CH RAD-Order (R4)
2.0.1 - trial-use Switzerland flag

This page is part of the CH RAD-Order (R4) (v2.0.1: STU 2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Example QuestionnaireResponse: QuestionniaireResponse Radiology Order for remote Reporting

LinkIDTextDefinitionAnswerdoco
.. QuestionnaireResponseRadiologyOrderRemoteReportingQuestionnaire:QuestionnaireRadiologyOrder
... orderAuftrag
.... order.authoredOnDatum/Zeit der Auftragserteilung2024-11-23T22:30:15+01:00
.... order.placerOrderIdentifierAuftragsnummer des Auftraggebers123
.... order.placerOrderIdentifierDomainIdentifier Domain der Auftragsnummer des Auftraggebersurn:oid:2.999.1.3.4.5.6.7
.... order.fillerOrderIdentifierAuftragsnummer des Auftragsempfängers368
.... order.fillerOrderIdentifierDomainIdentifier Domain der Auftragsnummer des Auftragsempfängersurn:oid:2.999.7.8.9.10.11
.... order.precedentDocumentIdentifierIdentifier des Vorgängerdokuments
.... order.notificationContactDocumentDringender Benachrichtigungskontakt für dieses Dokument
..... order.notificationContactDocument.practitionerZu benachrichtigende Person
...... order.notificationContactDocument.practitioner.titleTitelDr. med.
...... order.notificationContactDocument.practitioner.familyNameNameRderfiller
...... order.notificationContactDocument.practitioner.givenNameVornameOtto
...... order.notificationContactDocument.practitioner.phoneTelefon044 412 00 99
...... order.notificationContactDocument.practitioner.emailE-Mailotto.rderfiller@happyhosptial.ch
.... order.notificationContactDocumentResponseDringender Benachrichtigungskontakt für die Antwort auf dieses Dokument
..... order.notificationContactDocumentResponse.practitionerZu benachrichtigende Person
...... order.notificationContactDocumentResponse.practitioner.titleTitelDr. med.
...... order.notificationContactDocumentResponse.practitioner.familyNameNameRderplacer-Junior
...... order.notificationContactDocumentResponse.practitioner.givenNameVornameOlga
...... order.notificationContactDocumentResponse.practitioner.phoneTelefon+41 32 444 55 11
...... order.notificationContactDocumentResponse.practitioner.emailE-Mailottilie.rderplacer@smallhospital.ch
.... order.priorityAuftragsprioritätRequestPriority: urgent (Urgent)
... receiverEmpfänger
.... receiver.practitionerEmpfangende Person
..... receiver.practitioner.titleTitelDr. med.
..... receiver.practitioner.familyNameNameRderfiller
..... receiver.practitioner.givenNameVornameOtto
..... receiver.practitioner.glnGLN7601000087232
..... receiver.practitioner.zsrZSRA123262
..... receiver.practitioner.phoneTelefon044 412 00 99
..... receiver.practitioner.emailE-Mailotto.rderfiller@happyhospital.ch
.... receiver.organizationEmpfangende Organisation
..... receiver.organization.nameName der OrganisationRadiologie Klinik Happyhospital
..... receiver.organization.streetAddressLineStrasse, Hausnummer, Postfach etc.Kantonsstrasse 133
..... receiver.organization.postalCodePLZ8000
..... receiver.organization.cityOrtZürich
..... receiver.organization.countryLandSchweiz
... initiatorInitiant dieser Anmeldung
.... initiator.legalrelationJuristische Beziehung zum Patienten
.... initiator.personalrelationPersönliche Beziehung zum Patienten?
.... initiator.practitionerRoleGesundheitsfachperson oder -organisation
..... initiator.practitionerRole.practitionerGesundheitsfachperson
...... initiator.practitionerRole.practitioner.titleTitel
...... initiator.practitionerRole.practitioner.familyNameName
...... initiator.practitionerRole.practitioner.givenNameVorname
...... initiator.practitionerRole.practitioner.phoneTelefon
...... initiator.practitionerRole.practitioner.emailE-Mail
..... initiator.practitionerRole.organizationGesundheitsorganisatiton
...... initiator.practitionerRole.organization.nameName der Organisation
...... initiator.practitionerRole.organization.streetAddressLineStrasse, Hausnummer, Postfach etc.
