DocumentEtoc
type: Bundle
node role: treeRoot
resource.id:
  value: DocumentEtoc
resource.meta:
  meta.profile:
    value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-document
    index: 0
    link: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-document
bundle.identifier:
  identifier.system:
    value: urn:ietf:rfc:3986
bundle.type:
  value: document
bundle.timestamp:
  value: 2019-04-01T20:18:41.341+00:00
bundle.entry:
  index: 0
  bundle.entry.full url:
    value: http://example.com/fhir/Composition/CompositionEtoc
  bundle.entry.resource: CompositionEtoc
bundle.entry:
  index: 1
  bundle.entry.full url:
    value: http://example.com/fhir/Questionnaire/QuestionnaireEtoc
  bundle.entry.resource: QuestionnaireEtoc
bundle.entry:
  index: 2
  bundle.entry.full url:
    value: http://example.com/fhir/QuestionnaireResponse/QuestionnaireResponseEtoc
  bundle.entry.resource: QuestionnaireResponseEtoc
bundle.entry:
  index: 3
  bundle.entry.full url:
    value: http://example.com/fhir/ServiceRequest/ServiceRequestEtoc
  bundle.entry.resource: ServiceRequestEtoc
bundle.entry:
  index: 4
  bundle.entry.full url:
    value: http://example.com/fhir/Patient/SUfferer
  bundle.entry.resource: SUfferer
bundle.entry:
  index: 5
  bundle.entry.full url:
    value: http://example.com/fhir/Patient/SUffererCopyReceiver
  bundle.entry.resource: SUffererCopyReceiver
bundle.entry:
  index: 6
  bundle.entry.full url:
    value: http://example.com/fhir/PractitionerRole/DAtaentererHappyDoctors
  bundle.entry.resource: DAtaentererHappyDoctors
bundle.entry:
  index: 7
  bundle.entry.full url:
    value: http://example.com/fhir/Practitioner/DAtaenterer
  bundle.entry.resource: DAtaenterer
bundle.entry:
  index: 8
  bundle.entry.full url:
    value: http://example.com/fhir/PractitionerRole/ORderplacerHappyDoctors
  bundle.entry.resource: ORderplacerHappyDoctors
bundle.entry:
  index: 9
  bundle.entry.full url:
    value: http://example.com/fhir/Practitioner/ORderplacer
  bundle.entry.resource: ORderplacer
bundle.entry:
  index: 10
  bundle.entry.full url:
    value: http://example.com/fhir/PractitionerRole/MedicalDepartmentHappyHospital
  bundle.entry.resource: MedicalDepartmentHappyHospital
bundle.entry:
  index: 11
  bundle.entry.full url:
    value: http://example.com/fhir/Organization/HappyDoctors
  bundle.entry.resource: HappyDoctors
bundle.entry:
  index: 12
  bundle.entry.full url:
    value: http://example.com/fhir/Organization/HappyHospital
  bundle.entry.resource: HappyHospital
bundle.entry:
  index: 13
  bundle.entry.full url:
    value: http://example.com/fhir/Condition/PrimaryDiagnosis
  bundle.entry.resource: PrimaryDiagnosis
bundle.entry:
  index: 14
  bundle.entry.full url:
    value: http://example.com/fhir/Condition/SecondaryDiagnosis1
  bundle.entry.resource: SecondaryDiagnosis1
bundle.entry:
  index: 15
  bundle.entry.full url:
    value: http://example.com/fhir/Condition/SecondaryDiagnosis2
  bundle.entry.resource: SecondaryDiagnosis2
bundle.entry:
  index: 16
  bundle.entry.full url:
    value: http://example.com/fhir/Observation/BodyHeight
  bundle.entry.resource: BodyHeight
bundle.entry:
  index: 17
  bundle.entry.full url:
    value: http://example.com/fhir/Observation/BodyWeight
  bundle.entry.resource: BodyWeight
bundle.entry:
  index: 18
  bundle.entry.full url:
    value: http://example.com/fhir/Coverage/CoverageKVG
  bundle.entry.resource: CoverageKVG
bundle.entry:
  index: 19
  bundle.entry.full url:
    value: http://example.com/fhir/Appointment/AppointmentHospitalStay
  bundle.entry.resource: AppointmentHospitalStay
bundle.entry:
  index: 20
  bundle.entry.full url:
    value: http://example.com/fhir/Location/LocationHospitalStay
  bundle.entry.resource: LocationHospitalStay

CompositionEtoc
type: Composition
resource.id:
  value: CompositionEtoc
resource.meta:
  meta.profile:
    value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-composition
    index: 0
    link: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-composition
domain resource.text:
  narrative.status:
    value: additional
  narrative.div: Medical Referral
domain resource.extension:
  index: 0
  element.extension:
    index: 0
    extension.url:
      value: enterer
    extension.value reference:
      link: http://fhir.ch/ig/ch-etoc/PractitionerRole/DAtaentererHappyDoctors
      reference.reference:
        value: PractitionerRole/DAtaentererHappyDoctors
  extension.url:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer
domain resource.extension:
  index: 1
  extension.url:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-receiver
  extension.value reference:
    link: http://fhir.ch/ig/ch-etoc/PractitionerRole/MedicalDepartmentHappyHospital
    reference.reference:
      value: PractitionerRole/MedicalDepartmentHappyHospital
domain resource.extension:
  index: 2
  extension.url:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-copyreceiver
  extension.value reference:
    link: http://fhir.ch/ig/ch-etoc/Patient/SUffererCopyReceiver
    reference.reference:
      value: Patient/SUffererCopyReceiver
composition.status:
  value: final
composition.type:
  codeable concept.coding: http://snomed.info/id/419891008
    index: 0
    coding.system:
      value: http://snomed.info/sct
    coding.code:
      value: 419891008
    coding.display:
      value: Nicht näher bezeichnetes Dokument
composition.category:
  index: 0
  codeable concept.coding: http://snomed.info/id/721927009
    index: 0
    coding.system:
      value: http://snomed.info/sct
    coding.code:
      value: 721927009
    coding.display:
      value: Zuweisungsschreiben
composition.subject:
  link: http://fhir.ch/ig/ch-etoc/Patient/SUfferer
  reference.reference:
    value: Patient/SUfferer
composition.date:
  value: 2019-04-01T20:18:41.341+00:00
composition.author:
  index: 0
  link: http://fhir.ch/ig/ch-etoc/PractitionerRole/ORderplacerHappyDoctors
  reference.reference:
    value: PractitionerRole/ORderplacerHappyDoctors
composition.title:
  value: Anmeldung zur Abklärung / Hospitalisation
composition.section:
  index: 0
  composition.section.title:
    value: Order-Referral
  composition.section.code:
    codeable concept.coding: http://loinc.org/rdf#93037-0
      index: 0
      coding.system:
        value: http://loinc.org
      coding.code:
        value: 93037-0
      coding.display:
        value: Portable medical order form
  composition.section.entry:
    index: 0
    link: http://fhir.ch/ig/ch-etoc/Questionnaire/QuestionnaireEtoc
    reference.reference:
      value: Questionnaire/QuestionnaireEtoc
  composition.section.entry:
    index: 1
    link: http://fhir.ch/ig/ch-etoc/QuestionnaireResponse/QuestionnaireResponseEtoc
    reference.reference:
      value: QuestionnaireResponse/QuestionnaireResponseEtoc
  composition.section.entry:
    index: 2
    link: http://fhir.ch/ig/ch-etoc/ServiceRequest/ServiceRequestEtoc
    reference.reference:
      value: ServiceRequest/ServiceRequestEtoc

QuestionnaireEtoc
type: Questionnaire
resource.id:
  value: QuestionnaireEtoc
resource.meta:
  meta.profile:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-questionnaire
    index: 0
    link: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-questionnaire
  meta.profile:
    value: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire
    index: 1
    link: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire
  meta.profile:
    value: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-extract
    index: 2
    link: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-extract
domain resource.text:
  narrative.status:
    value: extensions
  narrative.div: Generated Narrative Target structure map: http://fhir.ch/ig/ch-etoc/StructureMap/RadOrderQrToBundle Source structure map: http://fhir.ch/ig/ch-orf/StructureMap/OrfPrepopBundleToQr Launch context resources Urls - * value: Bundle Urls - * value: Bundle Urls - * value: The Bundle that is to be used to pre-populate the form url: http://fhir.ch/ig/ch-etoc/Questionnaire/QuestionnaireEtoc name: QuestionnaireEtoc title: Questionnaire Electronic Transition of Carer derivedFrom: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-questionnaire status: active subjectType: Patient date: 2021-02-24 publisher: HL7 Switzerland item linkId: order definition: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-document#Bundle text: Auftrag type: group required: true item linkId: order.title definition: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-composition#Composition.title text: Titel type: string required: true readOnly: true item linkId: order.type definition: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-composition#Composition.type text: Typ type: choice required: true readOnly: true answerValueSet: http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.typeCode item linkId: order.category definition: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-composition#Composition.category text: Kategorie type: choice required: true readOnly: true answerValueSet: http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.classCode item linkId: order.placerOrderIdentifier definition: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.identifier:placerOrderIdentifier.value text: Auftragsnummer des Auftraggebers type: string required: true item hidden: true linkId: order.placerOrderIdentifierDomain definition: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.identifier:placerOrderIdentifier.system text: Identifier Domain der Auftragsnummer des Auftraggebers type: string required: true item linkId: order.…
domain resource.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-targetStructureMap
  extension.value canonical:
    value: http://fhir.ch/ig/ch-etoc/StructureMap/RadOrderQrToBundle
    link: http://fhir.ch/ig/ch-etoc/StructureMap/RadOrderQrToBundle
domain resource.extension:
  index: 1
  extension.url:
    value: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-sourceStructureMap
  extension.value canonical:
    value: http://fhir.ch/ig/ch-orf/StructureMap/OrfPrepopBundleToQr
    link: http://fhir.ch/ig/ch-orf/StructureMap/OrfPrepopBundleToQr
domain resource.extension:
  index: 2
  element.extension:
    index: 0
    extension.url:
      value: name
    extension.value id:
      value: Bundle
  element.extension:
    index: 1
    extension.url:
      value: type
    extension.value code:
      value: Bundle
  element.extension:
    index: 2
    extension.url:
      value: description
    extension.value string:
      value: The Bundle that is to be used to pre-populate the form
  extension.url:
    value: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext
questionnaire.url:
  value: http://fhir.ch/ig/ch-etoc/Questionnaire/QuestionnaireEtoc
questionnaire.name:
  value: QuestionnaireEtoc
questionnaire.title:
  value: Questionnaire Electronic Transition of Carer
questionnaire.derived from:
  value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-questionnaire
  index: 0
  link: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-questionnaire
questionnaire.status:
  value: active
questionnaire.subject type:
  value: Patient
  index: 0
questionnaire.date:
  value: 2021-02-24
questionnaire.publisher:
  value: HL7 Switzerland
questionnaire.item:
  index: 0
  questionnaire.item.link id:
    value: order
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-document#Bundle
  questionnaire.item.text:
    value: Auftrag
  questionnaire.item.type:
    value: group
  questionnaire.item.required:
    value: true
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: order.title
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-composition#Composition.title
    questionnaire.item.text:
      value: Titel
    questionnaire.item.type:
      value: string
    questionnaire.item.required:
      value: true
    questionnaire.item.read only:
      value: true
  questionnaire.item.item:
    index: 1
    questionnaire.item.link id:
      value: order.type
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-composition#Composition.type
    questionnaire.item.text:
      value: Typ
    questionnaire.item.type:
      value: choice
    questionnaire.item.required:
      value: true
    questionnaire.item.read only:
      value: true
    questionnaire.item.answer value set:
      value: http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.typeCode
      link: http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.typeCode
  questionnaire.item.item:
    index: 2
    questionnaire.item.link id:
      value: order.category
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-composition#Composition.category
    questionnaire.item.text:
      value: Kategorie
    questionnaire.item.type:
      value: choice
    questionnaire.item.required:
      value: true
    questionnaire.item.read only:
      value: true
    questionnaire.item.answer value set:
      value: http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.classCode
      link: http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.classCode
  questionnaire.item.item:
    index: 3
    questionnaire.item.link id:
      value: order.placerOrderIdentifier
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.identifier:placerOrderIdentifier.value
    questionnaire.item.text:
      value: Auftragsnummer des Auftraggebers
    questionnaire.item.type:
      value: string
    questionnaire.item.required:
      value: true
  questionnaire.item.item:
    index: 4
    element.extension:
      index: 0
      extension.url:
        value: http://hl7.org/fhir/StructureDefinition/questionnaire-hidden
      extension.value boolean:
        value: true
    questionnaire.item.link id:
      value: order.placerOrderIdentifierDomain
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.identifier:placerOrderIdentifier.system
    questionnaire.item.text:
      value: Identifier Domain der Auftragsnummer des Auftraggebers
    questionnaire.item.type:
      value: string
    questionnaire.item.required:
      value: true
  questionnaire.item.item:
    index: 5
    questionnaire.item.link id:
      value: order.fillerOrderIdentifier
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.identifier:fillerOrderIdentifier.value
    questionnaire.item.text:
      value: Auftragsnummer des Auftragsempfängers
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 6
    element.extension:
      index: 0
      extension.url:
        value: http://hl7.org/fhir/StructureDefinition/questionnaire-hidden
      extension.value boolean:
        value: true
    questionnaire.item.link id:
      value: order.fillerOrderIdentifierDomain
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.identifier:fillerOrderIdentifier.system
    questionnaire.item.text:
      value: Identifier Domain der Auftragsnummer des Auftragsempfängers
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 7
    element.extension:
      index: 0
      extension.url:
        value: http://hl7.org/fhir/StructureDefinition/questionnaire-hidden
      extension.value boolean:
        value: true
    questionnaire.item.link id:
      value: order.precedentDocumentIdentifier
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-composition#Composition.extension:precedentDocument

