CH ORF (R4)
0.10.0 - STU 1 Ballot
CH ORF (R4)
0.10.0 - STU 1 Ballot
This page is part of the CH ORF (R4) (v0.10.0: STU 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 3.0.2. For a full list of available versions, see the Directory of published versions
<Bundle xmlns="http://hl7.org/fhir">
<id value="external-diagnostics-order"/>
<meta>
<profile
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-document"/>
</meta>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:f9a34cb0-1d1c-4931-937f-ef621341373c"/>
</identifier>
<type value="document"/>
<timestamp value="2021-03-30T13:26:15+00:00"/>
<entry>
<fullUrl value="urn:uuid:8b624603-9aea-45b9-935f-5da4b708a0ab"/>
<resource>
<Composition>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>CH ORF Urgent Notification Contact For This Documet</b>: <a href="#urnuuid0cc17698-6d88-4d48-9c6a-1b0886350ef6">See above (PractitionerRole/null)</a></p><p><b>CH ORF Urgent Notification Contact For The Response To This Document</b>: <a href="#urnuuidb924d326-3f5a-48c0-be83-5bb02521cb25">See above (PractitionerRole/null)</a></p><p><b>CH ORF Receiver</b>: <a href="#urnuuid354ddeae-95c5-4970-83e5-71b78aeb1c6d">See above (PractitionerRole/null)</a></p><p><b>status</b>: final</p><p><b>type</b>: <span title="Codes: {urn:oid:2.16.756.5.30.1.127.3.4 2161000195103}">Imaging order (record artifact)</span></p><p><b>category</b>: <span title="Codes: {http://snomed.info/sct 721963009}">Order (record artifact)</span></p><p><b>date</b>: Mar 30, 2021, 3:26:15 PM</p><p><b>author</b>: <a href="#urnuuide11eeb26-31a1-491f-afbc-d885f6157172">See above (PractitionerRole/null)</a></p><p><b>title</b>: Order-Referral-Form</p></div>
</text>
<extension
url="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactforthisdocument">
<valueReference>
<reference value="urn:uuid:0cc17698-6d88-4d48-9c6a-1b0886350ef6"/>
</valueReference>
</extension>
<extension
url="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactfortheresponsetothisdocument">
<valueReference>
<reference value="urn:uuid:b924d326-3f5a-48c0-be83-5bb02521cb25"/>
</valueReference>
</extension>
<extension
url="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-receiver">
<valueReference>
<reference value="urn:uuid:354ddeae-95c5-4970-83e5-71b78aeb1c6d"/>
<type value="PractitionerRole"/>
</valueReference>
</extension>
<status value="final"/>
<type>
<coding>
<system value="urn:oid:2.16.756.5.30.1.127.3.4"/>
<code value="2161000195103"/>
<display value="Imaging order (record artifact)"/>
</coding>
</type>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="721963009"/>
<display value="Order (record artifact)"/>
</coding>
</category>
<subject>
<reference value="urn:uuid:60580cae-b784-43fb-a0b0-e87702c15285"/>
<type value="Patient"/>
</subject>
<date value="2021-03-30T13:26:15+00:00"/>
<author>
<reference value="urn:uuid:e11eeb26-31a1-491f-afbc-d885f6157172"/>
<type value="PractitionerRole"/>
</author>
<title value="Order-Referral-Form"/>
<section>
<title value="Order-Referral"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="93037-0"/>
<display value="Portable medical order form"/>
</coding>
</code>
<entry>
<reference
value="http://example.com/fhir/Questionnaire/order-referral-form"/>
<type value="Questionnaire"/>
</entry>
<entry>
<reference value="urn:uuid:a56ec999-341e-4a32-ac49-7d9be5fa2494"/>
<type value="QuestionnaireResponse"/>
</entry>
<entry>
<reference value="urn:uuid:51f0760e-a566-4756-b721-0ef9cd428b94"/>
<type value="ServiceRequest"/>
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:60580cae-b784-43fb-a0b0-e87702c15285"/>
<resource>
<Patient>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>identifier</b>: Medical record number: 44.34.9472.1</p><p><b>name</b>: Susanna Ufferer (OFFICIAL), Leidend (MAIDEN)</p><p><b>telecom</b>: ph: 079 979 79 79, <a href="mailto:susanna@ufferer.ch">susanna@ufferer.ch</a></p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1970-03-14</p><p><b>address</b>: Musterweg 6a Zürich 8000 Schweiz </p></div>
</text>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
</coding>
</type>
<system value="urn:oid:2.16.756.5.30.999999.1"/>
<value value="44.34.9472.1"/>
</identifier>
<name>
<use value="official"/>
<family value="Ufferer">
<extension
url="http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name">
<valueCode value="officialName"/>
</extension>
</family>
<given value="Susanna">
<extension
url="http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname">
<valueCode value="officialFirstName"/>
</extension>
</given>
</name>
<name>
<use value="maiden"/>
<family value="Leidend">
<extension
url="http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name">
<valueCode value="originalName"/>
</extension>
</family>
</name>
<telecom>
<system value="phone"/>
<value value="079 979 79 79"/>
</telecom>
<telecom>
<system value="email"/>
<value value="susanna@ufferer.ch"/>
</telecom>
<gender value="female"/>
<birthDate value="1970-03-14"/>
<address>
<line value="Musterweg"/>
<line value="6a"/>
<city value="Zürich"/>
<postalCode value="8000"/>
<country value="Schweiz"/>
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:a56ec999-341e-4a32-ac49-7d9be5fa2494"/>
<resource>
<QuestionnaireResponse>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>questionnaire</b>: <a href="http://fhir.ch/ig/ch-orf/Questionnaire/order-referral-form">http://fhir.ch/ig/ch-orf/Questionnaire/order-referral-form</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.title</p><p><b>text</b>: Titel</p><h3>Answers</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.type</p><p><b>text</b>: Typ</p><h3>Answers</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.category</p><p><b>text</b>: Kategorie</p><h3>Answers</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.placerOrderIdentifier</p><p><b>text</b>: Auftragsnummer des Auftraggebers</p><h3>Answers</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.placerOrderIdentifierDomain</p><p><b>text</b>: Identifier Domain der Auftragsnummer des Auftraggebers</p><h3>Answers</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.notificationContactDocument</p><p><b>text</b>: Dringender Benachrichtigungskontakt für dieses Dokument</p><h3>Items</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.notificationContactDocumentResponse</p><p><b>text</b>: Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument</p><h3>Items</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.priority</p><p><b>text</b>: Auftragspriorität</p><h3>Answers</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiver</p><p><b>text</b>: Empfänger</p><blockquote><p><b>item</b></p><p><b>linkId</b>: receiver.practitioner</p><p><b>text</b>: Empfangende Person</p><h3>Items</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiver.organization</p><p><b>text</b>: Empfangende Organisation</p><h3>Items</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient</p><p><b>text</b>: Patient</p><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.familyName</p><p><b>text</b>: Name</p><h3>Answers</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.maidenName</p><p><b>text</b>: Ledigname</p><h3>Answers</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.givenName</p><p><b>text</b>: Vorname</p><h3>Answers</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.localPid</p><p><b>text</b>: Lokale Patienten-ID</p><h3>Answers</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.birthDate</p><p><b>text</b>: Geburtsdatum</p><h3>Answers</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.gender</p><p><b>text</b>: Geschlecht</p><h3>Answers</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.phone</p><p><b>text</b>: Telefon</p><h3>Answers</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.email</p><p><b>text</b>: E-Mail</p><h3>Answers</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.streetAddressLine</p><p><b>text</b>: Strasse, Hausnummer, Postfach etc.</p><h3>Answers</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.postalCode</p><p><b>text</b>: PLZ</p><h3>Answers</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.city</p><p><b>text</b>: Ort</p><h3>Answers</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.country</p><p><b>text</b>: Land</p><h3>Answers</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: sender</p><p><b>text</b>: Absender</p><blockquote><p><b>item</b></p><p><b>linkId</b>: sender.author</p><p><b>text</b>: Verantwortlicher</p><h3>Items</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote></blockquote></div>
