CH RAD-Order (R4)
2.0.0-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 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
Generated Narrative: QuestionnaireResponse QuestionnaireResponseRadiologyOrderImagIntervent
LinkID | Text | Definition | Answer |
---|---|---|---|
QuestionnaireResponseRadiologyOrderImagIntervent | 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 | false | |
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.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 ImagingRequestWithIntervention: Bildgebende Diagnostik und Intervention | |
reason | Klinische Fragestellung | ||
reason.question | Fragestellung | Arterieller Verschluss; Dilatation? | |
imagingService | Bildgebendes Verfahren | ||
imagingService.type | Art | RadLex radiology lexicon RID10311: imaging modality | |
orderDetail | Weitere Angaben zur Bildgebung | ||
orderDetail.imagingRegion | Region | RadLex radiology lexicon RID2507: Pelvis | |
orderDetail.imagingFocus | Fokus | RadLex radiology lexicon RID50276: set of pelvic arteries | |
orderDetail.laterality | Seitenangabe | RadLex radiology lexicon RID5824: left | |
orderDetail.viewType | Ansicht | ||
orderDetail.maneuverType | Manöver | ||
orderDetail.guidanceForAction | Handlungsanleitung | RadLex radiology lexicon RID11030: Balloon dilation procedure | |
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 | PAVK links | |
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 |