QuestionnaireResponseEtoc
type: QuestionnaireResponse
resource.id:
  value: QuestionnaireResponseEtoc
resource.meta:
  meta.profile:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-questionnaireresponse
    index: 0
    link: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-questionnaireresponse
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative questionnaire: http://fhir.ch/ig/ch-rad-order/Questionnaire/QuestionnaireEtoc status: completed item linkId: order text: Zuweisung item linkId: order.title text: Titel Answers - * item linkId: order.type text: Typ item linkId: order.category text: Kategorie Answers - * item linkId: order.placerOrderIdentifier text: Auftragsnummer des Auftraggebers Answers - * item linkId: order.placerOrderIdentifierDomain text: Identifier Domain der Auftragsnummer des Auftraggebers Answers - * item linkId: order.priority text: Auftragspriorität Answers - * item linkId: patient text: Patient item linkId: patient.familyName text: Name Answers - * item linkId: patient.maidenName text: Ledigname Answers - * item linkId: patient.givenName text: Vorname Answers - * item linkId: patient.birthDate text: Geburtsdatum Answers - * item linkId: patient.gender text: Geschlecht Answers - * item linkId: patient.phone text: Telefon Answers - * item linkId: patient.email text: E-Mail Answers - * item linkId: patient.streetAddressLine text: Strasse, Hausnummer, Postfach etc. Answers - * * item linkId: patient.postalCode text: PLZ Answers - * item linkId: patient.city text: Ort Answers - * item linkId: patient.country text: Land Answers - * item linkId: coverage text: Kostenträger item linkId: coverage.kvg text: Krankenkasse (nach KVG) Items - * * item linkId: sender text: Absender item linkId: sender.author text: Verantwortlicher Items - * * item linkId: sender.dataenterer text: Erfasser Items - * item linkId: receiver text: Empfänger item linkId: receiver.organization text: Empfangende Organisation Items - * * * * * item linkId: receiverCopies text: Kopieempfänger item linkId: receiverCopy text: Kopieempfangende Organisation oder Person Items - * * * * * * * * item linkId: requestedEncounter text: Patientenaufnahme item linkId: requestedEncounter.class text: Voraussichtlich: Ambulant / Stationär / Notfall Answers - * item linkId: purpose text: Wozu wird der Patient zugewiesen? it…
questionnaire response.questionnaire:
  value: http://fhir.ch/ig/ch-rad-order/Questionnaire/QuestionnaireEtoc
  link: http://fhir.ch/ig/ch-rad-order/Questionnaire/QuestionnaireEtoc
questionnaire response.status:
  value: completed
questionnaire response.item:
  index: 0
  questionnaire response.item.link id:
    value: order
  questionnaire response.item.text:
    value: Zuweisung
  questionnaire response.item.item:
    index: 0
    questionnaire response.item.link id:
      value: order.title
    questionnaire response.item.text:
      value: Titel
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: Notfallzuweisung
  questionnaire response.item.item:
    index: 1
    questionnaire response.item.link id:
      value: order.type
    questionnaire response.item.text:
      value: Typ
  questionnaire response.item.item:
    index: 2
    questionnaire response.item.link id:
      value: order.category
    questionnaire response.item.text:
      value: Kategorie
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value coding: http://snomed.info/id/721927009
  questionnaire response.item.item:
    index: 3
    questionnaire response.item.link id:
      value: order.placerOrderIdentifier
    questionnaire response.item.text:
      value: Auftragsnummer des Auftraggebers
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: 12345
  questionnaire response.item.item:
    index: 4
    questionnaire response.item.link id:
      value: order.placerOrderIdentifierDomain
    questionnaire response.item.text:
      value: Identifier Domain der Auftragsnummer des Auftraggebers
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: urn:oid:1.3.4.5.6.7
  questionnaire response.item.item:
    index: 5
    questionnaire response.item.link id:
      value: order.priority
    questionnaire response.item.text:
      value: Auftragspriorität
    questionnaire response.item.answer:
      index: 0
questionnaire response.item:
  index: 1
  questionnaire response.item.link id:
    value: patient
  questionnaire response.item.text:
    value: Patient
  questionnaire response.item.item:
    index: 0
    questionnaire response.item.link id:
      value: patient.familyName
    questionnaire response.item.text:
      value: Name
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: Ufferer
  questionnaire response.item.item:
    index: 1
    questionnaire response.item.link id:
      value: patient.maidenName
    questionnaire response.item.text:
      value: Ledigname
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: Leidend
  questionnaire response.item.item:
    index: 2
    questionnaire response.item.link id:
      value: patient.givenName
    questionnaire response.item.text:
      value: Vorname
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: Susanna
  questionnaire response.item.item:
    index: 3
    questionnaire response.item.link id:
      value: patient.birthDate
    questionnaire response.item.text:
      value: Geburtsdatum
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value date:
        value: 1970-03-14
  questionnaire response.item.item:
    index: 4
    questionnaire response.item.link id:
      value: patient.gender
    questionnaire response.item.text:
      value: Geschlecht
    questionnaire response.item.answer:
      index: 0
  questionnaire response.item.item:
    index: 5
    questionnaire response.item.link id:
      value: patient.phone
    questionnaire response.item.text:
      value: Telefon
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: +41 79 979 79 79
  questionnaire response.item.item:
    index: 6
    questionnaire response.item.link id:
      value: patient.email
    questionnaire response.item.text:
      value: E-Mail
    questionnaire response.item.answer:
      index: 0
  questionnaire response.item.item:
    index: 7
    questionnaire response.item.link id:
      value: patient.streetAddressLine
    questionnaire response.item.text:
      value: Strasse, Hausnummer, Postfach etc.
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: Musterweg
    questionnaire response.item.answer:
      index: 1
      questionnaire response.item.answer.value string:
        value: 6a
  questionnaire response.item.item:
    index: 8
    questionnaire response.item.link id:
      value: patient.postalCode
    questionnaire response.item.text:
      value: PLZ
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: 8000
  questionnaire response.item.item:
    index: 9
    questionnaire response.item.link id:
      value: patient.city
    questionnaire response.item.text:
      value: Ort
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: Zürich
  questionnaire response.item.item:
    index: 10
    questionnaire response.item.link id:
      value: patient.country
    questionnaire response.item.text:
      value: Land
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: Schweiz
questionnaire response.item:
  index: 2
  questionnaire response.item.link id:
    value: coverage
  questionnaire response.item.text:
    value: Kostenträger
  questionnaire response.item.item:
    index: 0
    questionnaire response.item.link id:
      value: coverage.kvg

ServiceRequestEtoc
type: ServiceRequest
resource.id:
  value: ServiceRequestEtoc
resource.meta:
  meta.profile:
    value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest
    index: 0
    link: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest
domain resource.text:
  narrative.status:
    value: extensions
  narrative.div: Generated Narrative CH ORF Location and Time: See above (Appointment/AppointmentHospitalStay) identifier: Placer Identifier: 12345 status: active intent: order priority: routine code: Abklärung akuter Thoraxschmerzen subject: See above (Patient/SUfferer) requester: See above (PractitionerRole/ORderplacerHappyDoctors) reasonCode: Verdacht auf Myokardinfarkt reasonReference: See above (Condition/PrimaryDiagnosis) insurance: See above (Coverage/CoverageKVG) supportingInfo: See above (Observation/BodyHeight) See above (Observation/BodyWeight) See above (Condition/SecondaryDiagnosis1) See above (Condition/SecondaryDiagnosis2) note: Patient ist sehr ängstlich
domain resource.extension:
  index: 0
  extension.url:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-locationandtime
  extension.value reference:
    link: http://fhir.ch/ig/ch-etoc/Appointment/AppointmentHospitalStay
    reference.reference:
      value: Appointment/AppointmentHospitalStay
service request.identifier:
  index: 0
  identifier.type:
    codeable concept.coding:
      index: 0
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/v2-0203
      coding.code:
        value: PLAC
  identifier.system:
    value: urn:oid:1.3.4.5.6.7
  identifier.value:
    value: 12345
service request.status:
  value: active
service request.intent:
  value: order
service request.priority:
  value: routine
service request.code:
  codeable concept.text:
    value: Abklärung akuter Thoraxschmerzen
service request.subject:
  link: http://fhir.ch/ig/ch-etoc/Patient/SUfferer
  reference.reference:
    value: Patient/SUfferer
service request.requester:
  link: http://fhir.ch/ig/ch-etoc/PractitionerRole/ORderplacerHappyDoctors
  reference.reference:
    value: PractitionerRole/ORderplacerHappyDoctors
service request.reason code:
  index: 0
  codeable concept.text:
    value: Verdacht auf Myokardinfarkt
service request.reason reference:
  index: 0
  link: http://fhir.ch/ig/ch-etoc/Condition/PrimaryDiagnosis
  reference.reference:
    value: Condition/PrimaryDiagnosis
service request.insurance:
  index: 0
  link: http://fhir.ch/ig/ch-etoc/Coverage/CoverageKVG
  reference.reference:
    value: Coverage/CoverageKVG
service request.supporting info:
  index: 0
  link: http://fhir.ch/ig/ch-etoc/Observation/BodyHeight
  reference.reference:
    value: Observation/BodyHeight
service request.supporting info:
  index: 1
  link: http://fhir.ch/ig/ch-etoc/Observation/BodyWeight
  reference.reference:
    value: Observation/BodyWeight
service request.supporting info:
  index: 2
  link: http://fhir.ch/ig/ch-etoc/Condition/SecondaryDiagnosis1
  reference.reference:
    value: Condition/SecondaryDiagnosis1
service request.supporting info:
  index: 3
  link: http://fhir.ch/ig/ch-etoc/Condition/SecondaryDiagnosis2
  reference.reference:
    value: Condition/SecondaryDiagnosis2
service request.note:
  index: 0
  annotation.text:
    value: Patient ist sehr ängstlich