</text>
<questionnaire
value="http://fhir.ch/ig/ch-orf/Questionnaire/order-referral-form"/>
<status value="completed"/>
<item>
<linkId value="order"/>
<text value="Auftrag"/>
<item>
<linkId value="order.title"/>
<text value="Titel"/>
<answer>
<valueString value="Order-Referral-Form"/>
</answer>
</item>
<item>
<linkId value="order.type"/>
<text value="Typ"/>
<answer>
<valueCoding>
<system value="urn:oid:2.16.756.5.30.1.127.3.4"/>
<code value="2161000195103"/>
<display value="Imaging order (record artifact)"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="order.category"/>
<text value="Kategorie"/>
<answer>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="721963009"/>
<display value="Order (record artifact)"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="order.placerOrderIdentifier"/>
<text value="Auftragsnummer des Auftraggebers"/>
<answer>
<valueString value="60823"/>
</answer>
</item>
<item>
<linkId value="order.placerOrderIdentifierDomain"/>
<text value="Identifier Domain der Auftragsnummer des Auftraggebers"/>
<answer>
<valueString value="urn:oid:66.77.88"/>
</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="Iller"/>
</answer>
</item>
<item>
<linkId
value="order.notificationContactDocument.practitioner.givenName"/>
<text value="Vorname"/>
<answer>
<valueString value="Frederica"/>
</answer>
</item>
<item>
<linkId
value="order.notificationContactDocument.practitioner.phone"/>
<text value="Telefon"/>
<answer>
<valueString value="044 503 44 44"/>
</answer>
</item>
<item>
<linkId
value="order.notificationContactDocument.practitioner.email"/>
<text value="E-Mail"/>
<answer>
<valueString value="f.iller@univerityhospital.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="Lacer"/>
</answer>
</item>
<item>
<linkId
value="order.notificationContactDocumentResponse.practitioner.givenName"/>
<text value="Vorname"/>
<answer>
<valueString value="Paul"/>
</answer>
</item>
<item>
<linkId
value="order.notificationContactDocumentResponse.practitioner.phone"/>
<text value="Telefon"/>
<answer>
<valueString value="044 987 65 43"/>
</answer>
</item>
<item>
<linkId
value="order.notificationContactDocumentResponse.practitioner.email"/>
<text value="E-Mail"/>
<answer>
<valueString value="p.lacer@regionalhospital.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="stat"/>
</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="Iller"/>
</answer>
</item>
<item>
<linkId value="receiver.practitioner.givenName"/>
<text value="Vorname"/>
<answer>
<valueString value="Frederica"/>
</answer>
</item>
<item>
<linkId value="receiver.practitioner.gln"/>
<text value="GLN"/>
<answer>
<valueString value="7601000099521"/>
</answer>
</item>
<item>
<linkId value="receiver.practitioner.phone"/>
<text value="Telefon"/>
<answer>
<valueString value="044 503 44 44"/>
</answer>
</item>
<item>
<linkId value="receiver.practitioner.email"/>
<text value="E-Mail"/>
<answer>
<valueString value="f.iller@universityhospital.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="University Hospital"/>
</answer>
</item>
<item>
<linkId value="receiver.organization.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<answer>
<valueString value="Uniweg 33"/>
</answer>
<answer>
<valueString value="Radiology"/>
</answer>
</item>
<item>
<linkId value="receiver.organization.postalCode"/>
<text value="PLZ"/>
<answer>
<valueString value="8000"/>
</answer>
</item>
<item>
<linkId value="receiver.organization.city"/>
<text value="Ort"/>
<answer>
<valueString value="Zürich"/>
</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="Ufferer"/>
</answer>
</item>
<item>
<linkId value="patient.maidenName"/>
<text value="Ledigname"/>
<answer>
<valueString value="Leidend"/>
</answer>
</item>
<item>
<linkId value="patient.givenName"/>
<text value="Vorname"/>
<answer>
<valueString value="Susanna"/>
</answer>
</item>
<item>
<linkId value="patient.localPid"/>
<text value="Lokale Patienten-ID"/>
<answer>
<valueString value="44.34.9472.1"/>
</answer>
</item>
<item>
<linkId value="patient.birthDate"/>
<text value="Geburtsdatum"/>
<answer>
<valueDate value="1970-03-14"/>
</answer>
</item>
<item>
<linkId value="patient.gender"/>
<text value="Geschlecht"/>
<answer>
<valueCoding>
<system value="http://hl7.org/fhir/administrative-gender"/>
<code value="female"/>
</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="susanna@ufferer.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="Lacer"/>
</answer>
</item>
<item>
<linkId value="sender.author.practitioner.givenName"/>
<text value="Vorname"/>
<answer>
<valueString value="Paul"/>
</answer>
</item>
<item>
<linkId value="sender.author.practitioner.gln"/>
<text value="GLN"/>
<answer>
<valueString value="7601003334499"/>
</answer>
</item>
<item>
<linkId value="sender.author.practitioner.phone"/>
<text value="Telefon"/>
<answer>
<valueString value="044 987 65 43"/>
</answer>
</item>
<item>
<linkId value="sender.author.practitioner.email"/>
<text value="E-Mail"/>
<answer>
<valueString value="p.lacer@regionalhospital.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="Regional Hospital"/>
</answer>
</item>
<item>
<linkId value="sender.author.organization.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<answer>
<valueString value="Musterstrasse 129"/>
</answer>
</item>
<item>
<linkId value="sender.author.organization.postalCode"/>
<text value="PLZ"/>
<answer>
<valueString value="8000"/>
</answer>
</item>
<item>
<linkId value="sender.author.organization.city"/>
<text value="Ort"/>
<answer>
<valueString value="Zürich"/>
</answer>
</item>
<item>
<linkId value="sender.author.organization.country"/>
<text value="Land"/>
<answer>
<valueString value="Schweiz"/>
</answer>
</item>
</item>
</item>
</item>
</QuestionnaireResponse>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:51f0760e-a566-4756-b721-0ef9cd428b94"/>
<resource>
<ServiceRequest>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>identifier</b>: Placer Identifier: 60823</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>priority</b>: stat</p><p><b>subject</b>: <a href="#urnuuid60580cae-b784-43fb-a0b0-e87702c15285">See above (Patient/null)</a></p><p><b>requester</b>: <a href="#urnuuide11eeb26-31a1-491f-afbc-d885f6157172">See above (PractitionerRole/null)</a></p></div>
</text>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PLAC"/>
</coding>
</type>
<system value="urn:oid:66.77.88"/>
<value value="60823"/>
</identifier>
<status value="active"/>
<intent value="order"/>
<priority value="stat"/>
<subject>
<reference value="urn:uuid:60580cae-b784-43fb-a0b0-e87702c15285"/>
<type value="Patient"/>
</subject>
<requester>
<reference value="urn:uuid:e11eeb26-31a1-491f-afbc-d885f6157172"/>
<type value="PractitionerRole"/>
</requester>
</ServiceRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:0cc17698-6d88-4d48-9c6a-1b0886350ef6"/>
<resource>
