4-sepsis
type: Bundle
node role: treeRoot
resource.id:
  value: 4-sepsis
resource.meta:
  meta.version id:
    value: 1
  meta.last updated:
    value: 2019-04-01T20:18:41.341+00:00
  meta.profile:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-document
    index: 0
    link: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-document
bundle.identifier:
  identifier.system:
    value: urn:ietf:rfc:3986
bundle.type:
  value: document
bundle.timestamp:
  value: 2019-04-01T20:18:41.341+00:00
bundle.entry:
  index: 0
  bundle.entry.full url:
    value: http://example.com/fhir/Composition/4-sepsis
  bundle.entry.resource: 4-sepsis
bundle.entry:
  index: 1
  bundle.entry.full url:
    value: http://example.com/fhir/Patient/KlebsiellaKeller
  bundle.entry.resource: KlebsiellaKeller
bundle.entry:
  index: 2
  bundle.entry.full url:
    value: http://example.com/fhir/Practitioner/HansHauser
  bundle.entry.resource: HansHauser
bundle.entry:
  index: 3
  bundle.entry.full url:
    value: http://example.com/fhir/Organization/Kantonsspital
  bundle.entry.resource: Kantonsspital
bundle.entry:
  index: 4
  bundle.entry.full url:
    value: http://example.com/fhir/PractitionerRole/HansHauserKantonsspital
  bundle.entry.resource: HansHauserKantonsspital
bundle.entry:
  index: 5
  bundle.entry.full url:
    value: http://example.com/fhir/Questionnaire/4-sepsis
  bundle.entry.resource: 4-sepsis
bundle.entry:
  index: 6
  bundle.entry.full url:
    value: http://example.com/fhir/QuestionnaireResponse/4-sepsis
  bundle.entry.resource: 4-sepsis
bundle.entry:
  index: 7
  bundle.entry.full url:
    value: http://example.com/fhir/ServiceRequest/4-sepsis
  bundle.entry.resource: 4-sepsis

4-sepsis
type: Composition
resource.id:
  value: 4-sepsis
resource.meta:
  meta.version id:
    value: 1
  meta.last updated:
    value: 2021-02-18T17:04:38.520+00:00
  meta.profile:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition
    index: 0
    link: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition
domain resource.text:
  narrative.status:
    value: additional
  narrative.div: Laboratory Order
domain resource.extension:
  index: 0
  element.extension:
    index: 0
    extension.url:
      value: enterer
    extension.value reference:
      link: http://fhir.ch/ig/ch-lab-order/PractitionerRole/HansHauserKantonsspital
      reference.reference:
        value: PractitionerRole/HansHauserKantonsspital
  extension.url:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer
domain resource.extension:
  index: 1
  extension.url:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactforthisdocument
  extension.value reference:
    link: http://fhir.ch/ig/ch-lab-order/PractitionerRole/EvaErlenmeyerLaborPipette
    reference.reference:
      value: PractitionerRole/EvaErlenmeyerLaborPipette
domain resource.extension:
  index: 2
  extension.url:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactfortheresponsetothisdocument
  extension.value reference:
    link: http://fhir.ch/ig/ch-lab-order/PractitionerRole/HansHauserKantonsspital
    reference.reference:
      value: PractitionerRole/HansHauserKantonsspital
domain resource.extension:
  index: 3
  extension.url:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-receiver
  extension.value reference:
    link: http://fhir.ch/ig/ch-lab-order/PractitionerRole/EvaErlenmeyerLaborPipette
    reference.reference:
      value: PractitionerRole/EvaErlenmeyerLaborPipette
domain resource.extension:
  index: 4
  extension.url:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-copyreceiver
  extension.value reference:
    link: http://fhir.ch/ig/ch-lab-order/PractitionerRole/MarcMustermannArztpraxis
    reference.reference:
      value: PractitionerRole/MarcMustermannArztpraxis
domain resource.extension:
  index: 5
  extension.url:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-copyreceiver
  extension.value reference:
    link: http://fhir.ch/ig/ch-lab-order/Patient/KlebsiellaKeller
    reference.reference:
      value: Patient/KlebsiellaKeller
composition.status:
  value: final
composition.type:
  codeable concept.coding: http://snomed.info/id/721965002
    index: 0
    coding.system:
      value: http://snomed.info/sct
    coding.code:
      value: 721965002
    coding.display:
      value: Laboratory order (record artifact)
composition.category:
  index: 0
  codeable concept.coding: http://snomed.info/id/721963009
    index: 0
    coding.system:
      value: http://snomed.info/sct
    coding.code:
      value: 721963009
    coding.display:
      value: Order (record artifact)
composition.subject:
  link: http://fhir.ch/ig/ch-lab-order/Patient/KlebsiellaKeller
  reference.reference:
    value: Patient/KlebsiellaKeller
composition.date:
  value: 2019-03-31T11:46:09+02:00
composition.author:
  index: 0
  link: http://fhir.ch/ig/ch-lab-order/PractitionerRole/HansHauserKantonsspital
  reference.reference:
    value: PractitionerRole/HansHauserKantonsspital
composition.title:
  value: Referral 4-sepsis
composition.section:
  index: 0
  composition.section.title:
    value: Order-Referral-Form 4-sepsis
  composition.section.code:
    codeable concept.coding: http://loinc.org/rdf#93037-0
      index: 0
      coding.system:
        value: http://loinc.org
      coding.code:
        value: 93037-0
      coding.display:
        value: Portable medical order form
  composition.section.text:
    narrative.status:
      value: generated
    narrative.div: Order-Referral-Form 4-sepsis
  composition.section.entry:
    index: 0
    link: http://fhir.ch/ig/ch-lab-order/Questionnaire/4-sepsis
    reference.reference:
      value: Questionnaire/4-sepsis
  composition.section.entry:
    index: 1
    link: http://fhir.ch/ig/ch-lab-order/QuestionnaireResponse/4-sepsis
    reference.reference:
      value: QuestionnaireResponse/4-sepsis
  composition.section.entry:
    index: 2
    link: http://fhir.ch/ig/ch-lab-order/ServiceRequest/4-sepsis
    reference.reference:
      value: ServiceRequest/4-sepsis

KlebsiellaKeller
type: Patient
resource.id:
  value: KlebsiellaKeller
resource.meta:
  meta.profile:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient
    index: 0
    link: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient
domain resource.text:
  narrative.status:
    value: additional
  narrative.div: id: KlebsiellaKeller meta: identifier: 012/08.111114 name: Klebsiella Keller gender: FEMALE birthDate: Dec 12, 1975 maritalStatus: verheiratet (Details : {http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus code '2' = '2', given as 'verheiratet'}) Communications - Language Preferred * Deutsch (Schweiz) (Details : {urn:oid:2.16.840.1.113883.6.316 code 'de-CH' = 'German (Region=Schweiz)) true
domain resource.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
  extension.value address:
    address.city:
      value: Aarau
    address.country:
      value: Schweiz
domain resource.extension:
  index: 1
  extension.url:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeoforigin
  extension.value address:
    address.city:
      value: Lenzburg
    address.state:
      value: AG
domain resource.extension:
  index: 2
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/patient-religion
  extension.value codeable concept:
    codeable concept.coding:
      index: 0
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/v3-ReligiousAffiliation
      coding.code:
        value: 1025
      coding.display:
        value: Jehovah's Witnesses
patient.identifier:
  index: 0
  identifier.type:
    codeable concept.coding:
      index: 0
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/v2-0203
      coding.code:
        value: MR
  identifier.system:
    value: urn:oid:2.16.756.5.30.999999.1
  identifier.value:
    value: 012/08.111114
patient.name:
  index: 0
  human name.family:
    value: Klebsiella
  human name.given:
    value: Keller
    index: 0
patient.telecom:
  index: 0
  contact point.system:
    value: phone
  contact point.value:
    value: +41 64 123 45 67
  contact point.use:
    value: home
patient.telecom:
  index: 1
  contact point.system:
    value: email
patient.gender:
  value: female
patient.birth date:
  value: 1975-12-12
patient.marital status:
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus
    coding.code:
      value: 2
    coding.display:
      value: verheiratet
patient.communication:
  index: 0
  patient.communication.language:
    codeable concept.coding:
      index: 0
      coding.system:
        value: urn:oid:2.16.840.1.113883.6.316
      coding.code:
        value: de-CH
    codeable concept.text:
      value: Deutsch (Schweiz)
  patient.communication.preferred:
    value: true

