Medical Referral
Generated Narrative Resource "QuestionnaireEtoc" Profiles: CH ORF Questionnaire, Questionnaire, Extractable Questionnaire 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 value: Bundle value: Bundle 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: Order-Referral-Form status: active subjectType: Patient date: 2021-02-24 publisher: HL7 Switzerland item linkId: order definition: CH Etoc Document text: Auftrag type: group required: true item linkId: order.placerOrderIdentifier definition: CH eToc Service Request text: Auftragsnummer des Auftraggebers type: string required: true item hidden: true linkId: order.placerOrderIdentifierDomain definition: CH eToc Service Request text: Identifier Domain der Auftragsnummer des Auftraggebers type: string required: true item linkId: order.fillerOrderIdentifier definition: CH eToc Service Request text: Auftragsnummer des Auftragsempfängers type: string item hidden: true linkId: order.fillerOrderIdentifierDomain definition: CH eToc Service Request text: Identifier Domain der Auftragsnummer des Auftragsempfängers type: string item hidden: true linkId: order.precedentDocumentIdentifier definition: CH Etoc Composition text: Identifier des Vorgängerdokuments type: string item linkId: order.notificationContactDocument definition: CH Etoc Composition text: Dringender Benachrichtigungskontakt für dieses Dokument type: group item linkId: order.notificationContactDocumentResponse definition: CH Etoc Composition text: Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument type: group item linkId: order.priority definition: CH eToc Service Request text: Auftragspriorität type: choice item linkId: patient definition: CH Etoc Composition text: Patient type: group item linkId: patient.familyName definition: CH Core Patient Profile text: Name type: string item linkId: patient.maidenName definition: CH Core Patient Profile text: Ledigname type: string item linkId: patient.givenName definition: CH Core Patient Profile text: Vorname type: string item linkId: patient.localPid definition: CH Core Patient Profile text: Lokale Patienten-ID type: string item hidden: true linkId: patient.localPidDomain definition: CH Core Patient Profile text: Lokale Patienten-ID Domain type: string item linkId: patient.birthDate definition: CH Core Patient Profile text: Geburtsdatum type: date item linkId: patient.gender definition: CH Core Patient Profile text: Geschlecht type: choice item linkId: patient.maritalStatus definition: CH Core Patient Profile text: Zivilstand type: choice item linkId: patient.phone definition: CH Core Patient Profile text: Telefon type: string repeats: true item linkId: patient.email definition: CH Core Patient Profile text: E-Mail type: string item linkId: patient.streetAddressLine definition: CH Core Patient Profile text: Strasse, Hausnummer, Postfach etc. type: string repeats: true item linkId: patient.postalCode definition: CH Core Patient Profile text: PLZ type: string item linkId: patient.city definition: CH Core Patient Profile text: Ort type: string item linkId: patient.country definition: CH Core Patient Profile text: Land type: string item linkId: patient.languageOfCorrespondance definition: CH Core Patient Profile text: Korrespondenssprache type: choice answerValueSet: DocumentEntry.languageCode item linkId: patient.contactperson definition: CH Etoc Composition text: Patient type: group item linkId: requestedEncounter definition: CH eToc Service Request text: Patientenaufnahme type: group item linkId: requestedEncounter.class definition: CH ORF Requested Encounter text: Voraussichtlich: Ambulant / Stationär / Notfall type: choice required: true item linkId: requestedEncounter.desiredAccommodation definition: CH ORF Requested Encounter text: Zimmerkategorie type: choice item linkId: coverage definition: CH eToc Service Request text: Kostenträger type: group item linkId: coverage.beneficiary definition: CH ORF Coverage text: Begünstigter (Patient) type: group required: false item linkId: coverage.kvg definition: CH ORF Coverage text: Krankenkasse (nach KVG) type: group item linkId: coverage.uvg definition: CH ORF Coverage text: Unfallversicherung (nach UVG) type: group item linkId: coverage.vvg definition: CH ORF Coverage text: Zusatzversicherung (nach VVG) type: group item linkId: coverage.iv definition: CH ORF Coverage text: Invalidenversicherung (IV) type: group item linkId: coverage.mv definition: CH ORF Coverage text: Militärversicherung (MV) type: group item linkId: coverage.self definition: CH ORF Coverage text: Selbstzahler type: group item linkId: coverage.other definition: CH ORF Coverage text: Anderer Kostenträger type: group item linkId: sender text: Absender type: group required: true item linkId: sender.author definition: CH Etoc Composition text: Verantwortlicher type: group required: true item linkId: sender.dataenterer definition: CH Etoc Composition text: Erfasser type: group item linkId: receiver definition: CH Etoc Composition text: Empfänger type: group item linkId: receiver.practitioner definition: CH Core Practitioner Role Profile text: Empfangende Person type: group item linkId: receiver.organization definition: CH Core Practitioner Role Profile text: Empfangende Organisation type: group item linkId: receiverCopy definition: CH ORF Composition text: Kopieempfänger (Kopie dieses Auftrags und aller daraus resultierenden Resultate) type: group item linkId: receiverCopy.practitionerRole definition: CH Core Practitioner Role Profile text: Gesundheitsfachperson oder -organisation type: group repeats: true item linkId: receiverCopy.patient definition: CH Core Patient Profile text: Patient selbst type: boolean item linkId: receiverCopy.relatedPerson definition: RelatedPerson text: Andere Person type: group repeats: true item linkId: appointment definition: CH ORF ServiceRequest text: Ort und Zeit der Durchführung der angeforderten Leistung type: group repeats: true item linkId: appointment.location definition: CH ORF Appointment text: Ort der Durchführung type: group required: true item linkId: appointment.requestedPeriod definition: CH ORF Appointment text: Datum und Zeit, wann der Termin bevorzugt geplant werden soll type: group item linkId: appointment.status definition: CH ORF Appointment text: Status type: choice required: true item linkId: appointment.patientInstruction definition: CH ORF Appointment text: Patienteninformation für diesen Termin type: string item linkId: purpose text: Wozu wird der Patient zugewiesen? type: group repeats: false Items - LinkId Definition Text Type Repeats * purpose.aim CH eToc Service Request Ziel string true * reason.statement CH eToc Service Request Begründung string true item linkId: diagnosisList text: Diagnosen und Befunde type: group repeats: false item linkId: diagnosisList.primarydiagnosis text: Hauptdiagnosen / Probleme type: group item linkId: diagnosisList.secondarydiagnosis text: Nebendiagnosen / Probleme type: group item linkId: diagnosisList.bodyHeight definition: CH eToc Service Request text: Grösse (cm) type: quantity repeats: false item linkId: diagnosisList.bodyWeight definition: CH eToc Service Request text: Gewicht (kg) type: quantity repeats: false item linkId: diagnosisList.pregnancy text: Schwangerschaft type: group item linkId: anamnesis text: Anamnese type: group repeats: false Items - LinkId Definition Text Type Repeats * anamnesis.historyofillnesses CH eToc Service Request Bisherige Krankheiten und Unfälle text false * anamnesis.historyofprocedures CH eToc Service Request Bisherige Abklärungen und Eingriffe text false * anamnesis.devices CH eToc Service Request Implantate, Schrittmacher, Neurostimulatoren etc. text false * anamnesis.socialhistory CH eToc Service Request Sozialanamnese text false * anamnesis.functionalStatus CH eToc Service Request Funktion, Behinderungen text false item linkId: medication definition: CH eToc Service Request text: Aktuelle Medikation type: group repeats: false item linkId: medication.medicationstatement definition: CH EMED MedicationStatement Profile text: Medikation type: group repeats: true item linkId: allergy text: Allergien und Intoleranzen type: group repeats: false Items - LinkId Definition Text Type Repeats * allergy.allegiesIntolerances CH eToc Service Request Allergien / Intoleranzen text false item linkId: immunizationstatus text: Impfungen type: group repeats: false Items - LinkId Definition Text Type Repeats * immunizationstatus.immunizations CH eToc Service Request Bisherige Impfungen text false item linkId: lab text: Labor type: group repeats: false Items - LinkId Definition Text Type Repeats * lab.labresults CH eToc Service Request Laborresultat string true item linkId: pathology text: Pathologie type: group repeats: false Items - LinkId Definition Text Type Repeats * pathology.pathologyresults CH eToc Service Request Pathologiebefunde text false item linkId: imaging text: Bildgebung type: group repeats: false Items - LinkId Definition Text Type Repeats * imaging.imagingresults CH eToc Service Request Befunde aus der Bildgebung text false item linkId: cardiology text: Kardiologie type: group repeats: false Items - LinkId Definition Text Type Repeats * cardiology.cardiologyresults CH eToc Service Request EKG / Kardiologische Befunde text false item linkId: carePlans text: Verlauf type: group repeats: false Items - LinkId Definition Text Type Repeats * carePlans.medical CH eToc Service Request Ärztlicher Bericht text true * carePlans.nursing CH eToc Service Request Pflegebericht text true item linkId: attachments text: Anhang type: group repeats: true Items - LinkId Definition Text Type Repeats * attachtment.title CH Etoc Media Dateiname und -endung der angehängten Datei (z.B. "shoulder_re_F_Muster_12021988.pdf") string false * attachment.note CH Etoc Media Anmerkung text false * attachment.data CH Etoc Media Daten string false item linkId: note text: Bemerkungen type: group repeats: false Items - LinkId Definition Text Type Required * note.text CH eToc Service Request Text text false
The Bundle that is to be used to pre-populate the form
Questionnaire Electronic Transition of Carer
Identifier Domain der Auftragsnummer des Auftraggebers
Identifier Domain der Auftragsnummer des Auftragsempfängers
Dringender Benachrichtigungskontakt für dieses Dokument
Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument
Die Anfrage sollte dringend bearbeitet werden - höhere Priorität als normal.