<PractitionerRole>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>practitioner</b>: <a href="#urnuuid23064476-d499-419e-908e-63fd804a57e6">See above (Practitioner/null)</a></p></div>
</text>
<practitioner>
<reference value="urn:uuid:23064476-d499-419e-908e-63fd804a57e6"/>
<type value="Practitioner"/>
</practitioner>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:23064476-d499-419e-908e-63fd804a57e6"/>
<resource>
<Practitioner>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>name</b>: Frederica Iller </p><p><b>telecom</b>: ph: 044 503 44 44, <a href="mailto:f.iller@univerityhospital.ch">f.iller@univerityhospital.ch</a></p></div>
</text>
<name>
<family value="Iller"/>
<given value="Frederica"/>
<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="044 503 44 44"/>
</telecom>
<telecom>
<system value="email"/>
<value value="f.iller@univerityhospital.ch"/>
</telecom>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:b924d326-3f5a-48c0-be83-5bb02521cb25"/>
<resource>
<PractitionerRole>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>practitioner</b>: <a href="#urnuuidf4ae3476-1fbd-42ae-b2e3-ae1b445a2460">See above (Practitioner/null)</a></p></div>
</text>
<practitioner>
<reference value="urn:uuid:f4ae3476-1fbd-42ae-b2e3-ae1b445a2460"/>
<type value="Practitioner"/>
</practitioner>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:f4ae3476-1fbd-42ae-b2e3-ae1b445a2460"/>
<resource>
<Practitioner>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>name</b>: Paul Lacer </p><p><b>telecom</b>: ph: 044 987 65 43, <a href="mailto:p.lacer@regionalhospital.ch">p.lacer@regionalhospital.ch</a></p></div>
</text>
<name>
<family value="Lacer"/>
<given value="Paul"/>
<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="044 987 65 43"/>
</telecom>
<telecom>
<system value="email"/>
<value value="p.lacer@regionalhospital.ch"/>
</telecom>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:354ddeae-95c5-4970-83e5-71b78aeb1c6d"/>
<resource>
<PractitionerRole>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>practitioner</b>: <a href="#urnuuidb60e96e4-0665-4759-95f2-e962e05da7d5">See above (Practitioner/null)</a></p><p><b>organization</b>: <a href="#urnuuid04a1b8b0-04af-4ef1-ae1e-84f2da419fe3">See above (Organization/null)</a></p></div>
</text>
<practitioner>
<reference value="urn:uuid:b60e96e4-0665-4759-95f2-e962e05da7d5"/>
<type value="Practitioner"/>
</practitioner>
<organization>
<reference value="urn:uuid:04a1b8b0-04af-4ef1-ae1e-84f2da419fe3"/>
<type value="Organization"/>
</organization>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:b60e96e4-0665-4759-95f2-e962e05da7d5"/>
<resource>
<Practitioner>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 7601000099521</p><p><b>name</b>: Frederica Iller </p><p><b>telecom</b>: ph: 044 503 44 44, <a href="mailto:f.iller@universityhospital.ch">f.iller@universityhospital.ch</a></p></div>
</text>
<identifier>
<system value="urn:oid:2.51.1.3"/>
<value value="7601000099521"/>
</identifier>
<name>
<family value="Iller"/>
<given value="Frederica"/>
<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="044 503 44 44"/>
</telecom>
<telecom>
<system value="email"/>
<value value="f.iller@universityhospital.ch"/>
</telecom>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:04a1b8b0-04af-4ef1-ae1e-84f2da419fe3"/>
<resource>
<Organization>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>name</b>: University Hospital</p><p><b>address</b>: Uniweg 33 Radiology Zürich 8000 Schweiz </p></div>
</text>
<name value="University Hospital"/>
<address>
<line value="Uniweg 33"/>
<line value="Radiology"/>
<city value="Zürich"/>
<postalCode value="8000"/>
<country value="Schweiz"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:e11eeb26-31a1-491f-afbc-d885f6157172"/>
<resource>
<PractitionerRole>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>practitioner</b>: <a href="#urnuuid61dd236b-3a00-43e0-81fb-864f519bbac3">See above (Practitioner/null)</a></p><p><b>organization</b>: <a href="#urnuuid987098fd-cb54-4b85-a814-fed59a78591e">See above (Organization/null)</a></p></div>
</text>
<practitioner>
<reference value="urn:uuid:61dd236b-3a00-43e0-81fb-864f519bbac3"/>
<type value="Practitioner"/>
</practitioner>
<organization>
<reference value="urn:uuid:987098fd-cb54-4b85-a814-fed59a78591e"/>
<type value="Organization"/>
</organization>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:61dd236b-3a00-43e0-81fb-864f519bbac3"/>
<resource>
<Practitioner>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 7601003334499</p><p><b>name</b>: Paul Lacer </p><p><b>telecom</b>: ph: 044 987 65 43, <a href="mailto:p.lacer@regionalhospital.ch">p.lacer@regionalhospital.ch</a></p></div>
</text>
<identifier>
<system value="urn:oid:2.51.1.3"/>
<value value="7601003334499"/>
</identifier>
<name>
<family value="Lacer"/>
<given value="Paul"/>
<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="044 987 65 43"/>
</telecom>
<telecom>
<system value="email"/>
<value value="p.lacer@regionalhospital.ch"/>
</telecom>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:987098fd-cb54-4b85-a814-fed59a78591e"/>
<resource>
<Organization>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>name</b>: Regional Hospital</p><p><b>address</b>: Musterstrasse 129 Zürich 8000 Schweiz </p></div>
</text>
<name value="Regional Hospital"/>
<address>
<line value="Musterstrasse 129"/>
<city value="Zürich"/>
<postalCode value="8000"/>
<country value="Schweiz"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="http://example.com/fhir/Questionnaire/order-referral-form"/>
<resource>
<Questionnaire>
<id value="order-referral-form"/>
<meta>
<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-extract"/>
<profile
value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-populate"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>Target structure map</b>: <a href="http://fhir.ch/ig/ch-orf/StructureMap/OrfQrToBundle">http://fhir.ch/ig/ch-orf/StructureMap/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><h3>Urls</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: Bundle</p><h3>Urls</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: Bundle</p><h3>Urls</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: The Bundle that is to be used to pre-populate the form</p></blockquote><p><b>url</b>: <code>http://fhir.ch/ig/ch-orf/Questionnaire/order-referral-form</code></p><p><b>version</b>: 0.9.1</p><p><b>name</b>: OrderReferralForm</p><p><b>title</b>: Order-Referral-Form</p><p><b>status</b>: active</p><p><b>subjectType</b>: Patient</p><p><b>date</b>: 2021-06-10</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>: <span title="Codes: {urn:iso:std:iso:3166 CH}">Switzerland</span></p><p><b>copyright</b>: CC-BY-SA-4.0</p><blockquote><p><b>item</b></p><p><b>linkId</b>: order</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-document#Bundle">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-document#Bundle</a></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.title</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.title">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.title</a></p><p><b>text</b>: Titel</p><p><b>type</b>: string</p><p><b>required</b>: true</p><p><b>readOnly</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.type</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.type">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.type</a></p><p><b>text</b>: Typ</p><p><b>type</b>: choice</p><p><b>required</b>: true</p><p><b>answerValueSet</b>: <a