CH LAB-Order (R4)
0.1.0 - STU 1 Ballot
CH LAB-Order (R4)
0.1.0 - STU 1 Ballot
This page is part of the CH LAB-Order (R4) (v0.1.0: STU 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 3.0.0. For a full list of available versions, see the Directory of published versions
<Bundle xmlns="http://hl7.org/fhir">
<id value="3-gyn"/>
<meta>
<versionId value="1"/>
<lastUpdated value="2019-04-01T20:18:41.341+00:00"/>
<profile
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-document"/>
</meta>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:26d3dff7-ab05-4737-a49c-5eccd33595f8"/>
</identifier>
<type value="document"/>
<timestamp value="2019-04-01T20:18:41.341+00:00"/>
<!-- entry[0] Composistion -->
<entry>
<fullUrl value="http://example.com/fhir/Composition/3-gyn"/>
<resource>
<Composition>
<id value="3-gyn"/>
<meta>
<versionId value="1"/>
<lastUpdated value="2021-02-18T17:04:38.520+00:00"/>
<profile
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><blockquote><p><b>EPR Data Enterer</b></p><h3>Urls</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: <a href="#PractitionerRole_PeterPapGruppenpraxis">See above (PractitionerRole/PeterPapGruppenpraxis)</a></p></blockquote><p><b>CH ORF Receiver</b>: <a href="PractitionerRole-EvaErlenmeyerLaborPipette.html">Generated Summary: </a></p><p><b>CH ORF Copy Receiver</b>: <a href="#Organization_Gruppenpraxis">See above (Organization/Gruppenpraxis)</a></p><p><b>status</b>: final</p><p><b>type</b>: <span title="Codes: {http://snomed.info/sct 721965002}">Laboratory order (record artifact)</span></p><p><b>category</b>: <span title="Codes: {http://snomed.info/sct 721963009}">Order (record artifact)</span></p><p><b>date</b>: Mar 31, 2020, 11:46:09 AM</p><p><b>author</b>: <a href="#PractitionerRole_PeterPapGruppenpraxis">See above (PractitionerRole/PeterPapGruppenpraxis)</a></p><p><b>title</b>: Referral 3-gyn</p></div>
</text>
<extension
url="http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer">
<extension url="enterer">
<valueReference>
<reference value="PractitionerRole/PeterPapGruppenpraxis"/>
</valueReference>
</extension>
</extension>
<extension
url="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-receiver">
<valueReference>
<reference value="PractitionerRole/EvaErlenmeyerLaborPipette"/>
</valueReference>
</extension>
<extension
url="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-copyreceiver">
<valueReference>
<reference value="Organization/Gruppenpraxis"/>
</valueReference>
</extension>
<status value="final"/>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="721965002"/>
<display value="Laboratory order (record artifact)"/>
</coding>
</type>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="721963009"/>
<display value="Order (record artifact)"/>
</coding>
</category>
<subject>
<reference value="Patient/MarinaRubella"/>
</subject>
<date value="2020-03-31T11:46:09+02:00"/>
<author>
<reference value="PractitionerRole/PeterPapGruppenpraxis"/>
</author>
<title value="Referral 3-gyn"/>
<!-- sections -->
<section>
<title value="Order-Referral-Form 3-gyn"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="93037-0"/>
<display value="Portable medical order form"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
Order-Referral-Form 3-gyn
</div>
</text>
<entry>
<reference value="Questionnaire/3-gyn"/>
</entry>
<entry>
<reference value="QuestionnaireResponse/3-gyn"/>
</entry>
<entry>
<reference value="ServiceRequest/3-gyn"/>
</entry>
</section>
</Composition>
</resource>
</entry>
<!-- entry[1] ch-core-Patient -->
<entry>
<fullUrl value="http://example.com/fhir/Patient/MarinaRubella"/>
<resource>
<Patient>
<id value="MarinaRubella"/>
<meta>
<profile
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>Birth Place</b>: Mendrisio Schweiz </p><p><b>Place of origin according to eCH-0011</b>: Airolo TI </p><p><b>religion</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/v3-ReligiousAffiliation 1077}">Protestant</span></p><p><b>identifier</b>: Medical record number: 012/08.111106</p><p><b>name</b>: Marina Rubella (OFFICIAL), Meier (MAIDEN)</p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1992-08-08</p><p><b>maritalStatus</b>: <span title="Codes: {http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus 2}">verheiratet</span></p><h3>Communications</h3><table class="grid"><tr><td>-</td><td><b>Language</b></td><td><b>Preferred</b></td></tr><tr><td>*</td><td><span title="Codes: {urn:ietf:bcp:47 it-CH}">Italienisch (Schweiz)</span></td><td>true</td></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/patient-birthPlace">
<valueAddress>
<city value="Mendrisio"/>
<country value="Schweiz"/>
</valueAddress>
</extension>
<extension
url="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeoforigin">
<valueAddress>
<city value="Airolo"/>
<state value="TI"/>
</valueAddress>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/patient-religion">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ReligiousAffiliation"/>
<code value="1077"/>
<display value="Protestant"/>
</coding>
</valueCodeableConcept>
</extension>
<identifier>
<type>
<!-- Medical Record Number -->
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
</coding>
</type>
<system value="urn:oid:2.16.756.5.30.999999.1"/>
<value value="012/08.111106"/>
</identifier>
<name>
<use value="official"/>
<family value="Rubella">
<extension
url="http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name">
<valueCode value="officialName"/>
</extension>
</family>
<given value="Marina">
<extension
url="http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname">
<valueCode value="officialFirstName"/>
</extension>
</given>
</name>
<name>
<use value="maiden"/>
<family value="Meier">
<extension
url="http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name">
<valueCode value="originalName"/>
</extension>
</family>
</name>
<gender value="female"/>
<birthDate value="1992-08-08"/>
<maritalStatus>
<coding>
<system
value="http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus"/>
<code value="2"/>
<display value="verheiratet"/>
</coding>