SUfferer
type: Patient
resource.id:
  value: SUfferer
resource.meta:
  meta.profile:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient
    index: 0
    link: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative name: Susanna Ufferer (OFFICIAL), Leidend (MAIDEN) telecom: +41 79 979 79 79, susanna@ufferer.ch gender: female birthDate: 1970-03-14 address: Musterweg 6a Zürich 8000 Schweiz (HOME)
patient.name:
  index: 0
  human name.use:
    value: official
  human name.family:
    value: Ufferer
    element.extension:
      index: 0
      extension.url:
        value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name
      extension.value code:
        value: officialName
  human name.given:
    value: Susanna
    index: 0
    element.extension:
      index: 0
      extension.url:
        value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname
      extension.value code:
        value: officialFirstName
patient.name:
  index: 1
  human name.use:
    value: maiden
  human name.family:
    value: Leidend
    element.extension:
      index: 0
      extension.url:
        value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name
      extension.value code:
        value: originalName
patient.telecom:
  index: 0
  contact point.system:
    value: phone
  contact point.value:
    value: +41 79 979 79 79
patient.telecom:
  index: 1
  contact point.system:
    value: email
patient.gender:
  value: female
patient.birth date:
  value: 1970-03-14
patient.address:
  index: 0
  address.use:
    value: home
  address.line:
    value: Musterweg
    index: 0
  address.line:
    value: 6a
    index: 1
  address.city:
    value: Zürich
  address.postal code:
    value: 8000
  address.country:
    value: Schweiz

SUffererCopyReceiver
type: Patient
resource.id:
  value: SUffererCopyReceiver
resource.meta:
  meta.profile:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient
    index: 0
    link: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative name: Susanna Ufferer telecom: +41 79 979 79 79, susanna@ufferer.ch address: Musterweg 6a Zürich 8000 Schweiz (HOME)
patient.name:
  index: 0
  human name.family:
    value: Ufferer
  human name.given:
    value: Susanna
    index: 0
patient.telecom:
  index: 0
  contact point.system:
    value: phone
  contact point.value:
    value: +41 79 979 79 79
patient.telecom:
  index: 1
  contact point.system:
    value: email
patient.address:
  index: 0
  address.use:
    value: home
  address.line:
    value: Musterweg 6a
    index: 0
  address.city:
    value: Zürich
  address.postal code:
    value: 8000
  address.country:
    value: Schweiz

DAtaentererHappyDoctors
type: PractitionerRole
resource.id:
  value: DAtaentererHappyDoctors
resource.meta:
  meta.profile:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole
    index: 0
    link: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative practitioner: See above (Practitioner/DAtaenterer) organization: See above (Organization/HappyDoctors)
practitioner role.practitioner:
  link: http://fhir.ch/ig/ch-etoc/Practitioner/DAtaenterer
  reference.reference:
    value: Practitioner/DAtaenterer
practitioner role.organization:
  link: http://fhir.ch/ig/ch-etoc/Organization/HappyDoctors
  reference.reference:
    value: Organization/HappyDoctors

DAtaenterer
type: Practitioner
resource.id:
  value: DAtaenterer
resource.meta:
  meta.profile:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner
    index: 0
    link: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative name: Doris Ataenterer telecom: +41 44 333 22 11, d.ataenterer@happydoctors.ch
practitioner.name:
  index: 0
  human name.family:
    value: Ataenterer
  human name.given:
    value: Doris
    index: 0
practitioner.telecom:
  index: 0
  contact point.system:
    value: phone
  contact point.value:
    value: +41 44 333 22 11
practitioner.telecom:
  index: 1
  contact point.system:
    value: email

ORderplacerHappyDoctors
type: PractitionerRole
resource.id:
  value: ORderplacerHappyDoctors
resource.meta:
  meta.profile:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole
    index: 0
    link: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative practitioner: See above (Practitioner/ORderplacer) organization: See above (Organization/HappyDoctors)
practitioner role.practitioner:
  link: http://fhir.ch/ig/ch-etoc/Practitioner/ORderplacer
  reference.reference:
    value: Practitioner/ORderplacer
practitioner role.organization:
  link: http://fhir.ch/ig/ch-etoc/Organization/HappyDoctors
  reference.reference:
    value: Organization/HappyDoctors

ORderplacer
type: Practitioner
resource.id:
  value: ORderplacer
resource.meta:
  meta.profile:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner
    index: 0
    link: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative identifier: id: 7601000034321 name: Ottilie Rderplacer (OFFICIAL) telecom: +41 44 333 22 11, o.rderplacer@happydoctors.ch
practitioner.identifier:
  index: 0
  identifier.system:
    value: urn:oid:2.51.1.3
  identifier.value:
    value: 7601000034321
practitioner.name:
  index: 0
  human name.use:
    value: official
  human name.family:
    value: Rderplacer
  human name.given:
    value: Ottilie
    index: 0
  human name.prefix:
    value: Dr. med.
    index: 0
    element.extension:
      index: 0
      extension.url:
        value: http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier
      extension.value code:
        value: AC
practitioner.telecom:
  index: 0
  contact point.system:
    value: phone
  contact point.value:
    value: +41 44 333 22 11
practitioner.telecom:
  index: 1
  contact point.system:
    value: email

MedicalDepartmentHappyHospital
type: PractitionerRole
resource.id:
  value: MedicalDepartmentHappyHospital
resource.meta:
  meta.profile:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole
    index: 0
    link: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative organization: See above (Organization/HappyHospital)
practitioner role.organization:
  link: http://fhir.ch/ig/ch-etoc/Organization/HappyHospital
  reference.reference:
    value: Organization/HappyHospital

HappyDoctors
type: Organization
resource.id:
  value: HappyDoctors
resource.meta:
  meta.profile:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization
    index: 0
    link: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative name: Praxis Happy Docotors address: Kantonsstrasse 14 Postfach 14 Zürich 8000 Schweiz
organization.name:
  value: Praxis Happy Docotors
organization.address:
  index: 0
  address.line:
    value: Kantonsstrasse 14
    index: 0
  address.line:
    value: Postfach 14
    index: 1
  address.city:
    value: Zürich
  address.postal code:
    value: 8000
  address.country:
    value: Schweiz

HappyHospital
type: Organization
resource.id:
  value: HappyHospital
resource.meta:
  meta.profile:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization
    index: 0
    link: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative name: Klinik Happy Hospital address: Seestrasse 133 Haus C Zürich 8000 Schweiz
organization.name:
  value: Klinik Happy Hospital
organization.address:
  index: 0
  address.line:
    value: Seestrasse 133
    index: 0
  address.line:
    value: Haus C
    index: 1
  address.city:
    value: Zürich
  address.postal code:
    value: 8000
  address.country:
    value: Schweiz

PrimaryDiagnosis
type: Condition
resource.id:
  value: PrimaryDiagnosis
resource.meta:
  meta.profile:
    value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-primary-diagnosis
    index: 0
    link: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-primary-diagnosis
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative category: Primary Diagnosis code: St. nach Bypass 2007 subject: See above (Patient/SUfferer)
condition.category:
  index: 0
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://fhir.ch/ig/ch-etoc/CodeSystem/ch-etoc-conditioncategory
    coding.code:
      value: primary-diagnosis
    coding.display:
      value: Primary Diagnosis
condition.code:
  codeable concept.text:
    value: St. nach Bypass 2007
condition.subject:
  link: http://fhir.ch/ig/ch-etoc/Patient/SUfferer
  reference.reference:
    value: Patient/SUfferer

SecondaryDiagnosis1
type: Condition
resource.id:
  value: SecondaryDiagnosis1
resource.meta:
  meta.profile:
    value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-secondary-diagnosis
    index: 0
    link: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-secondary-diagnosis
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative category: Secondary Diagnosis code: Hypertonie (Syst um 180 mm HG) subject: See above (Patient/SUfferer)
condition.category:
  index: 0
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://fhir.ch/ig/ch-etoc/CodeSystem/ch-etoc-conditioncategory
    coding.code:
      value: secondary-diagnosis
    coding.display:
      value: Secondary Diagnosis
condition.code:
  codeable concept.text:
    value: Hypertonie (Syst um 180 mm HG)
condition.subject:
  link: http://fhir.ch/ig/ch-etoc/Patient/SUfferer
  reference.reference:
    value: Patient/SUfferer

SecondaryDiagnosis2
type: Condition
resource.id:
  value: SecondaryDiagnosis2
resource.meta:
  meta.profile:
    value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-secondary-diagnosis
    index: 0
    link: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-secondary-diagnosis
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative category: Secondary Diagnosis code: Hypercholesterinämie subject: See above (Patient/SUfferer)
condition.category:
  index: 0
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://fhir.ch/ig/ch-etoc/CodeSystem/ch-etoc-conditioncategory
    coding.code:
      value: secondary-diagnosis
    coding.display:
      value: Secondary Diagnosis
condition.code:
  codeable concept.text:
    value: Hypercholesterinämie
condition.subject:
  link: http://fhir.ch/ig/ch-etoc/Patient/SUfferer
  reference.reference:
    value: Patient/SUfferer

BodyHeight
type: Observation
resource.id:
  value: BodyHeight
resource.meta:
  meta.profile:
    value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-bodyheight-observation
    index: 0
    link: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-bodyheight-observation
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative category: Vital Signs code: Body height subject: See above (Patient/SUfferer) effective: Apr 1, 2019, 12:10:00 PM value: 176 cm
observation.status:
  value: final
observation.category:
  index: 0
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://terminology.hl7.org/CodeSystem/observation-category
    coding.code:
      value: vital-signs
observation.code:
  codeable concept.coding: http://loinc.org/rdf#8302-2
    index: 0
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 8302-2
    coding.display:
      value: Body height
observation.subject:
  link: http://fhir.ch/ig/ch-etoc/Patient/SUfferer
  reference.reference:
    value: Patient/SUfferer
observation.effective date time:
  value: 2019-04-01T10:10:00.000+00:00
observation.value quantity:
  quantity.value:
    value: 176
  quantity.unit:
    value: cm
  quantity.system:
    value: http://unitsofmeasure.org
  quantity.code:
    value: cm

BodyWeight
type: Observation
resource.id:
  value: BodyWeight
resource.meta:
  meta.profile:
    value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-bodyweight-observation
    index: 0
    link: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-bodyweight-observation
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative category: Vital Signs code: Body weight subject: See above (Patient/SUfferer) effective: Apr 1, 2019, 12:10:00 PM value: 99 kg
observation.status:
  value: final
observation.category:
  index: 0
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://terminology.hl7.org/CodeSystem/observation-category
    coding.code:
      value: vital-signs
observation.code:
  codeable concept.coding: http://loinc.org/rdf#29463-7
    index: 0
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 29463-7
    coding.display:
      value: Body weight
observation.subject:
  link: http://fhir.ch/ig/ch-etoc/Patient/SUfferer
  reference.reference:
    value: Patient/SUfferer
observation.effective date time:
  value: 2019-04-01T10:10:00.000+00:00
observation.value quantity:
  quantity.value:
    value: 99
  quantity.unit:
    value: kg
  quantity.system:
    value: http://unitsofmeasure.org
  quantity.code:
    value: kg

