Bundle Radiology Order - CH RAD-Order (R4) v2.0.0-ci-build

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 Bundle: Bundle Radiology Order

Document Details

Generated Narrative: Bundle Radiologieauftrag

Document Subject

Unable to resolve subject ''

Document Content

Radiology Order

Order-Referral

Additional Resources Included in Document

Entry 1 - fullUrl = http://example.com/fhir/Composition/CompositionRadiologyOrder

Resource Composition:

Radiology Order

Entry 2 - fullUrl = http://example.com/fhir/Questionnaire/QuestionnaireRadiologyOrder

Resource Questionnaire:

Generated Narrative: Questionnaire QuestionnaireRadiologyOrder

Entry 3 - fullUrl = http://example.com/fhir/QuestionnaireResponse/QuestionnaireResponseRadiologyOrder

Resource QuestionnaireResponse:

Generated Narrative: QuestionnaireResponse QuestionnaireResponseRadiologyOrder

LinkID Text Definition Answer
QuestionnaireResponseRadiologyOrder Questionnaire:http://fhir.ch/ig/ch-rad-order/StructureDefinition/QuestionnaireRadiologyOrder

order Auftrag

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.previousDocumentIdentifier Identifier des Vorgängerdokuments 1622f2fb-6ba3-4532-9aed-35b158def187

order.notificationContactDocument Dringender Benachrichtigungskontakt für dieses Dokument

order.notificationContactDocument.practitioner Zu benachrichtigende Person

order.notificationContactDocument.practitioner.title Titel Dr. med.

order.notificationContactDocument.practitioner.familyName Name Rderfiller

order.notificationContactDocument.practitioner.givenName Vorname Otto

order.notificationContactDocument.practitioner.phone Telefon 044 412 00 99

order.notificationContactDocument.practitioner.email E-Mail otto.rderfiller@happyhosptial.ch

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 E-Mail 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 7601000201041

receiver.practitioner.zsr ZSR A123262

receiver.practitioner.phone Telefon 044 412 00 99

receiver.practitioner.email E-Mail otto.rderfiller@happyhospital.ch

receiver.organization Empfangende Organisation

receiver.organization.name Name der Organisation Spital Happyhospital

receiver.organization.streetAddressLine Strasse, Hausnummer, Postfach etc.

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 SNOMED CT 373068000: Nicht definiert

initiator.personalrelation Persönliche Beziehung zum Patienten? SNOMED CT 65616008: Son

initiator.relatedPerson Andere Person

initiator.relatedPerson.familyName Name Leidend

initiator.relatedPerson.givenName Vorname Fritz

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 1970-03-14

patient.gender Geschlecht AdministrativeGender female: Female

patient.maritalStatus Zivilstand eCH-011 MaritalStatus 3: verwitwet

patient.phone Telefon 079 979 79 79

patient.email E-Mail 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 E-Mail max@freund.ch

familydoctor Hausarzt

familydoctor.practitioner Hausarzt Person

familydoctor.practitioner.title Titel Dr. med.

familydoctor.practitioner.familyName Name Meier

familydoctor.practitioner.givenName Sabine

requestedEncounter Patientenaufnahme

requestedEncounter.class Voraussichtlich: Ambulant / Stationär / Notfall ActCode EMER: emergency

requestedEncounter.desiredAccommodation Zimmerkategorie BFS Medizinische Statistik - 21 1.3.V02 - Klasse / Classe / Classe 2: halbprivat

coverage Kostenträger

coverage.kvg Krankenkasse (nach KVG)

coverage.kvg.name Name der Versicherung Sanitas

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 E-Mail ottilie.rderplacer@happydoctors.ch

sender.author.organization Verantwortliche Organisation

sender.author.organization.name Name der Organisation Praxis Happydoctors

sender.author.organization.streetAddressLine Strasse, Hausnummer, Postfach etc. Happystrasse 133

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 Boss

sender.dataenterer.practitioner.givenName Vorname Stabilo

sender.dataenterer.practitioner.phone Telefon 044 333 22 12

sender.dataenterer.practitioner.email E-Mail stabilo.boss@praxisseeblick.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 Dr. med.