</maritalStatus>
<communication>
<language>
<coding>
<system value="urn:ietf:bcp:47"/>
<code value="it-CH"/>
</coding>
<text value="Italienisch (Schweiz)"/>
</language>
<preferred value="true"/>
</communication>
</Patient>
</resource>
</entry>
<!-- entry[2] practitioner -->
<entry>
<fullUrl value="http://example.com/fhir/Practitioner/PeterPap"/>
<resource>
<Practitioner>
<id value="MarcApgar"/>
<meta>
<profile
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 7601000050717</p><p><b>name</b>: Marc Agpar </p><p><b>telecom</b>: <a href="mailto:marc.apgar@spitalseeblick.ch">marc.apgar@spitalseeblick.ch</a></p></div>
</text>
<identifier>
<system value="urn:oid:2.51.1.3"/>
<value value="7601000050717"/>
</identifier>
<name>
<family value="Agpar"/>
<given value="Marc"/>
</name>
<telecom>
<system value="email"/>
<value value="marc.apgar@spitalseeblick.ch"/>
<use value="work"/>
</telecom>
</Practitioner>
</resource>
</entry>
<!-- entry[3] organisation -->
<entry>
<fullUrl value="http://example.com/fhir/Organization/Gruppenpraxis"/>
<resource>
<Organization>
<id value="Gruppenpraxis"/>
<meta>
<profile
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>name</b>: Gruppenpraxis Olten</p><p><b>address</b>: Gerbergasse 12 Olten 4600 CH </p></div>
</text>
<name value="Gruppenpraxis Olten"/>
<address>
<line value="Gerbergasse 12"/>
<city value="Olten"/>
<postalCode value="4600"/>
<country value="CH"/>
</address>
</Organization>
</resource>
</entry>
<!-- entry[4] practitionerrole -->
<entry>
<fullUrl
value="http://example.com/fhir/PractitionerRole/PeterPapGruppenpraxis"/>
<resource>
<PractitionerRole>
<id value="PeterPapGruppenpraxis"/>
<meta>
<profile
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>practitioner</b>: <a href="Practitioner-PeterPap.html">Generated Summary: id: 7601000050703; Peter Pap (OFFICIAL); Phone: 032 333 22 40, peter.pap@gruppenpraxis.ch</a></p><p><b>organization</b>: <a href="#Organization_Gruppenpraxis">See above (Organization/Gruppenpraxis)</a></p></div>
</text>
<practitioner>
<reference value="Practitioner/PeterPap"/>
</practitioner>
<organization>
<reference value="Organization/Gruppenpraxis"/>
</organization>
</PractitionerRole>
</resource>
</entry>
<!-- entry[5] questionnaire -->
<entry>
<fullUrl value="http://example.com/fhir/Questionnaire/3-gyn"/>
<resource>
<Questionnaire>
<id value="3-gyn"/>
<meta>
<versionId value="1"/>
<lastUpdated value="2019-04-01T20:17:53.340+00:00"/>
<profile
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-questionnaire"/>
<profile
value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire"/>
<profile
value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-extract"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>Target structure map</b>: <a href="http://fhir.ch/ig/ch-orf/StructureMap/OrfQrToBundle">http://fhir.ch/ig/ch-orf/StructureMap/OrfQrToBundle</a></p><p><b>Source structure map</b>: <a href="http://fhir.ch/ig/ch-orf/StructureMap/OrfPrepopBundleToQr">http://fhir.ch/ig/ch-orf/StructureMap/OrfPrepopBundleToQr</a></p><blockquote><p><b>Launch context resources</b></p><h3>Urls</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: Bundle</p><h3>Urls</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: Bundle</p><h3>Urls</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: The Bundle that is to be used to pre-populate the form</p></blockquote><p><b>url</b>: <code>http://fhir.ch/ig/ch-lab-order/Questionnaire/3-gyn</code></p><p><b>version</b>: 0.9.1</p><p><b>name</b>: LabOrderExample</p><p><b>title</b>: Lab Order Example</p><p><b>status</b>: active</p><p><b>subjectType</b>: Patient</p><p><b>date</b>: 2020-12-17</p><p><b>publisher</b>: HL7 Switzerland</p><p><b>contact</b>: HL7 Switzerland: <a href="https://www.hl7.ch/">https://www.hl7.ch/</a></p><p><b>jurisdiction</b>: <span title="Codes: {urn:iso:std:iso:3166 CH}">Switzerland</span></p><p><b>copyright</b>: CC-BY-SA-4.0</p><blockquote><p><b>item</b></p><p><b>linkId</b>: order</p><p><b>text</b>: Auftrag</p><p><b>type</b>: group</p><p><b>required</b>: true</p><blockquote><p><b>item</b></p><p><b>linkId</b>: order.title</p><p><b>text</b>: Titel</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.type</p><p><b>text</b>: Typ</p><p><b>type</b>: choice</p><p><b>answerValueSet</b>: <a href="http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.typeCode">http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.typeCode</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.category</p><p><b>text</b>: Kategorie</p><p><b>type</b>: choice</p><p><b>answerValueSet</b>: <a href="http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.classCode">http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.classCode</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.placerOrderIdentifier</p><p><b>text</b>: Auftragsnummer des Auftraggebers</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>hidden</b>: true</p><p><b>linkId</b>: order.placerOrderIdentifierDomain</p><p><b>text</b>: Identifier Domain der Auftragsnummer des Auftraggebers</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.fillerOrderIdentifier</p><p><b>text</b>: Auftragsnummer des Auftragsempfängers</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>hidden</b>: true</p><p><b>linkId</b>: order.fillerOrderIdentifierDomain</p><p><b>text</b>: Identifier Domain der Auftragsnummer des Auftragsempfängers</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>hidden</b>: true</p><p><b>linkId</b>: order.precedentDocumentIdentifier</p><p><b>text</b>: Identifier des Vorgängerdokuments</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.notificationContactDocument</p><p><b>text</b>: Dringender Benachrichtigungskontakt für dieses Dokument</p><p><b>type</b>: group</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>: order.notificationContactDocumentResponse</p><p><b>text</b>: Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument</p><p><b>type</b>: group</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>: order.priority</p><p><b>text</b>: Auftragspriorität</p><p><b>type</b>: