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

: Referreal 5-biol-monit - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="5-biol-monit"/>
  <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-5eccd3359505"/>
  </identifier>
  <type value="document"/>
  <timestamp value="2019-04-01T20:18:41.341+00:00"/>
<!--  entry[0] entry Composition -->
  <entry>
    <fullUrl value="http://example.com/fhir/Composition/5-biol-monit"/>
    <resource>
      <Composition>
        <id value="5-biol-monit"/>
        <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_PauloPorcelliniSuva">See above (PractitionerRole/PauloPorcelliniSuva)</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.html">Generated Summary: id: 7601000241111; name: Gruppenpraxis Olten; Phone: +41555556677, info@gruppenpraxis.ch, http://www.gruppenpraxis.ch</a></p><p><b>CH ORF Copy Receiver</b>: <a href="Organization-SpeiserRails.html">Generated Summary: id: CHE-108.444.179; Phone: +41412345566, info@speiser-rails.ch, http://www.speiser-rails.ch</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, 2019, 11:46:09 AM</p><p><b>author</b>: <a href="#PractitionerRole_PauloPorcelliniSuva">See above (PractitionerRole/PauloPorcelliniSuva)</a></p><p><b>title</b>: Referral 5-biol-monit</p></div>
        </text>
        <extension
                   url="http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer">
          <extension url="enterer">
            <valueReference>
              <reference value="PractitionerRole/PauloPorcelliniSuva"/>
            </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>
        <extension
                   url="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-copyreceiver">
          <valueReference>
            <reference value="Organization/SpeiserRails"/>
          </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/BeatBorer"/>
        </subject>
        <date value="2019-03-31T11:46:09+02:00"/>
        <author>
          <reference value="PractitionerRole/PauloPorcelliniSuva"/>
        </author>
        <title value="Referral 5-biol-monit"/>
      <!--  sections  -->
        <section>
          <title value="Order-Referral-Form 5-biol-monit"/>
          <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 5-biol-monit
            </div>
          </text>
          <entry>
            <reference value="Questionnaire/5-biol-monit"/>
          </entry>
          <entry>
            <reference value="QuestionnaireResponse/5-biol-monit"/>
          </entry>
          <entry>
            <reference value="ServiceRequest/5-biol-monit"/>
          </entry>
        </section>
      </Composition>
    </resource>
  </entry>
<!--  entry[1] ch-core-Patient  -->
  <entry>
    <fullUrl value="http://example.com/fhir/Patient/BeatBorer"/>
    <resource>
      <Patient>
        <id value="BeatBorer"/>
        <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>: Paris Frankreich </p><p><b>Place of origin according to eCH-0011</b>: Köniz BE </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: 012/08.111101</p><p><b>name</b>: Beat Borer </p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1986-06-06</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 de-CH}">Deutsch (Schweiz)</span></td><td>true</td></tr></table></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/patient-birthPlace">
          <valueAddress>
            <city value="Paris"/>
            <country value="Frankreich"/>
          </valueAddress>
        </extension>
        <extension
                   url="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeoforigin">
          <valueAddress>
            <city value="Köniz"/>
            <state value="BE"/>
          </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="012/08.111101"/>
        </identifier>
        <name>
          <family value="Borer"/>
          <given value="Beat"/>
        </name>
        <gender value="male"/>
        <birthDate value="1986-06-06"/>
        <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="de-CH"/>
            </coding>
            <text value="Deutsch (Schweiz)"/>
          </language>
          <preferred value="true"/>
        </communication>
      </Patient>
    </resource>
  </entry>
<!--   entry[2] practitioner  -->
  <entry>
    <fullUrl value="http://example.com/fhir/Practitioner/PauloPorcellini"/>
    <resource>
      <Practitioner>
        <id value="PauloPorcellini"/>
        <meta>
          <profile
                   value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner-epr"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 7601000050705</p><p><b>name</b>: Paulo Porcellini </p></div>
        </text>
        <identifier>
          <system value="urn:oid:2.51.1.3"/>
          <value value="7601000050705"/>
        </identifier>
        <name>
          <family value="Porcellini"/>
          <given value="Paulo"/>