HansHauser
type: Practitioner
resource.id:
  value: HansHauser
resource.meta:
  meta.profile:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner
    index: 0
    link: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative Resource "HansHauser" Profile: CH Core Practitioner Profile identifier: id: 7601000050704, id: A123313 name: Hans Hauser (OFFICIAL) telecom: ph: 038 888 22 11(WORK), hans.hauser@gruppenpraxis.ch
practitioner.identifier:
  index: 0
  identifier.system:
    value: urn:oid:2.51.1.3
  identifier.value:
    value: 7601000050704
practitioner.identifier:
  index: 1
  identifier.system:
    value: urn:oid:2.16.756.5.30.1.123.100.2.1.1
  identifier.value:
    value: A123313
practitioner.name:
  index: 0
  human name.use:
    value: official
  human name.family:
    value: Hauser
  human name.given:
    value: Hans
    index: 0
  human name.prefix:
    value: Dr. med.
    index: 0
    element.extension:
      index: 0
      extension.url:
        value: http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier
      extension.value code:
        value: AC
practitioner.telecom:
  index: 0
  contact point.system:
    value: phone
  contact point.value:
    value: 038 888 22 11
  contact point.use:
    value: work
practitioner.telecom:
  index: 1
  contact point.system:
    value: email
  contact point.use:
    value: work

Kantonsspital
type: Organization
resource.id:
  value: Kantonsspital
resource.meta:
  meta.profile:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization
    index: 0
    link: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative Resource "Kantonsspital" Profile: CH Core Organization Profile identifier: id: 7601000235500 name: Kantonsspital Zug telecom: +41 45 334 55 66, info@kantonsspital.zug.ch, http://www.kanstonsspital.zug.ch address: Seestrasse 14 Postfach 14 Zug 8000 Schweiz (WORK)
organization.identifier:
  index: 0
  identifier.system:
    value: urn:oid:2.51.1.3
  identifier.value:
    value: 7601000235500
organization.name:
  value: Kantonsspital Zug
organization.telecom:
  index: 0
  contact point.system:
    value: phone
  contact point.value:
    value: +41 45 334 55 66
  contact point.use:
    value: work
organization.telecom:
  index: 1
  contact point.system:
    value: email
  contact point.use:
    value: work
organization.telecom:
  index: 2
  contact point.system:
    value: url
  contact point.value:
    value: http://www.kanstonsspital.zug.ch
  contact point.use:
    value: work
organization.address:
  index: 0
  address.use:
    value: work
  address.line:
    value: Seestrasse 14
    index: 0
  address.line:
    value: Postfach 14
    index: 1
  address.city:
    value: Zug
  address.postal code:
    value: 8000
  address.country:
    value: Schweiz

HansHauserKantonsspital
type: PractitionerRole
resource.id:
  value: HansHauserKantonsspital
resource.meta:
  meta.profile:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole
    index: 0
    link: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative Resource "HansHauserKantonsspital" Profile: CH Core Practitioner Role Profile practitioner: See above (Practitioner/HansHauser) organization: See above (Organization/Kantonsspital)
practitioner role.practitioner:
  link: http://fhir.ch/ig/ch-lab-order/Practitioner/HansHauser
  reference.reference:
    value: Practitioner/HansHauser
practitioner role.organization:
  link: http://fhir.ch/ig/ch-lab-order/Organization/Kantonsspital
  reference.reference:
    value: Organization/Kantonsspital

