CH ORF (R4)
2.0.0-ballot - ballot
CH ORF (R4)
2.0.0-ballot - ballot
This page is part of the CH ORF (R4) (v2.0.0-ballot: STU 2 Ballot 1) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions 
{
"resourceType" : "Bundle",
"id" : "bundle-order-referral-form",
"meta" : {
"profile" : [
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"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:961aba74-a098-44ad-af05-aa6d0dbc4021"
},
"type" : "document",
"timestamp" : "2023-06-12T20:41:06+00:00",
"entry" : [
{
"fullUrl" : "urn:uuid:2744e113-d29e-40b7-af6e-c19a3a8a1c7c",
"resource" : {
"resourceType" : "Composition",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Composition</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"/><p><b>CH ORF Precedent Document</b>: id:\u00a0urn:uuid:1622f2fb-6ba3-4532-9aed-35b158def187</p><p><b>CH ORF Urgent Notification Contact For This Documet</b>: <a href=\"#urnuuida5c91b7a-8c58-4a71-a1bc-08bd093681b8\">See above (urn:uuid:a5c91b7a-8c58-4a71-a1bc-08bd093681b8)</a></p><p><b>CH ORF Urgent Notification Contact For The Response To This Document</b>: <a href=\"#urnuuid9fec93d4-ac30-4d89-8975-e5e2ebabd28a\">See above (urn:uuid:9fec93d4-ac30-4d89-8975-e5e2ebabd28a)</a></p><p><b>CH ORF Receiver</b>: <a href=\"#urnuuid305422f3-dbfb-4ce0-bd12-e26d0024f550\">See above (urn:uuid:305422f3-dbfb-4ce0-bd12-e26d0024f550)</a></p><blockquote><p><b>CH ORF Initiator</b></p><blockquote><p><b>url</b></p><a href=\"StructureDefinition-ch-orf-personalrelation.html\">ChOrfPersonalRelation</a></blockquote><p><b>value</b>: Son (Details: SNOMED CT code 65616008 = 'Son', stated as 'null')</p><blockquote><p><b>url</b></p><a href=\"StructureDefinition-ch-orf-legalrelation.html\">ChOrfLegalRelation</a></blockquote><p><b>value</b>: Undetermined (qualifier value) (Details: SNOMED CT code 373068000 = 'Undetermined (qualifier value)', stated as 'null')</p><blockquote><p><b>url</b></p><a href=\"StructureDefinition-ch-orf-personorganization.html\">ChOrfPersonOrganization</a></blockquote><p><b>value</b>: <a href=\"#urnuuidc1ed3d1d-8aff-401f-ae87-16e178323a10\">See above (urn:uuid:c1ed3d1d-8aff-401f-ae87-16e178323a10)</a></p></blockquote><blockquote><p><b>EPR Data Enterer</b></p><blockquote><p><b>url</b></p><code>enterer</code></blockquote><p><b>value</b>: <a href=\"#urnuuid40300c5d-0259-438a-88b8-4b24a9c6bf79\">See above (urn:uuid:40300c5d-0259-438a-88b8-4b24a9c6bf79)</a></p></blockquote><p><b>CH ORF Copy Receiver</b>: <a href=\"#urnuuidb7fdf56d-3bc9-48d9-b470-d1cafb8a0716\">See above (urn:uuid:b7fdf56d-3bc9-48d9-b470-d1cafb8a0716)</a></p><p><b>CH ORF Copy Receiver</b>: <a href=\"#urnuuidaaddb7b1-eb51-4426-8182-42f66fbf24d0\">See above (urn:uuid:aaddb7b1-eb51-4426-8182-42f66fbf24d0)</a></p><p><b>CH ORF Episode of Care</b>: <a href=\"#urnuuid9ba0fe13-1d13-4785-b408-1c69dda0d4c2\">See above (urn:uuid:9ba0fe13-1d13-4785-b408-1c69dda0d4c2)</a></p><p><b>status</b>: final</p><p><b>type</b>: Record artifact (record artifact) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#419891008)</span></p><p><b>category</b>: Order (record artifact) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#721963009)</span></p><p><b>date</b>: 2023-06-12 20:41:06+0000</p><p><b>author</b>: <a href=\"#urnuuid4388146d-9909-4613-b0c5-2ac3de31dfb8\">See above (urn:uuid:4388146d-9909-4613-b0c5-2ac3de31dfb8)</a></p><p><b>title</b>: Order and Referral by Form</p></div>"
},
"extension" : [
{
"url" : "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-precedentdocument",
"valueIdentifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:1622f2fb-6ba3-4532-9aed-35b158def187"
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},
{
"url" : "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactforthisdocument",
"valueReference" : {
"reference" : "urn:uuid:a5c91b7a-8c58-4a71-a1bc-08bd093681b8"
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{
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"valueReference" : {
"reference" : "urn:uuid:9fec93d4-ac30-4d89-8975-e5e2ebabd28a"
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{
"url" : "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-receiver",
"valueReference" : {
"reference" : "urn:uuid:305422f3-dbfb-4ce0-bd12-e26d0024f550"
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},
{
"url" : "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-initiator",
"extension" : [
{
"url" : "ch-orf-personalrelation",
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "65616008"
}
},
{
"url" : "ch-orf-legalrelation",
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "373068000"
}
},
{
"url" : "ch-orf-personorganization",
"valueReference" : {
"reference" : "urn:uuid:c1ed3d1d-8aff-401f-ae87-16e178323a10"
}
}
]
},
{
"url" : "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer",
"extension" : [
{
"url" : "enterer",
"valueReference" : {
"reference" : "urn:uuid:40300c5d-0259-438a-88b8-4b24a9c6bf79"
}
}
]
},
{
"url" : "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-copyreceiver",
"valueReference" : {
"reference" : "urn:uuid:b7fdf56d-3bc9-48d9-b470-d1cafb8a0716"
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},
{
"url" : "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-copyreceiver",
"valueReference" : {
"reference" : "urn:uuid:aaddb7b1-eb51-4426-8182-42f66fbf24d0"
}
},
{
"url" : "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-antecedentepisodeofcare",
"valueReference" : {
"reference" : "urn:uuid:9ba0fe13-1d13-4785-b408-1c69dda0d4c2"
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],
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "419891008"
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"category" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
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"subject" : {
"reference" : "urn:uuid:aaddb7b1-eb51-4426-8182-42f66fbf24d0"
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"date" : "2023-06-12T20:41:06+00:00",
"author" : [
{
"reference" : "urn:uuid:4388146d-9909-4613-b0c5-2ac3de31dfb8"
}
],
"title" : "Order and Referral by Form",
"section" : [
{
"title" : "Order-Referral",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "93037-0",
"display" : "Portable medical order form"
}
]
},
"entry" : [
{
"reference" : "urn:uuid:e65f3e97-3e93-400f-9624-ce9fd765b231"
},
{
"reference" : "urn:uuid:2f9f6d08-6fbc-4659-af0d-abdae83da63f"
},
{
"reference" : "http://fhir.ch/ig/ch-orf/Questionnaire/order-referral-form"
}
]
}
]
}
},
{
"fullUrl" : "urn:uuid:aaddb7b1-eb51-4426-8182-42f66fbf24d0",
"resource" : {
"resourceType" : "Patient",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Patient</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"/><p><b>identifier</b>: Medical record number: 11.22.33.4567</p><p><b>name</b>: Erika Musterfrau , Vormusterfrau (MAIDEN)</p><p><b>telecom</b>: ph: 079 979 79 79, <a href=\"mailto:erika@musterfrau.ch\">erika@musterfrau.ch</a></p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1970-03-14</p><p><b>address</b>: Musterweg 6a Zürich 8000 Schweiz </p><p><b>maritalStatus</b>: verwitwet <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://fhir.ch/ig/ch-core/4.0.0-ballot/CodeSystem-ech-11-maritalstatus.html\">eCH-011 MaritalStatus</a>#3)</span></p><h3>Contacts</h3><table class=\"grid\"><tr><td>-</td><td><b>Relationship</b></td><td><b>Name</b></td><td><b>Telecom</b></td></tr><tr><td>*</td><td>Guter Freund <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></td><td>Max Freund </td><td><a href=\"mailto:max@freund.ch\">max@freund.ch</a></td></tr></table><h3>Communications</h3><table class=\"grid\"><tr><td>-</td><td><b>Language</b></td><td><b>Preferred</b></td></tr><tr><td>*</td><td>German (Region=Switzerland) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.1.0/CodeSystem-v3-ietf3066.html\">Tags for the Identification of Languages</a>#de-CH)</span></td><td>true</td></tr></table><p><b>generalPractitioner</b>: <a href=\"#urnuuid11a6e0bc-534a-478a-b729-5d336601e789\">See above (urn:uuid:11a6e0bc-534a-478a-b729-5d336601e789)</a></p></div>"
},
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR"
}
]
},
"system" : "urn:oid:2.999.1.2.3.4",
"value" : "11.22.33.4567"
}
],
"name" : [
{
"family" : "Musterfrau",
"given" : [
"Erika"
]
},
{
"use" : "maiden",
"family" : "Vormusterfrau"
}
],
"telecom" : [
{
"system" : "phone",
"value" : "079 979 79 79"
},
{
"system" : "email",
"value" : "erika@musterfrau.ch"
}
],
"gender" : "female",
"birthDate" : "1970-03-14",
"address" : [
{
"line" : [
"Musterweg",
"6a"
],
"city" : "Zürich",
"postalCode" : "8000",
"country" : "Schweiz"
}
],
"maritalStatus" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus",
"code" : "3",
"display" : "verwitwet"
}
]
},
"contact" : [
{
"relationship" : [
{
"text" : "Guter Freund"
}
],
"name" : {
"family" : "Freund",
"given" : [
"Max"
]
},
"telecom" : [
{
"system" : "email",
"value" : "max@freund.ch"
}
]
}
],
"communication" : [
{
"language" : {
"coding" : [
{
"system" : "urn:ietf:bcp:47",
"code" : "de-CH"
}
]
},
"preferred" : true
}
],
"generalPractitioner" : [
{
"reference" : "urn:uuid:11a6e0bc-534a-478a-b729-5d336601e789"
}
]
}
},
{
"fullUrl" : "urn:uuid:e65f3e97-3e93-400f-9624-ce9fd765b231",
"resource" : {
"resourceType" : "QuestionnaireResponse",
"meta" : {
"profile" : [
"http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-questionnaireresponse"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: QuestionnaireResponse</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ch-orf-questionnaireresponse.html\">CH ORF QuestionnaireResponse</a></p></div><p><b>questionnaire</b>: <a href=\"Questionnaire-order-referral-form.html\">Order Referral Form</a></p><p><b>status</b>: completed</p><blockquote><p><b>item</b></p><p><b>linkId</b>: order</p><p><b>text</b>: Auftrag</p><blockquote><p><b>item</b></p><p><b>linkId</b>: order.placerOrderIdentifier</p><p><b>text</b>: Auftragsnummer des Auftraggebers</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.placerOrderIdentifierDomain</p><p><b>text</b>: Identifier Domain der Auftragsnummer des Auftraggebers</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.fillerOrderIdentifier</p><p><b>text</b>: Auftragsnummer des Auftragsempfängers</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.fillerOrderIdentifierDomain</p><p><b>text</b>: Identifier Domain der Auftragsnummer des Auftragsempfängers</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.precedentDocumentIdentifier</p><p><b>text</b>: Identifier des Vorgängerdokuments</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.notificationContactDocument</p><p><b>text</b>: Dringender Benachrichtigungskontakt für dieses Dokument</p><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.notificationContactDocumentResponse</p><p><b>text</b>: Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument</p><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.priority</p><p><b>text</b>: Auftragspriorität</p><blockquote><p><b>answer</b></p></blockquote></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiver</p><p><b>text</b>: Empfänger</p><blockquote><p><b>item</b></p><p><b>linkId</b>: receiver.practitioner</p><p><b>text</b>: Empfangende Person</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiver.organization</p><p><b>text</b>: Empfangende Organisation</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: initiator</p><p><b>text</b>: Initiant dieser Anmeldung</p><blockquote><p><b>item</b></p><p><b>linkId</b>: initiator.legalrelation</p><p><b>text</b>: Juristische Beziehung zum Patienten</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: initiator.personalrelation</p><p><b>text</b>: Persönliche Beziehung zum Patienten?</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: initiator.relatedPerson</p><p><b>text</b>: Andere Person</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient</p><p><b>text</b>: Patient</p><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.familyName</p><p><b>text</b>: Name</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.maidenName</p><p><b>text</b>: Ledigname</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.givenName</p><p><b>text</b>: Vorname</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.localPid</p><p><b>text</b>: Lokale Patienten-ID</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.localPidDomain</p><p><b>text</b>: Lokale Patienten-ID Domain</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.birthDate</p><p><b>text</b>: Geburtsdatum</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.gender</p><p><b>text</b>: Geschlecht</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.maritalStatus</p><p><b>text</b>: Zivilstand</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.phone</p><p><b>text</b>: Telefon</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.email</p><p><b>text</b>: E-Mail</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.streetAddressLine</p><p><b>text</b>: Strasse, Hausnummer, Postfach etc.</p><blockquote><p><b>answer</b></p></blockquote><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.postalCode</p><p><b>text</b>: PLZ</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.city</p><p><b>text</b>: Ort</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.country</p><p><b>text</b>: Land</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.languageOfCorrespondence</p><p><b>text</b>: Korrespondenzsprache</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.contactperson</p><p><b>text</b>: Kontaktperson</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: familydoctor</p><p><b>text</b>: Hausarzt</p><blockquote><p><b>item</b></p></blockquote></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: requestedEncounter</p><p><b>text</b>: Patientenaufnahme</p><blockquote><p><b>item</b></p><p><b>linkId</b>: requestedEncounter.class</p><p><b>text</b>: Voraussichtlich: Ambulant / Stationär / Notfall</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: requestedEncounter.desiredAccommodation</p><p><b>text</b>: Zimmerkategorie</p><blockquote><p><b>answer</b></p></blockquote></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage</p><p><b>text</b>: Kostenträger</p><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.kvg</p><p><b>text</b>: Krankenkasse (nach KVG)</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: sender</p><p><b>text</b>: Absender</p><blockquote><p><b>item</b></p><p><b>linkId</b>: sender.author</p><p><b>text</b>: Verantwortlicher</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: sender.dataenterer</p><p><b>text</b>: Erfasser</p><blockquote><p><b>item</b></p></blockquote></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiverCopy</p><p><b>text</b>: Kopieempfänger (Kopie dieses Auftrags und aller daraus resultierenden Resultate)</p><blockquote><p><b>item</b></p><p><b>linkId</b>: receiverCopy.practitionerRole</p><p><b>text</b>: Gesundheitsfachperson oder -organisation</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiverCopy.patient</p><p><b>text</b>: Patient selbst</p><blockquote><p><b>answer</b></p></blockquote></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: antecedentEpisodeOfCare</p><p><b>text</b>: Vorgängiger Aufenthalt in Spital / Heim</p><blockquote><p><b>item</b></p><p><b>linkId</b>: antecedentEpisodeOfCare.start</p><p><b>text</b>: Von</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: antecedentEpisodeOfCare.end</p><p><b>text</b>: Bis</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: antecedentEpisodeOfCare.managingOrganization</p><p><b>text</b>: Spital /Heim</p><blockquote><p><b>item</b></p></blockquote></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: appointment</p><p><b>text</b>: Ort und Zeit der Durchführung der angeforderten Leistung</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: consent</p><p><b>text</b>: Einverständniserklärung</p><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.consent.statement</p><p><b>text</b>: Ist der Patient über die Anmeldung informiert und explizit einverstanden?</p><blockquote><p><b>answer</b></p></blockquote></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: note</p><p><b>text</b>: Bemerkungen</p><blockquote><p><b>item</b></p><p><b>linkId</b>: note.text</p><p><b>text</b>: Kommentar</p><blockquote><p><b>answer</b></p></blockquote></blockquote></blockquote></div>"
},
"questionnaire" : "http://fhir.ch/ig/ch-orf/Questionnaire/order-referral-form",
"status" : "completed",
"item" : [
{
"linkId" : "order",
"text" : "Auftrag",
"item" : [
{
"linkId" : "order.placerOrderIdentifier",
"text" : "Auftragsnummer des Auftraggebers",
"answer" : [
{
"valueString" : "123"
}
]
},
{
"linkId" : "order.placerOrderIdentifierDomain",
"text" : "Identifier Domain der Auftragsnummer des Auftraggebers",
"answer" : [
{
"valueString" : "urn:oid:2.999.1.3.4.5.6.7"
}
]
},
{
"linkId" : "order.fillerOrderIdentifier",
"text" : "Auftragsnummer des Auftragsempfängers",
"answer" : [
{
"valueString" : "456"
}
]
},
{
"linkId" : "order.fillerOrderIdentifierDomain",
"text" : "Identifier Domain der Auftragsnummer des Auftragsempfängers",
"answer" : [
{
"valueString" : "urn:oid:2.999.7.8.9.10.11"
}
]
},
{
"linkId" : "order.precedentDocumentIdentifier",
"text" : "Identifier des Vorgängerdokuments",
"answer" : [
{
"valueString" : "1622f2fb-6ba3-4532-9aed-35b158def187"
}
]
},
{
"linkId" : "order.notificationContactDocument",
"text" : "Dringender Benachrichtigungskontakt für dieses Dokument",
"item" : [
{
"linkId" : "order.notificationContactDocument.practitioner",
"text" : "Zu benachrichtigende Person",
"item" : [
{
"linkId" : "order.notificationContactDocument.practitioner.title",
"text" : "Titel",
"answer" : [
{
"valueString" : "Dr. med."
