Structure LinkId Text Cardinality Type Flags Description & Constraints LabOrderFormExample Questionnaire order Auftrag 1..1 group order.placerOrderIdentifier Auftragsnummer des Auftraggebers 0..1 string order.placerOrderIdentifierDomain Identifier Domain der Auftragsnummer des Auftraggebers 0..1 string order.fillerOrderIdentifier Auftragsnummer des Auftragsempfängers 0..1 string order.fillerOrderIdentifierDomain Identifier Domain der Auftragsnummer des Auftragsempfängers 0..1 string order.precedentDocumentIdentifier Identifier des Vorgängerdokuments 0..1 string order.notificationContactDocument Dringender Benachrichtigungskontakt für dieses Dokument 0..1 group order.notificationContactDocument.practitioner Zu benachrichtigende Person 0..1 group order.notificationContactDocument.practitioner.title Titel 0..1 string order.notificationContactDocument.practitioner.familyName Name 0..1 string order.notificationContactDocument.practitioner.givenName Vorname 0..1 string order.notificationContactDocument.practitioner.phone Telefon 0..1 string order.notificationContactDocument.practitioner.email E-Mail 0..1 string order.notificationContactDocumentResponse Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument 0..1 group order.notificationContactDocumentResponse.practitioner Zu benachrichtigende Person 0..1 group order.notificationContactDocumentResponse.practitioner.title Titel 0..1 string order.notificationContactDocumentResponse.practitioner.familyName Name 0..1 string order.notificationContactDocumentResponse.practitioner.givenName Vorname 0..1 string order.notificationContactDocumentResponse.practitioner.phone Telefon 0..1 string order.notificationContactDocumentResponse.practitioner.email E-Mail 0..1 string order.priority Auftragspriorität 0..1 choice Options: 4 options receiver Empfänger 0..1 group receiver.practitioner Empfangende Person 0..1 group receiver.practitioner.title Titel 0..1 string receiver.practitioner.familyName Name 0..1 string receiver.practitioner.givenName Vorname 0..1 string receiver.practitioner.gln GLN 0..1 string receiver.practitioner.zsr ZSR 0..1 string receiver.practitioner.phone Telefon 0..1 string receiver.practitioner.email E-Mail 0..1 string receiver.organization Empfangende Organisation 0..1 group receiver.organization.name Name der Organisation 0..1 string receiver.organization.gln GLN 0..1 string Definition: http://fhir.ch/ig/ch-core/StructureDefinition-ch-core-organization-definitions.html#Organization.identifier:GLN receiver.organization.streetAddressLine Strasse, Hausnummer, Postfach etc. 0..* string receiver.organization.postalCode PLZ 0..1 string receiver.organization.city Ort 0..1 string receiver.organization.country Land 0..1 string patient Patient 1..1 group patient.familyName Name 0..1 string patient.maidenName Ledigname 0..1 string patient.givenName Vorname 0..1 string patient.localPid Lokale Patienten-ID 0..1 string patient.birthDate Geburtsdatum 0..1 date patient.gender Geschlecht 0..1 choice Options: 3 options patient.maritalStatus Zivilstand 0..1 choice Definition: Patient.maritalStatus Options: 8 options patient.phone Telefon 0..1 string patient.email E-Mail 0..1 string patient.streetAddressLine Strasse, Hausnummer, Postfach etc. 0..* string patient.postalCode PLZ 0..1 string patient.city Ort 0..1 string patient.country Land 0..1 string patient.languageOfCorrespondance Korrespondenssprache 0..1 choice Definition: Patient.communication:languageOfCorrespondance Value Set: DocumentEntry.languageCode patient.contactperson Kontaktperson 0..1 group Definition: Patient.contact patient.contactperson.relationship Beziehung 0..1 string Definition: Patient.contact.relationship.text patient.contactperson.familyName Name 0..1 string Definition: Patient.contact.name.family patient.contactperson.givenName Vorname 0..1 string Definition: Patient.contact.name.given patient.contactperson.phone Telefon 0..