4-sepsis
type: Questionnaire
resource.id:
  value: 4-sepsis
resource.meta:
  meta.version id:
    value: 1
  meta.last updated:
    value: 2019-04-01T20:17:53.340+00:00
  meta.profile:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-questionnaire
    index: 0
    link: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-questionnaire
  meta.profile:
    value: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire
    index: 1
    link: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire
  meta.profile:
    value: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-extract
    index: 2
    link: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-extract
domain resource.text:
  narrative.status:
    value: extensions
  narrative.div: Generated Narrative Resource "4-sepsis" Version "1" Updated "2019-04-01T22:17:53.34+02:00" Profiles: CH ORF Questionnaire, Questionnaire, Extractable Questionnaire Target structure map: OrfQrToBundle Source structure map: http://fhir.ch/ig/ch-orf/StructureMap/OrfPrepopBundleToQr Launch context resources value: Bundle value: Bundle value: The Bundle that is to be used to pre-populate the form url: http://fhir.ch/ig/ch-lab-order/Questionnaire/4-sepsis version: 0.9.1 name: LabOrderFormExample title: Lab Order Form Example status: active subjectType: Patient date: 2020-12-17 publisher: HL7 Switzerland contact: HL7 Switzerland: https://www.hl7.ch/ jurisdiction: Switzerland (unknown#CH) copyright: CC-BY-SA-4.0 item linkId: order text: Auftrag type: group required: true item linkId: order.placerOrderIdentifier text: Auftragsnummer des Auftraggebers type: string item hidden: true linkId: order.placerOrderIdentifierDomain text: Identifier Domain der Auftragsnummer des Auftraggebers type: string item linkId: order.fillerOrderIdentifier text: Auftragsnummer des Auftragsempfängers type: string item hidden: true linkId: order.fillerOrderIdentifierDomain text: Identifier Domain der Auftragsnummer des Auftragsempfängers type: string item hidden: true linkId: order.precedentDocumentIdentifier text: Identifier des Vorgängerdokuments type: string item linkId: order.notificationContactDocument text: Dringender Benachrichtigungskontakt für dieses Dokument type: group item linkId: order.notificationContactDocumentResponse text: Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument type: group item linkId: order.priority text: Auftragspriorität type: choice item linkId: receiver text: Empfänger type: group item linkId: receiver.practitioner text: Empfangende Person type: group item linkId: receiver.organization text: Empfangende Organisation type: group item linkId: patient text: Patient type: group required: true item linkId: patient.familyName text: Name type: string …
domain resource.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-targetStructureMap
  extension.value canonical:
    value: http://fhir.ch/ig/ch-orf/StructureMap/OrfQrToBundle
    link: http://fhir.ch/ig/ch-orf/StructureMap/OrfQrToBundle
domain resource.extension:
  index: 1
  extension.url:
    value: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-sourceStructureMap
  extension.value canonical:
    value: http://fhir.ch/ig/ch-orf/StructureMap/OrfPrepopBundleToQr
    link: http://fhir.ch/ig/ch-orf/StructureMap/OrfPrepopBundleToQr
domain resource.extension:
  index: 2
  element.extension:
    index: 0
    extension.url:
      value: name
    extension.value id:
      value: Bundle
  element.extension:
    index: 1
    extension.url:
      value: type
    extension.value code:
      value: Bundle
  element.extension:
    index: 2
    extension.url:
      value: description
    extension.value string:
      value: The Bundle that is to be used to pre-populate the form
  extension.url:
    value: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext
questionnaire.url:
  value: http://fhir.ch/ig/ch-lab-order/Questionnaire/4-sepsis
questionnaire.version:
  value: 0.9.1
questionnaire.name:
  value: LabOrderFormExample
questionnaire.title:
  value: Lab Order Form Example
questionnaire.status:
  value: active
questionnaire.subject type:
  value: Patient
  index: 0
questionnaire.date:
  value: 2020-12-17
questionnaire.publisher:
  value: HL7 Switzerland
questionnaire.contact:
  index: 0
  contact detail.name:
    value: HL7 Switzerland
  contact detail.telecom:
    index: 0
    contact point.system:
      value: url
    contact point.value:
      value: https://www.hl7.ch/
questionnaire.jurisdiction:
  index: 0
  codeable concept.coding:
    index: 0
    coding.system:
      value: urn:iso:std:iso:3166
    coding.code:
      value: CH
questionnaire.copyright:
  value: CC-BY-SA-4.0
questionnaire.item:
  index: 0
  questionnaire.item.link id:
    value: order
  questionnaire.item.text:
    value: Auftrag
  questionnaire.item.type:
    value: group
  questionnaire.item.required:
    value: true
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: order.placerOrderIdentifier
    questionnaire.item.text:
      value: Auftragsnummer des Auftraggebers
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 1
    element.extension:
      index: 0
      extension.url:
        value: http://hl7.org/fhir/StructureDefinition/questionnaire-hidden
      extension.value boolean:
        value: true
    questionnaire.item.link id:
      value: order.placerOrderIdentifierDomain
    questionnaire.item.text:
      value: Identifier Domain der Auftragsnummer des Auftraggebers
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 2
    questionnaire.item.link id:
      value: order.fillerOrderIdentifier
    questionnaire.item.text:
      value: Auftragsnummer des Auftragsempfängers
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 3
    element.extension:
      index: 0
      extension.url:
        value: http://hl7.org/fhir/StructureDefinition/questionnaire-hidden
      extension.value boolean:
        value: true
    questionnaire.item.link id:
      value: order.fillerOrderIdentifierDomain
    questionnaire.item.text:
      value: Identifier Domain der Auftragsnummer des Auftragsempfängers
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 4
    element.extension:
      index: 0
      extension.url:
        value: http://hl7.org/fhir/StructureDefinition/questionnaire-hidden
      extension.value boolean:
        value: true
    questionnaire.item.link id:
      value: order.precedentDocumentIdentifier
    questionnaire.item.text:
      value: Identifier des Vorgängerdokuments
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 5
    questionnaire.item.link id:
      value: order.notificationContactDocument
    questionnaire.item.text:
      value: Dringender Benachrichtigungskontakt für dieses Dokument
    questionnaire.item.type:
      value: group
    questionnaire.item.item:
      index: 0
      questionnaire.item.link id:
        value: order.notificationContactDocument.practitioner
      questionnaire.item.text:
        value: Zu benachrichtigende Person
      questionnaire.item.type:
        value: group
      questionnaire.item.item:
        index: 0
      questionnaire.item.item:
        index: 1
      questionnaire.item.item:
        index: 2
      questionnaire.item.item:
        index: 3
      questionnaire.item.item:
        index: 4
  questionnaire.item.item:
    index: 6
    questionnaire.item.link id:
      value: order.notificationContactDocumentResponse
    questionnaire.item.text:
      value: Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument
    questionnaire.item.type:
      value: group
    questionnaire.item.item:
      index: 0
      questionnaire.item.link id:
        value: order.notificationContactDocumentResponse.practitioner

4-sepsis
type: QuestionnaireResponse
resource.id:
  value: 4-sepsis
resource.meta:
  meta.version id:
    value: 1
  meta.last updated:
    value: 2019-04-01T20:17:53.340+00:00
  meta.profile:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-questionnaireresponse
    index: 0
    link: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-questionnaireresponse
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative Resource "4-sepsis" Version "1" Updated "2019-04-01T22:17:53.34+02:00" Profile: CH ORF QuestionnaireResponse questionnaire: Lab Order Form Example status: completed item linkId: order text: Auftrag item linkId: order.placerOrderIdentifier text: Auftragsnummer des Auftraggebers item linkId: order.placerOrderIdentifierDomain text: Identifier Domain der Auftragsnummer des Auftraggebers item linkId: order.precedentDocumentIdentifier text: Identifier des Vorgängerdokuments item linkId: order.notificationContactDocument text: Dringender Benachrichtigungskontakt für dieses Dokument item linkId: order.notificationContactDocumentResponse text: Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument item linkId: order.priority text: Auftragspriorität item linkId: receiver text: Empfänger item linkId: receiver.practitioner text: Empfangende Person item linkId: receiver.organization text: Empfangende Organisation item linkId: patient text: Patient item linkId: patient.familyName text: Name item linkId: patient.maidenName text: Ledigname item linkId: patient.givenName text: Vorname item linkId: patient.localPid text: Lokale Patienten-ID item linkId: patient.birthDate text: Geburtsdatum item linkId: patient.gender text: Geschlecht item linkId: patient.maritalStatus text: Zivilstand item linkId: patient.phone text: Telefon item linkId: patient.email text: E-Mail item linkId: patient.streetAddressLine text: Strasse, Hausnummer, Postfach etc. item linkId: patient.postalCode text: PLZ item linkId: patient.city text: Ort item linkId: patient.country text: Land item linkId: sender text: Absender item linkId: sender.author text: Verantwortlicher item linkId: sender.dataenterer text: Erfasser item linkId: receiverCopies text: Kopieempfänger item linkId: receiverCopy text: Kopieempfangende Organisation oder Person item linkId: receiverCopy text: Kopieempfangende Organisation oder Person item linkId: hematology text: Hematology item linkId: lab text: Lab…
questionnaire response.questionnaire:
  value: http://fhir.ch/ig/ch-lab-order/Questionnaire/4-sepsis
  link: http://fhir.ch/ig/ch-lab-order/Questionnaire/4-sepsis
questionnaire response.status:
  value: completed
questionnaire response.item:
  index: 0
  questionnaire response.item.link id:
    value: order
  questionnaire response.item.text:
    value: Auftrag
  questionnaire response.item.item:
    index: 0
    questionnaire response.item.link id:
      value: order.placerOrderIdentifier
    questionnaire response.item.text:
      value: Auftragsnummer des Auftraggebers
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: 123
  questionnaire response.item.item:
    index: 1
    questionnaire response.item.link id:
      value: order.placerOrderIdentifierDomain
    questionnaire response.item.text:
      value: Identifier Domain der Auftragsnummer des Auftraggebers
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: urn:oid:2.16.756.5.30
  questionnaire response.item.item:
    index: 2
    questionnaire response.item.link id:
      value: order.precedentDocumentIdentifier
    questionnaire response.item.text:
      value: Identifier des Vorgängerdokuments
    questionnaire response.item.answer:
      index: 0
  questionnaire response.item.item:
    index: 3
    questionnaire response.item.link id:
      value: order.notificationContactDocument
    questionnaire response.item.text:
      value: Dringender Benachrichtigungskontakt für dieses Dokument
    questionnaire response.item.item:
      index: 0
      questionnaire response.item.link id:
        value: order.notificationContactDocument.practitioner
      questionnaire response.item.text:
        value: Zu benachrichtigende Person
      questionnaire response.item.item:
        index: 0
      questionnaire response.item.item:
        index: 1
      questionnaire response.item.item:
        index: 2
      questionnaire response.item.item:
        index: 3
      questionnaire response.item.item:
        index: 4
  questionnaire response.item.item:
    index: 4
    questionnaire response.item.link id:
      value: order.notificationContactDocumentResponse
    questionnaire response.item.text:
      value: Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument
    questionnaire response.item.item:
      index: 0
      questionnaire response.item.link id:
        value: order.notificationContactDocumentResponse.practitioner
      questionnaire response.item.text:
        value: Zu benachrichtigende Person
      questionnaire response.item.item:
        index: 0
      questionnaire response.item.item:
        index: 1
      questionnaire response.item.item:
        index: 2
      questionnaire response.item.item:
        index: 3
      questionnaire response.item.item:
        index: 4
  questionnaire response.item.item:
    index: 5
    questionnaire response.item.link id:
      value: order.priority
    questionnaire response.item.text:
      value: Auftragspriorität
    questionnaire response.item.answer:
      index: 0
questionnaire response.item:
  index: 1
  questionnaire response.item.link id:
    value: receiver
  questionnaire response.item.text:
    value: Empfänger
  questionnaire response.item.item:
    index: 0
    questionnaire response.item.link id:
      value: receiver.practitioner
    questionnaire response.item.text:
      value: Empfangende Person
    questionnaire response.item.item:
      index: 0
      questionnaire response.item.link id:
        value: receiver.practitioner.title
      questionnaire response.item.text:
        value: Titel
      questionnaire response.item.answer:
        index: 0
    questionnaire response.item.item:
      index: 1
      questionnaire response.item.link id:
        value: receiver.practitioner.familyName
      questionnaire response.item.text:
        value: Name
      questionnaire response.item.answer:
        index: 0
    questionnaire response.item.item:
      index: 2
      questionnaire response.item.link id:
        value: receiver.practitioner.givenName
      questionnaire response.item.text:
        value: Vorname
      questionnaire response.item.answer:
        index: 0
    questionnaire response.item.item:
      index: 3
      questionnaire response.item.link id:
        value: receiver.practitioner.gln
      questionnaire response.item.text:
        value: GLN
      questionnaire response.item.answer:
        index: 0
    questionnaire response.item.item:
      index: 4
      questionnaire response.item.link id:
        value: receiver.practitioner.phone
      questionnaire response.item.text:
        value: Telefon
      questionnaire response.item.answer:
        index: 0
    questionnaire response.item.item:
      index: 5
      questionnaire response.item.link id:
        value: receiver.practitioner.email
      questionnaire response.item.text:
        value: E-Mail
      questionnaire response.item.answer:
        index: 0
  questionnaire response.item.item:
    index: 1
    questionnaire response.item.link id:
      value: receiver.organization
    questionnaire response.item.text:
      value: Empfangende Organisation
    questionnaire response.item.item:
      index: 0
      questionnaire response.item.link id:
        value: receiver.organization.name
      questionnaire response.item.text:
        value: Name der Organisation
      questionnaire response.item.answer:
        index: 0
    questionnaire response.item.item:
      index: 1
      questionnaire response.item.link id:
        value: receiver.organization.streetAddressLine
      questionnaire response.item.text:
        value: Strasse, Hausnummer, Postfach etc.
      questionnaire response.item.answer:
        index: 0
      questionnaire response.item.answer:
        index: 1
    questionnaire response.item.item:
      index: 2
      questionnaire response.item.link id:
        value: receiver.organization.postalCode
      questionnaire response.item.text:
        value: PLZ
      questionnaire response.item.answer:
        index: 0
    questionnaire response.item.item:
      index: 3
      questionnaire response.item.link id:
        value: receiver.organization.city