CoverageKVG
type: Coverage
resource.id:
  value: CoverageKVG
resource.meta:
  meta.profile:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage
    index: 0
    link: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative identifier: Insurance Card Number: 80756015090002647590 status: active type: According to KVG beneficiary: See above (Patient/SUfferer) payor: name: Sanitas
domain resource.contained: Organization
  index: 0
  resource.id:
    value: Sanitas
  resource.meta:
    meta.profile:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization
      index: 0
      link: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization
  organization.name:
    value: Sanitas
coverage.identifier:
  index: 0
  identifier.type:
    codeable concept.coding:
      index: 0
      coding.system:
        value: http://fhir.ch/ig/ch-orf/CodeSystem/ch-orf-cs-coverageidentifiertype
      coding.code:
        value: VeKa
  identifier.value:
    value: 80756015090002647590
coverage.status:
  value: active
coverage.type:
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://fhir.ch/ig/ch-orf/CodeSystem/ch-orf-cs-coveragetype
    coding.code:
      value: KVG
    coding.display:
      value: According to KVG
coverage.beneficiary:
  link: http://fhir.ch/ig/ch-etoc/Patient/SUfferer
  reference.reference:
    value: Patient/SUfferer
coverage.payor:
  index: 0
  reference.reference:
    value: #Sanitas

AppointmentHospitalStay
type: Appointment
resource.id:
  value: AppointmentHospitalStay
resource.meta:
  meta.profile:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment
    index: 0
    link: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative status: proposed patientInstruction: Wunschtermin der Patientin Participants - Actor Status * See above (Location/LocationHospitalStay) tentative requestedPeriod: Apr 1, 2019, 5:00:00 PM --> Apr 1, 2019, 5:30:00 PM
appointment.status:
  value: proposed
appointment.patient instruction:
  value: Wunschtermin der Patientin
appointment.participant:
  index: 0
  appointment.participant.actor:
    link: http://fhir.ch/ig/ch-etoc/Location/LocationHospitalStay
    reference.reference:
      value: Location/LocationHospitalStay
  appointment.participant.status:
    value: tentative
appointment.requested period:
  index: 0
  period.start:
    value: 2019-04-01T15:00:00.000+00:00
  period.end:
    value: 2019-04-01T15:30:00.000+00:00

LocationHospitalStay
type: Location
resource.id:
  value: LocationHospitalStay
resource.meta:
  meta.profile:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location
    index: 0
    link: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative name: Happy Hospital telecom: +41 44 412 65 56 address: Seestrasse 133 Innere Medizin Zürich 8000 Schweiz
location.name:
  value: Happy Hospital
location.telecom:
  index: 0
  contact point.system:
    value: phone
  contact point.value:
    value: +41 44 412 65 56
location.address:
  address.line:
    value: Seestrasse 133
    index: 0
  address.line:
    value: Innere Medizin
    index: 1
  address.city:
    value: Zürich
  address.postal code:
    value: 8000
  address.country:
    value: Schweiz

value: Identifier des Vorgängerdokuments

value: string

index: 8
questionnaire.item.link id:
  value: order.notificationContactDocument
questionnaire.item.definition:
  value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-composition#Composition.extension:urgentNoficationContactForThisDocument
questionnaire.item.text:
  value: Dringender Benachrichtigungskontakt für dieses Dokument
questionnaire.item.type:
  value: group
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: order.notificationContactDocument.practitioner
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.practitioner
  questionnaire.item.text:
    value: Zu benachrichtigende Person
  questionnaire.item.type:
    value: group
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: order.notificationContactDocument.practitioner.title
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.prefix
    questionnaire.item.text:
      value: Titel
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 1
    questionnaire.item.link id:
      value: order.notificationContactDocument.practitioner.familyName
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.family
    questionnaire.item.text:
      value: Name
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 2
    questionnaire.item.link id:
      value: order.notificationContactDocument.practitioner.givenName
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.given
    questionnaire.item.text:
      value: Vorname
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 3
    questionnaire.item.link id:
      value: order.notificationContactDocument.practitioner.phone
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value
    questionnaire.item.text:
      value: Telefon
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 4
    questionnaire.item.link id:
      value: order.notificationContactDocument.practitioner.email
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value
    questionnaire.item.text:
      value: E-Mail
    questionnaire.item.type:
      value: string

index: 9
questionnaire.item.link id:
  value: order.notificationContactDocumentResponse
questionnaire.item.definition:
  value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-composition#Composition.extension:urgentNoficationContactForTheResponseToThisDocument
questionnaire.item.text:
  value: Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument
questionnaire.item.type:
  value: group
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: order.notificationContactDocumentResponse.practitioner
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.practitioner
  questionnaire.item.text:
    value: Zu benachrichtigende Person
  questionnaire.item.type:
    value: group
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: order.notificationContactDocumentResponse.practitioner.title
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.prefix
    questionnaire.item.text:
      value: Titel
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 1
    questionnaire.item.link id:
      value: order.notificationContactDocumentResponse.practitioner.familyName
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.family
    questionnaire.item.text:
      value: Name
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 2
    questionnaire.item.link id:
      value: order.notificationContactDocumentResponse.practitioner.givenName
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.given
    questionnaire.item.text:
      value: Vorname
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 3
    questionnaire.item.link id:
      value: order.notificationContactDocumentResponse.practitioner.phone
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value
    questionnaire.item.text:
      value: Telefon
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 4
    questionnaire.item.link id:
      value: order.notificationContactDocumentResponse.practitioner.email
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value
    questionnaire.item.text:
      value: E-Mail
    questionnaire.item.type:
      value: string

index: 10
questionnaire.item.link id:
  value: order.priority
questionnaire.item.definition:
  value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.priority
questionnaire.item.text:
  value: Auftragspriorität
questionnaire.item.type:
  value: choice
questionnaire.item.answer option:
  index: 0
  questionnaire.item.answer option.value coding:
    coding.system:
      value: http://hl7.org/fhir/request-priority
    coding.code:
      value: routine
    coding.display:
      value: Die Anfrage hat normale Priorität.
  questionnaire.item.answer option.initial selected:
    value: true
questionnaire.item.answer option:
  index: 1
  questionnaire.item.answer option.value coding:
    coding.system:
      value: http://hl7.org/fhir/request-priority
    coding.code:
      value: urgent
    coding.display:
      value: Die Anfrage sollte dringend bearbeitet werden - höhere Priorität als normal.
questionnaire.item.answer option:
  index: 2
  questionnaire.item.answer option.value coding:
    coding.system:
      value: http://hl7.org/fhir/request-priority
    coding.code:
      value: asap
    coding.display:
      value: Die Anfrage sollte so schnell wie möglich bearbeitet werden - höhere Priorität als dringend.
questionnaire.item.answer option:
  index: 3
  questionnaire.item.answer option.value coding:
    coding.system:
      value: http://hl7.org/fhir/request-priority
    coding.code:
      value: stat
    coding.display:
      value: Die Anfrage sollte sofort bearbeitet werden - höchstmögliche Priorität. Z.B. bei einem Notfall.

index: 1
questionnaire.item.link id:
  value: patient
questionnaire.item.definition:
  value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-composition#Composition.subject
questionnaire.item.text:
  value: Patient
questionnaire.item.type:
  value: group
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: patient.familyName
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.name.family
  questionnaire.item.text:
    value: Name
  questionnaire.item.type:
    value: string
questionnaire.item.item:
  index: 1
  questionnaire.item.link id:
    value: patient.maidenName
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.name.family
  questionnaire.item.text:
    value: Ledigname
  questionnaire.item.type:
    value: string
questionnaire.item.item:
  index: 2
  questionnaire.item.link id:
    value: patient.givenName
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.name.given
  questionnaire.item.text:
    value: Vorname
  questionnaire.item.type:
    value: string
questionnaire.item.item:
  index: 3
  questionnaire.item.link id:
    value: patient.localPid
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.identifier:LocalPid.value
  questionnaire.item.text:
    value: Lokale Patienten-ID
  questionnaire.item.type:
    value: string
questionnaire.item.item:
  index: 4
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/questionnaire-hidden
    extension.value boolean:
      value: true
  questionnaire.item.link id:
    value: patient.localPidDomain
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.identifier:LocalPid.system
  questionnaire.item.text:
    value: Lokale Patienten-ID Domain
  questionnaire.item.type:
    value: string
questionnaire.item.item:
  index: 5
  questionnaire.item.link id:
    value: patient.birthDate
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.birthDate
  questionnaire.item.text:
    value: Geburtsdatum
  questionnaire.item.type:
    value: date
questionnaire.item.item:
  index: 6
  questionnaire.item.link id:
    value: patient.gender
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.gender
  questionnaire.item.text:
    value: Geschlecht
  questionnaire.item.type:
    value: choice
  questionnaire.item.answer option:
    index: 0
    questionnaire.item.answer option.value coding:
      coding.system:
        value: http://hl7.org/fhir/administrative-gender
      coding.code:
        value: male
      coding.display:
        value: Männlich
    questionnaire.item.answer option.initial selected:
      value: true
  questionnaire.item.answer option:
    index: 1
    questionnaire.item.answer option.value coding:
      coding.system:
        value: http://hl7.org/fhir/administrative-gender
      coding.code:
        value: female
      coding.display:
        value: Weiblich
  questionnaire.item.answer option:
    index: 2
    questionnaire.item.answer option.value coding:
      coding.system:
        value: http://hl7.org/fhir/administrative-gender
      coding.code:
        value: other
      coding.display:
        value: Anderes
questionnaire.item.item:
  index: 7
  questionnaire.item.link id:
    value: patient.phone
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.telecom.value
  questionnaire.item.text:
    value: Telefon
  questionnaire.item.type:
    value: string
  questionnaire.item.repeats:
    value: true
questionnaire.item.item:
  index: 8
  questionnaire.item.link id:
    value: patient.email
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.telecom.value
  questionnaire.item.text:
    value: E-Mail
  questionnaire.item.type:
    value: string
questionnaire.item.item:
  index: 9
  questionnaire.item.link id:
    value: patient.streetAddressLine
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.address.line
  questionnaire.item.text:
    value: Strasse, Hausnummer, Postfach etc.
  questionnaire.item.type:
    value: string
  questionnaire.item.repeats:
    value: true
questionnaire.item.item:
  index: 10
  questionnaire.item.link id:
    value: patient.postalCode
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.address.postalCode
  questionnaire.item.text:
    value: PLZ
  questionnaire.item.type:
    value: string
questionnaire.item.item:
  index: 11
  questionnaire.item.link id:
    value: patient.city
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.address.city
  questionnaire.item.text:
    value: Ort
  questionnaire.item.type:
    value: string
questionnaire.item.item:
  index: 12
  questionnaire.item.link id:
    value: patient.country
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.address.country
  questionnaire.item.text:
    value: Land
  questionnaire.item.type:
    value: string
questionnaire.item.item:
  index: 13
  questionnaire.item.link id:
    value: patient.contactperson
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-composition#Composition.subject
  questionnaire.item.text:
    value: Patient
  questionnaire.item.type:
    value: group
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: patient.contactperson.relationship
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact.relationship.text
    questionnaire.item.text:
      value: Beziehung
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 1
    questionnaire.item.link id:
      value: patient.contactperson.familyName

value: Name

value: string

index: 2
questionnaire.item.link id:
  value: patient.contactperson.givenName
questionnaire.item.definition:
  value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact.name.given
questionnaire.item.text:
  value: Vorname
questionnaire.item.type:
  value: string

index: 3
questionnaire.item.link id:
  value: patient.contactperson.phone
questionnaire.item.definition:
  value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact.telecom.value
questionnaire.item.text:
  value: Telefon
questionnaire.item.type:
  value: string
questionnaire.item.repeats:
  value: true

index: 4
questionnaire.item.link id:
  value: patient.contactperson.email
questionnaire.item.definition:
  value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact.telecom.value
questionnaire.item.text:
  value: E-Mail
questionnaire.item.type:
  value: string

