This page is part of the CH LAB-Order (R4) (v2.0.0-ballot: STU 2 Ballot 1) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
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<timestamp value="2019-04-01T20:18:41.341+00:00"/>
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<fullUrl value="http://example.com/fhir/Composition/1-tvt"/>
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<div xmlns="http://www.w3.org/1999/xhtml"><div>Laboratory Order</div><div><h3>Case study 1: Suspicion of deep vein thrombosis</h3><p>A patient, Hans Guggindieluft, presents to Dr. med. Marc Mustermann at the Olten group practice on 09.03.2016. He verbally identifies himself via his master data as Hans Guggindieluft, 01.01.1981. He reports unclear leg pain in the left lower leg as well as simultaneously occurring respiratory pain and cough. The doctor carries out the anamnesis and physical examination and prescribes the following laboratory parameters:</p><ul><li>Blood cell count incl. differentiation</li><li>CRP</li><li>D-dimer</li></ul><p>The doctor carries out the Blood count and the CRP determination himself by means of point of care diagnostics, the D-dimer diagnostics is prescribed as quantitative diagnostics in an external sending laboratory. To obtain the sample, a Blood sample is taken lying down (1 EDTA tube, 2 citrate tubes of 5 ml). The order is transmitted to the external laboratory and the sample is sent to the external dispatch laboratory by courier ordered by telephone. The results of the internal point of care diagnostics (Blood count and CRP) are entered in the patient`s laboratory sheet in the doctor`s office software (manually or via locally installed electronic interfaces). A prescription is therefore issued by the doctor to the patient for self-administration of an anti-thrombotic agent. The results of the sending-in laboratory arrive electronically at the GP`s on the same evening and are also entered in the patient`s laboratory sheet. By using the present exchange format, this process can be fully automated. After a telephone enquiry by the doctor at the sending laboratory due to a borderline D-dimer result, the information is given that a deep vein thrombosis cannot be ruled out in this situation by means of D-dimer and the patient is therefore called back the next day for a sonography of the legs.</p><p>Matching FHIR questionnaire that meets this specification: <a href="https://fhir.ch/ig/ch-lab-order/Questionnaire-1-tvt.xml.html">1-tvt.xml</a> <a href="https://fhir.ch/ig/ch-lab-order/Questionnaire-1-tvt.json.html">1-tvt.json</a></p><p>As it is probably a primary leg vein thrombosis, Dr Eva Erlenmeier from the Pipette laboratory sends feedback to Dr Mustermann with the recommendation to carry out a thrombophilia screening, which includes the following analyses: Quick, aPTT, fibrinogen, antithrombin (funct.), thrombin time I 2.5 NIH/ml, APC resistance, D-dimers, protein C, (aPTT method), protein S antigen. The analyses can be carried out directly from the samples of the citrate tubes sent along.</p></div></div>
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<reference value="PractitionerRole/MarcMustermannArztpraxis"/>
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url="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactforthisdocument">
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<reference value="PractitionerRole/EvaErlenmeyerLaborPipette"/>
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<reference value="PractitionerRole/MarcMustermannArztpraxis"/>
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<valueReference>
<reference value="PractitionerRole/EvaErlenmeyerLaborPipette"/>
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<extension
url="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-copyreceiver">
<valueReference>
<reference value="PractitionerRole/PeterPrestoGruppenpraxis"/>
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url="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-copyreceiver">
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<reference value="Patient/HansGuggindieluft"/>
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<status value="final"/>
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<system value="http://snomed.info/sct"/>
<code value="721965002"/>
<display value="Laboratory order (record artifact)"/>
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<coding>
<system value="http://snomed.info/sct"/>
<code value="721963009"/>
<display value="Order (record artifact)"/>
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<subject>
<reference value="Patient/HansGuggindieluft"/>
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<date value="2019-03-31T11:46:09+02:00"/>
<author>
<reference value="PractitionerRole/MarcMustermannArztpraxis"/>
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<title value="Laborauftrag"/>
<section>
<title value="Order-Referral-Form 1-tvt"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="93037-0"/>
<display value="Portable medical order form"/>
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<div xmlns="http://www.w3.org/1999/xhtml">Order-Referral-Form 1-tvt</div>
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<entry>
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<entry>
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<entry>
<fullUrl value="http://example.com/fhir/Patient/HansGuggindieluft"/>
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<id value="HansGuggindieluft"/>
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<div xmlns="http://www.w3.org/1999/xhtml"><p><b>id</b>: HansGuggindieluft</p><p><b>meta</b>:</p><p><b>identifier</b>: 012/08.111111</p><p><b>name</b>: Hans Guggindieluft</p><p><b>gender</b>: MALE</p><p><b>birthDate</b>: Jan 01, 1981</p><p><b>maritalStatus</b>: unverheiratet <span style="background: LightGoldenRodYellow">(Details : {$ech-11-maritalstatus code '5' = '5', given as 'unverheiratet'})</span></p><h3>Communications</h3><table class="grid"><tr><td>-</td><td><b>Language</b></td><td><b>Preferred</b></td></tr><tr><td>*</td><td>Deutsch (Schweiz) <span style="background: LightGoldenRodYellow">(Details : {urn:ietf:bcp:47 code 'de-CH' = 'German (Region=Schweiz))</span></td><td>true</td></tr></table></div>
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<extension
url="http://hl7.org/fhir/StructureDefinition/patient-birthPlace">
<valueAddress>
<city value="Zürich"/>
<country value="Schweiz"/>
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<extension
url="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeoforigin">
<valueAddress>
<city value="Breitenbach"/>
<state value="BL"/>
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</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/patient-religion">
<valueCodeableConcept>
<coding>
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<code value="1007"/>
<display value="Atheism"/>
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<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
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<system value="urn:oid:2.16.756.5.30.999999.1"/>
<value value="012/08.111111"/>
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<name>
<family value="Guggindieluft"/>
<given value="Hans"/>
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<telecom>
<system value="phone"/>
<value value="079 979 79 79"/>
<use value="home"/>
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<telecom>
<system value="email"/>
<value value="hans.guggindieluft@example.ch"/>
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<gender value="male"/>
<birthDate value="1981-01-01"/>
<maritalStatus>
<coding>
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value="http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus"/>
<code value="5"/>
<display value="unverheiratet"/>
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<communication>
<language>
<coding>
<system value="urn:ietf:bcp:47"/>
<code value="de-CH"/>
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<text value="Deutsch (Schweiz)"/>
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<preferred value="true"/>
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<entry>
<fullUrl value="http://example.com/fhir/Practitioner/MarcMustermann"/>
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<Practitioner>
<id value="MarcMustermann"/>
<meta>