choice</p><h3>AnswerOptions</h3><table class="grid"><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>: receiver</p><p><b>text</b>: Empfänger</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p><p><b>linkId</b>: receiver.practitioner</p><p><b>text</b>: Empfangende Person</p><p><b>type</b>: group</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></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiver.organization</p><p><b>text</b>: Empfangende Organisation</p><p><b>type</b>: group</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>: patient</p><p><b>text</b>: Patient</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.familyName</p><p><b>text</b>: Name</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.maidenName</p><p><b>text</b>: Ledigname</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.givenName</p><p><b>text</b>: Vorname</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.localPid</p><p><b>text</b>: Lokale Patienten-ID</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.birthDate</p><p><b>text</b>: Geburtsdatum</p><p><b>type</b>: date</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.gender</p><p><b>text</b>: Geschlecht</p><p><b>type</b>: choice</p><h3>AnswerOptions</h3><table class="grid"><tr><td>-</td></tr><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.phone</p><p><b>text</b>: Telefon</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.email</p><p><b>text</b>: E-Mail</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.streetAddressLine</p><p><b>text</b>: Strasse, Hausnummer, Postfach etc.</p><p><b>type</b>: string</p><p><b>repeats</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.postalCode</p><p><b>text</b>: PLZ</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.city</p><p><b>text</b>: Ort</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.country</p><p><b>text</b>: Land</p><p><b>type</b>: string</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: sender</p><p><b>text</b>: Absender</p><p><b>type</b>: group</p><p><b>required</b>: true</p><blockquote><p><b>item</b></p><p><b>linkId</b>: sender.author</p><p><b>text</b>: Verantwortlicher</p><p><b>type</b>: group</p><p><b>required</b>: true</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><p><b>type</b>: group</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>: receiverCopies</p><p><b>text</b>: Kopieempfänger</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p><p><b>linkId</b>: receiverCopy</p><p><b>text</b>: Kopieempfangende Organisation oder Person</p><p><b>type</b>: group</p><p><b>repeats</b>: true</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><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: cytology</p><p><b>text</b>: Cytology and Microbiology</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p><p><b>linkId</b>: cervicalSmear</p><p><b>text</b>: Cervical Smear</p><p><b>type</b>: choice</p><p><b>repeats</b>: true</p><h3>AnswerOptions</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>: urin</p><p><b>text</b>: Urin</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p><p><b>linkId</b>: combur9</p><p><b>text</b>: Combur-9</p><p><b>type</b>: choice</p><p><b>repeats</b>: true</p><h3>AnswerOptions</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>: obstetricalPanels</p><p><b>text</b>: Schwangerschaftsvorsorge</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p><p><b>linkId</b>: obstetric</p><p><b>text</b>: Obstetric 1996 panel – Serum and Blood</p><p><b>type</b>: choice</p><p><b>repeats</b>: true</p><h3>AnswerOptions</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote></blockquote></div>
</text>
<!-- extensions -->
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-targetStructureMap">
<valueCanonical
value="http://fhir.ch/ig/ch-orf/StructureMap/OrfQrToBundle"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-sourceStructureMap">
<valueCanonical
value="http://fhir.ch/ig/ch-orf/StructureMap/OrfPrepopBundleToQr"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext">
<extension url="name">
<valueId value="Bundle"/>
</extension>
<extension url="type">
<valueCode value="Bundle"/>
</extension>
<extension url="description">
<valueString
value="The Bundle that is to be used to pre-populate the form"/>
</extension>
</extension>
<url value="http://fhir.ch/ig/ch-lab-order/Questionnaire/3-gyn"/>
<version value="0.9.1"/>
<name value="LabOrderExample"/>
<title value="Lab Order Example"/>
<status value="active"/>
<subjectType value="Patient"/>
<date value="2020-12-17"/>
<publisher value="HL7 Switzerland"/>
<contact>
<name value="HL7 Switzerland"/>
<telecom>
<system value="url"/>
<value value="https://www.hl7.ch/"/>
</telecom>
</contact>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="CH"/>
</coding>
</jurisdiction>
<copyright value="CC-BY-SA-4.0"/>
<!-- item[0] Questionnaire Example: order -->
<item>
<linkId value="order"/>
<text value="Auftrag"/>
<type value="group"/>
<required value="true"/>
<item>
<linkId value="order.title"/>
<text value="Titel"/>
<type value="string"/>
</item>
<item>
<linkId value="order.type"/>
<text value="Typ"/>
<type value="choice"/>
<answerValueSet
value="http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.typeCode"/>
</item>
<item>
<linkId value="order.category"/>
<text value="Kategorie"/>
<type value="choice"/>
<answerValueSet
value="http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.classCode"/>
</item>
<item>
<linkId value="order.placerOrderIdentifier"/>
<text value="Auftragsnummer des Auftraggebers"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
<valueBoolean value="true"/>
</extension>
<linkId value="order.placerOrderIdentifierDomain"/>
<text value="Identifier Domain der Auftragsnummer des Auftraggebers"/>
<type value="string"/>
</item>
<item>
<linkId value="order.fillerOrderIdentifier"/>
<text value="Auftragsnummer des Auftragsempfängers"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
<valueBoolean value="true"/>
</extension>
<linkId value="order.fillerOrderIdentifierDomain"/>
<text
