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
{
"resourceType" : "QuestionnaireResponse",
"id" : "1-tvt",
"meta" : {
"versionId" : "1",
"lastUpdated" : "2019-04-01T20:17:53.340+00:00",
"profile" : [
"http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-questionnaireresponse"
]
},
"text" : {
"status" : "generated",
"div" : "<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/1-tvt\">http://fhir.ch/ig/ch-lab-order/Questionnaire/1-tvt</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>: hemato-subset</p><p><b>text</b>: Hämatologie Subset</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>: coagulation</p><p><b>text</b>: Coagulation</p><blockquote><p><b>item</b></p><p><b>linkId</b>: d-dimer</p><p><b>text</b>: D-Dimer</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>: cc</p><p><b>text</b>: clinical chemistry</p><blockquote><p><b>item</b></p><p><b>linkId</b>: crp</p><p><b>text</b>: CRP</p><h3>Answers</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote></blockquote></div>"
},
"questionnaire" : "http://fhir.ch/ig/ch-lab-order/Questionnaire/1-tvt",
"status" : "completed",
"item" : [
{
"linkId" : "order",
"text" : "Auftrag",
"item" : [
{
"linkId" : "order.placerOrderIdentifier",
"text" : "Auftragsnummer des Auftraggebers",
"answer" : [
{
"valueString" : "123"
}
]
},
{
"linkId" : "order.placerOrderIdentifierDomain",
"text" : "Identifier Domain der Auftragsnummer des Auftraggebers",
"answer" : [
{
"valueString" : "urn:oid:1.3.4.5.6.7"
}
]
},
{
"linkId" : "order.precedentDocumentIdentifier",
"text" : "Identifier des Vorgängerdokuments",
"answer" : [
{
"valueString" : "1622f2fb-6ba3-4532-9aed-35b158def187"
}
]
},
{
"linkId" : "order.notificationContactDocument",
"text" : "Dringender Benachrichtigungskontakt für dieses Dokument",
"item" : [
{
"linkId" : "order.notificationContactDocument.practitioner",
"text" : "Zu benachrichtigende Person",
"item" : [
{
"linkId" : "order.notificationContactDocument.practitioner.title",
"text" : "Titel",
"answer" : [
{
"valueString" : "Dr. med."
}
]
},
{
"linkId" : "order.notificationContactDocument.practitioner.familyName",
"text" : "Name",
"answer" : [
{
"valueString" : "Erlenmeyer"
}
]
},
{
"linkId" : "order.notificationContactDocument.practitioner.givenName",
"text" : "Vorname",
"answer" : [
{
"valueString" : "Eva"
}
]
},
{
"linkId" : "order.notificationContactDocument.practitioner.phone",
"text" : "Telefon",
"answer" : [
{
"valueString" : "033 444 55 66"
}
]
},
{
"linkId" : "order.notificationContactDocument.practitioner.email",
"text" : "E-Mail",
"answer" : [
{
"valueString" : "eva.erlenmeyer@labor-pipette.ch"
}
]
}
]
}
]
},
{
"linkId" : "order.notificationContactDocumentResponse",
"text" : "Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument",
"item" : [
{
"linkId" : "order.notificationContactDocumentResponse.practitioner",
"text" : "Zu benachrichtigende Person",
"item" : [
{
"linkId" : "order.notificationContactDocumentResponse.practitioner.title",
"text" : "Titel",
"answer" : [
{
"valueString" : "Dr. med."