Die Anfrage sollte so schnell wie möglich bearbeitet werden - höhere Priorität als dringend.
Die Anfrage sollte sofort bearbeitet werden - höchstmögliche Priorität. Z.B. bei einem Notfall.
Voraussichtlich: Ambulant / Stationär / Notfall
Kopieempfänger (Kopie dieses Auftrags und aller daraus resultierenden Resultate)
Gesundheitsfachperson oder -organisation
Ort und Zeit der Durchführung der angeforderten Leistung
Datum und Zeit, wann der Termin bevorzugt geplant werden soll
Vom Patienten bestätigt, aber vom Leistungserbringer noch nicht (ausstehend)
Vom Patienten und Leistungserbringer bestätigt (gebucht)
Implantate, Schrittmacher, Neurostimulatoren etc.
Dateiname und -endung der angehängten Datei (z.B. "shoulder_re_F_Muster_12021988.pdf")
Generated Narrative Resource "QuestionnaireResponseEtoc" Profile: CH ORF QuestionnaireResponse questionnaire: Questionnaire Electronic Transition of Carer status: completed item linkId: order item linkId: order.placerOrderIdentifier text: Auftragsnummer des Auftraggebers item linkId: order.placerOrderIdentifierDomain text: Identifier Domain der Auftragsnummer des Auftraggebers item linkId: order.priority text: Auftragspriorität item linkId: patient text: Patient item linkId: patient.familyName text: Name item linkId: patient.maidenName text: Ledigname item linkId: patient.givenName text: Vorname item linkId: patient.birthDate text: Geburtsdatum item linkId: patient.gender text: Geschlecht item linkId: patient.phone text: Telefon item linkId: patient.email text: E-Mail item linkId: patient.streetAddressLine text: Strasse, Hausnummer, Postfach etc. item linkId: patient.postalCode text: PLZ item linkId: patient.city text: Ort item linkId: patient.country text: Land item linkId: requestedEncounter text: Patientenaufnahme item linkId: requestedEncounter.class text: Voraussichtlich: Ambulant / Stationär / Notfall item linkId: coverage text: Kostenträger item linkId: coverage.beneficiary item linkId: coverage.kvg text: Krankenkasse (nach KVG) item linkId: sender text: Absender item linkId: sender.author text: Verantwortlicher item linkId: sender.dataenterer text: Erfasser item linkId: receiver text: Empfänger item linkId: receiver.organization text: Empfangende Organisation item linkId: receiverCopy item linkId: receiverCopy.patient item linkId: purpose text: Wozu wird der Patient zugewiesen? item linkId: purpose.aim text: Ziel item linkId: reason.statement text: Begründung item linkId: diagnosisList text: Diagnosen und Befunde item linkId: diagnosisList.primarydiagnosis text: Hauptdiagnosen / Probleme item linkId: diagnosisList.secondarydiagnosis text: Nebendiagnosen / Probleme item linkId: diagnosisList.bodyHeight definition: CH eToc Service Request text: Grösse (cm) item linkId: diagnosisList.bodyWeight definition: CH eToc Service Request text: Gewicht (kg) item linkId: diagnosisList.pregnancy item linkId: anamnesis text: Anamnese item linkId: anamnesis.historyofillnesses definition: CH eToc Service Request text: Bisherige Krankheiten und Unfälle item linkId: anamnesis.historyofprocedures definition: CH eToc Service Request text: Bisherige Abklärungen und Eingriffe item linkId: anamnesis.devices definition: CH eToc Service Request text: Implantate, Schrittmacher, Neurostimulatoren etc. item linkId: anamnesis.socialhistory definition: CH eToc Service Request text: Sozialanamnese item linkId: anamnesis.functionalStatus definition: CH eToc Service Request text: Funktion, Behinderungen item linkId: medication item linkId: medication.medicationstatement item linkId: allergy item linkId: immunizationstatus Items - LinkId * immunizationstatus.immunizations item linkId: lab item linkId: pathology item linkId: imaging text: Bildgebung Items - LinkId Text * imaging.imagingresults Befund aus der Bildgebung item linkId: cardiology item linkId: cardiology.cardiologyresults item linkId: carePlans text: Verlauf Items - LinkId Text * carePlans.medical Ärztlicher Bericht * carePlans.nursing Pflegebericht item linkId: attachments item linkId: attachtment.title item linkId: attachment.note item linkId: attachment.data item linkId: note text: Bemerkungen item linkId: note.text text: Text
