Auftrag*

• linkId: order
• Definition: Bundle

Auftragsnummer des Auftraggebers*

• linkId: order.placerOrderIdentifier
• ​Definition: ServiceRequest.identifier:placerOrderIdentifier.value

Identifier Domain der Auftragsnummer des Auftraggebers*

• Flags:
• linkId: order.placerOrderIdentifierDomain
• ​Definition: ServiceRequest.identifier:placerOrderIdentifier.system

Auftragsnummer des Auftragsempfängers

• linkId: order.fillerOrderIdentifier
• ​Definition: ServiceRequest.identifier:fillerOrderIdentifier.value

Identifier Domain der Auftragsnummer des Auftragsempfängers

• Flags:
• linkId: order.fillerOrderIdentifierDomain
• ​Definition: ServiceRequest.identifier:fillerOrderIdentifier.system

Identifier des Vorgängerdokuments

• Flags:
• linkId: order.precedentDocumentIdentifier
• ​Definition: Composition.extension:precedentDocument

Dringender Benachrichtigungskontakt für dieses Dokument

• linkId: order.notificationContactDocument
• ​Definition: Composition.extension:urgentNoficationContactForThisDocument

Zu benachrichtigende Person

• linkId: order.notificationContactDocument.practitioner
• Definition: PractitionerRole.practitioner

Titel

• linkId: order.notificationContactDocument.practitioner.title
• Definition: Practitioner.name.prefix

Name

• linkId: order.notificationContactDocument.practitioner.familyName
• Definition: Practitioner.name.family

Vorname

• linkId: order.notificationContactDocument.practitioner.givenName
• Definition: Practitioner.name.given

Telefon

• linkId: order.notificationContactDocument.practitioner.phone
• Definition: Practitioner.telecom.value

E-Mail

• linkId: order.notificationContactDocument.practitioner.email
• Definition: Practitioner.telecom.value

Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument

• linkId: order.notificationContactDocumentResponse
• ​Definition: Composition.extension:urgentNoficationContactForTheResponseToThisDocument

Zu benachrichtigende Person

• linkId: order.notificationContactDocumentResponse.practitioner
• Definition: PractitionerRole.practitioner

Titel

• linkId: order.notificationContactDocumentResponse.practitioner.title
• Definition: Practitioner.name.prefix

Name

• linkId: order.notificationContactDocumentResponse.practitioner.familyName
• Definition: Practitioner.name.family

Vorname

• linkId: order.notificationContactDocumentResponse.practitioner.givenName
• Definition: Practitioner.name.given

Telefon

• linkId: order.notificationContactDocumentResponse.practitioner.phone
• Definition: Practitioner.telecom.value

E-Mail

• linkId: order.notificationContactDocumentResponse.practitioner.email
• Definition: Practitioner.telecom.value

Auftragspriorität

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.")

??

• linkId: order.priority
• Definition: ServiceRequest.priority
• ​Answers: 4 options

Patient*

• linkId: patient
• Definition: Composition.subject

Name

• linkId: patient.familyName
• Definition: Patient.name.family

Ledigname

• linkId: patient.maidenName
• Definition: Patient.name.family

Vorname

• linkId: patient.givenName
• Definition: Patient.name.given

Lokale Patienten-ID

• linkId: patient.localPid
• Definition: Patient.identifier:LocalPid.value

Lokale Patienten-ID Domain

• Flags:
• linkId: patient.localPidDomain
• Definition: Patient.identifier:LocalPid.system

Geburtsdatum

• linkId: patient.birthDate
• Definition: Patient.birthDate

Geschlecht

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")

??

• linkId: patient.gender
• Definition: Patient.gender
• ​Answers: 3 options

Zivilstand

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")

??

• linkId: patient.maritalStatus
• Definition: Patient.maritalStatus
• ​Answers: 8 options

Telefon

• linkId: patient.phone
• Definition: Patient.telecom.value

E-Mail

• linkId: patient.email
• Definition: Patient.telecom.value

Strasse, Hausnummer, Postfach etc.

• linkId: patient.streetAddressLine
• Definition: Patient.address.line

PLZ

• linkId: patient.postalCode
• Definition: Patient.address.postalCode

Ort

• linkId: patient.city
• Definition: Patient.address.city

Land

• linkId: patient.country
• Definition: Patient.address.country

KorrespondensspracheArabischBengalischTschechischDänischDeutschDeutsch (Österreich)Deutsch (Schweiz)Deutsch (Deutschland)GriechischEnglischEnglisch (Australien)Englisch (Kanada)Englisch (Grossbritannien)Englisch (Indien)Englisch (Neuseeland)Englisch (Singapur)Englisch (USA)SpanischSpanisch (Argentinien)Spanisch (Spanien)Spanisch (Uruguay)FinnischFranzösischFranzösisch (Belgien)Französisch (Schweiz)Französisch (Frankreich)FriesischFriesisch (Niederlande)HindiKroatischItalienischItalienisch (Schweiz)Italienisch (Italien)JapanischKoreanischNiederländischNiederländisch (Belgien)Niederländisch (Niederlande)NorwegischNorwegisch (Norwegen)PanjabiPolnischPortugiesischPortugiesisch (Brasilien)RätoromanischRussischRussisch (Russland)SerbischSerbisch (Serbien)SchwedischSchwedisch (Schweden)TeluguChinesischChinesisch (China)Chinesisch (Hong Kong)Chinesisch (Singapur)Chinesisch (Taiwan)Other language

• linkId: patient.languageOfCorrespondance
• Definition: Patient.communication:languageOfCorrespondance
• Answers: DocumentEntry.languageCode

Patientenaufnahme

• linkId: requestedEncounter
• ​Definition: ServiceRequest.extension:requestedEncounterDetails

Voraussichtlich: Ambulant / Stationär / Notfall*

Answer options for requestedEncounter.class

• http://terminology.hl7.org/CodeSystem/v3-ActCode: AMB ("Ambulant")
• http://terminology.hl7.org/CodeSystem/v3-ActCode: IMP ("Stationär")
• http://terminology.hl7.org/CodeSystem/v3-ActCode: EMER ("Notfall")

??

