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Id Issue Status Priority Type Date Assigned To Label
9Fehlendes Mapping auf DocumentClassClosedNormalRequest for Information/Education2017-10-23 14:08:47
 
 3 
 
Request for Information/EducationFehlendes Mapping auf DocumentClass
Idch-epr-issue-9
StatusClosed
PriorityNormal
Last Tracking2017-10-23 14:08:47  by  Johannes Gnaegi
Current Labels
    
 (3) Beta 
    
Concerns
Value Set
EprDocumentTypeCode (2.16.756.5.30.1.127.3.10.1.27)
/
NameEprDocumentTypeCodeDisplay NameEprDocumentTypeCode
Version2017-04-16 12:09:12StatusCancelled
Version Label20170415Id2.16.756.5.30.1.127.3.10.1.27
Description
Source Codesystems
2.16.840.1.113883.6.96SNOMED Clinical Termshttp://snomed.info/sct
Values
Level/TypeCodeDisplay NameCodesystemDescription
0-L
371537001
Consent report (record artifact)
preferred: Patienteneinwilligung
preferred: Consentement du patient
preferred: Consenso del paziente
preferred: Patient Consent
2.16.840.1.113883.6.96
0-L
371538006
Advance directive report (record artifact)
preferred: Patientenverfügung
preferred: Directives anticipées du patient
preferred: Direttive anticipate del paziente
preferred: Advance directive report
2.16.840.1.113883.6.96
0-L
371534008
Summary report (record artifact)
preferred: Patient Summary (medizinische Zusammenfassung)
preferred: Résumé du dossier médical
preferred: Patient Summary (riassunto medico)
preferred: Patient Summary
2.16.840.1.113883.6.96
0-L
721912009
Medication summary document (record artifact)
preferred: Medikamentenliste (aktuell)
preferred: Liste des médicaments
preferred: Elenco dei medicamenti
preferred: Medication summary
2.16.840.1.113883.6.96
0-L
440545006
Prescription record (record artifact)
preferred: Rezept
preferred: Ordonnance
preferred: Ricetta medica
preferred: Prescription for Medication
2.16.840.1.113883.6.96
0-L
275670009
Prescription exemption certificate (record artifact)
preferred: Dispensation
preferred: Dispensation
preferred: Dispensazione
preferred: Medication Dispensation
2.16.840.1.113883.6.96
0-L
1221000195109
Medication Comment (record artifact)
preferred: medication comment
preferred: Commentaire sur la médication
preferred: Commento alla terapia farmacologica
preferred: Medication Comment
2.16.840.1.113883.6.96
0-L
721915006
Admission request document (record artifact)
preferred: Zuweisungsschreiben/Einweisungsschreiben
preferred: Demande d'admission
preferred: Richiesta di ricovero/ammissione
preferred: Admission request
2.16.840.1.113883.6.96
0-L
371542009
Admission history and physical report (record artifact)
preferred: Eintrittsbericht
preferred: Rapport d'admission
preferred: Rapporto di ammissione
preferred: Admission report
2.16.840.1.113883.6.96
0-L
721917003
Physician discharge concise summary (record artifact)
preferred: Kurz-Austrittsbericht (ärztlich)
preferred: Avis de sortie
preferred: Rapporto breve d'uscita
preferred: Physician discharge concise summary
2.16.840.1.113883.6.96
0-L
373942005
Discharge summary (record artifact)
preferred: Austrittsbericht (ärztlich)
preferred: Lettre de sortie
preferred: Rapporto/lettera d'uscita
preferred: Discharge summary
2.16.840.1.113883.6.96
0-L
371535009
Transfer summary report (record artifact)
preferred: Verlegungsbericht
preferred: Rapport de transfert
preferred: Rapporto di trasferimento
preferred: Transfer summary report
2.16.840.1.113883.6.96
0-L
278448002
Care plan (qualifier value)
preferred: Pflegeplan (allgemein)
preferred: Plan de soins
preferred: Piano di cura
preferred: Care plan
2.16.840.1.113883.6.96
0-L
5531000179105
Nursing report (record artifact)
preferred: Pflegebericht
preferred: Rapport de soins infirmiers
preferred: Rapporto infermieristico
preferred: Nursing report
2.16.840.1.113883.6.96
0-L
721927009
Referral note (record artifact)
preferred: Konsilauftrag (allgemein)
preferred: Demande de consultation
preferred: Richiesta di consulto
preferred: Referral request
2.16.840.1.113883.6.96
0-L
371530004
Clinical consultation report (record artifact)
preferred: Konsultationsbericht
preferred: Rapport de consultation
preferred: Rapporto di consultazione
preferred: Consultation report
2.16.840.1.113883.6.96
0-L
371525003
Clinical procedure report (record artifact)
preferred: Untersuchungsbefund (allgemein)
preferred: Rapport d'examen