index: 2
questionnaire.item.link id:
  value: requestedEncounter
questionnaire.item.definition:
  value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.extension:requestedencounterdetails
questionnaire.item.text:
  value: Patientenaufnahme
questionnaire.item.type:
  value: group
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: requestedEncounter.class
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-encounter#Encounter.class
  questionnaire.item.text:
    value: Voraussichtlich: Ambulant / Stationär / Notfall
  questionnaire.item.type:
    value: choice
  questionnaire.item.required:
    value: true
  questionnaire.item.answer option:
    index: 0
    questionnaire.item.answer option.value coding:
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/v3-ActCode
      coding.code:
        value: AMB
      coding.display:
        value: Ambulant
  questionnaire.item.answer option:
    index: 1
    questionnaire.item.answer option.value coding:
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/v3-ActCode
      coding.code:
        value: IMP
      coding.display:
        value: Stationär
  questionnaire.item.answer option:
    index: 2
    questionnaire.item.answer option.value coding:
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/v3-ActCode
      coding.code:
        value: EMER
      coding.display:
        value: Notfall
questionnaire.item.item:
  index: 1
  questionnaire.item.link id:
    value: requestedEncounter.desiredAccommodation
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-encounter#Encounter.extension:desiredaccommodation
  questionnaire.item.text:
    value: Zimmerkategorie
  questionnaire.item.type:
    value: choice
  questionnaire.item.answer option:
    index: 0
    questionnaire.item.answer option.value coding:
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/v3-ActCode
      coding.code:
        value: P
      coding.display:
        value: Einerzimmer
  questionnaire.item.answer option:
    index: 1
    questionnaire.item.answer option.value coding:
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/v3-ActCode
      coding.code:
        value: SP
      coding.display:
        value: Zweierzimmer
  questionnaire.item.answer option:
    index: 2
    questionnaire.item.answer option.value coding:
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/v3-ActCode
      coding.code:
        value: W
      coding.display:
        value: Mehrbettzimmer

index: 3
questionnaire.item.link id:
  value: coverage
questionnaire.item.definition:
  value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.insurance
questionnaire.item.text:
  value: Kostenträger
questionnaire.item.type:
  value: group
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: coverage.beneficiary
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.beneficiary
  questionnaire.item.text:
    value: Begünstigter (Patient)
  questionnaire.item.type:
    value: group
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: coverage.beneficiary.ahvn13
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.identifier:AHVN13
    questionnaire.item.text:
      value: AHV-Nr. des Patienten
    questionnaire.item.type:
      value: string
questionnaire.item.item:
  index: 1
  questionnaire.item.link id:
    value: coverage.kvg
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type
  questionnaire.item.text:
    value: Krankenkasse (nach KVG)
  questionnaire.item.type:
    value: group
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: coverage.kvg.name
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor
    questionnaire.item.text:
      value: Name der Versicherung
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 1
    questionnaire.item.link id:
      value: coverage.kvg.insuranceCardNumber
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier
    questionnaire.item.text:
      value: Kennnummer der Versichertenkarte
    questionnaire.item.type:
      value: string
questionnaire.item.item:
  index: 2
  questionnaire.item.link id:
    value: coverage.uvg
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type
  questionnaire.item.text:
    value: Unfallversicherung (nach UVG)
  questionnaire.item.type:
    value: group
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: coverage.uvg.name
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor
    questionnaire.item.text:
      value: Name der Versicherung
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 1
    questionnaire.item.link id:
      value: coverage.uvg.claimNumber
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier
    questionnaire.item.text:
      value: Schadennummer
    questionnaire.item.type:
      value: string
questionnaire.item.item:
  index: 3
  questionnaire.item.link id:
    value: coverage.vvg
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type
  questionnaire.item.text:
    value: Zusatzversicherung (nach VVG)
  questionnaire.item.type:
    value: group
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: coverage.vvg.name
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor
    questionnaire.item.text:
      value: Name der Versicherung
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 1
    questionnaire.item.link id:
      value: coverage.vvg.insuranceCardNumber
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier
    questionnaire.item.text:
      value: Kennnummer der Versichertenkarte
    questionnaire.item.type:
      value: string
questionnaire.item.item:
  index: 4
  questionnaire.item.link id:
    value: coverage.iv
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type
  questionnaire.item.text:
    value: Invalidenversicherung (IV)
  questionnaire.item.type:
    value: group
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: coverage.iv.verfuegungsnummer
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier
    questionnaire.item.text:
      value: IV-Verfügungsnummer
    questionnaire.item.type:
      value: string
questionnaire.item.item:
  index: 5
  questionnaire.item.link id:
    value: coverage.mv
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type
  questionnaire.item.text:
    value: Militärversicherung (MV)
  questionnaire.item.type:
    value: group
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: coverage.mv.versichertennummer
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier
    questionnaire.item.text:
      value: MV-Versichertennummer
    questionnaire.item.type:
      value: string
questionnaire.item.item:
  index: 6
  questionnaire.item.link id:
    value: coverage.self
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type
  questionnaire.item.text:
    value: Selbstzahler
  questionnaire.item.type:
    value: group
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: coverage.self.familyName
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor
    questionnaire.item.text:
      value: Name
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 1
    questionnaire.item.link id:
      value: coverage.self.givenName
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor
    questionnaire.item.text:
      value: Vorname
    questionnaire.item.type:
      value: string
questionnaire.item.item:
  index: 7
  questionnaire.item.link id:
    value: coverage.other
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type
  questionnaire.item.text:
    value: Anderer Kostenträger
  questionnaire.item.type:
    value: group
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: coverage.other.name

value: Name des Kostenträgers

value: string

index: 1
questionnaire.item.link id:
  value: coverage.other.id
questionnaire.item.definition:
  value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier
questionnaire.item.text:
  value: Beliebige ID
questionnaire.item.type:
  value: string

index: 2
questionnaire.item.link id:
  value: coverage.other.id.note
questionnaire.item.definition:
  value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier.type.text
questionnaire.item.text:
  value: Bemerkung zur ID
questionnaire.item.type:
  value: string

index: 4
questionnaire.item.link id:
  value: sender
questionnaire.item.text:
  value: Absender
questionnaire.item.type:
  value: group
questionnaire.item.required:
  value: true
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: sender.author
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-composition#Composition.author
  questionnaire.item.text:
    value: Verantwortlicher
  questionnaire.item.type:
    value: group
  questionnaire.item.required:
    value: true
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: sender.author.practitioner
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.practitioner
    questionnaire.item.text:
      value: Verantwortliche Person
    questionnaire.item.type:
      value: group
    questionnaire.item.required:
      value: true
    questionnaire.item.item:
      index: 0
      questionnaire.item.link id:
        value: sender.author.practitioner.title
      questionnaire.item.definition:
        value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.prefix
      questionnaire.item.text:
        value: Titel
      questionnaire.item.type:
        value: string
    questionnaire.item.item:
      index: 1
      questionnaire.item.link id:
        value: sender.author.practitioner.familyName
      questionnaire.item.definition:
        value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.family
      questionnaire.item.text:
        value: Name
      questionnaire.item.type:
        value: string
      questionnaire.item.required:
        value: true
    questionnaire.item.item:
      index: 2
      questionnaire.item.link id:
        value: sender.author.practitioner.givenName
      questionnaire.item.definition:
        value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.given
      questionnaire.item.text:
        value: Vorname
      questionnaire.item.type:
        value: string
      questionnaire.item.required:
        value: true
    questionnaire.item.item:
      index: 3
      questionnaire.item.link id:
        value: sender.author.practitioner.gln
      questionnaire.item.definition:
        value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.identifier:GLN.value
      questionnaire.item.text:
        value: GLN
      questionnaire.item.type:
        value: string
    questionnaire.item.item:
      index: 4
      questionnaire.item.link id:
        value: sender.author.practitioner.phone
      questionnaire.item.definition:
        value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value
      questionnaire.item.text:
        value: Telefon
      questionnaire.item.type:
        value: string
    questionnaire.item.item:
      index: 5
      questionnaire.item.link id:
        value: sender.author.practitioner.email
      questionnaire.item.definition:
        value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value
      questionnaire.item.text:
        value: E-Mail
      questionnaire.item.type:
        value: string
  questionnaire.item.item:
    index: 1
    questionnaire.item.link id:
      value: sender.author.organization
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.organization
    questionnaire.item.text:
      value: Verantwortliche Organisation
    questionnaire.item.type:
      value: group
    questionnaire.item.required:
      value: true
    questionnaire.item.item:
      index: 0
      questionnaire.item.link id:
        value: sender.author.organization.name
      questionnaire.item.definition:
        value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.name
      questionnaire.item.text:
        value: Name der Organisation
      questionnaire.item.type:
        value: string
      questionnaire.item.required:
        value: true
    questionnaire.item.item:
      index: 1
      questionnaire.item.link id:
        value: sender.author.organization.streetAddressLine
      questionnaire.item.definition:
        value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.line
      questionnaire.item.text:
        value: Strasse, Hausnummer, Postfach etc.
      questionnaire.item.type:
        value: string
      questionnaire.item.repeats:
        value: true
    questionnaire.item.item:
      index: 2
      questionnaire.item.link id:
        value: sender.author.organization.postalCode
      questionnaire.item.definition:
        value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.postalCode
      questionnaire.item.text:
        value: PLZ
      questionnaire.item.type:
        value: string
    questionnaire.item.item:
      index: 3
      questionnaire.item.link id:
        value: sender.author.organization.city
      questionnaire.item.definition:
        value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.city
      questionnaire.item.text:
        value: Ort
      questionnaire.item.type:
        value: string
    questionnaire.item.item:
      index: 4
      questionnaire.item.link id:
        value: sender.author.organization.country
      questionnaire.item.definition:
        value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.country
      questionnaire.item.text:
        value: Land
      questionnaire.item.type:
        value: string
questionnaire.item.item:
  index: 1
  questionnaire.item.link id:
    value: sender.dataenterer
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-composition#Composition.extension:dataEnterer
  questionnaire.item.text:
    value: Erfasser
  questionnaire.item.type:
    value: group
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: sender.dataenterer.practitioner
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.practitioner
    questionnaire.item.text:
      value: Erfassende Person
    questionnaire.item.type:
      value: group
    questionnaire.item.item:
      index: 0
      questionnaire.item.link id:
        value: sender.dataenterer.practitioner.familyName
      questionnaire.item.definition:
        value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.family
      questionnaire.item.text:
        value: Name
      questionnaire.item.type:
        value: string
    questionnaire.item.item:
      index: 1
      questionnaire.item.link id:
        value: sender.dataenterer.practitioner.givenName
      questionnaire.item.definition:
        value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.given
      questionnaire.item.text:
        value: Vorname
      questionnaire.item.type:
        value: string

index: 2
questionnaire.item.link id:
  value: sender.dataenterer.practitioner.phone
questionnaire.item.definition:
  value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value
questionnaire.item.text:
  value: Telefon
questionnaire.item.type:
  value: string

index: 3
questionnaire.item.link id:
  value: sender.dataenterer.practitioner.email
questionnaire.item.definition:
  value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value
questionnaire.item.text:
  value: E-Mail
questionnaire.item.type:
  value: string