}
]
},
{
"linkId" : "order.notificationContactDocument.practitioner.familyName",
"text" : "Name",
"answer" : [
{
"valueString" : "Röntgen"
}
]
},
{
"linkId" : "order.notificationContactDocument.practitioner.givenName",
"text" : "Vorname",
"answer" : [
{
"valueString" : "Hans"
}
]
},
{
"linkId" : "order.notificationContactDocument.practitioner.phone",
"text" : "Telefon",
"answer" : [
{
"valueString" : "044 412 00 99"
}
]
},
{
"linkId" : "order.notificationContactDocument.practitioner.email",
"text" : "E-Mail",
"answer" : [
{
"valueString" : "hans.roentgen@kantonsspital.ch"
}
]
}
]
}
]
},
{
"linkId" : "order.notificationContactDocumentResponse",
"text" : "Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument",
"item" : [
{
"linkId" : "order.notificationContactDocumentResponse.practitioner",
"text" : "Zu benachrichtigende Person",
"item" : [
{
"linkId" : "order.notificationContactDocumentResponse.practitioner.title",
"text" : "Titel",
"answer" : [
{
"valueString" : "Dr. med."
}
]
},
{
"linkId" : "order.notificationContactDocumentResponse.practitioner.familyName",
"text" : "Name",
"answer" : [
{
"valueString" : "Meier"
}
]
},
{
"linkId" : "order.notificationContactDocumentResponse.practitioner.givenName",
"text" : "Vorname",
"answer" : [
{
"valueString" : "Sabine"
}
]
},
{
"linkId" : "order.notificationContactDocumentResponse.practitioner.phone",
"text" : "Telefon",
"answer" : [
{
"valueString" : "044 333 22 11"
}
]
},
{
"linkId" : "order.notificationContactDocumentResponse.practitioner.email",
"text" : "E-Mail",
"answer" : [
{
"valueString" : "sabine.meier@praxisseeblick.ch"
}
]
}
]
}
]
},
{
"linkId" : "order.priority",
"text" : "Auftragspriorität",
"answer" : [
{
"valueCoding" : {
"system" : "http://hl7.org/fhir/request-priority",
"code" : "routine"
}
}
]
}
]
},
{
"linkId" : "receiver",
"text" : "Empfänger",
"item" : [
{
"linkId" : "receiver.practitioner",
"text" : "Empfangende Person",
"item" : [
{
"linkId" : "receiver.practitioner.title",
"text" : "Titel",
"answer" : [
{
"valueString" : "Dr. med."
}
]
},
{
"linkId" : "receiver.practitioner.familyName",
"text" : "Name",
"answer" : [
{
"valueString" : "Röntgen"
}
]
},
{
"linkId" : "receiver.practitioner.givenName",
"text" : "Vorname",
"answer" : [
{
"valueString" : "Hans"
}
]
},
{
"linkId" : "receiver.practitioner.gln",
"text" : "GLN",
"answer" : [
{
"valueString" : "7601000201041"
}
]
},
{
"linkId" : "receiver.practitioner.zsr",
"text" : "ZSR",
"answer" : [
{
"valueString" : "A123262"
}
]
},
{
"linkId" : "receiver.practitioner.phone",
"text" : "Telefon",
"answer" : [
{
"valueString" : "044 412 00 99"
}
]
},
{
"linkId" : "receiver.practitioner.email",
"text" : "E-Mail",
"answer" : [
{
"valueString" : "hans.roentgen@kantonsspital.ch"
}
]
}
]
},
{
"linkId" : "receiver.organization",
"text" : "Empfangende Organisation",
"item" : [
{
"linkId" : "receiver.organization.name",
"text" : "Name der Organisation",
"answer" : [
{
"valueString" : "Kantonsspital"
}
]
},
{
"linkId" : "receiver.organization.streetAddressLine",
"text" : "Strasse, Hausnummer, Postfach etc.",
"answer" : [
{
"valueString" : "Kantonsstrasse 14"
},
{
"valueString" : "Postfach 14"
}
]
},
{
"linkId" : "receiver.organization.postalCode",
"text" : "PLZ",
"answer" : [
{
"valueString" : "8000"
}
]
},
{
"linkId" : "receiver.organization.city",
"text" : "Ort",
"answer" : [
{
"valueString" : "Zürich"
}
]
},
{
"linkId" : "receiver.organization.country",
"text" : "Land",
"answer" : [
{
"valueString" : "Schweiz"
}
]
}
]
}
]
},
{
"linkId" : "initiator",
"text" : "Initiant dieser Anmeldung",
"item" : [
{
"linkId" : "initiator.legalrelation",
"text" : "Juristische Beziehung zum Patienten",
"answer" : [
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "373068000"
}
}
]
},
{
"linkId" : "initiator.personalrelation",
"text" : "Persönliche Beziehung zum Patienten?",
"answer" : [
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "65616008"
}
}
]
},
{
"linkId" : "initiator.relatedPerson",
"text" : "Andere Person",
"item" : [
{
"linkId" : "initiator.relatedPerson.familyName",
"text" : "Name",
"answer" : [
{
"valueString" : "Musterfrau"
}
]
},
{
"linkId" : "initiator.relatedPerson.givenName",
"text" : "Vorname",
"answer" : [
{
"valueString" : "Fritz"
}
]
}
]
}
]
},
{
"linkId" : "patient",
"text" : "Patient",
"item" : [
{
"linkId" : "patient.familyName",
"text" : "Name",
"answer" : [
{
"valueString" : "Musterfrau"
}
]
},
{
"linkId" : "patient.maidenName",
"text" : "Ledigname",
"answer" : [
{
"valueString" : "Vormusterfrau"
}
]
},
{
"linkId" : "patient.givenName",
"text" : "Vorname",
"answer" : [
{
"valueString" : "Erika"
}
]
},
{
"linkId" : "patient.localPid",
"text" : "Lokale Patienten-ID",
"answer" : [
{
"valueString" : "11.22.33.4567"
}
]
},
{
"linkId" : "patient.localPidDomain",
"text" : "Lokale Patienten-ID Domain",
"answer" : [
{
"valueString" : "urn:oid:2.999.1.2.3.4"
}
]
},
{
"linkId" : "patient.birthDate",
"text" : "Geburtsdatum",
"answer" : [
{
"valueDate" : "1970-03-14"
}
]
},
{
"linkId" : "patient.gender",
"text" : "Geschlecht",
"answer" : [
{
"valueCoding" : {
"system" : "http://hl7.org/fhir/administrative-gender",
"code" : "female"
}
}
]
},
{
"linkId" : "patient.maritalStatus",
"text" : "Zivilstand",
"answer" : [
{
"valueCoding" : {
"system" : "http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus",
"code" : "3",
"display" : "verwitwet"
}
}
]
},
{
"linkId" : "patient.phone",
"text" : "Telefon",
"answer" : [
{
"valueString" : "079 979 79 79"
}
]
},
{
"linkId" : "patient.email",
"text" : "E-Mail",
"answer" : [
{
"valueString" : "erika@musterfrau.ch"
}
]
},
{
"linkId" : "patient.streetAddressLine",
"text" : "Strasse, Hausnummer, Postfach etc.",
"answer" : [
{
"valueString" : "Musterweg"
},
{
"valueString" : "6a"
}
]
},
{
"linkId" : "patient.postalCode",
"text" : "PLZ",
"answer" : [
{
"valueString" : "8000"
}
]
},
{
"linkId" : "patient.city",
"text" : "Ort",
"answer" : [
{
"valueString" : "Zürich"
}
]
},
{
"linkId" : "patient.country",
"text" : "Land",
"answer" : [
{
"valueString" : "Schweiz"
}
]
},
{
"linkId" : "patient.languageOfCorrespondence",
"text" : "Korrespondenzsprache",
"answer" : [
{
"valueCoding" : {
"system" : "urn:ietf:bcp:47",
"code" : "de-CH"
}
}
]
},
{
"linkId" : "patient.contactperson",
"text" : "Kontaktperson",
"item" : [
{
"linkId" : "patient.contactperson.relationship",
"text" : "Beziehung",
"answer" : [
{
"valueString" : "Guter Freund"
}
]
},
{
"linkId" : "patient.contactperson.familyName",
"text" : "Name",
"answer" : [
{
"valueString" : "Freund"
}
]
},
{
"linkId" : "patient.contactperson.givenName",
"text" : "Vorname",
"answer" : [
{
"valueString" : "Max"
}
]
},
{
"linkId" : "patient.contactperson.phone",
"text" : "Telefon",
"answer" : [
{
"valueString" : "079 111 22 33"
}
]
},
{
"linkId" : "patient.contactperson.email",
"text" : "E-Mail",
"answer" : [
{
"valueString" : "max@freund.ch"
}
]
}
]
},
{
"linkId" : "familydoctor",
"text" : "Hausarzt",
"item" : [
{
"linkId" : "familydoctor.practitioner",
"text" : "Hausarzt Person",
"item" : [
{
"linkId" : "familydoctor.practitioner.title",
"text" : "Titel",
"answer" : [
{
"valueString" : "Dr. med."
