CH ORF (R4)
3.0.0-ballot - ballot
CH ORF (R4)
3.0.0-ballot - ballot
This page is part of the CH ORF (R4) (v3.0.0-ballot: STU 3 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
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<timestamp value="2023-06-12T20:41:06+00:00"/>
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<Composition>
<language value="de-CH"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="de-CH" lang="de-CH"><a name="Composition_null"> </a><p><b>Generated Narrative: Composition</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">ResourceComposition (Language "de-CH") </p></div><p><b>CH ORF Precedent Document</b>: <a href="http://terminology.hl7.org/5.3.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt
This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid:
Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.
This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)</a>/urn:uuid:1622f2fb-6ba3-4532-9aed-35b158def187</p><p><b>CH ORF Urgent Notification Contact For This Documet</b>: See on this page: urn:uuid:a5c91b7a-8c58-4a71-a1bc-08bd093681b8</p><p><b>CH ORF Urgent Notification Contact For The Response To This Document</b>: See on this page: urn:uuid:9fec93d4-ac30-4d89-8975-e5e2ebabd28a</p><p><b>CH ORF Receiver</b>: See on this page: urn:uuid:305422f3-dbfb-4ce0-bd12-e26d0024f550</p><blockquote><p><b>CH ORF Initiator</b></p><blockquote><p><b>url</b></p><code>ch-orf-personalrelation</code></blockquote><p><b>value</b>: Son (Details: SNOWMED CT code 65616008 = 'Son', stated as 'null')</p><blockquote><p><b>url</b></p><code>ch-orf-legalrelation</code></blockquote><p><b>value</b>: Undetermined (qualifier value) (Details: SNOWMED CT code 373068000 = 'Undetermined (qualifier value)', stated as 'null')</p><blockquote><p><b>url</b></p><code>ch-orf-personorganization</code></blockquote><p><b>value</b>: See on this page: urn:uuid:c1ed3d1d-8aff-401f-ae87-16e178323a10</p></blockquote><blockquote><p><b>EPR Data Enterer</b></p><blockquote><p><b>url</b></p><code>enterer</code></blockquote><p><b>value</b>: See on this page: urn:uuid:40300c5d-0259-438a-88b8-4b24a9c6bf79</p></blockquote><p><b>CH ORF Copy Receiver</b>: See on this page: urn:uuid:b7fdf56d-3bc9-48d9-b470-d1cafb8a0716</p><p><b>CH ORF Copy Receiver</b>: See on this page: urn:uuid:aaddb7b1-eb51-4426-8182-42f66fbf24d0</p><p><b>CH ORF Episode of Care</b>: See on this page: urn:uuid:9ba0fe13-1d13-4785-b408-1c69dda0d4c2</p><p><b>status</b>: final</p><p><b>type</b>: Record artifact (record artifact) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOWMED CT</a>#419891008)</span></p><p><b>category</b>: Order (record artifact) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOWMED CT</a>#721963009)</span></p><p><b>date</b>: 2023-06-12 20:41:06+0000</p><p><b>author</b>: See on this page: urn:uuid:4388146d-9909-4613-b0c5-2ac3de31dfb8</p><p><b>title</b>: Order and Referral by Form</p></div>
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<extension
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<extension
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<extension
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<extension
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<extension url="ch-orf-personalrelation">
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="65616008"/>
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<extension url="ch-orf-legalrelation">
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="373068000"/>
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<extension url="ch-orf-personorganization">
<valueReference>
<reference
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</extension>
<extension
url="http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer">
<extension url="enterer">
<valueReference>
<reference
value="urn:uuid:40300c5d-0259-438a-88b8-4b24a9c6bf79"/>
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<extension
url="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-copyreceiver">
<valueReference>
<reference value="urn:uuid:b7fdf56d-3bc9-48d9-b470-d1cafb8a0716"/>
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<extension
url="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-copyreceiver">
<valueReference>
<reference value="urn:uuid:aaddb7b1-eb51-4426-8182-42f66fbf24d0"/>
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<extension
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<status value="final"/>
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<subject>
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<date value="2023-06-12T20:41:06+00:00"/>
<author>
<reference value="urn:uuid:4388146d-9909-4613-b0c5-2ac3de31dfb8"/>
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<title value="Order and Referral by Form"/>
<section>
<title value="Order-Referral"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="93037-0"/>
<display value="Portable medical order form"/>
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<entry>
<reference value="urn:uuid:e65f3e97-3e93-400f-9624-ce9fd765b231"/>
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<entry>
<reference value="urn:uuid:2f9f6d08-6fbc-4659-af0d-abdae83da63f"/>
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<entry>🔗
<reference
value="http://fhir.ch/ig/ch-orf/Questionnaire/order-referral-form"/>
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<entry>
<fullUrl value="urn:uuid:aaddb7b1-eb51-4426-8182-42f66fbf24d0"/>
<resource>
<Patient>
<language value="de-CH"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="de-CH" lang="de-CH"><a name="Patient_null"> </a><p><b>Generated Narrative: Patient</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">ResourcePatient (Language "de-CH") </p></div><p><b>identifier</b>: Medical record number/11.22.33.4567</p><p><b>name</b>: Erika Musterfrau , Vormusterfrau (Name changed for Marriage)</p><p><b>telecom</b>: ph: 079 979 79 79, <a href="mailto:erika@musterfrau.ch">erika@musterfrau.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><p><b>maritalStatus</b>: verwitwet <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://fhir.ch/ig/ch-term/3.0.0/CodeSystem-ech-11-maritalstatus.html">eCH-011 MaritalStatus</a>#3)</span></p><h3>Contacts</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Relationship</b></td><td><b>Name</b></td><td><b>Telecom</b></td></tr><tr><td style="display: none">*</td><td>Guter Freund <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span></td><td>Max Freund </td><td><a href="mailto:max@freund.ch">max@freund.ch</a></td></tr></table><h3>Communications</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Preferred</b></td></tr><tr><td style="display: none">*</td><td>German (Region=Switzerland) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-v3-ietf3066.html">Tags for the Identification of Languages</a>#de-CH)</span></td><td>true</td></tr></table><p><b>generalPractitioner</b>: See on this page: urn:uuid:11a6e0bc-534a-478a-b729-5d336601e789</p></div>
</text>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
</coding>
</type>
<system value="urn:oid:2.999.1.2.3.4"/>
<value value="11.22.33.4567"/>
</identifier>
<name>
<family value="Musterfrau"/>
<given value="Erika"/>
</name>
<name>
<use value="maiden"/>
<family value="Vormusterfrau"/>
</name>
<telecom>
<system value="phone"/>
<value value="079 979 79 79"/>
</telecom>
<telecom>
<system value="email"/>
<value value="erika@musterfrau.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>
<maritalStatus>
<coding>
<system
value="http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus"/>
<code value="3"/>
<display value="verwitwet"/>
</coding>
</maritalStatus>
<contact>
<relationship>
<text value="Guter Freund"/>
</relationship>
<name>
<family value="Freund"/>
<given value="Max"/>
</name>
<telecom>
<system value="email"/>
<value value="max@freund.ch"/>
</telecom>
</contact>
<communication>
<language>
<coding>
<system value="urn:ietf:bcp:47"/>
<code value="de-CH"/>
</coding>
</language>
<preferred value="true"/>
</communication>
<generalPractitioner>
<reference value="urn:uuid:11a6e0bc-534a-478a-b729-5d336601e789"/>
</generalPractitioner>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:e65f3e97-3e93-400f-9624-ce9fd765b231"/>
<resource>
<QuestionnaireResponse>
<meta>
<profile
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-questionnaireresponse"/>
</meta>
<language value="de-CH"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="de-CH" lang="de-CH"><a name="QuestionnaireResponse_null"> </a><p><b>Generated Narrative: QuestionnaireResponse</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">ResourceQuestionnaireResponse (Language "de-CH") </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ch-orf-questionnaireresponse.html">CH ORF QuestionnaireResponse</a></p></div><p><b>questionnaire</b>: <a href="Questionnaire-order-referral-form.html">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.placerOrderIdentifier</p><p><b>text</b>: Auftragsnummer des Auftraggebers</p><blockquote><p><b>answer</b></p></blockquote></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><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.fillerOrderIdentifier</p><p><b>text</b>: Auftragsnummer des Auftragsempfängers</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.fillerOrderIdentifierDomain</p><p><b>text</b>: Identifier Domain der Auftragsnummer des Auftragsempfängers</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.precedentDocumentIdentifier</p><p><b>text</b>: Identifier des Vorgängerdokuments</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.notificationContactDocument</p><p><b>text</b>: Dringender Benachrichtigungskontakt für dieses Dokument</p><blockquote><p><b>item</b></p></blockquote></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><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.priority</p><p><b>text</b>: Auftragspriorität</p><blockquote><p><b>answer</b></p></blockquote></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><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiver.organization</p><p><b>text</b>: Empfangende Organisation</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: initiator</p><p><b>text</b>: Initiant dieser Anmeldung</p><blockquote><p><b>item</b></p><p><b>linkId</b>: initiator.legalrelation</p><p><b>text</b>: Juristische Beziehung zum Patienten</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: initiator.personalrelation</p><p><b>text</b>: Persönliche Beziehung zum Patienten?