* string Definition: Patient.contact.telecom.value patient.contactperson.email E-Mail 0..1 string Definition: Patient.contact.telecom.value sender Absender 1..1 group sender.author Verantwortlicher 1..1 group sender.author.practitioner Verantwortliche Person 0..1 group sender.author.practitioner.title Titel 0..1 string sender.author.practitioner.familyName Name 0..1 string sender.author.practitioner.givenName Vorname 0..1 string sender.author.practitioner.gln GLN 0..1 string sender.author.practitioner.zsr ZSR 0..1 string sender.author.practitioner.phone Telefon 0..1 string sender.author.practitioner.email E-Mail 0..1 string sender.author.organization Verantwortliche Organisation 0..1 group sender.author.organization.name Name der Organisation 0..1 string sender.author.organization.streetAddressLine Strasse, Hausnummer, Postfach etc. 0..* string sender.author.organization.postalCode PLZ 0..1 string sender.author.organization.city Ort 0..1 string sender.author.organization.country Land 0..1 string sender.dataenterer Erfasser 0..1 group sender.dataenterer.practitioner Erfassende Person 0..1 group sender.dataenterer.practitioner.familyName Name 0..1 string sender.dataenterer.practitioner.givenName Vorname 0..1 string sender.dataenterer.practitioner.phone Telefon 0..1 string sender.dataenterer.practitioner.email E-Mail 0..1 string receiverCopies Kopieempfangende Organisation oder Person 0..1 group receiverCopy.practitionerRole Gesundheitsfachperson oder -organisation 0..* group Definition: PractitionerRole receiverCopy.practitionerRole.practitioner Gesundheitsfachperson 0..1 group Definition: PractitionerRole.practitioner receiverCopy.practitionerRole.practitioner.title Titel 0..1 string Definition: HumanName.prefix receiverCopy.practitionerRole.practitioner.familyName Name 0..1 string Definition: HumanName.family receiverCopy.practitionerRole.practitioner.givenName Vorname 0..1 string Definition: HumanName.given receiverCopy.practitionerRole.practitioner.phone Telefon 0..1 string Definition: ContactPoint.value receiverCopy.practitionerRole.practitioner.email E-Mail 0..1 string Definition: ContactPoint.value receiverCopy.practitionerRole.organization Gesundheitsorganisatiton 0..1 group Definition: PractitionerRole.organization receiverCopy.practitionerRole.organization.name Name der Organisation 0..1 string Definition: Organization.name receiverCopy.practitionerRole.organization.streetAddressLine Strasse, Hausnummer, Postfach etc. 0..* string Definition: Address.line receiverCopy.practitionerRole.organization.postalCode PLZ 0..1 string Definition: Address.postalCode receiverCopy.practitionerRole.organization.city Ort 0..1 string Definition: Address.city receiverCopy.practitionerRole.organization.country Land 0..1 string Definition: Address.country receiverCopy.patient Patient selbst 0..1 boolean Definition: Patient receiverCopy.relatedPerson Andere Person 0..* group Definition: RelatedPerson receiverCopy.relatedPerson.familyName Name 0..1 string Definition: RelatedPerson.name.family receiverCopy.relatedPerson.givenName Vorame 0..1 string Definition: RelatedPerson.name.given receiverCopy.relatedPerson.phone Telefon 0..* string Definition: RelatedPerson.telecom.value receiverCopy.relatedPerson.email E-Mail 0..1 string Definition: RelatedPerson.telecom.value receiverCopy.relatedPerson.streetAddressLine Strasse, Hausnummer, Postfach etc. 0..