CH ORF (R4)
0.10.0 - STU 1 Ballot

This page is part of the CH ORF (R4) (v0.10.0: STU 1) based on FHIR R4. . For a full list of available versions, see the Directory of published versions

: Bundle Order-Referral-Form (mapped) - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Bundle;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "order-referral-form-mapped"];
  fhir:Bundle.identifier [
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
     fhir:Identifier.value [ fhir:value "urn:uuid:9b60d3c1-2b56-4d65-8fcd-14639fc4312a" ]
  ];
  fhir:Bundle.type [ fhir:value "document"];
  fhir:Bundle.timestamp [ fhir:value "2021-06-15T05:46:48+00:00"^^xsd:dateTime];
  fhir:Bundle.entry [
     fhir:index 0;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:f85c6d91-423d-445a-939c-a7c1b7498ddb" ];
     fhir:Bundle.entry.resource <urn:uuid:f85c6d91-423d-445a-939c-a7c1b7498ddb>
  ], [
     fhir:index 1;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:f00720ca-4cee-4a33-9c72-ab8858d05c15" ];
     fhir:Bundle.entry.resource <urn:uuid:f00720ca-4cee-4a33-9c72-ab8858d05c15>
  ], [
     fhir:index 2;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:a506b76d-2a4c-4033-ba07-7da95055c118" ];
     fhir:Bundle.entry.resource <urn:uuid:a506b76d-2a4c-4033-ba07-7da95055c118>
  ], [
     fhir:index 3;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:3cf36568-0aba-45d3-96d0-1973a8362853" ];
     fhir:Bundle.entry.resource <urn:uuid:3cf36568-0aba-45d3-96d0-1973a8362853>
  ], [
     fhir:index 4;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:2bfb1c37-1fad-43ea-b354-f76b16873885" ];
     fhir:Bundle.entry.resource <urn:uuid:2bfb1c37-1fad-43ea-b354-f76b16873885>
  ], [
     fhir:index 5;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:621d538a-3837-4c97-b6d5-c9661c493383" ];
     fhir:Bundle.entry.resource <urn:uuid:621d538a-3837-4c97-b6d5-c9661c493383>
  ], [
     fhir:index 6;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:72136e39-f7ed-4da0-881a-ee6ca9d787a6" ];
     fhir:Bundle.entry.resource <urn:uuid:72136e39-f7ed-4da0-881a-ee6ca9d787a6>
  ], [
     fhir:index 7;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:11e864ff-443d-4cd3-9e28-31a9c3f6751d" ];
     fhir:Bundle.entry.resource <urn:uuid:11e864ff-443d-4cd3-9e28-31a9c3f6751d>
  ], [
     fhir:index 8;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:adb1b9a0-a1fe-4af4-86c1-c7fa3d727c83" ];
     fhir:Bundle.entry.resource <urn:uuid:adb1b9a0-a1fe-4af4-86c1-c7fa3d727c83>
  ], [
     fhir:index 9;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:0b342eb6-26db-4943-b67b-b56399b557c5" ];
     fhir:Bundle.entry.resource <urn:uuid:0b342eb6-26db-4943-b67b-b56399b557c5>
  ], [
     fhir:index 10;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:3e40f062-b7a8-4d17-bf05-65d59cd60f31" ];
     fhir:Bundle.entry.resource <urn:uuid:3e40f062-b7a8-4d17-bf05-65d59cd60f31>
  ], [
     fhir:index 11;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:81b2eebe-3a44-461b-88fd-0955354005e4" ];
     fhir:Bundle.entry.resource <urn:uuid:81b2eebe-3a44-461b-88fd-0955354005e4>
  ], [
     fhir:index 12;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:322dfa17-00d3-4f8e-aa66-8d52a3f316c1" ];
     fhir:Bundle.entry.resource <urn:uuid:322dfa17-00d3-4f8e-aa66-8d52a3f316c1>
  ], [
     fhir:index 13;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:5718bcfc-818a-455c-839b-ee63ef0c295a" ];
     fhir:Bundle.entry.resource <urn:uuid:5718bcfc-818a-455c-839b-ee63ef0c295a>
  ], [
     fhir:index 14;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:bbd52527-72f7-47ba-a330-0ebdfcebd2e0" ];
     fhir:Bundle.entry.resource <urn:uuid:bbd52527-72f7-47ba-a330-0ebdfcebd2e0>
  ], [
     fhir:index 15;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:007d5b98-d7d7-43ac-a676-86ce05f9f38e" ];
     fhir:Bundle.entry.resource <urn:uuid:007d5b98-d7d7-43ac-a676-86ce05f9f38e>
  ], [
     fhir:index 16;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:1ff584f7-6c54-4671-85a6-8147b7a08468" ];
     fhir:Bundle.entry.resource <urn:uuid:1ff584f7-6c54-4671-85a6-8147b7a08468>
  ], [
     fhir:index 17;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:22a635e9-71ca-43ff-91cb-6c394fda79b1" ];
     fhir:Bundle.entry.resource <urn:uuid:22a635e9-71ca-43ff-91cb-6c394fda79b1>
  ], [
     fhir:index 18;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:39b938b1-3493-49b7-8c4c-e8e3d385f318" ];
     fhir:Bundle.entry.resource <urn:uuid:39b938b1-3493-49b7-8c4c-e8e3d385f318>
  ], [
     fhir:index 19;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:3df0adb5-e405-4e88-bbc0-0686cb2964c8" ];
     fhir:Bundle.entry.resource <urn:uuid:3df0adb5-e405-4e88-bbc0-0686cb2964c8>
  ], [
     fhir:index 20;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:1eeeaaa1-4395-43b0-85e9-4f538dfb83ed" ];
     fhir:Bundle.entry.resource <urn:uuid:1eeeaaa1-4395-43b0-85e9-4f538dfb83ed>
  ].

<urn:uuid:f85c6d91-423d-445a-939c-a7c1b7498ddb> a fhir:Composition;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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=\"#urnuuid621d538a-3837-4c97-b6d5-c9661c493383\">See above (PractitionerRole/null)</a></p><p><b>CH ORF Urgent Notification Contact For The Response To This Document</b>: <a href=\"#urnuuid11e864ff-443d-4cd3-9e28-31a9c3f6751d\">See above (PractitionerRole/null)</a></p><p><b>CH ORF Receiver</b>: <a href=\"#urnuuid0b342eb6-26db-4943-b67b-b56399b557c5\">See above (PractitionerRole/null)</a></p><blockquote><p><b>EPR Data Enterer</b></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: <a href=\"#urnuuid22a635e9-71ca-43ff-91cb-6c394fda79b1\">See above (PractitionerRole/null)</a></p></blockquote><p><b>CH ORF Copy Receiver</b>: <a href=\"#urnuuid3df0adb5-e405-4e88-bbc0-0686cb2964c8\">See above (Organization/null)</a></p><p><b>CH ORF Copy Receiver</b>: <a href=\"#urnuuid1eeeaaa1-4395-43b0-85e9-4f538dfb83ed\">See above (Patient/null)</a></p><p><b>status</b>: final</p><p><b>type</b>: <span title=\"Codes: {http://snomed.info/sct 419891008}\">Record artifact (record artifact)</span></p><p><b>category</b>: <span title=\"Codes: {http://snomed.info/sct 721963009}\">Order (record artifact)</span></p><p><b>date</b>: Jun 15, 2021, 7:46:48 AM</p><p><b>author</b>: <a href=\"#urnuuidbbd52527-72f7-47ba-a330-0ebdfcebd2e0\">See above (PractitionerRole/null)</a></p><p><b>title</b>: Order-Referral-Form</p></div>"
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-precedentdocument" ];
     fhir:Extension.valueIdentifier [
       fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
       fhir:Identifier.value [ fhir:value "urn:uuid:1622f2fb-6ba3-4532-9aed-35b158def187" ]     ]
  ], [
     fhir:index 1;
     fhir:Extension.url [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactforthisdocument" ];
     fhir:Extension.valueReference [
       fhir:Reference.reference [ fhir:value "urn:uuid:621d538a-3837-4c97-b6d5-c9661c493383" ]     ]
  ], [
     fhir:index 2;
     fhir:Extension.url [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactfortheresponsetothisdocument" ];
     fhir:Extension.valueReference [
       fhir:Reference.reference [ fhir:value "urn:uuid:11e864ff-443d-4cd3-9e28-31a9c3f6751d" ]     ]
  ], [
     fhir:index 3;
     fhir:Extension.url [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-receiver" ];
     fhir:Extension.valueReference [
       fhir:Reference.reference [ fhir:value "urn:uuid:0b342eb6-26db-4943-b67b-b56399b557c5" ]     ]
  ], [
     fhir:index 4;
     fhir:Extension.url [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer" ];
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "enterer" ];
       fhir:Extension.valueReference [
         fhir:Reference.reference [ fhir:value "urn:uuid:22a635e9-71ca-43ff-91cb-6c394fda79b1" ]       ]     ]
  ], [
     fhir:index 5;
     fhir:Extension.url [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-copyreceiver" ];
     fhir:Extension.valueReference [
       fhir:Reference.reference [ fhir:value "urn:uuid:3df0adb5-e405-4e88-bbc0-0686cb2964c8" ]     ]
  ], [
     fhir:index 6;
     fhir:Extension.url [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-copyreceiver" ];
     fhir:Extension.valueReference [
       fhir:Reference.reference [ fhir:value "urn:uuid:1eeeaaa1-4395-43b0-85e9-4f538dfb83ed" ]     ]
  ];
  fhir:Composition.status [ fhir:value "final"];
  fhir:Composition.type [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:419891008;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "419891008" ];
       fhir:Coding.display [ fhir:value "Record artifact (record artifact)" ]     ]
  ];
  fhir:Composition.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:721963009;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "721963009" ];
       fhir:Coding.display [ fhir:value "Order (record artifact)" ]     ]
  ];
  fhir:Composition.subject [
     fhir:Reference.reference [ fhir:value "urn:uuid:f00720ca-4cee-4a33-9c72-ab8858d05c15" ]
  ];
  fhir:Composition.date [ fhir:value "2021-06-15T05:46:48+00:00"^^xsd:dateTime];
  fhir:Composition.author [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "urn:uuid:bbd52527-72f7-47ba-a330-0ebdfcebd2e0" ]
  ];
  fhir:Composition.title [ fhir:value "Order-Referral-Form"];
  fhir:Composition.section [
     fhir:index 0;
     fhir:Composition.section.title [ fhir:value "Order-Referral" ];
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:93037-0;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "93037-0" ];
         fhir:Coding.display [ fhir:value "Portable medical order form" ]       ]     ];
     fhir:Composition.section.entry [
       fhir:index 0;
       fhir:Reference.reference [ fhir:value "urn:uuid:a506b76d-2a4c-4033-ba07-7da95055c118" ]     ], [
       fhir:index 1;
       fhir:Reference.reference [ fhir:value "urn:uuid:3cf36568-0aba-45d3-96d0-1973a8362853" ]     ], [
       fhir:index 2;
       fhir:Reference.reference [ fhir:value "urn:uuid:2bfb1c37-1fad-43ea-b354-f76b16873885" ]     ]
  ].

<urn:uuid:f00720ca-4cee-4a33-9c72-ab8858d05c15> a fhir:Patient;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: Medical record number: 11.22.33.4567</p><p><b>name</b>: Erika Musterfrau , Ledigname (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><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><span title=\"Codes: \">Guter Freund</span></td><td>Max Freund </td><td>ph: 079 111 22 33, <a href=\"mailto:max@freund.ch\">max@freund.ch</a></td></tr></table></div>"
  ];
  fhir:Patient.identifier [
     fhir:index 0;
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ];
         fhir:Coding.code [ fhir:value "MR" ]       ]     ];
     fhir:Identifier.system [ fhir:value "urn:oid:2.999.1.2.3.4" ];
     fhir:Identifier.value [ fhir:value "11.22.33.4567" ]
  ];
  fhir:Patient.name [
     fhir:index 0;
     fhir:HumanName.family [ fhir:value "Musterfrau" ];
     fhir:HumanName.given [
       fhir:value "Erika";
       fhir:index 0     ]
  ], [
     fhir:index 1;
     fhir:HumanName.use [ fhir:value "maiden" ];
     fhir:HumanName.family [ fhir:value "Ledigname" ]
  ];
  fhir:Patient.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "079 979 79 79" ]
  ], [
     fhir:index 1;
     fhir:ContactPoint.system [ fhir:value "email" ];
     fhir:ContactPoint.value [ fhir:value "erika@musterfrau.ch" ]
  ];
  fhir:Patient.gender [ fhir:value "female"];
  fhir:Patient.birthDate [ fhir:value "1970-03-14"^^xsd:date];
  fhir:Patient.address [
     fhir:index 0;
     fhir:Address.line [
       fhir:value "Musterweg";
       fhir:index 0     ], [
       fhir:value "6a";
       fhir:index 1     ];
     fhir:Address.city [ fhir:value "Zürich" ];
     fhir:Address.postalCode [ fhir:value "8000" ];
     fhir:Address.country [ fhir:value "Schweiz" ]
  ];
  fhir:Patient.contact [
     fhir:index 0;
     fhir:Patient.contact.relationship [
       fhir:index 0;
       fhir:CodeableConcept.text [ fhir:value "Guter Freund" ]     ];
     fhir:Patient.contact.name [
       fhir:HumanName.family [ fhir:value "Freund" ];
       fhir:HumanName.given [
         fhir:value "Max";
         fhir:index 0       ]     ];
     fhir:Patient.contact.telecom [
       fhir:index 0;
       fhir:ContactPoint.system [ fhir:value "phone" ];
       fhir:ContactPoint.value [ fhir:value "079 111 22 33" ]     ], [
       fhir:index 1;
       fhir:ContactPoint.system [ fhir:value "email" ];
       fhir:ContactPoint.value [ fhir:value "max@freund.ch" ]     ]
  ].