4-sepsis
type: ServiceRequest
resource.id:
  value: 4-sepsis
resource.meta:
  meta.profile:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest
    index: 0
    link: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative Resource "4-sepsis" Profile: CH ORF ServiceRequest identifier: Placer Identifier: 123 status: active intent: original-order category: Anforderung Laboruntersuchung (ch-lab-order-servicerequest-categories#RequestForLabExam) priority: urgent code: Hemoglobin and Hematocrit panel - Blood (LOINC#24360-0; LOINC#43113-0 "Hemoglobin electrophoresis panel in Blood"; LOINC#57021-8 "CBC W Auto Differential panel - Blood"; LOINC#58410-2 "CBC panel - Blood by Automated count"; LOINC#57023-4 "Auto Differential panel - Blood"; LOINC#90423-5 "Microorganism preliminary growth detection panel - Blood by Culture"; LOINC#85421-6 "Bacterial identification and susceptibility panel - Isolate"; LOINC#1988-5 "C reactive protein [Mass/Volume] in Serum or Plasma") subject: See above (Patient/KlebsiellaKeller) requester: See above (PractitionerRole/HansHauserKantonsspital) reasonCode: Screening for sepsis (procedure) (SNOMED CT#870441004) insurance: Coverage/HealthInsuranceCard specimen: Specimen/Blood-bactec-plus Specimen/Blood Specimen/Urin
service request.identifier:
  index: 0
  identifier.type:
    codeable concept.coding:
      index: 0
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/v2-0203
      coding.code:
        value: PLAC
      coding.display:
        value: Placer Identifier
  identifier.system:
    value: urn:oid:2.16.756.5.30
  identifier.value:
    value: 123
service request.status:
  value: active
service request.intent:
  value: original-order
service request.category:
  index: 0
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://fhir.ch/ig/ch-lab-order/CodeSystem/ch-lab-order-servicerequest-categories
    coding.code:
      value: RequestForLabExam
    coding.display:
      value: Anforderung Laboruntersuchung
service request.priority:
  value: urgent
service request.code:
  codeable concept.coding: http://loinc.org/rdf#24360-0
    index: 0
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 24360-0
    coding.display:
      value: Hemoglobin and Hematocrit panel - Blood
  codeable concept.coding: http://loinc.org/rdf#43113-0
    index: 1
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 43113-0
    coding.display:
      value: Hemoglobin electrophoresis panel in Blood
  codeable concept.coding: http://loinc.org/rdf#57021-8
    index: 2
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 57021-8
    coding.display:
      value: CBC W Auto Differential panel - Blood
  codeable concept.coding: http://loinc.org/rdf#58410-2
    index: 3
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 58410-2
    coding.display:
      value: CBC panel - Blood by Automated count
  codeable concept.coding: http://loinc.org/rdf#57023-4
    index: 4
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 57023-4
    coding.display:
      value: Auto Differential panel - Blood
  codeable concept.coding: http://loinc.org/rdf#90423-5
    index: 5
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 90423-5
    coding.display:
      value: Microorganism preliminary growth detection panel - Blood by Culture
  codeable concept.coding: http://loinc.org/rdf#85421-6
    index: 6
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 85421-6
    coding.display:
      value: Bacterial identification and susceptibility panel - Isolate
  codeable concept.coding: http://loinc.org/rdf#1988-5
    index: 7
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 1988-5
    coding.display:
      value: C reactive protein [Mass/Volume] in Serum or Plasma
service request.subject:
  link: http://fhir.ch/ig/ch-lab-order/Patient/KlebsiellaKeller
  reference.reference:
    value: Patient/KlebsiellaKeller
service request.requester:
  link: http://fhir.ch/ig/ch-lab-order/PractitionerRole/HansHauserKantonsspital
  reference.reference:
    value: PractitionerRole/HansHauserKantonsspital
service request.reason code:
  index: 0
  codeable concept.coding: http://snomed.info/id/870441004
    index: 0
    coding.system:
      value: http://snomed.info/sct
    coding.code:
      value: 870441004
  codeable concept.text:
    value: Screening for sepsis (procedure)
service request.insurance:
  index: 0
  link: http://fhir.ch/ig/ch-lab-order/Coverage/HealthInsuranceCard
  reference.reference:
    value: Coverage/HealthInsuranceCard
service request.specimen:
  index: 0
  link: http://fhir.ch/ig/ch-lab-order/Specimen/Blood-bactec-plus
  reference.reference:
    value: Specimen/Blood-bactec-plus
service request.specimen:
  index: 1
  link: http://fhir.ch/ig/ch-lab-order/Specimen/Blood
  reference.reference:
    value: Specimen/Blood
service request.specimen:
  index: 2
  link: http://fhir.ch/ig/ch-lab-order/Specimen/Urin
  reference.reference:
    value: Specimen/Urin

