Imaging Order
Source Object: Imaging Order
Overview and Usage: The "Imaging Order" source object in athena EHR is designed for managing orders related to medical imaging procedures. It includes key fields for tracking and organizing imaging requests, aiding in scheduling, categorization, and patient care. Here's an overview of its main fields and their usage:
- Clinical Provider ID: Identifies the healthcare professional responsible for the order.
- Date Ordered: Records the date when the order was placed.
- Description: Provides a brief title for the imaging order.
- Diagnosis List: Lists medical diagnoses associated with the order.
- Order Type: Categorizes the type of imaging procedure requested.
- Order ID: Serves as a unique identifier for reference.
- Status: Indicates the order's progress (e.g., pending, in progress, completed).
- Assigned User: Identifies the user responsible for order fulfillment.
- Provider: Refers to the requesting healthcare provider.
- Facility Information: Contains data about the facility handling the order.
- Insurance Details: Provides information on insurance coverage.
- Attachments: Includes any attached documents related to the order.
- Action Note: May contain additional notes or comments.
The "Imaging Order" source object streamlines the management of imaging requests, ensuring proper documentation and tracking, facilitating patient care and diagnosis. Developers can use this source object to build applications for handling imaging orders efficiently.
Mapping Table
| Data Field | Example Value | Source Data Field Description | Source Field Data Type | Source Data Field Cardinality | Mapped FHIR++ Resource | Mapped FHIR Data Field | Augmented Mapping | Associated Coding System | Associated FHIR Data Field Extension | Mapping Context |
|---|---|---|---|---|---|---|---|---|---|---|
| clinicalproviderid | - | ID of the clinical provider. | Integer | 0..1 | serviceRequest | performer[1].reference | - | - | - | Top Level |
| dateordered | - | The timestamp when the order was created. | String | 0..1 | serviceRequest | authoredOn | - | - | - | Top Level |
| departmentid | - | Department ID of the provider. | Integer | 0..1 | serviceRequest | extensions[*].valueInteger | - | - | department-id | Top Level |
| description | - | A human readable description for this order | String | 0..1 | serviceRequest | code.text | - | - | - | Top Level |
| diagnosislist | - | List of Diagnosis related to this order. | Object | 0..* | serviceRequest | reasonCode | - | - | - | Top Level |
| diagnosislist.diagnosiscode | - | Object | 0..* | serviceRequest | reasonCode[1].coding | - | - | - | Top Level | |
| diagnosislist.diagnosiscode.code | - | SNOMED Diagnosis Code. | String | 0..1 | serviceRequest | reasonCode[1].coding[*].code | - | Snomed | - | Top Level |
| diagnosislist.diagnosiscode.codeset | - | CodeSet the SNOMED code belongs to. | String | 0..1 | serviceRequest | reasonCode[1].coding[*].system | - | - | - | Top Level |
| diagnosislist.diagnosiscode.description | - | Description of the SNOMED Code. | String | 0..1 | serviceRequest | reasonCode[1].coding[*].display | - | - | - | Top Level |
| diagnosislist.snomedicdcodes | - | ICD equivalent Codes for the SNOMED Code. | Object | 0..* | serviceRequest | reasonCode[1].coding | - | - | - | Top Level |
| diagnosislist.snomedicdcodes.code | - | ICD 10 Code. | String | 0..1 | serviceRequest | reasonCode[1].coding[*].code | - | ICD10,ICD9 | - | Top Level |
| diagnosislist.snomedicdcodes.codeset | - | Code set the ICD10 code belongs to. | String | 0..1 | serviceRequest | reasonCode[1].coding[*].system | - | - | - | Top Level |
| diagnosislist.snomedicdcodes.description | - | Brief description of the code. | String | 0..1 | serviceRequest | reasonCode[1].coding[*].display | - | - | - | Top Level |
| futuresubmitdate | - | The date this order will be submitted. | String | 0..1 | serviceRequest | occurrenceDateTime | - | - | - | Top Level |
| orderid | - | The order (aka document) ID for this order. | Integer | 0..1 | serviceRequest | id | - | - | - | Top Level |
| ordertype | - | The type of this order (Lab, Vaccine, etc.). | String | 0..1 | serviceRequest | code.coding[1].display | - | - | - | Top Level |