<urn:uuid:a506b76d-2a4c-4033-ba07-7da95055c118> a fhir:QuestionnaireResponse;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-questionnaireresponse";
       fhir:index 0;
       fhir:link <http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-questionnaireresponse>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>questionnaire</b>: <a href=\"http://fhir.ch/ig/ch-orf/Questionnaire/order-referral-form\">http://fhir.ch/ig/ch-orf/Questionnaire/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.title</p><p><b>text</b>: Titel</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.type</p><p><b>text</b>: Typ</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.category</p><p><b>text</b>: Kategorie</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.placerOrderIdentifier</p><p><b>text</b>: Auftragsnummer des Auftraggebers</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></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><h3>Answers</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.fillerOrderIdentifier</p><p><b>text</b>: Auftragsnummer des Auftragsempfängers</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></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><h3>Answers</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.precedentDocumentIdentifier</p><p><b>text</b>: Identifier des Vorgängerdokuments</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.notificationContactDocument</p><p><b>text</b>: Dringender Benachrichtigungskontakt für dieses Dokument</p><h3>Items</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></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><h3>Items</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.priority</p><p><b>text</b>: Auftragspriorität</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></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><h3>Items</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiver.organization</p><p><b>text</b>: Empfangende Organisation</p><h3>Items</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></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><h3>Answers</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.maidenName</p><p><b>text</b>: Ledigname</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.givenName</p><p><b>text</b>: Vorname</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.localPid</p><p><b>text</b>: Lokale Patienten-ID</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.localPidDomain</p><p><b>text</b>: Lokale Patienten-ID Domain</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.birthDate</p><p><b>text</b>: Geburtsdatum</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.gender</p><p><b>text</b>: Geschlecht</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.phone</p><p><b>text</b>: Telefon</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.email</p><p><b>text</b>: E-Mail</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.streetAddressLine</p><p><b>text</b>: Strasse, Hausnummer, Postfach etc.</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.postalCode</p><p><b>text</b>: PLZ</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.city</p><p><b>text</b>: Ort</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.country</p><p><b>text</b>: Land</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.contactperson</p><p><b>text</b>: Kontaktperson</p><h3>Items</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></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><h3>Answers</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: requestedEncounter.desiredAccommodation</p><p><b>text</b>: Zimmerkategorie</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></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><h3>Items</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></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><h3>Items</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: sender.dataenterer</p><p><b>text</b>: Erfasser</p><h3>Items</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiverCopies</p><p><b>text</b>: Kopieempfänger</p><blockquote><p><b>item</b></p><p><b>linkId</b>: receiverCopy</p><p><b>text</b>: Kopieempfangende Organisation oder Person</p><h3>Items</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiverCopy</p><p><b>text</b>: Kopieempfangende Organisation oder Person</p><h3>Items</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></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><h3>Answers</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote></blockquote></div>"
  ];
  fhir:QuestionnaireResponse.questionnaire [
     fhir:value "http://fhir.ch/ig/ch-orf/Questionnaire/order-referral-form";
     fhir:link <http://fhir.ch/ig/ch-orf/Questionnaire/order-referral-form>
  ];
  fhir:QuestionnaireResponse.status [ fhir:value "completed"];
  fhir:QuestionnaireResponse.item [
     fhir:index 0;
     fhir:QuestionnaireResponse.item.linkId [ fhir:value "order" ];
     fhir:QuestionnaireResponse.item.text [ fhir:value "Auftrag" ];
     fhir:QuestionnaireResponse.item.item [
       fhir:index 0;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "order.title" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Titel" ];
       fhir:QuestionnaireResponse.item.answer [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Order-Referral-Form" ]       ]     ], [
       fhir:index 1;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "order.type" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Typ" ];
       fhir:QuestionnaireResponse.item.answer [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.answer.valueCoding [
           a sct:419891008;
           fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
           fhir:Coding.code [ fhir:value "419891008" ];
           fhir:Coding.display [ fhir:value "Record artifact (record artifact)" ]         ]       ]     ], [
       fhir:index 2;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "order.category" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Kategorie" ];
       fhir:QuestionnaireResponse.item.answer [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.answer.valueCoding [
           a sct:721963009;
           fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
           fhir:Coding.code [ fhir:value "721963009" ];
           fhir:Coding.display [ fhir:value "Order (record artifact)" ]         ]       ]     ], [
       fhir:index 3;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "order.placerOrderIdentifier" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Auftragsnummer des Auftraggebers" ];
       fhir:QuestionnaireResponse.item.answer [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "123" ]       ]     ], [
       fhir:index 4;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "order.placerOrderIdentifierDomain" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Identifier Domain der Auftragsnummer des Auftraggebers" ];
       fhir:QuestionnaireResponse.item.answer [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "urn:oid:2.999.1.3.4.5.6.7" ]       ]     ], [
       fhir:index 5;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "order.fillerOrderIdentifier" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Auftragsnummer des Auftragsempfängers" ];
       fhir:QuestionnaireResponse.item.answer [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "456" ]       ]     ], [
       fhir:index 6;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "order.fillerOrderIdentifierDomain" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Identifier Domain der Auftragsnummer des Auftragsempfängers" ];
       fhir:QuestionnaireResponse.item.answer [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "urn:oid:2.999.7.8.9.10.11" ]       ]     ], [
       fhir:index 7;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "order.precedentDocumentIdentifier" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Identifier des Vorgängerdokuments" ];
       fhir:QuestionnaireResponse.item.answer [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "1622f2fb-6ba3-4532-9aed-35b158def187" ]       ]     ], [
       fhir:index 8;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "order.notificationContactDocument" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Dringender Benachrichtigungskontakt für dieses Dokument" ];
       fhir:QuestionnaireResponse.item.item [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "order.notificationContactDocument.practitioner" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Zu benachrichtigende Person" ];
         fhir:QuestionnaireResponse.item.item [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.linkId [ fhir:value "order.notificationContactDocument.practitioner.title" ];
           fhir:QuestionnaireResponse.item.text [ fhir:value "Titel" ];
           fhir:QuestionnaireResponse.item.answer [
             fhir:index 0;
             fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Dr. med." ]           ]         ], [
           fhir:index 1;
           fhir:QuestionnaireResponse.item.linkId [ fhir:value "order.notificationContactDocument.practitioner.familyName" ];
           fhir:QuestionnaireResponse.item.text [ fhir:value "Name" ];
           fhir:QuestionnaireResponse.item.answer [
             fhir:index 0;
             fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Röntgen" ]           ]         ], [
           fhir:index 2;
           fhir:QuestionnaireResponse.item.linkId [ fhir:value "order.notificationContactDocument.practitioner.givenName" ];
           fhir:QuestionnaireResponse.item.text [ fhir:value "Vorname" ];
           fhir:QuestionnaireResponse.item.answer [
             fhir:index 0;
             fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Hans" ]           ]         ], [
           fhir:index 3;
           fhir:QuestionnaireResponse.item.linkId [ fhir:value "order.notificationContactDocument.practitioner.phone" ];
           fhir:QuestionnaireResponse.item.text [ fhir:value "Telefon" ];
           fhir:QuestionnaireResponse.item.answer [
             fhir:index 0;
             fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "044 412 00 99" ]           ]         ], [
           fhir:index 4;
           fhir:QuestionnaireResponse.item.linkId [ fhir:value "order.notificationContactDocument.practitioner.email" ];
           fhir:QuestionnaireResponse.item.text [ fhir:value "E-Mail" ];
           fhir:QuestionnaireResponse.item.answer [
             fhir:index 0;
             fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "hans.roentgen@kantonsspital.ch" ]           ]         ]       ]     ], [
       fhir:index 9;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "order.notificationContactDocumentResponse" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument" ];
       fhir:QuestionnaireResponse.item.item [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "order.notificationContactDocumentResponse.practitioner" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Zu benachrichtigende Person" ];
         fhir:QuestionnaireResponse.item.item [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.linkId [ fhir:value "order.notificationContactDocumentResponse.practitioner.title" ];
           fhir:QuestionnaireResponse.item.text [ fhir:value "Titel" ];
           fhir:QuestionnaireResponse.item.answer [
             fhir:index 0;
             fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Dr. med." ]           ]         ], [
           fhir:index 1;
           fhir:QuestionnaireResponse.item.linkId [ fhir:value "order.notificationContactDocumentResponse.practitioner.familyName" ];
           fhir:QuestionnaireResponse.item.text [ fhir:value "Name" ];
           fhir:QuestionnaireResponse.item.answer [
             fhir:index 0;
             fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Meier" ]           ]         ], [
           fhir:index 2;
           fhir:QuestionnaireResponse.item.linkId [ fhir:value "order.notificationContactDocumentResponse.practitioner.givenName" ];
           fhir:QuestionnaireResponse.item.text [ fhir:value "Vorname" ];
           fhir:QuestionnaireResponse.item.answer [
             fhir:index 0;
             fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Sabine" ]           ]         ], [
           fhir:index 3;
           fhir:QuestionnaireResponse.item.linkId [ fhir:value "order.notificationContactDocumentResponse.practitioner.phone" ];
           fhir:QuestionnaireResponse.item.text [ fhir:value "Telefon" ];
           fhir:QuestionnaireResponse.item.answer [
             fhir:index 0;
             fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "044 333 22 11" ]           ]         ], [
           fhir:index 4;
           fhir:QuestionnaireResponse.item.linkId [ fhir:value "order.notificationContactDocumentResponse.practitioner.email" ];
           fhir:QuestionnaireResponse.item.text [ fhir:value "E-Mail" ];
           fhir:QuestionnaireResponse.item.answer [
             fhir:index 0;
             fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "sabine.meier@praxisseeblick.ch" ]           ]         ]       ]     ], [
       fhir:index 10;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "order.priority" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Auftragspriorität" ];
       fhir:QuestionnaireResponse.item.answer [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.answer.valueCoding [
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/request-priority" ];
           fhir:Coding.code [ fhir:value "routine" ]         ]       ]     ]
  ], [
     fhir:index 1;
     fhir:QuestionnaireResponse.item.linkId [ fhir:value "receiver" ];
     fhir:QuestionnaireResponse.item.text [ fhir:value "Empfänger" ];
     fhir:QuestionnaireResponse.item.item [
       fhir:index 0;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "receiver.practitioner" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Empfangende Person" ];
       fhir:QuestionnaireResponse.item.item [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "receiver.practitioner.title" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Titel" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Dr. med." ]         ]       ], [
         fhir:index 1;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "receiver.practitioner.familyName" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Name" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Röntgen" ]         ]       ], [
         fhir:index 2;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "receiver.practitioner.givenName" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Vorname" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Hans" ]         ]       ], [
         fhir:index 3;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "receiver.practitioner.gln" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "GLN" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "7601000066878" ]         ]       ], [
         fhir:index 4;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "receiver.practitioner.phone" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Telefon" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "044 412 00 99" ]         ]       ], [
         fhir:index 5;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "receiver.practitioner.email" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "E-Mail" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "hans.roentgen@kantonsspital.ch" ]         ]       ]     ], [
       fhir:index 1;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "receiver.organization" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Empfangende Organisation" ];
       fhir:QuestionnaireResponse.item.item [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "receiver.organization.name" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Name der Organisation" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Kantonsspital" ]         ]       ], [
         fhir:index 1;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "receiver.organization.streetAddressLine" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Strasse, Hausnummer, Postfach etc." ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Kantonsstrasse 14" ]         ], [
           fhir:index 1;
           fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Postfach 14" ]         ]       ], [
         fhir:index 2;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "receiver.organization.postalCode" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "PLZ" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "8000" ]         ]       ], [
         fhir:index 3;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "receiver.organization.city" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Ort" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Zürich" ]         ]       ], [
         fhir:index 4;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "receiver.organization.country" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Land" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Schweiz" ]         ]       ]     ]
  ], [
     fhir:index 2;
     fhir:QuestionnaireResponse.item.linkId [ fhir:value "patient" ];
     fhir:QuestionnaireResponse.item.text [ fhir:value "Patient" ];
     fhir:QuestionnaireResponse.item.item [
       fhir:index 0;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "patient.familyName" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Name" ];
       fhir:QuestionnaireResponse.item.answer [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Musterfrau" ]       ]     ], [
       fhir:index 1;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "patient.maidenName" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Ledigname" ];
       fhir:QuestionnaireResponse.item.answer [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Ledigname" ]       ]     ], [
       fhir:index 2;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "patient.givenName" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Vorname" ];
       fhir:QuestionnaireResponse.item.answer [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Erika" ]       ]     ], [
       fhir:index 3;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "patient.localPid" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Lokale Patienten-ID" ];
       fhir:QuestionnaireResponse.item.answer [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "11.22.33.4567" ]       ]     ], [
       fhir:index 4;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "patient.localPidDomain" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Lokale Patienten-ID Domain" ];
       fhir:QuestionnaireResponse.item.answer [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "urn:oid:2.999.1.2.3.4" ]       ]     ], [
       fhir:index 5;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "patient.birthDate" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Geburtsdatum" ];
       fhir:QuestionnaireResponse.item.answer [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.answer.valueDate [ fhir:value "1970-03-14"^^xsd:date ]       ]     ], [
       fhir:index 6;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "patient.gender" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Geschlecht" ];
       fhir:QuestionnaireResponse.item.answer [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.answer.valueCoding [
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/administrative-gender" ];
           fhir:Coding.code [ fhir:value "female" ]         ]       ]     ], [
       fhir:index 7;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "patient.phone" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Telefon" ];
       fhir:QuestionnaireResponse.item.answer [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "079 979 79 79" ]       ]     ], [
       fhir:index 8;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "patient.email" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "E-Mail" ];
       fhir:QuestionnaireResponse.item.answer [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "erika@musterfrau.ch" ]       ]     ], [
       fhir:index 9;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "patient.streetAddressLine" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Strasse, Hausnummer, Postfach etc." ];
       fhir:QuestionnaireResponse.item.answer [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Musterweg" ]       ], [
         fhir:index 1;
         fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "6a" ]       ]     ], [
       fhir:index 10;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "patient.postalCode" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "PLZ" ];
       fhir:QuestionnaireResponse.item.answer [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "8000" ]       ]     ], [
       fhir:index 11;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "patient.city" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Ort" ];
       fhir:QuestionnaireResponse.item.answer [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Zürich" ]       ]     ], [
       fhir:index 12;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "patient.country" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Land" ];
       fhir:QuestionnaireResponse.item.answer [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Schweiz" ]       ]     ], [
       fhir:index 13;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "patient.contactperson" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Kontaktperson" ];
       fhir:QuestionnaireResponse.item.item [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "patient.contactperson.relationship" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Beziehung" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Guter Freund" ]         ]       ], [
         fhir:index 1;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "patient.contactperson.familyName" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Name" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Freund" ]         ]       ], [
         fhir:index 2;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "patient.contactperson.givenName" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Vorname" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Max" ]         ]       ], [
         fhir:index 3;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "patient.contactperson.phone" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Telefon" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "079 111 22 33" ]         ]       ], [
         fhir:index 4;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "patient.contactperson.email" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "E-Mail" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "max@freund.ch" ]         ]       ]     ]
  ], [
     fhir:index 3;
     fhir:QuestionnaireResponse.item.linkId [ fhir:value "requestedEncounter" ];
     fhir:QuestionnaireResponse.item.text [ fhir:value "Patientenaufnahme" ];
     fhir:QuestionnaireResponse.item.item [
       fhir:index 0;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "requestedEncounter.class" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Voraussichtlich: Ambulant / Stationär / Notfall" ];
       fhir:QuestionnaireResponse.item.answer [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.answer.valueCoding [
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ];
           fhir:Coding.code [ fhir:value "EMER" ];
           fhir:Coding.display [ fhir:value "Notfall" ]         ]       ]     ], [
       fhir:index 1;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "requestedEncounter.desiredAccommodation" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Zimmerkategorie" ];
       fhir:QuestionnaireResponse.item.answer [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.answer.valueCoding [
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ];
           fhir:Coding.code [ fhir:value "SP" ];
           fhir:Coding.display [ fhir:value "Zweierzimmer" ]         ]       ]     ]
  ], [
     fhir:index 4;
     fhir:QuestionnaireResponse.item.linkId [ fhir:value "coverage" ];
     fhir:QuestionnaireResponse.item.text [ fhir:value "Kostenträger" ];
     fhir:QuestionnaireResponse.item.item [
       fhir:index 0;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "coverage.kvg" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Krankenkasse (nach KVG)" ];
       fhir:QuestionnaireResponse.item.item [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "coverage.kvg.name" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Name der Versicherung" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Sanitas" ]         ]       ], [
         fhir:index 1;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "coverage.kvg.insuranceCardNumber" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Kennnummer der Versichertenkarte" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "80756015090002647590" ]         ]       ]     ]
  ], [
     fhir:index 5;
     fhir:QuestionnaireResponse.item.linkId [ fhir:value "sender" ];
     fhir:QuestionnaireResponse.item.text [ fhir:value "Absender" ];
     fhir:QuestionnaireResponse.item.item [
       fhir:index 0;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "sender.author" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Verantwortlicher" ];
       fhir:QuestionnaireResponse.item.item [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "sender.author.practitioner" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Verantwortliche Person" ];
         fhir:QuestionnaireResponse.item.item [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.linkId [ fhir:value "sender.author.practitioner.title" ];
           fhir:QuestionnaireResponse.item.text [ fhir:value "Titel" ];
           fhir:QuestionnaireResponse.item.answer [
             fhir:index 0;
             fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Dr. med." ]           ]         ], [
           fhir:index 1;
           fhir:QuestionnaireResponse.item.linkId [ fhir:value "sender.author.practitioner.familyName" ];
           fhir:QuestionnaireResponse.item.text [ fhir:value "Name" ];
           fhir:QuestionnaireResponse.item.answer [
             fhir:index 0;
             fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Meier" ]           ]         ], [
           fhir:index 2;
           fhir:QuestionnaireResponse.item.linkId [ fhir:value "sender.author.practitioner.givenName" ];
           fhir:QuestionnaireResponse.item.text [ fhir:value "Vorname" ];
           fhir:QuestionnaireResponse.item.answer [
             fhir:index 0;
             fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Sabine" ]           ]         ], [
           fhir:index 3;
           fhir:QuestionnaireResponse.item.linkId [ fhir:value "sender.author.practitioner.gln" ];
           fhir:QuestionnaireResponse.item.text [ fhir:value "GLN" ];
           fhir:QuestionnaireResponse.item.answer [
             fhir:index 0;
             fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "7601000034321" ]           ]         ], [
           fhir:index 4;
           fhir:QuestionnaireResponse.item.linkId [ fhir:value "sender.author.practitioner.phone" ];
           fhir:QuestionnaireResponse.item.text [ fhir:value "Telefon" ];
           fhir:QuestionnaireResponse.item.answer [
             fhir:index 0;
             fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "044 333 22 11" ]           ]         ], [
           fhir:index 5;
           fhir:QuestionnaireResponse.item.linkId [ fhir:value "sender.author.practitioner.email" ];
           fhir:QuestionnaireResponse.item.text [ fhir:value "E-Mail" ];
           fhir:QuestionnaireResponse.item.answer [
             fhir:index 0;
             fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "sabine.meier@praxisseeblick.ch" ]           ]         ]       ], [
         fhir:index 1;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "sender.author.organization" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Verantwortliche Organisation" ];
         fhir:QuestionnaireResponse.item.item [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.linkId [ fhir:value "sender.author.organization.name" ];
           fhir:QuestionnaireResponse.item.text [ fhir:value "Name der Organisation" ];
           fhir:QuestionnaireResponse.item.answer [
             fhir:index 0;
             fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Praxis Seeblick" ]           ]         ], [
           fhir:index 1;
           fhir:QuestionnaireResponse.item.linkId [ fhir:value "sender.author.organization.streetAddressLine" ];
           fhir:QuestionnaireResponse.item.text [ fhir:value "Strasse, Hausnummer, Postfach etc." ];
           fhir:QuestionnaireResponse.item.answer [
             fhir:index 0;
             fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Seestrasse 133" ]           ], [
             fhir:index 1;
             fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Haus C" ]           ]         ], [
           fhir:index 2;
           fhir:QuestionnaireResponse.item.linkId [ fhir:value "sender.author.organization.postalCode" ];
           fhir:QuestionnaireResponse.item.text [ fhir:value "PLZ" ];
           fhir:QuestionnaireResponse.item.answer [
             fhir:index 0;
             fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "8000" ]           ]         ], [
           fhir:index 3;
           fhir:QuestionnaireResponse.item.linkId [ fhir:value "sender.author.organization.city" ];
           fhir:QuestionnaireResponse.item.text [ fhir:value "Ort" ];
           fhir:QuestionnaireResponse.item.answer [
             fhir:index 0;
             fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Zürich" ]           ]         ], [
           fhir:index 4;
           fhir:QuestionnaireResponse.item.linkId [ fhir:value "sender.author.organization.country" ];
           fhir:QuestionnaireResponse.item.text [ fhir:value "Land" ];
           fhir:QuestionnaireResponse.item.answer [
             fhir:index 0;
             fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Schweiz" ]           ]         ]       ]     ], [
       fhir:index 1;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "sender.dataenterer" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Erfasser" ];
       fhir:QuestionnaireResponse.item.item [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "sender.dataenterer.practitioner" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Erfassende Person" ];
         fhir:QuestionnaireResponse.item.item [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.linkId [ fhir:value "sender.dataenterer.practitioner.familyName" ];
           fhir:QuestionnaireResponse.item.text [ fhir:value "Name" ];
           fhir:QuestionnaireResponse.item.answer [
             fhir:index 0;
             fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Boss" ]           ]         ], [
           fhir:index 1;
           fhir:QuestionnaireResponse.item.linkId [ fhir:value "sender.dataenterer.practitioner.givenName" ];
           fhir:QuestionnaireResponse.item.text [ fhir:value "Vorname" ];
           fhir:QuestionnaireResponse.item.answer [
             fhir:index 0;
             fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Stabilo" ]           ]         ], [
           fhir:index 2;
           fhir:QuestionnaireResponse.item.linkId [ fhir:value "sender.dataenterer.practitioner.phone" ];
           fhir:QuestionnaireResponse.item.text [ fhir:value "Telefon" ];
           fhir:QuestionnaireResponse.item.answer [
             fhir:index 0;
             fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "044 333 22 12" ]           ]         ], [
           fhir:index 3;
           fhir:QuestionnaireResponse.item.linkId [ fhir:value "sender.dataenterer.practitioner.email" ];
           fhir:QuestionnaireResponse.item.text [ fhir:value "E-Mail" ];
           fhir:QuestionnaireResponse.item.answer [
             fhir:index 0;
             fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "stabilo.boss@praxisseeblick.ch" ]           ]         ]       ]     ]
  ], [
     fhir:index 6;
     fhir:QuestionnaireResponse.item.linkId [ fhir:value "receiverCopies" ];
     fhir:QuestionnaireResponse.item.text [ fhir:value "Kopieempfänger" ];
     fhir:QuestionnaireResponse.item.item [
       fhir:index 0;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "receiverCopy" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Kopieempfangende Organisation oder Person" ];
       fhir:QuestionnaireResponse.item.item [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "receiverCopy.organization.name" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Name der Organisation" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Praxis Seeblick" ]         ]       ], [
         fhir:index 1;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "receiverCopy.title" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Titel" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Dr. med." ]         ]       ], [
         fhir:index 2;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "receiverCopy.familyName" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Name" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Meier" ]         ]       ], [
         fhir:index 3;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "receiverCopy.givenName" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Vorname" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Sabine" ]         ]       ], [
         fhir:index 4;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "receiverCopy.phone" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Telefon" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "044 333 22 11" ]         ]       ], [
         fhir:index 5;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "receiverCopy.email" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "E-Mail" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "sabine.meier@praxisseeblick.ch" ]         ]       ]     ], [
       fhir:index 1;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "receiverCopy" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Kopieempfangende Organisation oder Person" ];
       fhir:QuestionnaireResponse.item.item [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "receiverCopy.familyName" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Name" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Musterfrau" ]         ]       ], [
         fhir:index 1;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "receiverCopy.givenName" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Vorname" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Erika" ]         ]       ], [
         fhir:index 2;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "receiverCopy.phone" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Telefon" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "079 979 79 79" ]         ]       ], [
         fhir:index 3;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "receiverCopy.email" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "E-Mail" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "erika@musterfrau.ch" ]         ]       ], [
         fhir:index 4;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "receiverCopy.streetAddressLine" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Strasse, Hausnummer, Postfach etc." ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Musterweg" ]         ], [
           fhir:index 1;
           fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "6a" ]         ]       ], [
         fhir:index 5;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "receiverCopy.postalCode" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "PLZ" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "8000" ]         ]       ], [
         fhir:index 6;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "receiverCopy.city" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Ort" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Zürich" ]         ]       ], [
         fhir:index 7;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "receiverCopy.country" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Land" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Schweiz" ]         ]       ]     ]
  ], [
     fhir:index 7;
     fhir:QuestionnaireResponse.item.linkId [ fhir:value "note" ];
     fhir:QuestionnaireResponse.item.text [ fhir:value "Bemerkungen" ];
     fhir:QuestionnaireResponse.item.item [
       fhir:index 0;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "note.text" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Kommentar" ];
       fhir:QuestionnaireResponse.item.answer [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Bemerkung/Kommentar" ]       ]     ]
  ].

