{ "resourceType": "QuestionnaireResponse", "id": "QuestionnaireResponseEtoc", "meta": { "profile": [ "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-questionnaireresponse" ] }, "text": { "status": "generated", "div": "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
LinkIdTextDefinitionAnswer\"doco\"
\".\"\".\" QuestionnaireResponseEtocQuestionnaireResponse
\".\"\".\"\".\" order
\".\"\".\"\".\"\".\" order.placerOrderIdentifierAuftragsnummer des Auftraggebers12345
\".\"\".\"\".\"\".\" order.placerOrderIdentifierDomainIdentifier Domain der Auftragsnummer des Auftraggebersurn:oid:1.3.4.5.6.7
\".\"\".\"\".\"\".\" order.priorityAuftragsprioritäthttp://hl7.org/fhir/request-priority urgent: Die Anfrage hat normale Priorität.
\".\"\".\"\".\" patientPatient
\".\"\".\"\".\"\".\" patient.familyNameNameUfferer
\".\"\".\"\".\"\".\" patient.maidenNameLedignameLeidend
\".\"\".\"\".\"\".\" patient.givenNameVornameSusanna
\".\"\".\"\".\"\".\" patient.birthDateGeburtsdatum1970-03-14
\".\"\".\"\".\"\".\" patient.genderGeschlechthttp://hl7.org/fhir/administrative-gender female: Female
\".\"\".\"\".\"\".\" patient.phoneTelefon+41 79 979 79 79
\".\"\".\"\".\"\".\" patient.emailE-Mailsusanna@ufferer.ch
\".\"\".\"\".\"\".\" patient.streetAddressLineStrasse, Hausnummer, Postfach etc.
\".\"\".\"\".\"\".\" patient.postalCodePLZ8000
\".\"\".\"\".\"\".\" patient.cityOrtZürich
\".\"\".\"\".\"\".\" patient.countryLandSchweiz
\".\"\".\"\".\" requestedEncounterPatientenaufnahme
\".\"\".\"\".\"\".\" requestedEncounter.classVoraussichtlich: Ambulant / Stationär / Notfallhttp://terminology.hl7.org/CodeSystem/v3-ActCode EMER: Notfall
\".\"\".\"\".\" coverageKostenträger
\".\"\".\"\".\"\".\" coverage.beneficiary
\".\"\".\"\".\"\".\" coverage.kvgKrankenkasse (nach KVG)
\".\"\".\"\".\"\".\"\".\" coverage.kvg.nameName der VersicherungSanitas
\".\"\".\"\".\"\".\"\".\" coverage.kvg.insuranceCardNumberKennnummer der Versichertenkarte80756015090002647590
\".\"\".\"\".\" senderAbsender
\".\"\".\"\".\"\".\" sender.authorVerantwortlicher
\".\"\".\"\".\"\".\"\".\" sender.author.practitionerVerantwortliche Person
\".\"\".\"\".\"\".\"\".\"\".\" sender.author.practitioner.titleTitelDr. med.
\".\"\".\"\".\"\".\"\".\"\".\" sender.author.practitioner.familyNameNameRderplacer
\".\"\".\"\".\"\".\"\".\"\".\" sender.author.practitioner.givenNameVornameOttilie
\".\"\".\"\".\"\".\"\".\"\".\" sender.author.practitioner.glnGLN7601000034321
\".\"\".\"\".\"\".\"\".\"\".\" sender.author.practitioner.phoneTelefon+41 44 333 22 11
\".\"\".\"\".\"\".\"\".\"\".\" sender.author.practitioner.emailE-Mailo.rderplacer@happydoctors.ch
\".\"\".\"\".\"\".\"\".\" sender.author.organizationVerantwortliche Organisation
\".\"\".\"\".\"\".\"\".\"\".\" sender.author.organization.nameName der OrganisationPraxis Happy Doctors
\".\"\".\"\".\"\".\"\".\"\".\" sender.author.organization.streetAddressLineStrasse, Hausnummer, Postfach etc.