        </name>
      </Practitioner>
    </resource>
  </entry>
<!--   entry[3] organization  -->
  <entry>
    <fullUrl value="http://example.com/fhir/Organization/Suva"/>
    <resource>
      <Organization>
        <id value="Suva"/>
        <meta>
          <profile
                   value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization-epr"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: CHE-108.955.179</p><p><b>name</b>: Suva</p><p><b>telecom</b>: <a href="tel:+41322345566">+41322345566</a>, <a href="mailto:info@suva.ch">info@suva.ch</a>, <a href="http://www.suva.ch">http://www.suva.ch</a></p><p><b>address</b>: Löwenplatz 1 Luzern 6004 CH </p></div>
        </text>
        <identifier>
          <system value="urn:oid:2.16.756.5.45"/>
          <value value="CHE-108.955.179"/>
        </identifier>
        <name value="Suva"/>
        <telecom>
          <system value="phone"/>
          <value value="+41322345566"/>
          <use value="work"/>
        </telecom>
        <telecom>
          <system value="email"/>
          <value value="info@suva.ch"/>
          <use value="work"/>
        </telecom>
        <telecom>
          <system value="url"/>
          <value value="http://www.suva.ch"/>
          <use value="work"/>
        </telecom>
        <address>
          <line value="Löwenplatz 1"/>
          <city value="Luzern"/>
          <postalCode value="6004"/>
          <country value="CH"/>
        </address>
      </Organization>
    </resource>
  </entry>
<!--  entry[4] practitionerrole  -->
  <entry>
    <fullUrl
             value="http://example.com/fhir/PractitionerRole/PauloPorcelliniSuva"/>
    <resource>
      <PractitionerRole>
        <id value="PauloPorcelliniSuva"/>
        <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_PauloPorcellini">See above (Practitioner/PauloPorcellini)</a></p><p><b>organization</b>: <a href="#Organization_Suva">See above (Organization/Suva)</a></p></div>
        </text>
        <practitioner>
          <reference value="Practitioner/PauloPorcellini"/>
        </practitioner>
        <organization>
          <reference value="Organization/Suva"/>
        </organization>
      </PractitionerRole>
    </resource>
  </entry>
<!--  entry[5] questionnaire  -->
  <entry>
    <fullUrl value="http://example.com/fhir/Questionnaire/5-biol-monit"/>
    <resource>
      <Questionnaire>
        <id value="5-biol-monit"/>
        <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/5-biol-monit</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>: hematology</p><p><b>text</b>: Hematology</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p><p><b>linkId</b>: lab</p><p><b>text</b>: Laborwerte</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><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>: toxicology</p><p><b>text</b>: Toxicology</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p><p><b>linkId</b>: tox</p><p><b>text</b>: Toxic Content</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><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/5-biol-monit"/>
        <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] 5-biol-monit 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] 5-biol-monit 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: Biological Monitoring  -->
        <item>
          <linkId value="hematology"/>
          <text value="Hematology"/>
          <type value="group"/>
          <item>
            <linkId value="lab"/>
            <text value="Laborwerte"/>
            <type value="choice"/>
            <repeats value="true"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="24360-0"/>
                <display value="Hemoglobin and Hematocrit panel - Blood"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="43113-0"/>
                <display value="Hemoglobin electrophoresis panel in Blood"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="57021-8"/>
                <display value="CBC W Auto Differential panel - Blood"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="58410-2"/>
                <display value="CBC panel - Blood by Automated count"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="57023-4"/>
                <display value="Auto Differential panel - Blood"/>
              </valueCoding>
            </answerOption>
          </item>
        </item>
      <!--  item[6] Toxicology panel blood -->
        <item>
          <linkId value="toxicology"/>
          <text value="Toxicology"/>
          <type value="group"/>
          <item>
            <linkId value="tox"/>
            <text value="Toxic Content"/>
            <type value="choice"/>
            <repeats value="true"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="29587-3"/>
                <display value="Toxicology panel - Blood"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="54454-4"/>