<urn:uuid:3cf36568-0aba-45d3-96d0-1973a8362853> a fhir:ServiceRequest;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>CH ORF Requested Encounter Details</b>: <a href=\"#urnuuid322dfa17-00d3-4f8e-aa66-8d52a3f316c1\">See above (Encounter/null)</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=\"#urnuuidf00720ca-4cee-4a33-9c72-ab8858d05c15\">See above (Patient/null)</a></p><p><b>requester</b>: <a href=\"#urnuuidbbd52527-72f7-47ba-a330-0ebdfcebd2e0\">See above (PractitionerRole/null)</a></p><p><b>insurance</b>: <a href=\"#urnuuid5718bcfc-818a-455c-839b-ee63ef0c295a\">See above (Coverage/null)</a></p><p><b>note</b>: Bemerkung/Kommentar</p></div>"
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-requestedencounterdetails" ];
     fhir:Extension.valueReference [
       fhir:Reference.reference [ fhir:value "urn:uuid:322dfa17-00d3-4f8e-aa66-8d52a3f316c1" ]     ]
  ];
  fhir:ServiceRequest.identifier [
     fhir:index 0;
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ];
         fhir:Coding.code [ fhir:value "PLAC" ]       ]     ];
     fhir:Identifier.system [ fhir:value "urn:oid:2.999.1.3.4.5.6.7" ];
     fhir:Identifier.value [ fhir:value "123" ]
  ], [
     fhir:index 1;
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ];
         fhir:Coding.code [ fhir:value "FILL" ]       ]     ];
     fhir:Identifier.system [ fhir:value "urn:oid:2.999.7.8.9.10.11" ];
     fhir:Identifier.value [ fhir:value "456" ]
  ];
  fhir:ServiceRequest.status [ fhir:value "active"];
  fhir:ServiceRequest.intent [ fhir:value "order"];
  fhir:ServiceRequest.priority [ fhir:value "routine"];
  fhir:ServiceRequest.subject [
     fhir:Reference.reference [ fhir:value "urn:uuid:f00720ca-4cee-4a33-9c72-ab8858d05c15" ]
  ];
  fhir:ServiceRequest.requester [
     fhir:Reference.reference [ fhir:value "urn:uuid:bbd52527-72f7-47ba-a330-0ebdfcebd2e0" ]
  ];
  fhir:ServiceRequest.insurance [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "urn:uuid:5718bcfc-818a-455c-839b-ee63ef0c295a" ]
  ];
  fhir:ServiceRequest.note [
     fhir:index 0;
     fhir:Annotation.text [ fhir:value "Bemerkung/Kommentar" ]
  ].