</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: initiator.relatedPerson</p><p><b>text</b>: Andere Person</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></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><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.maidenName</p><p><b>text</b>: Ledigname</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.givenName</p><p><b>text</b>: Vorname</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.localPid</p><p><b>text</b>: Lokale Patienten-ID</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.localPidDomain</p><p><b>text</b>: Lokale Patienten-ID Domain</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.birthDate</p><p><b>text</b>: Geburtsdatum</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.gender</p><p><b>text</b>: Geschlecht</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.maritalStatus</p><p><b>text</b>: Zivilstand</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.phone</p><p><b>text</b>: Telefon</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.email</p><p><b>text</b>: E-Mail</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.streetAddressLine</p><p><b>text</b>: Strasse, Hausnummer, Postfach etc.</p><blockquote><p><b>answer</b></p></blockquote><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.postalCode</p><p><b>text</b>: PLZ</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.city</p><p><b>text</b>: Ort</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.country</p><p><b>text</b>: Land</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.languageOfCorrespondence</p><p><b>text</b>: Korrespondenzsprache</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.contactperson</p><p><b>text</b>: Kontaktperson</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: familydoctor</p><p><b>text</b>: Hausarzt</p><blockquote><p><b>item</b></p></blockquote></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: requestedEncounter</p><p><b>text</b>: Patientenaufnahme</p><blockquote><p><b>item</b></p><p><b>linkId</b>: requestedEncounter.class</p><p><b>text</b>: Voraussichtlich: Ambulant / Stationär / Notfall</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: requestedEncounter.desiredAccommodation</p><p><b>text</b>: Zimmerkategorie</p><blockquote><p><b>answer</b></p></blockquote></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage</p><p><b>text</b>: Kostenträger</p><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.kvg</p><p><b>text</b>: Krankenkasse (nach KVG)</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></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><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: sender.dataenterer</p><p><b>text</b>: Erfasser</p><blockquote><p><b>item</b></p></blockquote></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiverCopy</p><p><b>text</b>: Kopieempfänger (Kopie dieses Auftrags und aller daraus resultierenden Resultate)</p><blockquote><p><b>item</b></p><p><b>linkId</b>: receiverCopy.practitionerRole</p><p><b>text</b>: Gesundheitsfachperson oder -organisation</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiverCopy.patient</p><p><b>text</b>: Patient selbst</p><blockquote><p><b>answer</b></p></blockquote></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: antecedentEpisodeOfCare</p><p><b>text</b>: Vorgängiger Aufenthalt in Spital / Heim</p><blockquote><p><b>item</b></p><p><b>linkId</b>: antecedentEpisodeOfCare.start</p><p><b>text</b>: Von</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: antecedentEpisodeOfCare.end</p><p><b>text</b>: Bis</p><blockquote><p><b>answer</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: antecedentEpisodeOfCare.managingOrganization</p><p><b>text</b>: Spital /Heim</p><blockquote><p><b>item</b></p></blockquote></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: appointment</p><p><b>text</b>: Ort und Zeit der Durchführung der angeforderten Leistung</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: consent</p><p><b>text</b>: Einverständniserklärung</p><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.consent.statement</p><p><b>text</b>: Ist der Patient über die Anmeldung informiert und explizit einverstanden?</p><blockquote><p><b>answer</b></p></blockquote></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: note</p><p><b>text</b>: Bemerkungen</p><blockquote><p><b>item</b></p><p><b>linkId</b>: note.text</p><p><b>text</b>: Kommentar</p><blockquote><p><b>answer</b></p></blockquote></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.placerOrderIdentifier"/>
<text value="Auftragsnummer des Auftraggebers"/>
<answer>
<valueString value="123"/>
</answer>
</item>
<item>
<linkId value="order.placerOrderIdentifierDomain"/>
<text
value="Identifier Domain der Auftragsnummer des Auftraggebers"/>
<answer>
<valueString value="urn:oid:2.999.1.3.4.5.6.7"/>
</answer>
</item>
<item>
<linkId value="order.fillerOrderIdentifier"/>
<text value="Auftragsnummer des Auftragsempfängers"/>
<answer>
<valueString value="456"/>
</answer>
</item>
<item>
<linkId value="order.fillerOrderIdentifierDomain"/>
<text
value="Identifier Domain der Auftragsnummer des Auftragsempfängers"/>
<answer>
<valueString value="urn:oid:2.999.7.8.9.10.11"/>
</answer>
</item>
<item>
<linkId value="order.precedentDocumentIdentifier"/>
<text value="Identifier des Vorgängerdokuments"/>
<answer>
<valueString value="1622f2fb-6ba3-4532-9aed-35b158def187"/>
</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="Röntgen"/>
</answer>
</item>
<item>
<linkId
value="order.notificationContactDocument.practitioner.givenName"/>
<text value="Vorname"/>
<answer>
<valueString value="Hans"/>
</answer>
</item>
<item>
<linkId
value="order.notificationContactDocument.practitioner.phone"/>
<text value="Telefon"/>
<answer>
<valueString value="044 412 00 99"/>
</answer>
</item>
<item>
<linkId
value="order.notificationContactDocument.practitioner.email"/>
<text value="E-Mail"/>
<answer>
<valueString value="hans.roentgen@kantonsspital.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="Meier"/>
</answer>
</item>
<item>
<linkId
value="order.notificationContactDocumentResponse.practitioner.givenName"/>
<text value="Vorname"/>
<answer>
<valueString value="Sabine"/>
</answer>
</item>
<item>
<linkId
value="order.notificationContactDocumentResponse.practitioner.phone"/>
<text value="Telefon"/>
<answer>
<valueString value="044 333 22 11"/>
</answer>
</item>
<item>
<linkId
value="order.notificationContactDocumentResponse.practitioner.email"/>
<text value="E-Mail"/>
<answer>
<valueString value="sabine.meier@praxisseeblick.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="routine"/>
</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="Röntgen"/>
</answer>
</item>
<item>
<linkId value="receiver.practitioner.givenName"/>
<text value="Vorname"/>
<answer>
<valueString value="Hans"/>
</answer>
</item>
<item>
<linkId value="receiver.practitioner.gln"/>
<text value="GLN"/>
<answer>
<valueString value="7601000201041"/>
</answer>
</item>
<item>
<linkId value="receiver.practitioner.zsr"/>
<text value="ZSR"/>
<answer>
<valueString value="A123262"/>
</answer>
</item>
<item>
<linkId value="receiver.practitioner.phone"/>
<text value="Telefon"/>
<answer>
<valueString value="044 412 00 99"/>
</answer>
</item>
<item>
<linkId value="receiver.practitioner.email"/>
<text value="E-Mail"/>
<answer>
<valueString value="hans.roentgen@kantonsspital.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="Kantonsspital"/>
</answer>
</item>
<item>
<linkId value="receiver.organization.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<answer>
<valueString value="Kantonsstrasse 14"/>
</answer>
<answer>
<valueString value="Postfach 14"/>
</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="initiator"/>
<text value="Initiant dieser Anmeldung"/>
<item>
<linkId value="initiator.legalrelation"/>
<text value="Juristische Beziehung zum Patienten"/>
<answer>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="373068000"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="initiator.personalrelation"/>
<text value="Persönliche Beziehung zum Patienten?"/>
<answer>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="65616008"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="initiator.relatedPerson"/>
<text value="Andere Person"/>
<item>
<linkId value="initiator.relatedPerson.familyName"/>
<text value="Name"/>
<answer>
<valueString value="Musterfrau"/>
</answer>
</item>
<item>
<linkId value="initiator.relatedPerson.givenName"/>
<text value="Vorname"/>
<answer>
<valueString value="Fritz"/>
</answer>
</item>
</item>
</item>
<item>
<linkId value="patient"/>
<text value="Patient"/>
<item>
<linkId value="patient.familyName"/>
<text value="Name"/>
<answer>
<valueString value="Musterfrau"/>
</answer>
</item>
<item>
<linkId value="patient.maidenName"/>
<text value="Ledigname"/>
<answer>
<valueString value="Vormusterfrau"/>
</answer>
</item>
<item>
<linkId value="patient.givenName"/>
<text value="Vorname"/>
<answer>
<valueString value="Erika"/>
</answer>
</item>
<item>
<linkId value="patient.localPid"/>
<text value="Lokale Patienten-ID"/>
<answer>
<valueString value="11.22.33.4567"/>
</answer>
</item>
<item>
<linkId value="patient.localPidDomain"/>
<text value="Lokale Patienten-ID Domain"/>
<answer>
<valueString value="urn:oid:2.999.1.2.3.4"/>
</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.maritalStatus"/>
<text value="Zivilstand"/>
<answer>
<valueCoding>
<system
value="http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus"/>
<code value="3"/>
<display value="verwitwet"/>
</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="erika@musterfrau.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>
<linkId value="patient.languageOfCorrespondence"/>
<text value="Korrespondenzsprache"/>
<answer>
<valueCoding>
<system value="urn:ietf:bcp:47"/>
<code value="de-CH"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="patient.contactperson"/>
<text value="Kontaktperson"/>
<item>
<linkId value="patient.contactperson.relationship"/>
<text value="Beziehung"/>
<answer>
<valueString value="Guter Freund"/>
</answer>
</item>
<item>
<linkId value="patient.contactperson.familyName"/>
<text value="Name"/>
<answer>
<valueString value="Freund"/>
</answer>
</item>
<item>
<linkId value="patient.contactperson.givenName"/>
<text value="Vorname"/>
<answer>
<valueString value="Max"/>
</answer>
</item>
<item>
<linkId value="patient.contactperson.phone"/>
<text value="Telefon"/>
<answer>
<valueString value="079 111 22 33"/>
</answer>
</item>
<item>
<linkId value="patient.contactperson.email"/>
<text value="E-Mail"/>
<answer>
<valueString value="max@freund.ch"/>
</answer>
</item>
</item>
<item>
<linkId value="familydoctor"/>
<text value="Hausarzt"/>
<item>
<linkId value="familydoctor.practitioner"/>
<text value="Hausarzt Person"/>
<item>
<linkId value="familydoctor.practitioner.title"/>
<text value="Titel"/>
<answer>
<valueString value="Dr. med."/>
</answer>
</item>
<item>
<linkId value="familydoctor.practitioner.familyName"/>
<text value="Name"/>
<answer>
<valueString value="Meier"/>
</answer>
</item>
<item>
<linkId value="familydoctor.practitioner.givenName"/>
<answer>
<valueString value="Sabine"/>
</answer>
</item>
</item>
</item>
</item>
<item>
<linkId value="requestedEncounter"/>
<text value="Patientenaufnahme"/>
<item>
<linkId value="requestedEncounter.class"/>
<text value="Voraussichtlich: Ambulant / Stationär / Notfall"/>
