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

: questionnaire response 2-pertussis - XML Representation

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<QuestionnaireResponse xmlns="http://hl7.org/fhir">
  <id value="2-pertussis"/>
  <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/2-pertussis">http://fhir.ch/ig/ch-lab-order/Questionnaire/2-pertussis</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>: microbiology</p><p><b>text</b>: Mikrobiologie</p><blockquote><p><b>item</b></p><p><b>linkId</b>: per</p><p><b>text</b>: Pertussis and Parapertussis DNA</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>: hematology</p><p><b>text</b>: Hämatologie</p><blockquote><p><b>item</b></p><p><b>linkId</b>: blood-diff</p><p><b>text</b>: Manual Differential panel - Blood</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>: clinical chemistry</p><p><b>text</b>: Klinische Chemie</p><blockquote><p><b>item</b></p><p><b>linkId</b>: crp</p><p><b>text</b>: C-reactive Protein</p><h3>Answers</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote></blockquote></div>
  </text>
  <questionnaire
                 value="http://fhir.ch/ig/ch-lab-order/Questionnaire/2-pertussis"/>
  <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="Presto"/>
          </answer>
        </item>
        <item>
          <linkId
                  value="order.notificationContactDocument.practitioner.givenName"/>
          <text value="Vorname"/>
          <answer>
            <valueString value="Peter"/>
          </answer>
        </item>
        <item>
          <linkId value="order.notificationContactDocument.practitioner.phone"/>
          <text value="Telefon"/>
          <answer>
            <valueString value="032 333 22 33"/>
          </answer>
        </item>
        <item>
          <linkId value="order.notificationContactDocument.practitioner.email"/>
          <text value="E-Mail"/>
          <answer>
            <valueString value="eva.erlenmeyer@labor-pipette.ch"/>
          </answer>
        </item>
      </item>
    </item>
  <!--  item[0][4]order.notificationContactDocumentResponse -->
    <item>
      <linkId value="order.notificationContactDocumentResponse"/>
      <text
            value="Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument"/>
      <item>
        <linkId value="order.notificationContactDocumentResponse.practitioner"/>
        <text value="Zu benachrichtigende Person"/>
        <item>
          <linkId
                  value="order.notificationContactDocumentResponse.practitioner.title"/>
          <text value="Titel"/>
          <answer>
            <valueString value="Dr. med."/>
          </answer>
        </item>
        <item>
          <linkId
                  value="order.notificationContactDocumentResponse.practitioner.familyName"/>
          <text value="Name"/>
          <answer>
            <valueString value="Erlenmeyer"/>
          </answer>
        </item>
        <item>
          <linkId
                  value="order.notificationContactDocumentResponse.practitioner.givenName"/>
          <text value="Vorname"/>
          <answer>
            <valueString value="Eva"/>
          </answer>
        </item>
        <item>
          <linkId
                  value="order.notificationContactDocumentResponse.practitioner.phone"/>
          <text value="Telefon"/>
          <answer>
            <valueString value="033 444 55 66"/>
          </answer>
        </item>
        <item>
          <linkId
                  value="order.notificationContactDocumentResponse.practitioner.email"/>
          <text value="E-Mail"/>
          <answer>
            <valueString value="eva.erlenmeyer@labor-pipette.ch"/>
          </answer>
        </item>
      </item>
    </item>
  <!--  item[0][5]order.priority  -->
    <item>
      <linkId value="order.priority"/>
      <text value="Auftragspriorität"/>
      <answer>
        <valueCoding>
          <system value="http://hl7.org/fhir/request-priority"/>
          <code value="routine"/>
        </valueCoding>
      </answer>
    </item>
  </item>
<!--  item[1] receiver, Person/organization who receives order  -->
  <item>
    <linkId value="receiver"/>
    <text value="Empfänger"/>
  <!--  item[1][0] receiver Practitioner who receives order  -->
    <item>
      <linkId value="receiver.practitioner"/>
      <text value="Empfangende Person"/>
      <item>
        <linkId value="receiver.practitioner.title"/>
        <text value="Titel"/>
        <answer>
          <valueString value="Dr. med."/>
        </answer>
      </item>
      <item>
        <linkId value="receiver.practitioner.familyName"/>
        <text value="Name"/>
        <answer>
          <valueString value="Presto"/>
        </answer>
      </item>
      <item>
        <linkId value="receiver.practitioner.givenName"/>