| ordertypeid | - | The athena ID for this type of order. Can be used to create another order of this type. | Integer | 0..1 | serviceRequest | code.coding[1].code | - | - | - | Top Level |
| priority | - | Priority of an order. 1 is high; 2 is normal. | Integer | 0..1 | serviceRequest | priority | - | - | - | Top Level |
| providerid | - | ID of the ordering provider. | Integer | 0..1 | serviceRequest | requester.reference | - | - | - | Top Level |
| quantityvalue | - | The dosage quantity value. | String | 0..1 | serviceRequest | quantityQuantity.value | - | - | - | Top Level |
| status | - | The status the document is in (PEND, CLOSED, SUBMIT, SUBMITTED, etc). | String | 0..1 | serviceRequest | status | - | - | - | Top Level |
| assigneduser | - | The username of the user who this order task is currently assigned to for further processing as needed. | String | 0..1 | serviceRequest | performer[].extension[].valueString | - | - | assigned-user | Top Level |
| class | - | The primary class of this order -- PRESCRIPTION, VACCINE, LAB, IMAGING, PATIENTINFO, etc. | String | 0..1 | serviceRequest | category.coding[1].code | - | - | - | Top Level |
| classdescription | - | The human-readable description of this document class, including sub class. (prescription - new vs. prescription - renewal). | String | 0..1 | serviceRequest | category.coding[1].display | - | - | - | Top Level |
| clinicalprovider | - | Details about the provider the order is sent to. | Object | 0..* | Practitioner | - | - | - | - | Contained |
| clinicalprovider.address1 | - | First part of provider address. | String | 0..1 | Practitioner | address[*].line[1] | - | - | - | Contained |
| clinicalprovider.address2 | - | Second part of provider address. | String | 0..1 | Practitioner | address[*].line[1] | - | - | - | Contained |
| clinicalprovider.city | - | City of the provider. | String | 0..1 | Practitioner | address[*].city | - | - | - | Contained |
| clinicalprovider.clianumber | - | The CLIA number of the clinical provider on file. | String | 0..1 | Practitioner | extension[*].valueString | - | - | clinical-provider-clianumber | Contained |
| clinicalprovider.clinicalproviderid | - | ID for the provider. | String | 0..1 | Practitioner | id | - | - | - | Contained |
| clinicalprovider.faxphonenumber | - | Fax number for the provider. | String | 0..1 | Practitioner | telecom[*].value | system=fax | - | - | Contained |
| clinicalprovider.name | - | Name of the provider. | String | 0..1 | Practitioner | name[*].text | use = official | - | - | Contained |
| clinicalprovider.phonenumber | - | Phone number for the provider. | String | 0..1 | Practitioner | telecom[*].value | system=phone | - | - | Contained |
| clinicalprovider.state | - | State the provider resides. | String | 0..1 | Practitioner | address[*].state | - | - | - | Contained |
| clinicalprovider.zip | - | Zip code for the provider. | Integer | 0..1 | Practitioner | address[*].postalCode | - | - | - | Contained |
| clinicalprovidername | - | Name of the clinical provider. | String | 0..1 | Practitioner | name[*].text | use = usual | - | - | Contained |
| contraindicationreason | - | List of codes indicating why the order was contraindicated (for vaccines only). If this field is not present, the order does not contain a contraindication reason. | Object | 0..* | serviceRequest | - | - | - | - | Top Level |
| contraindicationreason.code | - | The code indicating why the order was contraindicated. | String | 0..1 | serviceRequest | extension[*].valueCodableConcept.coding[1].code | - | - | contraindication-reason | Top Level |
| contraindicationreason.codeset | - | The codeset that the code belongs to. | String | 0..1 | serviceRequest | extension[*].valueCodableConcept.coding[1].system | - | - | contraindication-reason | Top Level |
| contraindicationreason.description | - | The plaintext description of the contraindication reason. | String | 0..1 | serviceRequest | extension[*].valueCodableConcept.coding[1].display | - | - | contraindication-reason | Top Level |
| createduser | - | The username of the person who created the order. | String | 0..1 | serviceRequest | extension[*].valueString | - | - | created-user | Top Level |
