CH eTOC (R4)
0.1.0 - STU 1 Ballot
CH eTOC (R4)
0.1.0 - STU 1 Ballot
This page is part of the CH eTOC (R4) (v0.1.0: STU 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 3.0.1. For a full list of available versions, see the Directory of published versions
{
"resourceType" : "QuestionnaireResponse",
"id" : "QuestionnaireResponseEtoc",
"meta" : {
"profile" : [
"http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-questionnaireresponse"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>questionnaire</b>: <a href=\"http://fhir.ch/ig/ch-rad-order/Questionnaire/QuestionnaireEtoc\">http://fhir.ch/ig/ch-rad-order/Questionnaire/QuestionnaireEtoc</a></p><p><b>status</b>: completed</p><blockquote><p><b>item</b></p><p><b>linkId</b>: order</p><p><b>text</b>: Zuweisung</p><blockquote><p><b>item</b></p><p><b>linkId</b>: order.title</p><p><b>text</b>: Titel</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.type</p><p><b>text</b>: Typ</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.category</p><p><b>text</b>: Kategorie</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.placerOrderIdentifier</p><p><b>text</b>: Auftragsnummer des Auftraggebers</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.placerOrderIdentifierDomain</p><p><b>text</b>: Identifier Domain der Auftragsnummer des Auftraggebers</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.priority</p><p><b>text</b>: Auftragspriorität</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient</p><p><b>text</b>: Patient</p><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.familyName</p><p><b>text</b>: Name</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.maidenName</p><p><b>text</b>: Ledigname</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.givenName</p><p><b>text</b>: Vorname</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.birthDate</p><p><b>text</b>: Geburtsdatum</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.gender</p><p><b>text</b>: Geschlecht</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.phone</p><p><b>text</b>: Telefon</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.email</p><p><b>text</b>: E-Mail</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.streetAddressLine</p><p><b>text</b>: Strasse, Hausnummer, Postfach etc.</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.postalCode</p><p><b>text</b>: PLZ</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.city</p><p><b>text</b>: Ort</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.country</p><p><b>text</b>: Land</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage</p><p><b>text</b>: Kostenträger</p><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.kvg</p><p><b>text</b>: Krankenkasse (nach KVG)</p><h3>Items</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: sender</p><p><b>text</b>: Absender</p><blockquote><p><b>item</b></p><p><b>linkId</b>: sender.author</p><p><b>text</b>: Verantwortlicher</p><h3>Items</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: sender.dataenterer</p><p><b>text</b>: Erfasser</p><h3>Items</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiver</p><p><b>text</b>: Empfänger</p><blockquote><p><b>item</b></p><p><b>linkId</b>: receiver.organization</p><p><b>text</b>: Empfangende Organisation</p><h3>Items</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiverCopies</p><p><b>text</b>: Kopieempfänger</p><blockquote><p><b>item</b></p><p><b>linkId</b>: receiverCopy</p><p><b>text</b>: Kopieempfangende Organisation oder Person</p><h3>Items</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: requestedEncounter</p><p><b>text</b>: Patientenaufnahme</p><blockquote><p><b>item</b></p><p><b>linkId</b>: requestedEncounter.class</p><p><b>text</b>: Voraussichtlich: Ambulant / Stationär / Notfall</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: purpose</p><p><b>text</b>: Wozu wird der Patient zugewiesen?