preferred: Risultato d'esame (generale)
preferred: Clinical procedure report
2.16.840.1.113883.6.96
0-L
4241000179101
Laboratory report (record artifact)
preferred: Labor-Befund
preferred: Résultat de laboratoire
preferred: Referto di laboratorio
preferred: Laboratory report
2.16.840.1.113883.6.96
0-L
371528001
Pathology report (record artifact)
preferred: Pathologie-Befund
preferred: Rapport de pathologie
preferred: Referto di patologia
preferred: Pathology report
2.16.840.1.113883.6.96
0-L
721631001
Bone marrow pathology biopsy report (record artifact)
preferred: Knochenmark-Biopsie-Befund
preferred: Rapport de la biopsie de la moelle osseuse
preferred: Referto di biopsia del midollo osseoBone marrow Pathology biopsy report
preferred: Bone marrow Pathology biopsy report
2.16.840.1.113883.6.96
0-L
721968000
Cardiac catheterization report (record artifact)
preferred: Herzkatheter-Befund
preferred: Rapport du cathétérisme cardiaque
preferred: Referto di cateterismo cardiaco
preferred: Cardiac catheterization report
2.16.840.1.113883.6.96
0-L
399345000
Adult echocardiography procedure report (record artifact)
preferred: EKG-Befund
preferred: Rapport de l'ECG
preferred: Referto di ECG
preferred: Electrocardiogram report
2.16.840.1.113883.6.96
0-L
4221000179107
Ultrasound imaging report (record artifact)
preferred: Ultraschall-Befund
preferred: Rapport de l'ultrason
preferred: Referto ecografico
preferred: Ultrasound imaging report
2.16.840.1.113883.6.96
0-L
371527006
Radiology report (record artifact)
preferred: Radiologie-Befund
preferred: Rapport de l'examen radiologique
preferred: Referto radiologico
preferred: Radiology report
2.16.840.1.113883.6.96
0-L
721969008
Pulmonary function report (record artifact)
preferred: Lungenfunktions-Befund
preferred: Rapport de l'examen pulmonaire
preferred: Referto spirometrico
preferred: Pulmonary function report
2.16.840.1.113883.6.96
0-L
416779005
Anesthesia record (record artifact)
preferred: Anästhesie-Befund
preferred: Rapport de l'anésthésie
preferred: Referto anestesiologico
preferred: Anesthesia record
2.16.840.1.113883.6.96
0-L
371526002
Operative report (record artifact)
preferred: OP-Bericht
preferred: Protocole opératoire
preferred: Referto operatorio
preferred: Operative report
2.16.840.1.113883.6.96
0-L
444561001
Birth certificate (record artifact)
preferred: Geburtsurkunde
preferred: Certificat de naissance
preferred: Cerificato di nascita
preferred: Birth certificate
2.16.840.1.113883.6.96
0-L
307930005
Death certificate (record artifact)
preferred: Todesbescheinigung
preferred: Certificat de décès
preferred: Certificato di morte
preferred: Death certificate
2.16.840.1.113883.6.96
0-L
721599005
Wound care management note (record artifact)
preferred: Wund-Befund
preferred: Rapport sur les blessures
preferred: Rapporto sulle ferite
preferred: Wound report
2.16.840.1.113883.6.96
0-L
371532007
Progress report (record artifact)
preferred: Klinisches Verlaufsblatt
preferred: Note de suite
preferred: Diario clinico
preferred: Progress note
2.16.840.1.113883.6.96
0-L
722091001
Conclusion interpretation document (record artifact)
preferred: Beschlussprotokoll
preferred: Rapport de décision
preferred: Rapporto decisionale
preferred: Conclusion interpretation document
2.16.840.1.113883.6.96
0-L
900000000000471000
Image reference (foundation metadata concept)
preferred: Referenz auf Bilddaten
preferred: Référence d'Image
preferred: Referenza nei dati immagine
preferred: Image reference
2.16.840.1.113883.6.96
0-L
41000179103
Immunization record (record artifact)
preferred: Impfausweis/Impfdossier
preferred: Certificat / carnet de vaccination
preferred: Certificato/libretto di vaccinazione
preferred: Immunization record
2.16.840.1.113883.6.96
0-L
424975005
Record entry (record artifact)
preferred: Anderer EPD Dokumenten-Typ
preferred: Autre type de document DEP
preferred: Altri tipi di documento CIP
preferred: Other EPD-document type
2.16.840.1.113883.6.96
0-L
722160009
Audit trail report (record artifact)
2.16.840.1.113883.6.96
Legenda: Type L=leaf, S=specializable, A=abstract, D=deprecated. NullFlavors to appear in @nullFlavor attribute instead of @code.
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Events
TrackingClosed2017-10-23 14:08:47: Tracking by Johannes Gnaegi
    
