CH_ORF (v0.9.1)
This page is part of the CH-ORF (R4) (v0.9.1: STU Draft) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions 
{
"resourceType" : "Questionnaire",
"id" : "ebida-order-1",
"meta" : {
"profile" : [
"http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-questionnaire"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <pre>todo, see screenshot provided by juerg</pre>\n </div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-targetStructureMap",
"valueCanonical" : "http://fhir.ch/ig/ch-orf/StructureMap/map-orf"
}
],
"url" : "http://fhir.ch/ig/ch-orf/Questionnaire/ebida-order-1",
"version" : "0.9.1",
"name" : "EbidaOrderExample",
"title" : "Ebida Order Example",
"status" : "draft",
"experimental" : true,
"subjectType" : [
"Patient"
],
"date" : "2018-03-31T00:00:00+02:00",
"publisher" : "ahdis",
"item" : [
{
"linkId" : "orf.ch.order",
"text" : "Auftrag",
"type" : "group",
"item" : [
{
"linkId" : "order.number",
"text" : "Auftrags-Nummer",
"type" : "string"
},
{
"linkId" : "order.date",
"text" : "Auftrags-Datum",
"type" : "date"
},
{
"linkId" : "order.state",
"text" : "Auftrags-Status",
"type" : "string"
}
]
},
{
"linkId" : "orderer",
"text" : "Auftraggeber",
"type" : "group",
"item" : [
{
"linkId" : "orderer.dataenterer",
"text" : "Erfasser",
"type" : "group",
"item" : [
{
"linkId" : "orderer.dataenterer.visum",
"text" : "Visum",
"type" : "string"
},
{
"linkId" : "orderer.dataenterer.bereich",
"text" : "Bereich",
"type" : "string"
},
{
"linkId" : "orderer.dataenterer.abt",
"text" : "Bereich",
"type" : "string"
},
{
"linkId" : "orderer.dataenterer.lastname",
"text" : "Name",
"type" : "string"
},
{
"linkId" : "orderer.dataenterer.firstname",
"text" : "Vorname",
"type" : "string"
},
{
"linkId" : "orderer.dataenterer.tel",
"text" : "Telefon",
"type" : "string"
},
{
"linkId" : "orderer.dataenterer.e-mail",
"text" : "E-Mail",
"type" : "string"
},
{
"linkId" : "orderer.dataenterer.street",
"text" : "Strasse",
"type" : "string"
},
{
"linkId" : "orderer.dataenterer.postfach",
"text" : "Postfach",
"type" : "string"
},
{
"linkId" : "orderer.dataenterer.zip",
"text" : "PLZ",
"type" : "string"
},
{
"linkId" : "orderer.dataenterer.city",
"text" : "Ort",
"type" : "string"
}
]
},
{
"linkId" : "orderer.responsible",
"text" : "Verantwortlicher",
"type" : "group",
"item" : [
{
"linkId" : "orderer.resp.visum",
"text" : "Visum",
"type" : "string"
},
{
"linkId" : "orderer.resp.bereich",
"text" : "Bereich",
"type" : "string"
},
{
"linkId" : "orderer.resp.abt",
"text" : "Bereich",
"type" : "string"
},
{
"linkId" : "orderer.resp.lastname",
"text" : "Name",
"type" : "string"
},
{
"linkId" : "orderer.resp.firstname",
"text" : "Vorname",
"type" : "string"
},
{
"linkId" : "orderer.resp.tel",
"text" : "Telefon",
"type" : "string"
},
{
"linkId" : "orderer.resp.e-mail",
"text" : "E-Mail",
"type" : "string"
},
{
"linkId" : "orderer.resp.street",
"text" : "Strasse",
"type" : "string"
},
{
"linkId" : "orderer.resp.postfach",
"text" : "Postfach",
"type" : "string"
},
{
"linkId" : "orderer.resp.zip",
"text" : "PLZ",
"type" : "string"
},
{
"linkId" : "orderer.resp.city",
"text" : "Ort",
"type" : "string"
}
]
}
]
},
{
"linkId" : "informationrecipient",
"text" : "Zu informieren",
"type" : "group",
"item" : [
{
"linkId" : "informationrecipient.visum",
"text" : "Visum",
"type" : "string"
},
{
"linkId" : "informationrecipient.bereich",
"text" : "Bereich",
"type" : "string"
},
{
"linkId" : "informationrecipient.abt",
"text" : "Bereich",
"type" : "string"
},
{
"linkId" : "informationrecipient.lastname",
"text" : "Name",
"type" : "string"
},
{
"linkId" : "informationrecipient.firstname",
"text" : "Vorname",
"type" : "string"
},
{
"linkId" : "informationrecipient.tel",
"text" : "Telefon",
"type" : "string"
},
{
"linkId" : "informationrecipient.e-mail",
"text" : "E-Mail",
"type" : "string"
}
]
},
{
"linkId" : "patient",
"text" : "Patient",
"type" : "group",
"item" : [
{
"linkId" : "patient.lastname",
"text" : "Name",
"type" : "string"
},
{
"linkId" : "patient.firstname",
"text" : "Vorname",
"type" : "string"
},
{
"linkId" : "patient.pid",
"text" : "Personen ID (CRM-PID)",
"type" : "string"
},
{
"linkId" : "patient.birthdate",
"text" : "Geburtsdatum",
"type" : "date"
},
{
"linkId" : "patient.sex",
"text" : "Geschlecht",
"type" : "choice",
"answerOption" : [
{
"valueString" : "M"
},
{
"valueString" : "F"
}
]
},
{
"linkId" : "patient.casenumber",
"text" : "Schadennummer",
"type" : "string"
},
{
"linkId" : "patient.amborstat",
"text" : "Amb/Stat",
"type" : "choice",
"answerOption" : [
{
"valueString" : "Amb"
},
{
"valueString" : "Stat"
}
]
}
]
},
{
"linkId" : "command",
"text" : "EBIDA-Bestellung",
"type" : "group",
"item" : [
{
"linkId" : "command.partner",
"text" : "EBIDA-Partner",
"type" : "choice",
"answerOption" : [
{
"valueString" : "Inselspital Bern"
},
{
"valueString" : "Spital Limmatplatz"
}
]
},
{
"linkId" : "command.partner.info",
"text" : "Angaben zum Partner",
"type" : "text",
"initial" : [
{
"valueString" : "Bilder und Befunde können per Ebida bestellt werden ..."
}
]
},
{
"linkId" : "command.examiniation",
"text" : "Gewünschte Untersuchung/Befund/Mitteilung",
"type" : "group",
"item" : [
{
"linkId" : "command.examiniation.images",
"text" : "Bilder",
"type" : "boolean"
},
{
"linkId" : "command.examiniation.reports",
"text" : "Befundberichte",
"type" : "boolean"
},
{
"linkId" : "command.examiniation.duedate",
"text" : "Frist zur Erledigung",
"type" : "date"
},
{
"linkId" : "command.examiniation.text",
"text" : "Text",
"type" : "text"
}
]
}
]
}
]
}