}
]
},
{
"linkId" : "order.notificationContactDocumentResponse.practitioner.familyName",
"text" : "Name",
"answer" : [
{
"valueString" : "Mustermann"
}
]
},
{
"linkId" : "order.notificationContactDocumentResponse.practitioner.givenName",
"text" : "Vorname",
"answer" : [
{
"valueString" : "Marc"
}
]
},
{
"linkId" : "order.notificationContactDocumentResponse.practitioner.phone",
"text" : "Telefon",
"answer" : [
{
"valueString" : "033 444 55 66"
}
]
},
{
"linkId" : "order.notificationContactDocumentResponse.practitioner.email",
"text" : "E-Mail",
"answer" : [
{
"valueString" : "peter.presto@arztpraxis.ch"
}
]
}
]
}
]
},
{
"linkId" : "order.priority",
"text" : "Auftragspriorität",
"answer" : [
{
"valueCoding" : {
"system" : "http://hl7.org/fhir/request-priority",
"code" : "routine"
}
}
]
}
]
},
{
"linkId" : "receiver",
"text" : "Empfänger",
"item" : [
{
"linkId" : "receiver.practitioner",
"text" : "Empfangende Person",
"item" : [
{
"linkId" : "receiver.practitioner.title",
"text" : "Titel",
"answer" : [
{
"valueString" : "Dr. med."
}
]
},
{
"linkId" : "receiver.practitioner.familyName",
"text" : "Name",
"answer" : [
{
"valueString" : "Erlenmeyer"
}
]
},
{
"linkId" : "receiver.practitioner.givenName",
"text" : "Vorname",
"answer" : [
{
"valueString" : "Eva"
}
]
},
{
"linkId" : "receiver.practitioner.gln",
"text" : "GLN",
"answer" : [
{
"valueString" : "7601000050703"
}
]
},
{
"linkId" : "receiver.practitioner.phone",
"text" : "Telefon",
"answer" : [
{
"valueString" : "+41322552525"
}
]
},
{
"linkId" : "receiver.practitioner.email",
"text" : "E-Mail",
"answer" : [
{
"valueString" : "eva.erlenmeyer@labor-pipette.ch"
}
]
}
]
},
{
"linkId" : "receiver.organization",
"text" : "Empfangende Organisation",
"item" : [
{
"linkId" : "receiver.organization.name",
"text" : "Name der Organisation",
"answer" : [
{
"valueString" : "Labor Pipette"
}
]
},
{
"linkId" : "receiver.organization.streetAddressLine",
"text" : "Strasse, Hausnummer, Postfach etc.",
"answer" : [
{
"valueString" : "Laborstrasse 23"
},
{
"valueString" : "Postfach 44"
}
]
},
{
"linkId" : "receiver.organization.postalCode",
"text" : "PLZ",
"answer" : [
{
"valueString" : "4600"
}
]
},
{
"linkId" : "receiver.organization.city",
"text" : "Ort",
"answer" : [
{
"valueString" : "Olten"
}
]
},
{
"linkId" : "receiver.organization.country",
"text" : "Land",
"answer" : [
{
"valueString" : "Schweiz"
}
]
}
]
}
]
},
{
"linkId" : "patient",
"text" : "Patient",
"item" : [
{
"linkId" : "patient.familyName",
"text" : "Name",
"answer" : [
{
"valueString" : "Guggindieluft"
}
]
},
{
"linkId" : "patient.maidenName",
"text" : "Ledigname",
"answer" : [
{
"valueString" : "Bering"
}
]
},
{
"linkId" : "patient.givenName",
"text" : "Vorname",
"answer" : [
{
"valueString" : "Hans"
}
]
},
{
"linkId" : "patient.localPid",
"text" : "Lokale Patienten-ID",
"answer" : [
{
"valueString" : "11.22.33.5678"
}
]
},
{
"linkId" : "patient.birthDate",
"text" : "Geburtsdatum",
"answer" : [
{
"valueDate" : "1981-01-01"
}
]
},
{
"linkId" : "patient.gender",
"text" : "Geschlecht",
"answer" : [
{
"valueCoding" : {
"system" : "http://hl7.org/fhir/administrative-gender",
"code" : "male"
}
}
]
},
{
"linkId" : "patient.phone",
"text" : "Telefon",
"answer" : [
{
"valueString" : "079 979 79 79"
}
]
},
{
"linkId" : "patient.email",
"text" : "E-Mail",
"answer" : [
{
