order-referral-form-modular
type: Questionnaire
node role: treeRoot
id:
  v: order-referral-form-modular
meta:
  profile:
    v: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-questionnaire
    l: ch-orf-questionnaire
  profile:
    v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire
    l: sdc-questionnaire
  profile:
    v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-extr-smap
    l: sdc-questionnaire-extr-smap
  profile:
    v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-pop-exp
    l: sdc-questionnaire-pop-exp
language:
  v: de-CH
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Questionnaire order-referral-form-modular Language: de-CH Profiles: CH ORF Questionnaire, SDCBaseQuestionnaire, Extractable Questionnaire - StructureMap, Populatable Questionnaire - Expression LinkID Text Cardinality Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> OrderReferralForm Questionnaire http://fhir.ch/ig/ch-orf/Questionnaire/order-referral-form-modular#3.0.2 #xD; order Auftrag 1..1 group #xD; order.1 Unable to resolve 'order' sub-questionnaire 0..1 display #xD; receiver Empfänger 0..1 group Definition: Composition.extension #xD; receiver.1 Unable to resolve 'receiver' sub-questionnaire 0..1 display #xD; initiator Initiant dieser Anmeldung 0..1 group Definition: Composition.extension #xD; initiator.1 Unable to resolve 'intitiator' sub-questionnaire 0..1 display #xD; patient Patient 1..1 group Definition: Composition.subject #xD; patient.1 Unable to resolve 'patient' sub-questionnaire 0..1 display #xD; requestedEncounter Patientenaufnahme 0..1 group Definition: ServiceRequest.extension #xD; requestedEncounter.1 Unable to resolve 'requestedEncounter' sub-questionnaire 0..1 display #xD; coverage Kostenträger 0..1 group Definition: ServiceRequest.insurance #xD; coverage.1 Unable to resolve 'coverage' sub-questionnaire 0..1 display #xD; sender Absender 1..1 group #xD; sender.1 Unable to resolve 'sender' sub-questionnaire 1..1 display Definition: Composition.author #xD; receiverCopy Kopieempfänger (Kopie dieses Auftrags und aller daraus resultierenden Resultate) 0..1 group Definition: Composition.extension #xD; receiverCopy.1 Unable to resolve 'receiverCopy' sub-questionnaire 0..1 display #xD; antecedentEpisodeOfCare Vorgängiger Aufenthalt in Spital / Heim 0..1 group Definition: Composition.extension #xD; antecedentEpisodeOfCare.start Von 0..1 dateTime Definition: EpisodeOfCare.statusHistory.period #xD; antecedentEpisodeOfCare.end Bis 0..1 dateTime Definition: EpisodeOfCare.statusHistory.period …
extension:
  url:
    v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assemble-expectation
    l: sdc-questionnaire-assemble-expectation
  value: Code
    v: assemble-root
extension:
  url:
    v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-targetStructureMap
    l: sdc-questionnaire-targetStructureMap
  value: Canonical
    v: http://fhir.ch/ig/ch-orf/StructureMap/OrfQrToBundle
    l: OrfQrToBundle
extension:
  extension:
    url:
      v: name
      l: name
    value: Coding
      system:
        v: http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext
        l: launchContext
      code:
        v: patient
  extension:
    url:
      v: type
      l: type
    value: Code
      v: Patient
  url:
    v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext
    l: sdc-questionnaire-launchContext
extension:
  extension:
    url:
      v: name
      l: name
    value: Coding
      system:
        v: http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext
        l: launchContext
      code:
        v: user
      display:
        v: User
  extension:
    url:
      v: type
      l: type
    value: Code
      v: Practitioner
  extension:
    url:
      v: description
      l: description
    value: String
      v: The practitioner that is to be used to pre-populate the form
  url:
    v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext
    l: sdc-questionnaire-launchContext
url:
  v: http://fhir.ch/ig/ch-orf/Questionnaire/order-referral-form-modular
  l: order-referral-form-modular
version:
  v: 3.0.2
name:
  v: OrderReferralForm
title:
  v: Order Referral Form
status:
  v: active
subject type:
  v: Patient
date:
  v: 2022-07-07
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
      l: 3166
    code:
      v: CH
copyright:
  v: CC0-1.0
item:
  link id:
    v: order
  text:
    v: Auftrag
  type:
    v: group
  required:
    v: true
  item:
    extension:
      url:
        v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-subQuestionnaire
        l: sdc-questionnaire-subQuestionnaire
      value: Canonical
        v: http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-order|3.0.1
        l: http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-order
    link id:
      v: order.1
    text:
      v: Unable to resolve 'order' sub-questionnaire
    type:
      v: display
item:
  link id:
    v: receiver
  definition:
    v: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension
    l: Composition.extension
  text:
    v: Empfänger
  type:
    v: group
  item:
    extension:
      url:
        v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-subQuestionnaire
        l: sdc-questionnaire-subQuestionnaire
      value: Canonical
        v: http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-receiver|3.0.1
        l: http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-receiver
    link id:
      v: receiver.1
    text:
      v: Unable to resolve 'receiver' sub-questionnaire
    type:
      v: display
item:
  link id:
    v: initiator
  definition:
    v: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension
    l: Composition.extension
  text:
    v: Initiant dieser Anmeldung
  type:
    v: group
  item:
    extension:
      url:
        v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-subQuestionnaire
        l: sdc-questionnaire-subQuestionnaire
      value: Canonical
        v: http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-initiator|3.0.1
        l: http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-initiator
    link id:
      v: initiator.1
    text:
      v: Unable to resolve 'intitiator' sub-questionnaire
    type:
      v: display
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/variable
      l: variable
    value: Expression
      name:
        v: linkIdPrefix
      language:
        v: text/fhirpath
      expression:
        v: 'patient.'