href="http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.typeCode">http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.typeCode</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.category</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.category">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.category</a></p><p><b>text</b>: Kategorie</p><p><b>type</b>: choice</p><p><b>required</b>: true</p><p><b>answerValueSet</b>: <a href="http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.classCode">http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.classCode</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.placerOrderIdentifier</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.identifier:placerOrderIdentifier.value">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.identifier:placerOrderIdentifier.value</a></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>definition</b>: <a href="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.identifier:placerOrderIdentifier.system">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.identifier:placerOrderIdentifier.system</a></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>definition</b>: <a href="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.identifier:fillerOrderIdentifier.value">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.identifier:fillerOrderIdentifier.value</a></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>definition</b>: <a href="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.identifier:fillerOrderIdentifier.system">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.identifier:fillerOrderIdentifier.system</a></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>definition</b>: <a href="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:precedentDocument">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:precedentDocument</a></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>definition</b>: <a href="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:urgentNoficationContactForThisDocument">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:urgentNoficationContactForThisDocument</a></p><p><b>text</b>: Dringender Benachrichtigungskontakt für dieses Dokument</p><p><b>type</b>: group</p><h3>Items</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.notificationContactDocumentResponse</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:urgentNoficationContactForTheResponseToThisDocument">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:urgentNoficationContactForTheResponseToThisDocument</a></p><p><b>text</b>: Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument</p><p><b>type</b>: group</p><h3>Items</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.priority</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.priority">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.priority</a></p><p><b>text</b>: Auftragspriorität</p><p><b>type</b>: choice</p><h3>AnswerOptions</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiver</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:receiver">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:receiver</a></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>definition</b>: <a href="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.practitioner">http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.practitioner</a></p><p><b>text</b>: Empfangende Person</p><p><b>type</b>: group</p><h3>Items</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiver.organization</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.organization">http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.organization</a></p><p><b>text</b>: Empfangende Organisation</p><p><b>type</b>: group</p><h3>Items</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.subject">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.subject</a></p><p><b>text</b>: Patient</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.familyName</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.name.family">http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.name.family</a></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>definition</b>: <a href="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.name.family">http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.name.family</a></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>definition</b>: <a href="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.name.given">http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.name.given</a></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>definition</b>: <a href="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.identifier:LocalPid.value">http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.identifier:LocalPid.value</a></p><p><b>text</b>: Lokale Patienten-ID</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>hidden</b>: true</p><p><b>linkId</b>: patient.localPidDomain</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.identifier:LocalPid.system">http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.identifier:LocalPid.system</a></p><p><b>text</b>: Lokale Patienten-ID Domain</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.birthDate</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.birthDate">http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.birthDate</a></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>definition</b>: <a href="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.gender">http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.gender</a></p><p><b>text</b>: Geschlecht</p><p><b>type</b>: choice</p><h3>AnswerOptions</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.phone</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.telecom.value">http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.telecom.value</a></p><p><b>text</b>: Telefon</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.email</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.telecom.value">http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.telecom.value</a></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>definition</b>: <a href="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.address.line">http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.address.line</a></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>definition</b>: <a href="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.address.postalCode">http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.address.postalCode</a></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>definition</b>: <a href="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.address.city">http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.address.city</a></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>definition</b>: <a href="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.address.country">http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.address.country</a></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.contactperson</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact">http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact</a></p><p><b>text</b>: Kontaktperson</p><p><b>type</b>: group</p><h3>Items</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: requestedEncounter</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.extension:requestedEncounterDetails">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.extension:requestedEncounterDetails</a></p><p><b>text</b>: Patientenaufnahme</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p><p><b>linkId</b>: requestedEncounter.class</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-encounter#Encounter.class">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-encounter#Encounter.class</a></p><p><b>text</b>: Voraussichtlich: Ambulant / Stationär / Notfall</p><p><b>type</b>: choice</p><h3>AnswerOptions</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: requestedEncounter.desiredAccommodation</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-encounter#Encounter.extension:desiredAccommodation">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-encounter#Encounter.extension:desiredAccommodation</a></p><p><b>text</b>: Zimmerkategorie</p><p><b>type</b>: choice</p><h3>AnswerOptions</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.insurance">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.insurance</a></p><p><b>text</b>: Kostenträger</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.beneficiary</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.beneficiary">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.beneficiary</a></p><p><b>text</b>: Begünstigter (Patient)</p><p><b>type</b>: group</p><h3>Items</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.kvg</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type</a></p><p><b>text</b>: Krankenkasse (nach KVG)</p><p><b>type</b>: group</p><h3>Items</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.uvg</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type</a></p><p><b>text</b>: Unfallversicherung (nach UVG)</p><p><b>type</b>: group</p><h3>Items</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.vvg</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type</a></p><p><b>text</b>: Zusatzversicherung (nach VVG)</p><p><b>type</b>: group</p><h3>Items</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.iv</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type</a></p><p><b>text</b>: Invalidenversicherung (IV)</p><p><b>type</b>: group</p><h3>Items</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.mv</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type</a></p><p><b>text</b>: Militärversicherung (MV)</p><p><b>type</b>: group</p><h3>Items</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.self</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type</a></p><p><b>text</b>: Selbstzahler</p><p><b>type</b>: group</p><h3>Items</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.other</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type</a></p><p><b>text</b>: Anderer Kostenträger</p><p><b>type</b>: group</p><h3>Items</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: 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>definition</b>: <a href="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.author">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.author</a></p><p><b>text</b>: Verantwortlicher</p><p><b>type</b>: group</p><p><b>required</b>: true</p><h3>Items</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: sender.dataenterer</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:dataEnterer">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:dataEnterer</a></p><p><b>text</b>: Erfasser</p><p><b>type</b>: group</p><h3>Items</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiverCopies</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:copyReceiver">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:copyReceiver</a></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>text</b>: Kopieempfangende Organisation oder Person</p><p><b>type</b>: group</p><p><b>repeats</b>: true</p><h3>Items</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: appointment</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.extension:locationAndTime">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.extension:locationAndTime</a></p><p><b>text</b>: Ort und Zeit der Durchführung der angeforderten Leistung</p><p><b>type</b>: group</p><p><b>repeats</b>: true</p><blockquote><p><b>item</b></p><p><b>linkId</b>: appointment.location</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.participant.actor">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.participant.actor</a></p><p><b>text</b>: Ort der Durchführung</p><p><b>type</b>: group</p><p><b>required</b>: true</p><h3>Items</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: appointment.requestedPeriod</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.requestedPeriod">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.requestedPeriod</a></p><p><b>text</b>: Datum und Zeit, wann der Termin bevorzugt geplant werden soll</p><p><b>type</b>: group</p><h3>Items</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: appointment.status</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.status">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.status</a></p><p><b>text</b>: Status</p><p><b>type</b>: choice</p><p><b>required</b>: true</p><h3>AnswerOptions</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: appointment.patientInstruction</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.patientInstruction">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.patientInstruction</a></p><p><b>text</b>: Patienteninformation für diesen Termin</p><p><b>type</b>: string</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: note</p><p><b>text</b>: Bemerkungen</p><p><b>type</b>: group</p><p><b>repeats</b>: true</p><h3>Items</h3><table class="grid"><tr><td>-</td><td><b>LinkId</b></td><td><b>Definition</b></td><td><b>Text</b></td><td><b>Type</b></td><td><b>Required</b></td></tr><tr><td>*</td><td>note.text</td><td><a href="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.note.text">http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.note.text</a></td><td>Kommentar</td><td>string</td><td>true</td></tr></table></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">
<valueId value="Bundle"/>
</extension>
<extension url="type">
<valueCode value="Bundle"/>
</extension>
<extension url="description">
<valueString
value="The Bundle that is to be used to pre-populate the form"/>
</extension>
</extension>
<url value="http://fhir.ch/ig/ch-orf/Questionnaire/order-referral-form"/>
<version value="0.9.1"/>
<name value="OrderReferralForm"/>
<title value="Order-Referral-Form"/>
<status value="active"/>
<subjectType value="Patient"/>
<date value="2021-06-10"/>
<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="CC-BY-SA-4.0"/>
<item>
<linkId value="order"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-document#Bundle"/>
<text value="Auftrag"/>
<type value="group"/>
<required value="true"/>
<item>
<linkId value="order.title"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.title"/>
<text value="Titel"/>
<type value="string"/>
<required value="true"/>
<readOnly value="true"/>
</item>
<item>
<linkId value="order.type"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.type"/>
<text value="Typ"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.typeCode"/>
</item>
<item>
<linkId value="order.category"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.category"/>
<text value="Kategorie"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.classCode"/>
</item>
<item>
<linkId value="order.placerOrderIdentifier"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.identifier:placerOrderIdentifier.value"/>
<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"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.identifier:placerOrderIdentifier.system"/>
<text value="Identifier Domain der Auftragsnummer des Auftraggebers"/>
<type value="string"/>
</item>
<item>
<linkId value="order.fillerOrderIdentifier"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.identifier:fillerOrderIdentifier.value"/>
<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"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.identifier:fillerOrderIdentifier.system"/>