receiverCopy.practitionerRole.practitioner.familyName Name Meier

receiverCopy.practitionerRole.practitioner.givenName Vorname Sabine

receiverCopy.practitionerRole.practitioner.phone Telefon 044 333 22 11

receiverCopy.practitionerRole.practitioner.email E-Mail sabine.meier@praxisseeblick.ch

receiverCopy.practitionerRole.organization Gesundheitsorganisatiton

receiverCopy.practitionerRole.organization.name Name der Organisation Praxis Seeblick

receiverCopy.practitionerRole.organization.streetAddressLine Strasse, Hausnummer, Postfach etc. Seestrasse 133

receiverCopy.practitionerRole.organization.postalCode PLZ 8000

receiverCopy.practitionerRole.organization.city Ort Zürich

receiverCopy.practitionerRole.organization.country Land Schweiz

receiverCopy.patient Patient selbst true

antecedentEpisodeOfCare Vorgängiger Aufenthalt in Spital / Heim

antecedentEpisodeOfCare.start Von 2023-05-22

antecedentEpisodeOfCare.end Bis 2023-05-27

antecedentEpisodeOfCare.managingOrganization Spital /Heim

antecedentEpisodeOfCare.managingOrganization.name Name der Organisation Spital Hinterfultigen

appointment Ort und Zeit der Durchführung der angeforderten Leistung

appointment.location Ort der Durchführung

appointment.location.name Name Notfall Spital Happyhospital

appointment.status AppointmentStatus pending: Pending

consent Einverständniserklärung

patient.consent.statement Ist 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.note Anmerkung Voraussichtlich einverstanden; Sohn wird die Situation beim nä. Besuch mit Pat. besprechen

requestedService Angeforderte Leistung

requestedService.service Leistung Requested Service ImagingRequest: Bildgebende Diagnostik

reason Klinische Fragestellung

reason.question Fragestellung Diagnostic Question

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 RID2468: Chest wall

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

diagnosisList Diagnosen und Befunde

diagnosisList.primaryDiagnosis Hauptdiagnose Primary Diagnosis

diagnosisList.secondaryDiagnosis Nebendiagnose

diagnosisList.bodyHeight Grösse (cm) 176 cm (Details: UCUM codecm = 'cm')

diagnosisList.bodyWeight Gewicht (kg) 99 kg (Details: UCUM codekg = 'kg')

caveat 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) 98 10^9/L (Details: UCUM code10^9/L = '10^9/L')

caveatList.bloodCoagulation.INR.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: Herzschrittmacher

