{ "resourceType" : "QuestionnaireResponse", "id" : "Questionnaire-Infectiologie-001-response", "text" : { "status" : "generated", "div" : "

Narratif généré : QuestionnaireResponse Questionnaire-Infectiologie-001-response

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LinkIDTextDéfinitionAnswer\"doco\"
\".\"\".\" Questionnaire-Infectiologie-001-responseQuestionnaire:https://www.ghdc.be/Questionnaire/Questionnaire-Infectiologie
\".\"\".\"\".\" reponse-a-l-avis-de-diagnostic-en-infectiologieRéponse à l'Avis de Diagnostic en Infectiologie
\".\"\".\"\".\"\".\" date-de-l-examenDate de l'Examen2024-05-30T09:00:00Z
\".\"\".\"\".\"\".\" date-du-premier-contactDate du Premier Contact
\".\"\".\"\".\"\".\" medecin-demandeur-prescripteurMédecin Demandeur/Prescripteur
\".\"\".\"\".\"\".\" specialite-du-medecin-demandeurSpécialité du Médecin Demandeur
\".\"\".\"\".\"\".\" codeCodeLOINC 789-8: Infectious disease panel
\".\"\".\"\".\"\".\" statusStatusDiagnosticReportStatus final: Final
\".\"\".\"\".\" motif-de-la-demande-d-avisMotif de la Demande d'Avis
\".\"\".\"\".\"\".\" demande-d-avisDemande d'AvisVS-infectiology-avis-motifs-full consult: Consultation pour suspicion d'infection
\".\"\".\"\".\"\".\" informations-complementaires-avisInformations ComplémentairesPatient présentant une fièvre persistante et des symptômes respiratoires.
\".\"\".\"\".\"\".\" situationSituationFièvre d'origine inconnue, possible pneumonie.
\".\"\".\"\".\"\".\" backgroundBackgroundAntécédents de bronchite chronique.
\".\"\".\"\".\"\".\" analyseAnalyseAnalyse sanguine et radiographie thoracique en cours.
\".\"\".\"\".\"\".\" attentes-et-besoinsAttentes et BesoinsConfirmation du diagnostic et recommandations thérapeutiques.
\".\"\".\"\".\"\".\" prescripteurPrescripteurDr. Jean Dupont
\".\"\".\"\".\"\".\" avis-intentIntentRequestIntent order: Order
\".\"\".\"\".\"\".\" avis-statusStatusRequestStatus active: Active
\".\"\".\"\".\"\".\" avis-subjectsubjectPatient/001
\".\"\".\"\".\" syntheseSynthèse
\".\"\".\"\".\"\".\" tarificationTarification150
\".\"\".\"\".\"\".\" synthese-statusStatusInvoiceStatus issued: Issued
\".\"\".\"\".\" anamneseAnamnèse
\".\"\".\"\".\"\".\" examen-cliniqueExamen CliniqueFièvre persistante, toux sèche, fatigue.
\".\"\".\"\".\"\".\" resultats-des-examens-complementairesRésultats des Examens ComplémentairesAnalyse sanguine : CRP élevée, radiographie thoracique : infiltrats pulmonaires.
\".\"\".\"\".\"\".\" dateDate2024-05-30T10:00:00Z
\".\"\".\"\".\"\".\" anamnese-codeCodeLOINC 11289-6: General clinical examination
\".\"\".\"\".\"\".\" anamnese-statusStatusDiagnosticReportStatus preliminary: Preliminary
\".\"\".\"\".\"\".\" evolutionÉvolutionÉtat stable, pas d'amélioration significative des symptômes.
\".\"\".\"\".\"\".\" hypothese-diagnostiqueHypothèses DiagnostiquesSuspicion de pneumonie bactérienne ou virale.