        <text value="Vorname"/>
        <answer>
          <valueString value="Peter"/>
        </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="peter.presto@arztpraxis.ch"/>
        </answer>
      </item>
    </item>
  <!--  item[1][1] receiver Organization which receives order  -->
    <item>
      <linkId value="receiver.organization"/>
      <text value="Empfangende Organisation"/>
      <item>
        <linkId value="receiver.organization.name"/>
        <text value="Name der Organisation"/>
        <answer>
          <valueString value="Labor Pipette"/>
        </answer>
      </item>
      <item>
        <linkId value="receiver.organization.streetAddressLine"/>
        <text value="Strasse, Hausnummer, Postfach etc."/>
        <answer>
          <valueString value="Laborstrasse 23"/>
        </answer>
        <answer>
          <valueString value="Postfach 44"/>
        </answer>
      </item>
      <item>
        <linkId value="receiver.organization.postalCode"/>
        <text value="PLZ"/>
        <answer>
          <valueString value="4600"/>
        </answer>
      </item>
      <item>
        <linkId value="receiver.organization.city"/>
        <text value="Ort"/>
        <answer>
          <valueString value="Olten"/>
        </answer>
      </item>
      <item>
        <linkId value="receiver.organization.country"/>
        <text value="Land"/>
        <answer>
          <valueString value="Schweiz"/>
        </answer>
      </item>
    </item>
  </item>
<!--  item[2] patient  -->
  <item>
    <linkId value="patient"/>
    <text value="Patient"/>
    <item>
      <linkId value="patient.familyName"/>
      <text value="Name"/>
      <answer>
        <valueString value="Kummer"/>
      </answer>
    </item>
    <item>
      <linkId value="patient.maidenName"/>
      <text value="Ledigname"/>
    <!--  @value kann nicht leer sein  -->
      <answer>
        <valueString value="Bering"/>
      </answer>
    </item>
    <item>
      <linkId value="patient.givenName"/>
      <text value="Vorname"/>
      <answer>
        <valueString value="Emil"/>
      </answer>
    </item>
    <item>
      <linkId value="patient.localPid"/>
      <text value="Lokale Patienten-ID"/>
      <answer>
        <valueString value="012/08.111102"/>
      </answer>
    </item>
    <item>
      <linkId value="patient.birthDate"/>
      <text value="Geburtsdatum"/>
      <answer>
        <valueDate value="2014-05-05"/>
      </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="079 989 89 89"/>
      </answer>
    </item>
    <item>
      <linkId value="patient.email"/>
      <text value="E-Mail"/>
      <answer>
        <valueString value="vera.kummer@example.ch"/>
      </answer>
    </item>
    <item>
      <linkId value="patient.streetAddressLine"/>
      <text value="Strasse, Hausnummer, Postfach etc."/>
      <answer>
        <valueString value="Musterweg"/>
      </answer>
      <answer>
        <valueString value="6a"/>
      </answer>
    </item>
    <item>
      <linkId value="patient.postalCode"/>
      <text value="PLZ"/>
      <answer>
        <valueString value="8000"/>
      </answer>
    </item>
    <item>
      <linkId value="patient.city"/>
      <text value="Ort"/>
      <answer>
        <valueString value="Zürich"/>
      </answer>
    </item>
    <item>
      <linkId value="patient.country"/>
      <text value="Land"/>
      <answer>
        <valueString value="Schweiz"/>
      </answer>
    </item>
  </item>
<!--  item[3] sender, sender.author -->
  <item>
    <linkId value="sender"/>
    <text value="Absender"/>
    <item>
      <linkId value="sender.author"/>
      <text value="Verantwortlicher"/>
      <item>
        <linkId value="sender.author.practitioner"/>
        <text value="Verantwortliche Person"/>
        <item>
          <linkId value="sender.author.practitioner.title"/>
          <text value="Titel"/>
          <answer>
            <valueString value="Dr. med."/>
          </answer>
        </item>
        <item>
          <linkId value="sender.author.practitioner.familyName"/>
          <text value="Name"/>
          <answer>
            <valueString value="Presto"/>
          </answer>
        </item>
        <item>
          <linkId value="sender.author.practitioner.givenName"/>
          <text value="Vorname"/>
          <answer>
            <valueString value="Peter"/>
          </answer>
        </item>
        <item>
          <linkId value="sender.author.practitioner.gln"/>
          <text value="GLN"/>
          <answer>
            <valueString value="7601000034321"/>
          </answer>
        </item>
        <item>
          <linkId value="sender.author.practitioner.phone"/>
          <text value="Telefon"/>
          <answer>
            <valueString value="032 333 22 33"/>
          </answer>
        </item>
        <item>