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<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Practitioner</b><a name="MarcMustermann"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Practitioner "MarcMustermann" </p><p style="margin-bottom: 0px">Profile: <a href="http://fhir.ch/ig/ch-core/4.0.0-ballot/StructureDefinition-ch-core-practitioner.html">CH Core Practitioner</a></p></div><p><b>identifier</b>: id: 7601000050700, id: A123309</p><p><b>name</b>: Marc Mustermann (OFFICIAL)</p><p><b>telecom</b>: ph: 033 333 22 11(WORK), <a href="mailto:marc.mustermann@gruppenpraxis.ch">marc.mustermann@gruppenpraxis.ch</a></p></div>
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<system value="urn:oid:2.51.1.3"/>
<value value="7601000050700"/>
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<identifier>
<system value="urn:oid:2.16.756.5.30.1.123.100.2.1.1"/>
<value value="A123309"/>
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<name>
<use value="official"/>
<family value="Mustermann"/>
<given value="Marc"/>
<prefix value="Dr. med.">
<extension
url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier">
<valueCode value="AC"/>
</extension>
</prefix>
</name>
<telecom>
<system value="phone"/>
<value value="033 333 22 11"/>
<use value="work"/>
</telecom>
<telecom>
<system value="email"/>
<value value="marc.mustermann@gruppenpraxis.ch"/>
<use value="work"/>
</telecom>
</Practitioner>
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<entry>
<fullUrl value="http://example.com/fhir/Organization/Arztpraxis"/>
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<Organization>
<id value="Arztpraxis"/>
<meta>
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value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization"/>
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<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Organization</b><a name="Arztpraxis"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Organization "Arztpraxis" </p><p style="margin-bottom: 0px">Profile: <a href="http://fhir.ch/ig/ch-core/4.0.0-ballot/StructureDefinition-ch-core-organization.html">CH Core Organization</a></p></div><p><b>identifier</b>: id: 7601000235503</p><p><b>name</b>: Arztpraxis Messen</p><p><b>telecom</b>: <a href="tel:+41555545566">+41555545566</a>, <a href="mailto:info@arztpraxis.ch">info@arztpraxis.ch</a>, <a href="http://www.arztpraxis.ch">http://www.arztpraxis.ch</a></p><p><b>address</b>: Doktorgasse 2 Messen 3254 CH </p></div>
</text>
<identifier>
<system value="urn:oid:2.51.1.3"/>
<value value="7601000235503"/>
</identifier>
<name value="Arztpraxis Messen"/>
<telecom>
<system value="phone"/>
<value value="+41555545566"/>
<use value="work"/>
</telecom>
<telecom>
<system value="email"/>
<value value="info@arztpraxis.ch"/>
<use value="work"/>
</telecom>
<telecom>
<system value="url"/>
<value value="http://www.arztpraxis.ch"/>
<use value="work"/>
</telecom>
<address>
<line value="Doktorgasse 2"/>
<city value="Messen"/>
<postalCode value="3254"/>
<country value="CH"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.com/fhir/PractitionerRole/MarcMustermannArztpraxis"/>
<resource>
<PractitionerRole>
<id value="MarcMustermannArztpraxis"/>
<meta>
<profile
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: PractitionerRole</b><a name="MarcMustermannArztpraxis"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource PractitionerRole "MarcMustermannArztpraxis" </p><p style="margin-bottom: 0px">Profile: <a href="http://fhir.ch/ig/ch-core/4.0.0-ballot/StructureDefinition-ch-core-practitionerrole.html">CH Core PractitionerRole</a></p></div><p><b>practitioner</b>: <a href="#Practitioner_MarcMustermann">See above (Practitioner/MarcMustermann)</a></p><p><b>organization</b>: <a href="#Organization_Arztpraxis">See above (Organization/Arztpraxis)</a></p></div>
</text>
<practitioner>
<reference value="Practitioner/MarcMustermann"/>
</practitioner>
<organization>
<reference value="Organization/Arztpraxis"/>
</organization>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="http://example.com/fhir/Questionnaire/1-tvt"/>
<resource>
<Questionnaire>
<id value="1-tvt"/>
<meta>
<versionId value="1"/>
<lastUpdated value="2023-06-06T20:17:53.340+00:00"/>
<profile
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-questionnaire"/>
<profile
value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire"/>
<profile
value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-extr-smap"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Questionnaire</b><a name="1-tvt"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Questionnaire "1-tvt" Version "1" Updated "2023-06-06 20:17:53+0000" </p><p style="margin-bottom: 0px">Profiles: <a href="http://fhir.ch/ig/ch-orf/2.0.0-ballot/StructureDefinition-ch-orf-questionnaire.html">CH ORF Questionnaire</a>, <a href="http://hl7.org/fhir/uv/sdc/STU3/StructureDefinition-sdc-questionnaire.html">SDCBaseQuestionnaire</a>, <a href="http://hl7.org/fhir/uv/sdc/STU3/StructureDefinition-sdc-questionnaire-extr-smap.html">Extractable Questionnaire - StructureMap</a></p></div><p><b>Target structure map</b>: <a href="http://fhir.ch/ig/ch-orf/2.0.0-ballot/StructureMap-OrfQrToBundle.html">OrfQrToBundle</a></p><p><b>Source structure map</b>: <a href="http://fhir.ch/ig/ch-orf/StructureMap/OrfPrepopBundleToQr">http://fhir.ch/ig/ch-orf/StructureMap/OrfPrepopBundleToQr</a></p><blockquote><p><b>Launch context resources</b></p><blockquote><p><b>url</b></p><code>name</code></blockquote><p><b>value</b>: Patient (Details: http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext code patient = 'Patient', stated as 'null')</p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Patient</p></blockquote><blockquote><p><b>Launch context resources</b></p><blockquote><p><b>url</b></p><code>name</code></blockquote><p><b>value</b>: User (Details: http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext code user = 'User', stated as 'User')</p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Practitioner</p><blockquote><p><b>url</b></p><code>description</code></blockquote><p><b>value</b>: The practitioner that is to be used to pre-populate the form</p></blockquote><p><b>url</b>: <code>http://fhir.ch/ig/ch-lab-order/Questionnaire/1-tvt</code></p><p><b>version</b>: 1.0.0</p><p><b>name</b>: LabOrderFormExample</p><p><b>title</b>: Lab Order Form Example 1-tvt</p><p><b>status</b>: active</p><p><b>subjectType</b>: Patient</p><p><b>date</b>: 2020-12-17</p><p><b>publisher</b>: HL7 Switzerland</p><p><b>contact</b>: HL7 Switzerland: <a href="https://www.hl7.ch/">https://www.hl7.ch/</a></p><p><b>jurisdiction</b>: Switzerland <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.1.0/CodeSystem-ISO3166Part1.html">ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code</a>#CH)</span></p><p><b>copyright</b>: CC0-1.0</p><blockquote><p><b>item</b></p><p><b>linkId</b>: order</p><p><b>text</b>: Auftrag</p><p><b>type</b>: group</p><p><b>required</b>: true</p><blockquote><p><b>item</b></p><p><b>linkId</b>: order.placerOrderIdentifier</p><p><b>text</b>: Auftragsnummer des Auftraggebers</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>hidden</b>: true</p><p><b>linkId</b>: order.placerOrderIdentifierDomain</p><p><b>text</b>: Identifier Domain der Auftragsnummer des Auftraggebers</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.fillerOrderIdentifier</p><p><b>text</b>: Auftragsnummer des Auftragsempfängers</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>hidden</b>: true</p><p><b>linkId</b>: order.fillerOrderIdentifierDomain</p><p><b>text</b>: Identifier Domain der Auftragsnummer des Auftragsempfängers</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>hidden</b>: true</p><p><b>linkId</b>: order.precedentDocumentIdentifier</p><p><b>text</b>: Identifier des Vorgängerdokuments</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.notificationContactDocument</p><p><b>text</b>: Dringender Benachrichtigungskontakt für dieses Dokument</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.notificationContactDocumentResponse</p><p><b>text</b>: Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.priority</p><p><b>text</b>: Auftragspriorität</p><p><b>type</b>: choice</p><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiver</p><p><b>text</b>: Empfänger</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p><p><b>linkId</b>: receiver.practitioner</p><p><b>text</b>: Empfangende Person</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiver.organization</p><p><b>text</b>: Empfangende Organisation</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient</p><p><b>text</b>: Patient</p><p><b>type</b>: group</p><p><b>required</b>: true</p><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.familyName</p><p><b>text</b>: Name</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.maidenName</p><p><b>text</b>: Ledigname</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.givenName</p><p><b>text</b>: Vorname</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.localPid</p><p><b>text</b>: Lokale Patienten-ID</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.birthDate</p><p><b>text</b>: Geburtsdatum</p><p><b>type</b>: date</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.gender</p><p><b>text</b>: Geschlecht</p><p><b>type</b>: choice</p><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.maritalStatus</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-core/4.0.0-ballot/StructureDefinition-ch-core-patient.html">CH Core Patient</a></p><p><b>text</b>: Zivilstand</p><p><b>type</b>: choice</p><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.phone</p><p><b>text</b>: Telefon</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.email</p><p><b>text</b>: E-Mail</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.streetAddressLine</p><p><b>text</b>: Strasse, Hausnummer, Postfach etc.