<answer>
<valueCoding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="EMER"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="requestedEncounter.desiredAccommodation"/>
<text value="Zimmerkategorie"/>
<answer>
<valueCoding>
<system
value="http://fhir.ch/ig/ch-core/CodeSystem/bfs-medstats-21-encountertype"/>
<code value="2"/>
<display value="halbprivat"/>
</valueCoding>
</answer>
</item>
</item>
<item>
<linkId value="coverage"/>
<text value="Kostenträger"/>
<item>
<linkId value="coverage.kvg"/>
<text value="Krankenkasse (nach KVG)"/>
<item>
<linkId value="coverage.kvg.name"/>
<text value="Name der Versicherung"/>
<answer>
<valueString value="Sanitas"/>
</answer>
</item>
<item>
<linkId value="coverage.kvg.insuranceCardNumber"/>
<text value="Kennnummer der Versichertenkarte"/>
<answer>
<valueString value="80756015090002647590"/>
</answer>
</item>
</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="Meier"/>
</answer>
</item>
<item>
<linkId value="sender.author.practitioner.givenName"/>
<text value="Vorname"/>
<answer>
<valueString value="Sabine"/>
</answer>
</item>
<item>
<linkId value="sender.author.practitioner.gln"/>
<text value="GLN"/>
<answer>
<valueString value="7601000618627"/>
</answer>
</item>
<item>
<linkId value="sender.author.practitioner.zsr"/>
<text value="ZSR"/>
<answer>
<valueString value="A123321"/>
</answer>
</item>
<item>
<linkId value="sender.author.practitioner.phone"/>
<text value="Telefon"/>
<answer>
<valueString value="044 333 22 11"/>
</answer>
</item>
<item>
<linkId value="sender.author.practitioner.email"/>
<text value="E-Mail"/>
<answer>
<valueString value="sabine.meier@praxisseeblick.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="Praxis Seeblick"/>
</answer>
</item>
<item>
<linkId value="sender.author.organization.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<answer>
<valueString value="Seestrasse 133"/>
</answer>
<answer>
<valueString value="Haus C"/>
</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>
<linkId value="sender.dataenterer"/>
<text value="Erfasser"/>
<item>
<linkId value="sender.dataenterer.practitioner"/>
<text value="Erfassende Person"/>
<item>
<linkId value="sender.dataenterer.practitioner.familyName"/>
<text value="Name"/>
<answer>
<valueString value="Boss"/>
</answer>
</item>
<item>
<linkId value="sender.dataenterer.practitioner.givenName"/>
<text value="Vorname"/>
<answer>
<valueString value="Stabilo"/>
</answer>
</item>
<item>
<linkId value="sender.dataenterer.practitioner.phone"/>
<text value="Telefon"/>
<answer>
<valueString value="044 333 22 12"/>
</answer>
</item>
<item>
<linkId value="sender.dataenterer.practitioner.email"/>
<text value="E-Mail"/>
<answer>
<valueString value="stabilo.boss@praxisseeblick.ch"/>
</answer>
</item>
</item>
</item>
</item>
<item>
<linkId value="receiverCopy"/>
<text
value="Kopieempfänger (Kopie dieses Auftrags und aller daraus resultierenden Resultate)"/>
<item>
<linkId value="receiverCopy.practitionerRole"/>
<text value="Gesundheitsfachperson oder -organisation"/>
<item>
<linkId value="receiverCopy.practitionerRole.practitioner"/>
<text value="Gesundheitsfachperson"/>
<item>
<linkId
value="receiverCopy.practitionerRole.practitioner.title"/>
<text value="Titel"/>
<answer>
<valueString value="Dr. med."/>
</answer>
</item>
<item>
<linkId
value="receiverCopy.practitionerRole.practitioner.familyName"/>
<text value="Name"/>
<answer>
<valueString value="Meier"/>
</answer>
</item>
<item>
<linkId
value="receiverCopy.practitionerRole.practitioner.givenName"/>
<text value="Vorname"/>
<answer>
<valueString value="Sabine"/>
</answer>
</item>
<item>
<linkId
value="receiverCopy.practitionerRole.practitioner.phone"/>
<text value="Telefon"/>
<answer>
<valueString value="044 333 22 11"/>
</answer>
</item>
<item>
<linkId
value="receiverCopy.practitionerRole.practitioner.email"/>
<text value="E-Mail"/>
<answer>
<valueString value="sabine.meier@praxisseeblick.ch"/>
</answer>
</item>
</item>
<item>
<linkId value="receiverCopy.practitionerRole.organization"/>
<text value="Gesundheitsorganisatiton"/>
<item>
<linkId
value="receiverCopy.practitionerRole.organization.name"/>
<text value="Name der Organisation"/>
<answer>
<valueString value="Praxis Seeblick"/>
</answer>
</item>
<item>
<linkId
value="receiverCopy.practitionerRole.organization.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<answer>
<valueString value="Seestrasse 133"/>
</answer>
</item>
<item>
<linkId
value="receiverCopy.practitionerRole.organization.postalCode"/>
<text value="PLZ"/>
<answer>
<valueString value="8000"/>
</answer>
</item>
<item>
<linkId
value="receiverCopy.practitionerRole.organization.city"/>
<text value="Ort"/>
<answer>
<valueString value="Zürich"/>
</answer>
</item>
<item>
<linkId
value="receiverCopy.practitionerRole.organization.country"/>
<text value="Land"/>
<answer>
<valueString value="Schweiz"/>
</answer>
</item>
</item>
</item>
<item>
<linkId value="receiverCopy.patient"/>
<text value="Patient selbst"/>
<answer>
<valueBoolean value="true"/>
</answer>
</item>
</item>
<item>
<linkId value="antecedentEpisodeOfCare"/>
<text value="Vorgängiger Aufenthalt in Spital / Heim"/>
<item>
<linkId value="antecedentEpisodeOfCare.start"/>
<text value="Von"/>
<answer>
<valueDateTime value="2023-05-22"/>
</answer>
</item>
<item>
<linkId value="antecedentEpisodeOfCare.end"/>
<text value="Bis"/>
<answer>
<valueDateTime value="2023-05-27"/>
</answer>
</item>
<item>
<linkId value="antecedentEpisodeOfCare.managingOrganization"/>
<text value="Spital /Heim"/>
<item>
<linkId
value="antecedentEpisodeOfCare.managingOrganization.name"/>
<text value="Name der Organisation"/>
<answer>
<valueString value="Spital Hinterfultigen"/>
</answer>
</item>
</item>
</item>
<item>
<linkId value="appointment"/>
<text
value="Ort und Zeit der Durchführung der angeforderten Leistung"/>
</item>
<item>
<linkId value="consent"/>
<text value="Einverständniserklärung"/>
<item>
<linkId value="patient.consent.statement"/>
<text
value="Ist der Patient über die Anmeldung informiert und explizit einverstanden?"/>
<answer>
<valueCoding>
<system
value="http://fhir.ch/ig/ch-orf/CodeSystem/ch-orf-cs-consentstatus"/>
<code value="Other"/>
<display
value="Other situation such as 'implicit agreement', 'agreed by legal guardian' etc."/>
</valueCoding>
<item>
<linkId value="patient.consent.statement.note"/>
<text value="Anmerkung"/>
<answer>
<valueString
value="Voraussichtlich einverstanden; Sohn wird die Situation beim nä. Besuch mit Pat. besprechen"/>
</answer>
</item>
</answer>
</item>
</item>
<item>
<linkId value="note"/>
<text value="Bemerkungen"/>
<item>
<linkId value="note.text"/>
<text value="Kommentar"/>
<answer>
<valueString value="Patientin ist sehr ängstlich"/>
</answer>
</item>
</item>
</QuestionnaireResponse>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:2f9f6d08-6fbc-4659-af0d-abdae83da63f"/>
<resource>
<ServiceRequest>
<language value="de-CH"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="de-CH" lang="de-CH"><a name="ServiceRequest_null"> </a><p><b>Generated Narrative: ServiceRequest</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">ResourceServiceRequest (Language "de-CH") </p></div><p><b>CH ORF Requested Encounter Details</b>: See on this page: urn:uuid:f435f713-5fb9-42a8-b3cc-7033ba75e3d5</p><p><b>identifier</b>: Placer Identifier/123, Filler Identifier/456</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>priority</b>: routine</p><p><b>subject</b>: See on this page: urn:uuid:aaddb7b1-eb51-4426-8182-42f66fbf24d0</p><p><b>requester</b>: See on this page: urn:uuid:4388146d-9909-4613-b0c5-2ac3de31dfb8</p><p><b>insurance</b>: See on this page: urn:uuid:4d45ffb2-6335-4cf2-9d16-ad4387272345</p><p><b>note</b>: Patientin ist sehr ängstlich</p></div>
</text>
<extension
url="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-requestedencounterdetails">
<valueReference>
<reference value="urn:uuid:f435f713-5fb9-42a8-b3cc-7033ba75e3d5"/>
</valueReference>
</extension>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PLAC"/>
</coding>
</type>
<system value="urn:oid:2.999.1.3.4.5.6.7"/>
<value value="123"/>
</identifier>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="FILL"/>
</coding>
</type>
<system value="urn:oid:2.999.7.8.9.10.11"/>
<value value="456"/>
</identifier>
<status value="active"/>
<intent value="order"/>
<priority value="routine"/>
<subject>
<reference value="urn:uuid:aaddb7b1-eb51-4426-8182-42f66fbf24d0"/>
</subject>
<requester>
<reference value="urn:uuid:4388146d-9909-4613-b0c5-2ac3de31dfb8"/>
</requester>
<insurance>
<reference value="urn:uuid:4d45ffb2-6335-4cf2-9d16-ad4387272345"/>
</insurance>
<note>
<text value="Patientin ist sehr ängstlich"/>
</note>
</ServiceRequest>
</resource>
</entry>
<entry>
<fullUrl
value="http://fhir.ch/ig/ch-orf/Questionnaire/order-referral-form"/>
<resource>
<Questionnaire>
<id value="order-referral-form"/>
<language value="de-CH"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="de-CH" lang="de-CH"><a name="Questionnaire_order-referral-form"> </a><p><b>Generated Narrative: Questionnaire</b><a name="order-referral-form"> </a><a name="hcorder-referral-form"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">ResourceQuestionnaire "order-referral-form" (Language "de-CH") </p></div><p><b>Target structure map</b>: <a href="StructureMap-OrfQrToBundle.html">OrfQrToBundle</a></p><blockquote><p><b>Launch context resources</b></p><blockquote><p><b>url</b></p><code>name</code></blockquote><p><b>value</b>: Patient (Details: Launch Context code patient = 'Patient', stated as 'null')</p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Patient</p></blockquote><blockquote><p><b>Launch context resources</b></p><blockquote><p><b>url</b></p><code>name</code></blockquote><p><b>value</b>: User (Details: Launch Context code user = 'User', stated as 'User')</p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Practitioner</p><blockquote><p><b>url</b></p><code>description</code></blockquote><p><b>value</b>: The practitioner that is to be used to pre-populate the form</p></blockquote><p><b>Assembled From Questionnaire</b>: <a href="http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-order">http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-order|1.1.0</a></p><p><b>Assembled From Questionnaire</b>: <a href="http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-practitioner-nametel">http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-practitioner-nametel|1.1.0</a></p><p><b>Assembled From Questionnaire</b>: <a href="http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-receiver">http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-receiver|1.1.0</a></p><p><b>Assembled From Questionnaire</b>: <a href="http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-address">http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-address|1.1.0</a></p><p><b>Assembled From Questionnaire</b>: <a