\".\"\".\"\".\"\".\" conduite-a-tenirConduite à Tenir
\".\"\".\"\".\" diagnostic-principalDiagnostic Principal
\".\"\".\"\".\"\".\" diagnosticDiagnosticVS-infectiology-avis-diagnostics-full DX-001: Pneumonie infectieuse
\".\"\".\"\".\"\".\" informations-complementairesInformations ComplémentairesPatient à risque en raison de son âge avancé et des antécédents de bronchite chronique.
\".\"\".\"\".\"\".\" conclusionConclusionLe diagnostic de pneumonie infectieuse est confirmé, continuer le traitement antibiotique et surveiller de près.
\".\"\".\"\".\"\".\" traitementTraitement
\".\"\".\"\".\"\".\" diagnostic-codeCodeLOINC 39156-5: Infectious disease diagnosis
\".\"\".\"\".\"\".\" diagnostic-statusStatusDiagnosticReportStatus final: Final
\".\"\".\"\".\" notesNotes
\".\"\".\"\".\"\".\" condition-notesCondition NotesLe patient doit être surveillé de près en raison du risque de complications.
\".\"\".\"\".\"\".\" condition-subjectSubjectPatient/001

\"doco\" Documentation for this format
" }, "contained" : [{ "resourceType" : "Questionnaire", "id" : "Questionnaire-Infectiologie", "meta" : { "profile" : ["http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-extr-defn"] }, "url" : "http://fyrstain.com/fhir/R4/janus-ig/Questionnaire/Questionnaire-Infectiologie", "title" : "Avis de Diagnostic en Infectiologie", "status" : "draft", "description" : "Ressource Questionnaire utilisée pour recueillir des données structurées sur l'infectiologie.", "item" : [{ "linkId" : "reponse-a-l-avis-de-diagnostic-en-infectiologie", "definition" : "https://www.ghdc.be/StructureDefinition/PR-DiagnosticReport#DiagnosticReport", "text" : "Réponse à l'Avis de Diagnostic en Infectiologie", "type" : "group", "required" : false, "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext", "valueExpression" : { "language" : "text/fhirpath", "expression" : "DiagnosticReport.effective" } }], "linkId" : "date-de-l-examen", "definition" : "https://www.ghdc.be/StructureDefinition/PR-DiagnosticReport#DiagnosticReport.effective", "text" : "Date de l'Examen", "type" : "dateTime", "required" : false, "repeats" : false }, { "linkId" : "date-du-premier-contact", "text" : "Date du Premier Contact", "type" : "dateTime", "required" : false, "repeats" : false }, { "linkId" : "medecin-demandeur-prescripteur", "text" : "Médecin Demandeur/Prescripteur", "type" : "string", "required" : false, "repeats" : false }, { "linkId" : "specialite-du-medecin-demandeur", "text" : "Spécialité du Médecin Demandeur", "type" : "string", "required" : false, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext", "valueExpression" : { "language" : "text/fhirpath", "expression" : "DiagnosticReport.code.coding" } }], "linkId" : "code", "definition" : "https://www.ghdc.be/StructureDefinition/PR-DiagnosticReport#DiagnosticReport.code.coding", "text" : "Code", "type" : "choice", "required" : false, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext", "valueExpression" : { "language" : "text/fhirpath", "expression" : "DiagnosticReport.status" } }], "linkId" : "status", "definition" : "https://www.ghdc.be/StructureDefinition/PR-DiagnosticReport#DiagnosticReport.status", "text" : "Status", "type" : "choice", "required" : false, "repeats" : false }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext", "valueExpression" : { "language" : "text/fhirpath", "expression" : "ServiceRequest" } }], "linkId" : "motif-de-la-demande-d-avis", "definition" : "https://www.ghdc.be/StructureDefinition/PR-ServiceRequest#ServiceRequest", "text" : "Motif de la Demande d'Avis", "type" : "group", "required" : false, "repeats" : true, "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext", "valueExpression" : { "language" : "text/fhirpath", "expression" : "ServiceRequest.code.coding" } }], "linkId" : "demande-d-avis", "definition" : "https://www.ghdc.be/StructureDefinition/PR-ServiceRequest#ServiceRequest.code.coding", "text" : "Demande