<urn:uuid:2bfb1c37-1fad-43ea-b354-f76b16873885> a fhir:Questionnaire;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-questionnaire";
       fhir:index 0;
       fhir:link <http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-questionnaire>     ], [
       fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire";
       fhir:index 1;
       fhir:link <http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire>     ], [
       fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-extract";
       fhir:index 2;
       fhir:link <http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-extract>     ], [
       fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-populate";
       fhir:index 3;
       fhir:link <http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-populate>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>Target structure map</b>: <a href=\"http://fhir.ch/ig/ch-orf/StructureMap/OrfQrToBundle\">http://fhir.ch/ig/ch-orf/StructureMap/OrfQrToBundle</a></p><p><b>Source structure map</b>: <a href=\"http://fhir.ch/ig/ch-orf/StructureMap/OrfPrepopBundleToQr\">http://fhir.ch/ig/ch-orf/StructureMap/OrfPrepopBundleToQr</a></p><blockquote><p><b>Launch context resources</b></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: Bundle</p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: Bundle</p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: The Bundle that is to be used to pre-populate the form</p></blockquote><p><b>url</b>: <code>http://fhir.ch/ig/ch-orf/Questionnaire/order-referral-form</code></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>: 2021-03-26</p><p><b>publisher</b>: HL7 Switzerland</p><blockquote><p><b>item</b></p><p><b>linkId</b>: order</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-document#Bundle\">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-document#Bundle</a></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.title</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.title\">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.title</a></p><p><b>text</b>: Titel</p><p><b>type</b>: string</p><p><b>required</b>: true</p><p><b>readOnly</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.type</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.type\">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.type</a></p><p><b>text</b>: Typ</p><p><b>type</b>: choice</p><p><b>required</b>: true</p><p><b>answerValueSet</b>: <a href=\"http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.typeCode\">http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.typeCode</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.category</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.category\">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.category</a></p><p><b>text</b>: Kategorie</p><p><b>type</b>: choice</p><p><b>required</b>: true</p><p><b>answerValueSet</b>: <a href=\"http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.classCode\">http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.classCode</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.placerOrderIdentifier</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.identifier:placerOrderIdentifier.value\">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.identifier:placerOrderIdentifier.value</a></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>definition</b>: <a href=\"http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.identifier:placerOrderIdentifier.system\">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.identifier:placerOrderIdentifier.system</a></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>definition</b>: <a href=\"http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.identifier:fillerOrderIdentifier.value\">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.identifier:fillerOrderIdentifier.value</a></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>definition</b>: <a href=\"http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.identifier:fillerOrderIdentifier.system\">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.identifier:fillerOrderIdentifier.system</a></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>definition</b>: <a href=\"http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:precedentDocument\">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:precedentDocument</a></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>definition</b>: <a href=\"http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:urgentNoficationContactForThisDocument\">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:urgentNoficationContactForThisDocument</a></p><p><b>text</b>: Dringender Benachrichtigungskontakt für dieses Dokument</p><p><b>type</b>: group</p><h3>Items</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.notificationContactDocumentResponse</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:urgentNoficationContactForTheResponseToThisDocument\">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:urgentNoficationContactForTheResponseToThisDocument</a></p><p><b>text</b>: Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument</p><p><b>type</b>: group</p><h3>Items</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.priority</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.priority\">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.priority</a></p><p><b>text</b>: Auftragspriorität</p><p><b>type</b>: choice</p><h3>AnswerOptions</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiver</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:receiver\">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:receiver</a></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>definition</b>: <a href=\"http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.practitioner\">http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.practitioner</a></p><p><b>text</b>: Empfangende Person</p><p><b>type</b>: group</p><h3>Items</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiver.organization</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.organization\">http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.organization</a></p><p><b>text</b>: Empfangende Organisation</p><p><b>type</b>: group</p><h3>Items</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.subject\">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.subject</a></p><p><b>text</b>: Patient</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.familyName</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.name.family\">http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.name.family</a></p><p><b>text</b>: Name</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.maidenName</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.name.family\">http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.name.family</a></p><p><b>text</b>: Ledigname</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.givenName</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.name.given\">http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.name.given</a></p><p><b>text</b>: Vorname</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.localPid</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.identifier:LocalPid.value\">http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.identifier:LocalPid.value</a></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>definition</b>: <a href=\"http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.identifier:LocalPid.system\">http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.identifier:LocalPid.system</a></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>linkId</b>: patient.birthDate</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.birthDate\">http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.birthDate</a></p><p><b>text</b>: Geburtsdatum</p><p><b>type</b>: date</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.gender</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.gender\">http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.gender</a></p><p><b>text</b>: Geschlecht</p><p><b>type</b>: choice</p><h3>AnswerOptions</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.phone</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.telecom.value\">http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.telecom.value</a></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>linkId</b>: patient.email</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.telecom.value\">http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.telecom.value</a></p><p><b>text</b>: E-Mail</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.streetAddressLine</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.address.line\">http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.address.line</a></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>linkId</b>: patient.postalCode</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.address.postalCode\">http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.address.postalCode</a></p><p><b>text</b>: PLZ</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.city</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.address.city\">http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.address.city</a></p><p><b>text</b>: Ort</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.country</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.address.country\">http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.address.country</a></p><p><b>text</b>: Land</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.contactperson</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact\">http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact</a></p><p><b>text</b>: Kontaktperson</p><p><b>type</b>: group</p><h3>Items</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: requestedEncounter</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.extension:requestedEncounterDetails\">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.extension:requestedEncounterDetails</a></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>definition</b>: <a href=\"http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-encounter#Encounter.class\">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-encounter#Encounter.class</a></p><p><b>text</b>: Voraussichtlich: Ambulant / Stationär / Notfall</p><p><b>type</b>: choice</p><h3>AnswerOptions</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: requestedEncounter.desiredAccommodation</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-encounter#Encounter.extension:desiredAccommodation\">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-encounter#Encounter.extension:desiredAccommodation</a></p><p><b>text</b>: Zimmerkategorie</p><p><b>type</b>: choice</p><h3>AnswerOptions</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.insurance\">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.insurance</a></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>definition</b>: <a href=\"http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.beneficiary\">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.beneficiary</a></p><p><b>text</b>: Begünstigter (Patient)</p><p><b>type</b>: group</p><h3>Items</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.kvg</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type\">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type</a></p><p><b>text</b>: Krankenkasse (nach KVG)</p><p><b>type</b>: group</p><h3>Items</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.uvg</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type\">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type</a></p><p><b>text</b>: Unfallversicherung (nach UVG)</p><p><b>type</b>: group</p><h3>Items</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.vvg</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type\">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type</a></p><p><b>text</b>: Zusatzversicherung (nach VVG)</p><p><b>type</b>: group</p><h3>Items</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.iv</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type\">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type</a></p><p><b>text</b>: Invalidenversicherung (IV)</p><p><b>type</b>: group</p><h3>Items</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.mv</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type\">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type</a></p><p><b>text</b>: Militärversicherung (MV)</p><p><b>type</b>: group</p><h3>Items</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.self</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type\">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type</a></p><p><b>text</b>: Selbstzahler</p><p><b>type</b>: group</p><h3>Items</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.other</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type\">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type</a></p><p><b>text</b>: Anderer Kostenträger</p><p><b>type</b>: group</p><h3>Items</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></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>linkId</b>: sender.author</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.author\">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.author</a></p><p><b>text</b>: Verantwortlicher</p><p><b>type</b>: group</p><p><b>required</b>: true</p><h3>Items</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: sender.dataenterer</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:dataEnterer\">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:dataEnterer</a></p><p><b>text</b>: Erfasser</p><p><b>type</b>: group</p><h3>Items</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiverCopies</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:copyReceiver\">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:copyReceiver</a></p><p><b>text</b>: Kopieempfänger</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p><p><b>linkId</b>: receiverCopy</p><p><b>text</b>: Kopieempfangende Organisation oder Person</p><p><b>type</b>: group</p><p><b>repeats</b>: true</p><h3>Items</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: appointment</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.extension:locationAndTime\">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.extension:locationAndTime</a></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>linkId</b>: appointment.location</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.participant.actor\">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.participant.actor</a></p><p><b>text</b>: Ort der Durchführung</p><p><b>type</b>: group</p><p><b>required</b>: true</p><h3>Items</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: appointment.requestedPeriod</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.requestedPeriod\">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.requestedPeriod</a></p><p><b>text</b>: Datum und Zeit, wann der Termin bevorzugt geplant werden soll</p><p><b>type</b>: group</p><h3>Items</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: appointment.status</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.status\">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.status</a></p><p><b>text</b>: Status</p><p><b>type</b>: choice</p><p><b>required</b>: true</p><h3>AnswerOptions</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: appointment.patientInstruction</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.patientInstruction\">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.patientInstruction</a></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>: 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>Definition</b></td><td><b>Text</b></td><td><b>Type</b></td><td><b>Required</b></td></tr><tr><td>*</td><td>note.text</td><td><a href=\"http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.note.text\">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.note.text</a></td><td>Kommentar</td><td>string</td><td>true</td></tr></table></blockquote></div>"
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-targetStructureMap" ];
     fhir:Extension.valueCanonical [
       fhir:value "http://fhir.ch/ig/ch-orf/StructureMap/OrfQrToBundle";
       fhir:link <http://fhir.ch/ig/ch-orf/StructureMap/OrfQrToBundle>     ]
  ], [
     fhir:index 1;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-sourceStructureMap" ];
     fhir:Extension.valueCanonical [
       fhir:value "http://fhir.ch/ig/ch-orf/StructureMap/OrfPrepopBundleToQr";
       fhir:link <http://fhir.ch/ig/ch-orf/StructureMap/OrfPrepopBundleToQr>     ]
  ], [
     fhir:index 2;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext" ];
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "name" ];
       fhir:Extension.valueId [ fhir:value "Bundle" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "type" ];
       fhir:Extension.valueCode [ fhir:value "Bundle" ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "description" ];
       fhir:Extension.valueString [ fhir:value "The Bundle that is to be used to pre-populate the form" ]     ]
  ];
  fhir:Questionnaire.url [ fhir:value "http://fhir.ch/ig/ch-orf/Questionnaire/order-referral-form"];
  fhir:Questionnaire.name [ fhir:value "OrderReferralForm"];
  fhir:Questionnaire.title [ fhir:value "Order-Referral-Form"];
  fhir:Questionnaire.status [ fhir:value "active"];
  fhir:Questionnaire.subjectType [
     fhir:value "Patient";
     fhir:index 0
  ];
  fhir:Questionnaire.date [ fhir:value "2021-03-26"^^xsd:date];
  fhir:Questionnaire.publisher [ fhir:value "HL7 Switzerland"];
  fhir:Questionnaire.item [
     fhir:index 0;
     fhir:Questionnaire.item.linkId [ fhir:value "order" ];
     fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-document#Bundle" ];
     fhir:Questionnaire.item.text [ fhir:value "Auftrag" ];
     fhir:Questionnaire.item.type [ fhir:value "group" ];
     fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
     fhir:Questionnaire.item.item [
       fhir:index 0;
       fhir:Questionnaire.item.linkId [ fhir:value "order.title" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.title" ];
       fhir:Questionnaire.item.text [ fhir:value "Titel" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ];
       fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
       fhir:Questionnaire.item.readOnly [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 1;
       fhir:Questionnaire.item.linkId [ fhir:value "order.type" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.type" ];
       fhir:Questionnaire.item.text [ fhir:value "Typ" ];
       fhir:Questionnaire.item.type [ fhir:value "choice" ];
       fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
       fhir:Questionnaire.item.answerValueSet [
         fhir:value "http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.typeCode";
         fhir:link <http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.typeCode>       ]     ], [
       fhir:index 2;
       fhir:Questionnaire.item.linkId [ fhir:value "order.category" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.category" ];
       fhir:Questionnaire.item.text [ fhir:value "Kategorie" ];
       fhir:Questionnaire.item.type [ fhir:value "choice" ];
       fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
       fhir:Questionnaire.item.answerValueSet [
         fhir:value "http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.classCode";
         fhir:link <http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.classCode>       ]     ], [
       fhir:index 3;
       fhir:Questionnaire.item.linkId [ fhir:value "order.placerOrderIdentifier" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.identifier:placerOrderIdentifier.value" ];
       fhir:Questionnaire.item.text [ fhir:value "Auftragsnummer des Auftraggebers" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ], [
       fhir:index 4;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
         fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "order.placerOrderIdentifierDomain" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.identifier:placerOrderIdentifier.system" ];
       fhir:Questionnaire.item.text [ fhir:value "Identifier Domain der Auftragsnummer des Auftraggebers" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ], [
       fhir:index 5;
       fhir:Questionnaire.item.linkId [ fhir:value "order.fillerOrderIdentifier" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.identifier:fillerOrderIdentifier.value" ];
       fhir:Questionnaire.item.text [ fhir:value "Auftragsnummer des Auftragsempfängers" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ], [
       fhir:index 6;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
         fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "order.fillerOrderIdentifierDomain" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.identifier:fillerOrderIdentifier.system" ];
       fhir:Questionnaire.item.text [ fhir:value "Identifier Domain der Auftragsnummer des Auftragsempfängers" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ], [
       fhir:index 7;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
         fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "order.precedentDocumentIdentifier" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:precedentDocument" ];