}
]
},
{
"linkId" : "familydoctor.practitioner.familyName",
"text" : "Name",
"answer" : [
{
"valueString" : "Meier"
}
]
},
{
"linkId" : "familydoctor.practitioner.givenName",
"answer" : [
{
"valueString" : "Sabine"
}
]
}
]
}
]
}
]
},
{
"linkId" : "requestedEncounter",
"text" : "Patientenaufnahme",
"item" : [
{
"linkId" : "requestedEncounter.class",
"text" : "Voraussichtlich: Ambulant / Stationär / Notfall",
"answer" : [
{
"valueCoding" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "EMER"
}
}
]
},
{
"linkId" : "requestedEncounter.desiredAccommodation",
"text" : "Zimmerkategorie",
"answer" : [
{
"valueCoding" : {
"system" : "http://fhir.ch/ig/ch-core/CodeSystem/bfs-medstats-21-encountertype",
"code" : "2",
"display" : "halbprivat"
}
}
]
}
]
},
{
"linkId" : "coverage",
"text" : "Kostenträger",
"item" : [
{
"linkId" : "coverage.kvg",
"text" : "Krankenkasse (nach KVG)",
"item" : [
{
"linkId" : "coverage.kvg.name",
"text" : "Name der Versicherung",
"answer" : [
{
"valueString" : "Sanitas"
}
]
},
{
"linkId" : "coverage.kvg.insuranceCardNumber",
"text" : "Kennnummer der Versichertenkarte",
"answer" : [
{
"valueString" : "80756015090002647590"
}
]
}
]
}
]
},
{
"linkId" : "sender",
"text" : "Absender",
"item" : [
{
"linkId" : "sender.author",
"text" : "Verantwortlicher",
"item" : [
{
"linkId" : "sender.author.practitioner",
"text" : "Verantwortliche Person",
"item" : [
{
"linkId" : "sender.author.practitioner.title",
"text" : "Titel",
"answer" : [
{
"valueString" : "Dr. med."
}
]
},
{
"linkId" : "sender.author.practitioner.familyName",
"text" : "Name",
"answer" : [
{
"valueString" : "Meier"
}
]
},
{
"linkId" : "sender.author.practitioner.givenName",
"text" : "Vorname",
"answer" : [
{
"valueString" : "Sabine"
}
]
},
{
"linkId" : "sender.author.practitioner.gln",
"text" : "GLN",
"answer" : [
{
"valueString" : "7601000618627"
}
]
},
{
"linkId" : "sender.author.practitioner.zsr",
"text" : "ZSR",
"answer" : [
{
"valueString" : "A123321"
}
]
},
{
"linkId" : "sender.author.practitioner.phone",
"text" : "Telefon",
"answer" : [
{
"valueString" : "044 333 22 11"
}
]
},
{
"linkId" : "sender.author.practitioner.email",
"text" : "E-Mail",
"answer" : [
{
"valueString" : "sabine.meier@praxisseeblick.ch"
}
]
}
]
},
{
"linkId" : "sender.author.organization",
"text" : "Verantwortliche Organisation",
"item" : [
{
"linkId" : "sender.author.organization.name",
"text" : "Name der Organisation",
"answer" : [
{
"valueString" : "Praxis Seeblick"
}
]
},
{
"linkId" : "sender.author.organization.streetAddressLine",
"text" : "Strasse, Hausnummer, Postfach etc.",
"answer" : [
{
"valueString" : "Seestrasse 133"
},
{
"valueString" : "Haus C"
}
]
},
{
"linkId" : "sender.author.organization.postalCode",
"text" : "PLZ",
"answer" : [
{
"valueString" : "8000"
}
]
},
{
"linkId" : "sender.author.organization.city",
"text" : "Ort",
"answer" : [
{
"valueString" : "Zürich"
}
]
},
{
"linkId" : "sender.author.organization.country",
"text" : "Land",
"answer" : [
{
"valueString" : "Schweiz"
}
]
}
]
}
]
},
{
"linkId" : "sender.dataenterer",
"text" : "Erfasser",
"item" : [
{
"linkId" : "sender.dataenterer.practitioner",
"text" : "Erfassende Person",
"item" : [
{
"linkId" : "sender.dataenterer.practitioner.familyName",
"text" : "Name",
"answer" : [
{
"valueString" : "Boss"
}
]
},
{
"linkId" : "sender.dataenterer.practitioner.givenName",
"text" : "Vorname",
"answer" : [
{
"valueString" : "Stabilo"
}
]
},
{
"linkId" : "sender.dataenterer.practitioner.phone",
"text" : "Telefon",
"answer" : [
{
"valueString" : "044 333 22 12"
}
]
},
{
"linkId" : "sender.dataenterer.practitioner.email",
"text" : "E-Mail",
"answer" : [
{
"valueString" : "stabilo.boss@praxisseeblick.ch"
}
]
}
]
}
]
}
]
},
{
"linkId" : "receiverCopy",
"text" : "Kopieempfänger (Kopie dieses Auftrags und aller daraus resultierenden Resultate)",
"item" : [
{
"linkId" : "receiverCopy.practitionerRole",
"text" : "Gesundheitsfachperson oder -organisation",
"item" : [
{
"linkId" : "receiverCopy.practitionerRole.practitioner",
"text" : "Gesundheitsfachperson",
"item" : [
{
"linkId" : "receiverCopy.practitionerRole.practitioner.title",
"text" : "Titel",
"answer" : [
{
"valueString" : "Dr. med."
}
]
},
{
"linkId" : "receiverCopy.practitionerRole.practitioner.familyName",
"text" : "Name",
"answer" : [
{
"valueString" : "Meier"
}
]
},
{
"linkId" : "receiverCopy.practitionerRole.practitioner.givenName",
"text" : "Vorname",
"answer" : [
{
"valueString" : "Sabine"
}
]
},
{
"linkId" : "receiverCopy.practitionerRole.practitioner.phone",
"text" : "Telefon",
"answer" : [
{
"valueString" : "044 333 22 11"
}
]
},
{
"linkId" : "receiverCopy.practitionerRole.practitioner.email",
"text" : "E-Mail",
"answer" : [
{
"valueString" : "sabine.meier@praxisseeblick.ch"
}
]
}
]
},
{
"linkId" : "receiverCopy.practitionerRole.organization",
"text" : "Gesundheitsorganisatiton",
"item" : [
{
"linkId" : "receiverCopy.practitionerRole.organization.name",
"text" : "Name der Organisation",
"answer" : [
{
"valueString" : "Praxis Seeblick"
}
]
},
{
"linkId" : "receiverCopy.practitionerRole.organization.streetAddressLine",
"text" : "Strasse, Hausnummer, Postfach etc.",
"answer" : [
{
"valueString" : "Seestrasse 133"
}
]
},
{
"linkId" : "receiverCopy.practitionerRole.organization.postalCode",
"text" : "PLZ",
"answer" : [
{
"valueString" : "8000"
}
]
},
{
"linkId" : "receiverCopy.practitionerRole.organization.city",
"text" : "Ort",
"answer" : [
{
"valueString" : "Zürich"
}
]
},
{
"linkId" : "receiverCopy.practitionerRole.organization.country",
"text" : "Land",
"answer" : [
{
"valueString" : "Schweiz"
}
]
}
]
}
]
},
{
"linkId" : "receiverCopy.patient",
"text" : "Patient selbst",
"answer" : [
{
"valueBoolean" : true
}
]
}
]
},
{
"linkId" : "antecedentEpisodeOfCare",
"text" : "Vorgängiger Aufenthalt in Spital / Heim",
"item" : [
{
"linkId" : "antecedentEpisodeOfCare.start",
"text" : "Von",
"answer" : [
{
"valueDateTime" : "2023-05-22"
}
]
},
{
"linkId" : "antecedentEpisodeOfCare.end",
"text" : "Bis",
"answer" : [
{
"valueDateTime" : "2023-05-27"
}
]
},
{
"linkId" : "antecedentEpisodeOfCare.managingOrganization",
"text" : "Spital /Heim",
"item" : [
{
"linkId" : "antecedentEpisodeOfCare.managingOrganization.name",
"text" : "Name der Organisation",
"answer" : [
{
"valueString" : "Spital Hinterfultigen"
}
]
}
]
}
]
},
{
"linkId" : "appointment",
"text" : "Ort und Zeit der Durchführung der angeforderten Leistung"
},
{
"linkId" : "consent",
"text" : "Einverständniserklärung",
"item" : [
{
"linkId" : "patient.consent.statement",
"text" : "Ist der Patient über die Anmeldung informiert und explizit einverstanden?",
"answer" : [
{
"valueCoding" : {
"system" : "http://fhir.ch/ig/ch-orf/CodeSystem/ch-orf-cs-consentstatus",
"code" : "Other",
"display" : "Other situation such as 'implicit agreement', 'agreed by legal guardian' etc."
},
"item" : [
{
"linkId" : "patient.consent.statement.note",
"text" : "Anmerkung",
"answer" : [
{
"valueString" : "Voraussichtlich einverstanden; Sohn wird die Situation beim nä. Besuch mit Pat. besprechen"
}
]
}
]
}
]
}
]
},
{
"linkId" : "note",
"text" : "Bemerkungen",
"item" : [
{
"linkId" : "note.text",
"text" : "Kommentar",
"answer" : [
{
"valueString" : "Patientin ist sehr ängstlich"
}
]
}
]
}
]
}
},
{
"fullUrl" : "urn:uuid:2f9f6d08-6fbc-4659-af0d-abdae83da63f",
"resource" : {
"resourceType" : "ServiceRequest",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ServiceRequest</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"/><p><b>CH ORF Requested Encounter Details</b>: <a href=\"#urnuuidf435f713-5fb9-42a8-b3cc-7033ba75e3d5\">See above (urn:uuid:f435f713-5fb9-42a8-b3cc-7033ba75e3d5)</a></p><p><b>identifier</b>: Placer Identifier: 123, Filler Identifier: 456</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>priority</b>: routine</p><p><b>subject</b>: <a href=\"#urnuuidaaddb7b1-eb51-4426-8182-42f66fbf24d0\">See above (urn:uuid:aaddb7b1-eb51-4426-8182-42f66fbf24d0)</a></p><p><b>requester</b>: <a href=\"#urnuuid4388146d-9909-4613-b0c5-2ac3de31dfb8\">See above (urn:uuid:4388146d-9909-4613-b0c5-2ac3de31dfb8)</a></p><p><b>insurance</b>: <a href=\"#urnuuid4d45ffb2-6335-4cf2-9d16-ad4387272345\">See above (urn:uuid:4d45ffb2-6335-4cf2-9d16-ad4387272345)</a></p><p><b>note</b>: Patientin ist sehr ängstlich</p></div>"
},
"extension" : [
{
"url" : "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-requestedencounterdetails",
"valueReference" : {
"reference" : "urn:uuid:f435f713-5fb9-42a8-b3cc-7033ba75e3d5"
}
}
],
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "PLAC"
}
]
},
"system" : "urn:oid:2.999.1.3.4.5.6.7",
"value" : "123"
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "FILL"
}
]
},
"system" : "urn:oid:2.999.7.8.9.10.11",
"value" : "456"
}
],
"status" : "active",
"intent" : "order",
"priority" : "routine",
"subject" : {
"reference" : "urn:uuid:aaddb7b1-eb51-4426-8182-42f66fbf24d0"
},
"requester" : {
"reference" : "urn:uuid:4388146d-9909-4613-b0c5-2ac3de31dfb8"
},
"insurance" : [
{
"reference" : "urn:uuid:4d45ffb2-6335-4cf2-9d16-ad4387272345"
}
],
"note" : [
{
"text" : "Patientin ist sehr ängstlich"
}
]
}
},
{
"fullUrl" : "http://fhir.ch/ig/ch-orf/Questionnaire/order-referral-form",
"resource" : {
"resourceType" : "Questionnaire",
"id" : "order-referral-form",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Questionnaire</b><a name=\"order-referral-form\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Questionnaire "order-referral-form" </p></div><p><b>Target structure map</b>: <a href=\"StructureMap-OrfQrToBundle.html\">OrfQrToBundle</a></p><blockquote><p><b>Launch context resources</b></p><blockquote><p><b>url</b></p><code>name</code></blockquote><p><b>value</b>: Patient (Details: http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext code patient = 'Patient', stated as 'null')</p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Patient</p></blockquote><blockquote><p><b>Launch context resources</b></p><blockquote><p><b>url</b></p><code>name</code></blockquote><p><b>value</b>: User (Details: http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext code user = 'User', stated as 'User')</p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Practitioner</p><blockquote><p><b>url</b></p><code>description</code></blockquote><p><b>value</b>: The practitioner that is to be used to pre-populate the form</p></blockquote><p><b>Assembled From Questionnaire</b>: <a href=\"http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-order\">http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-order|1.1.0</a></p><p><b>Assembled From Questionnaire</b>: <a href=\"http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-practitioner-nametel\">http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-practitioner-nametel|1.1.0</a></p><p><b>Assembled From Questionnaire</b>: <a href=\"http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-receiver\">http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-receiver|1.1.0</a></p><p><b>Assembled From Questionnaire</b>: <a href=\"http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-address\">http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-address|1.1.0</a></p><p><b>Assembled From Questionnaire</b>: <a href=\"http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-initiator\">http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-initiator|1.1.0</a></p><p><b>Assembled From Questionnaire</b>: <a href=\"http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-patient\">http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-patient|1.1.0</a></p><p><b>Assembled From Questionnaire</b>: <a href=\"http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-familydoctor\">http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-familydoctor|1.1.0</a></p><p><b>Assembled From Questionnaire</b>: <a href=\"http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-requestedencounter\">http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-requestedencounter|1.1.0</a></p><p><b>Assembled From Questionnaire</b>: <a href=\"http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-coverage\">http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-coverage|1.1.0</a></p><p><b>Assembled From Questionnaire</b>: <a href=\"http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-sender\">http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-sender|1.1.0</a></p><p><b>Assembled From Questionnaire</b>: <a href=\"http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-receivercopy\">http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-receivercopy|1.1.0</a></p><p><b>Assembled From Questionnaire</b>: <a href=\"http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-appointment\">http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-appointment|1.1.0</a></p><p><b>Assembled From Questionnaire</b>: <a href=\"http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-consent\">http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-consent|1.1.0</a></p><p><b>url</b>: <code>http://fhir.ch/ig/ch-orf/Questionnaire/order-referral-form</code></p><p><b>version</b>: 1.1.0-assembled</p><p><b>name</b>: OrderReferralForm</p><p><b>title</b>: Order Referral Form</p><p><b>status</b>: active</p><p><b>subjectType</b>: Patient</p><p><b>date</b>: 2022-07-07</p><p><b>publisher</b>: HL7 Switzerland</p><p><b>contact</b>: HL7 Switzerland: <a href=\"https://www.hl7.ch/\">https://www.hl7.ch/</a></p><p><b>jurisdiction</b>: Switzerland <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.1.0/CodeSystem-ISO3166Part1.html\">ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code</a>#CH)</span></p><p><b>copyright</b>: CC-BY-SA-4.0</p><blockquote><p><b>item</b></p><p><b>linkId</b>: order</p><p><b>text</b>: Auftrag</p><p><b>type</b>: group</p><p><b>required</b>: true</p><blockquote><p><b>item</b></p><p><b>linkId</b>: order.authoredOn</p><p><b>text</b>: Daum/Zeit der Auftragserteilung</p><p><b>type</b>: dateTime</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.placerOrderIdentifier</p><p><b>text</b>: Auftragsnummer des Auftraggebers</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>hidden</b>: true</p><p><b>linkId</b>: order.placerOrderIdentifierDomain</p><p><b>text</b>: Identifier Domain der Auftragsnummer des Auftraggebers</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.fillerOrderIdentifier</p><p><b>text</b>: Auftragsnummer des Auftragsempfängers</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>hidden</b>: true</p><p><b>linkId</b>: order.fillerOrderIdentifierDomain</p><p><b>text</b>: Identifier Domain der Auftragsnummer des Auftragsempfängers</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>hidden</b>: true</p><p><b>linkId</b>: order.precedentDocumentIdentifier</p><p><b>text</b>: Identifier des Vorgängerdokuments</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.notificationContactDocument</p><p><b>text</b>: Dringender Benachrichtigungskontakt für dieses Dokument</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.notificationContactDocumentResponse</p><p><b>text</b>: Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.priority</p><p><b>text</b>: Auftragspriorität</p><p><b>type</b>: choice</p><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiver</p><p><b>text</b>: Empfänger</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p><p><b>linkId</b>: receiver.practitioner</p><p><b>text</b>: Empfangende Person</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>Variable</b>: <span title=\"text/fhirpath\"><code>'receiver.organization.'