| declinedreason | - | List of codes indicating why the order was not given. If this field is not present, the order was not declined. If the array is empty, no reason has been chosen. | Object | 0..* | serviceRequest | orderDetail | - | - | - | Top Level |
| declinedreason.code | - | The code indicating why the order was not given. | String | 0..1 | serviceRequest | orderDetail.coding[1].code | - | - | - | Top Level |
| declinedreason.codeset | - | The codeset that the code belongs to. | String | 0..1 | serviceRequest | orderDetail.coding[1].system | - | - | - | Top Level |
| declinedreason.description | - | The plaintext description of the reason the order was not given. | String | 0..1 | serviceRequest | orderDetail.coding[1].display | - | - | - | Top Level |
| declinedreasontext | - | The user-facing description of the reason the order was not given. | String | 0..1 | serviceRequest | orderDetail.text | - | - | - | Top Level |
| documentationonly | - | If true, this order is here just as a record, and does not need to actually go out. | Boolean | 0..1 | serviceRequest | doNotPerform | - | - | - | Top Level |
| earliestfilldate | - | The earliest date a prescription may be filled, in the format mm/dd/yyyy. | String | 0..1 | serviceRequest | extensions[*].valueString | - | - | earliest-fill-date | Top Level |
| externalcodes | - | When available, contains how this order maps to external vocabularies like LOINC, CVX, SNOMED, RXNORM, etc. | Object | 0..* | serviceRequest | - | - | - | - | Top Level |
| externalcodes.code | - | The code in the external vocabulary. | String | 0..1 | serviceRequest | orderDetail[].coding[].code | - | - | - | Top Level |
| externalcodes.codeset | - | Name of the external vocabulary. Currently LOINC (for labs and some imaging orders), CVX (for vaccines), RXNORM and NDC (for prescriptions and some DMEs). | String | 0..1 | serviceRequest | orderDetail[].coding[].system | - | LOINC,CVX,RxNorm,NDC | - | Top Level |
| externalcodes.description | - | When available, a description of the code from the external vocabulary. | String | 0..1 | serviceRequest | orderDetail[].coding[].display | - | - | - | Top Level |
| facilityordercode | - | Facility specific coding for the type of order. | Object | 0..* | serviceRequest | - | - | - | - | Top Level |
| facilityordercode.code | - | The code in the facility specific vocabulary. | String | 0..1 | serviceRequest | orderDetail[].coding[].code | - | - | - | Top Level |
| facilityordercode.description | - | When available, a description of the code from the facility specific vocabulary. | String | 0..1 | serviceRequest | orderDetail[].coding[].display | - | - | - | Top Level |
| lastmodifiedby | - | The username of the person who last modified the order. | String | 0..1 | serviceRequest | extension[*].valueString | - | - | last-modified-by | Top Level |
| lastmodifieddatetime | - | The date this order was last modified. | String | 0..1 | serviceRequest | extension[*].valueString | - | - | modified-datetime | Top Level |
| ndc | - | The National Drug Code for the order. | String | 0..1 | serviceRequest | extensions[*].valueId | - | NDC | ndc | Top Level |
| orderingprovider | - | The username of the ordering provider, which is different than the ordering user -- who may be an intake nurse for example. | String | 0..1 | serviceRequest | extension[*].valueString | - | - | ordering-provider | Top Level |
| refills | - | The number of refills allowed. | String | 0..1 | serviceRequest | extension[*].valueString | - | - | refills | Top Level |
| specimencollectionsite | - | Gives the location of the clinical specimen collected if any. | String | 0..1 | serviceRequest | extension[*].valueString | - | - | specimen-collection-site | Top Level |
| diagnosissnomedcode | - | The SNOMED code for diagnosis this order is for. | Integer | 0..1 | serviceRequest | reasonCode.[*].coding | system=http://snomed.info/sct | Snomed | - | Top Level |
| facilityid | - | The athena ID of the lab you want to send the order to. Get a localized list using /chart/configuration/facilities. | Integer | 0..1 | serviceRequest | order.performer.[0].reference.split("/")?.[1] | - | - | - | Top Level |