value="Identifier Domain der Auftragsnummer des Auftragsempfängers"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
<valueBoolean value="true"/>
</extension>
<linkId value="order.precedentDocumentIdentifier"/>
<text value="Identifier des Vorgängerdokuments"/>
<type value="string"/>
</item>
<item>
<linkId value="order.notificationContactDocument"/>
<text
value="Dringender Benachrichtigungskontakt für dieses Dokument"/>
<type value="group"/>
<item>
<linkId value="order.notificationContactDocument.practitioner"/>
<text value="Zu benachrichtigende Person"/>
<type value="group"/>
<item>
<linkId
value="order.notificationContactDocument.practitioner.title"/>
<text value="Titel"/>
<type value="string"/>
</item>
<item>
<linkId
value="order.notificationContactDocument.practitioner.familyName"/>
<text value="Name"/>
<type value="string"/>
</item>
<item>
<linkId
value="order.notificationContactDocument.practitioner.givenName"/>
<text value="Vorname"/>
<type value="string"/>
</item>
<item>
<linkId
value="order.notificationContactDocument.practitioner.phone"/>
<text value="Telefon"/>
<type value="string"/>
</item>
<item>
<linkId
value="order.notificationContactDocument.practitioner.email"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
</item>
</item>
<item>
<linkId value="order.notificationContactDocumentResponse"/>
<text
value="Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument"/>
<type value="group"/>
<item>
<linkId
value="order.notificationContactDocumentResponse.practitioner"/>
<text value="Zu benachrichtigende Person"/>
<type value="group"/>
<item>
<linkId
value="order.notificationContactDocumentResponse.practitioner.title"/>
<text value="Titel"/>
<type value="string"/>
</item>
<item>
<linkId
value="order.notificationContactDocumentResponse.practitioner.familyName"/>
<text value="Name"/>
<type value="string"/>
</item>
<item>
<linkId
value="order.notificationContactDocumentResponse.practitioner.givenName"/>
<text value="Vorname"/>
<type value="string"/>
</item>
<item>
<linkId
value="order.notificationContactDocumentResponse.practitioner.phone"/>
<text value="Telefon"/>
<type value="string"/>
</item>
<item>
<linkId
value="order.notificationContactDocumentResponse.practitioner.email"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
</item>
</item>
<item>
<linkId value="order.priority"/>
<text value="Auftragspriorität"/>
<type value="choice"/>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/request-priority"/>
<code value="routine"/>
<display value="Die Anfrage hat normale Priorität."/>
</valueCoding>
<initialSelected value="true"/>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/request-priority"/>
<code value="urgent"/>
<display
value="Die Anfrage sollte dringend bearbeitet werden - höhere Priorität als normal."/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/request-priority"/>
<code value="asap"/>
<display
value="Die Anfrage sollte so schnell wie möglich bearbeitet werden - höhere Priorität als dringend."/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/request-priority"/>
<code value="stat"/>
<display
value="Die Anfrage sollte sofort bearbeitet werden - höchstmögliche Priorität. Z.B. bei einem Notfall."/>
</valueCoding>
</answerOption>
</item>
</item>
<!-- item[1] Receiver: Person/organization who receives the request -->
<item>
<linkId value="receiver"/>
<text value="Empfänger"/>
<type value="group"/>
<item>
<linkId value="receiver.practitioner"/>
<text value="Empfangende Person"/>
<type value="group"/>
<item>
<linkId value="receiver.practitioner.title"/>
<text value="Titel"/>
<type value="string"/>
</item>
<item>
<linkId value="receiver.practitioner.familyName"/>
<text value="Name"/>
<type value="string"/>
</item>
<item>
<linkId value="receiver.practitioner.givenName"/>
<text value="Vorname"/>
<type value="string"/>
</item>
<item>
<linkId value="receiver.practitioner.gln"/>
<text value="GLN"/>
<type value="string"/>
</item>
<item>
<linkId value="receiver.practitioner.phone"/>
<text value="Telefon"/>
<type value="string"/>
</item>
<item>
<linkId value="receiver.practitioner.email"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
</item>
<item>
<linkId value="receiver.organization"/>
<text value="Empfangende Organisation"/>
<type value="group"/>
<item>
<linkId value="receiver.organization.name"/>
<text value="Name der Organisation"/>
<type value="string"/>
</item>
<item>
<linkId value="receiver.organization.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<type value="string"/>
<repeats value="true"/>
</item>
<item>
<linkId value="receiver.organization.postalCode"/>
<text value="PLZ"/>
<type value="string"/>
</item>
<item>
<linkId value="receiver.organization.city"/>
<text value="Ort"/>
<type value="string"/>
</item>
<item>
<linkId value="receiver.organization.country"/>
<text value="Land"/>
<type value="string"/>
</item>
</item>
</item>
<!-- item[2] Patient: The principle target of a particular Form Content is one patient -->
<item>
<linkId value="patient"/>
<text value="Patient"/>
<type value="group"/>
<item>
<linkId value="patient.familyName"/>
<text value="Name"/>
<type value="string"/>
</item>
<item>
<linkId value="patient.maidenName"/>
<text value="Ledigname"/>
<type value="string"/>
</item>
<item>
<linkId value="patient.givenName"/>
<text value="Vorname"/>
<type value="string"/>
</item>
<item>
<linkId value="patient.localPid"/>
<text value="Lokale Patienten-ID"/>
<type value="string"/>
</item>
<item>
<linkId value="patient.birthDate"/>
<text value="Geburtsdatum"/>
<type value="date"/>
</item>
<item>
<linkId value="patient.gender"/>
<text value="Geschlecht"/>
<type value="choice"/>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/administrative-gender"/>
<code value="male"/>
<display value="Männlich"/>
</valueCoding>
<initialSelected value="true"/>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/administrative-gender"/>
<code value="female"/>
<display value="Weiblich"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/administrative-gender"/>
<code value="other"/>
<display value="Anderes"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="patient.phone"/>