</code></span>(<b>linkIdPrefix</b>)</p><p><b>linkId</b>: receiver.organization</p><p><b>text</b>: Empfangende Organisation</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: initiator</p><p><b>text</b>: Initiant dieser Anmeldung</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p><p><b>linkId</b>: initiator.legalrelation</p><p><b>text</b>: Juristische Beziehung zum Patienten</p><p><b>type</b>: choice</p><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: initiator.personalrelation</p><p><b>text</b>: Persönliche Beziehung zum Patienten?</p><p><b>type</b>: choice</p><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: initiator.practitionerRole</p><p><b>text</b>: Gesundheitsfachperson oder -organisation</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: initiator.relatedPerson</p><p><b>text</b>: Andere Person</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>Variable</b>: <span title=\"text/fhirpath\"><code>'patient.'</code></span>(<b>linkIdPrefix</b>)</p><p><b>Variable</b>: <span title=\"text/fhirpath\"><code>%patient.address</code></span>(<b>address</b>)</p><p><b>linkId</b>: patient</p><p><b>text</b>: Patient</p><p><b>type</b>: group</p><p><b>required</b>: true</p><blockquote><p><b>item</b></p><p><b>initial.exists().not()</b>: <span title=\"text/fhirpath\"><code>%patient.name.where(use='official').family</code></span></p><p><b>linkId</b>: patient.familyName</p><p><b>text</b>: Name</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>initial.exists().not()</b>: <span title=\"text/fhirpath\"><code>%patient.name.where(use='maiden').family</code></span></p><p><b>linkId</b>: patient.maidenName</p><p><b>text</b>: Ledigname</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>initial.exists().not()</b>: <span title=\"text/fhirpath\"><code>%patient.name.where(use='official').given</code></span></p><p><b>linkId</b>: patient.givenName</p><p><b>text</b>: Vorname</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>initial.exists().not()</b>: <span title=\"text/fhirpath\"><code>%patient.identifier.where(type.coding.where(system='http://terminology.hl7.org/CodeSystem/v2-0203' and code='MR').exists()).value</code></span></p><p><b>linkId</b>: patient.localPid</p><p><b>text</b>: Lokale Patienten-ID</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>hidden</b>: true</p><p><b>linkId</b>: patient.localPidDomain</p><p><b>text</b>: Lokale Patienten-ID Domain</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>initial.exists().not()</b>: <span title=\"text/fhirpath\"><code>%patient.birthDate</code></span></p><p><b>linkId</b>: patient.birthDate</p><p><b>text</b>: Geburtsdatum</p><p><b>type</b>: date</p></blockquote><blockquote><p><b>item</b></p><p><b>initial.exists().not()</b>: <span title=\"text/fhirpath\"><code>%questionnaire.repeat(item).where(linkId='patient.gender').answerOption.valueCoding.where(code=%patient.gender)</code></span></p><p><b>linkId</b>: patient.gender</p><p><b>text</b>: Geschlecht</p><p><b>type</b>: choice</p><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>initial.exists().not()</b>: <span title=\"text/fhirpath\"><code>%patient.maritalStatus</code></span></p><p><b>linkId</b>: patient.maritalStatus</p><p><b>text</b>: Zivilstand</p><p><b>type</b>: choice</p><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>initial.exists().not()</b>: <span title=\"text/fhirpath\"><code>%patient.telecom.where(system='phone').value</code></span></p><p><b>linkId</b>: patient.phone</p><p><b>text</b>: Telefon</p><p><b>type</b>: string</p><p><b>repeats</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>initial.exists().not()</b>: <span title=\"text/fhirpath\"><code>%patient.telecom.where(system='email').value</code></span></p><p><b>linkId</b>: patient.email</p><p><b>text</b>: E-Mail</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>initial.exists().not()</b>: <span title=\"text/fhirpath\"><code>%address.line</code></span></p><p><b>linkId</b>: patient.streetAddressLine</p><p><b>text</b>: Strasse, Hausnummer, Postfach etc.</p><p><b>type</b>: string</p><p><b>repeats</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>initial.exists().not()</b>: <span title=\"text/fhirpath\"><code>%address.postalCode</code></span></p><p><b>linkId</b>: patient.postalCode</p><p><b>text</b>: PLZ</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>initial.exists().not()</b>: <span title=\"text/fhirpath\"><code>%address.city</code></span></p><p><b>linkId</b>: patient.city</p><p><b>text</b>: Ort</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>initial.exists().not()</b>: <span title=\"text/fhirpath\"><code>%address.country</code></span></p><p><b>linkId</b>: patient.country</p><p><b>text</b>: Land</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>initial.exists().not()</b>: <span title=\"text/fhirpath\"><code>%patient.communication.where(preferred=true).language.coding</code></span></p><p><b>linkId</b>: patient.languageOfCorrespondence</p><p><b>text</b>: Korrespondenzsprache</p><p><b>type</b>: choice</p><p><b>answerValueSet</b>: <a href=\"http://fhir.ch/ig/ch-epr-term/2.0.9/ValueSet-DocumentEntry.languageCode.html\">DocumentEntry.languageCode</a></p></blockquote><blockquote><p><b>item</b></p><p><b>Variable</b>: <span title=\"text/fhirpath\"><code>%patient.contact</code></span>(<b>contact</b>)</p><p><b>linkId</b>: patient.contactperson</p><p><b>text</b>: Kontaktperson</p><p><b>type</b>: group</p><p><b>repeats</b>: true</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: familydoctor</p><p><b>text</b>: Hausarzt</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: requestedEncounter</p><p><b>text</b>: Patientenaufnahme</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p><p><b>linkId</b>: requestedEncounter.class</p><p><b>text</b>: Voraussichtlich: Ambulant / Stationär / Notfall</p><p><b>type</b>: choice</p><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: requestedEncounter.desiredAccommodation</p><p><b>text</b>: Zimmerkategorie</p><p><b>type</b>: choice</p><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage</p><p><b>text</b>: Kostenträger</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.beneficiary</p><p><b>text</b>: Begünstigter (Patient)</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.kvg</p><p><b>text</b>: Krankenkasse (nach KVG)</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.uvg</p><p><b>text</b>: Unfallversicherung (nach UVG)</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.vvg</p><p><b>text</b>: Zusatzversicherung (nach VVG)</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.iv</p><p><b>text</b>: Invalidenversicherung (IV)</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.mv</p><p><b>text</b>: Militärversicherung (MV)</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.self</p><p><b>text</b>: Selbstzahler</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.other</p><p><b>text</b>: Anderer Kostenträger</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: sender</p><p><b>text</b>: Absender</p><p><b>type</b>: group</p><p><b>required</b>: true</p><blockquote><p><b>item</b></p><p><b>Variable</b>: <span title=\"application/x-fhir-query\"><code>PractitionerRole?practitioner={{%user.id}}</code></span>(<b>senderPractitionerRoles</b>)</p><p><b>Variable</b>: <span title=\"text/fhirpath\"><code>%senderPractitionerRoles.entry[0].resource</code></span>(<b>senderPractitionerRole</b>)</p><p><b>Variable</b>: <span title=\"application/x-fhir-query\"><code>Organization?_id={{%senderPractitionerRole.organization.reference}}</code></span>(<b>senderOrganizations</b>)</p><p><b>Variable</b>: <span title=\"text/fhirpath\"><code>%senderOrganizations.entry[0].resource</code></span>(<b>senderOrganization</b>)</p><p><b>Variable</b>: <span title=\"text/fhirpath\"><code>%senderOrganization.address</code></span>(<b>address</b>)</p><p><b>linkId</b>: sender.author</p><p><b>text</b>: Verantwortlicher</p><p><b>type</b>: group</p><p><b>required</b>: true</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: sender.dataenterer</p><p><b>text</b>: Erfasser</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p></blockquote></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiverCopy</p><p><b>text</b>: Kopieempfänger (Kopie dieses Auftrags und aller daraus resultierenden Resultate)</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p><p><b>linkId</b>: receiverCopy.practitionerRole</p><p><b>text</b>: Gesundheitsfachperson oder -organisation</p><p><b>type</b>: group</p><p><b>repeats</b>: true</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiverCopy.patient</p><p><b>text</b>: Patient selbst</p><p><b>type</b>: boolean</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiverCopy.relatedPerson</p><p><b>text</b>: Andere Person</p><p><b>type</b>: group</p><p><b>repeats</b>: true</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: antecedentEpisodeOfCare</p><p><b>text</b>: Vorgängiger Aufenthalt in Spital / Heim</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p><p><b>linkId</b>: antecedentEpisodeOfCare.start</p><p><b>text</b>: Von</p><p><b>type</b>: dateTime</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: antecedentEpisodeOfCare.end</p><p><b>text</b>: Bis</p><p><b>type</b>: dateTime</p></blockquote><blockquote><p><b>item</b></p><p><b>Variable</b>: <span title=\"text/fhirpath\"><code>'antecedentEpisodeOfCare.managingOrganization.'</code></span>(<b>linkIdPrefix</b>)</p><p><b>linkId</b>: antecedentEpisodeOfCare.managingOrganization</p><p><b>text</b>: Spital /Heim</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: appointment</p><p><b>text</b>: Ort und Zeit der Durchführung der angeforderten Leistung</p><p><b>type</b>: group</p><p><b>repeats</b>: true</p><blockquote><p><b>item</b></p><p><b>Variable</b>: <span title=\"text/fhirpath\"><code>'appointment.location.'</code></span>(<b>linkIdPrefix</b>)</p><p><b>linkId</b>: appointment.location</p><p><b>text</b>: Ort der Durchführung</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: appointment.requestedPeriod</p><p><b>text</b>: Datum und Zeit, wann der Termin bevorzugt geplant werden soll</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: appointment.status</p><p><b>text</b>: Status</p><p><b>type</b>: choice</p><p><b>required</b>: true</p><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: appointment.patientInstruction</p><p><b>text</b>: Patienteninformation für diesen Termin</p><p><b>type</b>: string</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: consent</p><p><b>text</b>: Einverständniserklärung</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.consent.statement</p><p><b>text</b>: Ist der Patient über die Anmeldung informiert und explizit einverstanden?</p><p><b>type</b>: choice</p><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: note</p><p><b>text</b>: Bemerkungen</p><p><b>type</b>: group</p><p><b>repeats</b>: true</p><h3>Items</h3><table class=\"grid\"><tr><td>-</td><td><b>LinkId</b></td><td><b>Text</b></td><td><b>Type</b></td></tr><tr><td>*</td><td>note.text</td><td>Kommentar</td><td>string</td></tr></table></blockquote></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-targetStructureMap",
"valueCanonical" : "http://fhir.ch/ig/ch-orf/StructureMap/OrfQrToBundle"
},
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext",
"extension" : [
{
"url" : "name",
"valueCoding" : {
"system" : "http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext",
"code" : "patient"
}
},
{
"url" : "type",
"valueCode" : "Patient"
}
]
},
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext",
"extension" : [
{
"url" : "name",
"valueCoding" : {
"system" : "http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext",
"code" : "user",
"display" : "User"
}
},
{
"url" : "type",
"valueCode" : "Practitioner"
},
{
"url" : "description",
"valueString" : "The practitioner that is to be used to pre-populate the form"
}
]
},
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom",
"valueCanonical" : "http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-order|1.1.0"
},
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom",
"valueCanonical" : "http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-practitioner-nametel|1.1.0"
},
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom",
"valueCanonical" : "http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-receiver|1.1.0"
},
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom",
"valueCanonical" : "http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-address|1.1.0"
},
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom",
"valueCanonical" : "http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-initiator|1.1.0"
},
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom",
"valueCanonical" : "http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-patient|1.1.0"
},
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom",
"valueCanonical" : "http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-familydoctor|1.1.0"
},
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom",
"valueCanonical" : "http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-requestedencounter|1.1.0"
},
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom",
"valueCanonical" : "http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-coverage|1.1.0"
},
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom",
"valueCanonical" : "http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-sender|1.1.0"
},
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom",
"valueCanonical" : "http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-receivercopy|1.1.0"
},
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom",
"valueCanonical" : "http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-appointment|1.1.0"
},
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom",
"valueCanonical" : "http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-consent|1.1.0"
}
],
"url" : "http://fhir.ch/ig/ch-orf/Questionnaire/order-referral-form",
"version" : "1.1.0-assembled",
"name" : "OrderReferralForm",
"title" : "Order Referral Form",
"status" : "active",
"subjectType" : [
"Patient"
],
"date" : "2022-07-07",
"publisher" : "HL7 Switzerland",
"contact" : [
{
"name" : "HL7 Switzerland",
"telecom" : [
{
"system" : "url",
"value" : "https://www.hl7.ch/"
}
]
}
],
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "CH"
}
]
}
],
"copyright" : "CC-BY-SA-4.0",
"item" : [
{
"linkId" : "order",
"text" : "Auftrag",
"type" : "group",
"required" : true,
"item" : [
{
"linkId" : "order.authoredOn",
"text" : "Daum/Zeit der Auftragserteilung",
"type" : "dateTime"
},
{
"linkId" : "order.placerOrderIdentifier",
"text" : "Auftragsnummer des Auftraggebers",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean" : true
}
],
"linkId" : "order.placerOrderIdentifierDomain",
"text" : "Identifier Domain der Auftragsnummer des Auftraggebers",
"type" : "string"
},
{
"linkId" : "order.fillerOrderIdentifier",
"text" : "Auftragsnummer des Auftragsempfängers",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean" : true
}
],
"linkId" : "order.fillerOrderIdentifierDomain",
"text" : "Identifier Domain der Auftragsnummer des Auftragsempfängers",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean" : true
}
],
"linkId" : "order.precedentDocumentIdentifier",
"text" : "Identifier des Vorgängerdokuments",
"type" : "string"
},
{
"linkId" : "order.notificationContactDocument",
"text" : "Dringender Benachrichtigungskontakt für dieses Dokument",
"type" : "group",
"item" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression" : {
"name" : "linkIdPrefix",
"language" : "text/fhirpath",
"expression" : "'order.notificationContactDocument.practitioner.'"