 3 
Description
Neuer Release enthält draft Value Set mit Mapping  (Release 201704.0-stable/201704.1-beta)
TrackingClosed2017-06-08 11:22:23: Tracking by Johannes Gnaegi
Edited byJohannes Gnaegi (2017-06-08 11:23:36)Johannes Gnaegi (2017-06-08 11:26:57)Johannes Gnaegi (2017-09-19 09:24:07)Johannes Gnaegi (2017-09-19 09:29:37)Johannes Gnaegi (2017-10-03 08:35:40)
Description
Finding:

Betr.: SR 816.111 .1 Anhang 3 der Verordnung des EDI vom 22. März 2017 über das elektronische Patientendossier (Metadaten):

Beim Einarbeiten der Dokumententypen (2.16.756.5.30.1.127.3.10.1.27) in Kap. 2.11 in unser System ist mir aufgefallen, dass keiner der Dokumententypen auf die Dokumentenklasse in 2.3 (2.16.756.5.30.1.127.3.10.1.3) mit Konzeptname Progress Reports (371532007) abgebildet wird.

Da Dokumententyp und Dokumentenklasse zwingend sind, wäre somit nur das Auftreten der Dokumentenklasse 371532007 Progress Reports zusammen mit Dokumententyp 424975005 „Other EPD-document type“ erlaubt bzw. möglich.

Frage: Ist das bewusst so gewählt und wenn ja, welcher use case wird damit adressiert?

Suggestion:

Eigenes Valueset welches das Mapping in Form der Hierarchie abbildet

- Neuer Release enthält draft Value Set mit Mapping  (Release 201704.0-stable/201704.1-beta)

Further explanation:

https://gazelle.ihe.net/jira/browse/EPD-12

    
Labels
PreviewCodeHTML colorDisplay NameDescription
 
 4 
44genehmigt durch EGM
 
 3 
33Beta
Korrigiert in Betaversion verfügbar
 
 2 
22Betrifft Display Name / Synonym
 
 1 
11Anpassung Verordnung nötig