"valueString" : "erika@musterfrau.ch"
}
]
},
{
"linkId" : "patient.streetAddressLine",
"text" : "Strasse, Hausnummer, Postfach etc.",
"answer" : [
{
"valueString" : "Musterweg"
},
{
"valueString" : "6a"
}
]
},
{
"linkId" : "patient.postalCode",
"text" : "PLZ",
"answer" : [
{
"valueString" : "8000"
}
]
},
{
"linkId" : "patient.city",
"text" : "Ort",
"answer" : [
{
"valueString" : "Zürich"
}
]
},
{
"linkId" : "patient.country",
"text" : "Land",
"answer" : [
{
"valueString" : "Schweiz"
}
]
}
]
},
{
"linkId" : "sender",
"text" : "Absender",
"item" : [
{
"linkId" : "sender.author",
"text" : "Verantwortlicher",
"item" : [
{
"linkId" : "sender.author.practitioner",
"text" : "Verantwortliche Person",
"item" : [
{
"linkId" : "sender.author.practitioner.title",
"text" : "Titel",
"answer" : [
{
"valueString" : "Dr. med."
}
]
},
{
"linkId" : "sender.author.practitioner.familyName",
"text" : "Name",
"answer" : [
{
"valueString" : "Mustermann"
}
]
},
{
"linkId" : "sender.author.practitioner.givenName",
"text" : "Vorname",
"answer" : [
{
"valueString" : "Marc"
}
]
},
{
"linkId" : "sender.author.practitioner.gln",
"text" : "GLN",
"answer" : [
{
"valueString" : "7601000034321"
}
]
},
{
"linkId" : "sender.author.practitioner.phone",
"text" : "Telefon",
"answer" : [
{
"valueString" : "033 333 22 11"
}
]
},
{
"linkId" : "sender.author.practitioner.email",
"text" : "E-Mail",
"answer" : [
{
"valueString" : "marc.mustermann@gruppenpraxis.ch"
}
]
}
]
},
{
"linkId" : "sender.author.organization",
"text" : "Verantwortliche Organisation",
"item" : [
{
"linkId" : "sender.author.organization.name",
"text" : "Name der Organisation",
"answer" : [
{
"valueString" : "Gruppenpraxis"
}
]
},
{
"linkId" : "sender.author.organization.streetAddressLine",
"text" : "Strasse, Hausnummer, Postfach etc.",
"answer" : [
{
"valueString" : "Gerbergasse 12"
},
{
"valueString" : "Postfach 144"
}
]
},
{
"linkId" : "sender.author.organization.postalCode",
"text" : "PLZ",
"answer" : [
{
"valueString" : "4600"
}
]
},
{
"linkId" : "sender.author.organization.city",
"text" : "Ort",
"answer" : [
{
"valueString" : "Olten"
}
]
},
{
"linkId" : "sender.author.organization.country",
"text" : "Land",
"answer" : [
{
"valueString" : "Schweiz"
}
]
}
]
}
]
},
{
"linkId" : "sender.dataenterer",
"text" : "Erfasser",
"item" : [
{
"linkId" : "sender.dataenterer.practitioner",
"text" : "Erfassende Person",
"item" : [
{
"linkId" : "sender.dataenterer.practitioner.familyName",
"text" : "Name",
"answer" : [
{
"valueString" : "Mustermann"
}
]
},
{
"linkId" : "sender.dataenterer.practitioner.givenName",
"text" : "Vorname",
"answer" : [
{
"valueString" : "Marc"
}
]
},
{
"linkId" : "sender.dataenterer.practitioner.phone",
"text" : "Telefon",
"answer" : [
{
"valueString" : "033 333 22 11"
}
]
},
{
"linkId" : "sender.dataenterer.practitioner.email",
"text" : "E-Mail",
"answer" : [
{
"valueString" : "marc.mustermann@gruppenpraxis.ch"
}
]
}
]
}
]
}
]
},
{
"linkId" : "receiverCopies",
"text" : "Kopieempfänger",
"item" : [
{
"linkId" : "receiverCopy",
"text" : "Kopieempfangende Organisation oder Person",
"item" : [
{
"linkId" : "receiverCopy.organization.name",
"text" : "Name der Organisation",
"answer" : [
{
"valueString" : "Praxis Seeblick"
}
]
},
{
"linkId" : "receiverCopy.title",
"text" : "Titel",
"answer" : [
{
"valueString" : "Dr. med."