<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"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:precedentDocument"/>
<text value="Identifier des Vorgängerdokuments"/>
<type value="string"/>
</item>
<item>
<linkId value="order.notificationContactDocument"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:urgentNoficationContactForThisDocument"/>
<text
value="Dringender Benachrichtigungskontakt für dieses Dokument"/>
<type value="group"/>
<item>
<linkId value="order.notificationContactDocument.practitioner"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.practitioner"/>
<text value="Zu benachrichtigende Person"/>
<type value="group"/>
<item>
<linkId
value="order.notificationContactDocument.practitioner.title"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.prefix"/>
<text value="Titel"/>
<type value="string"/>
</item>
<item>
<linkId
value="order.notificationContactDocument.practitioner.familyName"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.family"/>
<text value="Name"/>
<type value="string"/>
</item>
<item>
<linkId
value="order.notificationContactDocument.practitioner.givenName"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.given"/>
<text value="Vorname"/>
<type value="string"/>
</item>
<item>
<linkId
value="order.notificationContactDocument.practitioner.phone"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value"/>
<text value="Telefon"/>
<type value="string"/>
</item>
<item>
<linkId
value="order.notificationContactDocument.practitioner.email"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
</item>
</item>
<item>
<linkId value="order.notificationContactDocumentResponse"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:urgentNoficationContactForTheResponseToThisDocument"/>
<text
value="Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument"/>
<type value="group"/>
<item>
<linkId
value="order.notificationContactDocumentResponse.practitioner"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.practitioner"/>
<text value="Zu benachrichtigende Person"/>
<type value="group"/>
<item>
<linkId
value="order.notificationContactDocumentResponse.practitioner.title"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.prefix"/>
<text value="Titel"/>
<type value="string"/>
</item>
<item>
<linkId
value="order.notificationContactDocumentResponse.practitioner.familyName"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.family"/>
<text value="Name"/>
<type value="string"/>
</item>
<item>
<linkId
value="order.notificationContactDocumentResponse.practitioner.givenName"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.given"/>
<text value="Vorname"/>
<type value="string"/>
</item>
<item>
<linkId
value="order.notificationContactDocumentResponse.practitioner.phone"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value"/>
<text value="Telefon"/>
<type value="string"/>
</item>
<item>
<linkId
value="order.notificationContactDocumentResponse.practitioner.email"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
</item>
</item>
<item>
<linkId value="order.priority"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.priority"/>
<text value="Auftragspriorität"/>
<type value="choice"/>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/request-priority"/>
<code value="routine"/>
<display value="Die Anfrage hat normale Priorität."/>
</valueCoding>
<initialSelected value="true"/>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/request-priority"/>
<code value="urgent"/>
<display
value="Die Anfrage sollte dringend bearbeitet werden - höhere Priorität als normal."/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/request-priority"/>
<code value="asap"/>
<display
value="Die Anfrage sollte so schnell wie möglich bearbeitet werden - höhere Priorität als dringend."/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/request-priority"/>
<code value="stat"/>
<display
value="Die Anfrage sollte sofort bearbeitet werden - höchstmögliche Priorität. Z.B. bei einem Notfall."/>
</valueCoding>
</answerOption>
</item>
</item>
<item>
<linkId value="receiver"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:receiver"/>
<text value="Empfänger"/>
<type value="group"/>
<item>
<linkId value="receiver.practitioner"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.practitioner"/>
<text value="Empfangende Person"/>
<type value="group"/>
<item>
<linkId value="receiver.practitioner.title"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.prefix"/>
<text value="Titel"/>
<type value="string"/>
</item>
<item>
<linkId value="receiver.practitioner.familyName"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.family"/>
<text value="Name"/>
<type value="string"/>
</item>
<item>
<linkId value="receiver.practitioner.givenName"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.given"/>
<text value="Vorname"/>
<type value="string"/>
</item>
<item>
<linkId value="receiver.practitioner.gln"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.identifier:GLN.value"/>
<text value="GLN"/>
<type value="string"/>
</item>
<item>
<linkId value="receiver.practitioner.phone"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value"/>
<text value="Telefon"/>
<type value="string"/>
</item>
<item>
<linkId value="receiver.practitioner.email"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
</item>
<item>
<linkId value="receiver.organization"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.organization"/>
<text value="Empfangende Organisation"/>
<type value="group"/>
<item>
<linkId value="receiver.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="receiver.organization.streetAddressLine"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.line"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<type value="string"/>
<repeats value="true"/>
</item>
<item>
<linkId value="receiver.organization.postalCode"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.postalCode"/>
<text value="PLZ"/>
<type value="string"/>
</item>
<item>
<linkId value="receiver.organization.city"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.city"/>
<text value="Ort"/>
<type value="string"/>
</item>
<item>
<linkId value="receiver.organization.country"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.country"/>
<text value="Land"/>
<type value="string"/>
</item>
</item>
</item>
<item>
<linkId value="patient"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.subject"/>
<text value="Patient"/>
<type value="group"/>
<item>
<linkId value="patient.familyName"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.name.family"/>
<text value="Name"/>
<type value="string"/>
</item>
<item>
<linkId value="patient.maidenName"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.name.family"/>
<text value="Ledigname"/>
<type value="string"/>
</item>
<item>
<linkId value="patient.givenName"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.name.given"/>
<text value="Vorname"/>
<type value="string"/>
</item>
<item>
<linkId value="patient.localPid"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.identifier:LocalPid.value"/>
<text value="Lokale Patienten-ID"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
<valueBoolean value="true"/>
</extension>
<linkId value="patient.localPidDomain"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.identifier:LocalPid.system"/>
<text value="Lokale Patienten-ID Domain"/>
<type value="string"/>
</item>
<item>
<linkId value="patient.birthDate"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.birthDate"/>
<text value="Geburtsdatum"/>
<type value="date"/>
</item>
<item>
<linkId value="patient.gender"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.gender"/>
