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 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

Changelog

All significant changes to this FHIR implementation guide will be documented on this page.

STU 2 (2024-12-17)

Open Issues

During the ballot, the following comments came in, which will be taken into account in the further development of CH RAD-Order:

• Issue #62: Revision (harmonization, usage SCT) of code system and value set ServiceRequest Category

See also open issues on GitHub.

Changed / Updated

• Issue #72: Update use cases German; added QR for each use case
• Issue #73: Update use cases English; added QR for each use case
• Issue #63: Update Coverage.type according to changes in parent profile CH ORF (see CH ORF Issue #177)

Fixed

• Issue #71: Fix typo in example
• Issue #74: Fixing the title and description of the qualifier value extension
• Issue #79: Replace deprecated discriminator (pattern -> value)
• Issue #67: Fix history page

STU 2 Ballot (2024-05-17)

Open Issues

• Issue #62: Update ServiceRequest
• Issue #63: Update Coverage

Added

• Issue #36: Added SCT#373068000 as initial value to caveat Diabetes mellitus".
• Issue #37: Added item Modality (for series) to Questionnaire because this item has card 1..1 in ImagingStudy Resource.
• Issue #39: Added a default value to "Bildgebendes Verfahren"; This item will therefore never be empty.
• Issue #46: Added details about attachments to index.html
• Issue #47: Updated index.html
• Issue #48: Updated Questionnaire Response according to #37
• Issue #49: Added UNKNOWN to VS Acquisition Modality.
• Issue #59: Use CH Core Condition as parent profile
• Issue #57: Fix StructureMap errors and adapt map to new Questionnaire

Adopted from CH ORF

• ORF Issue #71: Added Initiator and his relationship to to the patient.
• ORF Issue #72: Added Patient consent.
• ORF Issue #73: Added Entry date, discharge Date and Organization of stationary episode antecedent to requested service (e.g spitex).
• ORF Issue #61: Added Family doctor.
• ORF Issue #106: Changed Cardinality of Contact Person from 0..1 to 0...

Changed / Updated

• Issue #41: Corrected radlex url
• Issue #44: Changed license to CC0 1.0 Universal (CC0 1.0)
• Issue #51: Dropped group, changed hierarchy of device and choice (present, absent, undetermined) in caveat.device item of questionnaire.
• Issue #52: Change according to CH-ORF#50: attachment embedded in the DocumentReference resource instead of CH RAD-Order Media.
• Issue #53: Added series.instance.sopClass which has has cardinality 1..1 to questionnaire and questionnaire response.
• Issue #54: Snomed Code 182817000 -Drug prescription (situation)- is not active anymore; replaced with Changed to 1290126002 -Drug therapy with explicit context (situation).
• Issue #56: Replaced Platelets unit of measurement 10^3/µL with 10^9/L (According to http://unitsofmeasure.org V2.01).

Adopted from CH ORF

• ORF Issue Issue #108: Improve slicing that info entry[x] warnings are not shown.

STU 1 (2022-02-22)

Open Issues

During the ballot, the following comments came in, which will be taken into account in the further development of CH ORF:

• Issue #22: Value Sets are draft; will be refined with Swiss Rad. Society.
• Interactive behavior of the questionnaire (such as conditional display of items) will be added in the next release.
• Use case dependent constraints in the questionnaire are subject of further discussions.

Follow up of changes in CH ORF

• ORF Issue #31: The values for the readonly fields order.title, order.type, order.category are now defined fix in the composition and shown no more in the questionnaire.
• ORF Issue #50: Change references of the ch-orf-copyreceiver from CH Core Organization Profile | CH Core Patient Profile to CH Core Practitioner Role Profile | CH Core Patient Profile | RelatedPerson and update the Questionnaire accordingly.
• ORF Issue #53 (Feedback 1): The patient in the order defined as required (Questionnaire, CH ORF Composition Profile.
• ORF Issue #57:Added 'GLN' to organization (Questionnaire).
• ORF Issue #60 and Issue #63: Added patients marital status to the Questionnaire and the examples (e.g. Bundle Order-Referral-Form).
• ORF Issue #64: Add patients language of correspondence to the Questionnaire and the examples (e.g. Bundle Order-Referral-Form).
• ORF Issue #65: Added 'ZSR' as Practitioner.identifier to the Questionnaire and the examples (e.g. Bundle Order-Referral-Form.
• ORF Issue #80: Expansion of the questionnaire field 'coverage.self'. Differentiation between patient himself or related person as self-payer.
• ORF Issue #84: Copy receiver is meant to receive a copy from the order and all evolving results thereof.
• ORF Issue #91: Change source of the codes for desired accommodation.
• ORF Issue #101 Cardinality for Questionnaire and QR in Composition set to 0..1. For details see home.

Added

• Issue #2: PDF added as original representation.
• Issue #17: Added References to Images of previous results to questionnaire.
• Issue #19: Caveats changed from boolean to Undetermined/absent/present.
• Issue #23: Caveat Drug prescription improved; added B-Blocker.

Changed / Updated

• Issue #18: Cardinality for Questionnaire and QR in Composition set to 0..1. Updated documentation accordingly.
• Issue #4: Change type of item 'attachment.attachment' to attachment.

Issues resolved without amendment

• Issue #20 Multiple imaging procedures in the same order: Not implemented in order to avoid complexity.