                <display value="Arsenic fractions panel - Urine"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="29589-9"/>
                <display value="Heavy metals panel - Urine"/>
              </valueCoding>
            </answerOption>
          </item>
        </item>
      </Questionnaire>
    </resource>
  </entry>
<!--  entry[6] questionnaireresponse  -->
  <entry>
    <fullUrl value="http://example.com/fhir/QuestionnaireResponse/5-biol-monit"/>
    <resource>
      <QuestionnaireResponse>
        <id value="5-biol-monit"/>
        <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/5-biol-monit">http://fhir.ch/ig/ch-lab-order/Questionnaire/5-biol-monit</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>: hematology</p><p><b>text</b>: Hematology</p><blockquote><p><b>item</b></p><p><b>linkId</b>: lab</p><p><b>text</b>: Laborwerte</p><h3>Answers</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>: toxicology</p><p><b>text</b>: Toxicology</p><blockquote><p><b>item</b></p><p><b>linkId</b>: tox</p><p><b>text</b>: Toxic Content</p><h3>Answers</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote></blockquote></div>
        </text>
        <questionnaire
                       value="http://fhir.ch/ig/ch-lab-order/Questionnaire/5-biol-monit"/>
        <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="033 444 55 66"/>
                </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][5]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="Porcellini"/>
                </answer>
              </item>
              <item>
                <linkId
                        value="order.notificationContactDocumentResponse.practitioner.givenName"/>
                <text value="Vorname"/>
                <answer>
                  <valueString value="Paulo"/>
                </answer>
              </item>
              <item>
                <linkId
                        value="order.notificationContactDocumentResponse.practitioner.phone"/>
                <text value="Telefon"/>
                <answer>
                  <valueString value="036 336 22 33"/>
                </answer>
              </item>
              <item>
                <linkId
                        value="order.notificationContactDocumentResponse.practitioner.email"/>
                <text value="E-Mail"/>
                <answer>
                  <valueString value="paulo.porcellini@suva.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  -->
        <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="LaborPipette"/>
              </answer>
            </item>
            <item>
              <linkId value="receiver.organization.streetAddressLine"/>
              <text value="Strasse, Hausnummer, Postfach etc."/>
              <answer>
                <valueString value="Laborstrasse 23"/>
              </answer>
              <answer>
                <valueString value="Postfach 3344"/>
              </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="Borer"/>
            </answer>
          </item>
          <item>
            <linkId value="patient.maidenName"/>
            <text value="Ledigname"/>
          <!--  @value kann nicht leer sein  -->
            <answer>
              <valueString value="Borer"/>
            </answer>
          </item>
          <item>
            <linkId value="patient.givenName"/>
            <text value="Vorname"/>
            <answer>
              <valueString value="Beat"/>
            </answer>
          </item>
          <item>
            <linkId value="patient.localPid"/>
            <text value="Lokale Patienten-ID"/>
            <answer>
              <valueString value="11.22.33.9788"/>
            </answer>
          </item>
          <item>
            <linkId value="patient.birthDate"/>
            <text value="Geburtsdatum"/>
            <answer>
              <valueDate value="1986-06-06"/>
            </answer>
          </item>
          <item>
            <linkId value="patient.gender"/>
            <text value="Geschlecht"/>
            <answer>
              <valueCoding>
                <system value="http://hl7.org/fhir/administrative-gender"/>
                <code value="male"/>
              </valueCoding>
            </answer>
          </item>
          <item>
            <linkId value="patient.phone"/>
            <text value="Telefon"/>
            <answer>
              <valueString value="+41 36 123 45 67"/>
            </answer>
          </item>
          <item>
            <linkId value="patient.email"/>
            <text value="E-Mail"/>
            <answer>
              <valueString value="beat.borer@example.ch"/>
            </answer>
          </item>
          <item>
            <linkId value="patient.streetAddressLine"/>
            <text value="Strasse, Hausnummer, Postfach etc."/>
            <answer>