       fhir:Questionnaire.item.text [ fhir:value "Identifier des Vorgängerdokuments" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ], [
       fhir:index 8;
       fhir:Questionnaire.item.linkId [ fhir:value "order.notificationContactDocument" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:urgentNoficationContactForThisDocument" ];
       fhir:Questionnaire.item.text [ fhir:value "Dringender Benachrichtigungskontakt für dieses Dokument" ];
       fhir:Questionnaire.item.type [ fhir:value "group" ];
       fhir:Questionnaire.item.item [
         fhir:index 0;
         fhir:Questionnaire.item.linkId [ fhir:value "order.notificationContactDocument.practitioner" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.practitioner" ];
         fhir:Questionnaire.item.text [ fhir:value "Zu benachrichtigende Person" ];
         fhir:Questionnaire.item.type [ fhir:value "group" ];
         fhir:Questionnaire.item.item [
           fhir:index 0;
           fhir:Questionnaire.item.linkId [ fhir:value "order.notificationContactDocument.practitioner.title" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.prefix" ];
           fhir:Questionnaire.item.text [ fhir:value "Titel" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 1;
           fhir:Questionnaire.item.linkId [ fhir:value "order.notificationContactDocument.practitioner.familyName" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.family" ];
           fhir:Questionnaire.item.text [ fhir:value "Name" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 2;
           fhir:Questionnaire.item.linkId [ fhir:value "order.notificationContactDocument.practitioner.givenName" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.given" ];
           fhir:Questionnaire.item.text [ fhir:value "Vorname" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 3;
           fhir:Questionnaire.item.linkId [ fhir:value "order.notificationContactDocument.practitioner.phone" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value" ];
           fhir:Questionnaire.item.text [ fhir:value "Telefon" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 4;
           fhir:Questionnaire.item.linkId [ fhir:value "order.notificationContactDocument.practitioner.email" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value" ];
           fhir:Questionnaire.item.text [ fhir:value "E-Mail" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ]       ]     ], [
       fhir:index 9;
       fhir:Questionnaire.item.linkId [ fhir:value "order.notificationContactDocumentResponse" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:urgentNoficationContactForTheResponseToThisDocument" ];
       fhir:Questionnaire.item.text [ fhir:value "Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument" ];
       fhir:Questionnaire.item.type [ fhir:value "group" ];
       fhir:Questionnaire.item.item [
         fhir:index 0;
         fhir:Questionnaire.item.linkId [ fhir:value "order.notificationContactDocumentResponse.practitioner" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.practitioner" ];
         fhir:Questionnaire.item.text [ fhir:value "Zu benachrichtigende Person" ];
         fhir:Questionnaire.item.type [ fhir:value "group" ];
         fhir:Questionnaire.item.item [
           fhir:index 0;
           fhir:Questionnaire.item.linkId [ fhir:value "order.notificationContactDocumentResponse.practitioner.title" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.prefix" ];
           fhir:Questionnaire.item.text [ fhir:value "Titel" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 1;
           fhir:Questionnaire.item.linkId [ fhir:value "order.notificationContactDocumentResponse.practitioner.familyName" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.family" ];
           fhir:Questionnaire.item.text [ fhir:value "Name" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 2;
           fhir:Questionnaire.item.linkId [ fhir:value "order.notificationContactDocumentResponse.practitioner.givenName" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.given" ];
           fhir:Questionnaire.item.text [ fhir:value "Vorname" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 3;
           fhir:Questionnaire.item.linkId [ fhir:value "order.notificationContactDocumentResponse.practitioner.phone" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value" ];
           fhir:Questionnaire.item.text [ fhir:value "Telefon" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 4;
           fhir:Questionnaire.item.linkId [ fhir:value "order.notificationContactDocumentResponse.practitioner.email" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value" ];
           fhir:Questionnaire.item.text [ fhir:value "E-Mail" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ]       ]     ], [
       fhir:index 10;
       fhir:Questionnaire.item.linkId [ fhir:value "order.priority" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.priority" ];
       fhir:Questionnaire.item.text [ fhir:value "Auftragspriorität" ];
       fhir:Questionnaire.item.type [ fhir:value "choice" ];
       fhir:Questionnaire.item.answerOption [
         fhir:index 0;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/request-priority" ];
           fhir:Coding.code [ fhir:value "routine" ];
           fhir:Coding.display [ fhir:value "Die Anfrage hat normale Priorität." ]         ];
         fhir:Questionnaire.item.answerOption.initialSelected [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 1;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/request-priority" ];
           fhir:Coding.code [ fhir:value "urgent" ];
           fhir:Coding.display [ fhir:value "Die Anfrage sollte dringend bearbeitet werden - höhere Priorität als normal." ]         ]       ], [
         fhir:index 2;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/request-priority" ];
           fhir:Coding.code [ fhir:value "asap" ];
           fhir:Coding.display [ fhir:value "Die Anfrage sollte so schnell wie möglich bearbeitet werden - höhere Priorität als dringend." ]         ]       ], [
         fhir:index 3;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/request-priority" ];
           fhir:Coding.code [ fhir:value "stat" ];
           fhir:Coding.display [ fhir:value "Die Anfrage sollte sofort bearbeitet werden - höchstmögliche Priorität. Z.B. bei einem Notfall." ]         ]       ]     ]
  ], [
     fhir:index 1;
     fhir:Questionnaire.item.linkId [ fhir:value "receiver" ];
     fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:receiver" ];
     fhir:Questionnaire.item.text [ fhir:value "Empfänger" ];
     fhir:Questionnaire.item.type [ fhir:value "group" ];
     fhir:Questionnaire.item.item [
       fhir:index 0;
       fhir:Questionnaire.item.linkId [ fhir:value "receiver.practitioner" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.practitioner" ];
       fhir:Questionnaire.item.text [ fhir:value "Empfangende Person" ];
       fhir:Questionnaire.item.type [ fhir:value "group" ];
       fhir:Questionnaire.item.item [
         fhir:index 0;
         fhir:Questionnaire.item.linkId [ fhir:value "receiver.practitioner.title" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.prefix" ];
         fhir:Questionnaire.item.text [ fhir:value "Titel" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 1;
         fhir:Questionnaire.item.linkId [ fhir:value "receiver.practitioner.familyName" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.family" ];
         fhir:Questionnaire.item.text [ fhir:value "Name" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 2;
         fhir:Questionnaire.item.linkId [ fhir:value "receiver.practitioner.givenName" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.given" ];
         fhir:Questionnaire.item.text [ fhir:value "Vorname" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 3;
         fhir:Questionnaire.item.linkId [ fhir:value "receiver.practitioner.gln" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.identifier:GLN.value" ];
         fhir:Questionnaire.item.text [ fhir:value "GLN" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 4;
         fhir:Questionnaire.item.linkId [ fhir:value "receiver.practitioner.phone" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value" ];
         fhir:Questionnaire.item.text [ fhir:value "Telefon" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 5;
         fhir:Questionnaire.item.linkId [ fhir:value "receiver.practitioner.email" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value" ];
         fhir:Questionnaire.item.text [ fhir:value "E-Mail" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ]     ], [
       fhir:index 1;
       fhir:Questionnaire.item.linkId [ fhir:value "receiver.organization" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.organization" ];
       fhir:Questionnaire.item.text [ fhir:value "Empfangende Organisation" ];
       fhir:Questionnaire.item.type [ fhir:value "group" ];
       fhir:Questionnaire.item.item [
         fhir:index 0;
         fhir:Questionnaire.item.linkId [ fhir:value "receiver.organization.name" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.name" ];
         fhir:Questionnaire.item.text [ fhir:value "Name der Organisation" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 1;
         fhir:Questionnaire.item.linkId [ fhir:value "receiver.organization.streetAddressLine" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.line" ];
         fhir:Questionnaire.item.text [ fhir:value "Strasse, Hausnummer, Postfach etc." ];
         fhir:Questionnaire.item.type [ fhir:value "string" ];
         fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 2;
         fhir:Questionnaire.item.linkId [ fhir:value "receiver.organization.postalCode" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.postalCode" ];
         fhir:Questionnaire.item.text [ fhir:value "PLZ" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 3;
         fhir:Questionnaire.item.linkId [ fhir:value "receiver.organization.city" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.city" ];
         fhir:Questionnaire.item.text [ fhir:value "Ort" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 4;
         fhir:Questionnaire.item.linkId [ fhir:value "receiver.organization.country" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.country" ];
         fhir:Questionnaire.item.text [ fhir:value "Land" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ]     ]
  ], [
     fhir:index 2;
     fhir:Questionnaire.item.linkId [ fhir:value "patient" ];
     fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.subject" ];
     fhir:Questionnaire.item.text [ fhir:value "Patient" ];
     fhir:Questionnaire.item.type [ fhir:value "group" ];
     fhir:Questionnaire.item.item [
       fhir:index 0;
       fhir:Questionnaire.item.linkId [ fhir:value "patient.familyName" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.name.family" ];
       fhir:Questionnaire.item.text [ fhir:value "Name" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ], [
       fhir:index 1;
       fhir:Questionnaire.item.linkId [ fhir:value "patient.maidenName" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.name.family" ];
       fhir:Questionnaire.item.text [ fhir:value "Ledigname" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ], [
       fhir:index 2;
       fhir:Questionnaire.item.linkId [ fhir:value "patient.givenName" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.name.given" ];
       fhir:Questionnaire.item.text [ fhir:value "Vorname" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ], [
       fhir:index 3;
       fhir:Questionnaire.item.linkId [ fhir:value "patient.localPid" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.identifier:LocalPid.value" ];
       fhir:Questionnaire.item.text [ fhir:value "Lokale Patienten-ID" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ], [
       fhir:index 4;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
         fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "patient.localPidDomain" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.identifier:LocalPid.system" ];
       fhir:Questionnaire.item.text [ fhir:value "Lokale Patienten-ID Domain" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ], [
       fhir:index 5;
       fhir:Questionnaire.item.linkId [ fhir:value "patient.birthDate" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.birthDate" ];
       fhir:Questionnaire.item.text [ fhir:value "Geburtsdatum" ];
       fhir:Questionnaire.item.type [ fhir:value "date" ]     ], [
       fhir:index 6;
       fhir:Questionnaire.item.linkId [ fhir:value "patient.gender" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.gender" ];
       fhir:Questionnaire.item.text [ fhir:value "Geschlecht" ];
       fhir:Questionnaire.item.type [ fhir:value "choice" ];
       fhir:Questionnaire.item.answerOption [
         fhir:index 0;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/administrative-gender" ];
           fhir:Coding.code [ fhir:value "male" ];
           fhir:Coding.display [ fhir:value "Männlich" ]         ];
         fhir:Questionnaire.item.answerOption.initialSelected [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 1;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/administrative-gender" ];
           fhir:Coding.code [ fhir:value "female" ];
           fhir:Coding.display [ fhir:value "Weiblich" ]         ]       ], [
         fhir:index 2;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/administrative-gender" ];
           fhir:Coding.code [ fhir:value "other" ];
           fhir:Coding.display [ fhir:value "Anderes" ]         ]       ]     ], [
       fhir:index 7;
       fhir:Questionnaire.item.linkId [ fhir:value "patient.phone" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.telecom.value" ];
       fhir:Questionnaire.item.text [ fhir:value "Telefon" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ];
       fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 8;
       fhir:Questionnaire.item.linkId [ fhir:value "patient.email" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.telecom.value" ];
       fhir:Questionnaire.item.text [ fhir:value "E-Mail" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ], [
       fhir:index 9;
       fhir:Questionnaire.item.linkId [ fhir:value "patient.streetAddressLine" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.address.line" ];
       fhir:Questionnaire.item.text [ fhir:value "Strasse, Hausnummer, Postfach etc." ];
       fhir:Questionnaire.item.type [ fhir:value "string" ];
       fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 10;
       fhir:Questionnaire.item.linkId [ fhir:value "patient.postalCode" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.address.postalCode" ];
       fhir:Questionnaire.item.text [ fhir:value "PLZ" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ], [
       fhir:index 11;
       fhir:Questionnaire.item.linkId [ fhir:value "patient.city" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.address.city" ];
       fhir:Questionnaire.item.text [ fhir:value "Ort" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ], [
       fhir:index 12;
       fhir:Questionnaire.item.linkId [ fhir:value "patient.country" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.address.country" ];
       fhir:Questionnaire.item.text [ fhir:value "Land" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ], [
       fhir:index 13;
       fhir:Questionnaire.item.linkId [ fhir:value "patient.contactperson" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact" ];
       fhir:Questionnaire.item.text [ fhir:value "Kontaktperson" ];
       fhir:Questionnaire.item.type [ fhir:value "group" ];
       fhir:Questionnaire.item.item [
         fhir:index 0;
         fhir:Questionnaire.item.linkId [ fhir:value "patient.contactperson.relationship" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact.relationship.text" ];
         fhir:Questionnaire.item.text [ fhir:value "Beziehung" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 1;
         fhir:Questionnaire.item.linkId [ fhir:value "patient.contactperson.familyName" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact.name.family" ];
         fhir:Questionnaire.item.text [ fhir:value "Name" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 2;
         fhir:Questionnaire.item.linkId [ fhir:value "patient.contactperson.givenName" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact.name.given" ];
         fhir:Questionnaire.item.text [ fhir:value "Vorname" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 3;
         fhir:Questionnaire.item.linkId [ fhir:value "patient.contactperson.phone" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact.telecom.value" ];
         fhir:Questionnaire.item.text [ fhir:value "Telefon" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ];
         fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 4;
         fhir:Questionnaire.item.linkId [ fhir:value "patient.contactperson.email" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact.telecom.value" ];
         fhir:Questionnaire.item.text [ fhir:value "E-Mail" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ]     ]
  ], [
     fhir:index 3;
     fhir:Questionnaire.item.linkId [ fhir:value "requestedEncounter" ];
     fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.extension:requestedEncounterDetails" ];
     fhir:Questionnaire.item.text [ fhir:value "Patientenaufnahme" ];
     fhir:Questionnaire.item.type [ fhir:value "group" ];
     fhir:Questionnaire.item.item [
       fhir:index 0;
       fhir:Questionnaire.item.linkId [ fhir:value "requestedEncounter.class" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-encounter#Encounter.class" ];
       fhir:Questionnaire.item.text [ fhir:value "Voraussichtlich: Ambulant / Stationär / Notfall" ];
       fhir:Questionnaire.item.type [ fhir:value "choice" ];
       fhir:Questionnaire.item.answerOption [
         fhir:index 0;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ];
           fhir:Coding.code [ fhir:value "AMB" ];
           fhir:Coding.display [ fhir:value "Ambulant" ]         ]       ], [
         fhir:index 1;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ];
           fhir:Coding.code [ fhir:value "IMP" ];
           fhir:Coding.display [ fhir:value "Stationär" ]         ]       ], [
         fhir:index 2;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ];
           fhir:Coding.code [ fhir:value "EMER" ];
           fhir:Coding.display [ fhir:value "Notfall" ]         ]       ]     ], [
       fhir:index 1;
       fhir:Questionnaire.item.linkId [ fhir:value "requestedEncounter.desiredAccommodation" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-encounter#Encounter.extension:desiredAccommodation" ];
       fhir:Questionnaire.item.text [ fhir:value "Zimmerkategorie" ];
       fhir:Questionnaire.item.type [ fhir:value "choice" ];
       fhir:Questionnaire.item.answerOption [
         fhir:index 0;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ];
           fhir:Coding.code [ fhir:value "P" ];
           fhir:Coding.display [ fhir:value "Einerzimmer" ]         ]       ], [
         fhir:index 1;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ];
           fhir:Coding.code [ fhir:value "SP" ];
           fhir:Coding.display [ fhir:value "Zweierzimmer" ]         ]       ], [
         fhir:index 2;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ];
           fhir:Coding.code [ fhir:value "W" ];
           fhir:Coding.display [ fhir:value "Mehrbettzimmer" ]         ]       ]     ]
  ], [
     fhir:index 4;
     fhir:Questionnaire.item.linkId [ fhir:value "coverage" ];
     fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.insurance" ];
     fhir:Questionnaire.item.text [ fhir:value "Kostenträger" ];
     fhir:Questionnaire.item.type [ fhir:value "group" ];
     fhir:Questionnaire.item.item [
       fhir:index 0;
       fhir:Questionnaire.item.linkId [ fhir:value "coverage.beneficiary" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.beneficiary" ];
       fhir:Questionnaire.item.text [ fhir:value "Begünstigter (Patient)" ];
       fhir:Questionnaire.item.type [ fhir:value "group" ];
       fhir:Questionnaire.item.item [
         fhir:index 0;
         fhir:Questionnaire.item.linkId [ fhir:value "coverage.beneficiary.ahvn13" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.identifier:AHVN13" ];
         fhir:Questionnaire.item.text [ fhir:value "AHV-Nr. des Patienten" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ]     ], [
       fhir:index 1;
       fhir:Questionnaire.item.linkId [ fhir:value "coverage.kvg" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type" ];
       fhir:Questionnaire.item.text [ fhir:value "Krankenkasse (nach KVG)" ];
       fhir:Questionnaire.item.type [ fhir:value "group" ];
       fhir:Questionnaire.item.item [
         fhir:index 0;
         fhir:Questionnaire.item.linkId [ fhir:value "coverage.kvg.name" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor" ];
         fhir:Questionnaire.item.text [ fhir:value "Name der Versicherung" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 1;
         fhir:Questionnaire.item.linkId [ fhir:value "coverage.kvg.insuranceCardNumber" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier" ];
         fhir:Questionnaire.item.text [ fhir:value "Kennnummer der Versichertenkarte" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ]     ], [
