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
{
"resourceType" : "QuestionnaireResponse",
"id" : "qr-external-diagnostics-order",
"meta" : {
"profile" : [
"http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-questionnaireresponse"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>questionnaire</b>: <a href=\"http://fhir.ch/ig/ch-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.localPidDomain</p><p><b>text</b>: Lokale Patienten-ID Domain</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>"
},
"questionnaire" : "http://fhir.ch/ig/ch-orf/Questionnaire/order-referral-form",
"status" : "completed",
"item" : [
{
"linkId" : "order",
"text" : "Auftrag",
"item" : [
{
"linkId" : "order.title",
"text" : "Titel",
"answer" : [
{
"valueString" : "Order-Referral-Form"
}
]
},
{
"linkId" : "order.type",
"text" : "Typ",
"answer" : [
{
"valueCoding" : {
"system" : "urn:oid:2.16.756.5.30.1.127.3.4",
"code" : "2161000195103",
"display" : "Imaging order (record artifact)"
}
}
]
},
{
"linkId" : "order.category",
"text" : "Kategorie",
"answer" : [
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "721963009",
"display" : "Order (record artifact)"
}
}
]
},
{
"linkId" : "order.placerOrderIdentifier",
"text" : "Auftragsnummer des Auftraggebers",
"answer" : [
{
"valueString" : "60823"
}
]
},
{
"linkId" : "order.placerOrderIdentifierDomain",
"text" : "Identifier Domain der Auftragsnummer des Auftraggebers",
"answer" : [
{
"valueString" : "urn:oid:2.999.66.77.88"
}
]
},
{
"linkId" : "order.notificationContactDocument",
"text" : "Dringender Benachrichtigungskontakt für dieses Dokument",
"item" : [
{
"linkId" : "order.notificationContactDocument.practitioner",
"text" : "Zu benachrichtigende Person",
"item" : [
{
"linkId" : "order.notificationContactDocument.practitioner.title",
"text" : "Titel",
"answer" : [
{
"valueString" : "Dr. med."
}
]
},
{
"linkId" : "order.notificationContactDocument.practitioner.familyName",
"text" : "Name",
"answer" : [
{
"valueString" : "Iller"
}
]
},
{
"linkId" : "order.notificationContactDocument.practitioner.givenName",
"text" : "Vorname",
"answer" : [
{
"valueString" : "Frederica"
}
]
},
{
"linkId" : "order.notificationContactDocument.practitioner.phone",
"text" : "Telefon",
"answer" : [
{
"valueString" : "044 503 44 44"
}
]
},
{
"linkId" : "order.notificationContactDocument.practitioner.email",
"text" : "E-Mail",
"answer" : [
{
"valueString" : "f.iller@univerityhospital.ch"
}
]
}
]
}
]
},
{
"linkId" : "order.notificationContactDocumentResponse",
"text" : "Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument",
"item" : [
{
"linkId" : "order.notificationContactDocumentResponse.practitioner",
"text" : "Zu benachrichtigende Person",
"item" : [
{
"linkId" : "order.notificationContactDocumentResponse.practitioner.title",
"text" : "Titel",
"answer" : [
{
"valueString" : "Dr. med."
}
]
},
{
"linkId" : "order.notificationContactDocumentResponse.practitioner.familyName",
"text" : "Name",
"answer" : [
{
"valueString" : "Lacer"
}
]
},
{
"linkId" : "order.notificationContactDocumentResponse.practitioner.givenName",
"text" : "Vorname",
"answer" : [
{
"valueString" : "Paul"
}
]
},
{
"linkId" : "order.notificationContactDocumentResponse.practitioner.phone",
"text" : "Telefon",
"answer" : [
{
"valueString" : "044 987 65 43"
}
]
},
{
"linkId" : "order.notificationContactDocumentResponse.practitioner.email",
"text" : "E-Mail",
"answer" : [
{
"valueString" : "p.lacer@regionalhospital.ch"
}
]
}
]
}
]
},
{
"linkId" : "order.priority",
"text" : "Auftragspriorität",
"answer" : [
{
"valueCoding" : {
"system" : "http://hl7.org/fhir/request-priority",
"code" : "stat"
}
}
]
}
]
},
{
"linkId" : "receiver",
"text" : "Empfänger",
"item" : [
{
"linkId" : "receiver.practitioner",
"text" : "Empfangende Person",
"item" : [
{
"linkId" : "receiver.practitioner.title",
"text" : "Titel",
"answer" : [
{
"valueString" : "Dr. med."