</p><blockquote><p><b>item</b></p><p><b>linkId</b>: purpose.aim</p><p><b>text</b>: Ziel</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: reason.statement</p><p><b>text</b>: Begründung</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: diagnosisList</p><p><b>text</b>: Diagnosen und Befunde</p><blockquote><p><b>item</b></p><p><b>linkId</b>: diagnosisList.primarydiagnosis</p><p><b>text</b>: Hauptdiagnosen / Probleme</p><h3>Items</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: diagnosisList.secondarydiagnosis</p><p><b>text</b>: Nebendiagnosen / Probleme</p><h3>Items</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: diagnosisList.bodyHeight</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:bodyHeight\">http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:bodyHeight</a></p><p><b>text</b>: Grösse (cm)</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: diagnosisList.bodyWeight</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:bodyWeight\">http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:bodyWeight</a></p><p><b>text</b>: Gewicht (kg)</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: diagnosisList.pregnancy</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:pregnancy\">http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:pregnancy</a></p><p><b>text</b>: Schwangerschaft</p><h3>Items</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: anamnesis</p><p><b>text</b>: Anamnese</p><blockquote><p><b>item</b></p><p><b>linkId</b>: anamnesis.historyofillnesses</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:historyofIllnesses\">http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:historyofIllnesses</a></p><p><b>text</b>: Bisherige Krankheiten und Unfälle</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: anamnesis.historyofprocedures</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:historyofProcedures\">http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:historyofProcedures</a></p><p><b>text</b>: Bisherige Abklärungen und Eingriffe</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: anamnesis.devices</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:devices\">http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:devices</a></p><p><b>text</b>: Implantate, Schrittmacher, Neurostimulatoren etc.</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: anamnesis.socialhistory</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:socialHistory\">http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:socialHistory</a></p><p><b>text</b>: Sozialanamnese</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: anamnesis.functionalStatus</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:functionalStatus\">http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:functionalStatus</a></p><p><b>text</b>: Funktion, Behinderungen</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: medication</p><p><b>text</b>: Aktuelle Medikation</p><blockquote><p><b>item</b></p><p><b>linkId</b>: medication.medicationcard</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:medicationcard\">http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:medicationcard</a></p><p><b>text</b>: Medikation</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: allergy</p><p><b>text</b>: Allergien und Intoleranzen</p><h3>Items</h3><table class=\"grid\"><tr><td>-</td><td><b>LinkId</b></td><td><b>Definition</b></td><td><b>Text</b></td></tr><tr><td>*</td><td>allergy.allegiesIntolerances</td><td><a href=\"http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:allergiesIntolerances\">http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:allergiesIntolerances</a></td><td>Allergie / Intoleranz</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: immunizationstatus</p><p><b>text</b>: Impfungen</p><h3>Items</h3><table class=\"grid\"><tr><td>-</td><td><b>LinkId</b></td><td><b>Definition</b></td><td><b>Text</b></td></tr><tr><td>*</td><td>immunizationstatus.immunizations</td><td><a href=\"http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:immunizations\">http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:immunizations</a></td><td>Bisherige Impfungen</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: lab</p><p><b>text</b>: Labor</p><h3>Items</h3><table class=\"grid\"><tr><td>-</td><td><b>LinkId</b></td><td><b>Definition</b></td><td><b>Text</b></td></tr><tr><td>*</td><td>lab.labresults</td><td><a href=\"http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:labresults\">http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:labresults</a></td><td>Laborresultat</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: pathology</p><p><b>text</b>: Pathologie</p><h3>Items</h3><table class=\"grid\"><tr><td>-</td><td><b>LinkId</b></td><td><b>Definition</b></td><td><b>Text</b></td></tr><tr><td>*</td><td>pathology.pathologyresults</td><td><a