• linkId: requestedEncounter.class
• Definition: Encounter.class
• ​Answers: 3 options

Zimmerkategorie

Answer options for requestedEncounter.desiredAccommodation

• http://fhir.ch/ig/ch-core/CodeSystem/bfs-medstats-21-encountertype: 1 ("allgemein")
• http://fhir.ch/ig/ch-core/CodeSystem/bfs-medstats-21-encountertype: 2 ("halbprivat")
• http://fhir.ch/ig/ch-core/CodeSystem/bfs-medstats-21-encountertype: 3 ("privat")

??

• linkId: requestedEncounter.desiredAccommodation
• Definition: Encounter.extension:desiredAccommodation
• ​Answers: 3 options

Kostenträger

• linkId: coverage
• Definition: ServiceRequest.insurance

Begünstigter (Patient)

• linkId: coverage.beneficiary
• Definition: Coverage.beneficiary

AHV-Nr. des Patienten

• linkId: coverage.beneficiary.ahvn13
• Definition: Patient.identifier:AHVN13

Krankenkasse (nach KVG)

• linkId: coverage.kvg
• Definition: Coverage.type

Name der Versicherung

• linkId: coverage.kvg.name
• Definition: Coverage.payor

Kennnummer der Versichertenkarte

• linkId: coverage.kvg.insuranceCardNumber
• Definition: Coverage.identifier

Unfallversicherung (nach UVG)

• linkId: coverage.uvg
• Definition: Coverage.type

Name der Versicherung

• linkId: coverage.uvg.name
• Definition: Coverage.payor

Schadennummer

• linkId: coverage.uvg.claimNumber
• Definition: Coverage.identifier

Zusatzversicherung (nach VVG)

• linkId: coverage.vvg
• Definition: Coverage.type

Name der Versicherung

• linkId: coverage.vvg.name
• Definition: Coverage.payor

Kennnummer der Versichertenkarte

• linkId: coverage.vvg.insuranceCardNumber
• Definition: Coverage.identifier

Invalidenversicherung (IV)

• linkId: coverage.iv
• Definition: Coverage.type

IV-Verfügungsnummer

• linkId: coverage.iv.verfuegungsnummer
• Definition: Coverage.identifier

Militärversicherung (MV)

• linkId: coverage.mv
• Definition: Coverage.type

MV-Versichertennummer

• linkId: coverage.mv.versichertennummer
• Definition: Coverage.identifier

Selbstzahler

• linkId: coverage.self
• Definition: Coverage.type

Patient selbst

• linkId: coverage.self.patient
• Definition: Coverage.payor

Andere Person

• linkId: coverage.self.patientRelatedPerson
• Definition: Coverage.payor
• Enable When: todo

Andere Person

• linkId: coverage.self.relatedPerson
• Definition: Coverage.payor
• Enable When: todo

Name

• linkId: coverage.self.relatedPerson.familyName
• Definition: RelatedPerson.name.family

Vorname

• linkId: coverage.self.relatedPerson.givenName
• Definition: RelatedPerson.name.given

Telefon

• linkId: coverage.self.relatedPerson.phone
• Definition: RelatedPerson.telecom.value

E-Mail

• linkId: coverage.self.relatedPerson.email
• Definition: RelatedPerson.telecom.value

Strasse, Hausnummer, Postfach etc.

• linkId: coverage.self.relatedPerson.streetAddressLine
• Definition: RelatedPerson.address.line

PLZ

• linkId: coverage.self.relatedPerson.postalCode
• Definition: RelatedPerson.address.postalCode

Ort

• linkId: coverage.self.relatedPerson.city
• Definition: RelatedPerson.address.city

Land

• linkId: coverage.self.relatedPerson.country
• Definition: RelatedPerson.address.country

Anderer Kostenträger

• linkId: coverage.other
• Definition: Coverage.type

Name des Kostenträgers

• linkId: coverage.other.name
• Definition: Coverage.payor

Beliebige ID

• linkId: coverage.other.id
• Definition: Coverage.identifier

Bemerkung zur ID

• linkId: coverage.other.id.note
• Definition: Coverage.identifier.type.text

Absender*

• linkId: sender

Verantwortlicher*

• linkId: sender.author
• Definition: Composition.author

Verantwortliche Person*

• linkId: sender.author.practitioner
• Definition: PractitionerRole.practitioner

Titel

• linkId: sender.author.practitioner.title
• Definition: Practitioner.name.prefix

Name*

• linkId: sender.author.practitioner.familyName
• Definition: Practitioner.name.family

Vorname*

• linkId: sender.author.practitioner.givenName
• Definition: Practitioner.name.given

GLN

• linkId: sender.author.practitioner.gln
• Definition: Practitioner.identifier:GLN.value

ZSR

• linkId: sender.author.practitioner.zsr
• Definition: Practitioner.identifier:ZSR.value

Telefon

• linkId: sender.author.practitioner.phone
• Definition: Practitioner.telecom.value

E-Mail

• linkId: sender.author.practitioner.email
• Definition: Practitioner.telecom.value

Verantwortliche Organisation*

• linkId: sender.author.organization
• Definition: PractitionerRole.organization

Name der Organisation*

• linkId: sender.author.organization.name
• Definition: Organization.name

Strasse, Hausnummer, Postfach etc.