\".\"\".\"\".\"\".\"\".\"\".\" sender.author.organization.postalCodePLZ8000
\".\"\".\"\".\"\".\"\".\"\".\" sender.author.organization.cityOrtZürich
\".\"\".\"\".\"\".\"\".\"\".\" sender.author.organization.countryLandSchweiz
\".\"\".\"\".\"\".\" sender.dataentererErfasser
\".\"\".\"\".\"\".\"\".\" sender.dataenterer.practitionerErfassende Person
\".\"\".\"\".\"\".\"\".\"\".\" sender.dataenterer.practitioner.familyNameNameAtaenterer
\".\"\".\"\".\"\".\"\".\"\".\" sender.dataenterer.practitioner.givenNameVornameDoris
\".\"\".\"\".\"\".\"\".\"\".\" sender.dataenterer.practitioner.phoneTelefon+41 44 333 22 11
\".\"\".\"\".\"\".\"\".\"\".\" sender.dataenterer.practitioner.emailE-Maild.ataenterer@happydoctors.ch
\".\"\".\"\".\" receiverEmpfänger
\".\"\".\"\".\"\".\" receiver.organizationEmpfangende Organisation
\".\"\".\"\".\"\".\"\".\" receiver.organization.nameName der OrganisationKlinik Happy Hospital
\".\"\".\"\".\"\".\"\".\" receiver.organization.streetAddressLineStrasse, Hausnummer, Postfach etc.
\".\"\".\"\".\"\".\"\".\" receiver.organization.postalCodePLZ8000
\".\"\".\"\".\"\".\"\".\" receiver.organization.cityOrtZürich
\".\"\".\"\".\"\".\"\".\" receiver.organization.countryLandSchweiz
\".\"\".\"\".\" receiverCopy
\".\"\".\"\".\"\".\" receiverCopy.patienttrue
\".\"\".\"\".\" purposeWozu wird der Patient zugewiesen?
\".\"\".\"\".\"\".\" purpose.aimZielAbklärung akuter Thoraxschmerzen
\".\"\".\"\".\"\".\" reason.statementBegründungVerdacht auf Vorderwandinfarkt
\".\"\".\"\".\" diagnosisListDiagnosen und Befunde
\".\"\".\"\".\"\".\" diagnosisList.primarydiagnosisHauptdiagnosen / Probleme
\".\"\".\"\".\"\".\"\".\" diagnosisList.primaryDiagnosis.itemHauptdiagnose / ProblemSt. nach Bypass 2007
\".\"\".\"\".\"\".\" diagnosisList.secondarydiagnosisNebendiagnosen / Probleme
\".\"\".\"\".\"\".\"\".\" diagnosisList.secondaryDiagnosis.itemNebendiagnose / Problem
\".\"\".\"\".\"\".\" diagnosisList.bodyHeightGrösse (cm)
\".\"\".\"\".\"\".\" diagnosisList.bodyWeightGewicht (kg)
\".\"\".\"\".\"\".\" diagnosisList.pregnancy
\".\"\".\"\".\"\".\"\".\" diagnosisList.pregnancy.expectedDeliveryDate
\".\"\".\"\".\" anamnesisAnamnese
\".\"\".\"\".\"\".\" anamnesis.historyofillnessesBisherige Krankheiten und UnfälleEndokarditis 1999
\".\"\".\"\".\"\".\" anamnesis.historyofproceduresBisherige Abklärungen und Eingriffe
\".\"\".\"\".\"\".\" anamnesis.devicesImplantate, Schrittmacher, Neurostimulatoren etc.