}
]
},
{
"linkId" : "receiver.practitioner.familyName",
"text" : "Name",
"answer" : [
{
"valueString" : "Iller"
}
]
},
{
"linkId" : "receiver.practitioner.givenName",
"text" : "Vorname",
"answer" : [
{
"valueString" : "Frederica"
}
]
},
{
"linkId" : "receiver.practitioner.gln",
"text" : "GLN",
"answer" : [
{
"valueString" : "7601000099521"
}
]
},
{
"linkId" : "receiver.practitioner.phone",
"text" : "Telefon",
"answer" : [
{
"valueString" : "044 503 44 44"
}
]
},
{
"linkId" : "receiver.practitioner.email",
"text" : "E-Mail",
"answer" : [
{
"valueString" : "f.iller@universityhospital.ch"
}
]
}
]
},
{
"linkId" : "receiver.organization",
"text" : "Empfangende Organisation",
"item" : [
{
"linkId" : "receiver.organization.name",
"text" : "Name der Organisation",
"answer" : [
{
"valueString" : "University Hospital"
}
]
},
{
"linkId" : "receiver.organization.streetAddressLine",
"text" : "Strasse, Hausnummer, Postfach etc.",
"answer" : [
{
"valueString" : "Uniweg 33"
},
{
"valueString" : "Radiology"
}
]
},
{
"linkId" : "receiver.organization.postalCode",
"text" : "PLZ",
"answer" : [
{
"valueString" : "8000"
}
]
},
{
"linkId" : "receiver.organization.city",
"text" : "Ort",
"answer" : [
{
"valueString" : "Zürich"
}
]
},
{
"linkId" : "receiver.organization.country",
"text" : "Land",
"answer" : [
{
"valueString" : "Schweiz"
}
]
}
]
}
]
},
{
"linkId" : "patient",
"text" : "Patient",
"item" : [
{
"linkId" : "patient.familyName",
"text" : "Name",
"answer" : [
{
"valueString" : "Ufferer"
}
]
},
{
"linkId" : "patient.maidenName",
"text" : "Ledigname",
"answer" : [
{
"valueString" : "Leidend"
}
]
},
{
"linkId" : "patient.givenName",
"text" : "Vorname",
"answer" : [
{
"valueString" : "Susanna"
}
]
},
{
"linkId" : "patient.localPid",
"text" : "Lokale Patienten-ID",
"answer" : [
{
"valueString" : "44.34.9472.1"
}
]
},
{
"linkId" : "patient.localPidDomain",
"text" : "Lokale Patienten-ID Domain",
"answer" : [
{
"valueString" : "urn:oid:2.999.1.2.3.4"
}
]
},
{
"linkId" : "patient.birthDate",
"text" : "Geburtsdatum",
"answer" : [
{
"valueDate" : "1970-03-14"
}
]
},
{
"linkId" : "patient.gender",
"text" : "Geschlecht",
"answer" : [
{
"valueCoding" : {
"system" : "http://hl7.org/fhir/administrative-gender",
"code" : "female"
}
}
]
},
{
"linkId" : "patient.phone",
"text" : "Telefon",
"answer" : [
{
"valueString" : "079 979 79 79"
}
]
},
{
"linkId" : "patient.email",
"text" : "E-Mail",
"answer" : [
{
"valueString" : "susanna@ufferer.ch"
}
]
},
{
"linkId" : "patient.streetAddressLine",
"text" : "Strasse, Hausnummer, Postfach etc.",
"answer" : [
{
"valueString" : "Musterweg"
},
{
"valueString" : "6a"
}
]
},
{
"linkId" : "patient.postalCode",
"text" : "PLZ",
"answer" : [
{
"valueString" : "8000"
}
]
},
{
"linkId" : "patient.city",
"text" : "Ort",
"answer" : [
{
"valueString" : "Zürich"
}
]
},
{
"linkId" : "patient.country",
"text" : "Land",
"answer" : [
{
"valueString" : "Schweiz"
}
]
}
]
},
{
"linkId" : "sender",
"text" : "Absender",
"item" : [
{
"linkId" : "sender.author",
"text" : "Verantwortlicher",
"item" : [
{
"linkId" : "sender.author.practitioner",
"text" : "Verantwortliche Person",
"item" : [
{
"linkId" : "sender.author.practitioner.title",
"text" : "Titel",
"answer" : [
{
"valueString" : "Dr. med."
}
]
},
{
"linkId" : "sender.author.practitioner.familyName",
"text" : "Name",
"answer" : [
{
"valueString" : "Lacer"
}
]
},
{
"linkId" : "sender.author.practitioner.givenName",
"text" : "Vorname",
"answer" : [
{
"valueString" : "Paul"
}
]
},
{
"linkId" : "sender.author.practitioner.gln",
"text" : "GLN",
"answer" : [
{
"valueString" : "7601003334499"
}
]
},
{
"linkId" : "sender.author.practitioner.phone",
"text" : "Telefon",
"answer" : [
{
"valueString" : "044 987 65 43"
}
]
},
{
"linkId" : "sender.author.practitioner.email",
"text" : "E-Mail",
"answer" : [
{
"valueString" : "p.lacer@regionalhospital.ch"
}
]
}
]
},
{
"linkId" : "sender.author.organization",
"text" : "Verantwortliche Organisation",
"item" : [
{
"linkId" : "sender.author.organization.name",
"text" : "Name der Organisation",
"answer" : [
{
"valueString" : "Regional Hospital"
}
]
},
{
"linkId" : "sender.author.organization.streetAddressLine",
"text" : "Strasse, Hausnummer, Postfach etc.",
"answer" : [
{
"valueString" : "Musterstrasse 129"
}
]
},
{
"linkId" : "sender.author.organization.postalCode",
"text" : "PLZ",
"answer" : [
{
"valueString" : "8000"
}
]
},
{
"linkId" : "sender.author.organization.city",
"text" : "Ort",
"answer" : [
{
"valueString" : "Zürich"
}
]
},
{
"linkId" : "sender.author.organization.country",
"text" : "Land",
"answer" : [
{
"valueString" : "Schweiz"
}
]
}
]
}
]
}
]
}
]
}