• linkId: sender.author.organization.streetAddressLine
• Definition: Organization.address.line

PLZ

• linkId: sender.author.organization.postalCode
• Definition: Organization.address.postalCode

Ort

• linkId: sender.author.organization.city
• Definition: Organization.address.city

Land

• linkId: sender.author.organization.country
• Definition: Organization.address.country

Erfasser

• linkId: sender.dataenterer
• ​Definition: Composition.extension:dataEnterer

Erfassende Person

• linkId: sender.dataenterer.practitioner
• Definition: PractitionerRole.practitioner

Name

• linkId: sender.dataenterer.practitioner.familyName
• Definition: Practitioner.name.family

Vorname

• linkId: sender.dataenterer.practitioner.givenName
• Definition: Practitioner.name.given

Telefon

• linkId: sender.dataenterer.practitioner.phone
• Definition: Practitioner.telecom.value

E-Mail

• linkId: sender.dataenterer.practitioner.email
• Definition: Practitioner.telecom.value

Empfänger

• linkId: receiver
• ​Definition: Composition.extension:receiver

Empfangende Person

• linkId: receiver.practitioner
• Definition: PractitionerRole.practitioner

Titel

• linkId: receiver.practitioner.title
• Definition: Practitioner.name.prefix

Name

• linkId: receiver.practitioner.familyName
• Definition: Practitioner.name.family

Vorname

• linkId: receiver.practitioner.givenName
• Definition: Practitioner.name.given

GLN

• linkId: receiver.practitioner.gln
• Definition: Practitioner.identifier:GLN.value

ZSR

• linkId: receiver.practitioner.zsr
• Definition: Practitioner.identifier:ZSR.value

Telefon

• linkId: receiver.practitioner.phone
• Definition: Practitioner.telecom.value

E-Mail

• linkId: receiver.practitioner.email
• Definition: Practitioner.telecom.value

Empfangende Organisation

• linkId: receiver.organization
• Definition: PractitionerRole.organization

Name der Organisation

• linkId: receiver.organization.name
• Definition: Organization.name

GLN

• linkId: receiver.organization.gln
• Definition: http://fhir.ch/ig/ch-core/StructureDefinition-ch-core-organization-definitions.html#Organization.identifier:GLN

Strasse, Hausnummer, Postfach etc.

• linkId: receiver.organization.streetAddressLine
• Definition: Organization.address.line

PLZ

• linkId: receiver.organization.postalCode
• Definition: Organization.address.postalCode

Ort

• linkId: receiver.organization.city
• Definition: Organization.address.city

Land

• linkId: receiver.organization.country
• Definition: Organization.address.country

Kopieempfänger (Kopie dieses Auftrags und aller daraus resultierenden Resultate)

• linkId: receiverCopy
• Definition: Composition.extension:copyReceiver

Gesundheitsfachperson oder -organisation

• linkId: receiverCopy.practitionerRole
• Definition: PractitionerRole

Gesundheitsfachperson

• linkId: receiverCopy.practitionerRole.practitioner
• Definition: PractitionerRole.practitioner

Titel

• linkId: receiverCopy.practitionerRole.practitioner.title
• Definition: HumanName.prefix

Name

• linkId: receiverCopy.practitionerRole.practitioner.familyName
• Definition: HumanName.family

Vorname

• linkId: receiverCopy.practitionerRole.practitioner.givenName
• Definition: HumanName.given

Telefon

• linkId: receiverCopy.practitionerRole.practitioner.phone
• Definition: ContactPoint.value

E-Mail

• linkId: receiverCopy.practitionerRole.practitioner.email
• Definition: ContactPoint.value

Gesundheitsorganisatiton

• linkId: receiverCopy.practitionerRole.organization
• Definition: PractitionerRole.organization

Name der Organisation

• linkId: receiverCopy.practitionerRole.organization.name
• Definition: Organization.name

Strasse, Hausnummer, Postfach etc.

• linkId: receiverCopy.practitionerRole.organization.streetAddressLine
• Definition: Address.line

PLZ

• linkId: receiverCopy.practitionerRole.organization.postalCode
• Definition: Address.postalCode

Ort

• linkId: receiverCopy.practitionerRole.organization.city
• Definition: Address.city

Land

• linkId: receiverCopy.practitionerRole.organization.country
• Definition: Address.country

Patient selbst

• linkId: receiverCopy.patient
• Definition: Patient

Andere Person

• linkId: receiverCopy.relatedPerson
• Definition: RelatedPerson

Name

• linkId: receiverCopy.relatedPerson.familyName
• Definition: RelatedPerson.name.family

Vorame

• linkId: receiverCopy.relatedPerson.givenName
• Definition: RelatedPerson.name.given

Telefon

• linkId: receiverCopy.relatedPerson.phone
• Definition: RelatedPerson.telecom.value

E-Mail

• linkId: receiverCopy.relatedPerson.email
• Definition: RelatedPerson.telecom.value

Strasse, Hausnummer, Postfach etc.

