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 5-biol-monit - JSON Representation

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{
  "resourceType" : "QuestionnaireResponse",
  "id" : "5-biol-monit",
  "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/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>"
  },
  "questionnaire" : "http://fhir.ch/ig/ch-lab-order/Questionnaire/5-biol-monit",
  "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" : "Porcellini"
                    }
                  ]
                },
                {
                  "linkId" : "order.notificationContactDocumentResponse.practitioner.givenName",
                  "text" : "Vorname",
                  "answer" : [
                    {
                      "valueString" : "Paulo"
                    }
                  ]
                },
                {
                  "linkId" : "order.notificationContactDocumentResponse.practitioner.phone",
                  "text" : "Telefon",
                  "answer" : [
                    {
                      "valueString" : "036 336 22 33"
                    }
                  ]
                },
                {
                  "linkId" : "order.notificationContactDocumentResponse.practitioner.email",
                  "text" : "E-Mail",
                  "answer" : [
                    {
                      "valueString" : "paulo.porcellini@suva.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" : "LaborPipette"
                }
              ]
            },
            {
              "linkId" : "receiver.organization.streetAddressLine",
              "text" : "Strasse, Hausnummer, Postfach etc.",
              "answer" : [
                {
                  "valueString" : "Laborstrasse 23"
                },
                {
                  "valueString" : "Postfach 3344"
                }
              ]
            },
            {
              "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" : "Borer"
            }
          ]
        },
        {
          "linkId" : "patient.maidenName",
          "text" : "Ledigname",
          "answer" : [
            {
              "valueString" : "Borer"
            }
          ]
        },
        {
          "linkId" : "patient.givenName",
          "text" : "Vorname",
          "answer" : [
            {
              "valueString" : "Beat"
            }
          ]
        },
        {
          "linkId" : "patient.localPid",
          "text" : "Lokale Patienten-ID",
          "answer" : [
            {
              "valueString" : "11.22.33.9788"
            }
          ]
        },
        {
          "linkId" : "patient.birthDate",
          "text" : "Geburtsdatum",
          "answer" : [
            {
              "valueDate" : "1986-06-06"
            }
          ]
        },
        {
          "linkId" : "patient.gender",
          "text" : "Geschlecht",
          "answer" : [
            {
              "valueCoding" : {
                "system" : "http://hl7.org/fhir/administrative-gender",
                "code" : "male"
              }
            }
          ]
        },
        {
          "linkId" : "patient.phone",
          "text" : "Telefon",
          "answer" : [
            {
              "valueString" : "+41 36 123 45 67"
            }
          ]
        },
        {
          "linkId" : "patient.email",
          "text" : "E-Mail",
          "answer" : [
            {
              "valueString" : "beat.borer@example.ch"
            }
          ]
        },
        {
          "linkId" : "patient.streetAddressLine",
          "text" : "Strasse, Hausnummer, Postfach etc.",
          "answer" : [
            {
              "valueString" : "Bleistrasse"
            },
            {
              "valueString" : "117"
            }
          ]
        },
        {
          "linkId" : "patient.postalCode",
          "text" : "PLZ",
          "answer" : [
            {
              "valueString" : "8008"
            }
          ]
        },
        {
          "linkId" : "patient.city",
          "text" : "Ort",
          "answer" : [
            {
              "valueString" : "Rapperswil"
            }
          ]
        },
        {
          "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" : "Porcellini"
                    }
                  ]
                },
                {
                  "linkId" : "sender.author.practitioner.givenName",
                  "text" : "Vorname",
                  "answer" : [
                    {
                      "valueString" : "Paulo"
                    }
                  ]
                },
                {
                  "linkId" : "sender.author.practitioner.gln",
                  "text" : "GLN",
                  "answer" : [
                    {
                      "valueString" : "7601000034545"
                    }
                  ]
                },
                {
                  "linkId" : "sender.author.practitioner.phone",
                  "text" : "Telefon",
                  "answer" : [
                    {
                      "valueString" : "036 336 22 33"
                    }
                  ]
                },
                {
                  "linkId" : "sender.author.practitioner.email",