}
}
],
"linkId" : "order.notificationContactDocument.practitioner",
"text" : "Zu benachrichtigende Person",
"type" : "group",
"item" : [
{
"linkId" : "order.notificationContactDocument.practitioner.title",
"text" : "Titel",
"type" : "string"
},
{
"linkId" : "order.notificationContactDocument.practitioner.familyName",
"text" : "Name",
"type" : "string"
},
{
"linkId" : "order.notificationContactDocument.practitioner.givenName",
"text" : "Vorname",
"type" : "string"
},
{
"linkId" : "order.notificationContactDocument.practitioner.phone",
"text" : "Telefon",
"type" : "string"
},
{
"linkId" : "order.notificationContactDocument.practitioner.email",
"text" : "E-Mail",
"type" : "string"
}
]
}
]
},
{
"linkId" : "order.notificationContactDocumentResponse",
"text" : "Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument",
"type" : "group",
"item" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression" : {
"name" : "linkIdPrefix",
"language" : "text/fhirpath",
"expression" : "'order.notificationContactDocumentResponse.practitioner.'"
}
}
],
"linkId" : "order.notificationContactDocumentResponse.practitioner",
"text" : "Zu benachrichtigende Person",
"type" : "group",
"item" : [
{
"linkId" : "order.notificationContactDocumentResponse.practitioner.title",
"text" : "Titel",
"type" : "string"
},
{
"linkId" : "order.notificationContactDocumentResponse.practitioner.familyName",
"text" : "Name",
"type" : "string"
},
{
"linkId" : "order.notificationContactDocumentResponse.practitioner.givenName",
"text" : "Vorname",
"type" : "string"
},
{
"linkId" : "order.notificationContactDocumentResponse.practitioner.phone",
"text" : "Telefon",
"type" : "string"
},
{
"linkId" : "order.notificationContactDocumentResponse.practitioner.email",
"text" : "E-Mail",
"type" : "string"
}
]
}
]
},
{
"linkId" : "order.priority",
"text" : "Auftragspriorität",
"type" : "choice",
"answerOption" : [
{
"valueCoding" : {
"system" : "http://hl7.org/fhir/request-priority",
"code" : "routine",
"display" : "Die Anfrage hat normale Priorität."
},
"initialSelected" : true
},
{
"valueCoding" : {
"system" : "http://hl7.org/fhir/request-priority",
"code" : "urgent",
"display" : "Die Anfrage sollte dringend bearbeitet werden - höhere Priorität als normal."
}
},
{
"valueCoding" : {
"system" : "http://hl7.org/fhir/request-priority",
"code" : "asap",
"display" : "Die Anfrage sollte so schnell wie möglich bearbeitet werden - höhere Priorität als dringend."
}
},
{
"valueCoding" : {
"system" : "http://hl7.org/fhir/request-priority",
"code" : "stat",
"display" : "Die Anfrage sollte sofort bearbeitet werden - höchstmögliche Priorität. Z.B. bei einem Notfall."
}
}
]
}
]
},
{
"linkId" : "receiver",
"text" : "Empfänger",
"type" : "group",
"item" : [
{
"linkId" : "receiver.practitioner",
"text" : "Empfangende Person",
"type" : "group",
"item" : [
{
"linkId" : "receiver.practitioner.title",
"text" : "Titel",
"type" : "string"
},
{
"linkId" : "receiver.practitioner.familyName",
"text" : "Name",
"type" : "string"
},
{
"linkId" : "receiver.practitioner.givenName",
"text" : "Vorname",
"type" : "string"
},
{
"linkId" : "receiver.practitioner.gln",
"text" : "GLN",
"type" : "string"
},
{
"linkId" : "receiver.practitioner.zsr",
"text" : "ZSR",
"type" : "string"
},
{
"linkId" : "receiver.practitioner.phone",
"text" : "Telefon",
"type" : "string"
},
{
"linkId" : "receiver.practitioner.email",
"text" : "E-Mail",
"type" : "string"
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression" : {
"name" : "linkIdPrefix",
"language" : "text/fhirpath",
"expression" : "'receiver.organization.'"
}
}
],
"linkId" : "receiver.organization",
"text" : "Empfangende Organisation",
"type" : "group",
"item" : [
{
"linkId" : "receiver.organization.name",
"text" : "Name der Organisation",
"type" : "string"
},
{
"linkId" : "receiver.organization.gln",
"text" : "GLN",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%address.line"
}
}
],
"linkId" : "receiver.organization.streetAddressLine",
"text" : "Strasse, Hausnummer, Postfach etc.",
"type" : "string",
"repeats" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%address.postalCode"
}
}
],
"linkId" : "receiver.organization.postalCode",
"text" : "PLZ",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%address.city"
}
}
],
"linkId" : "receiver.organization.city",
"text" : "Ort",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%address.country"
}
}
],
"linkId" : "receiver.organization.country",
"text" : "Land",
"type" : "string"
}
]
}
]
},
{
"linkId" : "initiator",
"text" : "Initiant dieser Anmeldung",
"type" : "group",
"item" : [
{
"linkId" : "initiator.legalrelation",
"text" : "Juristische Beziehung zum Patienten",
"type" : "choice",
"answerOption" : [
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "373068000",
"display" : "Nicht definiert"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "58626002",
"display" : "Gesetzlicher Vertreter"
}
}
]
},
{
"linkId" : "initiator.personalrelation",
"text" : "Persönliche Beziehung zum Patienten?",
"type" : "choice",
"answerOption" : [
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "66089001",
"display" : "Tochter"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "65616008",
"display" : "Sohn"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "127849001",
"display" : "Ehemann"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "127850001",
"display" : "Ehefrau"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "394921008",
"display" : "Partner (eingetragene Partnerschaft)"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "70924004",
"display" : "Bruder"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "27733009",
"display" : "Schwester"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "72705000",
"display" : "Mutter"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "66839005",
"display" : "Vater"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "48385004",
"display" : "Bekannt"
}
}
]
},
{
"linkId" : "initiator.practitionerRole",
"text" : "Gesundheitsfachperson oder -organisation",
"type" : "group",
"item" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression" : {
"name" : "linkIdPrefix",
"language" : "text/fhirpath",
"expression" : "'initiator.practitionerRole.practitioner.'"
}
}
],
"linkId" : "initiator.practitionerRole.practitioner",
"text" : "Gesundheitsfachperson",
"type" : "group",
"item" : [
{
"linkId" : "initiator.practitionerRole.practitioner.title",
"text" : "Titel",
"type" : "string"
},
{
"linkId" : "initiator.practitionerRole.practitioner.familyName",
"text" : "Name",
"type" : "string"
},
{
"linkId" : "initiator.practitionerRole.practitioner.givenName",
"text" : "Vorname",
"type" : "string"
},
{
"linkId" : "initiator.practitionerRole.practitioner.phone",
"text" : "Telefon",
"type" : "string"
},
{
"linkId" : "initiator.practitionerRole.practitioner.email",
"text" : "E-Mail",
"type" : "string"
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression" : {
"name" : "linkIdPrefix",
"language" : "text/fhirpath",
"expression" : "'initiator.practitionerRole.organization.'"
}
}
],
"linkId" : "initiator.practitionerRole.organization",
"text" : "Gesundheitsorganisatiton",
"type" : "group",
"item" : [
{
"linkId" : "initiator.practitionerRole.organization.name",
"text" : "Name der Organisation",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%address.line"
}
}
],
"linkId" : "initiator.practitionerRole.organization.streetAddressLine",
"text" : "Strasse, Hausnummer, Postfach etc.",
"type" : "string",
"repeats" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%address.postalCode"
}
}
],
"linkId" : "initiator.practitionerRole.organization.postalCode",
"text" : "PLZ",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%address.city"
}
}
],
"linkId" : "initiator.practitionerRole.organization.city",
"text" : "Ort",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%address.country"
}
}
],
"linkId" : "initiator.practitionerRole.organization.country",
"text" : "Land",
"type" : "string"
}
]
}
]
},
{
"linkId" : "initiator.relatedPerson",
"text" : "Andere Person",
"type" : "group",
"item" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression" : {
"name" : "linkIdPrefix",
"language" : "text/fhirpath",
"expression" : "'initiator.relatedPerson.'"