<text value="Geschlecht"/>
<type value="choice"/>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/administrative-gender"/>
<code value="male"/>
<display value="Männlich"/>
</valueCoding>
<initialSelected value="true"/>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/administrative-gender"/>
<code value="female"/>
<display value="Weiblich"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/administrative-gender"/>
<code value="other"/>
<display value="Anderes"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="patient.phone"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.telecom.value"/>
<text value="Telefon"/>
<type value="string"/>
<repeats value="true"/>
</item>
<item>
<linkId value="patient.email"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.telecom.value"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
<item>
<linkId value="patient.streetAddressLine"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.address.line"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<type value="string"/>
<repeats value="true"/>
</item>
<item>
<linkId value="patient.postalCode"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.address.postalCode"/>
<text value="PLZ"/>
<type value="string"/>
</item>
<item>
<linkId value="patient.city"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.address.city"/>
<text value="Ort"/>
<type value="string"/>
</item>
<item>
<linkId value="patient.country"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.address.country"/>
<text value="Land"/>
<type value="string"/>
</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="requestedEncounter"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.extension:requestedEncounterDetails"/>
<text value="Patientenaufnahme"/>
<type value="group"/>
<item>
<linkId value="requestedEncounter.class"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-encounter#Encounter.class"/>
<text value="Voraussichtlich: Ambulant / Stationär / Notfall"/>
<type value="choice"/>
<answerOption>
<valueCoding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="AMB"/>
<display value="Ambulant"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="IMP"/>
<display value="Stationär"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="EMER"/>
<display value="Notfall"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="requestedEncounter.desiredAccommodation"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-encounter#Encounter.extension:desiredAccommodation"/>
<text value="Zimmerkategorie"/>
<type value="choice"/>
<answerOption>
<valueCoding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="P"/>
<display value="Einerzimmer"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="SP"/>
<display value="Zweierzimmer"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="W"/>
<display value="Mehrbettzimmer"/>
</valueCoding>
</answerOption>
</item>
</item>
<item>
<linkId value="coverage"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.insurance"/>
<text value="Kostenträger"/>
<type value="group"/>
<item>
<linkId value="coverage.beneficiary"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.beneficiary"/>
<text value="Begünstigter (Patient)"/>
<type value="group"/>
<item>
<linkId value="coverage.beneficiary.ahvn13"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.identifier:AHVN13"/>
<text value="AHV-Nr. des Patienten"/>
<type value="string"/>
</item>
</item>
<item>
<linkId value="coverage.kvg"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type"/>
<text value="Krankenkasse (nach KVG)"/>
<type value="group"/>
<item>
<linkId value="coverage.kvg.name"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor"/>
<text value="Name der Versicherung"/>
<type value="string"/>
</item>
<item>
<linkId value="coverage.kvg.insuranceCardNumber"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier"/>
<text value="Kennnummer der Versichertenkarte"/>
<type value="string"/>
</item>
</item>
<item>
<linkId value="coverage.uvg"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type"/>
<text value="Unfallversicherung (nach UVG)"/>
<type value="group"/>
<item>
<linkId value="coverage.uvg.name"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor"/>
<text value="Name der Versicherung"/>
<type value="string"/>
</item>
<item>
<linkId value="coverage.uvg.claimNumber"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier"/>
<text value="Schadennummer"/>
<type value="string"/>
</item>
</item>
<item>
<linkId value="coverage.vvg"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type"/>
<text value="Zusatzversicherung (nach VVG)"/>
<type value="group"/>
<item>
<linkId value="coverage.vvg.name"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor"/>
<text value="Name der Versicherung"/>
<type value="string"/>
</item>
<item>
<linkId value="coverage.vvg.insuranceCardNumber"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier"/>
<text value="Kennnummer der Versichertenkarte"/>
<type value="string"/>
</item>
</item>
<item>
<linkId value="coverage.iv"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type"/>
<text value="Invalidenversicherung (IV)"/>
<type value="group"/>
<item>
<linkId value="coverage.iv.verfuegungsnummer"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier"/>
<text value="IV-Verfügungsnummer"/>
<type value="string"/>
</item>
</item>
<item>
<linkId value="coverage.mv"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type"/>
<text value="Militärversicherung (MV)"/>
<type value="group"/>
<item>
<linkId value="coverage.mv.versichertennummer"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier"/>
<text value="MV-Versichertennummer"/>
<type value="string"/>
</item>
</item>
<item>
<linkId value="coverage.self"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type"/>
<text value="Selbstzahler"/>
<type value="group"/>
<item>
<linkId value="coverage.self.familyName"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor"/>
<text value="Name"/>
<type value="string"/>
</item>
<item>
<linkId value="coverage.self.givenName"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor"/>
<text value="Vorname"/>
<type value="string"/>
</item>
</item>
<item>
<linkId value="coverage.other"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type"/>
<text value="Anderer Kostenträger"/>
<type value="group"/>
<item>
<linkId value="coverage.other.name"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor"/>
<text value="Name des Kostenträgers"/>
<type value="string"/>
</item>
<item>
<linkId value="coverage.other.id"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier"/>
<text value="Beliebige ID"/>
<type value="string"/>
</item>
<item>
<linkId value="coverage.other.id.note"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier.type.text"/>
<text value="Bemerkung zur ID"/>
<type value="string"/>
</item>
</item>
</item>
<item>
<linkId value="sender"/>
<text value="Absender"/>
<type value="group"/>
<required value="true"/>
<item>
<linkId value="sender.author"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.author"/>
<text value="Verantwortlicher"/>
<type value="group"/>
<required value="true"/>
<item>
<linkId value="sender.author.practitioner"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.practitioner"/>
<text value="Verantwortliche Person"/>
<type value="group"/>
<item>
<linkId value="sender.author.practitioner.title"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.prefix"/>
<text value="Titel"/>
<type value="string"/>
</item>
<item>
<linkId value="sender.author.practitioner.familyName"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.family"/>
<text value="Name"/>
<type value="string"/>
</item>
<item>