index: 5
questionnaire.item.link id:
  value: receiver
questionnaire.item.definition:
  value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-composition#Composition.extension:receiver
questionnaire.item.text:
  value: Empfänger
questionnaire.item.type:
  value: group
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: receiver.practitioner
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.practitioner
  questionnaire.item.text:
    value: Empfangende Person
  questionnaire.item.type:
    value: group
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: receiver.practitioner.title
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.prefix
    questionnaire.item.text:
      value: Titel
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 1
    questionnaire.item.link id:
      value: receiver.practitioner.familyName
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.family
    questionnaire.item.text:
      value: Name
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 2
    questionnaire.item.link id:
      value: receiver.practitioner.givenName
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.given
    questionnaire.item.text:
      value: Vorname
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 3
    questionnaire.item.link id:
      value: receiver.practitioner.gln
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.identifier:GLN.value
    questionnaire.item.text:
      value: GLN
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 4
    questionnaire.item.link id:
      value: receiver.practitioner.phone
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value
    questionnaire.item.text:
      value: Telefon
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 5
    questionnaire.item.link id:
      value: receiver.practitioner.email
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value
    questionnaire.item.text:
      value: E-Mail
    questionnaire.item.type:
      value: string
questionnaire.item.item:
  index: 1
  questionnaire.item.link id:
    value: receiver.organization
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.organization
  questionnaire.item.text:
    value: Empfangende Organisation
  questionnaire.item.type:
    value: group
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: receiver.organization.name
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.name
    questionnaire.item.text:
      value: Name der Organisation
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 1
    questionnaire.item.link id:
      value: receiver.organization.streetAddressLine
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.line
    questionnaire.item.text:
      value: Strasse, Hausnummer, Postfach etc.
    questionnaire.item.type:
      value: string
    questionnaire.item.repeats:
      value: true
  questionnaire.item.item:
    index: 2
    questionnaire.item.link id:
      value: receiver.organization.postalCode
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.postalCode
    questionnaire.item.text:
      value: PLZ
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 3
    questionnaire.item.link id:
      value: receiver.organization.city
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.city
    questionnaire.item.text:
      value: Ort
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 4
    questionnaire.item.link id:
      value: receiver.organization.country
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.country
    questionnaire.item.text:
      value: Land
    questionnaire.item.type:
      value: string

index: 6
questionnaire.item.link id:
  value: receiverCopies
questionnaire.item.definition:
  value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-composition#Composition.extension:copyReceiver
questionnaire.item.text:
  value: Kopieempfänger
questionnaire.item.type:
  value: group
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: receiverCopy
  questionnaire.item.text:
    value: Kopieempfangende Organisation oder Person
  questionnaire.item.type:
    value: group
  questionnaire.item.repeats:
    value: true
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: receiverCopy.organization.name
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.name
    questionnaire.item.text:
      value: Name der Organisation
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 1
    questionnaire.item.link id:
      value: receiverCopy.title
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-humanname#HumanName.prefix
    questionnaire.item.text:
      value: Titel
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 2
    questionnaire.item.link id:
      value: receiverCopy.familyName
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-humanname#HumanName.family
    questionnaire.item.text:
      value: Name
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 3
    questionnaire.item.link id:
      value: receiverCopy.givenName
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-humanname#HumanName.given
    questionnaire.item.text:
      value: Vorname
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 4
    questionnaire.item.link id:
      value: receiverCopy.phone
    questionnaire.item.definition:
      value: http://hl7.org/fhir/StructureDefinition/ContactPoint#ContactPoint.value
    questionnaire.item.text:
      value: Telefon
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 5
    questionnaire.item.link id:
      value: receiverCopy.email
    questionnaire.item.definition:
      value: http://hl7.org/fhir/StructureDefinition/ContactPoint#ContactPoint.value
    questionnaire.item.text:
      value: E-Mail
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 6
    questionnaire.item.link id:
      value: receiverCopy.streetAddressLine
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-address#Address.line
    questionnaire.item.text:
      value: Strasse, Hausnummer, Postfach etc.
    questionnaire.item.type:
      value: string
    questionnaire.item.repeats:
      value: true
  questionnaire.item.item:
    index: 7
    questionnaire.item.link id:
      value: receiverCopy.postalCode
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-address#Address.postalCode
    questionnaire.item.text:
      value: PLZ
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 8
    questionnaire.item.link id:
      value: receiverCopy.city
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-address#Address.city
    questionnaire.item.text:
      value: Ort
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 9
    questionnaire.item.link id:
      value: receiverCopy.country
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-address#Address.country
    questionnaire.item.text:
      value: Land
    questionnaire.item.type:
      value: string

index: 7
questionnaire.item.link id:
  value: appointment
questionnaire.item.definition:
  value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.extension:locationAndTime
questionnaire.item.text:
  value: Ort und Zeit der Durchführung der angeforderten Leistung
questionnaire.item.type:
  value: group
questionnaire.item.repeats:
  value: true
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: appointment.location
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.participant.actor
  questionnaire.item.text:
    value: Ort der Durchführung
  questionnaire.item.type:
    value: group
  questionnaire.item.required:
    value: true
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: appointment.location.name
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location#Location.name
    questionnaire.item.text:
      value: Name
    questionnaire.item.type:
      value: string
    questionnaire.item.required:
      value: true
  questionnaire.item.item:
    index: 1
    questionnaire.item.link id:
      value: appointment.location.phone
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location#Location.telecom.value
    questionnaire.item.text:
      value: Telefon
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 2
    questionnaire.item.link id:
      value: appointment.location.email
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location#Location.telecom.value
    questionnaire.item.text:
      value: E-Mail
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 3
    questionnaire.item.link id:
      value: appointment.location.streetAddressLine
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location#Location.address.line
    questionnaire.item.text:
      value: Strasse, Hausnummer, Postfach etc.
    questionnaire.item.type:
      value: string
    questionnaire.item.repeats:
      value: true
  questionnaire.item.item:
    index: 4
    questionnaire.item.link id:
      value: appointment.location.postalCode
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location#Location.address.postalCode
    questionnaire.item.text:
      value: PLZ
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 5
    questionnaire.item.link id:
      value: appointment.location.city
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location#Location.address.city
    questionnaire.item.text:
      value: Ort
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 6
    questionnaire.item.link id:
      value: appointment.location.country
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location#Location.address.country
    questionnaire.item.text:
      value: Land
    questionnaire.item.type:
      value: string
questionnaire.item.item:
  index: 1
  questionnaire.item.link id:
    value: appointment.requestedPeriod
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.requestedPeriod
  questionnaire.item.text:
    value: Datum und Zeit, wann der Termin bevorzugt geplant werden soll
  questionnaire.item.type:
    value: group
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: appointment.requestedPeriod.start
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.requestedPeriod.start
    questionnaire.item.text:
      value: Von
    questionnaire.item.type:
      value: dateTime
  questionnaire.item.item:
    index: 1
    questionnaire.item.link id:
      value: appointment.requestedPeriod.end
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.requestedPeriod.end
    questionnaire.item.text:
      value: Bis
    questionnaire.item.type:
      value: dateTime
questionnaire.item.item:
  index: 2
  questionnaire.item.link id:
    value: appointment.status
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.status
  questionnaire.item.text:
    value: Status
  questionnaire.item.type:
    value: choice
  questionnaire.item.required:
    value: true
  questionnaire.item.answer option:
    index: 0
    questionnaire.item.answer option.value coding:
      coding.system:
        value: http://hl7.org/fhir/appointmentstatus
      coding.code:
        value: proposed
      coding.display:
        value: Wunsch des Patienten (vorgeschlagen)
    questionnaire.item.answer option.initial selected:
      value: true
  questionnaire.item.answer option:
    index: 1
    questionnaire.item.answer option.value coding:
      coding.system:
        value: http://hl7.org/fhir/appointmentstatus
      coding.code:
        value: pending
      coding.display:
        value: Vom Patienten bestätigt, aber vom Leistungserbringer noch nicht (ausstehend)
  questionnaire.item.answer option:
    index: 2
    questionnaire.item.answer option.value coding:
      coding.system:
        value: http://hl7.org/fhir/appointmentstatus
      coding.code:
        value: booked
      coding.display:
        value: Vom Patienten und Leistungserbringer bestätigt (gebucht)
questionnaire.item.item:
  index: 3
  questionnaire.item.link id:
    value: appointment.patientInstruction
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.patientInstruction
  questionnaire.item.text:
    value: Patienteninformation für diesen Termin
  questionnaire.item.type:
    value: string

index: 8
questionnaire.item.link id:
  value: purpose
questionnaire.item.text:
  value: Wozu wird der Patient zugewiesen?
questionnaire.item.type:
  value: group
questionnaire.item.repeats:
  value: false
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: purpose.aim
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.code.text
  questionnaire.item.text:
    value: Ziel
  questionnaire.item.type:
    value: string
  questionnaire.item.repeats:
    value: true
questionnaire.item.item:
  index: 1
  questionnaire.item.link id:
    value: reason.statement
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.reasonCode.text
  questionnaire.item.text:
    value: Begründung
  questionnaire.item.type:
    value: string
  questionnaire.item.repeats:
    value: true

index: 9
questionnaire.item.link id:
  value: diagnosisList
questionnaire.item.text:
  value: Diagnosen und Befunde
questionnaire.item.type:
  value: group
questionnaire.item.repeats:
  value: false
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: diagnosisList.primarydiagnosis
  questionnaire.item.text:
    value: Hauptdiagnosen / Probleme
  questionnaire.item.type:
    value: group
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: diagnosisList.primaryDiagnosis.item
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.reasonReference
    questionnaire.item.text:
      value: Hauptdiagnose / Problem
    questionnaire.item.type:
      value: string
    questionnaire.item.repeats:
      value: true
questionnaire.item.item:
  index: 1
  questionnaire.item.link id:
    value: diagnosisList.secondarydiagnosis
  questionnaire.item.text:
    value: Nebendiagnosen / Probleme
  questionnaire.item.type:
    value: group
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: diagnosisList.secondaryDiagnosis.item
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:diagnosis
    questionnaire.item.text:
      value: Nebendiagnose / Problem
    questionnaire.item.type:
      value: string
    questionnaire.item.repeats:
      value: true
questionnaire.item.item:
  index: 2
  questionnaire.item.link id:
    value: diagnosisList.bodyHeight
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:bodyHeight
  questionnaire.item.text:
    value: Grösse (cm)
  questionnaire.item.type:
    value: quantity
  questionnaire.item.repeats:
    value: false
questionnaire.item.item:
  index: 3
  questionnaire.item.link id:
    value: diagnosisList.bodyWeight
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:bodyWeight
  questionnaire.item.text:
    value: Gewicht (kg)
  questionnaire.item.type:
    value: quantity
  questionnaire.item.repeats:
    value: false
questionnaire.item.item:
  index: 4
  questionnaire.item.link id:
    value: diagnosisList.pregnancy
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:pregnancy
  questionnaire.item.text:
    value: Schwangerschaft
  questionnaire.item.type:
    value: boolean
  questionnaire.item.repeats:
    value: false
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: diagnosisList.pregnancy.expectedDeliveryDate
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:pregnancy
    questionnaire.item.text:
      value: Erwarteter Geburtstermin
    questionnaire.item.type:
      value: dateTime
    questionnaire.item.repeats:
      value: false

index: 10
questionnaire.item.link id:
  value: anamnesis
questionnaire.item.text:
  value: Anamnese
questionnaire.item.type:
  value: group
questionnaire.item.repeats:
  value: false
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: anamnesis.historyofillnesses
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:historyofIllnesses
  questionnaire.item.text:
    value: Bisherige Krankheiten und Unfälle
  questionnaire.item.type:
    value: text
  questionnaire.item.repeats:
    value: false
questionnaire.item.item:
  index: 1
  questionnaire.item.link id:
    value: anamnesis.historyofprocedures
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:historyofProcedures
  questionnaire.item.text:
    value: Bisherige Abklärungen und Eingriffe
  questionnaire.item.type:
    value: text
  questionnaire.item.repeats:
    value: false
questionnaire.item.item:
  index: 2
  questionnaire.item.link id:
    value: anamnesis.devices
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:devices
  questionnaire.item.text:
    value: Implantate, Schrittmacher, Neurostimulatoren etc.
  questionnaire.item.type:
    value: text
  questionnaire.item.repeats:
    value: false
questionnaire.item.item:
  index: 3
  questionnaire.item.link id:
    value: anamnesis.socialhistory
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:socialHistory
  questionnaire.item.text:
    value: Sozialanamnese
  questionnaire.item.type:
    value: text
  questionnaire.item.repeats:
    value: false
questionnaire.item.item:
  index: 4
  questionnaire.item.link id:
    value: anamnesis.functionalStatus
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:functionalStatus
  questionnaire.item.text:
    value: Funktion, Behinderungen
  questionnaire.item.type:
    value: text
  questionnaire.item.repeats:
    value: false