• linkId: receiverCopy.relatedPerson.streetAddressLine
• Definition: RelatedPerson.address.line

PLZ

• linkId: receiverCopy.relatedPerson.postalCode
• Definition: RelatedPerson.address.postalCode

Ort

• linkId: receiverCopy.relatedPerson.city
• Definition: RelatedPerson.address.city

Land

• linkId: receiverCopy.relatedPerson.country
• Definition: RelatedPerson.address.country

Ort und Zeit der Durchführung der angeforderten Leistung

• linkId: appointment
• Definition: ServiceRequest.extension:locationAndTime

Ort der Durchführung*

• linkId: appointment.location
• Definition: Appointment.participant.actor

Name*

• linkId: appointment.location.name
• Definition: Location.name

Telefon

• linkId: appointment.location.phone
• Definition: Location.telecom.value

E-Mail

• linkId: appointment.location.email
• Definition: Location.telecom.value

Strasse, Hausnummer, Postfach etc.

• linkId: appointment.location.streetAddressLine
• Definition: Location.address.line

PLZ

• linkId: appointment.location.postalCode
• Definition: Location.address.postalCode

Ort

• linkId: appointment.location.city
• Definition: Location.address.city

Land

• linkId: appointment.location.country
• Definition: Location.address.country

Datum und Zeit, wann der Termin bevorzugt geplant werden soll

• linkId: appointment.requestedPeriod
• Definition: Appointment.requestedPeriod

Von

• linkId: appointment.requestedPeriod.start
• Definition: Appointment.requestedPeriod.start

Bis

• linkId: appointment.requestedPeriod.end
• Definition: Appointment.requestedPeriod.end

Status*

Answer options for appointment.status

• http://hl7.org/fhir/appointmentstatus: proposed ("Wunsch des Patienten (vorgeschlagen)")
• http://hl7.org/fhir/appointmentstatus: pending ("Vom Patienten bestätigt, aber vom Leistungserbringer noch nicht (ausstehend)")
• http://hl7.org/fhir/appointmentstatus: booked ("Vom Patienten und Leistungserbringer bestätigt (gebucht)")

??

• linkId: appointment.status
• Definition: Appointment.status
• ​Answers: 3 options

Patienteninformation für diesen Termin

• linkId: appointment.patientInstruction
• Definition: Appointment.patientInstruction

Angeforderte Leistung*

• linkId: requestedService

Leistung*Befundbericht früherer Untersuchung(en)Bilder und Befundberichte früherer Untersuchung(en)Bildgebende DiagnostikInterventionelle RadiologieZweitmeinungBildgebende Diagnostik und InterventionFernbefundung

• linkId: requestedService.service
• ​Definition: ServiceRequest.category.coding
• Answers: Requested Service

Klinische Fragestellung

• linkId: reason

Fragestellung

• linkId: reason.question
• Definition: ServiceRequest.reasonCode.text

Bildgebendes Verfahren

• linkId: imagingService

Artcomputed tomographyMagnetic resonance imagingUltrasounddual energy xray absorptiometrymammographyPet-ctnuclear medicine imagingPositron emission tomographyprojection radiographyFluoroscopySPECT-CTimaging modality

• linkId: imagingService.type
• ​Definition: ServiceRequest.code.coding:RdlxModType
• Answers: Modality Type

Weitere Angaben zur Bildgebung

• linkId: orderDetail

RegionAbdomenbreastThoraxlimb of bodyheadLower extremityneckPelvisUpper extremitywhole bodyumbilical arteryUmbilical Cordset of umbilical vesselsmiddle cerebral arteryBody region

• linkId: orderDetail.imagingRegion
• ​Definition: ServiceRequest.orderDetail:imagingRegion
• Answers: Imaging Region