<text value="Telefon"/>
<type value="string"/>
</item>
<item>
<linkId value="patient.email"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
<item>
<linkId value="patient.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<type value="string"/>
<repeats value="true"/>
</item>
<item>
<linkId value="patient.postalCode"/>
<text value="PLZ"/>
<type value="string"/>
</item>
<item>
<linkId value="patient.city"/>
<text value="Ort"/>
<type value="string"/>
</item>
<item>
<linkId value="patient.country"/>
<text value="Land"/>
<type value="string"/>
</item>
</item>
<!-- item[3] sender, sender.author -->
<item>
<linkId value="sender"/>
<text value="Absender"/>
<type value="group"/>
<required value="true"/>
<item>
<linkId value="sender.author"/>
<text value="Verantwortlicher"/>
<type value="group"/>
<required value="true"/>
<item>
<linkId value="sender.author.practitioner"/>
<text value="Verantwortliche Person"/>
<type value="group"/>
<item>
<linkId value="sender.author.practitioner.title"/>
<text value="Titel"/>
<type value="string"/>
</item>
<item>
<linkId value="sender.author.practitioner.familyName"/>
<text value="Name"/>
<type value="string"/>
</item>
<item>
<linkId value="sender.author.practitioner.givenName"/>
<text value="Vorname"/>
<type value="string"/>
</item>
<item>
<linkId value="sender.author.practitioner.gln"/>
<text value="GLN"/>
<type value="string"/>
</item>
<item>
<linkId value="sender.author.practitioner.phone"/>
<text value="Telefon"/>
<type value="string"/>
</item>
<item>
<linkId value="sender.author.practitioner.email"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
</item>
<item>
<linkId value="sender.author.organization"/>
<text value="Verantwortliche Organisation"/>
<type value="group"/>
<item>
<linkId value="sender.author.organization.name"/>
<text value="Name der Organisation"/>
<type value="string"/>
</item>
<item>
<linkId value="sender.author.organization.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<type value="string"/>
<repeats value="true"/>
</item>
<item>
<linkId value="sender.author.organization.postalCode"/>
<text value="PLZ"/>
<type value="string"/>
</item>
<item>
<linkId value="sender.author.organization.city"/>
<text value="Ort"/>
<type value="string"/>
</item>
<item>
<linkId value="sender.author.organization.country"/>
<text value="Land"/>
<type value="string"/>
</item>
</item>
</item>
<item>
<linkId value="sender.dataenterer"/>
<text value="Erfasser"/>
<type value="group"/>
<item>
<linkId value="sender.dataenterer.practitioner"/>
<text value="Erfassende Person"/>
<type value="group"/>
<item>
<linkId value="sender.dataenterer.practitioner.familyName"/>
<text value="Name"/>
<type value="string"/>
</item>
<item>
<linkId value="sender.dataenterer.practitioner.givenName"/>
<text value="Vorname"/>
<type value="string"/>
</item>
<item>
<linkId value="sender.dataenterer.practitioner.phone"/>
<text value="Telefon"/>
<type value="string"/>
</item>
<item>
<linkId value="sender.dataenterer.practitioner.email"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
</item>
</item>
</item>
<!-- item[4] receiverCopies, e.g. Patient, other HC-Organisation -->
<item>
<linkId value="receiverCopies"/>
<text value="Kopieempfänger"/>
<type value="group"/>
<item>
<linkId value="receiverCopy"/>
<text value="Kopieempfangende Organisation oder Person"/>
<type value="group"/>
<repeats value="true"/>
<item>
<linkId value="receiverCopy.organization.name"/>
<text value="Name der Organisation"/>
<type value="string"/>
</item>
<item>
<linkId value="receiverCopy.title"/>
<text value="Titel"/>
<type value="string"/>
</item>
<item>
<linkId value="receiverCopy.familyName"/>
<text value="Name"/>
<type value="string"/>
</item>
<item>
<linkId value="receiverCopy.givenName"/>
<text value="Vorname"/>
<type value="string"/>
</item>
<item>
<linkId value="receiverCopy.phone"/>
<text value="Telefon"/>
<type value="string"/>
</item>
<item>
<linkId value="receiverCopy.email"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
<item>
<linkId value="receiverCopy.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<type value="string"/>
<repeats value="true"/>
</item>
<item>
<linkId value="receiverCopy.postalCode"/>
<text value="PLZ"/>
<type value="string"/>
</item>
<item>
<linkId value="receiverCopy.city"/>
<text value="Ort"/>
<type value="string"/>
</item>
<item>
<linkId value="receiverCopy.country"/>
<text value="Land"/>
<type value="string"/>
</item>
</item>
</item>
<!-- item[5] lab specialty, here: Cytology and Microbiology -->
<item>
<linkId value="cytology"/>
<text value="Cytology and Microbiology"/>
<type value="group"/>
<item>
<linkId value="cervicalSmear"/>
<text value="Cervical Smear"/>
<type value="choice"/>
<repeats value="true"/>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="86662-4"/>
<display value="Pap smear tests - FPAR 2.0 set"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="14503-7"/>
<display
value="Human papilloma virus 16+18 Ag [Presence] in Cervix"/>
</valueCoding>
</answerOption>
</item>
</item>
<!-- item[6] lab specialty, here: Urin Analysis -->
<item>
<linkId value="urin"/>
<text value="Urin"/>
<type value="group"/>
<item>
<linkId value="combur9"/>
<text value="Combur-9"/>
<type value="choice"/>
<repeats value="true"/>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="50556-0"/>
<display
value="Urinalysis dipstick panel - Urine by Automated test strip"/>
</valueCoding>
</answerOption>
</item>
</item>
<!-- item[7] lab specialty, here: Obstetrical Panels -->
<item>
<linkId value="obstetricalPanels"/>
<text value="Schwangerschaftsvorsorge"/>
<type value="group"/>
<!-- Rotes BB, Diff BB, Hepatitis B, Rubella, AB0 Rhesus -->
<item>
<linkId value="obstetric"/>
<text value="Obstetric 1996 panel – Serum and Blood"/>
<type value="choice"/>
<repeats value="true"/>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="24364-2"/>
<display value="Obstetric 1996 Pnl Ser+Bld"/>
</valueCoding>
</answerOption>
</item>
</item>
</Questionnaire>
</resource>
</entry>
<!-- entry[6] questionnaireResponse -->
<entry>