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 Notfall-Rx nach Sturz

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

LinkID	Text	Answer
QuestionnaireResponseRadiologyOrder		Questionnaire:http://fhir.ch/ig/ch-rad-order/StructureDefinition/QuestionnaireRadiologyOrder
order	Auftrag
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.previousDocumentIdentifier	Identifier des Vorgängerdokuments	1622f2fb-6ba3-4532-9aed-35b158def187
order.notificationContactDocument	Dringender Benachrichtigungskontakt für dieses Dokument
order.notificationContactDocument.practitioner	Zu benachrichtigende Person
order.notificationContactDocument.practitioner.title	Titel	Dr. med.
order.notificationContactDocument.practitioner.familyName	Name	Rderfiller
order.notificationContactDocument.practitioner.givenName	Vorname	Otto
order.notificationContactDocument.practitioner.phone	Telefon	044 412 00 99
order.notificationContactDocument.practitioner.email	E-Mail	otto.rderfiller@happyhosptial.ch
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	E-Mail	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	7601000201041
receiver.practitioner.zsr	ZSR	A123262
receiver.practitioner.phone	Telefon	044 412 00 99
receiver.practitioner.email	E-Mail	otto.rderfiller@happyhospital.ch
receiver.organization	Empfangende Organisation
receiver.organization.name	Name der Organisation	Spital Happyhospital
receiver.organization.streetAddressLine	Strasse, Hausnummer, Postfach etc.
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	SNOMED CT 373068000: Nicht definiert
initiator.personalrelation	Persönliche Beziehung zum Patienten?	SNOMED CT 65616008: Son
initiator.relatedPerson	Andere Person
initiator.relatedPerson.familyName	Name	Leidend
initiator.relatedPerson.givenName	Vorname	Fritz
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	1970-03-14
patient.gender	Geschlecht	AdministrativeGender female: Female
patient.maritalStatus	Zivilstand	eCH-011 MaritalStatus 3: verwitwet
patient.phone	Telefon	079 979 79 79
patient.email	E-Mail	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	E-Mail	max@freund.ch
familydoctor	Hausarzt
familydoctor.practitioner	Hausarzt Person
familydoctor.practitioner.title	Titel	Dr. med.
familydoctor.practitioner.familyName	Name	Meier
familydoctor.practitioner.givenName		Sabine
requestedEncounter	Patientenaufnahme
requestedEncounter.class	Voraussichtlich: Ambulant / Stationär / Notfall	ActCode EMER: emergency
requestedEncounter.desiredAccommodation	Zimmerkategorie	BFS Medizinische Statistik - 21 1.3.V02 - Klasse / Classe / Classe 2: halbprivat
coverage	Kostenträger
coverage.kvg	Krankenkasse (nach KVG)
coverage.kvg.name	Name der Versicherung	Sanitas
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	E-Mail	ottilie.rderplacer@happydoctors.ch
sender.author.organization	Verantwortliche Organisation
sender.author.organization.name	Name der Organisation	Praxis Happydoctors
sender.author.organization.streetAddressLine	Strasse, Hausnummer, Postfach etc.	Happystrasse 133
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	Boss
sender.dataenterer.practitioner.givenName	Vorname	Stabilo
sender.dataenterer.practitioner.phone	Telefon	044 333 22 12
sender.dataenterer.practitioner.email	E-Mail	stabilo.boss@praxisseeblick.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	Dr. med.
receiverCopy.practitionerRole.practitioner.familyName	Name	Meier
receiverCopy.practitionerRole.practitioner.givenName	Vorname	Sabine
receiverCopy.practitionerRole.practitioner.phone	Telefon	044 333 22 11
receiverCopy.practitionerRole.practitioner.email	E-Mail	sabine.meier@praxisseeblick.ch
receiverCopy.practitionerRole.organization	Gesundheitsorganisatiton
receiverCopy.practitionerRole.organization.name	Name der Organisation	Praxis Seeblick
receiverCopy.practitionerRole.organization.streetAddressLine	Strasse, Hausnummer, Postfach etc.	Seestrasse 133
receiverCopy.practitionerRole.organization.postalCode	PLZ	8000
receiverCopy.practitionerRole.organization.city	Ort	Zürich
receiverCopy.practitionerRole.organization.country	Land	Schweiz
receiverCopy.patient	Patient selbst	true
antecedentEpisodeOfCare	Vorgängiger Aufenthalt in Spital / Heim
antecedentEpisodeOfCare.start	Von	2023-05-22
antecedentEpisodeOfCare.end	Bis	2023-05-27
antecedentEpisodeOfCare.managingOrganization	Spital /Heim
antecedentEpisodeOfCare.managingOrganization.name	Name der Organisation	Spital Hinterfultigen
appointment	Ort und Zeit der Durchführung der angeforderten Leistung
appointment.location	Ort der Durchführung
appointment.location.name	Name	Notfall Spital Happyhospital
appointment.status		AppointmentStatus pending: Pending
consent	Einverständniserklärung
patient.consent.statement	Ist 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.note	Anmerkung	Voraussichtlich einverstanden; Sohn wird die Situation beim nä. Besuch mit Pat. besprechen
requestedService	Angeforderte Leistung
requestedService.service	Leistung	Requested Service ImagingRequest: Bildgebende Diagnostik
reason	Klinische Fragestellung
reason.question	Fragestellung	Diagnostic Question
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 RID2468: Chest wall
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
diagnosisList	Diagnosen und Befunde
diagnosisList.primaryDiagnosis	Hauptdiagnose	Primary Diagnosis
diagnosisList.secondaryDiagnosis	Nebendiagnose
diagnosisList.bodyHeight	Grösse (cm)	176 cm (Details: UCUM codecm = 'cm')
diagnosisList.bodyWeight	Gewicht (kg)	99 kg (Details: UCUM codekg = 'kg')
caveat	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)	98 10^9/L (Details: UCUM code10^9/L = '10^9/L')
caveatList.bloodCoagulation.INR.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: Herzschrittmacher
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 Notfall-Rx nach Sturz
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: 1970-03-14
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/SUfferer

Resource Patient:

Generated Narrative: Patient SUfferer

Susanna Ufferer (official) Female, DoB: 1970-03-14
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/Patient/SUffererCopyReceiver

Resource Patient:

Generated Narrative: Patient SUffererCopyReceiver

Susanna Ufferer (no stated gender), DoB Unknown
Contact Detail
+41 79 979 79 79
susanna@ufferer.ch
Musterweg 6a Zürich 8000 Schweiz (home)

Entry 7 - fullUrl = http://example.com/fhir/PractitionerRole/DAtaentererHappyDoctors

Resource PractitionerRole:

Generated Narrative: PractitionerRole DAtaentererHappyDoctors

practitioner: Practitioner Doris Ataenterer
organization: Organization Praxis Happy Doctors

Entry 8 - fullUrl = http://example.com/fhir/Practitioner/DAtaenterer

Resource Practitioner:

Generated Narrative: Practitioner DAtaenterer

name: Doris Ataenterer
telecom: +41 44 333 22 11, d.ataenterer@happydoctors.ch

Entry 9 - fullUrl = http://example.com/fhir/PractitionerRole/ORderplacerHappyDoctors

Resource PractitionerRole:

Generated Narrative: PractitionerRole ORderplacerHappyDoctors

practitioner: Practitioner Ottilie Rderplacer (official)
organization: Organization Praxis Happy Doctors

Entry 10 - fullUrl = http://example.com/fhir/Practitioner/ORderplacer

Resource Practitioner:

Generated Narrative: Practitioner ORderplacer

identifier: GLN/7601000034321
name: Ottilie Rderplacer (Official)
telecom: +41 44 333 22 11, o.rderplacer@happydoctors.ch