}
}
],
"linkId" : "initiator.relatedPerson.familyName",
"text" : "Name",
"type" : "string"
},
{
"linkId" : "initiator.relatedPerson.givenName",
"text" : "Vorname",
"type" : "string"
},
{
"linkId" : "initiator.relatedPerson.phone",
"text" : "Telefon",
"type" : "string",
"repeats" : true
},
{
"linkId" : "initiator.relatedPerson.email",
"text" : "E-Mail",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%address.line"
}
}
],
"linkId" : "initiator.relatedPerson.streetAddressLine",
"text" : "Strasse, Hausnummer, Postfach etc.",
"type" : "string",
"repeats" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%address.postalCode"
}
}
],
"linkId" : "initiator.relatedPerson.postalCode",
"text" : "PLZ",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%address.city"
}
}
],
"linkId" : "initiator.relatedPerson.city",
"text" : "Ort",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%address.country"
}
}
],
"linkId" : "initiator.relatedPerson.country",
"text" : "Land",
"type" : "string"
}
]
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression" : {
"name" : "linkIdPrefix",
"language" : "text/fhirpath",
"expression" : "'patient.'"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression" : {
"name" : "address",
"language" : "text/fhirpath",
"expression" : "%patient.address"
}
}
],
"linkId" : "patient",
"text" : "Patient",
"type" : "group",
"required" : true,
"item" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%patient.name.where(use='official').family"
}
}
],
"linkId" : "patient.familyName",
"text" : "Name",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%patient.name.where(use='maiden').family"
}
}
],
"linkId" : "patient.maidenName",
"text" : "Ledigname",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%patient.name.where(use='official').given"
}
}
],
"linkId" : "patient.givenName",
"text" : "Vorname",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%patient.identifier.where(type.coding.where(system='http://terminology.hl7.org/CodeSystem/v2-0203' and code='MR').exists()).value"
}
}
],
"linkId" : "patient.localPid",
"text" : "Lokale Patienten-ID",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean" : true
}
],
"linkId" : "patient.localPidDomain",
"text" : "Lokale Patienten-ID Domain",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%patient.birthDate"
}
}
],
"linkId" : "patient.birthDate",
"text" : "Geburtsdatum",
"type" : "date"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%questionnaire.repeat(item).where(linkId='patient.gender').answerOption.valueCoding.where(code=%patient.gender)"
}
}
],
"linkId" : "patient.gender",
"text" : "Geschlecht",
"type" : "choice",
"answerOption" : [
{
"valueCoding" : {
"system" : "http://hl7.org/fhir/administrative-gender",
"code" : "male",
"display" : "Männlich"
},
"initialSelected" : true
},
{
"valueCoding" : {
"system" : "http://hl7.org/fhir/administrative-gender",
"code" : "female",
"display" : "Weiblich"
}
},
{
"valueCoding" : {
"system" : "http://hl7.org/fhir/administrative-gender",
"code" : "other",
"display" : "Anderes"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%patient.maritalStatus"
}
}
],
"linkId" : "patient.maritalStatus",
"text" : "Zivilstand",
"type" : "choice",
"answerOption" : [
{
"valueCoding" : {
"system" : "http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus",
"code" : "1",
"display" : "ledig"
}
},
{
"valueCoding" : {
"system" : "http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus",
"code" : "2",
"display" : "verheiratet"
}
},
{
"valueCoding" : {
"system" : "http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus",
"code" : "3",
"display" : "verwitwet"
}
},
{
"valueCoding" : {
"system" : "http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus",
"code" : "4",
"display" : "geschieden"
}
},
{
"valueCoding" : {
"system" : "http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus",
"code" : "5",
"display" : "unverheiratet"
}
},
{
"valueCoding" : {
"system" : "http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus",
"code" : "6",
"display" : "in eingetragener Partnerschaft"
}
},
{
"valueCoding" : {
"system" : "http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus",
"code" : "7",
"display" : "aufgelöste Partnerschaft"
}
},
{
"valueCoding" : {
"system" : "http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus",
"code" : "9",
"display" : "unbekannt"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%patient.telecom.where(system='phone').value"
}
}
],
"linkId" : "patient.phone",
"text" : "Telefon",
"type" : "string",
"repeats" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%patient.telecom.where(system='email').value"
}
}
],
"linkId" : "patient.email",
"text" : "E-Mail",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%address.line"
}
}
],
"linkId" : "patient.streetAddressLine",
"text" : "Strasse, Hausnummer, Postfach etc.",
"type" : "string",
"repeats" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%address.postalCode"
}
}
],
"linkId" : "patient.postalCode",
"text" : "PLZ",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%address.city"
}
}
],
"linkId" : "patient.city",
"text" : "Ort",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%address.country"
}
}
],
"linkId" : "patient.country",
"text" : "Land",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%patient.communication.where(preferred=true).language.coding"
}
}
],
"linkId" : "patient.languageOfCorrespondence",
"text" : "Korrespondenzsprache",
"type" : "choice",
"answerValueSet" : "http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.languageCode"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression" : {
"name" : "contact",
"language" : "text/fhirpath",
"expression" : "%patient.contact"
}
}
],
"linkId" : "patient.contactperson",
"text" : "Kontaktperson",
"type" : "group",
"repeats" : true,
"item" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%contact.relationship.text"
}
}
],
"linkId" : "patient.contactperson.relationship",
"text" : "Beziehung",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%contact.name.family"
}
}
],
"linkId" : "patient.contactperson.familyName",
"text" : "Name",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%contact.name.given"
}
}
],
"linkId" : "patient.contactperson.givenName",
"text" : "Vorname",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%contact.telecom.where(system='phone').value"
}
}
],
"linkId" : "patient.contactperson.phone",
"text" : "Telefon",
"type" : "string",
"repeats" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%contact.telecom.where(system='email').value"
}
}
],
"linkId" : "patient.contactperson.email",
"text" : "E-Mail",
"type" : "string"
}
]
},
{
"linkId" : "familydoctor",
"text" : "Hausarzt",
"type" : "group",
"item" : [
{
"linkId" : "familydoctor.practitioner",
"text" : "Hausarzt Person",
"type" : "group",
"item" : [
{
"linkId" : "familydoctor.practitioner.title",
"text" : "Titel",
"type" : "string"
},
{
"linkId" : "familydoctor.practitioner.familyName",
"text" : "Name",
"type" : "string"
},
{
"linkId" : "familydoctor.practitioner.givenName",
"text" : "Vorname",
"type" : "string"
},
{
"linkId" : "familydoctor.practitioner.gln",
"text" : "GLN",
"type" : "string"
},
{
"linkId" : "familydoctor.practitioner.zsr",
"text" : "ZSR",
"type" : "string"
},
{
"linkId" : "familydoctor.practitioner.phone",
"text" : "Telefon",
"type" : "string"
},
{
"linkId" : "familydoctor.practitioner.email",
"text" : "E-Mail",
"type" : "string"
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression" : {
"name" : "linkIdPrefix",
"language" : "text/fhirpath",
"expression" : "'familydoctor.organization.'"
}
}
],
"linkId" : "familydoctor.organization",
"text" : "Hausarzt Organisation",
"type" : "group",
"item" : [
{
"linkId" : "familydoctor.organization.name",
"text" : "Name der Organisation",
"type" : "string"
},
{
"linkId" : "familydoctor.organization.gln",
"text" : "GLN",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%address.line"
}
}
],
"linkId" : "familydoctor.organization.streetAddressLine",
"text" : "Strasse, Hausnummer, Postfach etc.",
"type" : "string",
"repeats" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%address.postalCode"
}
}
],
"linkId" : "familydoctor.organization.postalCode",
"text" : "PLZ",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%address.city"
}
}
],
"linkId" : "familydoctor.organization.city",
"text" : "Ort",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%address.country"
}
}
],
"linkId" : "familydoctor.organization.country",
"text" : "Land",
"type" : "string"
}
]
}
]
}
]
},
{
"linkId" : "requestedEncounter",
"text" : "Patientenaufnahme",
"type" : "group",
"item" : [
{
"linkId" : "requestedEncounter.class",
"text" : "Voraussichtlich: Ambulant / Stationär / Notfall",
"type" : "choice",
"answerOption" : [
{
"valueCoding" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "AMB",
"display" : "Ambulant"
}
},
{
"valueCoding" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "IMP",
"display" : "Stationär"
}
},
{
"valueCoding" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "EMER",
"display" : "Notfall"
}
}
]
},
{
"linkId" : "requestedEncounter.desiredAccommodation",
"text" : "Zimmerkategorie",
"type" : "choice",
"answerOption" : [
{
"valueCoding" : {
"system" : "http://fhir.ch/ig/ch-core/CodeSystem/bfs-medstats-21-encountertype",
"code" : "1",
"display" : "allgemein"
}
},
{
"valueCoding" : {
"system" : "http://fhir.ch/ig/ch-core/CodeSystem/bfs-medstats-21-encountertype",
"code" : "2",
"display" : "halbprivat"
}
},
{
"valueCoding" : {
"system" : "http://fhir.ch/ig/ch-core/CodeSystem/bfs-medstats-21-encountertype",
"code" : "3",
"display" : "privat"
}
}
]
}
]
},
{
"linkId" : "coverage",
"text" : "Kostenträger",
"type" : "group",
"item" : [
{
"linkId" : "coverage.beneficiary",
"text" : "Begünstigter (Patient)",
"type" : "group",
"item" : [
{
"linkId" : "coverage.beneficiary.ahvn13",
"text" : "AHV-Nr. des Patienten",
"type" : "string"
}
]
},
{
"linkId" : "coverage.kvg",
"text" : "Krankenkasse (nach KVG)",
"type" : "group",
"item" : [
{
"linkId" : "coverage.kvg.name",
"text" : "Name der Versicherung",
"type" : "string"
},
{
"linkId" : "coverage.kvg.insuranceCardNumber",
"text" : "Kennnummer der Versichertenkarte",
"type" : "string"
}
]
},
{
"linkId" : "coverage.uvg",
"text" : "Unfallversicherung (nach UVG)",
"type" : "group",
"item" : [
{
"linkId" : "coverage.uvg.name",
"text" : "Name der Versicherung",
"type" : "string"
},
{
"linkId" : "coverage.uvg.claimNumber",
"text" : "Schadennummer",
"type" : "string"
}
]
},
{
"linkId" : "coverage.vvg",
"text" : "Zusatzversicherung (nach VVG)",
"type" : "group",
"item" : [
{
"linkId" : "coverage.vvg.name",
"text" : "Name der Versicherung",
"type" : "string"
},
{
"linkId" : "coverage.vvg.insuranceCardNumber",
"text" : "Kennnummer der Versichertenkarte",
"type" : "string"
}
]
},
{
"linkId" : "coverage.iv",
"text" : "Invalidenversicherung (IV)",
"type" : "group",
"item" : [
{
"linkId" : "coverage.iv.verfuegungsnummer",
"text" : "IV-Verfügungsnummer",
"type" : "string"
}
]
},
{
"linkId" : "coverage.mv",
"text" : "Militärversicherung (MV)",
"type" : "group",
"item" : [
{
"linkId" : "coverage.mv.versichertennummer",
"text" : "MV-Versichertennummer",
"type" : "string"
}
]
},
{
"linkId" : "coverage.self",
"text" : "Selbstzahler",
"type" : "group",
"item" : [
{
"linkId" : "coverage.self.patient",
"text" : "Patient selbst",
"type" : "boolean"
},
{
"linkId" : "coverage.self.patientRelatedPerson",
"text" : "Andere Person",
"type" : "boolean",
"enableWhen" : [
{
"question" : "coverage.self.patient",
"operator" : "=",
"answerBoolean" : false
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression" : {
"name" : "linkIdPrefix",
"language" : "text/fhirpath",
"expression" : "'coverage.self.relatedPerson.'"
}
}
],
"linkId" : "coverage.self.relatedPerson",
"text" : "Andere Person",
"type" : "group",
"enableWhen" : [
{
"question" : "coverage.self.patientRelatedPerson",
"operator" : "=",
"answerBoolean" : true
}
],
"item" : [
{
"linkId" : "coverage.self.relatedPerson.familyName",
"text" : "Name",
"type" : "string"
},
{
"linkId" : "coverage.self.relatedPerson.givenName",
"text" : "Vorname",
"type" : "string"
},
{
"linkId" : "coverage.self.relatedPerson.phone",
"text" : "Telefon",
"type" : "string",
"repeats" : true
},
{
"linkId" : "coverage.self.relatedPerson.email",
"text" : "E-Mail",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%address.line"
}
}
],
"linkId" : "coverage.self.relatedPerson.streetAddressLine",
"text" : "Strasse, Hausnummer, Postfach etc.",
"type" : "string",
"repeats" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%address.postalCode"
}
}
],
"linkId" : "coverage.self.relatedPerson.postalCode",
"text" : "PLZ",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%address.city"
}
}
],
"linkId" : "coverage.self.relatedPerson.city",
"text" : "Ort",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%address.country"
}
}
],
"linkId" : "coverage.self.relatedPerson.country",
"text" : "Land",
"type" : "string"
}
]
}
]
},
{
"linkId" : "coverage.other",
"text" : "Anderer Kostenträger",
"type" : "group",
"item" : [
{
"linkId" : "coverage.other.name",
"text" : "Name des Kostenträgers",
"type" : "string"
},
{
"linkId" : "coverage.other.id",
"text" : "Beliebige ID",
"type" : "string"
},
{
"linkId" : "coverage.other.id.note",
"text" : "Bemerkung zur ID",
"type" : "string"
}
]
}
]
},
{
"linkId" : "sender",
"text" : "Absender",
"type" : "group",
"required" : true,
"item" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression" : {
"name" : "senderPractitionerRoles",
"language" : "application/x-fhir-query",
"expression" : "PractitionerRole?practitioner={{%user.id}}"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression" : {
"name" : "senderPractitionerRole",
"language" : "text/fhirpath",
"expression" : "%senderPractitionerRoles.entry[0].resource"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression" : {
"name" : "senderOrganizations",
"language" : "application/x-fhir-query",
"expression" : "Organization?_id={{%senderPractitionerRole.organization.reference}}"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression" : {
"name" : "senderOrganization",
"language" : "text/fhirpath",
"expression" : "%senderOrganizations.entry[0].resource"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression" : {
"name" : "address",
"language" : "text/fhirpath",
"expression" : "%senderOrganization.address"
}
}
],
"linkId" : "sender.author",
"text" : "Verantwortlicher",
"type" : "group",
"required" : true,
"item" : [
{
"linkId" : "sender.author.practitioner",
"text" : "Verantwortliche Person",
"type" : "group",
"item" : [
{
"linkId" : "sender.author.practitioner.title",
"text" : "Titel",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%user.name.family"
}
}
],
"linkId" : "sender.author.practitioner.familyName",
"text" : "Name",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%user.name.given"
}
}
],
"linkId" : "sender.author.practitioner.givenName",
"text" : "Vorname",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%user.identifier.where(system='urn:oid:2.51.1.3').value"
}
}
],
"linkId" : "sender.author.practitioner.gln",
"text" : "GLN",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%user.identifier.where(system='urn:oid:2.16.756.5.30.1.123.100.2.1.1').value"
}
}
],
"linkId" : "sender.author.practitioner.zsr",
"text" : "ZSR",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%user.telecom.where(system='phone').value"
}
}
],
"linkId" : "sender.author.practitioner.phone",
"text" : "Telefon",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%user.telecom.where(system='email').value"
}
}
],
"linkId" : "sender.author.practitioner.email",
"text" : "E-Mail",
"type" : "string"
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression" : {
"name" : "linkIdPrefix",
"language" : "text/fhirpath",
"expression" : "'sender.author.organization.'"
}
}
],
"linkId" : "sender.author.organization",
"text" : "Verantwortliche Organisation",
"type" : "group",
"item" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%senderOrganization.name"
}
}
],
"linkId" : "sender.author.organization.name",
"text" : "Name der Organisation",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%senderOrganization.identifier.where(system='urn:oid:2.51.1.3').value"
}
}
],
"linkId" : "sender.author.organization.gln",
"text" : "GLN",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%address.line"
}
}
],
"linkId" : "sender.author.organization.streetAddressLine",
"text" : "Strasse, Hausnummer, Postfach etc.",
"type" : "string",
"repeats" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%address.postalCode"
}
}
],
"linkId" : "sender.author.organization.postalCode",
"text" : "PLZ",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%address.city"
}
}
],
"linkId" : "sender.author.organization.city",
"text" : "Ort",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%address.country"
}
}
],
"linkId" : "sender.author.organization.country",
"text" : "Land",
"type" : "string"
}
]
}
]
},
{
"linkId" : "sender.dataenterer",
"text" : "Erfasser",
"type" : "group",
"item" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression" : {
"name" : "linkIdPrefix",
"language" : "text/fhirpath",
"expression" : "'sender.dataenterer.practitioner.'"