href="http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-initiator">http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-initiator|1.1.0</a></p><p><b>Assembled From Questionnaire</b>: <a href="http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-patient">http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-patient|1.1.0</a></p><p><b>Assembled From Questionnaire</b>: <a href="http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-familydoctor">http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-familydoctor|1.1.0</a></p><p><b>Assembled From Questionnaire</b>: <a href="http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-requestedencounter">http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-requestedencounter|1.1.0</a></p><p><b>Assembled From Questionnaire</b>: <a href="http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-coverage">http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-coverage|1.1.0</a></p><p><b>Assembled From Questionnaire</b>: <a href="http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-sender">http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-sender|1.1.0</a></p><p><b>Assembled From Questionnaire</b>: <a href="http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-receivercopy">http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-receivercopy|1.1.0</a></p><p><b>Assembled From Questionnaire</b>: <a href="http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-appointment">http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-appointment|1.1.0</a></p><p><b>Assembled From Questionnaire</b>: <a href="http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-consent">http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-consent|1.1.0</a></p><p><b>url</b>: <code>http://fhir.ch/ig/ch-orf/Questionnaire/order-referral-form</code></p><p><b>version</b>: 1.1.0-assembled</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>: 2022-07-07</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>: Switzerland <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-ISO3166Part1.html">ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code</a>#CH)</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>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.authoredOn</p><p><b>text</b>: Daum/Zeit der Auftragserteilung</p><p><b>type</b>: dateTime</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.placerOrderIdentifier</p><p><b>text</b>: Auftragsnummer des Auftraggebers</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>Questionnaire Hidden</b>: true</p><p><b>linkId</b>: order.placerOrderIdentifierDomain</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>text</b>: Auftragsnummer des Auftragsempfängers</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>Questionnaire Hidden</b>: true</p><p><b>linkId</b>: order.fillerOrderIdentifierDomain</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>Questionnaire Hidden</b>: true</p><p><b>linkId</b>: order.precedentDocumentIdentifier</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>text</b>: Dringender Benachrichtigungskontakt für dieses Dokument</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p></blockquote></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><p><b>type</b>: group</p><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.priority</p><p><b>text</b>: Auftragspriorität</p><p><b>type</b>: choice</p><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiver</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>text</b>: Empfangende Person</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>Variable</b>: <span title="text/fhirpath"><code>'receiver.organization.'</code></span>(<b>linkIdPrefix</b>)</p><p><b>linkId</b>: receiver.organization</p><p><b>text</b>: Empfangende Organisation</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: initiator</p><p><b>text</b>: Initiant dieser Anmeldung</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p><p><b>linkId</b>: initiator.legalrelation</p><p><b>text</b>: Juristische Beziehung zum Patienten</p><p><b>type</b>: choice</p><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: initiator.personalrelation</p><p><b>text</b>: Persönliche Beziehung zum Patienten?</p><p><b>type</b>: choice</p><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: initiator.practitionerRole</p><p><b>text</b>: Gesundheitsfachperson oder -organisation</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: initiator.relatedPerson</p><p><b>text</b>: Andere Person</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>Variable</b>: <span title="text/fhirpath"><code>'patient.'</code></span>(<b>linkIdPrefix</b>)</p><p><b>Variable</b>: <span title="text/fhirpath"><code>%patient.address</code></span>(<b>address</b>)</p><p><b>linkId</b>: patient</p><p><b>text</b>: Patient</p><p><b>type</b>: group</p><p><b>required</b>: true</p><blockquote><p><b>item</b></p><p><b>initial.exists().not()</b>: <span title="text/fhirpath"><code>%patient.name.where(use='official').family</code></span></p><p><b>linkId</b>: patient.familyName</p><p><b>text</b>: Name</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>initial.exists().not()</b>: <span title="text/fhirpath"><code>%patient.name.where(use='maiden').family</code></span></p><p><b>linkId</b>: patient.maidenName</p><p><b>text</b>: Ledigname</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>initial.exists().not()</b>: <span title="text/fhirpath"><code>%patient.name.where(use='official').given</code></span></p><p><b>linkId</b>: patient.givenName</p><p><b>text</b>: Vorname</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>initial.exists().not()</b>: <span title="text/fhirpath"><code>%patient.identifier.where(type.coding.where(system='http://terminology.hl7.org/CodeSystem/v2-0203' and code='MR').exists()).value</code></span></p><p><b>linkId</b>: patient.localPid</p><p><b>text</b>: Lokale Patienten-ID</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>Questionnaire Hidden</b>: true</p><p><b>linkId</b>: patient.localPidDomain</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>initial.exists().not()</b>: <span title="text/fhirpath"><code>%patient.birthDate</code></span></p><p><b>linkId</b>: patient.birthDate</p><p><b>text</b>: Geburtsdatum</p><p><b>type</b>: date</p></blockquote><blockquote><p><b>item</b></p><p><b>initial.exists().not()</b>: <span title="text/fhirpath"><code>%questionnaire.repeat(item).where(linkId='patient.gender').answerOption.valueCoding.where(code=%patient.gender)</code></span></p><p><b>linkId</b>: patient.gender</p><p><b>text</b>: Geschlecht</p><p><b>type</b>: choice</p><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>initial.exists().not()</b>: <span title="text/fhirpath"><code>%patient.maritalStatus</code></span></p><p><b>linkId</b>: patient.maritalStatus</p><p><b>text</b>: Zivilstand</p><p><b>type</b>: choice</p><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>initial.exists().not()</b>: <span title="text/fhirpath"><code>%patient.telecom.where(system='phone').value</code></span></p><p><b>linkId</b>: patient.phone</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>initial.exists().not()</b>: <span title="text/fhirpath"><code>%patient.telecom.where(system='email').value</code></span></p><p><b>linkId</b>: patient.email</p><p><b>text</b>: E-Mail</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>initial.exists().not()</b>: <span title="text/fhirpath"><code>%address.line</code></span></p><p><b>linkId</b>: patient.streetAddressLine</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>initial.exists().not()</b>: <span title="text/fhirpath"><code>%address.postalCode</code></span></p><p><b>linkId</b>: patient.postalCode</p><p><b>text</b>: PLZ</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>initial.exists().not()</b>: <span title="text/fhirpath"><code>%address.city</code></span></p><p><b>linkId</b>: patient.city</p><p><b>text</b>: Ort</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>initial.exists().not()</b>: <span title="text/fhirpath"><code>%address.country</code></span></p><p><b>linkId</b>: patient.country</p><p><b>text</b>: Land</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>initial.exists().not()</b>: <span title="text/fhirpath"><code>%patient.communication.where(preferred=true).language.coding</code></span></p><p><b>linkId</b>: patient.languageOfCorrespondence</p><p><b>text</b>: Korrespondenzsprache</p><p><b>type</b>: choice</p><p><b>answerValueSet</b>: <a href="http://fhir.ch/ig/ch-term/3.0.0/ValueSet-DocumentEntry.languageCode.html">DocumentEntry.languageCode</a></p></blockquote><blockquote><p><b>item</b></p><p><b>Variable</b>: <span title="text/fhirpath"><code>%patient.contact</code></span>(<b>contact</b>)</p><p><b>linkId</b>: patient.contactperson</p><p><b>text</b>: Kontaktperson</p><p><b>type</b>: group</p><p><b>repeats</b>: true</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: familydoctor</p><p><b>text</b>: Hausarzt</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: requestedEncounter</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>text</b>: Voraussichtlich: Ambulant / Stationär / Notfall</p><p><b>type</b>: choice</p><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: requestedEncounter.desiredAccommodation</p><p><b>text</b>: Zimmerkategorie</p><p><b>type</b>: choice</p><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage</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>text</b>: Begünstigter (Patient)</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.kvg</p><p><b>text</b>: Krankenkasse (nach KVG)</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.uvg</p><p><b>text</b>: Unfallversicherung (nach UVG)</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.vvg</p><p><b>text</b>: Zusatzversicherung (nach VVG)</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.iv</p><p><b>text</b>: Invalidenversicherung (IV)</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.mv</p><p><b>text</b>: Militärversicherung (MV)</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.self</p><p><b>text</b>: Selbstzahler</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.other</p><p><b>text</b>: Anderer Kostenträger</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></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>Variable</b>: <span title="application/x-fhir-query"><code>PractitionerRole?practitioner={{%user.id}}</code></span>(<b>senderPractitionerRoles</b>)</p><p><b>Variable</b>: <span title="text/fhirpath"><code>%senderPractitionerRoles.entry[0].resource</code></span>(<b>senderPractitionerRole</b>)</p><p><b>Variable</b>: <span title="application/x-fhir-query"><code>Organization?