href=\"http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:pathologyresults\">http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:pathologyresults</a></td><td>Pathologiebefunde</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: imaging</p><p><b>text</b>: Bildgebung</p><h3>Items</h3><table class=\"grid\"><tr><td>-</td><td><b>LinkId</b></td><td><b>Text</b></td></tr><tr><td>*</td><td>imaging.imagingresults</td><td>Befund aus der Bildgebung</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: cardiology</p><p><b>text</b>: Kardiologie</p><blockquote><p><b>item</b></p><p><b>linkId</b>: cardiology.cardiologyresults</p><p><b>text</b>: EKG / Kardiologischer Befund</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: carePlans</p><p><b>text</b>: Verlauf</p><blockquote><p><b>item</b></p><p><b>linkId</b>: carePlans.medical</p><p><b>text</b>: Ärztlicher Bericht</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: carePlans.nursing</p><p><b>text</b>: Pflegebericht</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: attachments</p><p><b>text</b>: Anhang</p><h3>Items</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: note</p><p><b>text</b>: Bemerkungen</p><blockquote><p><b>item</b></p><p><b>linkId</b>: note.text</p><p><b>text</b>: Text</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote></blockquote></div>"
},
"questionnaire" : "http://fhir.ch/ig/ch-rad-order/Questionnaire/QuestionnaireEtoc",
"status" : "completed",
"item" : [
{
"linkId" : "order",
"text" : "Zuweisung",
"item" : [
{
"linkId" : "order.title",
"text" : "Titel",
"answer" : [
{
"valueString" : "Notfallzuweisung"
}
]
},
{
"linkId" : "order.type",
"text" : "Typ"
},
{
"linkId" : "order.category",
"text" : "Kategorie",
"answer" : [
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "721927009",
"display" : "Order (record artifact)"
}
}
]
},
{
"linkId" : "order.placerOrderIdentifier",
"text" : "Auftragsnummer des Auftraggebers",
"answer" : [
{
"valueString" : "12345"
}
]
},
{
"linkId" : "order.placerOrderIdentifierDomain",
"text" : "Identifier Domain der Auftragsnummer des Auftraggebers",
"answer" : [
{
"valueString" : "urn:oid:1.3.4.5.6.7"
}
]
},
{
"linkId" : "order.priority",
"text" : "Auftragspriorität",
"answer" : [
{
"valueCoding" : {
"system" : "http://hl7.org/fhir/request-priority",
"code" : "urgent",
"display" : "Die Anfrage hat normale Priorität."
}
}
]
}
]
},
{
"linkId" : "patient",
"text" : "Patient",
"item" : [
{
"linkId" : "patient.familyName",
"text" : "Name",
"answer" : [
{
"valueString" : "Ufferer"
}
]
},
{
"linkId" : "patient.maidenName",
"text" : "Ledigname",
"answer" : [
{
"valueString" : "Leidend"
}
]
},
{
"linkId" : "patient.givenName",
"text" : "Vorname",
"answer" : [
{
"valueString" : "Susanna"
}
]
},
{
"linkId" : "patient.birthDate",
"text" : "Geburtsdatum",
"answer" : [
{
"valueDate" : "1970-03-14"
}
]
},
{
"linkId" : "patient.gender",
"text" : "Geschlecht",
"answer" : [
{
"valueCoding" : {
"system" : "http://hl7.org/fhir/administrative-gender",
"code" : "female"
}
}
]
},
{
"linkId" : "patient.phone",
"text" : "Telefon",
"answer" : [
{
"valueString" : "+41 79 979 79 79"
}
]
},
{
"linkId" : "patient.email",
"text" : "E-Mail",
"answer" : [
{
"valueString" : "susanna@ufferer.ch"
}
]
},
{
"linkId" : "patient.streetAddressLine",
"text" : "Strasse, Hausnummer, Postfach etc.",
"answer" : [
{
"valueString" : "Musterweg"
},
{
"valueString" : "6a"
}
]
},
{
"linkId" : "patient.postalCode",
"text" : "PLZ",
"answer" : [
{
"valueString" : "8000"
}
]
},
{
"linkId" : "patient.city",
"text" : "Ort",
"answer" : [
{
"valueString" : "Zürich"
}
]
},
{
"linkId" : "patient.country",
"text" : "Land",
"answer" : [
{
"valueString" : "Schweiz"
}
]
}
]
},
{
"linkId" : "coverage",
"text" : "Kostenträger",
"item" : [
{
"linkId" : "coverage.kvg",
"text" : "Krankenkasse (nach KVG)",
"item" : [
{
"linkId" : "coverage.kvg.name",
"text" : "Name der Versicherung",
"answer" : [
{
"valueString" : "Sanitas"
}
]
},
{
"linkId" : "coverage.kvg.insuranceCardNumber",
"text" : "Kennnummer der Versichertenkarte",
"answer" : [
{
"valueString" : "80756015090002647590"
}
]
}
]
}
]
},
{
"linkId" : "sender",
"text" : "Absender",
"item" : [
{
"linkId" : "sender.author",
"text" : "Verantwortlicher",
"item" : [
{
"linkId" : "sender.author.practitioner",
"text" : "Verantwortliche Person",
"item" : [
{
"linkId" : "sender.author.practitioner.title",
"text" : "Titel",
"answer" : [
{
"valueString" : "Dr. med."