}
}
],
"linkId" : "sender.dataenterer.practitioner",
"text" : "Erfassende Person",
"type" : "group",
"item" : [
{
"linkId" : "sender.dataenterer.practitioner.title",
"text" : "Titel",
"type" : "string"
},
{
"linkId" : "sender.dataenterer.practitioner.familyName",
"text" : "Name",
"type" : "string"
},
{
"linkId" : "sender.dataenterer.practitioner.givenName",
"text" : "Vorname",
"type" : "string"
},
{
"linkId" : "sender.dataenterer.practitioner.phone",
"text" : "Telefon",
"type" : "string"
},
{
"linkId" : "sender.dataenterer.practitioner.email",
"text" : "E-Mail",
"type" : "string"
}
]
}
]
}
]
},
{
"linkId" : "receiverCopy",
"text" : "Kopieempfänger (Kopie dieses Auftrags und aller daraus resultierenden Resultate)",
"type" : "group",
"item" : [
{
"linkId" : "receiverCopy.practitionerRole",
"text" : "Gesundheitsfachperson oder -organisation",
"type" : "group",
"repeats" : true,
"item" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression" : {
"name" : "linkIdPrefix",
"language" : "text/fhirpath",
"expression" : "'receiverCopy.practitionerRole.practitioner.'"
}
}
],
"linkId" : "receiverCopy.practitionerRole.practitioner",
"text" : "Gesundheitsfachperson",
"type" : "group",
"item" : [
{
"linkId" : "receiverCopy.practitionerRole.practitioner.title",
"text" : "Titel",
"type" : "string"
},
{
"linkId" : "receiverCopy.practitionerRole.practitioner.familyName",
"text" : "Name",
"type" : "string"
},
{
"linkId" : "receiverCopy.practitionerRole.practitioner.givenName",
"text" : "Vorname",
"type" : "string"
},
{
"linkId" : "receiverCopy.practitionerRole.practitioner.phone",
"text" : "Telefon",
"type" : "string"
},
{
"linkId" : "receiverCopy.practitionerRole.practitioner.email",
"text" : "E-Mail",
"type" : "string"
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression" : {
"name" : "linkIdPrefix",
"language" : "text/fhirpath",
"expression" : "'receiverCopy.practitionerRole.organization.'"
}
}
],
"linkId" : "receiverCopy.practitionerRole.organization",
"text" : "Gesundheitsorganisatiton",
"type" : "group",
"item" : [
{
"linkId" : "receiverCopy.practitionerRole.organization.name",
"text" : "Name der Organisation",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%address.line"
}
}
],
"linkId" : "receiverCopy.practitionerRole.organization.streetAddressLine",
"text" : "Strasse, Hausnummer, Postfach etc.",
"type" : "string",
"repeats" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%address.postalCode"
}
}
],
"linkId" : "receiverCopy.practitionerRole.organization.postalCode",
"text" : "PLZ",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%address.city"
}
}
],
"linkId" : "receiverCopy.practitionerRole.organization.city",
"text" : "Ort",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%address.country"
}
}
],
"linkId" : "receiverCopy.practitionerRole.organization.country",
"text" : "Land",
"type" : "string"
}
]
}
]
},
{
"linkId" : "receiverCopy.patient",
"text" : "Patient selbst",
"type" : "boolean"
},
{
"linkId" : "receiverCopy.relatedPerson",
"text" : "Andere Person",
"type" : "group",
"repeats" : true,
"item" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression" : {
"name" : "linkIdPrefix",
"language" : "text/fhirpath",
"expression" : "'receiverCopy.relatedPerson.'"
}
}
],
"linkId" : "receiverCopy.relatedPerson.familyName",
"text" : "Name",
"type" : "string"
},
{
"linkId" : "receiverCopy.relatedPerson.givenName",
"text" : "Vorname",
"type" : "string"
},
{
"linkId" : "receiverCopy.relatedPerson.phone",
"text" : "Telefon",
"type" : "string",
"repeats" : true
},
{
"linkId" : "receiverCopy.relatedPerson.email",
"text" : "E-Mail",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%address.line"
}
}
],
"linkId" : "receiverCopy.relatedPerson.streetAddressLine",
"text" : "Strasse, Hausnummer, Postfach etc.",
"type" : "string",
"repeats" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%address.postalCode"
}
}
],
"linkId" : "receiverCopy.relatedPerson.postalCode",
"text" : "PLZ",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%address.city"
}
}
],
"linkId" : "receiverCopy.relatedPerson.city",
"text" : "Ort",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%address.country"
}
}
],
"linkId" : "receiverCopy.relatedPerson.country",
"text" : "Land",
"type" : "string"
}
]
}
]
},
{
"linkId" : "antecedentEpisodeOfCare",
"text" : "Vorgängiger Aufenthalt in Spital / Heim",
"type" : "group",
"item" : [
{
"linkId" : "antecedentEpisodeOfCare.start",
"text" : "Von",
"type" : "dateTime"
},
{
"linkId" : "antecedentEpisodeOfCare.end",
"text" : "Bis",
"type" : "dateTime"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression" : {
"name" : "linkIdPrefix",
"language" : "text/fhirpath",
"expression" : "'antecedentEpisodeOfCare.managingOrganization.'"
}
}
],
"linkId" : "antecedentEpisodeOfCare.managingOrganization",
"text" : "Spital /Heim",
"type" : "group",
"item" : [
{
"linkId" : "antecedentEpisodeOfCare.managingOrganization.name",
"text" : "Name der Organisation",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%address.line"
}
}
],
"linkId" : "antecedentEpisodeOfCare.managingOrganization.streetAddressLine",
"text" : "Strasse, Hausnummer, Postfach etc.",
"type" : "string",
"repeats" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%address.postalCode"
}
}
],
"linkId" : "antecedentEpisodeOfCare.managingOrganization.postalCode",
"text" : "PLZ",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%address.city"
}
}
],
"linkId" : "antecedentEpisodeOfCare.managingOrganization.city",
"text" : "Ort",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%address.country"
}
}
],
"linkId" : "antecedentEpisodeOfCare.managingOrganization.country",
"text" : "Land",
"type" : "string"
}
]
}
]
},
{
"linkId" : "appointment",
"text" : "Ort und Zeit der Durchführung der angeforderten Leistung",
"type" : "group",
"repeats" : true,
"item" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression" : {
"name" : "linkIdPrefix",
"language" : "text/fhirpath",
"expression" : "'appointment.location.'"
}
}
],
"linkId" : "appointment.location",
"text" : "Ort der Durchführung",
"type" : "group",
"item" : [
{
"linkId" : "appointment.location.name",
"text" : "Name",
"type" : "string",
"required" : true
},
{
"linkId" : "appointment.location.phone",
"text" : "Telefon",
"type" : "string"
},
{
"linkId" : "appointment.location.email",
"text" : "E-Mail",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%address.line"
}
}
],
"linkId" : "appointment.location.streetAddressLine",
"text" : "Strasse, Hausnummer, Postfach etc.",
"type" : "string",
"repeats" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%address.postalCode"
}
}
],
"linkId" : "appointment.location.postalCode",
"text" : "PLZ",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%address.city"
}
}
],
"linkId" : "appointment.location.city",
"text" : "Ort",
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%address.country"
}
}
],
"linkId" : "appointment.location.country",
"text" : "Land",
"type" : "string"
}
]
},
{
"linkId" : "appointment.requestedPeriod",
"text" : "Datum und Zeit, wann der Termin bevorzugt geplant werden soll",
"type" : "group",
"item" : [
{
"linkId" : "appointment.requestedPeriod.start",
"text" : "Von",
"type" : "dateTime"
},
{
"linkId" : "appointment.requestedPeriod.end",
"text" : "Bis",
"type" : "dateTime"
}
]
},
{
"linkId" : "appointment.status",
"text" : "Status",
"type" : "choice",
"required" : true,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://hl7.org/fhir/appointmentstatus",
"code" : "proposed",
"display" : "Wunsch des Patienten (vorgeschlagen)"
},
"initialSelected" : true
},
{
"valueCoding" : {
"system" : "http://hl7.org/fhir/appointmentstatus",
"code" : "pending",
"display" : "Vom Patienten bestätigt, aber vom Leistungserbringer noch nicht (ausstehend)"
}
},
{
"valueCoding" : {
"system" : "http://hl7.org/fhir/appointmentstatus",
"code" : "booked",
"display" : "Vom Patienten und Leistungserbringer bestätigt (gebucht)"
}
}
]
},
{
"linkId" : "appointment.patientInstruction",
"text" : "Patienteninformation für diesen Termin",
"type" : "string"
}
]
},
{
"linkId" : "consent",
"text" : "Einverständniserklärung",
"type" : "group",
"item" : [
{
"linkId" : "patient.consent.statement",
"text" : "Ist der Patient über die Anmeldung informiert und explizit einverstanden?",
"type" : "choice",
"answerOption" : [
{
"valueCoding" : {
"system" : "http://fhir.ch/ig/ch-orf/CodeSystem/ch-orf-cs-consentstatus",
"code" : "ExplicitAgreement",
"display" : "Patient is informed and has explicitly agreed"
}
},
{
"valueCoding" : {
"system" : "http://fhir.ch/ig/ch-orf/CodeSystem/ch-orf-cs-consentstatus",
"code" : "Other",
"display" : "Other situation such as 'implicit agreement', 'agreed by legal guardian' etc."
}
}
],
"item" : [
{
"linkId" : "patient.consent.statement.note",
"text" : "Anmerkung",
"type" : "string"
}
]
}
]
},
{
"linkId" : "note",
"text" : "Bemerkungen",
"type" : "group",
"repeats" : true,
"item" : [
{
"linkId" : "note.text",
"text" : "Kommentar",
"type" : "string"
}
]
}
]
}
},
{
"fullUrl" : "urn:uuid:a5c91b7a-8c58-4a71-a1bc-08bd093681b8",
"resource" : {
"resourceType" : "PractitionerRole",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: PractitionerRole</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"/><p><b>practitioner</b>: <a href=\"#urnuuidfa460d46-61d2-43bc-8451-35e7637ca4cd\">See above (urn:uuid:fa460d46-61d2-43bc-8451-35e7637ca4cd)</a></p></div>"
},
"practitioner" : {
"reference" : "urn:uuid:fa460d46-61d2-43bc-8451-35e7637ca4cd"
}
}
},
{
"fullUrl" : "urn:uuid:fa460d46-61d2-43bc-8451-35e7637ca4cd",
"resource" : {
"resourceType" : "Practitioner",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Practitioner</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"/><p><b>name</b>: Hans Röntgen </p><p><b>telecom</b>: ph: 044 412 00 99, <a href=\"mailto:hans.roentgen@kantonsspital.ch\">hans.roentgen@kantonsspital.ch</a></p></div>"
},
"name" : [
{
"family" : "Röntgen",
"given" : [
"Hans"
],
"prefix" : [
"Dr. med."
],
"_prefix" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier",
"valueCode" : "AC"
}
]
}
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "044 412 00 99"
},
{
"system" : "email",
"value" : "hans.roentgen@kantonsspital.ch"
}
]
}
},
{
"fullUrl" : "urn:uuid:9fec93d4-ac30-4d89-8975-e5e2ebabd28a",
"resource" : {
"resourceType" : "PractitionerRole",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: PractitionerRole</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"/><p><b>practitioner</b>: <a href=\"#urnuuid265ff485-c1d8-4c92-a515-35a52887d425\">See above (urn:uuid:265ff485-c1d8-4c92-a515-35a52887d425)</a></p></div>"
},
"practitioner" : {
"reference" : "urn:uuid:265ff485-c1d8-4c92-a515-35a52887d425"
}
}
},
{
"fullUrl" : "urn:uuid:265ff485-c1d8-4c92-a515-35a52887d425",
"resource" : {
"resourceType" : "Practitioner",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Practitioner</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"/><p><b>name</b>: Sabine Meier </p><p><b>telecom</b>: ph: 044 333 22 11, <a href=\"mailto:sabine.meier@praxisseeblick.ch\">sabine.meier@praxisseeblick.ch</a></p></div>"
},
"name" : [
{
"family" : "Meier",
"given" : [
"Sabine"
],
"prefix" : [
"Dr. med."
],
"_prefix" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier",
"valueCode" : "AC"
}
]
}
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "044 333 22 11"
},
{
"system" : "email",
"value" : "sabine.meier@praxisseeblick.ch"
}
]
}
},
{
"fullUrl" : "urn:uuid:305422f3-dbfb-4ce0-bd12-e26d0024f550",
"resource" : {
"resourceType" : "PractitionerRole",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: PractitionerRole</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"/><p><b>practitioner</b>: <a href=\"#urnuuida52dafd4-3a96-463c-88b1-e7096f21dc70\">See above (urn:uuid:a52dafd4-3a96-463c-88b1-e7096f21dc70)</a></p><p><b>organization</b>: <a href=\"#urnuuidaa7ac1e4-fa1f-4d75-a6ba-a6e1eb022c44\">See above (urn:uuid:aa7ac1e4-fa1f-4d75-a6ba-a6e1eb022c44)</a></p></div>"
},
"practitioner" : {
"reference" : "urn:uuid:a52dafd4-3a96-463c-88b1-e7096f21dc70"
},
"organization" : {
"reference" : "urn:uuid:aa7ac1e4-fa1f-4d75-a6ba-a6e1eb022c44"
}
}
},
{
"fullUrl" : "urn:uuid:a52dafd4-3a96-463c-88b1-e7096f21dc70",
"resource" : {
"resourceType" : "Practitioner",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Practitioner</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"/><p><b>identifier</b>: id:\u00a07601000201041, id:\u00a0A123262</p><p><b>name</b>: Hans Röntgen </p><p><b>telecom</b>: ph: 044 412 00 99, <a href=\"mailto:hans.roentgen@kantonsspital.ch\">hans.roentgen@kantonsspital.ch</a></p></div>"
},
"identifier" : [
{
"system" : "urn:oid:2.51.1.3",
"value" : "7601000201041"
},
{
"system" : "urn:oid:2.16.756.5.30.1.123.100.2.1.1",
"value" : "A123262"
}
],
"name" : [
{
"family" : "Röntgen",
"given" : [
"Hans"
],
"prefix" : [
"Dr. med."