       fhir:index 2;
       fhir:Questionnaire.item.linkId [ fhir:value "coverage.uvg" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type" ];
       fhir:Questionnaire.item.text [ fhir:value "Unfallversicherung (nach UVG)" ];
       fhir:Questionnaire.item.type [ fhir:value "group" ];
       fhir:Questionnaire.item.item [
         fhir:index 0;
         fhir:Questionnaire.item.linkId [ fhir:value "coverage.uvg.name" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor" ];
         fhir:Questionnaire.item.text [ fhir:value "Name der Versicherung" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 1;
         fhir:Questionnaire.item.linkId [ fhir:value "coverage.uvg.claimNumber" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier" ];
         fhir:Questionnaire.item.text [ fhir:value "Schadennummer" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ]     ], [
       fhir:index 3;
       fhir:Questionnaire.item.linkId [ fhir:value "coverage.vvg" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type" ];
       fhir:Questionnaire.item.text [ fhir:value "Zusatzversicherung (nach VVG)" ];
       fhir:Questionnaire.item.type [ fhir:value "group" ];
       fhir:Questionnaire.item.item [
         fhir:index 0;
         fhir:Questionnaire.item.linkId [ fhir:value "coverage.vvg.name" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor" ];
         fhir:Questionnaire.item.text [ fhir:value "Name der Versicherung" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 1;
         fhir:Questionnaire.item.linkId [ fhir:value "coverage.vvg.insuranceCardNumber" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier" ];
         fhir:Questionnaire.item.text [ fhir:value "Kennnummer der Versichertenkarte" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ]     ], [
       fhir:index 4;
       fhir:Questionnaire.item.linkId [ fhir:value "coverage.iv" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type" ];
       fhir:Questionnaire.item.text [ fhir:value "Invalidenversicherung (IV)" ];
       fhir:Questionnaire.item.type [ fhir:value "group" ];
       fhir:Questionnaire.item.item [
         fhir:index 0;
         fhir:Questionnaire.item.linkId [ fhir:value "coverage.iv.verfuegungsnummer" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier" ];
         fhir:Questionnaire.item.text [ fhir:value "IV-Verfügungsnummer" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ]     ], [
       fhir:index 5;
       fhir:Questionnaire.item.linkId [ fhir:value "coverage.mv" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type" ];
       fhir:Questionnaire.item.text [ fhir:value "Militärversicherung (MV)" ];
       fhir:Questionnaire.item.type [ fhir:value "group" ];
       fhir:Questionnaire.item.item [
         fhir:index 0;
         fhir:Questionnaire.item.linkId [ fhir:value "coverage.mv.versichertennummer" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier" ];
         fhir:Questionnaire.item.text [ fhir:value "MV-Versichertennummer" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ]     ], [
       fhir:index 6;
       fhir:Questionnaire.item.linkId [ fhir:value "coverage.self" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type" ];
       fhir:Questionnaire.item.text [ fhir:value "Selbstzahler" ];
       fhir:Questionnaire.item.type [ fhir:value "group" ];
       fhir:Questionnaire.item.item [
         fhir:index 0;
         fhir:Questionnaire.item.linkId [ fhir:value "coverage.self.familyName" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor" ];
         fhir:Questionnaire.item.text [ fhir:value "Name" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 1;
         fhir:Questionnaire.item.linkId [ fhir:value "coverage.self.givenName" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor" ];
         fhir:Questionnaire.item.text [ fhir:value "Vorname" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ]     ], [
       fhir:index 7;
       fhir:Questionnaire.item.linkId [ fhir:value "coverage.other" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type" ];
       fhir:Questionnaire.item.text [ fhir:value "Anderer Kostenträger" ];
       fhir:Questionnaire.item.type [ fhir:value "group" ];
       fhir:Questionnaire.item.item [
         fhir:index 0;
         fhir:Questionnaire.item.linkId [ fhir:value "coverage.other.name" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor" ];
         fhir:Questionnaire.item.text [ fhir:value "Name des Kostenträgers" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 1;
         fhir:Questionnaire.item.linkId [ fhir:value "coverage.other.id" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier" ];
         fhir:Questionnaire.item.text [ fhir:value "Beliebige ID" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 2;
         fhir:Questionnaire.item.linkId [ fhir:value "coverage.other.id.note" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier.type.text" ];
         fhir:Questionnaire.item.text [ fhir:value "Bemerkung zur ID" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ]     ]
  ], [
     fhir:index 5;
     fhir:Questionnaire.item.linkId [ fhir:value "sender" ];
     fhir:Questionnaire.item.text [ fhir:value "Absender" ];
     fhir:Questionnaire.item.type [ fhir:value "group" ];
     fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
     fhir:Questionnaire.item.item [
       fhir:index 0;
       fhir:Questionnaire.item.linkId [ fhir:value "sender.author" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.author" ];
       fhir:Questionnaire.item.text [ fhir:value "Verantwortlicher" ];
       fhir:Questionnaire.item.type [ fhir:value "group" ];
       fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
       fhir:Questionnaire.item.item [
         fhir:index 0;
         fhir:Questionnaire.item.linkId [ fhir:value "sender.author.practitioner" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.practitioner" ];
         fhir:Questionnaire.item.text [ fhir:value "Verantwortliche Person" ];
         fhir:Questionnaire.item.type [ fhir:value "group" ];
         fhir:Questionnaire.item.item [
           fhir:index 0;
           fhir:Questionnaire.item.linkId [ fhir:value "sender.author.practitioner.title" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.prefix" ];
           fhir:Questionnaire.item.text [ fhir:value "Titel" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 1;
           fhir:Questionnaire.item.linkId [ fhir:value "sender.author.practitioner.familyName" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.family" ];
           fhir:Questionnaire.item.text [ fhir:value "Name" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 2;
           fhir:Questionnaire.item.linkId [ fhir:value "sender.author.practitioner.givenName" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.given" ];
           fhir:Questionnaire.item.text [ fhir:value "Vorname" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 3;
           fhir:Questionnaire.item.linkId [ fhir:value "sender.author.practitioner.gln" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.identifier:GLN.value" ];
           fhir:Questionnaire.item.text [ fhir:value "GLN" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 4;
           fhir:Questionnaire.item.linkId [ fhir:value "sender.author.practitioner.phone" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value" ];
           fhir:Questionnaire.item.text [ fhir:value "Telefon" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 5;
           fhir:Questionnaire.item.linkId [ fhir:value "sender.author.practitioner.email" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value" ];
           fhir:Questionnaire.item.text [ fhir:value "E-Mail" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ]       ], [
         fhir:index 1;
         fhir:Questionnaire.item.linkId [ fhir:value "sender.author.organization" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.organization" ];
         fhir:Questionnaire.item.text [ fhir:value "Verantwortliche Organisation" ];
         fhir:Questionnaire.item.type [ fhir:value "group" ];
         fhir:Questionnaire.item.item [
           fhir:index 0;
           fhir:Questionnaire.item.linkId [ fhir:value "sender.author.organization.name" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.name" ];
           fhir:Questionnaire.item.text [ fhir:value "Name der Organisation" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 1;
           fhir:Questionnaire.item.linkId [ fhir:value "sender.author.organization.streetAddressLine" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.line" ];
           fhir:Questionnaire.item.text [ fhir:value "Strasse, Hausnummer, Postfach etc." ];
           fhir:Questionnaire.item.type [ fhir:value "string" ];
           fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 2;
           fhir:Questionnaire.item.linkId [ fhir:value "sender.author.organization.postalCode" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.postalCode" ];
           fhir:Questionnaire.item.text [ fhir:value "PLZ" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 3;
           fhir:Questionnaire.item.linkId [ fhir:value "sender.author.organization.city" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.city" ];
           fhir:Questionnaire.item.text [ fhir:value "Ort" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 4;
           fhir:Questionnaire.item.linkId [ fhir:value "sender.author.organization.country" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.country" ];
           fhir:Questionnaire.item.text [ fhir:value "Land" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ]       ]     ], [
       fhir:index 1;
       fhir:Questionnaire.item.linkId [ fhir:value "sender.dataenterer" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:dataEnterer" ];
       fhir:Questionnaire.item.text [ fhir:value "Erfasser" ];
       fhir:Questionnaire.item.type [ fhir:value "group" ];
       fhir:Questionnaire.item.item [
         fhir:index 0;
         fhir:Questionnaire.item.linkId [ fhir:value "sender.dataenterer.practitioner" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.practitioner" ];
         fhir:Questionnaire.item.text [ fhir:value "Erfassende Person" ];
         fhir:Questionnaire.item.type [ fhir:value "group" ];
         fhir:Questionnaire.item.item [
           fhir:index 0;
           fhir:Questionnaire.item.linkId [ fhir:value "sender.dataenterer.practitioner.familyName" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.family" ];
           fhir:Questionnaire.item.text [ fhir:value "Name" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 1;
           fhir:Questionnaire.item.linkId [ fhir:value "sender.dataenterer.practitioner.givenName" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.given" ];
           fhir:Questionnaire.item.text [ fhir:value "Vorname" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 2;
           fhir:Questionnaire.item.linkId [ fhir:value "sender.dataenterer.practitioner.phone" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value" ];
           fhir:Questionnaire.item.text [ fhir:value "Telefon" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 3;
           fhir:Questionnaire.item.linkId [ fhir:value "sender.dataenterer.practitioner.email" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value" ];
           fhir:Questionnaire.item.text [ fhir:value "E-Mail" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ]       ]     ]
  ], [
     fhir:index 6;
     fhir:Questionnaire.item.linkId [ fhir:value "receiverCopies" ];
     fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:copyReceiver" ];
     fhir:Questionnaire.item.text [ fhir:value "Kopieempfänger" ];
     fhir:Questionnaire.item.type [ fhir:value "group" ];
     fhir:Questionnaire.item.item [
       fhir:index 0;
       fhir:Questionnaire.item.linkId [ fhir:value "receiverCopy" ];
       fhir:Questionnaire.item.text [ fhir:value "Kopieempfangende Organisation oder Person" ];
       fhir:Questionnaire.item.type [ fhir:value "group" ];
       fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ];
       fhir:Questionnaire.item.item [
         fhir:index 0;
         fhir:Questionnaire.item.linkId [ fhir:value "receiverCopy.organization.name" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.name" ];
         fhir:Questionnaire.item.text [ fhir:value "Name der Organisation" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 1;
         fhir:Questionnaire.item.linkId [ fhir:value "receiverCopy.title" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-humanname#HumanName.prefix" ];
         fhir:Questionnaire.item.text [ fhir:value "Titel" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 2;
         fhir:Questionnaire.item.linkId [ fhir:value "receiverCopy.familyName" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-humanname#HumanName.family" ];
         fhir:Questionnaire.item.text [ fhir:value "Name" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 3;
         fhir:Questionnaire.item.linkId [ fhir:value "receiverCopy.givenName" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-humanname#HumanName.given" ];
         fhir:Questionnaire.item.text [ fhir:value "Vorname" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 4;
         fhir:Questionnaire.item.linkId [ fhir:value "receiverCopy.phone" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://hl7.org/fhir/StructureDefinition/ContactPoint#ContactPoint.value" ];
         fhir:Questionnaire.item.text [ fhir:value "Telefon" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 5;
         fhir:Questionnaire.item.linkId [ fhir:value "receiverCopy.email" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://hl7.org/fhir/StructureDefinition/ContactPoint#ContactPoint.value" ];
         fhir:Questionnaire.item.text [ fhir:value "E-Mail" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 6;
         fhir:Questionnaire.item.linkId [ fhir:value "receiverCopy.streetAddressLine" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-address#Address.line" ];
         fhir:Questionnaire.item.text [ fhir:value "Strasse, Hausnummer, Postfach etc." ];
         fhir:Questionnaire.item.type [ fhir:value "string" ];
         fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 7;
         fhir:Questionnaire.item.linkId [ fhir:value "receiverCopy.postalCode" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-address#Address.postalCode" ];
         fhir:Questionnaire.item.text [ fhir:value "PLZ" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 8;
         fhir:Questionnaire.item.linkId [ fhir:value "receiverCopy.city" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-address#Address.city" ];
         fhir:Questionnaire.item.text [ fhir:value "Ort" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 9;
         fhir:Questionnaire.item.linkId [ fhir:value "receiverCopy.country" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-address#Address.country" ];
         fhir:Questionnaire.item.text [ fhir:value "Land" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ]     ]
  ], [
     fhir:index 7;
     fhir:Questionnaire.item.linkId [ fhir:value "appointment" ];
     fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.extension:locationAndTime" ];
     fhir:Questionnaire.item.text [ fhir:value "Ort und Zeit der Durchführung der angeforderten Leistung" ];
     fhir:Questionnaire.item.type [ fhir:value "group" ];
     fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ];
     fhir:Questionnaire.item.item [
       fhir:index 0;
       fhir:Questionnaire.item.linkId [ fhir:value "appointment.location" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.participant.actor" ];
       fhir:Questionnaire.item.text [ fhir:value "Ort der Durchführung" ];
       fhir:Questionnaire.item.type [ fhir:value "group" ];
       fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
       fhir:Questionnaire.item.item [
         fhir:index 0;
         fhir:Questionnaire.item.linkId [ fhir:value "appointment.location.name" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location#Location.name" ];
         fhir:Questionnaire.item.text [ fhir:value "Name" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ];
         fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 1;
         fhir:Questionnaire.item.linkId [ fhir:value "appointment.location.phone" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location#Location.telecom.value" ];
         fhir:Questionnaire.item.text [ fhir:value "Telefon" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 2;
         fhir:Questionnaire.item.linkId [ fhir:value "appointment.location.email" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location#Location.telecom.value" ];
         fhir:Questionnaire.item.text [ fhir:value "E-Mail" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 3;
         fhir:Questionnaire.item.linkId [ fhir:value "appointment.location.streetAddressLine" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location#Location.address.line" ];
         fhir:Questionnaire.item.text [ fhir:value "Strasse, Hausnummer, Postfach etc." ];
         fhir:Questionnaire.item.type [ fhir:value "string" ];
         fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 4;
         fhir:Questionnaire.item.linkId [ fhir:value "appointment.location.postalCode" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location#Location.address.postalCode" ];
         fhir:Questionnaire.item.text [ fhir:value "PLZ" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 5;
         fhir:Questionnaire.item.linkId [ fhir:value "appointment.location.city" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location#Location.address.city" ];
         fhir:Questionnaire.item.text [ fhir:value "Ort" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 6;
         fhir:Questionnaire.item.linkId [ fhir:value "appointment.location.country" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location#Location.address.country" ];
         fhir:Questionnaire.item.text [ fhir:value "Land" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ]     ], [
       fhir:index 1;
       fhir:Questionnaire.item.linkId [ fhir:value "appointment.requestedPeriod" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.requestedPeriod" ];
       fhir:Questionnaire.item.text [ fhir:value "Datum und Zeit, wann der Termin bevorzugt geplant werden soll" ];
       fhir:Questionnaire.item.type [ fhir:value "group" ];
       fhir:Questionnaire.item.item [
         fhir:index 0;
         fhir:Questionnaire.item.linkId [ fhir:value "appointment.requestedPeriod.start" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.requestedPeriod.start" ];
         fhir:Questionnaire.item.text [ fhir:value "Von" ];
         fhir:Questionnaire.item.type [ fhir:value "dateTime" ]       ], [
         fhir:index 1;
         fhir:Questionnaire.item.linkId [ fhir:value "appointment.requestedPeriod.end" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.requestedPeriod.end" ];
         fhir:Questionnaire.item.text [ fhir:value "Bis" ];
         fhir:Questionnaire.item.type [ fhir:value "dateTime" ]       ]     ], [
       fhir:index 2;
       fhir:Questionnaire.item.linkId [ fhir:value "appointment.status" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.status" ];
       fhir:Questionnaire.item.text [ fhir:value "Status" ];
       fhir:Questionnaire.item.type [ fhir:value "choice" ];
       fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
       fhir:Questionnaire.item.answerOption [
         fhir:index 0;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/appointmentstatus" ];
           fhir:Coding.code [ fhir:value "proposed" ];
           fhir:Coding.display [ fhir:value "Wunsch des Patienten (vorgeschlagen)" ]         ];
         fhir:Questionnaire.item.answerOption.initialSelected [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 1;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/appointmentstatus" ];
           fhir:Coding.code [ fhir:value "pending" ];
           fhir:Coding.display [ fhir:value "Vom Patienten bestätigt, aber vom Leistungserbringer noch nicht (ausstehend)" ]         ]       ], [
         fhir:index 2;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/appointmentstatus" ];
           fhir:Coding.code [ fhir:value "booked" ];
           fhir:Coding.display [ fhir:value "Vom Patienten und Leistungserbringer bestätigt (gebucht)" ]         ]       ]     ], [
       fhir:index 3;
       fhir:Questionnaire.item.linkId [ fhir:value "appointment.patientInstruction" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.patientInstruction" ];
       fhir:Questionnaire.item.text [ fhir:value "Patienteninformation für diesen Termin" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ]
  ], [
     fhir:index 8;
     fhir:Questionnaire.item.linkId [ fhir:value "note" ];
     fhir:Questionnaire.item.text [ fhir:value "Bemerkungen" ];
     fhir:Questionnaire.item.type [ fhir:value "group" ];
     fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ];
     fhir:Questionnaire.item.item [
       fhir:index 0;
       fhir:Questionnaire.item.linkId [ fhir:value "note.text" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.note.text" ];
       fhir:Questionnaire.item.text [ fhir:value "Kommentar" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ];
       fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]     ]
  ].