</p><p><b>type</b>: string</p><p><b>repeats</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.postalCode</p><p><b>text</b>: PLZ</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.city</p><p><b>text</b>: Ort</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.country</p><p><b>text</b>: Land</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.languageOfCorrespondance</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-core/4.0.0-ballot/StructureDefinition-ch-core-patient.html">CH Core Patient</a></p><p><b>text</b>: Korrespondenssprache</p><p><b>type</b>: choice</p><p><b>answerValueSet</b>: <a href="http://fhir.ch/ig/ch-epr-term/2.0.9/ValueSet-DocumentEntry.languageCode.html">DocumentEntry.languageCode</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.contactperson</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-core/4.0.0-ballot/StructureDefinition-ch-core-patient.html">CH Core Patient</a></p><p><b>text</b>: Kontaktperson</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: sender</p><p><b>text</b>: Absender</p><p><b>type</b>: group</p><p><b>required</b>: true</p><blockquote><p><b>item</b></p><p><b>linkId</b>: sender.author</p><p><b>text</b>: Verantwortlicher</p><p><b>type</b>: group</p><p><b>required</b>: true</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: sender.dataenterer</p><p><b>text</b>: Erfasser</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p></blockquote></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiverCopies</p><p><b>text</b>: Kopieempfänger</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p><p><b>linkId</b>: receiverCopy</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-core/4.0.0-ballot/StructureDefinition-ch-core-practitionerrole.html">CH Core PractitionerRole</a></p><p><b>text</b>: Kopieempfangende Organisation oder Person</p><p><b>type</b>: group</p><p><b>repeats</b>: true</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiverCopy.patient</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-core/4.0.0-ballot/StructureDefinition-ch-core-patient.html">CH Core Patient</a></p><p><b>text</b>: Patient selbst</p><p><b>type</b>: boolean</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiverCopy.relatedPerson</p><p><b>definition</b>: <a href="http://hl7.org/fhir/R4/relatedperson.html">RelatedPerson</a></p><p><b>text</b>: Andere Person</p><p><b>type</b>: group</p><p><b>repeats</b>: true</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: consent</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-servicerequest#ServiceRequest.supportingInfo">http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-servicerequest#ServiceRequest.supportingInfo</a></p><p><b>text</b>: Einverständniserklärung</p><p><b>type</b>: group</p><h3>Items</h3><table class="grid"><tr><td>-</td><td><b>LinkId</b></td><td><b>Text</b></td><td><b>Type</b></td></tr><tr><td>*</td><td>consent.treatment</td><td>Einverständnis des Patienten zur Behandlung</td><td>string</td></tr><tr><td>*</td><td>consent.patientPrivacy</td><td>Einverständnis des Patienten zum Datenschutz</td><td>string</td></tr><tr><td>*</td><td>consent.research</td><td>Einverständnis des Patienten zur Forschung</td><td>string</td></tr><tr><td>*</td><td>consent.advancedCareDirective</td><td>Patientenverfügung</td><td>string</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-servicerequest#ServiceRequest.insurance">http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-servicerequest#ServiceRequest.insurance</a></p><p><b>text</b>: Kostenträger</p><p><b>type</b>: group</p><h3>Items</h3><table class="grid"><tr><td>-</td><td><b>LinkId</b></td><td><b>Text</b></td><td><b>Type</b></td></tr><tr><td>*</td><td>coverage.uvg</td><td>Unfallversicherung (nach UVG)</td><td>string</td></tr><tr><td>*</td><td>coverage.kvg</td><td>Grundversicherung (nach KVG)</td><td>string</td></tr><tr><td>*</td><td>coverage.vvg</td><td>Zusatzversicherung (nach VVG)</td><td>string</td></tr><tr><td>*</td><td>coverage.vvgOther</td><td>Andere (nach VVG)</td><td>string</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: previousResult</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-servicerequest#ServiceRequest.supportingInfo">http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-servicerequest#ServiceRequest.supportingInfo</a></p><p><b>text</b>: Vorheriges Untersuchungsresultat</p><p><b>type</b>: group</p><h3>Items</h3><table class="grid"><tr><td>-</td><td><b>LinkId</b></td><td><b>Text</b></td><td><b>Type</b></td><td><b>Repeats</b></td></tr><tr><td>*</td><td>previousResult.result</td><td>Untersuchungsresultat</td><td>string</td><td>true</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: hematology</p><p><b>text</b>: Hematology</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p><p><b>linkId</b>: hemato-subset</p><p><b>text</b>: Hämatologie Subset</p><p><b>type</b>: choice</p><p><b>repeats</b>: true</p><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coagulation</p><p><b>text</b>: Coagulation</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p><p><b>linkId</b>: d-dimer</p><p><b>text</b>: D-Dimer</p><p><b>type</b>: choice</p><p><b>repeats</b>: true</p><blockquote><p><b>answerOption</b></p></blockquote></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: cc</p><p><b>text</b>: clinical chemistry</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p><p><b>linkId</b>: crp</p><p><b>text</b>: CRP</p><p><b>type</b>: choice</p><p><b>repeats</b>: true</p><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote></blockquote></blockquote></div>
</text>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-targetStructureMap">
<valueCanonical
value="http://fhir.ch/ig/ch-orf/StructureMap/OrfQrToBundle"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-sourceStructureMap">
<valueCanonical
value="http://fhir.ch/ig/ch-orf/StructureMap/OrfPrepopBundleToQr"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext">
<extension url="name">
<valueCoding>
<system
value="http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext"/>
<code value="patient"/>
</valueCoding>
</extension>
<extension url="type">
<valueCode value="Patient"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext">
<extension url="name">
<valueCoding>
<system
value="http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext"/>
<code value="user"/>
<display value="User"/>
</valueCoding>
</extension>
<extension url="type">
<valueCode value="Practitioner"/>
</extension>
<extension url="description">
<valueString
value="The practitioner that is to be used to pre-populate the form"/>
</extension>
</extension>
<url value="http://fhir.ch/ig/ch-lab-order/Questionnaire/1-tvt"/>
<version value="1.0.0"/>
<name value="LabOrderFormExample"/>
<title value="Lab Order Form Example 1-tvt"/>
<status value="active"/>
<subjectType value="Patient"/>
<date value="2020-12-17"/>
<publisher value="HL7 Switzerland"/>
<contact>
<name value="HL7 Switzerland"/>
<telecom>
<system value="url"/>
<value value="https://www.hl7.ch/"/>
</telecom>
</contact>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="CH"/>
</coding>
</jurisdiction>
<copyright value="CC0-1.0"/>
<item>
<linkId value="order"/>
<text value="Auftrag"/>
<type value="group"/>
<required value="true"/>
<item>
<linkId value="order.placerOrderIdentifier"/>
<text value="Auftragsnummer des Auftraggebers"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
<valueBoolean value="true"/>
</extension>
<linkId value="order.placerOrderIdentifierDomain"/>
<text
value="Identifier Domain der Auftragsnummer des Auftraggebers"/>
<type value="string"/>
</item>
<item>
<linkId value="order.fillerOrderIdentifier"/>
<text value="Auftragsnummer des Auftragsempfängers"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
<valueBoolean value="true"/>
</extension>
<linkId value="order.fillerOrderIdentifierDomain"/>
<text
value="Identifier Domain der Auftragsnummer des Auftragsempfängers"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