Generated Narrative Resource "ServiceRequestEtoc" Profile: CH eToc Service Request 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 Vorderwandinfarkt () 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
Generated Narrative Resource "SUfferer" Profile: CH Core Patient Profile 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)
Generated Narrative Resource "SUffererCopyReceiver" Profile: CH Core Patient Profile name: Susanna Ufferer telecom: +41 79 979 79 79, susanna@ufferer.ch address: Musterweg 6a Zürich 8000 Schweiz (HOME)
Generated Narrative Resource "DAtaentererHappyDoctors" Profile: CH Core Practitioner Role Profile practitioner: See above (Practitioner/DAtaenterer) organization: See above (Organization/HappyDoctors)
Generated Narrative Resource "DAtaenterer" Profile: CH Core Practitioner Profile name: Doris Ataenterer telecom: +41 44 333 22 11, d.ataenterer@happydoctors.ch
Generated Narrative Resource "ORderplacerHappyDoctors" Profile: CH Core Practitioner Role Profile practitioner: See above (Practitioner/ORderplacer) organization: See above (Organization/HappyDoctors)
Generated Narrative Resource "ORderplacer" Profile: CH Core Practitioner Profile identifier: id: 7601000034321 name: Ottilie Rderplacer (OFFICIAL) telecom: +41 44 333 22 11, o.rderplacer@happydoctors.ch
Generated Narrative Resource "MedicalDepartmentHappyHospital" Profile: CH Core Practitioner Role Profile organization: See above (Organization/HappyHospital)
Generated Narrative Resource "HappyDoctors" Profile: CH Core Organization Profile name: Praxis Happy Docotors address: Kantonsstrasse 14 Postfach 14 Zürich 8000 Schweiz
Generated Narrative Resource "HappyHospital" Profile: CH Core Organization Profile name: Klinik Happy Hospital address: Seestrasse 133 Haus C Zürich 8000 Schweiz
Generated Narrative Resource "PrimaryDiagnosis" Profile: CH eToc Primary Diagnosis Condition category: Primary Diagnosis (Extension Category of Condition#primary-diagnosis) code: St. nach Bypass 2007 () subject: See above (Patient/SUfferer)
Generated Narrative Resource "SecondaryDiagnosis1" Profile: CH eToc Secondary Diagnosis Condition category: Secondary Diagnosis (Extension Category of Condition#secondary-diagnosis) code: Hypertonie (Syst um 180 mm HG) () subject: See above (Patient/SUfferer)
Generated Narrative Resource "SecondaryDiagnosis2" Profile: CH eToc Secondary Diagnosis Condition category: Secondary Diagnosis (Extension Category of Condition#secondary-diagnosis) code: Hypercholesterinämie () subject: See above (Patient/SUfferer)
Generated Narrative Resource "BodyHeight" Profile: CH eToc Body Height Observation status: final category: Vital Signs (Observation Category Codes#vital-signs) code: Body height (LOINC#8302-2) subject: See above (Patient/SUfferer) effective: 2019-04-01 10:10:00+0000 value: 176 cm (Details: UCUM code cm = 'cm')
Generated Narrative Resource "BodyWeight" Profile: CH eToc Body Weight Observation status: final category: Vital Signs (Observation Category Codes#vital-signs) code: Body weight (LOINC#29463-7) subject: See above (Patient/SUfferer) effective: 2019-04-01 10:10:00+0000 value: 99 kg (Details: UCUM code kg = 'kg')
Generated Narrative Resource "CoverageKVG" Profile: CH ORF Coverage identifier: Insurance Card Number: 80756015090002647590 status: active type: According to KVG (Coverage Type#KVG) beneficiary: See above (Patient/SUfferer) payor: Resource "Sanitas" Profile: CH Core Organization Profile name: Sanitas
Generated Narrative Resource "AppointmentHospitalStay" Profile: CH ORF Appointment status: proposed patientInstruction: Wunschtermin der Patientin Participants - Actor Status * See above (Location/LocationHospitalStay) tentative requestedPeriod: 2019-04-01 03:00:00+0000 --> 2019-04-01 03:30:00+0000
Generated Narrative Resource "LocationHospitalStay" Profile: CH ORF Location name: Happy Hospital telecom: +41 44 412 65 56 address: Seestrasse 133 Innere Medizin Zürich 8000 Schweiz