<urn:uuid:621d538a-3837-4c97-b6d5-c9661c493383> a fhir:PractitionerRole;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>practitioner</b>: <a href=\"#urnuuid72136e39-f7ed-4da0-881a-ee6ca9d787a6\">See above (Practitioner/null)</a></p></div>"
  ];
  fhir:PractitionerRole.practitioner [
     fhir:Reference.reference [ fhir:value "urn:uuid:72136e39-f7ed-4da0-881a-ee6ca9d787a6" ]
  ].

<urn:uuid:72136e39-f7ed-4da0-881a-ee6ca9d787a6> a fhir:Practitioner;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></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>"
  ];
  fhir:Practitioner.name [
     fhir:index 0;
     fhir:HumanName.family [ fhir:value "Röntgen" ];
     fhir:HumanName.given [
       fhir:value "Hans";
       fhir:index 0     ];
     fhir:HumanName.prefix [
       fhir:value "Dr. med.";
       fhir:index 0;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier" ];
         fhir:Extension.valueCode [ fhir:value "AC" ]       ]     ]
  ];
  fhir:Practitioner.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "044 412 00 99" ]
  ], [
     fhir:index 1;
     fhir:ContactPoint.system [ fhir:value "email" ];
     fhir:ContactPoint.value [ fhir:value "hans.roentgen@kantonsspital.ch" ]
  ].