FokusOropharynxHypopharynxVeinSuperior vena cavaSubclavian veininternal jugular veinstomachSpinal veinEpidural venous plexusAzygos veinInferior vena cavahepatic veinRenal veinFemoral veinPopliteal veinPortal veinsplenic veinInferior mesenteric veinSuperior mesenteric veinPylorusAirwaytracheaLungInferior epigastric arterynerveSet of cranial nervesmuscle organbone organSmall intestineSkeletal systemmusculoskeletal systempharynxfaceLymph nodeportion of tissueSalivary glandPleuraPleural spaceMediastinumheartLeft ventricleAortic valvePericardial cavityThymusJejunumIleumdiaphragmRectumAnusAppendixPancreaspancreatic ductShoulder girdleclaviclenerve rootScapulagallbladderSternoclavicular jointacromioclavicular jointArmHumerusBicipital groove of humerusCommon bile ductCervical segment of spinal epidural spaceThoracic segment of spinal epidural spaceLumbar segment of spinal epidural spaceelbowkidneyforearmRadiusUlnaWristIntercostal nerveUreterCarpal tunnelhandUrinary bladderFingerThumbIndex fingerLong fingerRing fingerSmall fingerChest wallaxillaSternumSacrumCoccyxPelvic boneAcetabulumSacroiliac jointSymphysis pubishipThighfemurkneePatellaAnkleset of bone organsset of facial bonesLacrimal ductsParanasal sinusesposterior ends of ribsSet of pulmonary arteriesSet of veinsSet of pulmonary veinsset of ribsanterior ends of upper ribszygomatic archCircle of Willisorbitsthoracic spine regionPopliteal fossaPerirectal regionLegFibulaCervicothoracic spine regionSet of coronary arteriesBase of craniumLumbosacral junctionThoracolumbar junctionSuperior mediastinumParotid glandset of toesfootLumbar intervertebral diskTibiaOvaryVertebraHindfootMidfootForefootuterine tubecalcaneusupper gastrointestinal tractToeGreat toeSecond toeThird toeFourth toeFifth toeright upper quadrant of abdomenwall of abdomenJoint of ankle or footUterusLymphatic vesselColonSet of abdominal lymphatic vesselsCervical part of esophagusVaginapseudoaneurysmProstateLong boneCerebral veinDural venous sinusEyeplacentacervical vertebral arch jointCervical vertebral columnLumbar vertebral columnAdrenal veinUrethraseminal vesiclePortion of soft tissuePosterior cranial fossaLung parenchymaMastoid regionSesamoid bone of footVas deferensmaxillofacial regionsubdivision of common carotid arterysubdivision of cerebral part of internal carotid arteryInfrarenal aortaPancreatic arterypenisScrotumTestisepididymishepatic arteryIntrahepatic branch of portal veinbone marrowPituitary glandSet of carotid arteriesFemoral arteryrespiratory systemmajor jointsmall jointmedium-sized jointShoulderSet of blood vesselsSet of iliac arteriesskull base to mid-thighOlecranonPeritoneal cavitySubphrenic spaceBlood vesselperitoneumsynovial cavity of jointRETROPERITONEUMGenitourinary systemPerirenal spaceSet of nasal bonesSet of fallopian tubesOptic foramenset of biliary ductsinguinal part of abdomenarterySupraaortic valve areaFistulaAxial skeletonceliac nerve plexusSet of cerebral arteriesset of cerebral sinusesVasculature of kidneyset of cerebral cisternsSet of cervical arteriesSet of iliac vesselsSet of visceral arteriesset of tibio-peroneal arteriesSet of lymph vesselscortex of kidneySet of renal arteriesset of penis vesselsjoint of lower extremityjoint of upper extremitySet of upper extremity vesselsSet of runoff vesselsSet of pulmonary vesselsset of teethSet of abdominal vesselsSet of ankle vesselsSet of extremity vesselsSet of foot vesselsSet of forearm vesselsSet of head vesselsSet of knee vesselsSet of lower extremity vesselsSet of lower leg vesselsSet of neck veinsSet of neck vesselsSet of orbit vesselsSet of pelvis vesselsSet of shoulder vesselsSet of spine vesselsSet of cervical spine vesselsSet of lumbar spine vesselsSet of thoracic spine vesselsSet of superior mesenteric vesselsSet of thigh vesselsSet of thoracic inlet vesselsSet of tibioperoneal vesselsset of tributariesSet of upper extremity veinsSet of wrist vesselsSet of abdominal veinsSet of adrenal vesselsSet of carotid vesselsSet of celiac vesselsSet of chest veinsSet of chest vesselsSet of extremity arteriesSet of femoral vesselsSet of hand vesselsSet of head arteriesSet of head veinsSet of lower extremity veinsSet of ovarian vesselsSet of pelvis veinslactiferous ductExtremity arteryLower extremity arteryUpper extremity arteryLower extremity vesselUpper extremity vesselExtremity veinLower extremity veinUpper extremity veinvisceral arteryiliac artery graftset of subclavian vesselsSet of testicular vesselsSet of breast vesselsset of mesenteric arteriesEndomyocardiumPeripheral skeletal systemskull vertex to mid-thighposterior ends of lower ribsposterior ends of upper ribsset of upper ribsset of lower ribsanterior ends of ribsportion of oral tissueset of bones from skull base to mid-thighRenal vesselHead arteryIntracranial vesselFemoral vesselAdrenal vesselExtremity vesselPeripheral arterySpinal arteryset of pelvic lymphatic vesselsSet of Extremity lymphatic vesselsset of pelvic arteriesst of urinary bladder arteriesset of orbit veinsset of vertebral vesselsSpinal vesselCerebral arteryMesenteric arteryThoracic arteryset of intraosseous veinsSet of extracranial vesselsLower leg vesselSet of hepatic vesselsSet of mesenteric vesselsSet of hepatic veinsSet of visceral vesselsSet of ankle arteriesSet of lower extremity arteriesSet of upper extremity arteriesNeck arteryNeck vesselSet of pedal lymphatic vesselsCervical intervertebral diskSet of abdominal arteriesSacral segment of spinal epidural spaceTubeCatheterShunt catheterStentliveraortic archBrachiocephalic arteryCommon carotid arteryInternal carotid arteryCervical portion of internal carotid arteryCerebral part of internal carotid arterytendonLigament organJointSpinal canalTemporal brain regionbrainBrainstemExternal carotid arteryepidural spaceSubarachnoid spacePeripheral nerveBrachial plexusMaxillary arterySpinal cordLumbosacral plexusthyroid glandParathyroid glandlarynxSubclavian arteryvertebral arterySpineAxisDensIntervertebral diskFacet joint of spineinternal thoracic arterySpleenbrachial arteryThoracic aortaadrenal glandBronchial arteryIntercostal arteryAbdominal aortaCeliac arteryLeft gastric arteryMandibleGastroduodenal arteryMandibular dental arcadeskullSplenic arteryMaxillaSuperior mesenteric arteryMaxillary dental arcadeSella turcicaAdrenal arteryRenal arteryTemporal bonePetrous part of temporal boneInferior mesenteric arteryinternal auditory canalgastrointestinal tractInternal iliac arteryEsophagusInternal pudendal arteryuterine arteryPopliteal arteryTemporomandibular jointSubmandibular glandNasopharynx

