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