TEMPLATE KDS_Laborauftrag (KDS_Laborauftrag)

TEMPLATE IDKDS_Laborauftrag
ConceptKDS_Laborauftrag
DescriptionUm eine Laborleistung von einem Gesundheitsdienstleister oder einer Organisation für einen Patienten anzufordern.
UseVerwendung als Grundlage für eine Anfrage für eine Labordienstleistung für einen Patienten.
MisuseDarf nicht zur Darstellung der Anforderung von anderen Dienstleistungen außer Laboruntersuchungen verwendet werden.
PurposeUm eine Laborleistung von einem Gesundheitsdienstleister oder einer Organisation für einen Patienten anzufordern.
References
Authorsdate: 2020-09-17; name: test
Other Details Languagedate: 2020-09-17; name: test
OtherDetails Language Independent{PARENT:MD5-CAM-1.0.1=B8AD0C7EB492491CE6F7968C1AFFB40C, original_language=ISO_639-1::de, MD5-CAM-1.0.1=7af2e30c0c977cebadfed0f78919b779}
KeywordsLaborauftrag; Anfrage; Anforderung; Auftrag; Laborleistung; Laborauftrag; Laboranforderung
Language useden
Citeable Identifier1246.169.1118
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For example: 'referral' to an endocrinologist for diabetes management., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=Value set: external, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-INSTRUCTION.service_request.v1]/activities[at0001]/description[at0009]/items[at0148], code=at0148, itemType=ELEMENT, level=4, text=Art der Laborleistung (Kategorie), description=Category of service requested., comment=Coding of the 'Service type' with a coding system is desirable, if available. If the 'Service name' was coded, it is possible for this data point to be derived from the code. For example: biochemistry or microbiology laboratory, ultrasound or CT imaging., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=Terminology: http://terminology.hl7.org/CodeSystem/observation-category
  • Laboratory 

Default value: Laboratory, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-INSTRUCTION.service_request.v1]/activities[at0001]/description[at0009]/items[at0065], code=at0065, itemType=ELEMENT, level=4, text=Intent, description=Description of the intent for the request., comment=For example: a referral to a specialist may have the intent of the specialist taking over responsibility for care of the patient, or it may be to provide a second opinion on treatment options. Coding of the 'Intent' with a coding system is desirable, if available. This data element allows multiple occurrences to enable the user to record a multiple responses, if required., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • order
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-INSTRUCTION.service_request.v1]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.specimen.v1], code=at0000, itemType=CLUSTER, level=4, text=Specimen, description=A physical sample collected from, or related to, an individual for the purpose of investigation, examination or analysis., comment=For example: Tissue or body fluid., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-INSTRUCTION.service_request.v1]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.specimen.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=5, text=Laboratory specimen identifier, description=A unique identifier of the specimen, normally assigned by the laboratory., comment=Sometimes called the Accession Identifier. Specimen containers, for example vacuum vials or tissue cassettes, have their own identitiers which may be recorded in the 'Container identifier' element in the 'Specimen container' archetype., uncommonOntologyItems={fhir_mapping=Specimen.accessionIdentifier}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_IDENTIFIER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-INSTRUCTION.service_request.v1]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.specimen.v1]/items[at0015], code=at0015, itemType=ELEMENT, level=5, text=Collection date/time, description=The date and time that collection has been ordered to take place or has taken place., comment=This datetime will be captured primarily in the INSTRUCTION timing, ACTION time or OBSERVATION times. However, as this is a critical piece of information, it can be useful to also associate it directly with the specimen itself., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Date/Time
  •  Interval of Date/Time
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-INSTRUCTION.service_request.v1]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.specimen.v1]/items[at0070], code=at0070, itemType=ELEMENT, level=5, text=Specimen collector identifier, description=Identifier of the person or organisation responsible for collecting the specimen., comment=This element is intended to be used where the specimen has already been collected and the actual collector is known., uncommonOntologyItems={fhir_mapping=Specimen.collection.collector}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_IDENTIFIER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-INSTRUCTION.service_request.v1]/activities[at0001]/description[at0009]/items[at0150], code=at0150, itemType=ELEMENT, level=4, text=Comment, description=Additional narrative about the service request not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-INSTRUCTION.service_request.v1]/protocol[at0008], code=at0008, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-INSTRUCTION.service_request.v1]/protocol[at0008]/items[at0010], code=at0010, itemType=ELEMENT, level=3, text=Requester order identifier, description=The local identifier assigned by the requesting clinical system., comment=Usually equivalent to the HL7 Placer Order Identifier., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Text
  •  Identifier
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  •  Text
  •  Identifier
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-INSTRUCTION.service_request.v1]/protocol[at0008]/items[at0127], code=at0127, itemType=ELEMENT, level=3, text=Request status, description=The status of the request for service as indicated by the requester., comment=Status is used to denote whether this is the initial request, or a follow-up request to change or provide supplementary information. Coding with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • completed
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-INSTRUCTION.service_request.v1]/protocol[at0008]/items[openEHR-EHR-CLUSTER.organization.v0], code=at0000, itemType=CLUSTER, level=3, text=Einsenderstandort, description=Location includes both casual locations (a place used for health care without prior designation or authorisation) and dedicated, formally designated locations. The sites can be private, public, mobile or fixed., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-INSTRUCTION.service_request.v1]/protocol[at0008]/items[openEHR-EHR-CLUSTER.organization.v0]/items[at0051], code=at0051, itemType=ELEMENT, level=4, text=Type, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-INSTRUCTION.service_request.v1]/protocol[at0008]/items[openEHR-EHR-CLUSTER.organization.v0]/items[at0024], code=at0024, itemType=ELEMENT, level=4, text=Identifier, description=A group of buildings or other locations such as a site or campus. For example: Campus that is outside the facility, but belongs to the hospital, university., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-INSTRUCTION.service_request.v1]/protocol[at0008]/items[openEHR-EHR-CLUSTER.organization.v0]/items[at0052], code=at0052, itemType=ELEMENT, level=4, text=Name, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-INSTRUCTION.service_request.v1]/protocol[at0008]/items[openEHR-EHR-CLUSTER.organization.v0]/items[at0050], code=at0050, itemType=ELEMENT, level=4, text=Active/Inactive, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-INSTRUCTION.service_request.v1]/protocol[at0008]/items[openEHR-EHR-CLUSTER.organization.v0]/items[at0046], code=at0046, itemType=ELEMENT, level=4, text=Location description, description=The field contains the optional free text description of the location, e.g. thoracic, heart and vascular surgery., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], templateType=normal]