value: order.notificationContactDocument.practitioner.title

value: Titel

value: string

value: order.notificationContactDocument.practitioner.familyName

value: Name

value: string

value: order.notificationContactDocument.practitioner.givenName

value: Vorname

value: string

value: order.notificationContactDocument.practitioner.phone

value: Telefon

value: string

value: order.notificationContactDocument.practitioner.email

value: E-Mail

value: string

value: Zu benachrichtigende Person

value: group

index: 0
questionnaire.item.link id:
  value: order.notificationContactDocumentResponse.practitioner.title
questionnaire.item.text:
  value: Titel
questionnaire.item.type:
  value: string

index: 1
questionnaire.item.link id:
  value: order.notificationContactDocumentResponse.practitioner.familyName
questionnaire.item.text:
  value: Name
questionnaire.item.type:
  value: string

index: 2
questionnaire.item.link id:
  value: order.notificationContactDocumentResponse.practitioner.givenName
questionnaire.item.text:
  value: Vorname
questionnaire.item.type:
  value: string

index: 3
questionnaire.item.link id:
  value: order.notificationContactDocumentResponse.practitioner.phone
questionnaire.item.text:
  value: Telefon
questionnaire.item.type:
  value: string

index: 4
questionnaire.item.link id:
  value: order.notificationContactDocumentResponse.practitioner.email
questionnaire.item.text:
  value: E-Mail
questionnaire.item.type:
  value: string

index: 7
questionnaire.item.link id:
  value: order.priority
questionnaire.item.text:
  value: Auftragspriorität
questionnaire.item.type:
  value: choice
questionnaire.item.answer option:
  index: 0
  questionnaire.item.answer option.value coding:
    coding.system:
      value: http://hl7.org/fhir/request-priority
    coding.code:
      value: routine
    coding.display:
      value: Die Anfrage hat normale Priorität.
  questionnaire.item.answer option.initial selected:
    value: true
questionnaire.item.answer option:
  index: 1
  questionnaire.item.answer option.value coding:
    coding.system:
      value: http://hl7.org/fhir/request-priority
    coding.code:
      value: urgent
    coding.display:
      value: Die Anfrage sollte dringend bearbeitet werden - höhere Priorität als normal.
questionnaire.item.answer option:
  index: 2
  questionnaire.item.answer option.value coding:
    coding.system:
      value: http://hl7.org/fhir/request-priority
    coding.code:
      value: asap
    coding.display:
      value: Die Anfrage sollte so schnell wie möglich bearbeitet werden - höhere Priorität als dringend.
questionnaire.item.answer option:
  index: 3
  questionnaire.item.answer option.value coding:
    coding.system:
      value: http://hl7.org/fhir/request-priority
    coding.code:
      value: stat
    coding.display:
      value: Die Anfrage sollte sofort bearbeitet werden - höchstmögliche Priorität. Z.B. bei einem Notfall.

index: 1
questionnaire.item.link id:
  value: receiver
questionnaire.item.text:
  value: Empfänger
questionnaire.item.type:
  value: group
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: receiver.practitioner
  questionnaire.item.text:
    value: Empfangende Person
  questionnaire.item.type:
    value: group
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: receiver.practitioner.title
    questionnaire.item.text:
      value: Titel
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 1
    questionnaire.item.link id:
      value: receiver.practitioner.familyName
    questionnaire.item.text:
      value: Name
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 2
    questionnaire.item.link id:
      value: receiver.practitioner.givenName
    questionnaire.item.text:
      value: Vorname
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 3
    questionnaire.item.link id:
      value: receiver.practitioner.gln
    questionnaire.item.text:
      value: GLN
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 4
    questionnaire.item.link id:
      value: receiver.practitioner.zsr
    questionnaire.item.text:
      value: ZSR
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 5
    questionnaire.item.link id:
      value: receiver.practitioner.phone
    questionnaire.item.text:
      value: Telefon
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 6
    questionnaire.item.link id:
      value: receiver.practitioner.email
    questionnaire.item.text:
      value: E-Mail
    questionnaire.item.type:
      value: string
questionnaire.item.item:
  index: 1
  questionnaire.item.link id:
    value: receiver.organization
  questionnaire.item.text:
    value: Empfangende Organisation
  questionnaire.item.type:
    value: group
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: receiver.organization.name
    questionnaire.item.text:
      value: Name der Organisation
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 1
    questionnaire.item.link id:
      value: receiver.organization.gln
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition-ch-core-organization-definitions.html#Organization.identifier:GLN
    questionnaire.item.text:
      value: GLN
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 2
    questionnaire.item.link id:
      value: receiver.organization.streetAddressLine
    questionnaire.item.text:
      value: Strasse, Hausnummer, Postfach etc.
    questionnaire.item.type:
      value: string
    questionnaire.item.repeats:
      value: true
  questionnaire.item.item:
    index: 3
    questionnaire.item.link id:
      value: receiver.organization.postalCode
    questionnaire.item.text:
      value: PLZ
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 4
    questionnaire.item.link id:
      value: receiver.organization.city
    questionnaire.item.text:
      value: Ort
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 5
    questionnaire.item.link id:
      value: receiver.organization.country
    questionnaire.item.text:
      value: Land
    questionnaire.item.type:
      value: string