<urn:uuid:11e864ff-443d-4cd3-9e28-31a9c3f6751d> a fhir:PractitionerRole;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>practitioner</b>: <a href=\"#urnuuidadb1b9a0-a1fe-4af4-86c1-c7fa3d727c83\">See above (Practitioner/null)</a></p></div>"
  ];
  fhir:PractitionerRole.practitioner [
     fhir:Reference.reference [ fhir:value "urn:uuid:adb1b9a0-a1fe-4af4-86c1-c7fa3d727c83" ]
  ].

<urn:uuid:adb1b9a0-a1fe-4af4-86c1-c7fa3d727c83> a fhir:Practitioner;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></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>"
  ];
  fhir:Practitioner.name [
     fhir:index 0;
     fhir:HumanName.family [ fhir:value "Meier" ];
     fhir:HumanName.given [
       fhir:value "Sabine";
       fhir:index 0     ];
     fhir:HumanName.prefix [
       fhir:value "Dr. med.";
       fhir:index 0;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier" ];
         fhir:Extension.valueCode [ fhir:value "AC" ]       ]     ]
  ];
  fhir:Practitioner.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "044 333 22 11" ]
  ], [
     fhir:index 1;
     fhir:ContactPoint.system [ fhir:value "email" ];
     fhir:ContactPoint.value [ fhir:value "sabine.meier@praxisseeblick.ch" ]
  ].

<urn:uuid:0b342eb6-26db-4943-b67b-b56399b557c5> a fhir:PractitionerRole;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>practitioner</b>: <a href=\"#urnuuid3e40f062-b7a8-4d17-bf05-65d59cd60f31\">See above (Practitioner/null)</a></p><p><b>organization</b>: <a href=\"#urnuuid81b2eebe-3a44-461b-88fd-0955354005e4\">See above (Organization/null)</a></p></div>"
  ];
  fhir:PractitionerRole.practitioner [
     fhir:Reference.reference [ fhir:value "urn:uuid:3e40f062-b7a8-4d17-bf05-65d59cd60f31" ]
  ];
  fhir:PractitionerRole.organization [
     fhir:Reference.reference [ fhir:value "urn:uuid:81b2eebe-3a44-461b-88fd-0955354005e4" ]
  ].

<urn:uuid:3e40f062-b7a8-4d17-bf05-65d59cd60f31> a fhir:Practitioner;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 7601000066878</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>"
  ];
  fhir:Practitioner.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "urn:oid:2.51.1.3" ];
     fhir:Identifier.value [ fhir:value "7601000066878" ]
  ];
  fhir:Practitioner.name [
     fhir:index 0;
     fhir:HumanName.family [ fhir:value "Röntgen" ];
     fhir:HumanName.given [
       fhir:value "Hans";
       fhir:index 0     ];
     fhir:HumanName.prefix [
       fhir:value "Dr. med.";
       fhir:index 0;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier" ];
         fhir:Extension.valueCode [ fhir:value "AC" ]       ]     ]
  ];
  fhir:Practitioner.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "044 412 00 99" ]
  ], [
     fhir:index 1;
     fhir:ContactPoint.system [ fhir:value "email" ];
     fhir:ContactPoint.value [ fhir:value "hans.roentgen@kantonsspital.ch" ]
  ].

<urn:uuid:81b2eebe-3a44-461b-88fd-0955354005e4> a fhir:Organization;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>name</b>: Kantonsspital</p><p><b>address</b>: Kantonsstrasse 14 Postfach 14 Zürich 8000 Schweiz </p></div>"
  ];
  fhir:Organization.name [ fhir:value "Kantonsspital"];
  fhir:Organization.address [
     fhir:index 0;
     fhir:Address.line [
       fhir:value "Kantonsstrasse 14";
       fhir:index 0     ], [
       fhir:value "Postfach 14";
       fhir:index 1     ];
     fhir:Address.city [ fhir:value "Zürich" ];
     fhir:Address.postalCode [ fhir:value "8000" ];
     fhir:Address.country [ fhir:value "Schweiz" ]
  ].

<urn:uuid:322dfa17-00d3-4f8e-aa66-8d52a3f316c1> a fhir:Encounter;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>CH ORF Desired Accommodation</b>: <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActCode SP}\">Zweierzimmer</span></p><p><b>status</b>: planned</p><p><b>class</b>: <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActCode EMER}\">Notfall</span></p><p><b>subject</b>: <a href=\"#urnuuidf00720ca-4cee-4a33-9c72-ab8858d05c15\">See above (Patient/null)</a></p></div>"
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-desiredaccommodation" ];
     fhir:Extension.valueCoding [
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ];
       fhir:Coding.code [ fhir:value "SP" ];
       fhir:Coding.display [ fhir:value "Zweierzimmer" ]     ]
  ];
  fhir:Encounter.status [ fhir:value "planned"];
  fhir:Encounter.class [
     fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ];
     fhir:Coding.code [ fhir:value "EMER" ];
     fhir:Coding.display [ fhir:value "Notfall" ]
  ];
  fhir:Encounter.subject [
     fhir:Reference.reference [ fhir:value "urn:uuid:f00720ca-4cee-4a33-9c72-ab8858d05c15" ]
  ].

<urn:uuid:5718bcfc-818a-455c-839b-ee63ef0c295a> a fhir:Coverage;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: Insurance Card Number: 80756015090002647590</p><p><b>status</b>: active</p><p><b>type</b>: <span title=\"Codes: {http://fhir.ch/ig/ch-orf/CodeSystem/ch-orf-cs-coveragetype KVG}\">According to KVG</span></p><p><b>beneficiary</b>: <a href=\"#urnuuidf00720ca-4cee-4a33-9c72-ab8858d05c15\">See above (Patient/null)</a></p><p><b>payor</b>: <a name=\"org\"> </a></p><blockquote><p><b>name</b>: Sanitas</p></blockquote></div>"
  ];
  fhir:DomainResource.contained [
     a fhir:Organization;
     fhir:index 0;
     fhir:Resource.id [ fhir:value "org" ];
     fhir:Organization.name [ fhir:value "Sanitas" ]
  ];
  fhir:Coverage.identifier [
     fhir:index 0;
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://fhir.ch/ig/ch-orf/CodeSystem/ch-orf-cs-coverageidentifiertype" ];
         fhir:Coding.code [ fhir:value "VeKa" ]       ]     ];
     fhir:Identifier.value [ fhir:value "80756015090002647590" ]
  ];
  fhir:Coverage.status [ fhir:value "active"];
  fhir:Coverage.type [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://fhir.ch/ig/ch-orf/CodeSystem/ch-orf-cs-coveragetype" ];
       fhir:Coding.code [ fhir:value "KVG" ]     ]
  ];
  fhir:Coverage.beneficiary [
     fhir:Reference.reference [ fhir:value "urn:uuid:f00720ca-4cee-4a33-9c72-ab8858d05c15" ]
  ];
  fhir:Coverage.payor [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "#org" ]
  ].

<urn:uuid:bbd52527-72f7-47ba-a330-0ebdfcebd2e0> a fhir:PractitionerRole;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>practitioner</b>: <a href=\"#urnuuid007d5b98-d7d7-43ac-a676-86ce05f9f38e\">See above (Practitioner/null)</a></p><p><b>organization</b>: <a href=\"#urnuuid1ff584f7-6c54-4671-85a6-8147b7a08468\">See above (Organization/null)</a></p></div>"
  ];
  fhir:PractitionerRole.practitioner [
     fhir:Reference.reference [ fhir:value "urn:uuid:007d5b98-d7d7-43ac-a676-86ce05f9f38e" ]
  ];
  fhir:PractitionerRole.organization [
     fhir:Reference.reference [ fhir:value "urn:uuid:1ff584f7-6c54-4671-85a6-8147b7a08468" ]
  ].

<urn:uuid:007d5b98-d7d7-43ac-a676-86ce05f9f38e> a fhir:Practitioner;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 7601000034321</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>"
  ];
  fhir:Practitioner.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "urn:oid:2.51.1.3" ];
     fhir:Identifier.value [ fhir:value "7601000034321" ]
  ];
  fhir:Practitioner.name [
     fhir:index 0;
     fhir:HumanName.family [ fhir:value "Meier" ];
     fhir:HumanName.given [
       fhir:value "Sabine";
       fhir:index 0     ];
     fhir:HumanName.prefix [
       fhir:value "Dr. med.";
       fhir:index 0;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier" ];
         fhir:Extension.valueCode [ fhir:value "AC" ]       ]     ]
  ];
  fhir:Practitioner.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "044 333 22 11" ]
  ], [
     fhir:index 1;
     fhir:ContactPoint.system [ fhir:value "email" ];
     fhir:ContactPoint.value [ fhir:value "sabine.meier@praxisseeblick.ch" ]
  ].

<urn:uuid:1ff584f7-6c54-4671-85a6-8147b7a08468> a fhir:Organization;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>name</b>: Praxis Seeblick</p><p><b>address</b>: Seestrasse 133 Haus C Zürich 8000 Schweiz </p></div>"
  ];
  fhir:Organization.name [ fhir:value "Praxis Seeblick"];
  fhir:Organization.address [
     fhir:index 0;
     fhir:Address.line [
       fhir:value "Seestrasse 133";
       fhir:index 0     ], [
       fhir:value "Haus C";
       fhir:index 1     ];
     fhir:Address.city [ fhir:value "Zürich" ];
     fhir:Address.postalCode [ fhir:value "8000" ];
     fhir:Address.country [ fhir:value "Schweiz" ]
  ].

<urn:uuid:22a635e9-71ca-43ff-91cb-6c394fda79b1> a fhir:PractitionerRole;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>practitioner</b>: <a href=\"#urnuuid39b938b1-3493-49b7-8c4c-e8e3d385f318\">See above (Practitioner/null)</a></p><p><b>organization</b>: <a href=\"#urnuuid1ff584f7-6c54-4671-85a6-8147b7a08468\">See above (Organization/null)</a></p></div>"
  ];
  fhir:PractitionerRole.practitioner [
     fhir:Reference.reference [ fhir:value "urn:uuid:39b938b1-3493-49b7-8c4c-e8e3d385f318" ]
  ];
  fhir:PractitionerRole.organization [
     fhir:Reference.reference [ fhir:value "urn:uuid:1ff584f7-6c54-4671-85a6-8147b7a08468" ]
  ].

<urn:uuid:39b938b1-3493-49b7-8c4c-e8e3d385f318> a fhir:Practitioner;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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>"
  ];
  fhir:Practitioner.name [
     fhir:index 0;
     fhir:HumanName.family [ fhir:value "Boss" ];
     fhir:HumanName.given [
       fhir:value "Stabilo";
       fhir:index 0     ]
  ];
  fhir:Practitioner.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "044 333 22 12" ]
  ], [
     fhir:index 1;
     fhir:ContactPoint.system [ fhir:value "email" ];
     fhir:ContactPoint.value [ fhir:value "stabilo.boss@praxisseeblick.ch" ]
  ].

<urn:uuid:3df0adb5-e405-4e88-bbc0-0686cb2964c8> a fhir:Organization;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>name</b>: Praxis Seeblick</p><p><b>telecom</b>: ph: 044 333 22 11, <a href=\"mailto:sabine.meier@praxisseeblick.ch\">sabine.meier@praxisseeblick.ch</a></p><h3>Contacts</h3><table class=\"grid\"><tr><td>-</td><td><b>Name</b></td></tr><tr><td>*</td><td>Sabine Meier </td></tr></table></div>"
  ];
  fhir:Organization.name [ fhir:value "Praxis Seeblick"];
  fhir:Organization.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "044 333 22 11" ]
  ], [
     fhir:index 1;
     fhir:ContactPoint.system [ fhir:value "email" ];
     fhir:ContactPoint.value [ fhir:value "sabine.meier@praxisseeblick.ch" ]
  ];
  fhir:Organization.contact [
     fhir:index 0;
     fhir:Organization.contact.name [
       fhir:HumanName.family [ fhir:value "Meier" ];
       fhir:HumanName.given [
         fhir:value "Sabine";
         fhir:index 0       ];
       fhir:HumanName.prefix [
         fhir:value "Dr. med.";
         fhir:index 0;
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier" ];
           fhir:Extension.valueCode [ fhir:value "AC" ]         ]       ]     ]
  ].

<urn:uuid:1eeeaaa1-4395-43b0-85e9-4f538dfb83ed> a fhir:Patient;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>name</b>: Erika Musterfrau </p><p><b>telecom</b>: ph: 079 979 79 79, <a href=\"mailto:erika@musterfrau.ch\">erika@musterfrau.ch</a></p><p><b>address</b>: Musterweg 6a Zürich 8000 Schweiz </p></div>"
  ];
  fhir:Patient.name [
     fhir:index 0;
     fhir:HumanName.family [ fhir:value "Musterfrau" ];
     fhir:HumanName.given [
       fhir:value "Erika";
       fhir:index 0     ]
  ];
  fhir:Patient.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "079 979 79 79" ]
  ], [
     fhir:index 1;
     fhir:ContactPoint.system [ fhir:value "email" ];
     fhir:ContactPoint.value [ fhir:value "erika@musterfrau.ch" ]
  ];
  fhir:Patient.address [
     fhir:index 0;
     fhir:Address.line [
       fhir:value "Musterweg";
       fhir:index 0     ], [
       fhir:value "6a";
       fhir:index 1     ];
     fhir:Address.city [ fhir:value "Zürich" ];
     fhir:Address.postalCode [ fhir:value "8000" ];
     fhir:Address.country [ fhir:value "Schweiz" ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.