}
]
},
{
"linkId" : "sender.author.practitioner.familyName",
"text" : "Name",
"answer" : [
{
"valueString" : "Rderplacer"
}
]
},
{
"linkId" : "sender.author.practitioner.givenName",
"text" : "Vorname",
"answer" : [
{
"valueString" : "Ottilie"
}
]
},
{
"linkId" : "sender.author.practitioner.gln",
"text" : "GLN",
"answer" : [
{
"valueString" : "7601000034321"
}
]
},
{
"linkId" : "sender.author.practitioner.phone",
"text" : "Telefon",
"answer" : [
{
"valueString" : "+41 44 333 22 11"
}
]
},
{
"linkId" : "sender.author.practitioner.email",
"text" : "E-Mail",
"answer" : [
{
"valueString" : "o.rderplacer@happydoctors.ch"
}
]
}
]
},
{
"linkId" : "sender.author.organization",
"text" : "Verantwortliche Organisation",
"item" : [
{
"linkId" : "sender.author.organization.name",
"text" : "Name der Organisation",
"answer" : [
{
"valueString" : "Praxis Happy Doctors"
}
]
},
{
"linkId" : "sender.author.organization.streetAddressLine",
"text" : "Strasse, Hausnummer, Postfach etc.",
"answer" : [
{
"valueString" : "Kantonsstrasse 14"
},
{
"valueString" : "Postfach 14"
}
]
},
{
"linkId" : "sender.author.organization.postalCode",
"text" : "PLZ",
"answer" : [
{
"valueString" : "8000"
}
]
},
{
"linkId" : "sender.author.organization.city",
"text" : "Ort",
"answer" : [
{
"valueString" : "Zürich"
}
]
},
{
"linkId" : "sender.author.organization.country",
"text" : "Land",
"answer" : [
{
"valueString" : "Schweiz"
}
]
}
]
}
]
},
{
"linkId" : "sender.dataenterer",
"text" : "Erfasser",
"item" : [
{
"linkId" : "sender.dataenterer.practitioner",
"text" : "Erfassende Person",
"item" : [
{
"linkId" : "sender.dataenterer.practitioner.familyName",
"text" : "Name",
"answer" : [
{
"valueString" : "Ataenterer"
}
]
},
{
"linkId" : "sender.dataenterer.practitioner.givenName",
"text" : "Vorname",
"answer" : [
{
"valueString" : "Doris"
}
]
},
{
"linkId" : "sender.dataenterer.practitioner.phone",
"text" : "Telefon",
"answer" : [
{
"valueString" : "+41 44 333 22 11"
}
]
},
{
"linkId" : "sender.dataenterer.practitioner.email",
"text" : "E-Mail",
"answer" : [
{
"valueString" : "d.ataenterer@happydoctors.ch"
}
]
}
]
}
]
}
]
},
{
"linkId" : "receiver",
"text" : "Empfänger",
"item" : [
{
"linkId" : "receiver.organization",
"text" : "Empfangende Organisation",
"item" : [
{
"linkId" : "receiver.organization.name",
"text" : "Name der Organisation",
"answer" : [
{
"valueString" : "Klinik Happy Hospital"
}
]
},
{
"linkId" : "receiver.organization.streetAddressLine",
"text" : "Strasse, Hausnummer, Postfach etc.",
"answer" : [
{
"valueString" : "Seestrasse 133"
},
{
"valueString" : "Haus C"
}
]
},
{
"linkId" : "receiver.organization.postalCode",
"text" : "PLZ",
"answer" : [
{
"valueString" : "8000"
}
]
},
{
"linkId" : "receiver.organization.city",
"text" : "Ort",
"answer" : [
{
"valueString" : "Zürich"
}
]
},
{
"linkId" : "receiver.organization.country",
"text" : "Land",
"answer" : [
{
"valueString" : "Schweiz"
}
]
}
]
}
]
},
{
"linkId" : "receiverCopies",
"text" : "Kopieempfänger",
"item" : [
{
"linkId" : "receiverCopy",
"text" : "Kopieempfangende Organisation oder Person",
"item" : [
{
"linkId" : "receiverCopy.familyName",
"text" : "Name",
"answer" : [
{
"valueString" : "Ufferer"
}
]
},
{
"linkId" : "receiverCopy.givenName",
"text" : "Vorname",
"answer" : [
{
"valueString" : "Susanna"
}
]
},
{
"linkId" : "receiverCopy.phone",
"text" : "Telefon",