index: 2
questionnaire.item.link id:
  value: patient
questionnaire.item.text:
  value: Patient
questionnaire.item.type:
  value: group
questionnaire.item.required:
  value: true
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: patient.familyName
  questionnaire.item.text:
    value: Name
  questionnaire.item.type:
    value: string
questionnaire.item.item:
  index: 1
  questionnaire.item.link id:
    value: patient.maidenName
  questionnaire.item.text:
    value: Ledigname
  questionnaire.item.type:
    value: string
questionnaire.item.item:
  index: 2
  questionnaire.item.link id:
    value: patient.givenName
  questionnaire.item.text:
    value: Vorname
  questionnaire.item.type:
    value: string
questionnaire.item.item:
  index: 3
  questionnaire.item.link id:
    value: patient.localPid
  questionnaire.item.text:
    value: Lokale Patienten-ID
  questionnaire.item.type:
    value: string
questionnaire.item.item:
  index: 4
  questionnaire.item.link id:
    value: patient.birthDate
  questionnaire.item.text:
    value: Geburtsdatum
  questionnaire.item.type:
    value: date
questionnaire.item.item:
  index: 5
  questionnaire.item.link id:
    value: patient.gender
  questionnaire.item.text:
    value: Geschlecht
  questionnaire.item.type:
    value: choice
  questionnaire.item.answer option:
    index: 0
    questionnaire.item.answer option.value coding:
      coding.system:
        value: http://hl7.org/fhir/administrative-gender
      coding.code:
        value: male
      coding.display:
        value: Männlich
    questionnaire.item.answer option.initial selected:
      value: true
  questionnaire.item.answer option:
    index: 1
    questionnaire.item.answer option.value coding:
      coding.system:
        value: http://hl7.org/fhir/administrative-gender
      coding.code:
        value: female
      coding.display:
        value: Weiblich
  questionnaire.item.answer option:
    index: 2
    questionnaire.item.answer option.value coding:
      coding.system:
        value: http://hl7.org/fhir/administrative-gender
      coding.code:
        value: other
      coding.display:
        value: Anderes
questionnaire.item.item:
  index: 6
  questionnaire.item.link id:
    value: patient.maritalStatus
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.maritalStatus
  questionnaire.item.text:
    value: Zivilstand
  questionnaire.item.type:
    value: choice
  questionnaire.item.answer option:
    index: 0
    questionnaire.item.answer option.value coding:
      coding.system:
        value: http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus
      coding.code:
        value: 1
      coding.display:
        value: ledig
  questionnaire.item.answer option:
    index: 1
    questionnaire.item.answer option.value coding:
      coding.system:
        value: http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus
      coding.code:
        value: 2
      coding.display:
        value: verheiratet
  questionnaire.item.answer option:
    index: 2
    questionnaire.item.answer option.value coding:
      coding.system:
        value: http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus
      coding.code:
        value: 3
      coding.display:
        value: verwitwet
  questionnaire.item.answer option:
    index: 3
    questionnaire.item.answer option.value coding:
      coding.system:
        value: http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus
      coding.code:
        value: 4
      coding.display:
        value: geschieden
  questionnaire.item.answer option:
    index: 4
    questionnaire.item.answer option.value coding:
      coding.system:
        value: http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus
      coding.code:
        value: 5
      coding.display:
        value: unverheiratet
  questionnaire.item.answer option:
    index: 5
    questionnaire.item.answer option.value coding:
      coding.system:
        value: http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus
      coding.code:
        value: 6
      coding.display:
        value: in eingetragener Partnerschaft
  questionnaire.item.answer option:
    index: 6
    questionnaire.item.answer option.value coding:
      coding.system:
        value: http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus
      coding.code:
        value: 7
      coding.display:
        value: aufgelöste Partnerschaft
  questionnaire.item.answer option:
    index: 7
    questionnaire.item.answer option.value coding:
      coding.system:
        value: http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus
      coding.code:
        value: 9
      coding.display:
        value: unbekannt
questionnaire.item.item:
  index: 7
  questionnaire.item.link id:
    value: patient.phone
  questionnaire.item.text:
    value: Telefon
  questionnaire.item.type:
    value: string
questionnaire.item.item:
  index: 8
  questionnaire.item.link id:
    value: patient.email
  questionnaire.item.text:
    value: E-Mail
  questionnaire.item.type:
    value: string
questionnaire.item.item:
  index: 9
  questionnaire.item.link id:
    value: patient.streetAddressLine
  questionnaire.item.text:
    value: Strasse, Hausnummer, Postfach etc.
  questionnaire.item.type:
    value: string
  questionnaire.item.repeats:
    value: true
questionnaire.item.item:
  index: 10
  questionnaire.item.link id:
    value: patient.postalCode
  questionnaire.item.text:
    value: PLZ
  questionnaire.item.type:
    value: string

index: 11
questionnaire.item.link id:
  value: patient.city
questionnaire.item.text:
  value: Ort
questionnaire.item.type:
  value: string

index: 12
questionnaire.item.link id:
  value: patient.country
questionnaire.item.text:
  value: Land
questionnaire.item.type:
  value: string

index: 13
questionnaire.item.link id:
  value: patient.languageOfCorrespondance
questionnaire.item.definition:
  value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.communication:languageOfCorrespondance
questionnaire.item.text:
  value: Korrespondenssprache
questionnaire.item.type:
  value: choice
questionnaire.item.answer value set:
  value: http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.languageCode
  link: http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.languageCode

index: 14
questionnaire.item.link id:
  value: patient.contactperson
questionnaire.item.definition:
  value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact
questionnaire.item.text:
  value: Kontaktperson
questionnaire.item.type:
  value: group
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: patient.contactperson.relationship
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact.relationship.text
  questionnaire.item.text:
    value: Beziehung
  questionnaire.item.type:
    value: string
questionnaire.item.item:
  index: 1
  questionnaire.item.link id:
    value: patient.contactperson.familyName
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact.name.family
  questionnaire.item.text:
    value: Name
  questionnaire.item.type:
    value: string
questionnaire.item.item:
  index: 2
  questionnaire.item.link id:
    value: patient.contactperson.givenName
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact.name.given
  questionnaire.item.text:
    value: Vorname
  questionnaire.item.type:
    value: string
questionnaire.item.item:
  index: 3
  questionnaire.item.link id:
    value: patient.contactperson.phone
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact.telecom.value
  questionnaire.item.text:
    value: Telefon
  questionnaire.item.type:
    value: string
  questionnaire.item.repeats:
    value: true
questionnaire.item.item:
  index: 4
  questionnaire.item.link id:
    value: patient.contactperson.email
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact.telecom.value
  questionnaire.item.text:
    value: E-Mail
  questionnaire.item.type:
    value: string