• linkId: orderDetail.imagingFocus
• Definition: ServiceRequest.bodySite
• Answers: Imaging Focus

SeitenangabeBilateralLEFTRIGHTUnspecified lateralityUnilateral

• linkId: orderDetail.laterality
• ​Definition: ServiceRequest.orderDetail:laterality
• Answers: Laterality

AnsichtRight lateral decubitus positionLeft lateral decubitus positionLateral decubitus positionRadial deviation positionUlnar deviation positionOpen mouth positionUpright positionImplant displacedFrontal projectionRadiography gridaxial planeMagnificationtransrectaltransvaginalAP viewapical lordotic viewcone viewlateral viewleft oblique viewPA viewright oblique viewSpot viewArcein viewBroden viewDanelius miller viewFerguson viewFriedman viewGrashey viewHolmblad viewJudet viewMayer viewMerchant viewNorgaard vieworiginal Law viewCaldwell viewStenvers viewStryker notch viewTowne viewOccipitomental viewWest point viewbabygramoblique viewswimmers viewsupine viewLeft lateral viewRight lateral viewcross table lateral viewcarpal tunnel viewTransthoracic viewSunrise viewTunnel viewInlet viewOutlet viewAxillary viewSubmentovertical viewObliques viewRunoffPanoramicposteroanterior 45-degree flexion viewExternal rotation viewInternal rotation view10 degree caudal angle view30 degree caudal angle view10 degree cephalic angle view20 degree cephalic angle viewPosteroanterior 30 degree flexion view45 degree cephalic angle view90 degree abduction viewBora viewBrewerton viewGarth viewHarris viewRosenberg viewVon Rosen viewWaters upright viewZanca viewEndorectal viewLeft anterior oblique viewLateral frog leg viewLateral spot viewLaurin viewLeft posterior oblique viewMediolateral oblique viewMortise viewOdontoid viewPosteroanterior prone viewradio head capitallar viewRight anterior oblique viewRight posterior oblique viewScaphoid viewSerendipity viewTangential viewTrue anteroposterior viewTrue lateral viewVelpeau viewLaterally exaggerated craniocaudal viewY viewclosed mouth positionair gap breast viewrolled breast viewsunrise 20 degrees viewsunrise 40 degrees viewsunrise 60 degrees viewMerchant 30 degrees viewMerchant 45 degrees viewMerchant 60 degrees viewTrans-scapular viewOblique upright viewBitewing viewJones viewMax abductionOblique proneOblique crosstableanteriorTransabdominal

• linkId: orderDetail.viewType
• ​Definition: ServiceRequest.orderDetail:viewType
• Answers: View Type

ManöverExtension maneuverFlexion maneuverStress maneuverat restexercise stress maneuverSingle state of exerciseMultiple states of exerciseexhalation maneuverinspiration maneuverStanding maneuverstanding with brace maneuverBending maneuverRight bending maneuverLeft bending maneuverclenched fist maneuverforced dorsiflexion maneuvervoiding

• linkId: orderDetail.maneuverType
• ​Definition: ServiceRequest.orderDetail:maneuverType
• Answers: Maneuver Type

HandlungsanleitungVenographymyelographyAblationAspiration of bodily substanceAtherectomyembolizationinfusionRepairObject retrievalThrombectomyDevice removalDrainageBalloon dilation procedureAngioplastyFine-needle aspirationProcedureGastrostomyChemoembolizationcholecystostomycryoablationVertebroplastykyphoplastyradiofrequency ablationdevice placement procedureLocalizationInjectionNERVE BLOCKStereotactic localizationparacentesispericardiocentesisthoracentesisVacuum-assisted biopsyBiopsyradiotherapytube insertionSTEREOTACTIC BIOPSYNeedle localizationEndoscopyfeeding tube advancementlumbar puncturevenous samplingendovenous laser treatmentmanometryDevice exchangecheck tubeSubstance removalhemodynamic evaluationcholangioscopyligationmechanical thrombectomymicrowave ablationpercutaneous sympathectomypercutaneous transluminal angioplastyDevice revisionstab phlebectomyDilation procedurevertebral augmentationCore needle biopsyTissue samplingRadiosurgerydevice replacementDeep biopsySuperficial biopsyChangereducedVascular accessPeripheral venous accessBronchoscopyDenervation procedureDeep drainageObject removalObject repositioningRadioembolizationVascular sclerotherapyExcisional biopsy

• linkId: orderDetail.guidanceForAction
• ​Definition: ServiceRequest.orderDetail:guidanceForAction
• Enable When: todo
• Answers: Guidance for Action

Gewünschter Radiologe für die Befundung / für die Intervention

• linkId: desiredRadiologist
• Definition: ServiceRequest.performer

Name

• linkId: desiredRadiologist.familyName
• Definition: Practitioner.name.family

Vorname

• linkId: desiredRadiologist.givenName
• Definition: Practitioner.name.given

Diagnosen und Befunde

• linkId: diagnosisList

Hauptdiagnose

• linkId: diagnosisList.primaryDiagnosis
• Definition: ServiceRequest.reasonReference