_id={{%senderPractitionerRole.organization.reference}}</code></span>(<b>senderOrganizations</b>)</p><p><b>Variable</b>: <span title="text/fhirpath"><code>%senderOrganizations.entry[0].resource</code></span>(<b>senderOrganization</b>)</p><p><b>Variable</b>: <span title="text/fhirpath"><code>%senderOrganization.address</code></span>(<b>address</b>)</p><p><b>linkId</b>: sender.author</p><p><b>text</b>: Verantwortlicher</p><p><b>type</b>: group</p><p><b>required</b>: true</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: sender.dataenterer</p><p><b>text</b>: Erfasser</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p></blockquote></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiverCopy</p><p><b>text</b>: Kopieempfänger (Kopie dieses Auftrags und aller daraus resultierenden Resultate)</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p><p><b>linkId</b>: receiverCopy.practitionerRole</p><p><b>text</b>: Gesundheitsfachperson oder -organisation</p><p><b>type</b>: group</p><p><b>repeats</b>: true</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiverCopy.patient</p><p><b>text</b>: Patient selbst</p><p><b>type</b>: boolean</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiverCopy.relatedPerson</p><p><b>text</b>: Andere Person</p><p><b>type</b>: group</p><p><b>repeats</b>: true</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: antecedentEpisodeOfCare</p><p><b>text</b>: Vorgängiger Aufenthalt in Spital / Heim</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p><p><b>linkId</b>: antecedentEpisodeOfCare.start</p><p><b>text</b>: Von</p><p><b>type</b>: dateTime</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: antecedentEpisodeOfCare.end</p><p><b>text</b>: Bis</p><p><b>type</b>: dateTime</p></blockquote><blockquote><p><b>item</b></p><p><b>Variable</b>: <span title="text/fhirpath"><code>'antecedentEpisodeOfCare.managingOrganization.'</code></span>(<b>linkIdPrefix</b>)</p><p><b>linkId</b>: antecedentEpisodeOfCare.managingOrganization</p><p><b>text</b>: Spital /Heim</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: appointment</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>Variable</b>: <span title="text/fhirpath"><code>'appointment.location.'</code></span>(<b>linkIdPrefix</b>)</p><p><b>linkId</b>: appointment.location</p><p><b>text</b>: Ort der Durchführung</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: appointment.requestedPeriod</p><p><b>text</b>: Datum und Zeit, wann der Termin bevorzugt geplant werden soll</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: appointment.status</p><p><b>text</b>: Status</p><p><b>type</b>: choice</p><p><b>required</b>: true</p><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: appointment.patientInstruction</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>: consent</p><p><b>text</b>: Einverständniserklärung</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.consent.statement</p><p><b>text</b>: Ist der Patient über die Anmeldung informiert und explizit einverstanden?</p><p><b>type</b>: choice</p><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>answerOption</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></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 style="display: none">-</td><td><b>LinkId</b></td><td><b>Text</b></td><td><b>Type</b></td></tr><tr><td style="display: none">*</td><td>note.text</td><td>Kommentar</td><td>string</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-launchContext">
<extension url="name">
<valueCoding>
<system
value="http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext"/>
<code value="patient"/>
</valueCoding>
</extension>
<extension url="type">
<valueCode value="Patient"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext">
<extension url="name">
<valueCoding>
<system
value="http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext"/>
<code value="user"/>
<display value="User"/>
</valueCoding>
</extension>
<extension url="type">
<valueCode value="Practitioner"/>
</extension>
<extension url="description">
<valueString
value="The practitioner that is to be used to pre-populate the form"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom">
<valueCanonical
value="http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-order|1.1.0"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom">
<valueCanonical
value="http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-practitioner-nametel|1.1.0"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom">
<valueCanonical
value="http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-receiver|1.1.0"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom">
<valueCanonical
value="http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-address|1.1.0"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom">
<valueCanonical
value="http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-initiator|1.1.0"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom">
<valueCanonical
value="http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-patient|1.1.0"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom">
<valueCanonical
value="http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-familydoctor|1.1.0"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom">
<valueCanonical
value="http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-requestedencounter|1.1.0"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom">
<valueCanonical
value="http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-coverage|1.1.0"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom">
<valueCanonical
value="http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-sender|1.1.0"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom">
<valueCanonical
value="http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-receivercopy|1.1.0"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom">
<valueCanonical
value="http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-appointment|1.1.0"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom">
<valueCanonical
value="http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-consent|1.1.0"/>
</extension>
<url
value="http://fhir.ch/ig/ch-orf/Questionnaire/order-referral-form"/>
<version value="1.1.0-assembled"/>
<name value="OrderReferralForm"/>
<title value="Order Referral Form"/>
<status value="active"/>
<subjectType value="Patient"/>
<date value="2022-07-07"/>
<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"/>
<text value="Auftrag"/>
<type value="group"/>
<required value="true"/>
<item>
<linkId value="order.authoredOn"/>
<text value="Daum/Zeit der Auftragserteilung"/>
<type value="dateTime"/>
</item>
<item>
<linkId value="order.placerOrderIdentifier"/>
<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"/>
<text
value="Identifier Domain der Auftragsnummer des Auftraggebers"/>
<type value="string"/>
</item>
<item>
<linkId value="order.fillerOrderIdentifier"/>
<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"/>
<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"/>
<text value="Identifier des Vorgängerdokuments"/>
<type value="string"/>
</item>
<item>
<linkId value="order.notificationContactDocument"/>
<text
value="Dringender Benachrichtigungskontakt für dieses Dokument"/>
<type value="group"/>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="linkIdPrefix"/>
<language value="text/fhirpath"/>
<expression
value="'order.notificationContactDocument.practitioner.'"/>
</valueExpression>
</extension>
<linkId value="order.notificationContactDocument.practitioner"/>
<text value="Zu benachrichtigende Person"/>
<type value="group"/>
<item>
<linkId
value="order.notificationContactDocument.practitioner.title"/>
<text value="Titel"/>
<type value="string"/>
</item>
<item>
<linkId
value="order.notificationContactDocument.practitioner.familyName"/>
<text value="Name"/>
<type value="string"/>
</item>
<item>
<linkId
value="order.notificationContactDocument.practitioner.givenName"/>
<text value="Vorname"/>
<type value="string"/>
</item>
<item>
<linkId
value="order.notificationContactDocument.practitioner.phone"/>
<text value="Telefon"/>
<type value="string"/>
</item>
<item>
<linkId
value="order.notificationContactDocument.practitioner.email"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
</item>
</item>
<item>
<linkId value="order.notificationContactDocumentResponse"/>
<text
value="Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument"/>
<type value="group"/>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="linkIdPrefix"/>
<language value="text/fhirpath"/>
<expression
value="'order.notificationContactDocumentResponse.practitioner.'"/>
</valueExpression>
</extension>
<linkId
value="order.notificationContactDocumentResponse.practitioner"/>
<text value="Zu benachrichtigende Person"/>
<type value="group"/>
<item>
<linkId
value="order.notificationContactDocumentResponse.practitioner.title"/>
<text value="Titel"/>
<type value="string"/>
</item>
<item>
<linkId
value="order.notificationContactDocumentResponse.practitioner.familyName"/>
<text value="Name"/>
<type value="string"/>
</item>
<item>
<linkId
value="order.notificationContactDocumentResponse.practitioner.givenName"/>
<text value="Vorname"/>
<type value="string"/>
</item>
<item>
<linkId
value="order.notificationContactDocumentResponse.practitioner.phone"/>
<text value="Telefon"/>
<type value="string"/>
</item>
<item>
<linkId
value="order.notificationContactDocumentResponse.practitioner.email"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
</item>
</item>
<item>
<linkId value="order.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"/>
<text value="Empfänger"/>
<type value="group"/>
<item>
<linkId value="receiver.practitioner"/>
<text value="Empfangende Person"/>
<type value="group"/>
<item>
<linkId value="receiver.practitioner.title"/>
<text value="Titel"/>
<type value="string"/>
</item>
<item>
<linkId value="receiver.practitioner.familyName"/>
<text value="Name"/>
<type value="string"/>
</item>
<item>
<linkId value="receiver.practitioner.givenName"/>
<text value="Vorname"/>
<type value="string"/>
</item>
<item>
<linkId value="receiver.practitioner.gln"/>
<text value="GLN"/>
<type value="string"/>
</item>
<item>
<linkId value="receiver.practitioner.zsr"/>
<text value="ZSR"/>
<type value="string"/>
</item>
<item>
<linkId value="receiver.practitioner.phone"/>
<text value="Telefon"/>
<type value="string"/>
</item>
<item>
<linkId value="receiver.practitioner.email"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="linkIdPrefix"/>
<language value="text/fhirpath"/>
<expression value="'receiver.organization.'"/>
</valueExpression>
</extension>
<linkId value="receiver.organization"/>
<text value="Empfangende Organisation"/>
<type value="group"/>
<item>
<linkId value="receiver.organization.name"/>
<text value="Name der Organisation"/>
<type value="string"/>
</item>
<item>
<linkId value="receiver.organization.gln"/>
<text value="GLN"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.line"/>
</valueExpression>
</extension>
<linkId value="receiver.organization.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<type value="string"/>
<repeats value="true"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.postalCode"/>
</valueExpression>
</extension>