<valueBoolean value="true"/>
</extension>
<linkId value="order.precedentDocumentIdentifier"/>
<text value="Identifier des Vorgängerdokuments"/>
<type value="string"/>
</item>
<item>
<linkId value="order.notificationContactDocument"/>
<text
value="Dringender Benachrichtigungskontakt für dieses Dokument"/>
<type value="group"/>
<item>
<linkId value="order.notificationContactDocument.practitioner"/>
<text value="Zu benachrichtigende Person"/>
<type value="group"/>
<item>
<linkId
value="order.notificationContactDocument.practitioner.title"/>
<text value="Titel"/>
<type value="string"/>
</item>
<item>
<linkId
value="order.notificationContactDocument.practitioner.familyName"/>
<text value="Name"/>
<type value="string"/>
</item>
<item>
<linkId
value="order.notificationContactDocument.practitioner.givenName"/>
<text value="Vorname"/>
<type value="string"/>
</item>
<item>
<linkId
value="order.notificationContactDocument.practitioner.phone"/>
<text value="Telefon"/>
<type value="string"/>
</item>
<item>
<linkId
value="order.notificationContactDocument.practitioner.email"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
</item>
</item>
<item>
<linkId value="order.notificationContactDocumentResponse"/>
<text
value="Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument"/>
<type value="group"/>
<item>
<linkId
value="order.notificationContactDocumentResponse.practitioner"/>
<text value="Zu benachrichtigende Person"/>
<type value="group"/>
<item>
<linkId
value="order.notificationContactDocumentResponse.practitioner.title"/>
<text value="Titel"/>
<type value="string"/>
</item>
<item>
<linkId
value="order.notificationContactDocumentResponse.practitioner.familyName"/>
<text value="Name"/>
<type value="string"/>
</item>
<item>
<linkId
value="order.notificationContactDocumentResponse.practitioner.givenName"/>
<text value="Vorname"/>
<type value="string"/>
</item>
<item>
<linkId
value="order.notificationContactDocumentResponse.practitioner.phone"/>
<text value="Telefon"/>
<type value="string"/>
</item>
<item>
<linkId
value="order.notificationContactDocumentResponse.practitioner.email"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
</item>
</item>
<item>
<linkId value="order.priority"/>
<text value="Auftragspriorität"/>
<type value="choice"/>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/request-priority"/>
<code value="routine"/>
<display value="Routine"/>
</valueCoding>
<initialSelected value="true"/>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/request-priority"/>
<code value="urgent"/>
<display value="Urgent"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/request-priority"/>
<code value="asap"/>
<display value="ASAP"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/request-priority"/>
<code value="stat"/>
<display value="STAT"/>
</valueCoding>
</answerOption>
</item>
</item>
<item>
<linkId value="receiver"/>
<text value="Empfänger"/>
<type value="group"/>
<item>
<linkId value="receiver.practitioner"/>
<text value="Empfangende Person"/>
<type value="group"/>
<item>
<linkId value="receiver.practitioner.title"/>
<text value="Titel"/>
<type value="string"/>
</item>
<item>
<linkId value="receiver.practitioner.familyName"/>
<text value="Name"/>
<type value="string"/>
</item>
<item>
<linkId value="receiver.practitioner.givenName"/>
<text value="Vorname"/>
<type value="string"/>
</item>
<item>
<linkId value="receiver.practitioner.gln"/>
<text value="GLN"/>
<type value="string"/>
</item>
<item>
<linkId value="receiver.practitioner.zsr"/>
<text value="ZSR"/>
<type value="string"/>
</item>
<item>
<linkId value="receiver.practitioner.phone"/>
<text value="Telefon"/>
<type value="string"/>
</item>
<item>
<linkId value="receiver.practitioner.email"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
</item>
<item>
<linkId value="receiver.organization"/>
<text value="Empfangende Organisation"/>
<type value="group"/>
<item>
<linkId value="receiver.organization.name"/>
<text value="Name der Organisation"/>
<type value="string"/>
</item>
<item>
<linkId value="receiver.organization.gln"/>
<text value="GLN"/>
<type value="string"/>
</item>
<item>
<linkId value="receiver.organization.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<type value="string"/>
<repeats value="true"/>
</item>
<item>
<linkId value="receiver.organization.postalCode"/>
<text value="PLZ"/>
<type value="string"/>
</item>
<item>
<linkId value="receiver.organization.city"/>
<text value="Ort"/>
<type value="string"/>
</item>
<item>
<linkId value="receiver.organization.country"/>
<text value="Land"/>
<type value="string"/>
</item>
</item>
</item>
<item>
<linkId value="patient"/>
<text value="Patient"/>
<type value="group"/>
<required value="true"/>
<item>
<linkId value="patient.familyName"/>
<text value="Name"/>
<type value="string"/>
</item>
<item>
<linkId value="patient.maidenName"/>
<text value="Ledigname"/>
<type value="string"/>
</item>
<item>
<linkId value="patient.givenName"/>
<text value="Vorname"/>
<type value="string"/>
</item>
<item>
<linkId value="patient.localPid"/>
<text value="Lokale Patienten-ID"/>
<type value="string"/>
</item>
<item>
<linkId value="patient.birthDate"/>
<text value="Geburtsdatum"/>
<type value="date"/>
</item>
<item>
<linkId value="patient.gender"/>
<text value="Geschlecht"/>
<type value="choice"/>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/administrative-gender"/>
<code value="male"/>
<display value="Male"/>
</valueCoding>
<initialSelected value="true"/>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/administrative-gender"/>
<code value="female"/>
<display value="Female"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/administrative-gender"/>
<code value="other"/>
<display value="Other"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="patient.maritalStatus"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.maritalStatus"/>
<text value="Zivilstand"/>
<type value="choice"/>
<answerOption>
<valueCoding>
<system
value="http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus"/>
<code value="1"/>
<display value="ledig"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus"/>
<code value="2"/>
<display value="verheiratet"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus"/>
<code value="3"/>
<display value="verwitwet"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus"/>
<code value="4"/>
<display value="geschieden"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus"/>
<code value="5"/>
<display value="unverheiratet"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus"/>
<code value="6"/>
<display value="in eingetragener Partnerschaft"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus"/>
<code value="7"/>
<display value="aufgelöste Partnerschaft"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus"/>
<code value="9"/>
<display value="unbekannt"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="patient.phone"/>
<text value="Telefon"/>
<type value="string"/>
</item>
<item>
<linkId value="patient.email"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
<item>
<linkId value="patient.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<type value="string"/>
<repeats value="true"/>
</item>
<item>
<linkId value="patient.postalCode"/>
<text value="PLZ"/>
<type value="string"/>
</item>
<item>
<linkId value="patient.city"/>
<text value="Ort"/>
<type value="string"/>
</item>
<item>
<linkId value="patient.country"/>
<text value="Land"/>
<type value="string"/>
</item>
<item>
<linkId value="patient.languageOfCorrespondance"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.communication:languageOfCorrespondance"/>
<text value="Korrespondenssprache"/>
<type value="choice"/>
<answerValueSet
value="http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.languageCode"/>
</item>
<item>
<linkId value="patient.contactperson"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact"/>
<text value="Kontaktperson"/>
<type value="group"/>
<item>
<linkId value="patient.contactperson.relationship"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact.relationship.text"/>
<text value="Beziehung"/>
<type value="string"/>
</item>
<item>
<linkId value="patient.contactperson.familyName"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact.name.family"/>
<text value="Name"/>
<type value="string"/>
</item>
<item>
<linkId value="patient.contactperson.givenName"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact.name.given"/>
<text value="Vorname"/>
<type value="string"/>
</item>
<item>
<linkId value="patient.contactperson.phone"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact.telecom.value"/>
<text value="Telefon"/>
<type value="string"/>
<repeats value="true"/>
</item>
<item>
