatList.renalInsufficiency.creatinineCreatinin
...... caveatList.renalInsufficiency.creatinine.quantityWert (µmol/L)90 umol/L (Details: UCUM codeumol/L = 'umol/L')
....... caveatList.renalInsufficiency.creatinine.dateTimeZeitpunkt der Bestimmung2024-02-01T10:10:00.000+00:00
.... caveatList.claustrophobiaKlaustrophobieSNOMED CT (all versions) 373068000: Undetermined (qualifier value)
.... caveatList.bodyPiercingKörperpiercingSNOMED CT (all versions) 373068000: Undetermined (qualifier value)
.... caveatList.deviceDevice (Herzschrittmacher, Herzklappenersatz, Insulinpumpe etc.)SNOMED CT (all versions) 441509002: Herzschrittmacher
.... caveatList.hyperthyroidismHyperthyreoseSNOMED CT (all versions) 373068000: Undetermined (qualifier value)
.... caveatList.diabetesDiabetes mellitusSNOMED CT (all versions) 373068000: Undetermined (qualifier value)
.... caveatList.gravidaSchwangerschaftSNOMED CT (all versions) 373068000: Undetermined (qualifier value)
.... caveatList.contrastMediaAllergyKontrastmittelallergieSNOMED CT (all versions) 373068000: Undetermined (qualifier value)
.... caveatList.drugPrescriptionRelevante Medikamente
..... caveatList.drugPrescription.metforminMetforminSNOMED CT (all versions) 373068000: Undetermined (qualifier value)
..... caveatList.drugPrescription.betaBlockerBetablockerSNOMED CT (all versions) 373068000: Undetermined (qualifier value)
... previousResultsVorherige Untersuchungsresultate
.... attachedFileDateiapplication/pdf: VGVzdCBCZWZ1bmQgTm9uIERpY29t
..... attachedFile.descriptionBeschreibungBefund Notfall-Rx nach Sturz
.... dicomObjectDICOM Objekt
..... dicomObject.sopInstanceUidDICOM SOP Instance UID2.16.124.113543.1154777499.30246.19789.3503430045.1.1
..... dicomObject.sopClassDICOM 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.modalityDICOM Series Modality[not stated] DX: DX
..... dicomObject.SeriesInstanceUidDICOM Series Instance UID2.16.124.113543.1154777499.30246.19789.3503430045.1
..... dicomObject.studyInstanceUidDICOM Study Instance UID2.16.124.113543.1154777499.30246.19789.3503430045
..... dicomObject.acsnACSN2819497684894126
... noteBemerkungen
.... note.textKommentarPatientin ist sehr ängstlich

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