<linkId value="receiver.organization.postalCode"/>
<text value="PLZ"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.city"/>
</valueExpression>
</extension>
<linkId value="receiver.organization.city"/>
<text value="Ort"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.country"/>
</valueExpression>
</extension>
<linkId value="receiver.organization.country"/>
<text value="Land"/>
<type value="string"/>
</item>
</item>
</item>
<item>
<linkId value="initiator"/>
<text value="Initiant dieser Anmeldung"/>
<type value="group"/>
<item>
<linkId value="initiator.legalrelation"/>
<text value="Juristische Beziehung zum Patienten"/>
<type value="choice"/>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="373068000"/>
<display value="Nicht definiert"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="58626002"/>
<display value="Gesetzlicher Vertreter"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="initiator.personalrelation"/>
<text value="Persönliche Beziehung zum Patienten?"/>
<type value="choice"/>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="66089001"/>
<display value="Tochter"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="65616008"/>
<display value="Sohn"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="127849001"/>
<display value="Ehemann"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="127850001"/>
<display value="Ehefrau"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="394921008"/>
<display value="Partner (eingetragene Partnerschaft)"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="70924004"/>
<display value="Bruder"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="27733009"/>
<display value="Schwester"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="72705000"/>
<display value="Mutter"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="66839005"/>
<display value="Vater"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="48385004"/>
<display value="Bekannt"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="initiator.practitionerRole"/>
<text value="Gesundheitsfachperson oder -organisation"/>
<type value="group"/>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="linkIdPrefix"/>
<language value="text/fhirpath"/>
<expression
value="'initiator.practitionerRole.practitioner.'"/>
</valueExpression>
</extension>
<linkId value="initiator.practitionerRole.practitioner"/>
<text value="Gesundheitsfachperson"/>
<type value="group"/>
<item>
<linkId
value="initiator.practitionerRole.practitioner.title"/>
<text value="Titel"/>
<type value="string"/>
</item>
<item>
<linkId
value="initiator.practitionerRole.practitioner.familyName"/>
<text value="Name"/>
<type value="string"/>
</item>
<item>
<linkId
value="initiator.practitionerRole.practitioner.givenName"/>
<text value="Vorname"/>
<type value="string"/>
</item>
<item>
<linkId
value="initiator.practitionerRole.practitioner.phone"/>
<text value="Telefon"/>
<type value="string"/>
</item>
<item>
<linkId
value="initiator.practitionerRole.practitioner.email"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="linkIdPrefix"/>
<language value="text/fhirpath"/>
<expression
value="'initiator.practitionerRole.organization.'"/>
</valueExpression>
</extension>
<linkId value="initiator.practitionerRole.organization"/>
<text value="Gesundheitsorganisatiton"/>
<type value="group"/>
<item>
<linkId value="initiator.practitionerRole.organization.name"/>
<text value="Name der Organisation"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.line"/>
</valueExpression>
</extension>
<linkId
value="initiator.practitionerRole.organization.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<type value="string"/>
<repeats value="true"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.postalCode"/>
</valueExpression>
</extension>
<linkId
value="initiator.practitionerRole.organization.postalCode"/>
<text value="PLZ"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.city"/>
</valueExpression>
</extension>
<linkId value="initiator.practitionerRole.organization.city"/>
<text value="Ort"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.country"/>
</valueExpression>
</extension>
<linkId
value="initiator.practitionerRole.organization.country"/>
<text value="Land"/>
<type value="string"/>
</item>
</item>
</item>
<item>
<linkId value="initiator.relatedPerson"/>
<text value="Andere Person"/>
<type value="group"/>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="linkIdPrefix"/>
<language value="text/fhirpath"/>
<expression value="'initiator.relatedPerson.'"/>
</valueExpression>
</extension>
<linkId value="initiator.relatedPerson.familyName"/>
<text value="Name"/>
<type value="string"/>
</item>
<item>
<linkId value="initiator.relatedPerson.givenName"/>
<text value="Vorname"/>
<type value="string"/>
</item>
<item>
<linkId value="initiator.relatedPerson.phone"/>
<text value="Telefon"/>
<type value="string"/>
<repeats value="true"/>
</item>
<item>
<linkId value="initiator.relatedPerson.email"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.line"/>
</valueExpression>
</extension>
<linkId value="initiator.relatedPerson.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<type value="string"/>
<repeats value="true"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.postalCode"/>
</valueExpression>
</extension>
<linkId value="initiator.relatedPerson.postalCode"/>
<text value="PLZ"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.city"/>
</valueExpression>
</extension>
<linkId value="initiator.relatedPerson.city"/>
<text value="Ort"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.country"/>
</valueExpression>
</extension>
<linkId value="initiator.relatedPerson.country"/>
<text value="Land"/>
<type value="string"/>
</item>
</item>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="linkIdPrefix"/>
<language value="text/fhirpath"/>
<expression value="'patient.'"/>
</valueExpression>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="address"/>
<language value="text/fhirpath"/>
<expression value="%patient.address"/>
</valueExpression>
</extension>
<linkId value="patient"/>
<text value="Patient"/>
<type value="group"/>
<required value="true"/>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression
value="%patient.name.where(use='official').family"/>
</valueExpression>
</extension>
<linkId value="patient.familyName"/>
<text value="Name"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%patient.name.where(use='maiden').family"/>
</valueExpression>
</extension>
<linkId value="patient.maidenName"/>
<text value="Ledigname"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression
value="%patient.name.where(use='official').given"/>
</valueExpression>
</extension>
<linkId value="patient.givenName"/>
<text value="Vorname"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression
value="%patient.identifier.where(type.coding.where(system='http://terminology.hl7.org/CodeSystem/v2-0203' and code='MR').exists()).value"/>
</valueExpression>
</extension>
<linkId value="patient.localPid"/>
<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"/>
<text value="Lokale Patienten-ID Domain"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%patient.birthDate"/>
</valueExpression>
</extension>
<linkId value="patient.birthDate"/>
<text value="Geburtsdatum"/>
<type value="date"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression
value="%questionnaire.repeat(item).where(linkId='patient.gender').answerOption.valueCoding.where(code=%patient.gender)"/>
</valueExpression>
</extension>
<linkId value="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>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%patient.maritalStatus"/>
</valueExpression>
</extension>
<linkId value="patient.maritalStatus"/>
<text value="Zivilstand"/>
<type value="choice"/>
<answerOption>
<valueCoding>
<system
value="http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus"/>
<code value="1"/>
<display value="ledig"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus"/>
<code value="2"/>
<display value="verheiratet"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus"/>
<code value="3"/>
<display value="verwitwet"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus"/>
<code value="4"/>
<display value="geschieden"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus"/>
<code value="5"/>
<display value="unverheiratet"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus"/>
<code value="6"/>
<display value="in eingetragener Partnerschaft"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus"/>
<code value="7"/>
<display value="aufgelöste Partnerschaft"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus"/>
<code value="9"/>
<display value="unbekannt"/>
</valueCoding>
</answerOption>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression
value="%patient.telecom.where(system='phone').value"/>
</valueExpression>
</extension>
<linkId value="patient.phone"/>
<text value="Telefon"/>
<type value="string"/>
<repeats value="true"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression
value="%patient.telecom.where(system='email').value"/>
</valueExpression>
</extension>
<linkId value="patient.email"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.line"/>
</valueExpression>
</extension>
<linkId value="patient.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<type value="string"/>
<repeats value="true"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.postalCode"/>
</valueExpression>
</extension>
<linkId value="patient.postalCode"/>
<text value="PLZ"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.city"/>
</valueExpression>
</extension>
<linkId value="patient.city"/>
<text value="Ort"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.country"/>
</valueExpression>
</extension>
<linkId value="patient.country"/>
<text value="Land"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression
value="%patient.communication.where(preferred=true).language.coding"/>
</valueExpression>
</extension>
<linkId value="patient.languageOfCorrespondence"/>
<text value="Korrespondenzsprache"/>
<type value="choice"/>
<answerValueSet
value="http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.languageCode"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="contact"/>
<language value="text/fhirpath"/>
<expression value="%patient.contact"/>
</valueExpression>
</extension>
<linkId value="patient.contactperson"/>
<text value="Kontaktperson"/>
<type value="group"/>
<repeats value="true"/>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%contact.relationship.text"/>
</valueExpression>
</extension>
<linkId value="patient.contactperson.relationship"/>
<text value="Beziehung"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%contact.name.family"/>
</valueExpression>
</extension>
<linkId value="patient.contactperson.familyName"/>
<text value="Name"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%contact.name.given"/>
</valueExpression>
</extension>
<linkId value="patient.contactperson.givenName"/>