<linkId value="patient.contactperson.email"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact.telecom.value"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
</item>
</item>
<item>
<linkId value="sender"/>
<text value="Absender"/>
<type value="group"/>
<required value="true"/>
<item>
<linkId value="sender.author"/>
<text value="Verantwortlicher"/>
<type value="group"/>
<required value="true"/>
<item>
<linkId value="sender.author.practitioner"/>
<text value="Verantwortliche Person"/>
<type value="group"/>
<item>
<linkId value="sender.author.practitioner.title"/>
<text value="Titel"/>
<type value="string"/>
</item>
<item>
<linkId value="sender.author.practitioner.familyName"/>
<text value="Name"/>
<type value="string"/>
</item>
<item>
<linkId value="sender.author.practitioner.givenName"/>
<text value="Vorname"/>
<type value="string"/>
</item>
<item>
<linkId value="sender.author.practitioner.gln"/>
<text value="GLN"/>
<type value="string"/>
</item>
<item>
<linkId value="sender.author.practitioner.zsr"/>
<text value="ZSR"/>
<type value="string"/>
</item>
<item>
<linkId value="sender.author.practitioner.phone"/>
<text value="Telefon"/>
<type value="string"/>
</item>
<item>
<linkId value="sender.author.practitioner.email"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
</item>
<item>
<linkId value="sender.author.organization"/>
<text value="Verantwortliche Organisation"/>
<type value="group"/>
<item>
<linkId value="sender.author.organization.name"/>
<text value="Name der Organisation"/>
<type value="string"/>
</item>
<item>
<linkId value="sender.author.organization.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<type value="string"/>
<repeats value="true"/>
</item>
<item>
<linkId value="sender.author.organization.postalCode"/>
<text value="PLZ"/>
<type value="string"/>
</item>
<item>
<linkId value="sender.author.organization.city"/>
<text value="Ort"/>
<type value="string"/>
</item>
<item>
<linkId value="sender.author.organization.country"/>
<text value="Land"/>
<type value="string"/>
</item>
</item>
</item>
<item>
<linkId value="sender.dataenterer"/>
<text value="Erfasser"/>
<type value="group"/>
<item>
<linkId value="sender.dataenterer.practitioner"/>
<text value="Erfassende Person"/>
<type value="group"/>
<item>
<linkId value="sender.dataenterer.practitioner.familyName"/>
<text value="Name"/>
<type value="string"/>
</item>
<item>
<linkId value="sender.dataenterer.practitioner.givenName"/>
<text value="Vorname"/>
<type value="string"/>
</item>
<item>
<linkId value="sender.dataenterer.practitioner.phone"/>
<text value="Telefon"/>
<type value="string"/>
</item>
<item>
<linkId value="sender.dataenterer.practitioner.email"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
</item>
</item>
</item>
<item>
<linkId value="receiverCopies"/>
<text value="Kopieempfänger"/>
<type value="group"/>
<item>
<linkId value="receiverCopy"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole"/>
<text value="Kopieempfangende Organisation oder Person"/>
<type value="group"/>
<repeats value="true"/>
<item>
<linkId value="receiverCopy.organization.name"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.practitioner"/>
<text value="Name der Organisation"/>
<type value="string"/>
<item>
<linkId
value="receiverCopy.practitionerRole.practitioner.title"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-humanname#HumanName.prefix"/>
<text value="Titel"/>
<type value="string"/>
</item>
<item>
<linkId
value="receiverCopy.practitionerRole.practitioner.familyName"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-humanname#HumanName.family"/>
<text value="Name"/>
<type value="string"/>
</item>
<item>
<linkId
value="receiverCopy.practitionerRole.practitioner.givenName"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-humanname#HumanName.given"/>
<text value="Vorname"/>
<type value="string"/>
</item>
<item>
<linkId
value="receiverCopy.practitionerRole.practitioner.phone"/>
<definition
value="http://hl7.org/fhir/StructureDefinition/ContactPoint#ContactPoint.value"/>
<text value="Telefon"/>
<type value="string"/>
</item>
<item>
<linkId
value="receiverCopy.practitionerRole.practitioner.email"/>
<definition
value="http://hl7.org/fhir/StructureDefinition/ContactPoint#ContactPoint.value"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
</item>
<item>
<linkId value="receiverCopy.title"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.organization"/>
<text value="Titel"/>
<type value="string"/>
<item>
<linkId
value="receiverCopy.practitionerRole.organization.name"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.name"/>
<text value="Name der Organisation"/>
<type value="string"/>
</item>
<item>
<linkId
value="receiverCopy.practitionerRole.organization.streetAddressLine"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-address#Address.line"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<type value="string"/>
<repeats value="true"/>
</item>
<item>
<linkId
value="receiverCopy.practitionerRole.organization.postalCode"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-address#Address.postalCode"/>
<text value="PLZ"/>
<type value="string"/>
</item>
<item>
<linkId
value="receiverCopy.practitionerRole.organization.city"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-address#Address.city"/>
<text value="Ort"/>
<type value="string"/>
</item>
<item>
<linkId
value="receiverCopy.practitionerRole.organization.country"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-address#Address.country"/>
<text value="Land"/>
<type value="string"/>
</item>
</item>
<item>
<linkId value="receiverCopy.familyName"/>
<text value="Name"/>
<type value="string"/>
</item>
<item>
<linkId value="receiverCopy.givenName"/>
<text value="Vorname"/>
<type value="string"/>
</item>
<item>
<linkId value="receiverCopy.phone"/>
<text value="Telefon"/>
<type value="string"/>
</item>
<item>
<linkId value="receiverCopy.email"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
<item>
<linkId value="receiverCopy.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<type value="string"/>
<repeats value="true"/>
</item>
<item>
<linkId value="receiverCopy.postalCode"/>
<text value="PLZ"/>
<type value="string"/>
</item>
<item>
<linkId value="receiverCopy.city"/>
<text value="Ort"/>
<type value="string"/>
</item>
<item>
<linkId value="receiverCopy.country"/>
<text value="Land"/>
<type value="string"/>
</item>
</item>
<item>
<linkId value="receiverCopy.patient"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient"/>
<text value="Patient selbst"/>
<type value="boolean"/>
</item>
<item>
<linkId value="receiverCopy.relatedPerson"/>
<definition
value="http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson"/>
<text value="Andere Person"/>
<type value="group"/>
<repeats value="true"/>
<item>
<linkId value="receiverCopy.relatedPerson.familyName"/>
<definition
value="http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.name.family"/>
<text value="Name"/>
<type value="string"/>
</item>
<item>
<linkId value="receiverCopy.relatedPerson.givenName"/>
<definition
value="http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.name.given"/>
<text value="Vorame"/>
<type value="string"/>
</item>
<item>
<linkId value="receiverCopy.relatedPerson.phone"/>
<definition
value="http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.telecom.value"/>
<text value="Telefon"/>
<type value="string"/>
<repeats value="true"/>
</item>
<item>
<linkId value="receiverCopy.relatedPerson.email"/>
<definition
value="http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.telecom.value"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
<item>
<linkId value="receiverCopy.relatedPerson.streetAddressLine"/>
<definition
value="http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.address.line"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<type value="string"/>
<repeats value="true"/>
</item>
<item>
<linkId value="receiverCopy.relatedPerson.postalCode"/>
<definition
value="http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.address.postalCode"/>
<text value="PLZ"/>
<type value="string"/>
</item>
<item>
<linkId value="receiverCopy.relatedPerson.city"/>
<definition
value="http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.address.city"/>
<text value="Ort"/>
<type value="string"/>
</item>
<item>
<linkId value="receiverCopy.relatedPerson.country"/>
<definition
value="http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.address.country"/>
<text value="Land"/>
<type value="string"/>
</item>
</item>
</item>
<item>
<linkId value="consent"/>
<definition
value="http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-servicerequest#ServiceRequest.supportingInfo"/>
<text value="Einverständniserklärung"/>
<type value="group"/>
<item>
<linkId value="consent.treatment"/>