...... initiator.practitionerRole.organization.postalCodePLZ
...... initiator.practitionerRole.organization.cityOrt
...... initiator.practitionerRole.organization.countryLand
.... initiator.relatedPerson
..... initiator.relatedPerson.familyNameName
..... initiator.relatedPerson.givenNameVorname
... patientPatient
.... patient.familyNameNameUfferer
.... patient.maidenNameLedignameLeidend
.... patient.givenNameVornameSusanna
.... patient.localPidLokale Patienten-ID11.22.33.4567
.... patient.localPidDomainLokale Patienten-ID Domainurn:oid:2.999.1.2.3.4
.... patient.birthDateGeburtsdatum1945-03-14
.... patient.genderGeschlechtAdministrativeGender: female (Female)
.... patient.maritalStatusZivilstandeCH-011 MaritalStatus: 3 (verwitwet)
.... patient.phoneTelefon079 979 79 79
.... patient.emailE-Mailsusanna@ufferer.ch
.... patient.streetAddressLineStrasse, Hausnummer, Postfach etc.Musterweg 6a
.... patient.postalCodePLZ8000
.... patient.cityOrtZürich
.... patient.countryLandSchweiz
.... patient.languageOfCorrespondenceKorrespondenzspracheTags for the Identification of Languages: de-CH (German (Switzerland))
.... patient.contactpersonKontaktperson
..... patient.contactperson.relationshipBeziehung
..... patient.contactperson.familyNameName
..... patient.contactperson.givenNameVorname
..... patient.contactperson.phoneTelefon
..... patient.contactperson.emailE-Mail
.... familydoctorHausarzt
..... familydoctor.practitionerHausarzt Person
...... familydoctor.practitioner.titleTitel
...... familydoctor.practitioner.familyNameName
...... familydoctor.practitioner.givenNameVorname
...... familydoctor.practitioner.gln
...... familydoctor.practitioner.zsr
...... familydoctor.practitioner.phone
...... familydoctor.practitioner.emailE-Mail
..... familydoctor.organizationHausarzt Organisation
...... familydoctor.organization.nameName der Organisation
...... familydoctor.organization.countryLand
... requestedEncounterPatientenaufnahme
.... requestedEncounter.classVoraussichtlich: Ambulant / Stationär / Notfall
.... requestedEncounter.desiredAccommodationZimmerkategorie
... coverageKostenträger
.... coverage.kvgKrankenkasse (nach KVG)
..... coverage.kvg.nameName der VersicherungOrgSanitas
..... coverage.kvg.insuranceCardNumberKennnummer der Versichertenkarte80756015090002647590
... senderAbsender
.... sender.authorVerantwortlicher
..... sender.author.practitionerVerantwortliche Person
...... sender.author.practitioner.titleTitelDr. med.
...... sender.author.practitioner.familyNameNameRderplacer-Junior
...... sender.author.practitioner.givenNameVornameOlga
...... sender.author.practitioner.glnGLN1321000618618
...... sender.author.practitioner.zsrZSRB123333
...... sender.author.practitioner.phoneTelefon+41 32 444 55 11
...... sender.author.practitioner.emailE-Mailo.rderplacer-junior@smallhospital.ch
..... sender.author.organizationVerantwortliche Organisation
...... sender.author.organization.nameName der OrganisationSmall Hospital
...... sender.author.organization.streetAddressLineStrasse, Hausnummer, Postfach etc.Hausmatten
...... sender.author.organization.postalCodePLZ4535
...... sender.author.organization.cityOrtKammersrohr
...... sender.author.organization.countryLandSchweiz
.... sender.dataentererErfasser
..... sender.dataenterer.practitionerErfassende Person
...... sender.dataenterer.practitioner.familyNameName
...... sender.dataenterer.practitioner.givenNameVorname
...... sender.dataenterer.practitioner.phoneTelefon
...... sender.dataenterer.practitioner.emailE-Mail
... receiverCopyKopieempfänger (Kopie dieses Auftrags und aller daraus resultierenden Resultate)
.... receiverCopy.practitionerRoleGesundheitsfachperson oder -organisation
..... receiverCopy.practitionerRole.practitionerGesundheitsfachperson
...... receiverCopy.practitionerRole.practitioner.titleTitel
...... receiverCopy.practitionerRole.practitioner.familyNameName
...... receiverCopy.practitionerRole.practitioner.givenNameVorname
...... receiverCopy.practitionerRole.practitioner.phoneTelefon
...... receiverCopy.practitionerRole.practitioner.emailE-Mail
..... receiverCopy.practitionerRole.organization
...... receiverCopy.practitionerRole.organization.nameName der Organisation
...... receiverCopy.practitionerRole.organization.streetAddressLineStrasse, Hausnummer, Postfach etc.
...... receiverCopy.practitionerRole.organization.postalCodePLZ
...... receiverCopy.practitionerRole.organization.cityOrt
...... receiverCopy.practitionerRole.organization.countryLand
.... receiverCopy.patientPatient selbstfalse
... antecedentEpisodeOfCareVorgängiger Aufenthalt in Spital / Heim
.... antecedentEpisodeOfCare.startVon
.... antecedentEpisodeOfCare.endBis
.... antecedentEpisodeOfCare.organizationSpital /Heim
..... antecedentEpisodeOfCare.organization.nameName der Organisation
..... antecedentEpisodeOfCare.organization.streetAddressLineStrasse, Hausnummer, Postfach etc.
..... antecedentEpisodeOfCare.organization.postalCodePLZ
..... antecedentEpisodeOfCare.organization.cityOrt
..... antecedentEpisodeOfCare.organization.countryLand
... consentEinverständniserklärung
.... patient.consent.statementIst der Patient über die Anmeldung informiert und explizit einverstanden?Consent Status: ExplicitAgreement (Patient is informed and has explicitly agreed)
..... patient.consent.statement.noteAnmerkung
... medicalInformation
.... requestedServiceAngeforderte Leistung
..... requestedService.serviceLeistungRequested Service: ImagingRequest (Bildgebende Diagnostik)
.... reasonKlinische Fragestellung
..... reason.questionFragestellungPneumonie ?