<fullUrl value="http://example.com/fhir/QuestionnaireResponse/3-gyn"/>
<resource>
<QuestionnaireResponse>
<id value="3-gyn"/>
<meta>
<versionId value="1"/>
<lastUpdated value="2019-04-01T20:17:53.340+00:00"/>
<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-lab-order/Questionnaire/3-gyn">http://fhir.ch/ig/ch-lab-order/Questionnaire/3-gyn</a></p><p><b>status</b>: completed</p><blockquote><p><b>item</b></p><p><b>linkId</b>: order</p><p><b>text</b>: Auftrag</p><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.precedentDocumentIdentifier</p><p><b>text</b>: Identifier des Vorgängerdokuments</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.notificationContactDocument</p><p><b>text</b>: Dringender Benachrichtigungskontakt für dieses Dokument</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>: order.notificationContactDocumentResponse</p><p><b>text</b>: Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument</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>: 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>: receiver</p><p><b>text</b>: Empfänger</p><blockquote><p><b>item</b></p><p><b>linkId</b>: receiver.practitioner</p><p><b>text</b>: Empfangende 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></table></blockquote><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>: 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.localPid</p><p><b>text</b>: Lokale Patienten-ID</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>: 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>: 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></table></blockquote><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>: cytology</p><p><b>text</b>: Cytology and Microbiology</p><blockquote><p><b>item</b></p><p><b>linkId</b>: cervicalSmear</p><p><b>text</b>: Cervical Smear</p><h3>Answers</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>: urin</p><p><b>text</b>: Urin</p><blockquote><p><b>item</b></p><p><b>linkId</b>: combur9</p><p><b>text</b>: Combur-9</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>: obstetricalPanels</p><p><b>text</b>: Schwangerschaftsvorsorge</p><blockquote><p><b>item</b></p><p><b>linkId</b>: obstetric</p><p><b>text</b>: Obstetric 1996 panel – Serum and Blood</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-lab-order/Questionnaire/3-gyn"/>
<status value="completed"/>
<!-- item[0] order -->
<item>
<linkId value="order"/>
<text value="Auftrag"/>
<!-- item[0][0]order.placerOrderIdentifier -->
<item>
<linkId value="order.placerOrderIdentifier"/>
<text value="Auftragsnummer des Auftraggebers"/>
<answer>
<valueString value="123"/>
</answer>
</item>
<!-- item[0][1]order.placerOrderIdentifierDomain -->
<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[0][2]order.precedentDocumentIdentifier -->
<item>
<linkId value="order.precedentDocumentIdentifier"/>
<text value="Identifier des Vorgängerdokuments"/>
<answer>
<valueString value="1622f2fb-6ba3-4532-9aed-35b158def187"/>
</answer>
</item>
<!-- item[0][3]order.notificationContactDocument -->
<item>
<linkId value="order.notificationContactDocument"/>
<text
value="Dringender Benachrichtigungskontakt für dieses Dokument"/>
<item>
<linkId value="order.notificationContactDocument.practitioner"/>
<text value="Zu benachrichtigende Person"/>
<item>
<linkId
value="order.notificationContactDocument.practitioner.title"/>
<text value="Titel"/>
<answer>
<valueString value="Dr. med."/>
</answer>
</item>
<item>
<linkId
value="order.notificationContactDocument.practitioner.familyName"/>
<text value="Name"/>
<answer>
<valueString value="Erlenmeyer"/>
</answer>
</item>
<item>
<linkId
value="order.notificationContactDocument.practitioner.givenName"/>
<text value="Vorname"/>
<answer>
<valueString value="Eva"/>
</answer>
</item>
<item>
<linkId
value="order.notificationContactDocument.practitioner.phone"/>
<text value="Telefon"/>
<answer>
<valueString value="044 333 22 11"/>
</answer>
</item>
<item>
<linkId
value="order.notificationContactDocument.practitioner.email"/>
<text value="E-Mail"/>
<answer>
<valueString value="eva.erlenmeyer@labor-pipette.ch"/>
</answer>
</item>
</item>
</item>
<!-- item[0][4]order.notificationContactDocumentResponse -->
<item>
<linkId value="order.notificationContactDocumentResponse"/>
<text
value="Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument"/>
<item>
<linkId
value="order.notificationContactDocumentResponse.practitioner"/>
<text value="Zu benachrichtigende Person"/>
<item>
<linkId
value="order.notificationContactDocumentResponse.practitioner.title"/>
<text value="Titel"/>
<answer>
<valueString value="Dr. med."/>
</answer>
</item>
<item>
<linkId
value="order.notificationContactDocumentResponse.practitioner.familyName"/>
<text value="Name"/>
<answer>
<valueString value="Pap"/>
</answer>
</item>
<item>
<linkId
value="order.notificationContactDocumentResponse.practitioner.givenName"/>
<text value="Vorname"/>
<answer>
<valueString value="Peter"/>
</answer>
</item>
<item>
<linkId
value="order.notificationContactDocumentResponse.practitioner.phone"/>
<text value="Telefon"/>
<answer>
<valueString value="032 333 22 40"/>
</answer>
</item>
<item>
<linkId
value="order.notificationContactDocumentResponse.practitioner.email"/>
<text value="E-Mail"/>
<answer>
<valueString value="peter.pap@gruppenpraxis.ch"/>
</answer>
</item>
</item>
</item>
<!-- item[0][5]order.priority -->
<item>
<linkId value="order.priority"/>
<text value="Auftragspriorität"/>
<answer>
<valueCoding>
<system value="http://hl7.org/fhir/request-priority"/>
<code value="routine"/>
</valueCoding>
</answer>
</item>
</item>
<!-- item[1] receiver, Person/organization who receives order -->
<item>
<linkId value="receiver"/>
<text value="Empfänger"/>
<!-- item[1][0] receiver Practitioner who receives order -->
<item>
<linkId value="receiver.practitioner"/>
<text value="Empfangende Person"/>
<item>
<linkId value="receiver.practitioner.title"/>
<text value="Titel"/>
<answer>
<valueString value="Dr. med."/>
</answer>
</item>
<item>
<linkId value="receiver.practitioner.familyName"/>
<text value="Name"/>
<answer>