<text value="Einverständnis des Patienten zur Behandlung"/>
<type value="string"/>
</item>
<item>
<linkId value="consent.patientPrivacy"/>
<text value="Einverständnis des Patienten zum Datenschutz"/>
<type value="string"/>
</item>
<item>
<linkId value="consent.research"/>
<text value="Einverständnis des Patienten zur Forschung"/>
<type value="string"/>
</item>
<item>
<linkId value="consent.advancedCareDirective"/>
<text value="Patientenverfügung"/>
<type value="string"/>
</item>
</item>
<item>
<linkId value="coverage"/>
<definition
value="http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-servicerequest#ServiceRequest.insurance"/>
<text value="Kostenträger"/>
<type value="group"/>
<item>
<linkId value="coverage.uvg"/>
<text value="Unfallversicherung (nach UVG)"/>
<type value="string"/>
</item>
<item>
<linkId value="coverage.kvg"/>
<text value="Grundversicherung (nach KVG)"/>
<type value="string"/>
</item>
<item>
<linkId value="coverage.vvg"/>
<text value="Zusatzversicherung (nach VVG)"/>
<type value="string"/>
</item>
<item>
<linkId value="coverage.vvgOther"/>
<text value="Andere (nach VVG)"/>
<type value="string"/>
</item>
</item>
<item>
<linkId value="previousResult"/>
<definition
value="http://fhir.ch/ig/ch-lab-order/StructureDefinition/ch-lab-order-servicerequest#ServiceRequest.supportingInfo"/>
<text value="Vorheriges Untersuchungsresultat"/>
<type value="group"/>
<item>
<linkId value="previousResult.result"/>
<text value="Untersuchungsresultat"/>
<type value="string"/>
<repeats value="true"/>
</item>
</item>
<item>
<linkId value="hematology"/>
<text value="Hematology"/>
<type value="group"/>
<item>
<linkId value="hemato-subset"/>
<text value="Hämatologie Subset"/>
<type value="choice"/>
<repeats value="true"/>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="24360-0"/>
<display value="Hemoglobin and Hematocrit panel - Blood"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="43113-0"/>
<display value="Hemoglobin electrophoresis panel in Blood"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="57021-8"/>
<display value="CBC W Auto Differential panel - Blood"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="58410-2"/>
<display value="CBC panel - Blood by Automated count"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="57023-4"/>
<display value="Auto Differential panel - Blood"/>
</valueCoding>
</answerOption>
</item>
</item>
<item>
<linkId value="coagulation"/>
<text value="Coagulation"/>
<type value="group"/>
<item>
<linkId value="d-dimer"/>
<text value="D-Dimer"/>
<type value="choice"/>
<repeats value="true"/>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="55398-2"/>
<display
value="Short Fibrin D-dimer FEU and DDU panel - Platelet poor plasma"/>
</valueCoding>
</answerOption>
</item>
</item>
<item>
<linkId value="cc"/>
<text value="clinical chemistry"/>
<type value="group"/>
<item>
<linkId value="crp"/>
<text value="CRP"/>
<type value="choice"/>
<repeats value="true"/>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="1988-5"/>
<display
value="C reactive protein [Mass/Volume] in Serum or Plasma"/>
</valueCoding>
<initialSelected value="true"/>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="76485-2"/>
<display
value="C reactive protein [Moles/volume] in Serum or Plasma"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="30522-7"/>
<display
value="C reactive protein [Mass/volume] in Serum or Plasma by High sensitivity method"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="76486-0"/>
<display
value="C reactive protein [Moles/volume] in Serum or Plasma by High sensitivity method"/>
</valueCoding>
</answerOption>
</item>
</item>
</Questionnaire>
</resource>
</entry>
<entry>
<fullUrl value="http://example.com/fhir/QuestionnaireResponse/1-tvt"/>
<resource>
<QuestionnaireResponse>
<id value="1-tvt"/>
<meta>
<versionId value="1"/>
<lastUpdated value="2023-06-06T17:04:38.520+00:00"/>
<profile
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-questionnaireresponse"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: QuestionnaireResponse</b><a name="1-tvt"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource QuestionnaireResponse "1-tvt" Version "1" Updated "2023-06-06 17:04:38+0000" </p><p style="margin-bottom: 0px">Profile: <a href="http://fhir.ch/ig/ch-orf/2.0.0-ballot/StructureDefinition-ch-orf-questionnaireresponse.html">CH ORF QuestionnaireResponse</a></p></div><p><b>questionnaire</b>: <a href="Questionnaire-1-tvt.html">Lab Order Form Example 1-tvt</a></p><p><b>status</b>: completed</p><blockquote><p><b>item</b></p><p><b>linkId</b>: order</p><p><b>text</b>: Auftrag</p><blockquote><p><b>item</b></p><p><b>linkId</b>: order.placerOrderIdentifier</p><p><b>text</b>: Auftragsnummer des Auftraggebers</p><blockquote><p><b>answer</b></p></blockquote></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><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.precedentDocumentIdentifier</p><p><b>text</b>: Identifier des Vorgängerdokuments</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.notificationContactDocument</p><p><b>text</b>: Dringender Benachrichtigungskontakt für dieses Dokument</p><blockquote><p><b>item</b></p></blockquote></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><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.priority</p><p><b>text</b>: Auftragspriorität</p><blockquote><p><b>answer</b></p></blockquote></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><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiver.organization</p><p><b>text</b>: Empfangende Organisation</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></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><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.maidenName</p><p><b>text</b>: Ledigname</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.givenName</p><p><b>text</b>: Vorname</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.localPid</p><p><b>text</b>: Lokale Patienten-ID</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.birthDate</p><p><b>text</b>: Geburtsdatum</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.gender</p><p><b>text</b>: Geschlecht</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.maritalStatus</p><p><b>text</b>: Zivilstand</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.phone</p><p><b>text</b>: Telefon</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.email</p><p><b>text</b>: E-Mail</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.streetAddressLine</p><p><b>text</b>: Strasse, Hausnummer, Postfach etc.</p><blockquote><p><b>answer</b></p></blockquote><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.postalCode</p><p><b>text</b>: PLZ</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.city</p><p><b>text</b>: Ort</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.country</p><p><b>text</b>: Land</p><blockquote><p><b>answer</b></p></blockquote></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><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: sender.dataenterer</p><p><b>text</b>: Erfasser</p><blockquote><p><b>item</b></p></blockquote></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><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiverCopy</p><p><b>text</b>: Kopieempfangende Organisation oder Person</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: hematology</p><p><b>text</b>: Hematology</p><blockquote><p><b>item</b></p><p><b>linkId</b>: hemato-subset</p><p><b>text</b>: Hämatologie Subset</p><blockquote><p><b>answer</b></p></blockquote><blockquote><p><b>answer</b></p></blockquote><blockquote><p><b>answer</b></p></blockquote><blockquote><p><b>answer</b></p></blockquote><blockquote><p><b>answer</b></p></blockquote></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coagulation</p><p><b>text</b>: Coagulation</p><blockquote><p><b>item</b></p><p><b>linkId</b>: d-dimer</p><p><b>text</b>: D-Dimer</p><blockquote><p><b>answer</b></p></blockquote></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: cc</p><p><b>text</b>: clinical chemistry</p><blockquote><p><b>item</b></p><p><b>linkId</b>: crp</p><p><b>text</b>: CRP</p><blockquote><p><b>answer</b></p></blockquote></blockquote></blockquote></div>
</text>
<questionnaire
value="http://fhir.ch/ig/ch-lab-order/Questionnaire/1-tvt"/>
<status value="completed"/>
<item>
<linkId value="order"/>
<text value="Auftrag"/>
<item>
<linkId value="order.placerOrderIdentifier"/>
<text value="Auftragsnummer des Auftraggebers"/>
<answer>
<valueString value="123"/>
</answer>
</item>
<item>
<linkId value="order.placerOrderIdentifierDomain"/>
<text
value="Identifier Domain der Auftragsnummer des Auftraggebers"/>
<answer>
<valueString value="urn:oid:2.16.756.5.30"/>
</answer>
</item>
<item>