<linkId value="sender.author.practitioner.givenName"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.given"/>
<text value="Vorname"/>
<type value="string"/>
</item>
<item>
<linkId value="sender.author.practitioner.gln"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.identifier:GLN.value"/>
<text value="GLN"/>
<type value="string"/>
</item>
<item>
<linkId value="sender.author.practitioner.phone"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value"/>
<text value="Telefon"/>
<type value="string"/>
</item>
<item>
<linkId value="sender.author.practitioner.email"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
</item>
<item>
<linkId value="sender.author.organization"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.organization"/>
<text value="Verantwortliche Organisation"/>
<type value="group"/>
<item>
<linkId value="sender.author.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="sender.author.organization.streetAddressLine"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.line"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<type value="string"/>
<repeats value="true"/>
</item>
<item>
<linkId value="sender.author.organization.postalCode"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.postalCode"/>
<text value="PLZ"/>
<type value="string"/>
</item>
<item>
<linkId value="sender.author.organization.city"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.city"/>
<text value="Ort"/>
<type value="string"/>
</item>
<item>
<linkId value="sender.author.organization.country"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.country"/>
<text value="Land"/>
<type value="string"/>
</item>
</item>
</item>
<item>
<linkId value="sender.dataenterer"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:dataEnterer"/>
<text value="Erfasser"/>
<type value="group"/>
<item>
<linkId value="sender.dataenterer.practitioner"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.practitioner"/>
<text value="Erfassende Person"/>
<type value="group"/>
<item>
<linkId value="sender.dataenterer.practitioner.familyName"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.family"/>
<text value="Name"/>
<type value="string"/>
</item>
<item>
<linkId value="sender.dataenterer.practitioner.givenName"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.given"/>
<text value="Vorname"/>
<type value="string"/>
</item>
<item>
<linkId value="sender.dataenterer.practitioner.phone"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value"/>
<text value="Telefon"/>
<type value="string"/>
</item>
<item>
<linkId value="sender.dataenterer.practitioner.email"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
</item>
</item>
</item>
<item>
<linkId value="receiverCopies"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:copyReceiver"/>
<text value="Kopieempfänger"/>
<type value="group"/>
<item>
<linkId value="receiverCopy"/>
<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-organization#Organization.name"/>
<text value="Name der Organisation"/>
<type value="string"/>
</item>
<item>
<linkId value="receiverCopy.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.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.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.phone"/>
<definition
value="http://hl7.org/fhir/StructureDefinition/ContactPoint#ContactPoint.value"/>
<text value="Telefon"/>
<type value="string"/>
</item>
<item>
<linkId value="receiverCopy.email"/>
<definition
value="http://hl7.org/fhir/StructureDefinition/ContactPoint#ContactPoint.value"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
<item>
<linkId value="receiverCopy.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.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.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.country"/>
<definition
value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-address#Address.country"/>
<text value="Land"/>
<type value="string"/>
</item>
</item>
</item>
<item>
<linkId value="appointment"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.extension:locationAndTime"/>
<text value="Ort und Zeit der Durchführung der angeforderten Leistung"/>
<type value="group"/>
<repeats value="true"/>
<item>
<linkId value="appointment.location"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.participant.actor"/>
<text value="Ort der Durchführung"/>
<type value="group"/>
<required value="true"/>
<item>
<linkId value="appointment.location.name"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location#Location.name"/>
<text value="Name"/>
<type value="string"/>
<required value="true"/>
</item>
<item>
<linkId value="appointment.location.phone"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location#Location.telecom.value"/>
<text value="Telefon"/>
<type value="string"/>
</item>
<item>
<linkId value="appointment.location.email"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location#Location.telecom.value"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
<item>
<linkId value="appointment.location.streetAddressLine"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location#Location.address.line"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<type value="string"/>
<repeats value="true"/>
</item>
<item>
<linkId value="appointment.location.postalCode"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location#Location.address.postalCode"/>
<text value="PLZ"/>
<type value="string"/>
</item>
<item>
<linkId value="appointment.location.city"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location#Location.address.city"/>
<text value="Ort"/>
<type value="string"/>
</item>
<item>
<linkId value="appointment.location.country"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location#Location.address.country"/>
<text value="Land"/>
<type value="string"/>
</item>
</item>
<item>
<linkId value="appointment.requestedPeriod"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.requestedPeriod"/>
<text
value="Datum und Zeit, wann der Termin bevorzugt geplant werden soll"/>
<type value="group"/>
<item>
<linkId value="appointment.requestedPeriod.start"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.requestedPeriod.start"/>
<text value="Von"/>
<type value="dateTime"/>
</item>
<item>
<linkId value="appointment.requestedPeriod.end"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.requestedPeriod.end"/>
<text value="Bis"/>
<type value="dateTime"/>
</item>
</item>
<item>
<linkId value="appointment.status"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.status"/>
<text value="Status"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/appointmentstatus"/>
<code value="proposed"/>
<display value="Wunsch des Patienten (vorgeschlagen)"/>
</valueCoding>
<initialSelected value="true"/>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/appointmentstatus"/>
<code value="pending"/>
<display
value="Vom Patienten bestätigt, aber vom Leistungserbringer noch nicht (ausstehend)"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/appointmentstatus"/>
<code value="booked"/>
<display
value="Vom Patienten und Leistungserbringer bestätigt (gebucht)"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="appointment.patientInstruction"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.patientInstruction"/>
<text value="Patienteninformation für diesen Termin"/>
<type value="string"/>
</item>
</item>
<item>
<linkId value="note"/>
<text value="Bemerkungen"/>
<type value="group"/>
<repeats value="true"/>
<item>
<linkId value="note.text"/>
<definition
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.note.text"/>
<text value="Kommentar"/>
<type value="string"/>
<required value="true"/>
</item>
</item>
</Questionnaire>
</resource>
</entry>
</Bundle>