Nebendiagnose

• linkId: diagnosisList.secondaryDiagnosis
• ​Definition: ServiceRequest.supportingInfo:diagnosis

Grösse (cm)

• linkId: diagnosisList.bodyHeight
• ​Definition: ServiceRequest.supportingInfo:bodyHeight

Gewicht (kg)

• linkId: diagnosisList.bodyWeight
• ​Definition: ServiceRequest.supportingInfo:bodyWeight

Caveats

• linkId: caveat
• ​Definition: ServiceRequest.supportingInfo:caveats

Beinträchtigte Blutgerinnung*Absent (qualifier value)Present (qualifier value)Undetermined (qualifier value)

• linkId: caveat.bloodCoagulation
• Definition: Condition.code
• Answers: Qualifier Value
• Initial Values: Undetermined (qualifier value) (Details: SNOMED CT code 373068000 = 'Undetermined (qualifier value)', stated as 'null')

INR

• linkId: caveat.bloodCoagulation.INR
• Definition: Condition.evidence.detail
• Enable When: todo

Wert (INR)

• linkId: caveat.bloodCoagulation.INR.quantity
• Definition: Observation.valueQuantity

Zeitpunkt der Bestimmung

• linkId: caveat.bloodCoagulation.INR.dateTime
• Definition: Observation.effectiveDateTime

Thrombozyten

• linkId: caveat.bloodCoagulation.platelets
• Definition: Condition.evidence.detail

Wert (10^3/µL)

• linkId: caveat.bloodCoagulation.platelets.quantity
• Definition: Observation.valueQuantity

Zeitpunkt der Bestimmung

• linkId: caveat.bloodCoagulation.platelets.dateTime
• Definition: Observation.effectiveDateTime

Niereninsuffizienz*Absent (qualifier value)Present (qualifier value)Undetermined (qualifier value)

• linkId: caveat.renalInsufficiency
• Definition: Condition.code
• Answers: Qualifier Value
• Initial Values: Undetermined (qualifier value) (Details: SNOMED CT code 373068000 = 'Undetermined (qualifier value)', stated as 'null')

Creatinin-Clearance

• linkId: caveat.renalInsufficiency.creatinineClearance
• Definition: Condition.evidence.detail

Wert (mL/min)

• linkId: caveat.renalInsufficiency.creatinineClearance.quantity
• Definition: Observation.valueQuantity

Zeitpunkt der Bestimmung

• linkId: caveat.renalInsufficiency.creatinineClearance.dateTime
• Definition: Observation.effectiveDateTime

Creatinin

• linkId: caveat.renalInsufficiency.creatinine
• Definition: Condition.evidence.detail

Wert (µmol/L)

• linkId: caveat.renalInsufficiency.creatinine.quantity
• Definition: Observation.valueQuantity

Zeitpunkt der Bestimmung

• linkId: caveat.renalInsufficiency.creatinine.dateTime
• Definition: Observation.effectiveDateTime

Klaustrophobie*Absent (qualifier value)Present (qualifier value)Undetermined (qualifier value)

• linkId: caveat.claustrophobia
• Definition: Condition.code
• Answers: Qualifier Value
• Initial Values: Undetermined (qualifier value) (Details: SNOMED CT code 373068000 = 'Undetermined (qualifier value)', stated as 'null')

Körperpiercing*Absent (qualifier value)Present (qualifier value)Undetermined (qualifier value)

• linkId: caveat.bodyPiercing
• Definition: Condition.code
• Answers: Qualifier Value
• Initial Values: Undetermined (qualifier value) (Details: SNOMED CT code 373068000 = 'Undetermined (qualifier value)', stated as 'null')

Device (Herzschrittmacher, Herzklappenersatz, Insulinpumpe etc.)