}
]
},
{
"linkId" : "receiverCopy.familyName",
"text" : "Name",
"answer" : [
{
"valueString" : "Meier"
}
]
},
{
"linkId" : "receiverCopy.givenName",
"text" : "Vorname",
"answer" : [
{
"valueString" : "Sabine"
}
]
},
{
"linkId" : "receiverCopy.phone",
"text" : "Telefon",
"answer" : [
{
"valueString" : "044 333 22 11"
}
]
},
{
"linkId" : "receiverCopy.email",
"text" : "E-Mail",
"answer" : [
{
"valueString" : "sabine.meier@praxisseeblick.ch"
}
]
}
]
},
{
"linkId" : "receiverCopy",
"text" : "Kopieempfangende Organisation oder Person",
"item" : [
{
"linkId" : "receiverCopy.familyName",
"text" : "Name",
"answer" : [
{
"valueString" : "Meier"
}
]
},
{
"linkId" : "receiverCopy.givenName",
"text" : "Vorname",
"answer" : [
{
"valueString" : "Sabine"
}
]
},
{
"linkId" : "receiverCopy.phone",
"text" : "Telefon",
"answer" : [
{
"valueString" : "044 333 22 11"
}
]
},
{
"linkId" : "receiverCopy.email",
"text" : "E-Mail",
"answer" : [
{
"valueString" : "sabine.meier@praxis.ch"
}
]
},
{
"linkId" : "receiverCopy.streetAddressLine",
"text" : "Strasse, Hausnummer, Postfach etc.",
"answer" : [
{
"valueString" : "Musterweg"
},
{
"valueString" : "6a"
}
]
},
{
"linkId" : "receiverCopy.postalCode",
"text" : "PLZ",
"answer" : [
{
"valueString" : "6330"
}
]
},
{
"linkId" : "receiverCopy.city",
"text" : "Ort",
"answer" : [
{
"valueString" : "Cham"
}
]
},
{
"linkId" : "receiverCopy.country",
"text" : "Land",
"answer" : [
{
"valueString" : "Schweiz"
}
]
}
]
}
]
},
{
"linkId" : "hematology",
"text" : "Hematology",
"item" : [
{
"linkId" : "hemato-subset",
"text" : "Hämatologie Subset",
"answer" : [
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "24360-0",
"display" : "Hemoglobin and Hematocrit panel - Blood"
}
},
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "43113-0",
"display" : "Hemoglobin electrophoresis panel in Blood"
}
},
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "57021-8",
"display" : "CBC W Auto Differential panel - Blood"
}
},
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "58410-2",
"display" : "CBC panel - Blood by Automated count"
}
},
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "57023-4",
"display" : "Auto Differential panel - Blood"
}
}
]
}
]
},
{
"linkId" : "coagulation",
"text" : "Coagulation",
"item" : [
{
"linkId" : "d-dimer",
"text" : "D-Dimer",
"answer" : [
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "55398-2",
"display" : "Short Fibrin D-dimer FEU and DDU panel - Platelet poor plasma"
}
}
]
}
]
},
{
"linkId" : "cc",
"text" : "clinical chemistry",
"item" : [
{
"linkId" : "crp",
"text" : "CRP",
"answer" : [
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "1988-5",
"display" : "C reactive protein [Mass/volume] in Serum or Plasma"
}
}
]
}
]
}
]
}