CH ORF (R4)
2.0.0 - trial-use Switzerland flag

This page is part of the CH ORF (R4) (v2.0.0: STU 2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Example QuestionnaireResponse: QuestionnaireResponse Medical Referral

LinkIdTextDefinitionAnswerdoco
.. qr-order-referral-formQuestionnaire:Order Referral Form
... orderAuftrag
.... order.placerOrderIdentifierAuftragsnummer des Auftraggebers123
.... order.placerOrderIdentifierDomainIdentifier Domain der Auftragsnummer des Auftraggebersurn:oid:2.999.1.3.4.5.6.7
.... order.fillerOrderIdentifierAuftragsnummer des Auftragsempfängers456
.... order.fillerOrderIdentifierDomainIdentifier Domain der Auftragsnummer des Auftragsempfängersurn:oid:2.999.7.8.9.10.11
.... order.precedentDocumentIdentifierIdentifier des Vorgängerdokuments1622f2fb-6ba3-4532-9aed-35b158def187
.... order.notificationContactDocumentDringender Benachrichtigungskontakt für dieses Dokument
..... order.notificationContactDocument.practitionerZu benachrichtigende Person
...... order.notificationContactDocument.practitioner.titleTitelDr. med.
...... order.notificationContactDocument.practitioner.familyNameNameRderfiller
...... order.notificationContactDocument.practitioner.givenNameVornameOtto
...... order.notificationContactDocument.practitioner.phoneTelefon044 412 00 99
...... order.notificationContactDocument.practitioner.emailE-Mailotto.rderfiller@happyhosptial.ch
.... order.notificationContactDocumentResponseDringender Benachrichtigungskontakt für die Antwort auf dieses Dokument
..... order.notificationContactDocumentResponse.practitionerZu benachrichtigende Person
...... order.notificationContactDocumentResponse.practitioner.titleTitelDr. med.
...... order.notificationContactDocumentResponse.practitioner.familyNameNameRderplacer
...... order.notificationContactDocumentResponse.practitioner.givenNameVornameOttilie
...... order.notificationContactDocumentResponse.practitioner.phoneTelefon044 333 22 11
...... order.notificationContactDocumentResponse.practitioner.emailE-Mailottilie.rderplacer@happydoctors.ch
.... order.priorityAuftragsprioritätRequestPriority routine: Routine
... receiverEmpfänger
.... receiver.practitionerEmpfangende Person
..... receiver.practitioner.titleTitelDr. med.
..... receiver.practitioner.familyNameNameRderfiller
..... receiver.practitioner.givenNameVornameOtto
..... receiver.practitioner.glnGLN7601000201041
..... receiver.practitioner.zsrZSRA123262
..... receiver.practitioner.phoneTelefon044 412 00 99
..... receiver.practitioner.emailE-Mailotto.rderfiller@happyhospital.ch
.... receiver.organizationEmpfangende Organisation
..... receiver.organization.nameName der OrganisationSpital Happyhospital
..... receiver.organization.streetAddressLineStrasse, Hausnummer, Postfach etc.
..... receiver.organization.postalCodePLZ8000
..... receiver.organization.cityOrtZürich
..... receiver.organization.countryLandSchweiz
... initiatorInitiant dieser Anmeldung
.... initiator.legalrelationJuristische Beziehung zum PatientenSNOMED CT (all versions) 373068000: Nicht definiert
.... initiator.personalrelationPersönliche Beziehung zum Patienten?SNOMED CT (all versions) 65616008: 65616008
.... initiator.relatedPersonAndere Person
..... initiator.relatedPerson.familyNameNameLeidend
..... initiator.relatedPerson.givenNameVornameFritz
... patientPatient
.... patient.familyNameNameUfferer
.... patient.maidenNameLedignameLeidend
.... patient.givenNameVornameSusanna
.... patient.localPidLokale Patienten-ID11.22.33.4567
.... patient.localPidDomainLokale Patienten-ID Domainurn:oid:2.999.1.2.3.4
.... patient.birthDateGeburtsdatum1970-03-14
.... patient.genderGeschlechtAdministrativeGender female: Female
.... patient.maritalStatusZivilstandeCH-011 MaritalStatus 3: verwitwet
.... patient.phoneTelefon079 979 79 79
.... patient.emailE-Mailsusanna@ufferer.ch
.... patient.streetAddressLineStrasse, Hausnummer, Postfach etc.Musterweg 6a
.... patient.postalCodePLZ8000
.... patient.cityOrtZürich
.... patient.countryLandSchweiz
.... patient.languageOfCorrespondenceKorrespondenzspracheTags for the Identification of Languages de-CH: German (Switzerland)
.... patient.contactpersonKontaktperson
..... patient.contactperson.relationshipBeziehungGuter Freund
..... patient.contactperson.familyNameNameFreund
..... patient.contactperson.givenNameVornameMax