index: 11
questionnaire.item.link id:
  value: medication
questionnaire.item.text:
  value: Aktuelle Medikation
questionnaire.item.type:
  value: group
questionnaire.item.repeats:
  value: false
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: medication.medicationcard
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:medicationcard
  questionnaire.item.text:
    value: Medikation
  questionnaire.item.type:
    value: string
  questionnaire.item.repeats:
    value: true

index: 12
questionnaire.item.link id:
  value: allergy
questionnaire.item.text:
  value: Allergien und Intoleranzen
questionnaire.item.type:
  value: group
questionnaire.item.repeats:
  value: false
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: allergy.allegiesIntolerances
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:allergiesIntolerances
  questionnaire.item.text:
    value: Allergien / Intoleranzen
  questionnaire.item.type:
    value: text
  questionnaire.item.repeats:
    value: false

index: 13
questionnaire.item.link id:
  value: immunizationstatus
questionnaire.item.text:
  value: Impfungen
questionnaire.item.type:
  value: group
questionnaire.item.repeats:
  value: false
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: immunizationstatus.immunizations
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:immunizations
  questionnaire.item.text:
    value: Bisherige Impfungen
  questionnaire.item.type:
    value: text
  questionnaire.item.repeats:
    value: false

index: 14
questionnaire.item.link id:
  value: lab
questionnaire.item.text:
  value: Labor
questionnaire.item.type:
  value: group
questionnaire.item.repeats:
  value: false
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: lab.labresults
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:labresults
  questionnaire.item.text:
    value: Laborresultat
  questionnaire.item.type:
    value: string
  questionnaire.item.repeats:
    value: true

index: 15
questionnaire.item.link id:
  value: pathology
questionnaire.item.text:
  value: Pathologie
questionnaire.item.type:
  value: group
questionnaire.item.repeats:
  value: false
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: pathology.pathologyresults
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:pathologyresults
  questionnaire.item.text:
    value: Pathologiebefunde
  questionnaire.item.type:
    value: text
  questionnaire.item.repeats:
    value: false

index: 16
questionnaire.item.link id:
  value: imaging
questionnaire.item.text:
  value: Bildgebung
questionnaire.item.type:
  value: group
questionnaire.item.repeats:
  value: false
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: imaging.imagingresults
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:imagingresults
  questionnaire.item.text:
    value: Befunde aus der Bildgebung
  questionnaire.item.type:
    value: text
  questionnaire.item.repeats:
    value: false

index: 17
questionnaire.item.link id:
  value: cardiology
questionnaire.item.text:
  value: Kardiologie
questionnaire.item.type:
  value: group
questionnaire.item.repeats:
  value: false
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: cardiology.cardiologyresults
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:cardiologyresults
  questionnaire.item.text:
    value: EKG / Kardiologische Befunde
  questionnaire.item.type:
    value: text
  questionnaire.item.repeats:
    value: false

index: 18
questionnaire.item.link id:
  value: carePlans
questionnaire.item.text:
  value: Verlauf
questionnaire.item.type:
  value: group
questionnaire.item.repeats:
  value: false
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: carePlans.medical
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:medicalCarePlan
  questionnaire.item.text:
    value: Ärztlicher Bericht
  questionnaire.item.type:
    value: text
  questionnaire.item.repeats:
    value: true
questionnaire.item.item:
  index: 1
  questionnaire.item.link id:
    value: carePlans.nursing
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:nursingCarePlan
  questionnaire.item.text:
    value: Pflegebericht
  questionnaire.item.type:
    value: text
  questionnaire.item.repeats:
    value: true
questionnaire.item.item:
  index: 2
  questionnaire.item.link id:
    value: attachments
  questionnaire.item.text:
    value: Anhang
  questionnaire.item.type:
    value: group
  questionnaire.item.repeats:
    value: true
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: attachtment.title
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-media#Media.content.title
    questionnaire.item.text:
      value: Dateiname und -endung der angehängten Datei (z.B. "shoulder_re_F_Muster_12021988.pdf")
    questionnaire.item.type:
      value: string
    questionnaire.item.repeats:
      value: false
  questionnaire.item.item:
    index: 1
    questionnaire.item.link id:
      value: attachment.data
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-media#Media.content.data
    questionnaire.item.text:
      value: Daten
    questionnaire.item.type:
      value: string
    questionnaire.item.repeats:
      value: false

index: 19
questionnaire.item.link id:
  value: note
questionnaire.item.text:
  value: Bemerkungen
questionnaire.item.type:
  value: group
questionnaire.item.repeats:
  value: false
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: note.text
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.note.text
  questionnaire.item.text:
    value: Text
  questionnaire.item.type:
    value: text
  questionnaire.item.required:
    value: false

value: 721927009

value: Order (record artifact)

value: urgent

value: Die Anfrage hat normale Priorität.

value: female

value: Krankenkasse (nach KVG)

index: 0
questionnaire response.item.link id:
  value: coverage.kvg.name
questionnaire response.item.text:
  value: Name der Versicherung
questionnaire response.item.answer:
  index: 0
  questionnaire response.item.answer.value string:
    value: Sanitas

index: 1
questionnaire response.item.link id:
  value: coverage.kvg.insuranceCardNumber
questionnaire response.item.text:
  value: Kennnummer der Versichertenkarte
questionnaire response.item.answer:
  index: 0
  questionnaire response.item.answer.value string:
    value: 80756015090002647590

index: 3
questionnaire response.item.link id:
  value: sender
questionnaire response.item.text:
  value: Absender
questionnaire response.item.item:
  index: 0
  questionnaire response.item.link id:
    value: sender.author
  questionnaire response.item.text:
    value: Verantwortlicher
  questionnaire response.item.item:
    index: 0
    questionnaire response.item.link id:
      value: sender.author.practitioner
    questionnaire response.item.text:
      value: Verantwortliche Person
    questionnaire response.item.item:
      index: 0
      questionnaire response.item.link id:
        value: sender.author.practitioner.title
      questionnaire response.item.text:
        value: Titel
      questionnaire response.item.answer:
        index: 0
    questionnaire response.item.item:
      index: 1
      questionnaire response.item.link id:
        value: sender.author.practitioner.familyName
      questionnaire response.item.text:
        value: Name
      questionnaire response.item.answer:
        index: 0
    questionnaire response.item.item:
      index: 2
      questionnaire response.item.link id:
        value: sender.author.practitioner.givenName
      questionnaire response.item.text:
        value: Vorname
      questionnaire response.item.answer:
        index: 0
    questionnaire response.item.item:
      index: 3
      questionnaire response.item.link id:
        value: sender.author.practitioner.gln
      questionnaire response.item.text:
        value: GLN
      questionnaire response.item.answer:
        index: 0
    questionnaire response.item.item:
      index: 4
      questionnaire response.item.link id:
        value: sender.author.practitioner.phone
      questionnaire response.item.text:
        value: Telefon
      questionnaire response.item.answer:
        index: 0
    questionnaire response.item.item:
      index: 5
      questionnaire response.item.link id:
        value: sender.author.practitioner.email
      questionnaire response.item.text:
        value: E-Mail
      questionnaire response.item.answer:
        index: 0
  questionnaire response.item.item:
    index: 1
    questionnaire response.item.link id:
      value: sender.author.organization
    questionnaire response.item.text:
      value: Verantwortliche Organisation
    questionnaire response.item.item:
      index: 0
      questionnaire response.item.link id:
        value: sender.author.organization.name
      questionnaire response.item.text:
        value: Name der Organisation
      questionnaire response.item.answer:
        index: 0
    questionnaire response.item.item:
      index: 1
      questionnaire response.item.link id:
        value: sender.author.organization.streetAddressLine
      questionnaire response.item.text:
        value: Strasse, Hausnummer, Postfach etc.
      questionnaire response.item.answer:
        index: 0
      questionnaire response.item.answer:
        index: 1
    questionnaire response.item.item:
      index: 2
      questionnaire response.item.link id:
        value: sender.author.organization.postalCode
      questionnaire response.item.text:
        value: PLZ
      questionnaire response.item.answer:
        index: 0
    questionnaire response.item.item:
      index: 3
      questionnaire response.item.link id:
        value: sender.author.organization.city
      questionnaire response.item.text:
        value: Ort
      questionnaire response.item.answer:
        index: 0
    questionnaire response.item.item:
      index: 4
      questionnaire response.item.link id:
        value: sender.author.organization.country
      questionnaire response.item.text:
        value: Land
      questionnaire response.item.answer:
        index: 0
questionnaire response.item.item:
  index: 1
  questionnaire response.item.link id:
    value: sender.dataenterer
  questionnaire response.item.text:
    value: Erfasser
  questionnaire response.item.item:
    index: 0
    questionnaire response.item.link id:
      value: sender.dataenterer.practitioner
    questionnaire response.item.text:
      value: Erfassende Person
    questionnaire response.item.item:
      index: 0
      questionnaire response.item.link id:
        value: sender.dataenterer.practitioner.familyName
      questionnaire response.item.text:
        value: Name
      questionnaire response.item.answer:
        index: 0
    questionnaire response.item.item:
      index: 1
      questionnaire response.item.link id:
        value: sender.dataenterer.practitioner.givenName
      questionnaire response.item.text:
        value: Vorname
      questionnaire response.item.answer:
        index: 0
    questionnaire response.item.item:
      index: 2
      questionnaire response.item.link id:
        value: sender.dataenterer.practitioner.phone
      questionnaire response.item.text:
        value: Telefon
      questionnaire response.item.answer:
        index: 0
    questionnaire response.item.item:
      index: 3
      questionnaire response.item.link id:
        value: sender.dataenterer.practitioner.email
      questionnaire response.item.text:
        value: E-Mail
      questionnaire response.item.answer:
        index: 0

value: Dr. med.