index: 3
questionnaire.item.link id:
  value: sender
questionnaire.item.text:
  value: Absender
questionnaire.item.type:
  value: group
questionnaire.item.required:
  value: true
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: sender.author
  questionnaire.item.text:
    value: Verantwortlicher
  questionnaire.item.type:
    value: group
  questionnaire.item.required:
    value: true
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: sender.author.practitioner
    questionnaire.item.text:
      value: Verantwortliche Person
    questionnaire.item.type:
      value: group
    questionnaire.item.item:
      index: 0
      questionnaire.item.link id:
        value: sender.author.practitioner.title
      questionnaire.item.text:
        value: Titel
      questionnaire.item.type:
        value: string
    questionnaire.item.item:
      index: 1
      questionnaire.item.link id:
        value: sender.author.practitioner.familyName
      questionnaire.item.text:
        value: Name
      questionnaire.item.type:
        value: string
    questionnaire.item.item:
      index: 2
      questionnaire.item.link id:
        value: sender.author.practitioner.givenName
      questionnaire.item.text:
        value: Vorname
      questionnaire.item.type:
        value: string
    questionnaire.item.item:
      index: 3
      questionnaire.item.link id:
        value: sender.author.practitioner.gln
      questionnaire.item.text:
        value: GLN
      questionnaire.item.type:
        value: string
    questionnaire.item.item:
      index: 4
      questionnaire.item.link id:
        value: sender.author.practitioner.zsr
      questionnaire.item.text:
        value: ZSR
      questionnaire.item.type:
        value: string
    questionnaire.item.item:
      index: 5
      questionnaire.item.link id:
        value: sender.author.practitioner.phone
      questionnaire.item.text:
        value: Telefon
      questionnaire.item.type:
        value: string
    questionnaire.item.item:
      index: 6
      questionnaire.item.link id:
        value: sender.author.practitioner.email
      questionnaire.item.text:
        value: E-Mail
      questionnaire.item.type:
        value: string
  questionnaire.item.item:
    index: 1
    questionnaire.item.link id:
      value: sender.author.organization
    questionnaire.item.text:
      value: Verantwortliche Organisation
    questionnaire.item.type:
      value: group
    questionnaire.item.item:
      index: 0
      questionnaire.item.link id:
        value: sender.author.organization.name
      questionnaire.item.text:
        value: Name der Organisation
      questionnaire.item.type:
        value: string
    questionnaire.item.item:
      index: 1
      questionnaire.item.link id:
        value: sender.author.organization.streetAddressLine
      questionnaire.item.text:
        value: Strasse, Hausnummer, Postfach etc.
      questionnaire.item.type:
        value: string
      questionnaire.item.repeats:
        value: true
    questionnaire.item.item:
      index: 2
      questionnaire.item.link id:
        value: sender.author.organization.postalCode
      questionnaire.item.text:
        value: PLZ
      questionnaire.item.type:
        value: string
    questionnaire.item.item:
      index: 3
      questionnaire.item.link id:
        value: sender.author.organization.city
      questionnaire.item.text:
        value: Ort
      questionnaire.item.type:
        value: string
    questionnaire.item.item:
      index: 4
      questionnaire.item.link id:
        value: sender.author.organization.country
      questionnaire.item.text:
        value: Land
      questionnaire.item.type:
        value: string
questionnaire.item.item:
  index: 1
  questionnaire.item.link id:
    value: sender.dataenterer
  questionnaire.item.text:
    value: Erfasser
  questionnaire.item.type:
    value: group
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: sender.dataenterer.practitioner
    questionnaire.item.text:
      value: Erfassende Person
    questionnaire.item.type:
      value: group
    questionnaire.item.item:
      index: 0
      questionnaire.item.link id:
        value: sender.dataenterer.practitioner.familyName
      questionnaire.item.text:
        value: Name
      questionnaire.item.type:
        value: string
    questionnaire.item.item:
      index: 1
      questionnaire.item.link id:
        value: sender.dataenterer.practitioner.givenName
      questionnaire.item.text:
        value: Vorname
      questionnaire.item.type:
        value: string
    questionnaire.item.item:
      index: 2
      questionnaire.item.link id:
        value: sender.dataenterer.practitioner.phone
      questionnaire.item.text:
        value: Telefon
      questionnaire.item.type:
        value: string
    questionnaire.item.item:
      index: 3
      questionnaire.item.link id:
        value: sender.dataenterer.practitioner.email
      questionnaire.item.text:
        value: E-Mail
      questionnaire.item.type:
        value: string

index: 4
questionnaire.item.link id:
  value: receiverCopies
questionnaire.item.text:
  value: Kopieempfänger
questionnaire.item.type:
  value: group
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: receiverCopy
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole
  questionnaire.item.text:
    value: Kopieempfangende Organisation oder Person
  questionnaire.item.type:
    value: group
  questionnaire.item.repeats:
    value: true
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: receiverCopy.organization.name
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.practitioner
    questionnaire.item.text:
      value: Name der Organisation
    questionnaire.item.type:
      value: string
    questionnaire.item.item:
      index: 0
      questionnaire.item.link id:
        value: receiverCopy.practitionerRole.practitioner.title
      questionnaire.item.definition:
        value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-humanname#HumanName.prefix
      questionnaire.item.text:
        value: Titel
      questionnaire.item.type:
        value: string
    questionnaire.item.item:
      index: 1
      questionnaire.item.link id:
        value: receiverCopy.practitionerRole.practitioner.familyName
      questionnaire.item.definition:
        value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-humanname#HumanName.family
      questionnaire.item.text:
        value: Name
      questionnaire.item.type:
        value: string
    questionnaire.item.item:
      index: 2
      questionnaire.item.link id:
        value: receiverCopy.practitionerRole.practitioner.givenName
      questionnaire.item.definition:
        value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-humanname#HumanName.given
      questionnaire.item.text:
        value: Vorname
      questionnaire.item.type:
        value: string
    questionnaire.item.item:
      index: 3
      questionnaire.item.link id:
        value: receiverCopy.practitionerRole.practitioner.phone
      questionnaire.item.definition:
        value: http://hl7.org/fhir/StructureDefinition/ContactPoint#ContactPoint.value
      questionnaire.item.text:
        value: Telefon
      questionnaire.item.type:
        value: string
    questionnaire.item.item:
      index: 4
      questionnaire.item.link id:
        value: receiverCopy.practitionerRole.practitioner.email
      questionnaire.item.definition:
        value: http://hl7.org/fhir/StructureDefinition/ContactPoint#ContactPoint.value
      questionnaire.item.text:
        value: E-Mail
      questionnaire.item.type:
        value: string
  questionnaire.item.item:
    index: 1
    questionnaire.item.link id:
      value: receiverCopy.title
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.organization
    questionnaire.item.text:
      value: Titel
    questionnaire.item.type:
      value: string
    questionnaire.item.item:
      index: 0
      questionnaire.item.link id:
        value: receiverCopy.practitionerRole.organization.name
      questionnaire.item.definition:
        value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.name
      questionnaire.item.text:
        value: Name der Organisation
      questionnaire.item.type:
        value: string
    questionnaire.item.item:
      index: 1
      questionnaire.item.link id:
        value: receiverCopy.practitionerRole.organization.streetAddressLine
      questionnaire.item.definition:
        value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-address#Address.line
      questionnaire.item.text:
        value: Strasse, Hausnummer, Postfach etc.
      questionnaire.item.type:
        value: string
      questionnaire.item.repeats:
        value: true
    questionnaire.item.item:
      index: 2
      questionnaire.item.link id:
        value: receiverCopy.practitionerRole.organization.postalCode
      questionnaire.item.definition:
        value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-address#Address.postalCode
      questionnaire.item.text:
        value: PLZ
      questionnaire.item.type:
        value: string
    questionnaire.item.item:
      index: 3
      questionnaire.item.link id:
        value: receiverCopy.practitionerRole.organization.city
      questionnaire.item.definition:
        value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-address#Address.city
      questionnaire.item.text:
        value: Ort
      questionnaire.item.type:
        value: string
    questionnaire.item.item:
      index: 4
      questionnaire.item.link id:
        value: receiverCopy.practitionerRole.organization.country
      questionnaire.item.definition:
        value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-address#Address.country
      questionnaire.item.text:
        value: Land
      questionnaire.item.type:
        value: string
  questionnaire.item.item:
    index: 2
    questionnaire.item.link id:
      value: receiverCopy.familyName
    questionnaire.item.text:
      value: Name
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 3
    questionnaire.item.link id:
      value: receiverCopy.givenName
    questionnaire.item.text:
      value: Vorname
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 4
    questionnaire.item.link id:
      value: receiverCopy.phone
    questionnaire.item.text:
      value: Telefon
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 5
    questionnaire.item.link id:
      value: receiverCopy.email
    questionnaire.item.text:
      value: E-Mail
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 6
    questionnaire.item.link id:
      value: receiverCopy.streetAddressLine
    questionnaire.item.text:
      value: Strasse, Hausnummer, Postfach etc.
    questionnaire.item.type:
      value: string
    questionnaire.item.repeats:
      value: true
  questionnaire.item.item:
    index: 7
    questionnaire.item.link id:
      value: receiverCopy.postalCode
    questionnaire.item.text:
      value: PLZ
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 8
    questionnaire.item.link id:
      value: receiverCopy.city
    questionnaire.item.text:
      value: Ort
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 9
    questionnaire.item.link id:
      value: receiverCopy.country

value: Land

value: string

index: 1
questionnaire.item.link id:
  value: receiverCopy.patient
questionnaire.item.definition:
  value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient
questionnaire.item.text:
  value: Patient selbst
questionnaire.item.type:
  value: boolean