* string Definition: RelatedPerson.address.line receiverCopy.relatedPerson.postalCode PLZ 0..1 string Definition: RelatedPerson.address.postalCode receiverCopy.relatedPerson.city Ort 0..1 string Definition: RelatedPerson.address.city receiverCopy.relatedPerson.country Land 0..1 string Definition: RelatedPerson.address.country consent Einverständniserklärung 0..1 group Definition: ServiceRequest.supportingInfo consent.treatment Einverständnis des Patienten zur Behandlung 0..1 string consent.patientPrivacy Einverständnis des Patienten zum Datenschutz 0..1 string consent.research Einverständnis des Patienten zur Forschung 0..1 string consent.advancedCareDirective Patientenverfügung 0..1 string coverage Kostenträger 0..1 group Definition: ServiceRequest.insurance coverage.beneficiary Begünstigter (Patient) 0..1 group Definition: Coverage.beneficiary coverage.beneficiary.ahvn13 AHV-Nr. des Patienten 0..1 string Definition: Patient.identifier:AHVN13 coverage.kvg Krankenkasse (nach KVG) 0..1 group Definition: Coverage.type coverage.kvg.name Name der Versicherung 0..1 string Definition: Coverage.payor coverage.kvg.insuranceCardNumber Kennnummer der Versichertenkarte 0..1 string Definition: Coverage.identifier coverage.uvg Unfallversicherung (nach UVG) 0..1 group Definition: Coverage.type coverage.uvg.name Name der Versicherung 0..1 string Definition: Coverage.payor coverage.uvg.claimNumber Schadennummer 0..1 string Definition: Coverage.identifier coverage.vvg Zusatzversicherung (nach VVG) 0..1 group Definition: Coverage.type coverage.vvg.name Name der Versicherung 0..1 string Definition: Coverage.payor coverage.vvg.insuranceCardNumber Kennnummer der Versichertenkarte 0..1 string Definition: Coverage.identifier coverage.iv Invalidenversicherung (IV) 0..1 group Definition: Coverage.type coverage.iv.verfuegungsnummer IV-Verfügungsnummer 0..1 string Definition: Coverage.identifier coverage.mv Militärversicherung (MV) 0..1 group Definition: Coverage.type coverage.mv.versichertennummer MV-Versichertennummer 0..1 string Definition: Coverage.identifier coverage.self Selbstzahler 0..1 group Definition: Coverage.type coverage.self.patient Patient selbst 0..1 boolean Definition: Coverage.payor coverage.self.patientRelatedPerson Andere Person 0..1 boolean Definition: Coverage.payor Enable When: coverage.self.relatedPerson Andere Person 0..1 group Definition: Coverage.payor Enable When: coverage.self.relatedPerson.familyName Name 0..1 string Definition: RelatedPerson.name.family coverage.self.relatedPerson.givenName Vorname 0..1 string Definition: RelatedPerson.name.given coverage.self.relatedPerson.phone Telefon 0..* string Definition: RelatedPerson.telecom.value coverage.self.relatedPerson.email E-Mail 0..1 string Definition: RelatedPerson.telecom.value coverage.self.relatedPerson.streetAddressLine Strasse, Hausnummer, Postfach etc. 0..* string Definition: RelatedPerson.address.line coverage.self.relatedPerson.postalCode PLZ 0..1 string Definition: RelatedPerson.address.postalCode coverage.self.relatedPerson.city Ort 0..1 string Definition: RelatedPerson.address.city coverage.self.relatedPerson.country Land 0..1 string Definition: RelatedPerson.address.country coverage.other Anderer Kostenträger 0..1 group Definition: Coverage.type coverage.other.name Name des Kostenträgers 0..1 string Definition: Coverage.payor coverage.other.id Beliebige ID 0..1 string Definition: Coverage.identifier coverage.other.id.note Bemerkung zur ID 0..1 string Definition: Coverage.identifier.type.text previousResult Vorheriges Untersuchungsresultat 0..1 group Definition: ServiceRequest.supportingInfo previousResult.result Untersuchungsresultat 0..* string labSpecialties Labor Sparten 0..1 group labSpecialties.hematology Hematology 0..1 boolean Definition: 18723-7 labSpecialties.hematology.panels Hematology Panels 0..1 group Enable When: labSpecialties.hematology.panels.hemoglobinHematocritPanelBlood Hemoglobin and Hematocrit panel - Blood 0..1 boolean Definition: 24360-0 labSpecialties.hematology.panels.hemoglobinElectrophoresisPanelBlood Hemoglobin electrophoresis panel in Blood 0..1 boolean Definition: 43113-0 labSpecialties.hematology.panels.CBCWAutoDifferentialPanelBlood CBC W Auto Differential panel - Blood 0..1 boolean Definition: 57021-8 labSpecialties.hematology.panels.CBCPanelBloodAutomatedCount CBC panel - Blood by Automated count 0..1 boolean Definition: 58410-2 