"answer" : [
{
"valueString" : "+41 79 979 79 79"
}
]
},
{
"linkId" : "receiverCopy.email",
"text" : "E-Mail",
"answer" : [
{
"valueString" : "susanna@ufferer.ch"
}
]
},
{
"linkId" : "receiverCopy.streetAddressLine",
"text" : "Strasse, Hausnummer, Postfach etc.",
"answer" : [
{
"valueString" : "Musterweg"
},
{
"valueString" : "6a"
}
]
},
{
"linkId" : "receiverCopy.postalCode",
"text" : "PLZ",
"answer" : [
{
"valueString" : "8000"
}
]
},
{
"linkId" : "receiverCopy.city",
"text" : "Ort",
"answer" : [
{
"valueString" : "Zürich"
}
]
},
{
"linkId" : "receiverCopy.country",
"text" : "Land",
"answer" : [
{
"valueString" : "Schweiz"
}
]
}
]
}
]
},
{
"linkId" : "requestedEncounter",
"text" : "Patientenaufnahme",
"item" : [
{
"linkId" : "requestedEncounter.class",
"text" : "Voraussichtlich: Ambulant / Stationär / Notfall",
"answer" : [
{
"valueCoding" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "EMER",
"display" : "Notfall"
}
}
]
}
]
},
{
"linkId" : "purpose",
"text" : "Wozu wird der Patient zugewiesen?",
"item" : [
{
"linkId" : "purpose.aim",
"text" : "Ziel",
"answer" : [
{
"valueString" : "Abklärung akuter Thoraxschmerzen"
}
]
},
{
"linkId" : "reason.statement",
"text" : "Begründung",
"answer" : [
{
"valueString" : "Verdacht auf Vorderwandinfarkt"
}
]
}
]
},
{
"linkId" : "diagnosisList",
"text" : "Diagnosen und Befunde",
"item" : [
{
"linkId" : "diagnosisList.primarydiagnosis",
"text" : "Hauptdiagnosen / Probleme",
"item" : [
{
"linkId" : "diagnosisList.primaryDiagnosis.item",
"definition" : "http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.reasonReference",
"text" : "Hauptdiagnose / Problem",
"answer" : [
{
"valueString" : "St. nach Bypass 2007"
}
]
}
]
},
{
"linkId" : "diagnosisList.secondarydiagnosis",
"text" : "Nebendiagnosen / Probleme",
"item" : [
{
"linkId" : "diagnosisList.secondaryDiagnosis.item",
"text" : "Nebendiagnose / Problem",
"answer" : [
{
"valueString" : "Hypertonie (Syst um 180 mm HG)"
},
{
"valueString" : "Hypercholesterinämie seit Jahren"
}
]
}
]
},
{
"linkId" : "diagnosisList.bodyHeight",
"definition" : "http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:bodyHeight",
"text" : "Grösse (cm)"
},
{
"linkId" : "diagnosisList.bodyWeight",
"definition" : "http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:bodyWeight",
"text" : "Gewicht (kg)"
},
{
"linkId" : "diagnosisList.pregnancy",
"definition" : "http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:pregnancy",
"text" : "Schwangerschaft",
"item" : [
{
"linkId" : "diagnosisList.pregnancy.expectedDeliveryDate",
"definition" : "http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:pregnancy",
"text" : "Erwarteter Geburtstermin"
}
]
}
]
},
{
"linkId" : "anamnesis",
"text" : "Anamnese",
"item" : [
{
"linkId" : "anamnesis.historyofillnesses",
"definition" : "http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:historyofIllnesses",
"text" : "Bisherige Krankheiten und Unfälle",
"answer" : [
{
"valueString" : "Endokarditis 1999"
}
]
},
{
"linkId" : "anamnesis.historyofprocedures",
"definition" : "http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:historyofProcedures",
"text" : "Bisherige Abklärungen und Eingriffe"
},
{
"linkId" : "anamnesis.devices",
"definition" : "http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:devices",
"text" : "Implantate, Schrittmacher, Neurostimulatoren etc."