d'Avis", "type" : "choice", "required" : false, "repeats" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext", "valueExpression" : { "language" : "text/fhirpath", "expression" : "ServiceRequest.orderDetail.text" } }], "linkId" : "informations-complementaires-avis", "definition" : "https://www.ghdc.be/StructureDefinition/PR-ServiceRequest#ServiceRequest.orderDetail.text", "text" : "Informations Complémentaires", "type" : "string", "required" : false, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext", "valueExpression" : { "language" : "text/fhirpath", "expression" : "ServiceRequest.reasonReference.display" } }], "linkId" : "situation", "definition" : "https://www.ghdc.be/StructureDefinition/PR-ServiceRequest#ServiceRequest.reasonReference.display", "text" : "Situation", "type" : "string", "required" : false, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext", "valueExpression" : { "language" : "text/fhirpath", "expression" : "ServiceRequest.relevantHistory.display" } }], "linkId" : "background", "definition" : "https://www.ghdc.be/StructureDefinition/PR-ServiceRequest#ServiceRequest.relevantHistory.display", "text" : "Background", "type" : "string", "required" : false, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext", "valueExpression" : { "language" : "text/fhirpath", "expression" : "ServiceRequest.supportingInfo.display" } }], "linkId" : "analyse", "definition" : "https://www.ghdc.be/StructureDefinition/PR-ServiceRequest#ServiceRequest.supportingInfo.display", "text" : "Analyse", "type" : "string", "required" : false, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext", "valueExpression" : { "language" : "text/fhirpath", "expression" : "ServiceRequest.reasonReference.display" } }], "linkId" : "attentes-et-besoins", "definition" : "https://www.ghdc.be/StructureDefinition/PR-ServiceRequest#ServiceRequest.reasonReference.display", "text" : "Attentes et Besoins", "type" : "string", "required" : false, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext", "valueExpression" : { "language" : "text/fhirpath", "expression" : "ServiceRequest.requester.display" } }], "linkId" : "prescripteur", "definition" : "https://www.ghdc.be/StructureDefinition/PR-ServiceRequest#ServiceRequest.requester.display", "text" : "Prescripteur", "type" : "string", "required" : false, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext", "valueExpression" : { "language" : "text/fhirpath", "expression" : "ServiceRequest.intent" } }], "linkId" : "avis-intent", "definition" : "https://www.ghdc.be/StructureDefinition/PR-ServiceRequest#ServiceRequest.intent", "text" : "Intent", "type" : "choice", "required" : false, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext", "valueExpression" : { "language" : "text/fhirpath", "expression" : "ServiceRequest.status" } }], "linkId" : "avis-status", "definition" : "https://www.ghdc.be/StructureDefinition/PR-ServiceRequest#ServiceRequest.status", "text" : "Status", "type" : "choice", "required" : false, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext", "valueExpression" : { "language" : "text/fhirpath", "expression" : "ServiceRequest.subject.display" } }], "linkId" : "avis-subject", "definition" : "https://www.ghdc.be/StructureDefinition/PR-ServiceRequest#ServiceRequest.subject.display", "text" : "subject", "type" : "string", "required" : false, "repeats" : false }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext", "valueExpression" : { "language" : "text/fhirpath", "expression" : "Invoice" } }], "linkId" : "synthese", "definition" : "https://www.ghdc.be/StructureDefinition/PR-Invoice#Invoice", "text" : "Synthèse", "type" : "group", "required" : false, "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext", "valueExpression" : { "language" : "text/fhirpath", "expression" : "Invoice.totalNet.value" } }], "linkId" : "tarification", "definition" : "https://www.ghdc.be/StructureDefinition/PR-Invoice#Invoice.totalNet.value", "text" : "Tarification", "type" : "decimal", "required" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext", "valueExpression" : { "language" : "text/fhirpath", "expression" : "Invoice.status" } }], "linkId" : "synthese-status", "definition" : "https://www.ghdc.be/StructureDefinition/PR-Invoice#Invoice.status", "text" : "Status", "type" : "choice", "required" : false }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext", "valueExpression" : { "language" : "text/fhirpath", "expression" : "DiagnosticReport" } }], "linkId" : "anamnese", "definition" : "https://www.ghdc.be/StructureDefinition/PR-DiagnosticReport#DiagnosticReport", "text" : "Anamnèse", "type" : "group", "required" : false, "repeats" : true, "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext", "valueExpression" : { "language" : "text/fhirpath", "expression" : "DiagnosticReport.result.display" } }], "linkId" : "examen-clinique", "definition" : "https://www.ghdc.be/StructureDefinition/PR-DiagnosticReport#DiagnosticReport.result.display", "text" : "Examen Clinique", "type" : "string", "required" : false, "repeats" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext", "valueExpression" : { "language" : "text/fhirpath", "expression" : "DiagnosticReport.result.display" } }], "linkId" : "resultats-des-examens-complementaires", "definition" : "https://www.ghdc.be/StructureDefinition/PR-DiagnosticReport#DiagnosticReport.result.display", "text" : "Résultats des Examens Complémentaires", "type" : "string", "required" : false, "repeats" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext", "valueExpression" : { "language" : "text/fhirpath", "expression" : "DiagnosticReport.effective" } }], "linkId" : "date", "definition" : "https://www.ghdc.be/StructureDefinition/PR-DiagnosticReport#DiagnosticReport.effective", "text" : "Date", "type" : "dateTime", "required" : false, "repeats" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext", "valueExpression" : { "language" : "text/fhirpath", "expression" : "DiagnosticReport.code.coding" } }], "linkId" : "anamnese-code", "definition" : "https://www.ghdc.be/StructureDefinition/PR-DiagnosticReport#DiagnosticReport.code.coding", "text" : "Code", "type" : "choice", "required" : false, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext", "valueExpression" : { "language" : "text/fhirpath", "expression" : "DiagnosticReport.status" } }], "linkId" : "anamnese-status", "definition" : "https://www.ghdc.be/StructureDefinition/PR-DiagnosticReport#DiagnosticReport.status", "text" : "Status", "type" : "choice", "required" : false, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext", "valueExpression" : { "language" : "text/fhirpath", "expression" : "DiagnosticReport.result.display" } }], "linkId" : "evolution", "definition" : "https://www.ghdc.be/StructureDefinition/PR-DiagnosticReport#DiagnosticReport.result.display", "text" : "Évolution", "type" : "string", "required" : false, "repeats" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext", "valueExpression" : { "language" : "text/fhirpath", "expression" : "DiagnosticReport.conclusion" } }], "linkId" : "hypothese-diagnostique", "definition" : "https://www.ghdc.be/StructureDefinition/PR-DiagnosticReport#DiagnosticReport.conclusion", "text" : "Hypothèses Diagnostiques", "type" : "string", "required" : false, "repeats" : false }, { "linkId" : "conduite-a-tenir", "text" : "Conduite à Tenir", "type" : "string", "required" : false, "repeats" : true }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext", "valueExpression" : { "language" : "text/fhirpath", "expression" : "DiagnosticReport" } }], "linkId" : "diagnostic-principal", "definition" : "https://www.ghdc.be/StructureDefinition/PR-DiagnosticReport#Diagnostic", "text" : "Diagnostic Principal", "type" : "group", "required" : false, "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext", "valueExpression" : { "language" : "text/fhirpath", "expression" : "DiagnosticReport.result.display" } }], "linkId" : "diagnostic", "definition" : "https://www.ghdc.be/StructureDefinition/PR-DiagnosticReport#DiagnosticReport.result.display", "text" : "Diagnostic", "type" : "choice", "required" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext", "valueExpression" : { "language" : "text/fhirpath", "expression" : "DiagnosticReport.result.display" } }], "linkId" : "informations-complementaires", "definition" : "https://www.ghdc.be/StructureDefinition/PR-DiagnosticReport#DiagnosticReport.result.display", "text" : "Informations Complémentaires", "type" : "string", "required" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext", "valueExpression" : { "language" : "text/fhirpath", "expression" : "DiagnosticReport.conclusion" } }], "linkId" : "conclusion", "definition" : "https://www.ghdc.be/StructureDefinition/PR-DiagnosticReport#DiagnosticReport.conclusion", "text" : "Conclusion", "type" : "string", "required" : false, "repeats" : true }, { "linkId" : "traitement", "text" : "Traitement", "type" : "string", "required" : false, "repeats" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext", "valueExpression" : { "language" : "text/fhirpath", "expression" : "DiagnosticReport.code.coding" } }], "linkId" : "diagnostic-code", "definition" : "https://www.ghdc.be/StructureDefinition/PR-DiagnosticReport#DiagnosticReport.code.coding", "text" : "Code", "type" : "choice", "required" : false, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext", "valueExpression" : { "language" : "text/fhirpath", "expression" : "DiagnosticReport.status" } }], "linkId" : "diagnostic-status", "definition" : "https://www.ghdc.be/StructureDefinition/PR-DiagnosticReport#DiagnosticReport.status", "text" : "Status", "type" : "choice", "required" : false, "repeats" : false }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext", "valueExpression" : { "language" : "text/fhirpath", "expression" : "Condition" } }], "linkId" : "notes", "definition" : "https://www.ghdc.be/StructureDefinition/PR-Condition#Condition", "text" : "Notes", "type" : "group", "required" : false, "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext", "valueExpression" : { "language" : "text/fhirpath", "expression" : "Condition.note.text" } }], "linkId" : "condition-notes", "definition" : "https://www.ghdc.be/StructureDefinition/PR-Condition#Condition.note.text", "text" : "Consition Notes", "type" : "string", "required" : false, "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext", "valueExpression" : { "language" : "text/fhirpath", "expression" : "Condition.subject.display" } }], "linkId" : "condition-subject", "definition" : "https://www.ghdc.be/StructureDefinition/PR-Condition#Condition.subject.display", "text" : "Subject", "type" : "choice", "required" : false, "repeats" : false }] }] }], "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/dtr-questionnaireresponse-questionnaire", "valueReference" : { "reference" : "#Questionnaire-Infectiologie" } }], "questionnaire" : "https://www.ghdc.be/Questionnaire/Questionnaire-Infectiologie", "status" : "in-progress", "item" : [{ "linkId" : "reponse-a-l-avis-de-diagnostic-en-infectiologie", "definition" : "http://fhir.org#DiagnosticReport", "text" : "Réponse à l'Avis de Diagnostic en