                  "text" : "E-Mail",
                  "answer" : [
                    {
                      "valueString" : "paulo.porcellini@suva.ch"
                    }
                  ]
                }
              ]
            },
            {
              "linkId" : "sender.author.organization",
              "text" : "Verantwortliche Organisation",
              "item" : [
                {
                  "linkId" : "sender.author.organization.name",
                  "text" : "Name der Organisation",
                  "answer" : [
                    {
                      "valueString" : "Suva"
                    }
                  ]
                },
                {
                  "linkId" : "sender.author.organization.streetAddressLine",
                  "text" : "Strasse, Hausnummer, Postfach etc.",
                  "answer" : [
                    {
                      "valueString" : "Löwenplatz 1"
                    },
                    {
                      "valueString" : "Postfach 1122"
                    }
                  ]
                },
                {
                  "linkId" : "sender.author.organization.postalCode",
                  "text" : "PLZ",
                  "answer" : [
                    {
                      "valueString" : "6004"
                    }
                  ]
                },
                {
                  "linkId" : "sender.author.organization.city",
                  "text" : "Ort",
                  "answer" : [
                    {
                      "valueString" : "Luzern"
                    }
                  ]
                },
                {
                  "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" : "Porcellini"
                    }
                  ]
                },
                {
                  "linkId" : "sender.dataenterer.practitioner.givenName",
                  "text" : "Vorname",
                  "answer" : [
                    {
                      "valueString" : "Paulo"
                    }
                  ]
                },
                {
                  "linkId" : "sender.dataenterer.practitioner.phone",
                  "text" : "Telefon",
                  "answer" : [
                    {
                      "valueString" : "036 336 22 33"
                    }
                  ]
                },
                {
                  "linkId" : "sender.dataenterer.practitioner.email",
                  "text" : "E-Mail",
                  "answer" : [
                    {
                      "valueString" : "paulo.porcellini@suva.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" : "Musterfrau"
                }
              ]
            },
            {
              "linkId" : "receiverCopy.givenName",
              "text" : "Vorname",
              "answer" : [
                {
                  "valueString" : "Erika"
                }
              ]
            },
            {
              "linkId" : "receiverCopy.phone",
              "text" : "Telefon",
              "answer" : [
                {
                  "valueString" : "079 979 79 79"
                }
              ]
            },
            {
              "linkId" : "receiverCopy.email",
              "text" : "E-Mail",
              "answer" : [
                {
                  "valueString" : "erika@musterfrau.ch"
                }
              ]
            },
            {
              "linkId" : "receiverCopy.streetAddressLine",
              "text" : "Strasse, Hausnummer, Postfach etc.",
              "answer" : [
                {
                  "valueString" : "Musterweg"
                },
                {
                  "valueString" : "6a"
                }
              ]
            },
            {
              "linkId" : "receiverCopy.postalCode",
              "text" : "PLZ",
              "answer" : [
                {
                  "valueString" : "8000"
                }
              ]
            },
            {
              "linkId" : "receiverCopy.city",
              "text" : "Ort",
              "answer" : [
                {
                  "valueString" : "Zürich"
                }
              ]
            },
            {
              "linkId" : "receiverCopy.country",
              "text" : "Land",
              "answer" : [
                {
                  "valueString" : "Schweiz"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "linkId" : "hematology",
      "text" : "Hematology",
      "item" : [
        {
          "linkId" : "lab",
          "text" : "Laborwerte",
          "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" : "toxicology",
      "text" : "Toxicology",
      "item" : [
        {
          "linkId" : "tox",
          "text" : "Toxic Content",
          "answer" : [
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "29587-3",
                "display" : "Toxicology panel - Blood"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "54454-4",
                "display" : "Arsenic fractions panel - Urine"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "29589-9",
                "display" : "Heavy metals panel - Urine"
              }
            }
          ]
        }
      ]
    }
  ]
}