              <valueString value="Bleistrasse"/>
            </answer>
            <answer>
              <valueString value="117"/>
            </answer>
          </item>
          <item>
            <linkId value="patient.postalCode"/>
            <text value="PLZ"/>
            <answer>
              <valueString value="8008"/>
            </answer>
          </item>
          <item>
            <linkId value="patient.city"/>
            <text value="Ort"/>
            <answer>
              <valueString value="Rapperswil"/>
            </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="Porcellini"/>
                </answer>
              </item>
              <item>
                <linkId value="sender.author.practitioner.givenName"/>
                <text value="Vorname"/>
                <answer>
                  <valueString value="Paulo"/>
                </answer>
              </item>
              <item>
                <linkId value="sender.author.practitioner.gln"/>
                <text value="GLN"/>
                <answer>
                  <valueString value="7601000034545"/>
                </answer>
              </item>
              <item>
                <linkId value="sender.author.practitioner.phone"/>
                <text value="Telefon"/>
                <answer>
                  <valueString value="036 336 22 33"/>
                </answer>
              </item>
              <item>
                <linkId value="sender.author.practitioner.email"/>
                <text value="E-Mail"/>
                <answer>
                  <valueString value="paulo.porcellini@suva.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="Suva"/>
                </answer>
              </item>
              <item>
                <linkId value="sender.author.organization.streetAddressLine"/>
                <text value="Strasse, Hausnummer, Postfach etc."/>
                <answer>
                  <valueString value="Löwenplatz 1"/>
                </answer>
                <answer>
                  <valueString value="Postfach 1122"/>
                </answer>
              </item>
              <item>
                <linkId value="sender.author.organization.postalCode"/>
                <text value="PLZ"/>
                <answer>
                  <valueString value="6004"/>
                </answer>
              </item>
              <item>
                <linkId value="sender.author.organization.city"/>
                <text value="Ort"/>
                <answer>
                  <valueString value="Luzern"/>
                </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"/>
          <!--  same as author  -->
            <item>
              <linkId value="sender.dataenterer.practitioner"/>
              <text value="Erfassende Person"/>
              <item>
                <linkId value="sender.dataenterer.practitioner.familyName"/>
                <text value="Name"/>
                <answer>
                  <valueString value="Porcellini"/>
                </answer>
              </item>
              <item>
                <linkId value="sender.dataenterer.practitioner.givenName"/>
                <text value="Vorname"/>
                <answer>
                  <valueString value="Paulo"/>
                </answer>
              </item>
              <item>
                <linkId value="sender.dataenterer.practitioner.phone"/>
                <text value="Telefon"/>
                <answer>
                  <valueString value="036 336 22 33"/>
                </answer>
              </item>
              <item>
                <linkId value="sender.dataenterer.practitioner.email"/>
                <text value="E-Mail"/>
                <answer>
                  <valueString value="paulo.porcellini@suva.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="Musterfrau"/>
              </answer>
            </item>
            <item>
              <linkId value="receiverCopy.givenName"/>
              <text value="Vorname"/>
              <answer>
                <valueString value="Erika"/>
              </answer>
            </item>
            <item>
              <linkId value="receiverCopy.phone"/>
              <text value="Telefon"/>
              <answer>
                <valueString value="079 979 79 79"/>
              </answer>
            </item>
            <item>
              <linkId value="receiverCopy.email"/>
              <text value="E-Mail"/>
              <answer>
                <valueString value="erika@musterfrau.ch"/>
              </answer>
            </item>
            <item>
              <linkId value="receiverCopy.streetAddressLine"/>
              <text value="Strasse, Hausnummer, Postfach etc."/>
              <answer>
                <valueString value="Musterweg"/>
              </answer>
              <answer>