index: 2
questionnaire.item.link id:
  value: receiverCopy.relatedPerson
questionnaire.item.definition:
  value: http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson
questionnaire.item.text:
  value: Andere Person
questionnaire.item.type:
  value: group
questionnaire.item.repeats:
  value: true
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: receiverCopy.relatedPerson.familyName
  questionnaire.item.definition:
    value: http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.name.family
  questionnaire.item.text:
    value: Name
  questionnaire.item.type:
    value: string
questionnaire.item.item:
  index: 1
  questionnaire.item.link id:
    value: receiverCopy.relatedPerson.givenName
  questionnaire.item.definition:
    value: http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.name.given
  questionnaire.item.text:
    value: Vorame
  questionnaire.item.type:
    value: string
questionnaire.item.item:
  index: 2
  questionnaire.item.link id:
    value: receiverCopy.relatedPerson.phone
  questionnaire.item.definition:
    value: http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.telecom.value
  questionnaire.item.text:
    value: Telefon
  questionnaire.item.type:
    value: string
  questionnaire.item.repeats:
    value: true
questionnaire.item.item:
  index: 3
  questionnaire.item.link id:
    value: receiverCopy.relatedPerson.email
  questionnaire.item.definition:
    value: http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.telecom.value
  questionnaire.item.text:
    value: E-Mail
  questionnaire.item.type:
    value: string
questionnaire.item.item:
  index: 4
  questionnaire.item.link id:
    value: receiverCopy.relatedPerson.streetAddressLine
  questionnaire.item.definition:
    value: http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.address.line
  questionnaire.item.text:
    value: Strasse, Hausnummer, Postfach etc.
  questionnaire.item.type:
    value: string
  questionnaire.item.repeats:
    value: true
questionnaire.item.item:
  index: 5
  questionnaire.item.link id:
    value: receiverCopy.relatedPerson.postalCode
  questionnaire.item.definition:
    value: http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.address.postalCode
  questionnaire.item.text:
    value: PLZ
  questionnaire.item.type:
    value: string
questionnaire.item.item:
  index: 6
  questionnaire.item.link id:
    value: receiverCopy.relatedPerson.city
  questionnaire.item.definition:
    value: http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.address.city
  questionnaire.item.text:
    value: Ort
  questionnaire.item.type:
    value: string
questionnaire.item.item:
  index: 7
  questionnaire.item.link id:
    value: receiverCopy.relatedPerson.country
  questionnaire.item.definition:
    value: http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.address.country
  questionnaire.item.text:
    value: Land
  questionnaire.item.type:
    value: string

index: 5
questionnaire.item.link id:
  value: consent
questionnaire.item.definition:
  value: http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-servicerequest#ServiceRequest.supportingInfo
questionnaire.item.text:
  value: Einverständniserklärung
questionnaire.item.type:
  value: group
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: consent.treatment
  questionnaire.item.text:
    value: Einverständnis des Patienten zur Behandlung
  questionnaire.item.type:
    value: string
questionnaire.item.item:
  index: 1
  questionnaire.item.link id:
    value: consent.patientPrivacy
  questionnaire.item.text:
    value: Einverständnis des Patienten zum Datenschutz
  questionnaire.item.type:
    value: string
questionnaire.item.item:
  index: 2
  questionnaire.item.link id:
    value: consent.research
  questionnaire.item.text:
    value: Einverständnis des Patienten zur Forschung
  questionnaire.item.type:
    value: string
questionnaire.item.item:
  index: 3
  questionnaire.item.link id:
    value: consent.advancedCareDirective
  questionnaire.item.text:
    value: Patientenverfügung
  questionnaire.item.type:
    value: string

index: 6
questionnaire.item.link id:
  value: coverage
questionnaire.item.definition:
  value: http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-servicerequest#ServiceRequest.insurance
questionnaire.item.text:
  value: Kostenträger
questionnaire.item.type:
  value: group
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: coverage.uvg
  questionnaire.item.text:
    value: Unfallversicherung (nach UVG)
  questionnaire.item.type:
    value: string
questionnaire.item.item:
  index: 1
  questionnaire.item.link id:
    value: coverage.kvg
  questionnaire.item.text:
    value: Grundversicherung (nach KVG)
  questionnaire.item.type:
    value: string
questionnaire.item.item:
  index: 2
  questionnaire.item.link id:
    value: coverage.vvg
  questionnaire.item.text:
    value: Zusatzversicherung (nach VVG)
  questionnaire.item.type:
    value: string
questionnaire.item.item:
  index: 3
  questionnaire.item.link id:
    value: coverage.vvgOther
  questionnaire.item.text:
    value: Andere (nach VVG)
  questionnaire.item.type:
    value: string

index: 7
questionnaire.item.link id:
  value: previousResult
questionnaire.item.definition:
  value: http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-servicerequest#ServiceRequest.supportingInfo
questionnaire.item.text:
  value: Vorheriges Untersuchungsresultat
questionnaire.item.type:
  value: group
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: previousResult.result
  questionnaire.item.text:
    value: Untersuchungsresultat
  questionnaire.item.type:
    value: string
  questionnaire.item.repeats:
    value: true

index: 8
questionnaire.item.link id:
  value: hematology
questionnaire.item.text:
  value: Hematology
questionnaire.item.type:
  value: group
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: lab
  questionnaire.item.text:
    value: Laborwerte
  questionnaire.item.type:
    value: choice
  questionnaire.item.repeats:
    value: true
  questionnaire.item.answer option:
    index: 0
    questionnaire.item.answer option.value coding: http://loinc.org/rdf#24360-0
      coding.system:
        value: http://loinc.org
      coding.code:
        value: 24360-0
      coding.display:
        value: Hemoglobin and Hematocrit panel - Blood
  questionnaire.item.answer option:
    index: 1
    questionnaire.item.answer option.value coding: http://loinc.org/rdf#43113-0
      coding.system:
        value: http://loinc.org
      coding.code:
        value: 43113-0
      coding.display:
        value: Hemoglobin electrophoresis panel in Blood
  questionnaire.item.answer option:
    index: 2
    questionnaire.item.answer option.value coding: http://loinc.org/rdf#57021-8
      coding.system:
        value: http://loinc.org
      coding.code:
        value: 57021-8
      coding.display:
        value: CBC W Auto Differential panel - Blood
  questionnaire.item.answer option:
    index: 3
    questionnaire.item.answer option.value coding: http://loinc.org/rdf#58410-2
      coding.system:
        value: http://loinc.org
      coding.code:
        value: 58410-2
      coding.display:
        value: CBC panel - Blood by Automated count
  questionnaire.item.answer option:
    index: 4
    questionnaire.item.answer option.value coding: http://loinc.org/rdf#57023-4
      coding.system:
        value: http://loinc.org
      coding.code:
        value: 57023-4
      coding.display:
        value: Auto Differential panel - Blood

index: 9
questionnaire.item.link id:
  value: microbiology
questionnaire.item.text:
  value: Mikrobiologie
questionnaire.item.type:
  value: group
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: culture
  questionnaire.item.text:
    value: Blood by Culture
  questionnaire.item.type:
    value: choice
  questionnaire.item.repeats:
    value: true
  questionnaire.item.answer option:
    index: 0
    questionnaire.item.answer option.value coding: http://loinc.org/rdf#90423-5
      coding.system:
        value: http://loinc.org
      coding.code:
        value: 90423-5
      coding.display:
        value: Microorganism preliminary growth detection panel - Blood by Culture
questionnaire.item.item:
  index: 1
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value: Dr. med.

value: Hauser

value: Hans

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value: 038 888 22 11

value: Kantonsspital Zug

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