          <linkId value="sender.author.practitioner.email"/>
          <text value="E-Mail"/>
          <answer>
            <valueString value="peter.presto@arztpraxis.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="Praxis Seeblick"/>
          </answer>
        </item>
        <item>
          <linkId value="sender.author.organization.streetAddressLine"/>
          <text value="Strasse, Hausnummer, Postfach etc."/>
          <answer>
            <valueString value="Seestrasse 133"/>
          </answer>
          <answer>
            <valueString value="Haus C"/>
          </answer>
        </item>
        <item>
          <linkId value="sender.author.organization.postalCode"/>
          <text value="PLZ"/>
          <answer>
            <valueString value="8000"/>
          </answer>
        </item>
        <item>
          <linkId value="sender.author.organization.city"/>
          <text value="Ort"/>
          <answer>
            <valueString value="Zürich"/>
          </answer>
        </item>
        <item>
          <linkId value="sender.author.organization.country"/>
          <text value="Land"/>
          <answer>
            <valueString value="Schweiz"/>
          </answer>
        </item>
      </item>
    </item>
    <item>
      <linkId value="sender.dataenterer"/>
      <text value="Erfasser"/>
      <item>
        <linkId value="sender.dataenterer.practitioner"/>
        <text value="Erfassende Person"/>
        <item>
          <linkId value="sender.dataenterer.practitioner.familyName"/>
          <text value="Name"/>
          <answer>
            <valueString value="Presto"/>
          </answer>
        </item>
        <item>
          <linkId value="sender.dataenterer.practitioner.givenName"/>
          <text value="Vorname"/>
          <answer>
            <valueString value="Peter"/>
          </answer>
        </item>
        <item>
          <linkId value="sender.dataenterer.practitioner.phone"/>
          <text value="Telefon"/>
          <answer>
            <valueString value="032 333 22 33"/>
          </answer>
        </item>
        <item>
          <linkId value="sender.dataenterer.practitioner.email"/>
          <text value="E-Mail"/>
          <answer>
            <valueString value="peter.presto@arztpraxis.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="Gruppenpraxis"/>
        </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="Hauser"/>
        </answer>
      </item>
      <item>
        <linkId value="receiverCopy.givenName"/>
        <text value="Vorname"/>
        <answer>
          <valueString value="Hans"/>
        </answer>
      </item>
      <item>
        <linkId value="receiverCopy.phone"/>
        <text value="Telefon"/>
        <answer>
          <valueString value="038 888 22 11"/>
        </answer>
      </item>
      <item>
        <linkId value="receiverCopy.email"/>
        <text value="E-Mail"/>
        <answer>
          <valueString value="hans.hauser@gruppenpraxis.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="Kummer"/>
        </answer>
      </item>
      <item>
        <linkId value="receiverCopy.givenName"/>
        <text value="Vorname"/>
        <answer>
          <valueString value="Claudia"/>
        </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="claudia.kummer@redwin.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] specialty, here: microbiology  -->
  <item>
    <linkId value="microbiology"/>
    <text value="Mikrobiologie"/>
  <!--  item[5.0]  -->
    <item>
      <linkId value="per"/>
      <text value="Pertussis and Parapertussis DNA"/>
      <answer>
        <valueCoding>
          <system value="http://loinc.org"/>
          <code value="90441-7"/>
          <display value="B pert+parapert DNA Pnl Nph"/>
        </valueCoding>
      </answer>
    </item>
  </item>
<!--  item[6] specialty, here: hematology -->
  <item>
    <linkId value="hematology"/>
    <text value="Hämatologie"/>
    <item>
      <linkId value="blood-diff"/>
      <text value="Manual Differential panel - Blood"/>
      <answer>
        <valueCoding>
          <system value="http://loinc.org"/>
          <code value="24318-8"/>
          <display value="Manual diff Bld"/>
        </valueCoding>
      </answer>
    </item>
  </item>
<!--  item[7] specialty, here: clinical chemistry -->
  <item>
    <linkId value="clinical chemistry"/>
    <text value="Klinische Chemie"/>
  <!--  CRP C reactive Protein normal method  -->
    <item>
      <linkId value="crp"/>
      <text value="C-reactive Protein"/>
      <answer>
        <valueCoding>
          <system value="http://loinc.org"/>
          <code value="1988-5"/>
          <display value="C reactive protein [Mass/volume] in Serum or Plasma"/>
        </valueCoding>
      </answer>
    </item>
  </item>
</QuestionnaireResponse>