<linkId value="order.precedentDocumentIdentifier"/>
<text value="Identifier des Vorgängerdokuments"/>
<answer>
<valueString value="1622f2fb-6ba3-4532-9aed-35b158def187"/>
</answer>
</item>
<item>
<linkId value="order.notificationContactDocument"/>
<text
value="Dringender Benachrichtigungskontakt für dieses Dokument"/>
<item>
<linkId value="order.notificationContactDocument.practitioner"/>
<text value="Zu benachrichtigende Person"/>
<item>
<linkId
value="order.notificationContactDocument.practitioner.title"/>
<text value="Titel"/>
<answer>
<valueString value="Dr. med."/>
</answer>
</item>
<item>
<linkId
value="order.notificationContactDocument.practitioner.familyName"/>
<text value="Name"/>
<answer>
<valueString value="Erlenmeyer"/>
</answer>
</item>
<item>
<linkId
value="order.notificationContactDocument.practitioner.givenName"/>
<text value="Vorname"/>
<answer>
<valueString value="Eva"/>
</answer>
</item>
<item>
<linkId
value="order.notificationContactDocument.practitioner.phone"/>
<text value="Telefon"/>
<answer>
<valueString value="033 444 55 66"/>
</answer>
</item>
<item>
<linkId
value="order.notificationContactDocument.practitioner.email"/>
<text value="E-Mail"/>
<answer>
<valueString value="eva.erlenmeyer@labor-pipette.ch"/>
</answer>
</item>
</item>
</item>
<item>
<linkId value="order.notificationContactDocumentResponse"/>
<text
value="Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument"/>
<item>
<linkId
value="order.notificationContactDocumentResponse.practitioner"/>
<text value="Zu benachrichtigende Person"/>
<item>
<linkId
value="order.notificationContactDocumentResponse.practitioner.title"/>
<text value="Titel"/>
<answer>
<valueString value="Dr. med."/>
</answer>
</item>
<item>
<linkId
value="order.notificationContactDocumentResponse.practitioner.familyName"/>
<text value="Name"/>
<answer>
<valueString value="Mustermann"/>
</answer>
</item>
<item>
<linkId
value="order.notificationContactDocumentResponse.practitioner.givenName"/>
<text value="Vorname"/>
<answer>
<valueString value="Marc"/>
</answer>
</item>
<item>
<linkId
value="order.notificationContactDocumentResponse.practitioner.phone"/>
<text value="Telefon"/>
<answer>
<valueString value="033 444 55 66"/>
</answer>
</item>
<item>
<linkId
value="order.notificationContactDocumentResponse.practitioner.email"/>
<text value="E-Mail"/>
<answer>
<valueString value="peter.presto@arztpraxis.ch"/>
</answer>
</item>
</item>
</item>
<item>
<linkId value="order.priority"/>
<text value="Auftragspriorität"/>
<answer>
<valueCoding>
<system value="http://hl7.org/fhir/request-priority"/>
<code value="routine"/>
</valueCoding>
</answer>
</item>
</item>
<item>
<linkId value="receiver"/>
<text value="Empfänger"/>
<item>
<linkId value="receiver.practitioner"/>
<text value="Empfangende Person"/>
<item>
<linkId value="receiver.practitioner.title"/>
<text value="Titel"/>
<answer>
<valueString value="Dr. med."/>
</answer>
</item>
<item>
<linkId value="receiver.practitioner.familyName"/>
<text value="Name"/>
<answer>
<valueString value="Erlenmeyer"/>
</answer>
</item>
<item>
<linkId value="receiver.practitioner.givenName"/>
<text value="Vorname"/>
<answer>
<valueString value="Eva"/>
</answer>
</item>
<item>
<linkId value="receiver.practitioner.gln"/>
<text value="GLN"/>
<answer>
<valueString value="7601000050703"/>
</answer>
</item>
<item>
<linkId value="receiver.practitioner.phone"/>
<text value="Telefon"/>
<answer>
<valueString value="+41322552525"/>
</answer>
</item>
<item>
<linkId value="receiver.practitioner.email"/>
<text value="E-Mail"/>
<answer>
<valueString value="eva.erlenmeyer@labor-pipette.ch"/>
</answer>
</item>
</item>
<item>
<linkId value="receiver.organization"/>
<text value="Empfangende Organisation"/>
<item>
<linkId value="receiver.organization.name"/>
<text value="Name der Organisation"/>
<answer>
<valueString value="Labor Pipette"/>
</answer>
</item>
<item>
<linkId value="receiver.organization.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<answer>
<valueString value="Laborstrasse 23"/>
</answer>
<answer>
<valueString value="Postfach 44"/>
</answer>
</item>
<item>
<linkId value="receiver.organization.postalCode"/>
<text value="PLZ"/>
<answer>
<valueString value="4600"/>
</answer>
</item>
<item>
<linkId value="receiver.organization.city"/>
<text value="Ort"/>
<answer>
<valueString value="Olten"/>
</answer>
</item>
<item>
<linkId value="receiver.organization.country"/>
<text value="Land"/>
<answer>
<valueString value="Schweiz"/>
</answer>
</item>
</item>
</item>
<item>
<linkId value="patient"/>
<text value="Patient"/>
<item>
<linkId value="patient.familyName"/>
<text value="Name"/>
<answer>
<valueString value="Guggindieluft"/>
</answer>
</item>
<item>
<linkId value="patient.maidenName"/>
<text value="Ledigname"/>
<answer>
<valueString value="Bering"/>
</answer>
</item>
<item>
<linkId value="patient.givenName"/>
<text value="Vorname"/>
<answer>
<valueString value="Hans"/>
</answer>
</item>
<item>
<linkId value="patient.localPid"/>
<text value="Lokale Patienten-ID"/>
<answer>
<valueString value="11.22.33.5678"/>
</answer>
</item>
<item>
<linkId value="patient.birthDate"/>
<text value="Geburtsdatum"/>
<answer>
<valueDate value="1981-01-01"/>
</answer>
</item>
<item>
<linkId value="patient.gender"/>
<text value="Geschlecht"/>
<answer>
<valueCoding>
<system value="http://hl7.org/fhir/administrative-gender"/>
<code value="male"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="patient.maritalStatus"/>
<text value="Zivilstand"/>
<answer>
<valueCoding>
<system
value="http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus"/>
<code value="5"/>
<display value="unverheiratet"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="patient.phone"/>
<text value="Telefon"/>
<answer>
<valueString value="079 979 79 79"/>
</answer>
</item>
<item>
<linkId value="patient.email"/>
<text value="E-Mail"/>
<answer>
<valueString value="erika@musterfrau.ch"/>
</answer>
</item>
<item>
<linkId value="patient.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<answer>
<valueString value="Musterweg"/>
</answer>
<answer>
<valueString value="6a"/>
</answer>
</item>
<item>
<linkId value="patient.postalCode"/>
<text value="PLZ"/>
<answer>
<valueString value="8000"/>
</answer>
</item>
<item>
<linkId value="patient.city"/>
<text value="Ort"/>
<answer>
<valueString value="Zürich"/>
</answer>
</item>
<item>
<linkId value="patient.country"/>
<text value="Land"/>
<answer>
<valueString value="Schweiz"/>
</answer>
</item>
</item>
<item>
<linkId value="sender"/>
<text value="Absender"/>
<item>
<linkId value="sender.author"/>
<text value="Verantwortlicher"/>
<item>
<linkId value="sender.author.practitioner"/>
<text value="Verantwortliche Person"/>
<item>
<linkId value="sender.author.practitioner.title"/>
<text value="Titel"/>
<answer>
<valueString value="Dr. med."/>
</answer>
</item>
<item>
<linkId value="sender.author.practitioner.familyName"/>
<text value="Name"/>
<answer>
<valueString value="Mustermann"/>
</answer>
</item>
<item>
<linkId value="sender.author.practitioner.givenName"/>
<text value="Vorname"/>
<answer>
<valueString value="Marc"/>
</answer>
</item>
<item>
<linkId value="sender.author.practitioner.gln"/>
<text value="GLN"/>
<answer>
<valueString value="7601000034321"/>
</answer>
</item>
<item>
<linkId value="sender.author.practitioner.zsr"/>
<text value="ZSR"/>
<answer>
<valueString value="A123309"/>
</answer>
</item>
<item>
<linkId value="sender.author.practitioner.phone"/>
<text value="Telefon"/>
<answer>
<valueString value="033 333 22 11"/>
</answer>
</item>
<item>
<linkId value="sender.author.practitioner.email"/>
<text value="E-Mail"/>
<answer>
<valueString value="marc.mustermann@gruppenpraxis.ch"/>
</answer>
</item>
</item>
<item>
<linkId value="sender.author.organization"/>
<text value="Verantwortliche Organisation"/>
<item>
<linkId value="sender.author.organization.name"/>
<text value="Name der Organisation"/>
<answer>
<valueString value="Gruppenpraxis"/>
</answer>
</item>
<item>
<linkId value="sender.author.organization.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<answer>
<valueString value="Gerbergasse 12"/>
</answer>
<answer>
<valueString value="Postfach 144"/>
</answer>
</item>
<item>
<linkId value="sender.author.organization.postalCode"/>
<text value="PLZ"/>
<answer>
<valueString value="4600"/>
</answer>
</item>
<item>
<linkId value="sender.author.organization.city"/>
<text value="Ort"/>
<answer>
<valueString value="Olten"/>
</answer>
</item>
<item>
<linkId value="sender.author.organization.country"/>
<text value="Land"/>
<answer>
<valueString value="Schweiz"/>
</answer>
</item>
</item>
</item>
<item>
<linkId value="sender.dataenterer"/>
<text value="Erfasser"/>
<item>
<linkId value="sender.dataenterer.practitioner"/>
<text value="Erfassende Person"/>