Infectiologie", "item" : [{ "linkId" : "date-de-l-examen", "definition" : "http://fhir.org#DiagnosticReport.effective", "text" : "Date de l'Examen", "answer" : [{ "valueDateTime" : "2024-05-30T09:00:00Z" }] }, { "linkId" : "date-du-premier-contact", "text" : "Date du Premier Contact" }, { "linkId" : "medecin-demandeur-prescripteur", "text" : "Médecin Demandeur/Prescripteur" }, { "linkId" : "specialite-du-medecin-demandeur", "text" : "Spécialité du Médecin Demandeur" }, { "linkId" : "code", "definition" : "http://fhir.org#DiagnosticReport.code.coding", "text" : "Code", "answer" : [{ "valueCoding" : { "system" : "http://loinc.org", "code" : "789-8", "display" : "Infectious disease panel" } }] }, { "linkId" : "status", "definition" : "http://fhir.org#DiagnosticReport.status", "text" : "Status", "answer" : [{ "valueCoding" : { "system" : "http://hl7.org/fhir/diagnostic-report-status", "code" : "final", "display" : "Final" } }] }] }, { "linkId" : "motif-de-la-demande-d-avis", "definition" : "http://fhir.org#ServiceRequest", "text" : "Motif de la Demande d'Avis", "item" : [{ "linkId" : "demande-d-avis", "definition" : "http://fhir.org#ServiceRequest.code.coding", "text" : "Demande d'Avis", "answer" : [{ "valueCoding" : { "system" : "https://www.ghdc.be/ValueSet/VS-infectiology-avis-motifs-full", "code" : "consult", "display" : "Consultation pour suspicion d'infection" } }] }, { "linkId" : "informations-complementaires-avis", "definition" : "http://fhir.org#ServiceRequest.orderDetail.text", "text" : "Informations Complémentaires", "answer" : [{ "valueString" : "Patient présentant une fièvre persistante et des symptômes respiratoires." }] }, { "linkId" : "situation", "definition" : "http://fhir.org#ServiceRequest.reasonReference.display", "text" : "Situation", "answer" : [{ "valueString" : "Fièvre d'origine inconnue, possible pneumonie." }] }, { "linkId" : "background", "definition" : "http://fhir.org#ServiceRequest.relevantHistory.display", "text" : "Background", "answer" : [{ "valueString" : "Antécédents de bronchite chronique." }] }, { "linkId" : "analyse", "definition" : "http://fhir.org#ServiceRequest.supportingInfo.display", "text" : "Analyse", "answer" : [{ "valueString" : "Analyse sanguine et radiographie thoracique en cours." }] }, { "linkId" : "attentes-et-besoins", "definition" : "http://fhir.org#ServiceRequest.reasonReference.display", "text" : "Attentes et Besoins", "answer" : [{ "valueString" : "Confirmation du diagnostic et recommandations thérapeutiques." }] }, { "linkId" : "prescripteur", "definition" : "http://fhir.org#ServiceRequest.requester.display", "text" : "Prescripteur", "answer" : [{ "valueString" : "Dr. Jean Dupont" }] }, { "linkId" : "avis-intent", "definition" : "http://fhir.org#ServiceRequest.intent", "text" : "Intent", "answer" : [{ "valueCoding" : { "system" : "http://hl7.org/fhir/request-intent", "code" : "order", "display" : "Order" } }] }, { "linkId" : "avis-status", "definition" : "http://fhir.org#ServiceRequest.status", "text" : "Status", "answer" : [{ "valueCoding" : { "system" : "http://hl7.org/fhir/request-status", "code" : "active", "display" : "Active" } }] }, { "linkId" : "avis-subject", "definition" : "http://fhir.org#ServiceRequest.subject.display", "text" : "subject", "answer" : [{ "valueString" : "Patient/001" }] }] }, { "linkId" : "synthese", "definition" : "http://fhir.org#Invoice", "text" : "Synthèse", "item" : [{ "linkId" : "tarification", "definition" : "http://fhir.org#Invoice.totalNet.value", "text" : "Tarification", "answer" : [{ "valueDecimal" : 150 }] }, { "linkId" : "synthese-status", "definition" : "http://fhir.org#Invoice.status", "text" : "Status", "answer" : [{ "valueCoding" : { "system" : "http://hl7.org/fhir/invoice-status", "code" : "issued", "display" : "Issued" } }] }] }, { "linkId" : "anamnese", "definition" : "http://fhir.org#DiagnosticReport", "text" : "Anamnèse", "item" : [{ "linkId" : "examen-clinique", "definition" : "http://fhir.org#DiagnosticReport.result.display", "text" : "Examen Clinique", "answer" : [{ "valueString" : "Fièvre persistante, toux sèche, fatigue." }] }, { "linkId" : "resultats-des-examens-complementaires", "definition" : "http://fhir.org#DiagnosticReport.result.display", "text" : "Résultats des Examens Complémentaires", "answer" : [{ "valueString" : "Analyse sanguine : CRP élevée, radiographie thoracique : infiltrats pulmonaires." }] }, { "linkId" : "date", "definition" : "http://fhir.org#DiagnosticReport.effective", "text" : "Date", "answer" : [{ "valueDateTime" : "2024-05-30T10:00:00Z" }] }, { "linkId" : "anamnese-code", "definition" : "http://fhir.org#DiagnosticReport.code.coding", "text" : "Code", "answer" : [{ "valueCoding" : { "system" : "http://loinc.org", "code" : "11289-6", "display" : "General clinical examination" } }] }, { "linkId" : "anamnese-status", "definition" : "http://fhir.org#DiagnosticReport.status", "text" : "Status", "answer" : [{ "valueCoding" : { "system" : "http://hl7.org/fhir/diagnostic-report-status", "code" : "preliminary", "display" : "Preliminary" } }] }, { "linkId" : "evolution", "definition" : "http://fhir.org#DiagnosticReport.result.display", "text" : "Évolution", "answer" : [{ "valueString" : "État stable, pas d'amélioration significative des symptômes." }] }, { "linkId" : "hypothese-diagnostique", "definition" : "http://fhir.org#DiagnosticReport.conclusion", "text" : "Hypothèses Diagnostiques", "answer" : [{ "valueString" : "Suspicion de pneumonie bactérienne ou virale." }] }, { "linkId" : "conduite-a-tenir", "text" : "Conduite à Tenir" }] }, { "linkId" : "diagnostic-principal", "definition" : "http://fhir.org#DiagnosticReport", "text" : "Diagnostic Principal", "item" : [{ "linkId" : "diagnostic", "definition" : "http://fhir.org#DiagnosticReport.result.display", "text" : "Diagnostic", "answer" : [{ "valueCoding" : { "system" : "https://www.ghdc.be/ValueSet/VS-infectiology-avis-diagnostics-full", "code" : "DX-001", "display" : "Pneumonie infectieuse" } }] }, { "linkId" : "informations-complementaires", "definition" : "http://fhir.org#DiagnosticReport.result.display", "text" : "Informations Complémentaires", "answer" : [{ "valueString" : "Patient à risque en raison de son âge avancé et des antécédents de bronchite chronique." }] }, { "linkId" : "conclusion", "definition" : "http://fhir.org#DiagnosticReport.conclusion", "text" : "Conclusion", "answer" : [{ "valueString" : "Le diagnostic de pneumonie infectieuse est confirmé, continuer le traitement antibiotique et surveiller de près." }] }, { "linkId" : "traitement", "text" : "Traitement" }, { "linkId" : "diagnostic-code", "definition" : "http://fhir.org#DiagnosticReport.code.coding", "text" : "Code", "answer" : [{ "valueCoding" : { "system" : "http://loinc.org", "code" : "39156-5", "display" : "Infectious disease diagnosis" } }] }, { "linkId" : "diagnostic-status", "definition" : "http://fhir.org#DiagnosticReport.status", "text" : "Status", "answer" : [{ "valueCoding" : { "system" : "http://hl7.org/fhir/diagnostic-report-status", "code" : "final", "display" : "Final" } }] }] }, { "linkId" : "notes", "definition" : "http://fhir.org#Condition", "text" : "Notes", "item" : [{ "linkId" : "condition-notes", "definition" : "http://fhir.org#Condition.note.text", "text" : "Condition Notes", "answer" : [{ "valueString" : "Le patient doit être surveillé de près en raison du risque de complications." }] }, { "linkId" : "condition-subject", "definition" : "http://fhir.org#Condition.subject.display", "text" : "Subject", "answer" : [{ "valueString" : "Patient/001" }] }] }] }