This page is part of the CH LAB-Order (R4) (v2.0.0-ballot: STU 2 Ballot 1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

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: example-lab-billing-vitamind-focus - JSON Representation

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{
  "resourceType" : "ChargeItemDefinition",
  "id" : "example-lab-billing-vitamind-focus",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/uv/order-catalog/StructureDefinition/LabChargeItemDefinition"
    ]
  },
  "language" : "de-CH",
  "text" : {
    "status" : "additional",
    "div" : "<div xml:lang=\"de-CH\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"de-CH\"><p><b>Additional Narrative in French language | Vue narrative en français :</b></p><p>Codage affiné (1139) et conditions d'application du dosage de la vitamine D - Nomenclature des Actes de Biologie Médicale (NABM version 56)</p><p>La prise en charge de cet acte est limitée aux situations suivantes :</p><ul><li>suspicion de rachitisme</li><li>suspicion d’ostéomalacie</li><li>suivi ambulatoire de l’adulte transplanté rénal au-delà de trois mois après transplantation</li><li>avant et après chirurgie bariatrique</li><li>évaluation et prise en charge des personnes âgées sujettes aux chutes répétées</li><li>respect des résumés des caractéristiques du produit (RCP) des médicaments préconisant la réalisation de l’acte 1139</li></ul></div>"
  },
  "url" : "http://fhir.ch/ig/ch-lab-order/lab-compendium/ChargeItemDefinition/example-lab-billing-vitamind-focus",
  "version" : "2.0.0-ballot",
  "title" : "Bestimmung von 25-OH-Vitamin D",
  "status" : "active",
  "date" : "2022-07-01",
  "publisher" : "HL7 Switzerland",
  "contact" : [
    {
      "name" : "HL7 Switzerland",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://www.hl7.ch"
        }
      ]
    },
    {
      "name" : "Marcel Hanselmann",
      "telecom" : [
        {
          "system" : "email",
          "value" : "laborprojektgruppe@gmail.com",
          "use" : "work"
        }
      ]
    }
  ],
  "description" : "Limitationen. Nur einmal verrechenbar im Falle einer separaten Bestimmung der beiden Formen von 25-HydroxyVitamin-D (25-OH-D3 und 25-OH-D2)",
  "useContext" : [
    {
      "code" : {
        "system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code" : "focus"
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "41345002",
            "display" : "Rickets (disorder)"
          }
        ],
        "text" : "(Verdacht) Rachitis"
      }
    },
    {
      "code" : {
        "system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code" : "focus"
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "4598005",
            "display" : "Osteomalacia (disorder)"
          }
        ],
        "text" : "(Verdacht) Osteomalazie"
      }
    },
    {
      "code" : {
        "system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code" : "focus"
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "312894000",
            "display" : "Osteopenia (disorder)"
          }
        ],
        "text" : "(Verdacht) Osteopenie"
      }
    },
    {
      "code" : {
        "system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code" : "focus"
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "64859006",
            "display" : "Osteoporosis (disorder)"
          }
        ],
        "text" : "(Verdacht) Osteoporose"
      }
    },
    {
      "code" : {
        "system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code" : "focus"
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "268029009",
            "display" : "Pathological fracture (disorder)"
          }
        ],
        "text" : "(Verdacht) nicht traumatische Fraktur"
      }
    },
    {
      "code" : {
        "system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code" : "focus"
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "443731004",
            "display" : "Assessment using falls risk assessment score for the elderly (procedure)"
          }
        ],
        "text" : "Beurteilung und Behandlung nach unklarem Sturzereignis bei Patienten ≥ 65 Jahren"
      }
    },
    {
      "code" : {
        "system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code" : "focus"
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "391040000",
            "display" : "At risk of osteoporotic fracture (finding)"
          }
        ],
        "text" : "bei anamnestisch erhöhtem Frakturrisiko bei Patienten ≥ 65 Jahre"
      }
    },
    {
      "code" : {
        "system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code" : "focus"
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "90708001",
            "display" : "Kidney disease (disorder)"
          }
        ],
        "text" : "Nierenerkrankungen, inkl. Urolithiasis"
      }
    },
    {
      "code" : {
        "system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code" : "focus"
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "73132005",
            "display" : "Disorder of parathyroid gland (disorder)"
          }
        ],
        "text" : "Störungen des Parathormons, der Kalzämie und/oder der Phosphatämie"
      }
    },
    {
      "code" : {
        "system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code" : "focus"
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "119292006",
            "display" : "Disorder of gastrointestinal tract (disorder)"
          }
        ],
        "text" : "Gastrointestinale Erkrankungen"
      }
    },
    {
      "code" : {
        "system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code" : "focus"
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "32230006",
            "display" : "Malabsorption syndrome (disorder)"
          }
        ],
        "text" : "Malabsorptionssyndrome"
      }
    },
    {
      "code" : {
        "system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code" : "focus"
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "235856003",
            "display" : "Disorder of liver (disorder)"
          }
        ],
        "text" : "Lebererkrankungen"
      }
    },
    {
      "code" : {
        "system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code" : "focus"
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "182817000",
            "display" : "Drug prescription (situation)"
          }
        ],
        "text" : "Patienten, die Medikamente, die den Vit. D Stoffwechsel beeinflussen, einnehmen"
      }
    }
  ],
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "CH"
        }
      ]
    }
  ],
  "copyright" : "CC0-1.0",
  "code" : {
    "coding" : [
      {
        "system" : "https://medcodesearch.ch/de/AL/laboratory_analyses",
        "code" : "1006.00",
        "display" : "Vitamin D"
      }
    ]
  }
}