labSpecialties.hematology.panels.AutoDifferentialPanelBlood Auto Differential panel - Blood 0..1 boolean Definition: 57023-4 labSpecialties.coagulation Coagulation 0..1 boolean Definition: 18720-3 labSpecialties.coagulation.panels Coagulation Panels 0..1 group Enable When: labSpecialties.coagulation.panels.ShortFibrinDdimerPlateletpoorplasma Short Fibrin D-dimer FEU and DDU panel - Platelet poor plasma 0..1 boolean Definition: 55398-2 labSpecialties.coagulation.panels.INRplateletPoorPlasmaCoagulationAssay INR in Platelet poor plasma or Blood by Coagulation assay 0..1 boolean Definition: 38875-1 labSpecialties.chemistry Clinical Chemistry 0..1 boolean Definition: 18719-5 labSpecialties.chemistry.panels Chemistry Panels 0..1 group Enable When: labSpecialties.chemistry.panels.CRP-MassProVolumeSerumPlasma C reactive protein [Mass/Volume] in Serum or Plasma 0..1 boolean Definition: 1988-5 labSpecialties.chemistry.panels.CRP-MolesProVolumeSerumPlasma C reactive protein [Moles/volume] in Serum or Plasma 0..1 boolean Definition: 76485-2 labSpecialties.microbiol Microbiology 0..1 boolean Definition: 18725-2 labSpecialties.microbiol.panels Microbiology Panels 0..1 group Enable When: labSpecialties.microbiol.panels.BordPertParaperDNA Bordetella pertussis & Bordetella parapertussis DNA panel 0..1 boolean Definition: 90441-7 Documentation for this format Option Sets Answer options for order.priority http://hl7.org/fhir/request-priority: routine ("Die Anfrage hat normale Priorität.") http://hl7.org/fhir/request-priority: urgent ("Die Anfrage sollte dringend bearbeitet werden - höhere Priorität als normal.") http://hl7.org/fhir/request-priority: asap ("Die Anfrage sollte so schnell wie möglich bearbeitet werden - höhere Priorität als dringend.") http://hl7.org/fhir/request-priority: stat ("Die Anfrage sollte sofort bearbeitet werden - höchstmögliche Priorität. Z.B. bei einem Notfall.") Answer options for patient.gender http://hl7.org/fhir/administrative-gender: male ("Männlich") http://hl7.org/fhir/administrative-gender: female ("Weiblich") http://hl7.org/fhir/administrative-gender: other ("Anderes") Answer options for patient.maritalStatus http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus: 1 ("ledig") http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus: 2 ("verheiratet") http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus: 3 ("verwitwet") http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus: 4 ("geschieden") http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus: 5 ("unverheiratet") http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus: 6 ("in eingetragener Partnerschaft") http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus: 7 ("aufgelöste Partnerschaft") http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus: 9 ("unbekannt")
The Bundle that is to be used to pre-populate the form
Identifier Domain der Auftragsnummer des Auftraggebers
Identifier Domain der Auftragsnummer des Auftragsempfängers
Dringender Benachrichtigungskontakt für dieses Dokument
Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument
Die Anfrage sollte dringend bearbeitet werden - höhere Priorität als normal.
Die Anfrage sollte so schnell wie möglich bearbeitet werden - höhere Priorität als dringend.
Die Anfrage sollte sofort bearbeitet werden - höchstmögliche Priorität. Z.B. bei einem Notfall.
Kopieempfangende Organisation oder Person
Gesundheitsfachperson oder -organisation
Einverständnis des Patienten zur Behandlung
Einverständnis des Patienten zum Datenschutz
Einverständnis des Patienten zur Forschung
Hemoglobin electrophoresis panel in Blood
Short Fibrin D-dimer FEU and DDU panel - Platelet poor plasma
INR in Platelet poor plasma or Blood by Coagulation assay
C reactive protein [Mass/Volume] in Serum or Plasma
C reactive protein [Moles/volume] in Serum or Plasma
Bordetella pertussis & Bordetella parapertussis DNA panel