TEMPLATE Diagnostic test planning (Diagnostic test planning)

TEMPLATE IDDiagnostic test planning
ConceptDiagnostic test planning
DescriptionSchedule the diagnostic test and procedures to determine a diagnose for a specific disease.
PurposeSchedule the diagnostic test and procedures to determine a diagnose for a specific disease.
References
Other Details (Language Independent)
  • MetaDataSet:Sample Set : Template metadata sample set
Language useden
Citeable Identifier1013.26.22
Root archetype idopenEHR-EHR-SECTION.diagnostic_test_planning.v1
Diagnostic test planningDiagnostic test planning: Schedules each patient to perform the diagnostic tests necessary to assess a specific disease.
Referral requestReferral request: Request for provision of a specified service by another healthcare provider or organisation.
RequestRequest: Current Activity.
Description
Service requestedService requested: Identification of the service requested. This is often coded with an external terminology.
Description of serviceDescription of service: A detailed narrative description of the service requested.
Reason for requestReason for request: A short description of the reason for the request. This is often coded with an external terminology.
Reason descriptionReason description: A narrative description explaining the reason for request.
IntentIntent: Stated intent of the request by the referrer.
UrgencyUrgency: Urgency of the request.
  • Emergency 
  • Urgent 
  • Routine 
Date &/or time service requiredDate &/or time service required: The date and time that the service should be performed or completed.
Latest date service requiredLatest date service required: The latest date that is acceptable for the service to be completed.
Supplementary information to followSupplementary information to follow: True indicates that additional information has been identified and will be forwarded when available eg incomplete pathology test results.
Supplementary information expectedSupplementary information expected: Details of the nature of supplementary information that is to follow e.g name of laboratory results.
Protocol
Requestor IdentifierRequestor Identifier: The local ID assigned to the order by the healthcare provider or organisation requesting the service. This is also referred to as Placer Order Identifier.
Receiver identifierReceiver identifier: The ID assigned to the order by the healthcare provider or organisation receiving the request for service. This is also referred to as Filler Order Identifier.
Request statusRequest status: The status of the request for service as indicated by the requester. Status is used to denote whether this is the initial request, or a follow-up request to change or provide supplementary information.
DurationDuration: Length of time the referral is valid.
DurationDuration: Duration for which the referral is valid.
IndefiniteIndefinite: If true, referral is for an indefinite period of time.
Imaging Examination RequestImaging Examination Request: Generic request for an imaging examination request.
RequestRequest: Current Activity.
Description
Examination requestedExamination requested: Identification of the examination requested. This is often coded with an external terminology.
Description of examinationDescription of examination: A detailed narrative description of the examination requested.
Imaging details in eye fundusImaging details in eye fundus: Defines specific details concerning the acquisition of images from eye fundus.
LateralityLaterality: Eye/s from which will be acquired the fundus.
  • Left eye 
  • Right eye 
  • Both eyes 
MethodMethod: Method chosen to perform the funduscopic examination.
  • Direct 
  • Indirect 
  • Contact lens biomicroscopy 
  • Non-contact lens biomicroscopy 
  • Mydriatic retinography 
  • Non-mydriatic retinography 
  • Angiography 
Assumed value: Non-mydriatic retinography
Number of attempts allowedNumber of attempts allowed: Maximum number of attempts allowed to acquire images for complicated patients before remitting them to consultation of ophthalmology.
>=1
Assumed value: 3
Number of fieldsNumber of fields: Number of fields acquired from the retina.
>=1
Assumed value: 2
Zone of retinaZone of retina: Zone of interest from retina for the current study of eye fundus.
  •  
Acquisition fieldsAcquisition fields: Eye fundus fields that are captured during the test.
ETRDS subdivision fieldsETRDS subdivision fields: Specifies which fields of the retina must be photographed during the current study of eye fundus, based on the definition from ETRDS.
  • ETRDS field 1 
  • ETRDS field 2 
  • ETRDS field 3 
  • ETRDS field 4 
  • ETRDS field 5 
  • ETRDS field 6 
  • ETRDS field 7 
Mosaic requiredMosaic required: If true, identifies the need to generate a mosaic image from the previously acquired fields of the retina.
Assumed value: false
Reason for requestReason for request: A short description of the reason for the request. This is often coded with an external terminology.
Reason descriptionReason description: A narrative description explaining the reason for request.
IntentIntent: Stated intent of the request by the referrer.
UrgencyUrgency: Urgency of the request.
  • Emergency 
  • Urgent 
  • Routine 
Date &/or time service requiredDate &/or time service required: The date and time that the service should be performed or completed.
Latest date service requiredLatest date service required: The latest date that is acceptable for the service to be completed.
Supplementary information to followSupplementary information to follow: True indicates that additional information has been identified and will be forwarded when available eg incomplete pathology test results.
Supplementary information expectedSupplementary information expected: Details of the nature of supplementary information that is to follow e.g name of laboratory results.
Protocol
Requestor IdentifierRequestor Identifier: The local ID assigned to the order by the healthcare provider or organisation requesting the service. This is also referred to as Placer Order Identifier.
Receiver identifierReceiver identifier: The ID assigned to the order by the healthcare provider or organisation receiving the request for service. This is also referred to as Filler Order Identifier.
Request statusRequest status: The status of the request for service as indicated by the requester. Status is used to denote whether this is the initial request, or a follow-up request to change or provide supplementary information.