<valueString value="Erlenmeyer"/>
</answer>
</item>
<item>
<linkId value="receiver.practitioner.givenName"/>
<text value="Vorname"/>
<answer>
<valueString value="Eva"/>
</answer>
</item>
<item>
<linkId value="receiver.practitioner.gln"/>
<text value="GLN"/>
<answer>
<valueString value="7601000050703"/>
</answer>
</item>
<item>
<linkId value="receiver.practitioner.phone"/>
<text value="Telefon"/>
<answer>
<valueString value="+41322552525"/>
</answer>
</item>
<item>
<linkId value="receiver.practitioner.email"/>
<text value="E-Mail"/>
<answer>
<valueString value="eva.erlenmeyer@labor-pipette.ch"/>
</answer>
</item>
</item>
<!-- item[1][1] receiver Organization which receives order -->
<item>
<linkId value="receiver.organization"/>
<text value="Empfangende Organisation"/>
<item>
<linkId value="receiver.organization.name"/>
<text value="Name der Organisation"/>
<answer>
<valueString value="Labor Pipette"/>
</answer>
</item>
<item>
<linkId value="receiver.organization.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<answer>
<valueString value="Laborstrasse 23"/>
</answer>
<answer>
<valueString value="Postfach 44"/>
</answer>
</item>
<item>
<linkId value="receiver.organization.postalCode"/>
<text value="PLZ"/>
<answer>
<valueString value="4600"/>
</answer>
</item>
<item>
<linkId value="receiver.organization.city"/>
<text value="Ort"/>
<answer>
<valueString value="Olten"/>
</answer>
</item>
<item>
<linkId value="receiver.organization.country"/>
<text value="Land"/>
<answer>
<valueString value="Schweiz"/>
</answer>
</item>
</item>
</item>
<!-- item[2] patient -->
<item>
<linkId value="patient"/>
<text value="Patient"/>
<item>
<linkId value="patient.familyName"/>
<text value="Name"/>
<answer>
<valueString value="Rubella"/>
</answer>
</item>
<item>
<linkId value="patient.maidenName"/>
<text value="Ledigname"/>
<!-- @value kann nicht leer sein -->
<answer>
<valueString value="Berlusconi"/>
</answer>
</item>
<item>
<linkId value="patient.givenName"/>
<text value="Vorname"/>
<answer>
<valueString value="Marina"/>
</answer>
</item>
<item>
<linkId value="patient.localPid"/>
<text value="Lokale Patienten-ID"/>
<answer>
<valueString value="11.22.33.5678"/>
</answer>
</item>
<item>
<linkId value="patient.birthDate"/>
<text value="Geburtsdatum"/>
<answer>
<valueDate value="1981-01-01"/>
</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="079 979 79 79"/>
</answer>
</item>
<item>
<linkId value="patient.email"/>
<text value="E-Mail"/>
<answer>
<valueString value="marina.rubella@example.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[3] sender, sender.author -->
<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="Pap"/>
</answer>
</item>
<item>
<linkId value="sender.author.practitioner.givenName"/>
<text value="Vorname"/>
<answer>
<valueString value="Peter"/>
</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="032 333 22 40"/>
</answer>
</item>
<item>
<linkId value="sender.author.practitioner.email"/>
<text value="E-Mail"/>
<answer>
<valueString value="peter.pap@gruppenpraxis.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="Gruppenpraxis Olten"/>
</answer>
</item>
<item>
<linkId value="sender.author.organization.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<answer>
<valueString value="Gerbergasse 12"/>
</answer>
<answer>
<valueString value="Postfach 55"/>
</answer>
</item>
<item>
<linkId value="sender.author.organization.postalCode"/>
<text value="PLZ"/>
<answer>
<valueString value="4600"/>
</answer>
</item>
<item>
<linkId value="sender.author.organization.city"/>
<text value="Ort"/>
<answer>
<valueString value="Olten"/>
</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="Federer"/>
</answer>
</item>
<item>
<linkId value="sender.dataenterer.practitioner.givenName"/>
<text value="Vorname"/>
<answer>
<valueString value="Alice"/>
</answer>
</item>
<item>
<linkId value="sender.dataenterer.practitioner.phone"/>
<text value="Telefon"/>
<answer>
<valueString value="044 222 22 12"/>
</answer>
</item>
<item>
<linkId value="sender.dataenterer.practitioner.email"/>
<text value="E-Mail"/>
<answer>
<valueString value="alice.federer@praxisseeblick.ch"/>
</answer>
</item>
</item>
</item>
</item>
<!-- item[4] receiverCopies, e.g. Patient, other HC-Organisation -->
<item>
<linkId value="receiverCopies"/>
<text value="Kopieempfänger"/>
<item>
<linkId value="receiverCopy"/>
<text value="Kopieempfangende Organisation oder Person"/>
<item>
<linkId value="receiverCopy.organization.name"/>
<text value="Name der Organisation"/>
<answer>
<valueString value="Praxis Seeblick"/>
</answer>
</item>
<item>
<linkId value="receiverCopy.title"/>
<text value="Titel"/>
<answer>
<valueString value="Dr. med."/>
</answer>
</item>
<item>
<linkId value="receiverCopy.familyName"/>
<text value="Name"/>
<answer>
<valueString value="Meier"/>
</answer>
</item>
<item>
<linkId value="receiverCopy.givenName"/>
<text value="Vorname"/>
<answer>
<valueString value="Sabine"/>
</answer>
</item>
<item>
<linkId value="receiverCopy.phone"/>
<text value="Telefon"/>
<answer>
<valueString value="044 333 22 11"/>
</answer>
</item>
<item>
<linkId value="receiverCopy.email"/>
<text value="E-Mail"/>
<answer>
<valueString value="sabine.meier@praxisseeblick.ch"/>
</answer>
</item>
</item>
<item>
<linkId value="receiverCopy"/>
<text value="Kopieempfangende Organisation oder Person"/>
<item>
<linkId value="receiverCopy.familyName"/>
<text value="Name"/>
<answer>
<valueString value="Rubella"/>
</answer>
</item>
<item>
<linkId value="receiverCopy.givenName"/>
<text value="Vorname"/>
<answer>
<valueString value="Marina"/>
</answer>
</item>
<item>
<linkId value="receiverCopy.phone"/>
<text value="Telefon"/>
<answer>
<valueString value="+41 64 123 45 67"/>
</answer>
</item>
<item>
<linkId value="receiverCopy.email"/>
<text value="E-Mail"/>
<answer>
<valueString value="marina.rubella@example.ch"/>
</answer>
</item>
<item>
<linkId value="receiverCopy.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<answer>
<valueString value="Via del bosco"/>
</answer>
<answer>
<valueString value="88"/>
</answer>
</item>
<item>