\".\"\".\"\".\"\".\" anamnesis.socialhistorySozialanamnese
\".\"\".\"\".\"\".\" anamnesis.functionalStatusFunktion, Behinderungen
\".\"\".\"\".\" medication
\".\"\".\"\".\"\".\" medication.medicationstatement
\".\"\".\"\".\"\".\"\".\" medication.medicationstatement.medicationNitroglycerin
\".\"\".\"\".\"\".\"\".\" medication.medicationstatement.dosage0.8 mg s.L.; 16h15
\".\"\".\"\".\" allergy
\".\"\".\"\".\" immunizationstatus
\".\"\".\"\".\"\".\" immunizationstatus.immunizations
\".\"\".\"\".\" lab
\".\"\".\"\".\" pathology
\".\"\".\"\".\" imagingBildgebung
\".\"\".\"\".\"\".\" imaging.imagingresultsBefund aus der Bildgebung
\".\"\".\"\".\" cardiology
\".\"\".\"\".\"\".\" cardiology.cardiologyresultsST-Hebungen V1-V5
\".\"\".\"\".\" carePlansVerlauf
\".\"\".\"\".\"\".\" carePlans.medicalÄrztlicher Bericht
\".\"\".\"\".\"\".\" carePlans.nursingPflegebericht
\".\"\".\"\".\" attachments
\".\"\".\"\".\"\".\" attachtment.titleEKG_09062021.pdf
\".\"\".\"\".\"\".\" attachment.noteEKG vom 9.6.2021
\".\"\".\"\".\"\".\" attachment.data324nnvsdafw3qwef3
\".\"\".\"\".\" noteBemerkungen
\".\"\".\"\".\"\".\" note.textTextPatient ist sehr ängstlich

\"doco\" Documentation for this format
" }, "questionnaire": "http://fhir.ch/ig/ch-etoc/Questionnaire/QuestionnaireEtoc", "status": "completed", "item": [ { "linkId": "order", "item": [ { "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": "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": "coverage", "text": "Kostenträger", "item": [ { "linkId": "coverage.beneficiary" }, { "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": "receiverCopy", "item": [ { "linkId": "receiverCopy.patient", "answer": [ { "valueBoolean": true } ] } ] }, { "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", "item": [ { "linkId": "diagnosisList.pregnancy.expectedDeliveryDate" } ] } ] }, { "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", "item": [ { "linkId": "medication.medicationstatement", "item": [ { "linkId": "medication.medicationstatement.medication", "answer": [ { "valueString": "Nitroglycerin" } ] }, { "linkId": "medication.medicationstatement.dosage", "answer": [ { "valueString": "0.8 mg s.L.; 16h15" } ] } ] } ] }, { "linkId": "allergy" }, { "linkId": "immunizationstatus", "item": [ { "linkId": "immunizationstatus.immunizations" } ] }, { "linkId": "lab" }, { "linkId": "pathology" }, { "linkId": "imaging", "text": "Bildgebung", "item": [ { "linkId": "imaging.imagingresults", "text": "Befund aus der Bildgebung" } ] }, { "linkId": "cardiology", "item": [ { "linkId": "cardiology.cardiologyresults", "answer": [ { "valueString": "ST-Hebungen V1-V5" } ] } ] }, { "linkId": "carePlans", "text": "Verlauf", "item": [ { "linkId": "carePlans.medical", "text": "Ärztlicher Bericht" }, { "linkId": "carePlans.nursing", "text": "Pflegebericht" } ] }, { "linkId": "attachments", "item": [ { "linkId": "attachtment.title", "answer": [ { "valueString": "EKG_09062021.pdf" } ] }, { "linkId": "attachment.note", "answer": [ { "valueString": "EKG vom 9.6.2021" } ] }, { "linkId": "attachment.data", "answer": [ { "valueString": "324nnvsdafw3qwef3" } ] } ] }, { "linkId": "note", "text": "Bemerkungen", "item": [ { "linkId": "note.text", "text": "Text", "answer": [ { "valueString": "Patient ist sehr ängstlich" } ] } ] } ] }