url:
  v: http://hl7.org/fhir/StructureDefinition/variable
  l: variable
value: Expression
  name:
    v: address
  language:
    v: text/fhirpath
  expression:
    v: %patient.address

v: patient

v: Patient

v: group

v: true

extension:
  url:
    v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-subQuestionnaire
    l: sdc-questionnaire-subQuestionnaire
  value: Canonical
    v: http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-patient|3.0.1
    l: http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-patient
link id:
  v: patient.1
text:
  v: Unable to resolve 'patient' sub-questionnaire
type:
  v: display

link id:
  v: requestedEncounter
definition:
  v: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.extension
  l: ServiceRequest.extension
text:
  v: Patientenaufnahme
type:
  v: group
item:
  extension:
    url:
      v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-subQuestionnaire
      l: sdc-questionnaire-subQuestionnaire
    value: Canonical
      v: http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-requestedencounter|3.0.1
      l: http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-requestedencounter
  link id:
    v: requestedEncounter.1
  text:
    v: Unable to resolve 'requestedEncounter' sub-questionnaire
  type:
    v: display

link id:
  v: coverage
definition:
  v: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.insurance
  l: ServiceRequest.insurance
text:
  v: Kostenträger
type:
  v: group
item:
  extension:
    url:
      v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-subQuestionnaire
      l: sdc-questionnaire-subQuestionnaire
    value: Canonical
      v: http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-coverage|3.0.1
      l: http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-coverage
  link id:
    v: coverage.1
  text:
    v: Unable to resolve 'coverage' sub-questionnaire
  type:
    v: display

link id:
  v: sender
text:
  v: Absender
type:
  v: group
required:
  v: true
item:
  extension:
    url:
      v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-subQuestionnaire
      l: sdc-questionnaire-subQuestionnaire
    value: Canonical
      v: http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-sender|3.0.1
      l: http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-sender
  link id:
    v: sender.1
  definition:
    v: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.author
    l: Composition.author
  text:
    v: Unable to resolve 'sender' sub-questionnaire
  type:
    v: display
  required:
    v: true

link id:
  v: receiverCopy
definition:
  v: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension
  l: Composition.extension
text:
  v: Kopieempfänger (Kopie dieses Auftrags und aller daraus resultierenden Resultate)
type:
  v: group
item:
  extension:
    url:
      v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-subQuestionnaire
      l: sdc-questionnaire-subQuestionnaire
    value: Canonical
      v: http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-receivercopy|3.0.1
      l: http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-receivercopy
  link id:
    v: receiverCopy.1
  text:
    v: Unable to resolve 'receiverCopy' sub-questionnaire
  type:
    v: display

link id:
  v: antecedentEpisodeOfCare
definition:
  v: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension
  l: Composition.extension
text:
  v: Vorgängiger Aufenthalt in Spital / Heim
type:
  v: group
item:
  link id:
    v: antecedentEpisodeOfCare.start
  definition:
    v: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-episodeofcare#EpisodeOfCare.statusHistory.period
    l: EpisodeOfCare.statusHistory.period
  text:
    v: Von
  type:
    v: dateTime
item:
  link id:
    v: antecedentEpisodeOfCare.end
  definition:
    v: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-episodeofcare#EpisodeOfCare.statusHistory.period
    l: EpisodeOfCare.statusHistory.period
  text:
    v: Bis
  type:
    v: dateTime
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/variable
      l: variable
    value: Expression
      name:
        v: linkIdPrefix
      language:
        v: text/fhirpath
      expression:
        v: 'antecedentEpisodeOfCare.managingOrganization.'
  link id:
    v: antecedentEpisodeOfCare.managingOrganization
  definition:
    v: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-episodeofcare#EpisodeOfCare.managingOrganization
    l: EpisodeOfCare.managingOrganization
  text:
    v: Spital /Heim
  type:
    v: group
  item:
    link id:
      v: antecedentEpisodeOfCare.managingOrganization.name
    definition:
      v: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.name
      l: Organization.name
    text:
      v: Name der Organisation
    type:
      v: string
  item:
    extension:
      url:
        v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-subQuestionnaire
        l: sdc-questionnaire-subQuestionnaire
      value: Canonical
        v: http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-address|3.0.1
        l: http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-address
    link id:
      v: antecedentEpisodeOfCare.managingOrganization.1
    text:
      v: Unable to resolve 'address' sub-questionnaire
    type:
      v: display

link id:
  v: appointment
definition:
  v: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.extension
  l: ServiceRequest.extension
text:
  v: Ort und Zeit der Durchführung der angeforderten Leistung
type:
  v: group
repeats:
  v: true
item:
  extension:
    url:
      v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-subQuestionnaire
      l: sdc-questionnaire-subQuestionnaire
    value: Canonical
      v: http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-appointment|3.0.1
      l: http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-appointment
  link id:
    v: appointment.1
  text:
    v: Unable to resolve 'appointment' sub-questionnaire
  type:
    v: display

link id:
  v: consent
definition:
  v: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension
  l: Composition.extension
text:
  v: Einverständniserklärung
type:
  v: group
item:
  extension:
    url:
      v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-subQuestionnaire
      l: sdc-questionnaire-subQuestionnaire
    value: Canonical
      v: http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-consent|3.0.1
      l: http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-consent
  link id:
    v: consent.1
  text:
    v: Unable to resolve 'consent' sub-questionnaire
  type:
    v: display

link id:
  v: note
text:
  v: Bemerkungen
type:
  v: group
repeats:
  v: true
item:
  link id:
    v: note.text
  definition:
    v: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.note.text
    l: ServiceRequest.note.text
  text:
    v: Kommentar
  type:
    v: string