                <valueString value="6a"/>
              </answer>
            </item>
            <item>
              <linkId value="receiverCopy.postalCode"/>
              <text value="PLZ"/>
              <answer>
                <valueString value="8000"/>
              </answer>
            </item>
            <item>
              <linkId value="receiverCopy.city"/>
              <text value="Ort"/>
              <answer>
                <valueString value="Zürich"/>
              </answer>
            </item>
            <item>
              <linkId value="receiverCopy.country"/>
              <text value="Land"/>
              <answer>
                <valueString value="Schweiz"/>
              </answer>
            </item>
          </item>
        </item>
      <!--  Item[5] lab specialty, here: hematology  -->
        <item>
          <linkId value="hematology"/>
          <text value="Hematology"/>
          <item>
            <linkId value="lab"/>
            <text value="Laborwerte"/>
            <answer>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="24360-0"/>
                <display value="Hemoglobin and Hematocrit panel - Blood"/>
              </valueCoding>
            </answer>
            <answer>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="43113-0"/>
                <display value="Hemoglobin electrophoresis panel in Blood"/>
              </valueCoding>
            </answer>
            <answer>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="57021-8"/>
                <display value="CBC W Auto Differential panel - Blood"/>
              </valueCoding>
            </answer>
            <answer>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="58410-2"/>
                <display value="CBC panel - Blood by Automated count"/>
              </valueCoding>
            </answer>
            <answer>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="57023-4"/>
                <display value="Auto Differential panel - Blood"/>
              </valueCoding>
            </answer>
          </item>
        </item>
      <!--  item[6]  lab specialty Toxicology, Toxicology panel blood -->
        <item>
          <linkId value="toxicology"/>
          <text value="Toxicology"/>
          <item>
            <linkId value="tox"/>
            <text value="Toxic Content"/>
            <answer>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="29587-3"/>
                <display value="Toxicology panel - Blood"/>
              </valueCoding>
            </answer>
            <answer>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="54454-4"/>
                <display value="Arsenic fractions panel - Urine"/>
              </valueCoding>
            </answer>
            <answer>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="29589-9"/>
                <display value="Heavy metals panel - Urine"/>
              </valueCoding>
            </answer>
          </item>
        </item>
      </QuestionnaireResponse>
    </resource>
  </entry>
<!--  entry[7] serviceRequest  -->
  <entry>
    <fullUrl value="http://example.com/fhir/ServiceRequest/5-biol-monit"/>
    <resource>
      <ServiceRequest>
        <id value="5-biol-monit"/>
        <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>: urgent</p><p><b>subject</b>: <a href="#Patient_BeatBorer">See above (Patient/BeatBorer)</a></p><p><b>requester</b>: <a href="#PractitionerRole_PauloPorcelliniSuva">See above (PractitionerRole/PauloPorcelliniSuva)</a></p><p><b>reasonCode</b>: <span title="Codes: {http://snomed.info/sct 409967009}">Toxicology (qualifier value)</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? --&gt; 2012-03-17</a></p><p><b>specimen</b>: </p><ul><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-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"/>
        <intent value="original-order"/>
        <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="urgent"/>
      <!--  0..1 routine | urgent | asap | stat  -->
        <subject>
          <reference value="Patient/BeatBorer"/>
        </subject>
        <requester>
        <!--  0..1 Reference(Practitioner|PractitionerRole|Organization|
          Patient|RelatedPerson|Device) Who/what is requesting service  -->
          <reference value="PractitionerRole/PauloPorcelliniSuva"/>
        </requester>
        <reasonCode>
        <!--  0..* CodeableConcept Explanation/Justification for procedure or service  -->
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="409967009"/>
          </coding>
          <text value="Toxicology (qualifier value)"/>
        </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/blood"/>
        </specimen>
        <specimen>
        <!--  0..* Reference(Specimen) Procedure Samples  -->
          <reference value="Specimen/urin"/>
        </specimen>
      </ServiceRequest>
    </resource>
  </entry>
</Bundle>