| facilitynote | - | A note to send to the lab. | String | 0..1 | serviceRequest | note[*].text | note[*].authorString=facility | - | - | Top Level |
| futuresubmitdate | - | The date the order should be sent. Defaults to today. | String | 0..1 | serviceRequest | occurrenceDateTime | - | - | - | Top Level |
| highpriority | - | If true, then the order should be sent STAT. | Boolean | 0..1 | serviceRequest | if (priority === "stat") then true , else false | - | - | - | Top Level |
| ordertypeid | - | The athena ID of the lab to order. Get the IDs using /reference/order/lab. Either this or LOINC can be used, but not both. | Integer | 0..1 | serviceRequest | code.coding[*].code | - | - | - | Top Level |
| providernote | - | An internal note for the provider or staff. | String | 0..1 | serviceRequest | note[*].text | note[*].authorString=practitioner | - | - | Top Level |
| insurances.additionalinformation | - | Additional information note. | string | 0..1 | Coverage | extension.valueString | additional-information | Contained | ||
| insurances.authorizationnumber | - | Authorization number. | string | 0..1 | Coverage | identifier.value | Contained | |||
| insurances.authorizationstatus | - | The authorization status for this insurance. | string | 0..1 | Coverage | extension.valueString | authorization-status | Contained | ||
| insurances.effectiveenddate | - | Effective end date. | string | 0..1 | Coverage | period | Contained | |||
| insurances.effectivestartdate | - | Effective start date. | string | 0..1 | Coverage | period | Contained | |||
| insurances.insurancepackageid | - | Insurance package id. | string | 0..1 | Coverage | identifier.value | Contained | |||
| insurances.memberid | - | Member id. | string | 0..1 | Coverage | extension.valueString | member-id | Contained | ||
| insurances.name | - | Name of the insurance. | string | 0..1 | Coverage | class.name | Contained | |||
| insurances.patientinsuranceid | - | Patient insurance id. | string | 0..1 | Coverage | contaned.id | Contained | |||
| insurances.sequence | - | Number indicating insurance sequence: 1 - Primary, 2 - Secondary, 3 - Tertiary, 4 - Quaternary. | integer | 0..1 | Coverage | extension.valueInteger | sequence | Contained | ||
| insurances.visitsapproved | - | The number of visits approved. | integer | 0..1 | Coverage | extension.valueString | visits-approved | Contained | ||
| questions.answer | - | BETA FIELD: The custom list of questions and answers associated with this order.This list will vary by practice. | string | 0..1 | QuestionnaireResponse | item.text | Contained | |||
| questions.question | - | BETA FIELD: The custom list of questions and answers associated with this order.This list will vary by practice. | string | 0..1 | QuestionnaireResponse | item.answer.valueString | Contained | |||
| attachments.documentclass | - | Class of the attached document. | string | 0..1 | DocumentReference | contained.category.coding.code | Contained | |||
| attachments.documentdescription | - | A description of the attached document. | string | 0..1 | DocumentReference | contained.description | Contained | |||
| attachments.documentid | - | ID of the attached document. | integer | 0..1 | DocumentReference | contained.id | Contained | |||
| attachments.encounterid | - | ID of the attached encounter or order group. | integer | 0..1 | DocumentReference | contained.context.encounter.reference | Contained | |||
| attachments.flowsheetid | - | ID of the attached flowsheet. | integer | 0..1 | DocumentReference | contained.extension.valueString | flow-sheet-id | Contained | ||
| attachments.sectionname | - | Section name for the attached document. | string | 0..1 | DocumentReference | contained.extension.valueString | section-name | Contained | ||
| attachments.sectionnamekey | - | Key name of the section of the attached document. | string | 0..1 | DocumentReference | contained.extension.valueString | section-name-key | Contained | ||
| actionnote | - | The action note to add to the order. | string | 0..1 | serviceRequest | extension.valueString | action-note | Top Level |