..... patient.contactperson.phoneTelefon079 111 22 33
..... patient.contactperson.emailE-Mailmax@freund.ch
.... familydoctorHausarzt
..... familydoctor.practitionerHausarzt Person
...... familydoctor.practitioner.titleTitelDr. med.
...... familydoctor.practitioner.familyNameNameMeier
...... familydoctor.practitioner.givenNameSabine
... requestedEncounterPatientenaufnahme
.... requestedEncounter.classVoraussichtlich: Ambulant / Stationär / NotfallActCode EMER: emergency
.... requestedEncounter.desiredAccommodationZimmerkategorieBFS Medizinische Statistik - 21 1.3.V02 - Klasse / Classe / Classe 2: halbprivat
... coverageKostenträger
.... coverage.kvgKrankenkasse (nach KVG)
..... coverage.kvg.nameName der VersicherungSanitas
..... coverage.kvg.insuranceCardNumberKennnummer der Versichertenkarte80756015090002647590
... senderAbsender
.... sender.authorVerantwortlicher
..... sender.author.practitionerVerantwortliche Person
...... sender.author.practitioner.titleTitelDr. med.
...... sender.author.practitioner.familyNameNameRderplacer
...... sender.author.practitioner.givenNameVornameOttilie
...... sender.author.practitioner.glnGLN7601000618627
...... sender.author.practitioner.zsrZSRA123321
...... sender.author.practitioner.phoneTelefon044 333 22 11
...... sender.author.practitioner.emailE-Mailottilie.rderplacer@happydoctors.ch
..... sender.author.organizationVerantwortliche Organisation
...... sender.author.organization.nameName der OrganisationPraxis Happydoctors
...... sender.author.organization.streetAddressLineStrasse, Hausnummer, Postfach etc.Happystrasse 133
...... sender.author.organization.postalCodePLZ8000
...... sender.author.organization.cityOrtZürich
...... sender.author.organization.countryLandSchweiz
.... sender.dataentererErfasser
..... sender.dataenterer.practitionerErfassende Person
...... sender.dataenterer.practitioner.familyNameNameBoss
...... sender.dataenterer.practitioner.givenNameVornameStabilo
...... sender.dataenterer.practitioner.phoneTelefon044 333 22 12
...... sender.dataenterer.practitioner.emailE-Mailstabilo.boss@praxisseeblick.ch
... receiverCopyKopieempfänger (Kopie dieses Auftrags und aller daraus resultierenden Resultate)
.... receiverCopy.practitionerRoleGesundheitsfachperson oder -organisation
..... receiverCopy.practitionerRole.practitionerGesundheitsfachperson
...... receiverCopy.practitionerRole.practitioner.titleTitelDr. med.
...... receiverCopy.practitionerRole.practitioner.familyNameNameMeier
...... receiverCopy.practitionerRole.practitioner.givenNameVornameSabine
...... receiverCopy.practitionerRole.practitioner.phoneTelefon044 333 22 11
...... receiverCopy.practitionerRole.practitioner.emailE-Mailsabine.meier@praxisseeblick.ch
..... receiverCopy.practitionerRole.organizationGesundheitsorganisatiton
...... receiverCopy.practitionerRole.organization.nameName der OrganisationPraxis Seeblick
...... receiverCopy.practitionerRole.organization.streetAddressLineStrasse, Hausnummer, Postfach etc.Seestrasse 133
...... receiverCopy.practitionerRole.organization.postalCodePLZ8000
...... receiverCopy.practitionerRole.organization.cityOrtZürich
...... receiverCopy.practitionerRole.organization.countryLandSchweiz
.... receiverCopy.patientPatient selbsttrue
... antecedentEpisodeOfCareVorgängiger Aufenthalt in Spital / Heim
.... antecedentEpisodeOfCare.startVon2023-05-22
.... antecedentEpisodeOfCare.endBis2023-05-27
.... antecedentEpisodeOfCare.managingOrganizationSpital /Heim
..... antecedentEpisodeOfCare.managingOrganization.nameName der OrganisationSpital Hinterfultigen
... appointmentOrt und Zeit der Durchführung der angeforderten Leistung
.... appointment.locationOrt der Durchführung
..... appointment.location.nameNameNotfall Spital Happyhospital
.... appointment.statusAppointmentStatus pending: Pending
... consentEinverständniserklärung
.... patient.consent.statementIst der Patient über die Anmeldung informiert und explizit einverstanden?Consent Status Other: Other situation such as 'implicit agreement', 'agreed by legal guardian' etc.
..... patient.consent.statement.noteAnmerkungVoraussichtlich einverstanden; Sohn wird die Situation beim nä. Besuch mit Pat. besprechen
... noteBemerkungen
.... note.textKommentarPatientin ist sehr ängstlich

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