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