},
{
"linkId" : "anamnesis.socialhistory",
"definition" : "http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:socialHistory",
"text" : "Sozialanamnese"
},
{
"linkId" : "anamnesis.functionalStatus",
"definition" : "http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:functionalStatus",
"text" : "Funktion, Behinderungen"
}
]
},
{
"linkId" : "medication",
"text" : "Aktuelle Medikation",
"item" : [
{
"linkId" : "medication.medicationcard",
"definition" : "http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:medicationcard",
"text" : "Medikation",
"answer" : [
{
"valueString" : "Erdabyclor 20/25 mg 1/2-0-0-0"
},
{
"valueString" : "Morphin 5 mg i.v.; 16h30"
},
{
"valueString" : "Nitroglycerin 0.8 mg s.L.; 16h15"
}
]
}
]
},
{
"linkId" : "allergy",
"text" : "Allergien und Intoleranzen",
"item" : [
{
"linkId" : "allergy.allegiesIntolerances",
"definition" : "http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:allergiesIntolerances",
"text" : "Allergie / Intoleranz"
}
]
},
{
"linkId" : "immunizationstatus",
"text" : "Impfungen",
"item" : [
{
"linkId" : "immunizationstatus.immunizations",
"definition" : "http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:immunizations",
"text" : "Bisherige Impfungen"
}
]
},
{
"linkId" : "lab",
"text" : "Labor",
"item" : [
{
"linkId" : "lab.labresults",
"definition" : "http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:labresults",
"text" : "Laborresultat"
}
]
},
{
"linkId" : "pathology",
"text" : "Pathologie",
"item" : [
{
"linkId" : "pathology.pathologyresults",
"definition" : "http://fhir.ch/ig/ch-etoc/StructureDefinition/ch-etoc-servicerequest#ServiceRequest.supportingInfo:pathologyresults",
"text" : "Pathologiebefunde"
}
]
},
{
"linkId" : "imaging",
"text" : "Bildgebung",
"item" : [
{
"linkId" : "imaging.imagingresults",
"text" : "Befund aus der Bildgebung"
}
]
},
{
"linkId" : "cardiology",
"text" : "Kardiologie",
"item" : [
{
"linkId" : "cardiology.cardiologyresults",
"text" : "EKG / Kardiologischer Befund",
"answer" : [
{
"valueString" : "ST-Hebungen V1-V5"
}
]
}
]
},
{
"linkId" : "carePlans",
"text" : "Verlauf",
"item" : [
{
"linkId" : "carePlans.medical",
"text" : "Ärztlicher Bericht"
},
{
"linkId" : "carePlans.nursing",
"text" : "Pflegebericht"
},
{
"linkId" : "attachments",
"text" : "Anhang",
"item" : [
{
"linkId" : "attachtment.title",
"text" : "Dateiname und -endung der angehängten Datei (z.B. \"shoulder_re_F_Muster_12021988.pdf\")",
"answer" : [
{
"valueString" : "EKG_09062021.pdf"
}
]
},
{
"linkId" : "attachment.data",
"text" : "Daten",
"answer" : [
{
"valueString" : "324nnvsdafw3qwef3"
}
]
}
]
}
]
},
{
"linkId" : "note",
"text" : "Bemerkungen",
"item" : [
{
"linkId" : "note.text",
"text" : "Text",
"answer" : [
{
"valueString" : "Patient ist sehr ängstlich"
}
]
}
]
}
]
}