CH RAD-Order (R4)
2.0.0-ci-build - ci-build Switzerland flag

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 373068000: Nicht definiert
.... initiator.personalrelationPersönliche Beziehung zum Patienten?SNOMED CT 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 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 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 373068000: Undetermined (qualifier value)
.... caveatList.bodyPiercingKörperpiercingSNOMED CT 373068000: Undetermined (qualifier value)
.... caveatList.deviceDevice (Herzschrittmacher, Herzklappenersatz, Insulinpumpe etc.)SNOMED CT 441509002: Herzschrittmacher
.... caveatList.hyperthyroidismHyperthyreoseSNOMED CT 373068000: Undetermined (qualifier value)
.... caveatList.diabetesDiabetes mellitusSNOMED CT 373068000: Undetermined (qualifier value)
.... caveatList.gravidaSchwangerschaftSNOMED CT 373068000: Undetermined (qualifier value)
.... caveatList.contrastMediaAllergyKontrastmittelallergieSNOMED CT 373068000: Undetermined (qualifier value)
.... caveatList.drugPrescriptionRelevante Medikamente
..... caveatList.drugPrescription.metforminMetforminSNOMED CT 373068000: Undetermined (qualifier value)
..... caveatList.drugPrescription.betaBlockerBetablockerSNOMED CT 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

doco Documentation for this format