• linkId: caveat.device

DeviceDevice in situ (finding)Artificial eye presentMiddle ear prosthesis presentArtificial lens in situTracheal stent in situ (finding)Nasal endotracheal tube present (finding)Oral endotracheal tube present (finding)Airway device present (finding)Endotracheal tube present (finding)Tunneled central venous catheter in situ (finding)Urinary catheter in situ (finding)Peritoneal dialysis catheter in situ (finding)Suprapubic urinary catheter in situ (finding)Gastrointestinal tube in situ (finding)Nontunneled central venous catheter in situ (finding)Temporary peritoneal dialysis catheter in situ (finding)Cardiac pacemaker in situCardiac defibrillator in situRadioactive implant in situAutomatic implantable cardiac defibrillator in situ (finding)Hard occlusal appliance present (finding)Soft occlusal appliance present (finding)Intravenous catheter in situ (finding)Central venous catheter in situ (finding)Patient controlled analgesia device in situ (finding)Cochlear prosthesis in situ (finding)Nasogastric tube in situBiologic cardiac valve prosthesis in situBreast prosthesis in situ (finding)Metal mitral valve prosthesis in situCerebral aneurysm clip in situ (finding)Hydrocephalic shunt catheter in situ (finding)Insulin pump presentVentricular shunt in situArteriovenous shunt in situ (finding)Gastrostomy tube in situ (finding)Ventriculoperitoneal catheter in situVagal nerve stimulator in situ (finding)Combination internal cardiac defibrillator and pacemaker in situ (finding)Cardiac implant in situProsthesis in situ (finding)Orthotic device in situ (finding)Presence of left ventricular assist deviceIndwelling urethral urinary catheter in situ (finding)Prosthetic heart valve in situ (finding)Audiological implant in situArtificial larynx in situ (finding)Dental root implant in situMandibular implant in situ (finding)Joint implant in situDental prosthetic device in situ (finding)External hearing aid in situ (finding)Intrauterine contraceptive device in situ (finding)Cerebrospinal fluid drainage device in situ (finding)Orthopedic hardware in situ (finding)Artificial wrist joint presentArtificial ankle joint presentHip joint prosthesis present (finding)Artificial shoulder joint presentArtificial elbow joint presentDouble J stent presentIntraspinal catheter in situ (finding)Peripheral nerve neurostimulator in situNeurostimulator device in situ (finding)Gastric neurostimulator device in situ (finding)Sacral nerve neuropacemaker in situBrain neuropacemaker in situSpinal cord neuropacemaker in situIntrathecal implantable infusion pump in situArtificial knee joint presentVaginal pessary in situPeripherally inserted central venous catheter in situBiventricular automatic implantable cardioverter defibrillator in situBiventricular cardiac pacemaker presentNormally functioning cardiac pacemaker in situIntrafallopian contraceptive implant in situ (finding)Stent in branch of right coronary arteryBare metal stent in anterior descending branch of left coronary arteryDrug coated stent in branch of right coronary arteryBare metal stent in branch of right coronary arteryDrug coated stent in circumflex branch of left coronary arteryBare metal stent in circumflex branch of left coronary arteryDrug coated stent in anterior descending branch of left coronary artery (finding)Programmable ventricular shunt valve presentInferior vena cava filter in situStent in anterior descending branch of left coronary artery (finding)Bypass stent graft present

• linkId: caveat.device.specifictype
• ​Definition: ch-rad-order-caveat-type
• Answers: Caveat Device

Choice*Absent (qualifier value)Present (qualifier value)Undetermined (qualifier value)

• linkId: caveat.device.choice
• Definition: Condition.code
• Answers: Qualifier Value
• Initial Values: Undetermined (qualifier value) (Details: SNOMED CT code 373068000 = 'Undetermined (qualifier value)', stated as 'null')

Hyperthyreose*Absent (qualifier value)Present (qualifier value)Undetermined (qualifier value)

• linkId: caveat.hyperthyroidism
• Definition: Condition.code
• Answers: Qualifier Value
• Initial Values: Undetermined (qualifier value) (Details: SNOMED CT code 373068000 = 'Undetermined (qualifier value)', stated as 'null')

Diabetes mellitus*Absent (qualifier value)Present (qualifier value)Undetermined (qualifier value)

• linkId: caveat.diabetes
• Definition: Condition.code
• Answers: Qualifier Value

Schwangerschaft*Absent (qualifier value)Present (qualifier value)Undetermined (qualifier value)

• linkId: caveat.gravida
• Definition: Condition.code
• Answers: Qualifier Value
• Initial Values: Undetermined (qualifier value) (Details: SNOMED CT code 373068000 = 'Undetermined (qualifier value)', stated as 'null')

Kontrastmittelallergie*Absent (qualifier value)Present (qualifier value)Undetermined (qualifier value)

• linkId: caveat.contrastMediaAllergy
• Definition: Condition.code
• Answers: Qualifier Value
• Initial Values: Undetermined (qualifier value) (Details: SNOMED CT code 373068000 = 'Undetermined (qualifier value)', stated as 'null')

Relevante Medikamente*

• linkId: caveat.drugPrescription

Metformin*Absent (qualifier value)Present (qualifier value)Undetermined (qualifier value)

• linkId: caveat.drugPrescription.metformin
• Definition: Condition.code
• Answers: Qualifier Value
• Initial Values: Undetermined (qualifier value) (Details: SNOMED CT code 373068000 = 'Undetermined (qualifier value)', stated as 'null')

Betablocker*Absent (qualifier value)Present (qualifier value)Undetermined (qualifier value)

• linkId: caveat.drugPrescription.betaBlocker
• Definition: Condition.code
• Answers: Qualifier Value
• Initial Values: Undetermined (qualifier value) (Details: SNOMED CT code 373068000 = 'Undetermined (qualifier value)', stated as 'null')

Vorherige Untersuchungsresultate

• linkId: previousResults
• ​Definition: ServiceRequest.supportingInfo:previousImagingResults

Daten

• linkId: previousResults.attachment
• Definition: Media.content.data

Bilder (DICOM)

• linkId: previousResults.imagingStudy

DICOM Study Instance UID

• linkId: previousResults.imagingStudy.StudyInstanceUid
• Definition: ImagingStudy.identifier

ACSN

• linkId: previousResults.imagingStudy.acsn
• Definition: ImagingStudy.identifier

DICOM Series Instance UID

• linkId: previousResults.imagingStudy.SeriesInstanceUid
• Definition: ImagingStudy.series.uid

DICOM SOP Instance UID

• linkId: previousResults.imagingStudy.SopInstanceUid
• Definition: ImagingStudy.series.instance.uid

Bemerkungen

• linkId: note

Kommentar*

• linkId: note.text
• Definition: ServiceRequest.note.text