<linkId value="receiverCopy.postalCode"/>
<text value="PLZ"/>
<answer>
<valueString value="6780"/>
</answer>
</item>
<item>
<linkId value="receiverCopy.city"/>
<text value="Ort"/>
<answer>
<valueString value="Airolo"/>
</answer>
</item>
<item>
<linkId value="receiverCopy.country"/>
<text value="Land"/>
<answer>
<valueString value="Schweiz"/>
</answer>
</item>
</item>
</item>
<!-- item[5] lab specialty, here: Cytology and Microbiology -->
<item>
<linkId value="cytology"/>
<text value="Cytology and Microbiology"/>
<item>
<linkId value="cervicalSmear"/>
<text value="Cervical Smear"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="86662-4"/>
<display value="Pap smear tests - FPAR 2.0 set"/>
</valueCoding>
</answer>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="14503-7"/>
<display
value="Human papilloma virus 16+18 Ag [Presence] in Cervix"/>
</valueCoding>
</answer>
</item>
</item>
<!-- item[6] lab specialty, here: Urin Analysis -->
<item>
<linkId value="urin"/>
<text value="Urin"/>
<item>
<linkId value="combur9"/>
<text value="Combur-9"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="50556-0"/>
<display
value="Urinalysis dipstick panel - Urine by Automated test strip"/>
</valueCoding>
</answer>
</item>
</item>
<!-- item[7] lab specialty, here: Obstetrical Panels -->
<item>
<linkId value="obstetricalPanels"/>
<text value="Schwangerschaftsvorsorge"/>
<!-- Rotes BB, Diff BB, Hepatitis B, Rubella, AB0 Rhesus -->
<item>
<linkId value="obstetric"/>
<text value="Obstetric 1996 panel – Serum and Blood"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="24364-2"/>
<display value="Obstetric 1996 Pnl Ser+Bld"/>
</valueCoding>
</answer>
</item>
</item>
</QuestionnaireResponse>
</resource>
</entry>
<!-- entry[7] serviceRequest -->
<entry>
<fullUrl value="http://example.com/fhir/ServiceRequest/3-gyn"/>
<resource>
<ServiceRequest>
<id value="3-gyn"/>
<meta>
<profile
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>identifier</b>: Placer Identifier: 123, Filler Identifier: 456</p><p><b>status</b>: active</p><p><b>intent</b>: original-order</p><p><b>category</b>: <span title="Codes: {http://snomed.info/sct 108252007}">Laboratory procedure (procedure)</span></p><p><b>priority</b>: routine</p><p><b>subject</b>: <a href="#Patient_MarinaRubella">See above (Patient/MarinaRubella)</a></p><p><b>requester</b>: <a href="#PractitionerRole_PeterPapGruppenpraxis">See above (PractitionerRole/PeterPapGruppenpraxis)</a></p><p><b>reasonCode</b>: <span title="Codes: {http://snomed.info/sct 702601001}">Routine gynecologic examination (procedure)</span></p><p><b>insurance</b>: <a href="Coverage-HealthInsuranceCard.html">A human-readable rendering of the European Health Insurance CardGenerated Summary: id: A123456780; status: active; <span title="Codes: {http://terminology.hl7.org/CodeSystem/v3-ActCode EHCPOL}">extended healthcare</span>; period: ?ngen-2? --> 2012-03-17</a></p><p><b>specimen</b>: </p><ul><li><a href="Specimen-cervix-swab.html">Generated Summary: id: 48736-12345-12345; id: 4e88a-12345-aa222; status: available; <span title="Codes: {http://snomed.info/sct 430387006}">Combined specimen of cytologic material from endocervix, ectocervix, and vaginal fornix (specimen)</span></a></li><li><a href="Specimen-blood.html">Generated Summary: status: available; <span title="Codes: {http://snomed.info/sct 119297000}">Blood sample</span></a></li><li><a href="Specimen-serum.html">Generated Summary: id: 48736-12345-75465; id: 4e88a-12345-dd888; status: available; <span title="Codes: {http://snomed.info/sct 119364003}">Serum specimen (specimen)</span></a></li><li><a href="Specimen-urin.html">Generated Summary: id: 11111-15394-75465; id: 22222-bc987-dd888; status: available; <span title="Codes: {http://snomed.info/sct 122575003}">Urine sample</span>; receivedTime: Aug 16, 2020, 6:40:17 PM; Specimen is grossly lipemic</a></li></ul></div>
</text>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PLAC"/>
<display value="Placer Identifier"/>
</coding>
</type>
<system value="urn:oid:1.3.4.5.6.7"/>
<value value="123"/>
</identifier>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="FILL"/>
<display value="Filler Identifier"/>
</coding>
</type>
<system value="urn:oid:7.8.9.10.11"/>
<value value="456"/>
</identifier>
<status value="active"/>
<!-- draft | active | on-hold | revoked | completed | entered-in-error | unknown -->
<intent value="original-order"/>
<!-- proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option -->
<category>
<!-- 0..* Classification of service, Service Request Category Codes (Example) -->
<!-- Value Set http://hl7.org/fhir/ValueSet/servicerequest-category -->
<coding>
<system value="http://snomed.info/sct"/>
<code value="108252007"/>
</coding>
<text value="Laboratory procedure (procedure)"/>
</category>
<priority value="routine"/>
<!-- 0..1 routine | urgent | asap | stat -->
<subject>
<reference value="Patient/MarinaRubella"/>
</subject>
<requester>
<!-- 0..1 Reference(Practitioner|PractitionerRole|Organization|
Patient|RelatedPerson|Device) Who/what is requesting service -->
<reference value="PractitionerRole/PeterPapGruppenpraxis"/>
</requester>
<reasonCode>
<!-- 0..* CodeableConcept Explanation/Justification for procedure or service -->
<coding>
<system value="http://snomed.info/sct"/>
<code value="702601001"/>
</coding>
<text value="Routine gynecologic examination (procedure)"/>
</reasonCode>
<insurance>
<!-- 0..* Bsp. Covid19 Kostenträger; Reference(Coverage|ClaimResponse) Associated insurance coverage -->
<reference value="Coverage/HealthInsuranceCard"/>
</insurance>
<specimen>
<!-- 0..* Reference(Specimen) Procedure Samples -->
<reference value="Specimen/cervix-swab"/>
</specimen>
<specimen>
<!-- 0..* Reference(Specimen) Procedure Samples -->
<reference value="Specimen/blood"/>
</specimen>
<specimen>
<!-- 0..* Reference(Specimen) Procedure Samples -->
<reference value="Specimen/serum"/>
</specimen>
<specimen>
<!-- 0..* Reference(Specimen) Procedure Samples -->
<reference value="Specimen/urin"/>
</specimen>
</ServiceRequest>
</resource>
</entry>
</Bundle>