ch-orf-module-coverage
type: Questionnaire
node role: treeRoot
id:
  v: ch-orf-module-coverage
language:
  v: de-CH
text:
  status:
    v: extensions
  div: Generated Narrative: Questionnaire ch-orf-module-coverage Language: de-CH LinkID Text Cardinality Type Description & Constraints ModuleQuestionnaireOrderCoverage Questionnaire http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-coverage#3.0.1 coverage.beneficiary Begünstigter (Patient) 0..1 group Definition: Coverage.beneficiary coverage.beneficiary.ahvn13 AHV-Nr. des Patienten (fr/it: AVS) 0..1 string Definition: Patient.identifier:AHVN13 coverage.kvg Krankenkasse nach KVG (fr/it: LAMal) 0..1 group Definition: Coverage.type coverage.kvg.name Name der Versicherung 0..1 string Definition: Coverage.payor coverage.kvg.insuranceCardNumber Kennnummer der Versichertenkarte 0..1 string Definition: Coverage.identifier coverage.uvg Unfallversicherung nach UVG (fr: LAA, it: LAINF) 0..1 group Definition: Coverage.type coverage.uvg.name Name der Versicherung 0..1 string Definition: Coverage.payor coverage.uvg.claimNumber Schadennummer 0..1 string Definition: Coverage.identifier coverage.vvg Zusatzversicherung nach VVG (fr/it: LCA) 0..1 group Definition: Coverage.type coverage.vvg.name Name der Versicherung 0..1 string Definition: Coverage.payor coverage.vvg.insuranceCardNumber Kennnummer der Versichertenkarte 0..1 string Definition: Coverage.identifier coverage.iv Invalidenversicherung IV (fr/it: AI) 0..1 group Definition: Coverage.type coverage.iv.verfuegungsnummer IV-Verfügungsnummer 0..1 string Definition: Coverage.identifier coverage.mv Militärversicherung MV (fr/it: AM) 0..1 group Definition: Coverage.type coverage.mv.versichertennummer MV-Versichertennummer 0..1 string Definition: Coverage.identifier coverage.self Selbstzahler 0..1 group Definition: Coverage.type coverage.self.patient Patient selbst 0..1 boolean Definition: Coverage.payor coverage.self.patientRelatedPerson Andere Person 0..1 boolean Definition: Coverage.payor Enable When: coverage.self.patient = coverage.self.relatedPerson Andere Person 0..1 group Definition: Coverage.payor Enable When: coverage.self.pat…
extension:
  url:
    v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assemble-expectation
  value: code
    v: assemble-child
url:
  v: http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-coverage
version:
  v: 3.0.1
name:
  v: ModuleQuestionnaireOrderCoverage
title:
  v: Module Questionnaire Order Coverage
status:
  v: active
date:
  v: 2022-05-04
publisher:
  v: HL7 Switzerland
contact:
  name:
    v: HL7 Switzerland
  telecom:
    system:
      v: url
    value:
      v: https://www.hl7.ch/
jurisdiction:
  coding:
    system:
      v: urn:iso:std:iso:3166
    code:
      v: CH
copyright:
  v: CC0-1.0
item:
  link id:
    v: coverage.beneficiary
  definition:
    v: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.beneficiary
  text:
    v: Begünstigter (Patient)
  type:
    v: group
  item:
    link id:
      v: coverage.beneficiary.ahvn13
    definition:
      v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.identifier:AHVN13
    text:
      v: AHV-Nr. des Patienten (fr/it: AVS)
    type:
      v: string
item:
  link id:
    v: coverage.kvg
  definition:
    v: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type
  text:
    v: Krankenkasse nach KVG (fr/it: LAMal)
  type:
    v: group
  item:
    link id:
      v: coverage.kvg.name
    definition:
      v: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor
    text:
      v: Name der Versicherung
    type:
      v: string
  item:
    link id:
      v: coverage.kvg.insuranceCardNumber
    definition:
      v: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier
    text:
      v: Kennnummer der Versichertenkarte
    type:
      v: string
item:
  link id:
    v: coverage.uvg
  definition:
    v: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type
  text:
    v: Unfallversicherung nach UVG (fr: LAA, it: LAINF)
  type:
    v: group
  item:
    link id:
      v: coverage.uvg.name
    definition:
      v: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor
    text:
      v: Name der Versicherung
    type:
      v: string
  item:
    link id:
      v: coverage.uvg.claimNumber
    definition:
      v: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier
    text:
      v: Schadennummer
    type:
      v: string
item:
  link id:
    v: coverage.vvg
  definition:
    v: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type
  text:
    v: Zusatzversicherung nach VVG (fr/it: LCA)
  type:
    v: group
  item:
    link id:
      v: coverage.vvg.name
    definition:
      v: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor
    text:
      v: Name der Versicherung
    type:
      v: string
  item:
    link id:
      v: coverage.vvg.insuranceCardNumber
    definition:
      v: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier
    text:
      v: Kennnummer der Versichertenkarte
    type:
      v: string
item:
  link id:
    v: coverage.iv
  definition:
    v: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type
  text:
    v: Invalidenversicherung IV (fr/it: AI)
  type:
    v: group
  item:
    link id:
      v: coverage.iv.verfuegungsnummer
    definition:
      v: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier
    text:
      v: IV-Verfügungsnummer
    type:
      v: string
item:
  link id:
    v: coverage.mv
  definition:
    v: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type
  text:
    v: Militärversicherung MV (fr/it: AM)
  type:
    v: group
  item:
    link id:
      v: coverage.mv.versichertennummer
    definition:
      v: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier
    text:
      v: MV-Versichertennummer
    type:
      v: string
item:
  link id:
    v: coverage.self
  definition:
    v: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type
  text:
    v: Selbstzahler
  type:
    v: group
  item:
    link id:
      v: coverage.self.patient
    definition:
      v: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor
    text:
      v: Patient selbst
    type:
      v: boolean
  item:
    link id:
      v: coverage.self.patientRelatedPerson
    definition:
      v: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor

v: Andere Person

v: boolean

question:
  v: coverage.self.patient
operator:
  v: =
answer: boolean
  v: false

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/variable
  value: Expression
    name:
      v: linkIdPrefix
    language:
      v: text/fhirpath
    expression:
      v: 'coverage.self.relatedPerson.'
link id:
  v: coverage.self.relatedPerson
definition:
  v: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor
text:
  v: Andere Person
type:
  v: group
enable when:
  question:
    v: coverage.self.patientRelatedPerson
  operator:
    v: =
  answer: boolean
    v: true
item:
  link id:
    v: coverage.self.relatedPerson.familyName
  definition:
    v: http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.name.family
  text:
    v: Name
  type:
    v: string
item:
  link id:
    v: coverage.self.relatedPerson.givenName
  definition:
    v: http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.name.given
  text:
    v: Vorname
  type:
    v: string
item:
  link id:
    v: coverage.self.relatedPerson.phone
  definition:
    v: http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.telecom.value
  text:
    v: Telefon
  type:
    v: string
  repeats:
    v: true
item:
  link id:
    v: coverage.self.relatedPerson.email
  definition:
    v: http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.telecom.value
  text:
    v: E-Mail
  type:
    v: string
item:
  extension:
    url:
      v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-subQuestionnaire
    value: canonical
      v: http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-address|3.0.1
      link: 3.0
      link: .1
  link id:
    v: coverage.self.relatedPerson.1
  text:
    v: Unable to resolve 'address' sub-questionnaire
  type:
    v: display

link id:
  v: coverage.other
definition:
  v: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type
text:
  v: Anderer Kostenträger
type:
  v: group
item:
  link id:
    v: coverage.other.name
  definition:
    v: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor
  text:
    v: Name des Kostenträgers
  type:
    v: string
item:
  link id:
    v: coverage.other.id
  definition:
    v: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier
  text:
    v: Beliebige ID
  type:
    v: string
item:
  link id:
    v: coverage.other.id.note
  definition:
    v: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier.type.text
  text:
    v: Bemerkung zur ID
  type:
    v: string