This page is part of the CH LAB-Order (R4) (v1.0.0: STU 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 3.0.0-ballot. For a full list of available versions, see the Directory of published versions

Changelog

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

STU 1 Ballot

Open Issues for STU 2

• Issue #132 Try to build a Questionnaire with a general part an 6 specific parts
• Issue #128 Mapping reasonCode und reasonReference from Q to SR
• Issue #127 Mapping Questionnaire code to Service Request code
• Issue #88 look at #128; preanalytical notes which belong to specimen
• Issue #87 Relations between Specimens and Tests
• Issue #80 User should be able to select analyses or analyse panels from a Catalog. The applies to Specimens
• Issue #79 Pick desired Analyses and Specimens from am Catalog
• Issue #78 Test to be performed is missing in ServiceRequest.code: Has to be performed by mapping
• Issue #77 Pathology Order: Add example
• Issue #72 Relation between Tests and Specimens my be needed

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 shonw no more in the questionnaire.
• ORF Issue #50: Change references of the ch-orf-copyreceiver from ‘CH Core Organization Profile, CH Core Patient Profil’ 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 correspondance 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 ment 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.

Missed Links, fixed after Publisher Update

• Issues #90 .. #94

Changed / Updated

• Issue #89: Use of SNOMED CT, LOINC in Analyses, Specimens, Specialties etc. is changed in 0-generic-of-ChOrf-Questionnaire
• Issue #86: Add Term ‘Nachverordnung’ in ChLabOrderServiceRequestCategories codesystem
• Issue #85: Remove SR of Vital Monitoring Devices; should be realized under a separate IG

• Issue #84: The Resource Service Request provides that reasonCode and/or a reasonReference can be added to the job as Condition

  Observation

  Diagnostic Report

  DocumentReference; the descrption of UC 7 has been completed

• Issue #82: Previous lab results or images can be easily requested by phone. However, if a previous order can still be found in the system, the associated results can be requested easily and precisely by adjusting the value of ServiceRequest.categories accordingly.

• Issue #81: Laborder without Q / QR: By adopting from the change in ORF, proposal 2 from Emmanuel and the UC around “lab orders without Forms/ Q QR” comes to fruition:
• Issue #76: Want’s to add a Reason for Order: We have reasonReference reasonCode and reasonCode.text in SR for further informations, has zu be mapped Q to SR; see issue #128 above
• Issue #75: resolved in ORF: Practitioner and PractitionerRole may have GLN and ZSR as Identifier, the same for ReceiverCopies, has to be resolved in ORF too in a STU 2
• Issue #74: AHVN13 as Patient Identifier: The use of the AHVN13 is regulated in Art. 5 EPDG. It can be used for: query of the patient identification number at the central clearing office ZAS correct assignment of the patient identification number. In principle, several identifiers are possible for the patient. BUT: It is forbidden to store the AHVN13 permanently. Thus, the use of AHVN13 as a patient identifier is not possible.
• Issue #73: resolved, see issue #75 above
• Issue #71: Missing insurance Information: resolved, see http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization-epr
• Issue #65: addition form conformance
• Issue #64: The fields order.title, order.type and order.category are readonly in the CH ORF Questionnaire, so the same in Laborder
• Issue #62: Document Profile is missing: added

Issues resolved without amendment

• Issue #70: In Composition.entry:ServiceRequest Reference is LAB-Order
• Issue #68: resolved
• Issue #67: Download link for npm package: added
• Issue #66: resolved
• Issue #63: link for navigation and a page to the different questionnaires: On toc.html all questionnaires are under 10 Artifacts Summary, and the different Questionnaires are linked under their names, e.g. 10.2 questionnaire 1-tvt