value: Rderplacer

value: Ottilie

value: 7601000034321

value: +41 44 333 22 11

value: Praxis Happy Doctors

value: Kantonsstrasse 14

value: Postfach 14

value: 8000

value: Zürich

value: Schweiz

value: Ataenterer

value: Doris

value: +41 44 333 22 11

index: 4
questionnaire response.item.link id:
  value: receiver
questionnaire response.item.text:
  value: Empfänger
questionnaire response.item.item:
  index: 0
  questionnaire response.item.link id:
    value: receiver.organization
  questionnaire response.item.text:
    value: Empfangende Organisation
  questionnaire response.item.item:
    index: 0
    questionnaire response.item.link id:
      value: receiver.organization.name
    questionnaire response.item.text:
      value: Name der Organisation
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: Klinik Happy Hospital
  questionnaire response.item.item:
    index: 1
    questionnaire response.item.link id:
      value: receiver.organization.streetAddressLine
    questionnaire response.item.text:
      value: Strasse, Hausnummer, Postfach etc.
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: Seestrasse 133
    questionnaire response.item.answer:
      index: 1
      questionnaire response.item.answer.value string:
        value: Haus C
  questionnaire response.item.item:
    index: 2
    questionnaire response.item.link id:
      value: receiver.organization.postalCode
    questionnaire response.item.text:
      value: PLZ
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: 8000
  questionnaire response.item.item:
    index: 3
    questionnaire response.item.link id:
      value: receiver.organization.city
    questionnaire response.item.text:
      value: Ort
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: Zürich
  questionnaire response.item.item:
    index: 4
    questionnaire response.item.link id:
      value: receiver.organization.country
    questionnaire response.item.text:
      value: Land
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: Schweiz

index: 5
questionnaire response.item.link id:
  value: receiverCopies
questionnaire response.item.text:
  value: Kopieempfänger
questionnaire response.item.item:
  index: 0
  questionnaire response.item.link id:
    value: receiverCopy
  questionnaire response.item.text:
    value: Kopieempfangende Organisation oder Person
  questionnaire response.item.item:
    index: 0
    questionnaire response.item.link id:
      value: receiverCopy.familyName
    questionnaire response.item.text:
      value: Name
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: Ufferer
  questionnaire response.item.item:
    index: 1
    questionnaire response.item.link id:
      value: receiverCopy.givenName
    questionnaire response.item.text:
      value: Vorname
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: Susanna
  questionnaire response.item.item:
    index: 2
    questionnaire response.item.link id:
      value: receiverCopy.phone
    questionnaire response.item.text:
      value: Telefon
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: +41 79 979 79 79
  questionnaire response.item.item:
    index: 3
    questionnaire response.item.link id:
      value: receiverCopy.email
    questionnaire response.item.text:
      value: E-Mail
    questionnaire response.item.answer:
      index: 0
  questionnaire response.item.item:
    index: 4
    questionnaire response.item.link id:
      value: receiverCopy.streetAddressLine
    questionnaire response.item.text:
      value: Strasse, Hausnummer, Postfach etc.
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: Musterweg
    questionnaire response.item.answer:
      index: 1
      questionnaire response.item.answer.value string:
        value: 6a
  questionnaire response.item.item:
    index: 5
    questionnaire response.item.link id:
      value: receiverCopy.postalCode
    questionnaire response.item.text:
      value: PLZ
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: 8000
  questionnaire response.item.item:
    index: 6
    questionnaire response.item.link id:
      value: receiverCopy.city
    questionnaire response.item.text:
      value: Ort
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: Zürich
  questionnaire response.item.item:
    index: 7
    questionnaire response.item.link id:
      value: receiverCopy.country
    questionnaire response.item.text:
      value: Land
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: Schweiz

index: 6
questionnaire response.item.link id:
  value: requestedEncounter
questionnaire response.item.text:
  value: Patientenaufnahme
questionnaire response.item.item:
  index: 0
  questionnaire response.item.link id:
    value: requestedEncounter.class
  questionnaire response.item.text:
    value: Voraussichtlich: Ambulant / Stationär / Notfall
  questionnaire response.item.answer:
    index: 0
    questionnaire response.item.answer.value coding:
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/v3-ActCode
      coding.code:
        value: EMER
      coding.display:
        value: Notfall

index: 7
questionnaire response.item.link id:
  value: purpose
questionnaire response.item.text:
  value: Wozu wird der Patient zugewiesen?
questionnaire response.item.item:
  index: 0
  questionnaire response.item.link id:
    value: purpose.aim
  questionnaire response.item.text:
    value: Ziel
  questionnaire response.item.answer:
    index: 0
    questionnaire response.item.answer.value string:
      value: Abklärung akuter Thoraxschmerzen
questionnaire response.item.item:
  index: 1
  questionnaire response.item.link id:
    value: reason.statement
  questionnaire response.item.text:
    value: Begründung
  questionnaire response.item.answer:
    index: 0
    questionnaire response.item.answer.value string:
      value: Verdacht auf Vorderwandinfarkt

index: 8
questionnaire response.item.link id:
  value: diagnosisList
questionnaire response.item.text:
  value: Diagnosen und Befunde
questionnaire response.item.item:
  index: 0
  questionnaire response.item.link id:
    value: diagnosisList.primarydiagnosis
  questionnaire response.item.text:
    value: Hauptdiagnosen / Probleme
  questionnaire response.item.item:
    index: 0
    questionnaire response.item.link id:
      value: diagnosisList.primaryDiagnosis.item
    questionnaire response.item.definition:
      value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.reasonReference
    questionnaire response.item.text:
      value: Hauptdiagnose / Problem
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: St. nach Bypass 2007
questionnaire response.item.item:
  index: 1
  questionnaire response.item.link id:
    value: diagnosisList.secondarydiagnosis
  questionnaire response.item.text:
    value: Nebendiagnosen / Probleme
  questionnaire response.item.item:
    index: 0
    questionnaire response.item.link id:
      value: diagnosisList.secondaryDiagnosis.item
    questionnaire response.item.text:
      value: Nebendiagnose / Problem
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: Hypertonie (Syst um 180 mm HG)
    questionnaire response.item.answer:
      index: 1
      questionnaire response.item.answer.value string:
        value: Hypercholesterinämie seit Jahren
questionnaire response.item.item:
  index: 2
  questionnaire response.item.link id:
    value: diagnosisList.bodyHeight
  questionnaire response.item.definition:
    value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:bodyHeight
  questionnaire response.item.text:
    value: Grösse (cm)
questionnaire response.item.item:
  index: 3
  questionnaire response.item.link id:
    value: diagnosisList.bodyWeight
  questionnaire response.item.definition:
    value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:bodyWeight
  questionnaire response.item.text:
    value: Gewicht (kg)
questionnaire response.item.item:
  index: 4
  questionnaire response.item.link id:
    value: diagnosisList.pregnancy
  questionnaire response.item.definition:
    value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:pregnancy
  questionnaire response.item.text:
    value: Schwangerschaft
  questionnaire response.item.item:
    index: 0
    questionnaire response.item.link id:
      value: diagnosisList.pregnancy.expectedDeliveryDate
    questionnaire response.item.definition:
      value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:pregnancy
    questionnaire response.item.text:
      value: Erwarteter Geburtstermin

index: 9
questionnaire response.item.link id:
  value: anamnesis
questionnaire response.item.text:
  value: Anamnese
questionnaire response.item.item:
  index: 0
  questionnaire response.item.link id:
    value: anamnesis.historyofillnesses
  questionnaire response.item.definition:
    value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:historyofIllnesses
  questionnaire response.item.text:
    value: Bisherige Krankheiten und Unfälle
  questionnaire response.item.answer:
    index: 0
    questionnaire response.item.answer.value string:
      value: Endokarditis 1999
questionnaire response.item.item:
  index: 1
  questionnaire response.item.link id:
    value: anamnesis.historyofprocedures
  questionnaire response.item.definition:
    value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:historyofProcedures
  questionnaire response.item.text:
    value: Bisherige Abklärungen und Eingriffe
questionnaire response.item.item:
  index: 2
  questionnaire response.item.link id:
    value: anamnesis.devices
  questionnaire response.item.definition:
    value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:devices
  questionnaire response.item.text:
    value: Implantate, Schrittmacher, Neurostimulatoren etc.
questionnaire response.item.item:
  index: 3
  questionnaire response.item.link id:
    value: anamnesis.socialhistory
  questionnaire response.item.definition:
    value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:socialHistory
  questionnaire response.item.text:
    value: Sozialanamnese
questionnaire response.item.item:
  index: 4
  questionnaire response.item.link id:
    value: anamnesis.functionalStatus
  questionnaire response.item.definition:
    value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:functionalStatus
  questionnaire response.item.text:
    value: Funktion, Behinderungen

index: 10
questionnaire response.item.link id:
  value: medication
questionnaire response.item.text:
  value: Aktuelle Medikation
questionnaire response.item.item:
  index: 0
  questionnaire response.item.link id:
    value: medication.medicationcard
  questionnaire response.item.definition:
    value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:medicationcard
  questionnaire response.item.text:
    value: Medikation
  questionnaire response.item.answer:
    index: 0
    questionnaire response.item.answer.value string:
      value: Erdabyclor 20/25 mg 1/2-0-0-0
  questionnaire response.item.answer:
    index: 1
    questionnaire response.item.answer.value string:
      value: Morphin 5 mg i.v.; 16h30
  questionnaire response.item.answer:
    index: 2
    questionnaire response.item.answer.value string:
      value: Nitroglycerin 0.8 mg s.L.; 16h15

index: 11
questionnaire response.item.link id:
  value: allergy
questionnaire response.item.text:
  value: Allergien und Intoleranzen
questionnaire response.item.item:
  index: 0
  questionnaire response.item.link id:
    value: allergy.allegiesIntolerances
  questionnaire response.item.definition:
    value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:allergiesIntolerances
  questionnaire response.item.text:
    value: Allergie / Intoleranz

index: 12
questionnaire response.item.link id:
  value: immunizationstatus
questionnaire response.item.text:
  value: Impfungen
questionnaire response.item.item:
  index: 0
  questionnaire response.item.link id:
    value: immunizationstatus.immunizations
  questionnaire response.item.definition:
    value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:immunizations
  questionnaire response.item.text:
    value: Bisherige Impfungen

index: 13
questionnaire response.item.link id:
  value: lab
questionnaire response.item.text:
  value: Labor
questionnaire response.item.item:
  index: 0
  questionnaire response.item.link id:
    value: lab.labresults
  questionnaire response.item.definition:
    value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:labresults
  questionnaire response.item.text:
    value: Laborresultat

index: 14
questionnaire response.item.link id:
  value: pathology
questionnaire response.item.text:
  value: Pathologie
questionnaire response.item.item:
  index: 0
  questionnaire response.item.link id:
    value: pathology.pathologyresults
  questionnaire response.item.definition:
    value: http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:pathologyresults
  questionnaire response.item.text:
    value: Pathologiebefunde

index: 15
questionnaire response.item.link id:
  value: imaging
questionnaire response.item.text:
  value: Bildgebung
questionnaire response.item.item:
  index: 0
  questionnaire response.item.link id:
    value: imaging.imagingresults
  questionnaire response.item.text:
    value: Befund aus der Bildgebung

index: 16
questionnaire response.item.link id:
  value: cardiology
questionnaire response.item.text:
  value: Kardiologie
questionnaire response.item.item:
  index: 0
  questionnaire response.item.link id:
    value: cardiology.cardiologyresults
  questionnaire response.item.text:
    value: EKG / Kardiologischer Befund
  questionnaire response.item.answer:
    index: 0
    questionnaire response.item.answer.value string:
      value: ST-Hebungen V1-V5

index: 17
questionnaire response.item.link id:
  value: carePlans
questionnaire response.item.text:
  value: Verlauf
questionnaire response.item.item:
  index: 0
  questionnaire response.item.link id:
    value: carePlans.medical
  questionnaire response.item.text:
    value: Ärztlicher Bericht
questionnaire response.item.item:
  index: 1
  questionnaire response.item.link id:
    value: carePlans.nursing
  questionnaire response.item.text:
    value: Pflegebericht
questionnaire response.item.item:
  index: 2
  questionnaire response.item.link id:
    value: attachments
  questionnaire response.item.text:
    value: Anhang
  questionnaire response.item.item:
    index: 0
    questionnaire response.item.link id:
      value: attachtment.title
    questionnaire response.item.text:
      value: Dateiname und -endung der angehängten Datei (z.B. "shoulder_re_F_Muster_12021988.pdf")
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: EKG_09062021.pdf
  questionnaire response.item.item:
    index: 1
    questionnaire response.item.link id:
      value: attachment.data
    questionnaire response.item.text:
      value: Daten
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: 324nnvsdafw3qwef3

index: 18
questionnaire response.item.link id:
  value: note
questionnaire response.item.text:
  value: Bemerkungen
questionnaire response.item.item:
  index: 0
  questionnaire response.item.link id:
    value: note.text
  questionnaire response.item.text:
    value: Text
  questionnaire response.item.answer:
    index: 0
    questionnaire response.item.answer.value string:
      value: Patient ist sehr ängstlich