Entry 11 - fullUrl = http://example.com/fhir/PractitionerRole/RadiologyDepartmentHappyHospital

Resource PractitionerRole:

Generated Narrative: PractitionerRole RadiologyDepartmentHappyHospital

organization: Organization Klinik Happy Hospital

Entry 12 - fullUrl = http://example.com/fhir/Organization/HappyDoctors

Resource Organization:

Generated Narrative: Organization HappyDoctors

name: Praxis Happy Doctors
Contacts
- Address
* Kantonsstrasse 14 Postfach 14 Zürich 8000 Schweiz

Entry 13 - fullUrl = http://example.com/fhir/Organization/HappyHospital

Resource Organization:

Generated Narrative: Organization HappyHospital

name: Klinik Happy Hospital
Contacts
- Address
* Seestrasse 133 Haus C Zürich 8000 Schweiz

Entry 14 - fullUrl = http://example.com/fhir/PractitionerRole/ORderfillerHappyHospital

Resource PractitionerRole:

Generated Narrative: PractitionerRole ORderfillerHappyHospital

practitioner: Practitioner Otto Rderfiller (official)

Entry 15 - fullUrl = http://example.com/fhir/Practitioner/ORderfiller

Resource Practitioner:

Generated Narrative: Practitioner ORderfiller

name: Otto Rderfiller (Official)

Entry 16 - fullUrl = http://example.com/fhir/Condition/PrimaryDiagnosis

Resource Condition:

Generated Narrative: Condition PrimaryDiagnosis

clinicalStatus: Active
category: Problem List Item
code: Primary Diagnosis
subject: Susanna Ufferer (official) Female, DoB: 1970-03-14

Entry 17 - 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: 1970-03-14
effective: 2019-04-01 10:10:00+0000
value: 176 cm (Details: UCUM codecm = 'cm')

Entry 18 - 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: 1970-03-14
effective: 2019-04-01 10:10:00+0000
value: 99 kg (Details: UCUM codekg = 'kg')

Entry 19 - fullUrl = http://example.com/fhir/Condition/SecondaryDiagnosis1

Resource Condition:

Generated Narrative: Condition SecondaryDiagnosis1

clinicalStatus: Active
category: Problem List Item
code: Secondary Diagnosis 1
subject: Susanna Ufferer (official) Female, DoB: 1970-03-14

Entry 20 - fullUrl = http://example.com/fhir/Condition/SecondaryDiagnosis2

Resource Condition:

Generated Narrative: Condition SecondaryDiagnosis2

clinicalStatus: Active
category: Problem List Item
code: Secondary Diagnosis 2
subject: Susanna Ufferer (official) Female, DoB: 1970-03-14

Entry 21 - 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: 1970-03-14
Generated Narrative: Organization #Sanitas

name: Sanitas

Entry 22 - 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: 1970-03-14
evidence
evidence

Entry 23 - 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: 1970-03-14
effective: 2019-04-01 10:10:00+0000
value: 2.3 INR (Details: UCUM code{INR} = '{INR}')

Entry 24 - 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: 1970-03-14
effective: 2019-04-01 10:10:00+0000
value: 150000 10^9/L (Details: UCUM code10*9/uL = '10*9/uL')

Entry 25 - 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)
subject: Susanna Ufferer (official) Female, DoB: 1970-03-14

Entry 26 - 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: 1970-03-14
evidence
evidence

Entry 27 - 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: 1970-03-14
effective: 2019-04-01 10:10:00+0000
value: 55 ml/min (Details: UCUM codemL/min = 'mL/min')

Entry 28 - 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: 1970-03-14
effective: 2019-04-01 10:10:00+0000
value: 90 µmol/l (Details: UCUM codeumol/L = 'umol/L')

Entry 29 - 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)
subject: Susanna Ufferer (official) Female, DoB: 1970-03-14

Entry 30 - 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
subject: Susanna Ufferer (official) Female, DoB: 1970-03-14

Entry 31 - fullUrl = http://example.com/fhir/ImagingStudy/DicomSopInstanceConformant

Resource ImagingStudy:

Generated Narrative: ImagingStudy DicomSopInstanceConformant

identifier: PLAC/2.16.124.113543.1154777499.30246.19789.3503430045, Accession ID/2819497684894126
status: Available
subject: Susanna Ufferer (official) Female, DoB: 1970-03-14
series
uid: 2.16.124.113543.1154777499.30246.19789.3503430045.1
modality: DX
Instances
- Uid SopClass
* 2.16.124.113543.1154777499.30246.19789.3503430045.1.1 [not stated] 1.2.840.10008.5.1.4.1.1.1: 1.2.840.10008.5.1.4.1.1.1

Entry 32 - 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