<item>
<linkId value="sender.dataenterer.practitioner.familyName"/>
<text value="Name"/>
<answer>
<valueString value="Mustermann"/>
</answer>
</item>
<item>
<linkId value="sender.dataenterer.practitioner.givenName"/>
<text value="Vorname"/>
<answer>
<valueString value="Marc"/>
</answer>
</item>
<item>
<linkId value="sender.dataenterer.practitioner.phone"/>
<text value="Telefon"/>
<answer>
<valueString value="033 333 22 11"/>
</answer>
</item>
<item>
<linkId value="sender.dataenterer.practitioner.email"/>
<text value="E-Mail"/>
<answer>
<valueString value="marc.mustermann@gruppenpraxis.ch"/>
</answer>
</item>
</item>
</item>
</item>
<item>
<linkId value="receiverCopies"/>
<text value="Kopieempfänger"/>
<item>
<linkId value="receiverCopy"/>
<text value="Kopieempfangende Organisation oder Person"/>
<item>
<linkId value="receiverCopy.organization.name"/>
<text value="Name der Organisation"/>
<answer>
<valueString value="Praxis Seeblick"/>
</answer>
</item>
<item>
<linkId value="receiverCopy.title"/>
<text value="Titel"/>
<answer>
<valueString value="Dr. med."/>
</answer>
</item>
<item>
<linkId value="receiverCopy.familyName"/>
<text value="Name"/>
<answer>
<valueString value="Meier"/>
</answer>
</item>
<item>
<linkId value="receiverCopy.givenName"/>
<text value="Vorname"/>
<answer>
<valueString value="Sabine"/>
</answer>
</item>
<item>
<linkId value="receiverCopy.phone"/>
<text value="Telefon"/>
<answer>
<valueString value="044 333 22 11"/>
</answer>
</item>
<item>
<linkId value="receiverCopy.email"/>
<text value="E-Mail"/>
<answer>
<valueString value="sabine.meier@praxisseeblick.ch"/>
</answer>
</item>
</item>
<item>
<linkId value="receiverCopy"/>
<text value="Kopieempfangende Organisation oder Person"/>
<item>
<linkId value="receiverCopy.familyName"/>
<text value="Name"/>
<answer>
<valueString value="Meier"/>
</answer>
</item>
<item>
<linkId value="receiverCopy.givenName"/>
<text value="Vorname"/>
<answer>
<valueString value="Sabine"/>
</answer>
</item>
<item>
<linkId value="receiverCopy.phone"/>
<text value="Telefon"/>
<answer>
<valueString value="044 333 22 11"/>
</answer>
</item>
<item>
<linkId value="receiverCopy.email"/>
<text value="E-Mail"/>
<answer>
<valueString value="sabine.meier@praxis.ch"/>
</answer>
</item>
<item>
<linkId value="receiverCopy.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<answer>
<valueString value="Musterweg"/>
</answer>
<answer>
<valueString value="6a"/>
</answer>
</item>
<item>
<linkId value="receiverCopy.postalCode"/>
<text value="PLZ"/>
<answer>
<valueString value="6330"/>
</answer>
</item>
<item>
<linkId value="receiverCopy.city"/>
<text value="Ort"/>
<answer>
<valueString value="Cham"/>
</answer>
</item>
<item>
<linkId value="receiverCopy.country"/>
<text value="Land"/>
<answer>
<valueString value="Schweiz"/>
</answer>
</item>
</item>
</item>
<item>
<linkId value="hematology"/>
<text value="Hematology"/>
<item>
<linkId value="hemato-subset"/>
<text value="Hämatologie Subset"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="24360-0"/>
<display value="Hemoglobin and Hematocrit panel - Blood"/>
</valueCoding>
</answer>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="43113-0"/>
<display value="Hemoglobin electrophoresis panel in Blood"/>
</valueCoding>
</answer>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="57021-8"/>
<display value="CBC W Auto Differential panel - Blood"/>
</valueCoding>
</answer>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="58410-2"/>
<display value="CBC panel - Blood by Automated count"/>
</valueCoding>
</answer>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="57023-4"/>
<display value="Auto Differential panel - Blood"/>
</valueCoding>
</answer>
</item>
</item>
<item>
<linkId value="coagulation"/>
<text value="Coagulation"/>
<item>
<linkId value="d-dimer"/>
<text value="D-Dimer"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="55398-2"/>
<display
value="Short Fibrin D-dimer FEU and DDU panel - Platelet poor plasma"/>
</valueCoding>
</answer>
</item>
</item>
<item>
<linkId value="cc"/>
<text value="clinical chemistry"/>
<item>
<linkId value="crp"/>
<text value="CRP"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="1988-5"/>
<display
value="C reactive protein [Mass/volume] in Serum or Plasma"/>
</valueCoding>
</answer>
</item>
</item>
</QuestionnaireResponse>
</resource>
</entry>
<entry>
<fullUrl value="http://example.com/fhir/ServiceRequest/1-tvt"/>
<resource>
<ServiceRequest>
<id value="1-tvt"/>
<meta>
<profile
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: ServiceRequest</b><a name="1-tvt"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource ServiceRequest "1-tvt" </p><p style="margin-bottom: 0px">Profile: <a href="http://fhir.ch/ig/ch-orf/2.0.0-ballot/StructureDefinition-ch-orf-servicerequest.html">CH ORF ServiceRequest</a></p></div><p><b>identifier</b>: Placer Identifier: 123</p><p><b>status</b>: active</p><p><b>intent</b>: original-order</p><p><b>category</b>: Anforderung Laboruntersuchung <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (ch-lab-order-servicerequest-categories#RequestForLabExam)</span></p><p><b>priority</b>: urgent</p><p><b>code</b>: Hemoglobin and Hematocrit panel - Blood <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#24360-0; <a href="https://loinc.org/">LOINC</a>#43113-0 "Hemoglobin electrophoresis panel in Blood"; <a href="https://loinc.org/">LOINC</a>#57021-8 "CBC W Auto Differential panel - Blood"; <a href="https://loinc.org/">LOINC</a>#58410-2 "CBC panel - Blood by Automated count"; <a href="https://loinc.org/">LOINC</a>#57023-4 "Auto Differential panel - Blood"; <a href="https://loinc.org/">LOINC</a>#55398-2 "Short Fibrin D-dimer FEU and DDU panel - Platelet poor plasma"; <a href="https://loinc.org/">LOINC</a>#1988-5 "C reactive protein [Mass/Volume] in Serum or Plasma")</span></p><p><b>subject</b>: <a href="#Patient_HansGuggindieluft">See above (Patient/HansGuggindieluft)</a></p><p><b>requester</b>: <a href="#PractitionerRole_MarcMustermannArztpraxis">See above (PractitionerRole/MarcMustermannArztpraxis)</a></p><p><b>reasonCode</b>: Deep venous thrombosis of lower extremity <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#404223003)</span></p><p><b>insurance</b>: <a href="Coverage-HealthInsuranceCard.html">Coverage/HealthInsuranceCard</a></p><p><b>specimen</b>: </p><ul><li><a href="Specimen-Serum.html">Specimen/Serum: Serum specimen</a></li><li><a href="Specimen-Blood-coag.html">Specimen/Blood-coag</a></li></ul></div>
</text>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PLAC"/>
<display value="Placer Identifier"/>
</coding>
</type>
<system value="urn:oid:2.16.756.5.30"/>
<value value="123"/>
</identifier>
<status value="active"/>
<intent value="original-order"/>
<category>
<coding>
<system
value="http://fhir.ch/ig/ch-lab-order/CodeSystem/ch-lab-order-servicerequest-categories"/>
<code value="RequestForLabExam"/>
<display value="Anforderung Laboruntersuchung"/>
</coding>
</category>
<priority value="urgent"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="24360-0"/>
<display value="Hemoglobin and Hematocrit panel - Blood"/>
</coding>
<coding>
<system value="http://loinc.org"/>
<code value="43113-0"/>
<display value="Hemoglobin electrophoresis panel in Blood"/>
</coding>
<coding>
<system value="http://loinc.org"/>
<code value="57021-8"/>
<display value="CBC W Auto Differential panel - Blood"/>
</coding>
<coding>
<system value="http://loinc.org"/>
<code value="58410-2"/>
<display value="CBC panel - Blood by Automated count"/>
</coding>
<coding>
<system value="http://loinc.org"/>
<code value="57023-4"/>
<display value="Auto Differential panel - Blood"/>
</coding>
<coding>
<system value="http://loinc.org"/>
<code value="55398-2"/>
<display
value="Short Fibrin D-dimer FEU and DDU panel - Platelet poor plasma"/>
</coding>
<coding>
<system value="http://loinc.org"/>
<code value="1988-5"/>
<display
value="C reactive protein [Mass/Volume] in Serum or Plasma"/>
</coding>
</code>
<subject>
<reference value="Patient/HansGuggindieluft"/>
</subject>
<requester>
<reference value="PractitionerRole/MarcMustermannArztpraxis"/>
</requester>
<reasonCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="404223003"/>
</coding>
<text value="Deep venous thrombosis of lower extremity"/>
</reasonCode>
<insurance>
<reference value="Coverage/HealthInsuranceCard"/>
</insurance>
<specimen>
<reference value="Specimen/Serum"/>
<display value="Serum specimen"/>
</specimen>
<specimen>
<reference value="Specimen/Blood-coag"/>
</specimen>
</ServiceRequest>
</resource>
</entry>
</Bundle>
IG © 2021+ HL7 Switzerland. Package ch.fhir.ig.ch-lab-order#2.0.0-ballot based on FHIR 4.0.1. Generated 2023-06-29
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