],
"_prefix" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier",
"valueCode" : "AC"
}
]
}
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "044 412 00 99"
},
{
"system" : "email",
"value" : "hans.roentgen@kantonsspital.ch"
}
]
}
},
{
"fullUrl" : "urn:uuid:aa7ac1e4-fa1f-4d75-a6ba-a6e1eb022c44",
"resource" : {
"resourceType" : "Organization",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"/><p><b>name</b>: Kantonsspital</p><p><b>address</b>: Kantonsstrasse 14 Postfach 14 Zürich 8000 Schweiz </p></div>"
},
"name" : "Kantonsspital",
"address" : [
{
"line" : [
"Kantonsstrasse 14",
"Postfach 14"
],
"city" : "Zürich",
"postalCode" : "8000",
"country" : "Schweiz"
}
]
}
},
{
"fullUrl" : "urn:uuid:c1ed3d1d-8aff-401f-ae87-16e178323a10",
"resource" : {
"resourceType" : "RelatedPerson",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: RelatedPerson</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"/><p><b>patient</b>: <a href=\"#urnuuidaaddb7b1-eb51-4426-8182-42f66fbf24d0\">See above (urn:uuid:aaddb7b1-eb51-4426-8182-42f66fbf24d0)</a></p><p><b>name</b>: Fritz Musterfrau </p></div>"
},
"patient" : {
"reference" : "urn:uuid:aaddb7b1-eb51-4426-8182-42f66fbf24d0"
},
"name" : [
{
"family" : "Musterfrau",
"given" : [
"Fritz"
]
}
]
}
},
{
"fullUrl" : "urn:uuid:11a6e0bc-534a-478a-b729-5d336601e789",
"resource" : {
"resourceType" : "PractitionerRole",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: PractitionerRole</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"/><p><b>practitioner</b>: <a href=\"#urnuuid2b7e232d-7f46-48d3-877c-93e7db6d0576\">See above (urn:uuid:2b7e232d-7f46-48d3-877c-93e7db6d0576)</a></p></div>"
},
"practitioner" : {
"reference" : "urn:uuid:2b7e232d-7f46-48d3-877c-93e7db6d0576"
}
}
},
{
"fullUrl" : "urn:uuid:2b7e232d-7f46-48d3-877c-93e7db6d0576",
"resource" : {
"resourceType" : "Practitioner",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Practitioner</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"/><p><b>name</b>: Sabine Meier </p></div>"
},
"name" : [
{
"family" : "Meier",
"given" : [
"Sabine"
],
"prefix" : [
"Dr. med."
],
"_prefix" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier",
"valueCode" : "AC"
}
]
}
]
}
]
}
},
{
"fullUrl" : "urn:uuid:f435f713-5fb9-42a8-b3cc-7033ba75e3d5",
"resource" : {
"resourceType" : "Encounter",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Encounter</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"/><p><b>CH ORF Desired Accommodation</b>: halbprivat (Details: http://fhir.ch/ig/ch-core/CodeSystem/bfs-medstats-21-encountertype code 2 = 'halbprivat', stated as 'halbprivat')</p><p><b>status</b>: planned</p><p><b>class</b>: emergency (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code EMER = 'emergency', stated as 'null')</p><p><b>subject</b>: <a href=\"#urnuuidaaddb7b1-eb51-4426-8182-42f66fbf24d0\">See above (urn:uuid:aaddb7b1-eb51-4426-8182-42f66fbf24d0)</a></p></div>"
},
"extension" : [
{
"url" : "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-desiredaccommodation",
"valueCoding" : {
"system" : "http://fhir.ch/ig/ch-core/CodeSystem/bfs-medstats-21-encountertype",
"code" : "2",
"display" : "halbprivat"
}
}
],
"status" : "planned",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "EMER"
},
"subject" : {
"reference" : "urn:uuid:aaddb7b1-eb51-4426-8182-42f66fbf24d0"
}
}
},
{
"fullUrl" : "urn:uuid:4d45ffb2-6335-4cf2-9d16-ad4387272345",
"resource" : {
"resourceType" : "Coverage",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Coverage</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"/><p><b>identifier</b>: Insurance Card Number: 80756015090002647590</p><p><b>status</b>: active</p><p><b>type</b>: According to KVG <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ch-orf-cs-coveragetype.html\">Coverage Type</a>#KVG)</span></p><p><b>beneficiary</b>: <a href=\"#urnuuidaaddb7b1-eb51-4426-8182-42f66fbf24d0\">See above (urn:uuid:aaddb7b1-eb51-4426-8182-42f66fbf24d0)</a></p><p><b>payor</b>: <a name=\"org\"> </a></p><blockquote><p/><p><a name=\"org\"> </a></p><p><b>name</b>: Sanitas</p></blockquote><hr/><blockquote><p><b>Generated Narrative: Organization #org</b><a name=\"org\"> </a></p><p><b>name</b>: Sanitas</p></blockquote></div>"
},
"contained" : [
{
"resourceType" : "Organization",
"id" : "org",
"name" : "Sanitas"
}
],
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-orf/CodeSystem/ch-orf-cs-coverageidentifiertype",
"code" : "VeKa"
}
]
},
"value" : "80756015090002647590"
}
],
"status" : "active",
"type" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-orf/CodeSystem/ch-orf-cs-coveragetype",
"code" : "KVG"
}
]
},
"beneficiary" : {
"reference" : "urn:uuid:aaddb7b1-eb51-4426-8182-42f66fbf24d0"
},
"payor" : [
{
"reference" : "#org"
}
]
}
},
{
"fullUrl" : "urn:uuid:4388146d-9909-4613-b0c5-2ac3de31dfb8",
"resource" : {
"resourceType" : "PractitionerRole",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: PractitionerRole</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"/><p><b>practitioner</b>: <a href=\"#urnuuid46ff1cb2-4ece-4952-8fdd-ffc23727f7cc\">See above (urn:uuid:46ff1cb2-4ece-4952-8fdd-ffc23727f7cc)</a></p><p><b>organization</b>: <a href=\"#urnuuidd8d014fe-01b0-403d-b8a3-1caa177d59f6\">See above (urn:uuid:d8d014fe-01b0-403d-b8a3-1caa177d59f6)</a></p></div>"
},
"practitioner" : {
"reference" : "urn:uuid:46ff1cb2-4ece-4952-8fdd-ffc23727f7cc"
},
"organization" : {
"reference" : "urn:uuid:d8d014fe-01b0-403d-b8a3-1caa177d59f6"
}
}
},
{
"fullUrl" : "urn:uuid:46ff1cb2-4ece-4952-8fdd-ffc23727f7cc",
"resource" : {
"resourceType" : "Practitioner",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Practitioner</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"/><p><b>identifier</b>: id:\u00a07601000618627, id:\u00a0A123321</p><p><b>name</b>: Sabine Meier </p><p><b>telecom</b>: ph: 044 333 22 11, <a href=\"mailto:sabine.meier@praxisseeblick.ch\">sabine.meier@praxisseeblick.ch</a></p></div>"
},
"identifier" : [
{
"system" : "urn:oid:2.51.1.3",
"value" : "7601000618627"
},
{
"system" : "urn:oid:2.16.756.5.30.1.123.100.2.1.1",
"value" : "A123321"
}
],
"name" : [
{
"family" : "Meier",
"given" : [
"Sabine"
],
"prefix" : [
"Dr. med."
],
"_prefix" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier",
"valueCode" : "AC"
}
]
}
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "044 333 22 11"
},
{
"system" : "email",
"value" : "sabine.meier@praxisseeblick.ch"
}
]
}
},
{
"fullUrl" : "urn:uuid:d8d014fe-01b0-403d-b8a3-1caa177d59f6",
"resource" : {
"resourceType" : "Organization",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"/><p><b>name</b>: Praxis Seeblick</p><p><b>address</b>: Seestrasse 133 Haus C Zürich 8000 Schweiz </p></div>"
},
"name" : "Praxis Seeblick",
"address" : [
{
"line" : [
"Seestrasse 133",
"Haus C"
],
"city" : "Zürich",
"postalCode" : "8000",
"country" : "Schweiz"
}
]
}
},
{
"fullUrl" : "urn:uuid:40300c5d-0259-438a-88b8-4b24a9c6bf79",
"resource" : {
"resourceType" : "PractitionerRole",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: PractitionerRole</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"/><p><b>practitioner</b>: <a href=\"#urnuuid99dbf210-4384-4a23-8be4-524d1809bb39\">See above (urn:uuid:99dbf210-4384-4a23-8be4-524d1809bb39)</a></p><p><b>organization</b>: <a href=\"#urnuuidd8d014fe-01b0-403d-b8a3-1caa177d59f6\">See above (urn:uuid:d8d014fe-01b0-403d-b8a3-1caa177d59f6)</a></p></div>"
},
"practitioner" : {
"reference" : "urn:uuid:99dbf210-4384-4a23-8be4-524d1809bb39"
},
"organization" : {
"reference" : "urn:uuid:d8d014fe-01b0-403d-b8a3-1caa177d59f6"
}
}
},
{
"fullUrl" : "urn:uuid:99dbf210-4384-4a23-8be4-524d1809bb39",
"resource" : {
"resourceType" : "Practitioner",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Practitioner</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"/><p><b>name</b>: Stabilo Boss </p><p><b>telecom</b>: ph: 044 333 22 12, <a href=\"mailto:stabilo.boss@praxisseeblick.ch\">stabilo.boss@praxisseeblick.ch</a></p></div>"
},
"name" : [
{
"family" : "Boss",
"given" : [
"Stabilo"
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "044 333 22 12"
},
{
"system" : "email",
"value" : "stabilo.boss@praxisseeblick.ch"
}
]
}
},
{
"fullUrl" : "urn:uuid:b7fdf56d-3bc9-48d9-b470-d1cafb8a0716",
"resource" : {
"resourceType" : "PractitionerRole",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: PractitionerRole</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"/><p><b>practitioner</b>: <a href=\"#urnuuidba1d8d1f-31ad-4a4f-961e-791cc5444134\">See above (urn:uuid:ba1d8d1f-31ad-4a4f-961e-791cc5444134)</a></p><p><b>organization</b>: <a href=\"#urnuuid0398e29f-0a03-4783-a8db-69c41afa5948\">See above (urn:uuid:0398e29f-0a03-4783-a8db-69c41afa5948)</a></p></div>"
},
"practitioner" : {
"reference" : "urn:uuid:ba1d8d1f-31ad-4a4f-961e-791cc5444134"
},
"organization" : {
"reference" : "urn:uuid:0398e29f-0a03-4783-a8db-69c41afa5948"
}
}
},
{
"fullUrl" : "urn:uuid:ba1d8d1f-31ad-4a4f-961e-791cc5444134",
"resource" : {
"resourceType" : "Practitioner",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Practitioner</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"/><p><b>name</b>: Sabine Meier </p><p><b>telecom</b>: ph: 044 333 22 11, <a href=\"mailto:sabine.meier@praxisseeblick.ch\">sabine.meier@praxisseeblick.ch</a></p></div>"
},
"name" : [
{
"family" : "Meier",
"given" : [
"Sabine"
],
"prefix" : [
"Dr. med."
],
"_prefix" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier",
"valueCode" : "AC"
}
]
}
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "044 333 22 11"
},
{
"system" : "email",
"value" : "sabine.meier@praxisseeblick.ch"
}
]
}
},
{
"fullUrl" : "urn:uuid:0398e29f-0a03-4783-a8db-69c41afa5948",
"resource" : {
"resourceType" : "Organization",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"/><p><b>name</b>: Praxis Seeblick</p><p><b>address</b>: Seestrasse 133 Zürich 8000 Schweiz </p></div>"
},
"name" : "Praxis Seeblick",
"address" : [
{
"line" : [
"Seestrasse 133"
],
"city" : "Zürich",
"postalCode" : "8000",
"country" : "Schweiz"
}
]
}
},
{
"fullUrl" : "urn:uuid:9ba0fe13-1d13-4785-b408-1c69dda0d4c2",
"resource" : {
"resourceType" : "EpisodeOfCare",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: EpisodeOfCare</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"/><p><b>status</b>: finished</p><h3>StatusHistories</h3><table class=\"grid\"><tr><td>-</td><td><b>Status</b></td><td><b>Period</b></td></tr><tr><td>*</td><td>finished</td><td>2023-05-22 --> 2023-05-27</td></tr></table><p><b>patient</b>: <a href=\"#urnuuidaaddb7b1-eb51-4426-8182-42f66fbf24d0\">See above (urn:uuid:aaddb7b1-eb51-4426-8182-42f66fbf24d0)</a></p><p><b>managingOrganization</b>: <a href=\"#urnuuid344e4508-77e1-43ea-b401-b6c4f428b962\">See above (urn:uuid:344e4508-77e1-43ea-b401-b6c4f428b962)</a></p></div>"
},
"status" : "finished",
"statusHistory" : [
{
"status" : "finished",
"period" : {
"start" : "2023-05-22",
"end" : "2023-05-27"
}
}
],
"patient" : {
"reference" : "urn:uuid:aaddb7b1-eb51-4426-8182-42f66fbf24d0"
},
"managingOrganization" : {
"reference" : "urn:uuid:344e4508-77e1-43ea-b401-b6c4f428b962"
}
}
},
{
"fullUrl" : "urn:uuid:344e4508-77e1-43ea-b401-b6c4f428b962",
"resource" : {
"resourceType" : "Organization",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"/><p><b>name</b>: Spital Hinterfultigen</p></div>"
},
"name" : "Spital Hinterfultigen"
}
}
]
}
IG © 2020+ HL7 Switzerland. Package ch.fhir.ig.ch-orf#2.0.0-ballot based on FHIR 4.0.1. Generated 2023-06-29
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