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=ac853c23976797dc7662cb05988576e1, sem_ver=2.0.3}
KeywordsLaborauftrag; Anfrage; Anforderung; Auftrag; Laborleistung; Laborauftrag; Laboranforderung
Language useden
Citeable Identifier1246.169.1118
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This data element allows multiple occurrences to enable the user to record a multiple services as part of a single request, if required., 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 an external terminology is desirable, if available. If the 'Service name' was coded, it is possible for this data point to be derived from the code., 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/ValueSet/observation-category
  • Laboratory 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-INSTRUCTION.service_request.v1]/activities[at0001]/description[at0009]/items[at0154], code=at0154, itemType=ELEMENT, level=4, text=Clinical context, description=Narrative information about the individual and their situation, providing relevant context for the request., 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]/activities[at0001]/description[at0009]/items[at0065], code=at0065, itemType=ELEMENT, level=4, text=Intent, description=Description of the intended outcome of the request., comment=Coding of the 'Intent' with an external terminology is recommended, 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_CODED_TEXT, bindings=null, values= Terminology: http://hl7.org/fhir/request-intent
  • 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=Auftrags-ID des anfordernden/einsendenden Systems (PLAC), 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=DV_IDENTIFIER, 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.organisation.v1], code=at0000, itemType=CLUSTER, level=3, text=Einsender, description=An entity comprising one or more people and having a particular purpose., comment=For example: a company, institution, association, network, department, community group, healthcare practice group, payer/insurer, care team, or a group of neighbours who provide care or support., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, 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[at0011], code=at0011, itemType=ELEMENT, level=3, text=Auftrags-ID des empfangenden Systems (FILL), description=The local identifier assigned to the request by the clinician or organisation receiving the request for service., comment=Usually equivalent to the HL7 Filler Order Identifier., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  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_CODED_TEXT, bindings=null, values= Terminology: http://hl7.org/fhir/ValueSet/request-status
  • Completed 
, extendedValues=null]], templateType=normal]