.... imagingServiceBildgebendes Verfahren
..... imagingService.typeArtRadLex radiology lexicon: RID10345 (projection radiography)
.... orderDetailWeitere Angaben zur Bildgebung
..... orderDetail.imagingRegionRegionRadLex radiology lexicon: RID1243 (Thorax)
..... orderDetail.imagingFocusFokusRadLex radiology lexicon: RID1301 (Lung)
..... orderDetail.lateralitySeitenangabe
..... orderDetail.viewTypeAnsicht
..... orderDetail.maneuverTypeManöver
..... orderDetail.guidanceForActionHandlungsanleitung
.... desiredRadiologistGewünschter Radiologe für die Befundung / für die Intervention
..... desiredRadiologist.familyNameNameRderfiller
..... desiredRadiologist.givenNameVornameOtto
... diagnosis
.... diagnosisListDiagnosen und Befunde
..... diagnosisList.primaryDiagnosisHauptdiagnoseVerdacht auf Pneumonie
..... diagnosisList.secondaryDiagnosisNebendiagnose
..... diagnosisList.bodyHeightGrösse (cm)176 cm (Details: UCUM codecm = 'cm')
..... diagnosisList.bodyWeightGewicht (kg)99 kg (Details: UCUM codekg = 'kg')
... caveats
.... caveatListCaveats
..... caveatList.bloodCoagulationBeinträchtigte BlutgerinnungSNOMED CT: 52101004 (Present)
...... caveatList.bloodCoagulation.INRINR
....... caveatList.bloodCoagulation.INR.quantityWert (INR)2.7
....... caveatList.bloodCoagulation.INR.dateTimeZeitpunkt der Bestimmung2024-02-01T10:10:00.000+00:00
...... caveatList.bloodCoagulation.plateletsThrombozyten
....... caveatList.bloodCoagulation.platelets.quantityWert (10^9/L)200 10^9/L (Details: UCUM code10^9/L = '10^9/L')
....... caveatList.bloodCoagulation.platelets.dateTimeZeitpunkt der Bestimmung2024-02-01T10:10:00.000+00:00
..... caveatList.renalInsufficiencyNiereninsuffizienzSNOMED CT: 52101004 (Present)
...... caveatList.renalInsufficiency.creatinineClearanceCreatinin-Clearance
....... caveatList.renalInsufficiency.creatinineClearance.quantityWert (mL/min)55 mL/min (Details: UCUM codemL/min = 'mL/min')
....... caveatList.renalInsufficiency.creatinineClearance.dateTimeZeitpunkt der Bestimmung2024-02-01T10:10:00.000+00:00
...... caveatList.renalInsufficiency.creatinineCreatinin
....... caveatList.renalInsufficiency.creatinine.quantityWert (µmol/L)90 umol/L (Details: UCUM codeumol/L = 'umol/L')
....... caveatList.renalInsufficiency.creatinine.dateTimeZeitpunkt der Bestimmung2024-02-01T10:10:00.000+00:00
..... caveatList.claustrophobiaKlaustrophobieSNOMED CT: 373068000 (Not known)
..... caveatList.bodyPiercingKörperpiercingSNOMED CT: 373068000 (Not known)
..... caveatList.deviceDevice (Herzschrittmacher, Herzklappenersatz, Insulinpumpe etc.)SNOMED CT: 441509002 (Cardiac pacemaker in situ)
..... caveatList.hyperthyroidismHyperthyreoseSNOMED CT: 373068000 (Not known)
..... caveatList.diabetesDiabetes mellitusSNOMED CT: 373068000 (Not known)
..... caveatList.gravidaSchwangerschaftSNOMED CT: 373068000 (Not known)
..... caveatList.contrastMediaAllergyKontrastmittelallergieSNOMED CT: 373068000 (Not known)
..... caveatList.drugPrescriptionRelevante Medikamente
...... caveatList.drugPrescription.metforminMetforminSNOMED CT: 373068000 (Not known)
...... caveatList.drugPrescription.betaBlockerBetablockerSNOMED CT: 373068000 (Not known)
... previousResultsVorherige Untersuchungsresultate
.... dicomObjectDICOM Objekt
..... dicomObject.sopInstanceUidDICOM SOP Instance UID2.16.124.113543.1154777499.30246.19789.3503430025.2.1
..... dicomObject.sopClassDICOM 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.modalityDICOM Series Modality[not stated]: DX (DX)
..... dicomObject.SeriesInstanceUidDICOM Series Instance UID2.16.124.113543.1154777499.30246.19789.3503430025.2.1
..... dicomObject.studyInstanceUidDICOM Study Instance UID2.16.124.113543.1154777499.30246.19789.3503430025
..... dicomObject.acsnACSN2819497684894126
... noteBemerkungen
.... note.textKommentarVielen Dank für die Befundung

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