<text value="Vorname"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression
value="%contact.telecom.where(system='phone').value"/>
</valueExpression>
</extension>
<linkId value="patient.contactperson.phone"/>
<text value="Telefon"/>
<type value="string"/>
<repeats value="true"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression
value="%contact.telecom.where(system='email').value"/>
</valueExpression>
</extension>
<linkId value="patient.contactperson.email"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
</item>
<item>
<linkId value="familydoctor"/>
<text value="Hausarzt"/>
<type value="group"/>
<item>
<linkId value="familydoctor.practitioner"/>
<text value="Hausarzt Person"/>
<type value="group"/>
<item>
<linkId value="familydoctor.practitioner.title"/>
<text value="Titel"/>
<type value="string"/>
</item>
<item>
<linkId value="familydoctor.practitioner.familyName"/>
<text value="Name"/>
<type value="string"/>
</item>
<item>
<linkId value="familydoctor.practitioner.givenName"/>
<text value="Vorname"/>
<type value="string"/>
</item>
<item>
<linkId value="familydoctor.practitioner.gln"/>
<text value="GLN"/>
<type value="string"/>
</item>
<item>
<linkId value="familydoctor.practitioner.zsr"/>
<text value="ZSR"/>
<type value="string"/>
</item>
<item>
<linkId value="familydoctor.practitioner.phone"/>
<text value="Telefon"/>
<type value="string"/>
</item>
<item>
<linkId value="familydoctor.practitioner.email"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="linkIdPrefix"/>
<language value="text/fhirpath"/>
<expression value="'familydoctor.organization.'"/>
</valueExpression>
</extension>
<linkId value="familydoctor.organization"/>
<text value="Hausarzt Organisation"/>
<type value="group"/>
<item>
<linkId value="familydoctor.organization.name"/>
<text value="Name der Organisation"/>
<type value="string"/>
</item>
<item>
<linkId value="familydoctor.organization.gln"/>
<text value="GLN"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.line"/>
</valueExpression>
</extension>
<linkId value="familydoctor.organization.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<type value="string"/>
<repeats value="true"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.postalCode"/>
</valueExpression>
</extension>
<linkId value="familydoctor.organization.postalCode"/>
<text value="PLZ"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.city"/>
</valueExpression>
</extension>
<linkId value="familydoctor.organization.city"/>
<text value="Ort"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.country"/>
</valueExpression>
</extension>
<linkId value="familydoctor.organization.country"/>
<text value="Land"/>
<type value="string"/>
</item>
</item>
</item>
</item>
<item>
<linkId value="requestedEncounter"/>
<text value="Patientenaufnahme"/>
<type value="group"/>
<item>
<linkId value="requestedEncounter.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"/>
<text value="Zimmerkategorie"/>
<type value="choice"/>
<answerOption>
<valueCoding>
<system
value="http://fhir.ch/ig/ch-core/CodeSystem/bfs-medstats-21-encountertype"/>
<code value="1"/>
<display value="allgemein"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.ch/ig/ch-core/CodeSystem/bfs-medstats-21-encountertype"/>
<code value="2"/>
<display value="halbprivat"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.ch/ig/ch-core/CodeSystem/bfs-medstats-21-encountertype"/>
<code value="3"/>
<display value="privat"/>
</valueCoding>
</answerOption>
</item>
</item>
<item>
<linkId value="coverage"/>
<text value="Kostenträger"/>
<type value="group"/>
<item>
<linkId value="coverage.beneficiary"/>
<text value="Begünstigter (Patient)"/>
<type value="group"/>
<item>
<linkId value="coverage.beneficiary.ahvn13"/>
<text value="AHV-Nr. des Patienten"/>
<type value="string"/>
</item>
</item>
<item>
<linkId value="coverage.kvg"/>
<text value="Krankenkasse (nach KVG)"/>
<type value="group"/>
<item>
<linkId value="coverage.kvg.name"/>
<text value="Name der Versicherung"/>
<type value="string"/>
</item>
<item>
<linkId value="coverage.kvg.insuranceCardNumber"/>
<text value="Kennnummer der Versichertenkarte"/>
<type value="string"/>
</item>
</item>
<item>
<linkId value="coverage.uvg"/>
<text value="Unfallversicherung (nach UVG)"/>
<type value="group"/>
<item>
<linkId value="coverage.uvg.name"/>
<text value="Name der Versicherung"/>
<type value="string"/>
</item>
<item>
<linkId value="coverage.uvg.claimNumber"/>
<text value="Schadennummer"/>
<type value="string"/>
</item>
</item>
<item>
<linkId value="coverage.vvg"/>
<text value="Zusatzversicherung (nach VVG)"/>
<type value="group"/>
<item>
<linkId value="coverage.vvg.name"/>
<text value="Name der Versicherung"/>
<type value="string"/>
</item>
<item>
<linkId value="coverage.vvg.insuranceCardNumber"/>
<text value="Kennnummer der Versichertenkarte"/>
<type value="string"/>
</item>
</item>
<item>
<linkId value="coverage.iv"/>
<text value="Invalidenversicherung (IV)"/>
<type value="group"/>
<item>
<linkId value="coverage.iv.verfuegungsnummer"/>
<text value="IV-Verfügungsnummer"/>
<type value="string"/>
</item>
</item>
<item>
<linkId value="coverage.mv"/>
<text value="Militärversicherung (MV)"/>
<type value="group"/>
<item>
<linkId value="coverage.mv.versichertennummer"/>
<text value="MV-Versichertennummer"/>
<type value="string"/>
</item>
</item>
<item>
<linkId value="coverage.self"/>
<text value="Selbstzahler"/>
<type value="group"/>
<item>
<linkId value="coverage.self.patient"/>
<text value="Patient selbst"/>
<type value="boolean"/>
</item>
<item>
<linkId value="coverage.self.patientRelatedPerson"/>
<text value="Andere Person"/>
<type value="boolean"/>
<enableWhen>
<question value="coverage.self.patient"/>
<operator value="="/>
<answerBoolean value="false"/>
</enableWhen>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="linkIdPrefix"/>
<language value="text/fhirpath"/>
<expression value="'coverage.self.relatedPerson.'"/>
</valueExpression>
</extension>
<linkId value="coverage.self.relatedPerson"/>
<text value="Andere Person"/>
<type value="group"/>
<enableWhen>
<question value="coverage.self.patientRelatedPerson"/>
<operator value="="/>
<answerBoolean value="true"/>
</enableWhen>
<item>
<linkId value="coverage.self.relatedPerson.familyName"/>
<text value="Name"/>
<type value="string"/>
</item>
<item>
<linkId value="coverage.self.relatedPerson.givenName"/>
<text value="Vorname"/>
<type value="string"/>
</item>
<item>
<linkId value="coverage.self.relatedPerson.phone"/>
<text value="Telefon"/>
<type value="string"/>
<repeats value="true"/>
</item>
<item>
<linkId value="coverage.self.relatedPerson.email"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.line"/>
</valueExpression>
</extension>
<linkId
value="coverage.self.relatedPerson.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<type value="string"/>
<repeats value="true"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.postalCode"/>
</valueExpression>
</extension>
<linkId value="coverage.self.relatedPerson.postalCode"/>
<text value="PLZ"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.city"/>
</valueExpression>
</extension>
<linkId value="coverage.self.relatedPerson.city"/>
<text value="Ort"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.country"/>
</valueExpression>
</extension>
<linkId value="coverage.self.relatedPerson.country"/>
<text value="Land"/>
<type value="string"/>
</item>
</item>
</item>
<item>
<linkId value="coverage.other"/>
<text value="Anderer Kostenträger"/>
<type value="group"/>
<item>
<linkId value="coverage.other.name"/>
<text value="Name des Kostenträgers"/>
<type value="string"/>
</item>
<item>
<linkId value="coverage.other.id"/>
<text value="Beliebige ID"/>
<type value="string"/>
</item>
<item>
<linkId value="coverage.other.id.note"/>
<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>
<extension
url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="senderPractitionerRoles"/>
<language value="application/x-fhir-query"/>
<expression
value="PractitionerRole?practitioner={{%user.id}}"/>
</valueExpression>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="senderPractitionerRole"/>
<language value="text/fhirpath"/>
<expression
value="%senderPractitionerRoles.entry[0].resource"/>
</valueExpression>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="senderOrganizations"/>
<language value="application/x-fhir-query"/>
<expression
value="Organization?_id={{%senderPractitionerRole.organization.reference}}"/>
</valueExpression>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="senderOrganization"/>
<language value="text/fhirpath"/>
<expression value="%senderOrganizations.entry[0].resource"/>
</valueExpression>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="address"/>
<language value="text/fhirpath"/>
<expression value="%senderOrganization.address"/>
</valueExpression>
</extension>
<linkId value="sender.author"/>
<text value="Verantwortlicher"/>
<type value="group"/>
<required value="true"/>
<item>
<linkId value="sender.author.practitioner"/>
<text value="Verantwortliche Person"/>
<type value="group"/>
<item>
<linkId value="sender.author.practitioner.title"/>
<text value="Titel"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%user.name.family"/>
</valueExpression>
</extension>
<linkId value="sender.author.practitioner.familyName"/>
<text value="Name"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%user.name.given"/>
</valueExpression>
</extension>
<linkId value="sender.author.practitioner.givenName"/>
<text value="Vorname"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression
value="%user.identifier.where(system='urn:oid:2.51.1.3').value"/>
</valueExpression>
</extension>
<linkId value="sender.author.practitioner.gln"/>
<text value="GLN"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression
value="%user.identifier.where(system='urn:oid:2.16.756.5.30.1.123.100.2.1.1').value"/>
</valueExpression>
</extension>
<linkId value="sender.author.practitioner.zsr"/>
<text value="ZSR"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression
value="%user.telecom.where(system='phone').value"/>
</valueExpression>
</extension>
<linkId value="sender.author.practitioner.phone"/>
<text value="Telefon"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression
value="%user.telecom.where(system='email').value"/>
</valueExpression>
</extension>
<linkId value="sender.author.practitioner.email"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="linkIdPrefix"/>
<language value="text/fhirpath"/>
<expression value="'sender.author.organization.'"/>
</valueExpression>
</extension>
<linkId value="sender.author.organization"/>
<text value="Verantwortliche Organisation"/>
<type value="group"/>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%senderOrganization.name"/>
</valueExpression>
</extension>
<linkId value="sender.author.organization.name"/>
<text value="Name der Organisation"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression
value="%senderOrganization.identifier.where(system='urn:oid:2.51.1.3').value"/>
</valueExpression>
</extension>
<linkId value="sender.author.organization.gln"/>
<text value="GLN"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.line"/>
</valueExpression>
</extension>
<linkId value="sender.author.organization.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<type value="string"/>
<repeats value="true"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.postalCode"/>
</valueExpression>
</extension>
<linkId value="sender.author.organization.postalCode"/>
<text value="PLZ"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.city"/>
</valueExpression>
</extension>
<linkId value="sender.author.organization.city"/>
<text value="Ort"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.country"/>
</valueExpression>
</extension>
<linkId value="sender.author.organization.country"/>
<text value="Land"/>
<type value="string"/>
</item>
</item>
</item>
<item>
<linkId value="sender.dataenterer"/>
<text value="Erfasser"/>
<type value="group"/>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="linkIdPrefix"/>
<language value="text/fhirpath"/>
<expression value="'sender.dataenterer.practitioner.'"/>
</valueExpression>
</extension>
<linkId value="sender.dataenterer.practitioner"/>
<text value="Erfassende Person"/>
<type value="group"/>
<item>
<linkId value="sender.dataenterer.practitioner.title"/>
<text value="Titel"/>
<type value="string"/>
</item>
<item>
<linkId value="sender.dataenterer.practitioner.familyName"/>
<text value="Name"/>
<type value="string"/>
</item>
<item>
<linkId value="sender.dataenterer.practitioner.givenName"/>
<text value="Vorname"/>
<type value="string"/>
</item>
<item>
<linkId value="sender.dataenterer.practitioner.phone"/>
<text value="Telefon"/>
<type value="string"/>
</item>
<item>
<linkId value="sender.dataenterer.practitioner.email"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
</item>
</item>
</item>
<item>
<linkId value="receiverCopy"/>
<text
value="Kopieempfänger (Kopie dieses Auftrags und aller daraus resultierenden Resultate)"/>
<type value="group"/>
<item>
<linkId value="receiverCopy.practitionerRole"/>
<text value="Gesundheitsfachperson oder -organisation"/>
<type value="group"/>
<repeats value="true"/>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="linkIdPrefix"/>
<language value="text/fhirpath"/>
<expression
value="'receiverCopy.practitionerRole.practitioner.'"/>
</valueExpression>
</extension>
<linkId value="receiverCopy.practitionerRole.practitioner"/>
<text value="Gesundheitsfachperson"/>
<type value="group"/>
<item>
<linkId
value="receiverCopy.practitionerRole.practitioner.title"/>
<text value="Titel"/>
<type value="string"/>
</item>
<item>
<linkId
value="receiverCopy.practitionerRole.practitioner.familyName"/>
<text value="Name"/>
<type value="string"/>
</item>
<item>
<linkId
value="receiverCopy.practitionerRole.practitioner.givenName"/>
<text value="Vorname"/>
<type value="string"/>
</item>
<item>
<linkId
value="receiverCopy.practitionerRole.practitioner.phone"/>
<text value="Telefon"/>
<type value="string"/>
</item>
<item>
<linkId
value="receiverCopy.practitionerRole.practitioner.email"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="linkIdPrefix"/>
<language value="text/fhirpath"/>
<expression
value="'receiverCopy.practitionerRole.organization.'"/>
</valueExpression>
</extension>
<linkId value="receiverCopy.practitionerRole.organization"/>
<text value="Gesundheitsorganisatiton"/>
<type value="group"/>
<item>
<linkId
value="receiverCopy.practitionerRole.organization.name"/>
<text value="Name der Organisation"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.line"/>
</valueExpression>
</extension>
<linkId
value="receiverCopy.practitionerRole.organization.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<type value="string"/>
<repeats value="true"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.postalCode"/>
</valueExpression>
</extension>
<linkId
value="receiverCopy.practitionerRole.organization.postalCode"/>
<text value="PLZ"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.city"/>
</valueExpression>
</extension>
<linkId
value="receiverCopy.practitionerRole.organization.city"/>
<text value="Ort"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.country"/>
</valueExpression>
</extension>
<linkId
value="receiverCopy.practitionerRole.organization.country"/>
<text value="Land"/>
<type value="string"/>
</item>
</item>
</item>
<item>
<linkId value="receiverCopy.patient"/>
<text value="Patient selbst"/>
<type value="boolean"/>
</item>
<item>
<linkId value="receiverCopy.relatedPerson"/>
<text value="Andere Person"/>
<type value="group"/>
<repeats value="true"/>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="linkIdPrefix"/>
<language value="text/fhirpath"/>
<expression value="'receiverCopy.relatedPerson.'"/>
</valueExpression>
</extension>
<linkId value="receiverCopy.relatedPerson.familyName"/>
<text value="Name"/>
<type value="string"/>
</item>
<item>
<linkId value="receiverCopy.relatedPerson.givenName"/>
<text value="Vorname"/>
<type value="string"/>
</item>
<item>
<linkId value="receiverCopy.relatedPerson.phone"/>
<text value="Telefon"/>
<type value="string"/>
<repeats value="true"/>
</item>
<item>
<linkId value="receiverCopy.relatedPerson.email"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.line"/>
</valueExpression>
</extension>
<linkId value="receiverCopy.relatedPerson.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<type value="string"/>
<repeats value="true"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.postalCode"/>
</valueExpression>
</extension>
<linkId value="receiverCopy.relatedPerson.postalCode"/>
<text value="PLZ"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.city"/>
</valueExpression>
</extension>
<linkId value="receiverCopy.relatedPerson.city"/>
<text value="Ort"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.country"/>
</valueExpression>
</extension>
<linkId value="receiverCopy.relatedPerson.country"/>
<text value="Land"/>
<type value="string"/>
</item>
</item>
</item>
<item>
<linkId value="antecedentEpisodeOfCare"/>
<text value="Vorgängiger Aufenthalt in Spital / Heim"/>
<type value="group"/>
<item>
<linkId value="antecedentEpisodeOfCare.start"/>
<text value="Von"/>
<type value="dateTime"/>
</item>
<item>
<linkId value="antecedentEpisodeOfCare.end"/>
<text value="Bis"/>
<type value="dateTime"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="linkIdPrefix"/>
<language value="text/fhirpath"/>
<expression
value="'antecedentEpisodeOfCare.managingOrganization.'"/>
</valueExpression>
</extension>
<linkId value="antecedentEpisodeOfCare.managingOrganization"/>
<text value="Spital /Heim"/>
<type value="group"/>
<item>
<linkId
value="antecedentEpisodeOfCare.managingOrganization.name"/>
<text value="Name der Organisation"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.line"/>
</valueExpression>
</extension>
<linkId
value="antecedentEpisodeOfCare.managingOrganization.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<type value="string"/>
<repeats value="true"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.postalCode"/>
</valueExpression>
</extension>
<linkId
value="antecedentEpisodeOfCare.managingOrganization.postalCode"/>
<text value="PLZ"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.city"/>
</valueExpression>
</extension>
<linkId
value="antecedentEpisodeOfCare.managingOrganization.city"/>
<text value="Ort"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.country"/>
</valueExpression>
</extension>
<linkId
value="antecedentEpisodeOfCare.managingOrganization.country"/>
<text value="Land"/>
<type value="string"/>
</item>
</item>
</item>
<item>
<linkId value="appointment"/>
<text
value="Ort und Zeit der Durchführung der angeforderten Leistung"/>
<type value="group"/>
<repeats value="true"/>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="linkIdPrefix"/>
<language value="text/fhirpath"/>
<expression value="'appointment.location.'"/>
</valueExpression>
</extension>
<linkId value="appointment.location"/>
<text value="Ort der Durchführung"/>
<type value="group"/>
<item>
<linkId value="appointment.location.name"/>
<text value="Name"/>
<type value="string"/>
<required value="true"/>
</item>
<item>
<linkId value="appointment.location.phone"/>
<text value="Telefon"/>
<type value="string"/>
</item>
<item>
<linkId value="appointment.location.email"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.line"/>
</valueExpression>
</extension>
<linkId value="appointment.location.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<type value="string"/>
<repeats value="true"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.postalCode"/>
</valueExpression>
</extension>
<linkId value="appointment.location.postalCode"/>
<text value="PLZ"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.city"/>
</valueExpression>
</extension>
<linkId value="appointment.location.city"/>
<text value="Ort"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.country"/>
</valueExpression>
</extension>
<linkId value="appointment.location.country"/>
<text value="Land"/>
<type value="string"/>
</item>
</item>
<item>
<linkId value="appointment.requestedPeriod"/>
<text
value="Datum und Zeit, wann der Termin bevorzugt geplant werden soll"/>
<type value="group"/>
<item>
<linkId value="appointment.requestedPeriod.start"/>
<text value="Von"/>
<type value="dateTime"/>
</item>
<item>
<linkId value="appointment.requestedPeriod.end"/>
<text value="Bis"/>
<type value="dateTime"/>
</item>
</item>
<item>
<linkId value="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"/>
<text value="Patienteninformation für diesen Termin"/>
<type value="string"/>
</item>
</item>
<item>
<linkId value="consent"/>
<text value="Einverständniserklärung"/>
<type value="group"/>
<item>
<linkId value="patient.consent.statement"/>
<text
value="Ist der Patient über die Anmeldung informiert und explizit einverstanden?"/>
<type value="choice"/>
<answerOption>
<valueCoding>
<system
value="http://fhir.ch/ig/ch-orf/CodeSystem/ch-orf-cs-consentstatus"/>
<code value="ExplicitAgreement"/>
<display
value="Patient is informed and has explicitly agreed"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.ch/ig/ch-orf/CodeSystem/ch-orf-cs-consentstatus"/>
<code value="Other"/>
<display
value="Other situation such as 'implicit agreement', 'agreed by legal guardian' etc."/>
</valueCoding>
</answerOption>
<item>
<linkId value="patient.consent.statement.note"/>
<text value="Anmerkung"/>
<type value="string"/>
</item>
</item>
</item>
<item>
<linkId value="note"/>
<text value="Bemerkungen"/>
<type value="group"/>
<repeats value="true"/>
<item>
<linkId value="note.text"/>
<text value="Kommentar"/>
<type value="string"/>
</item>
</item>
</Questionnaire>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:a5c91b7a-8c58-4a71-a1bc-08bd093681b8"/>
<resource>
<PractitionerRole>
<language value="de-CH"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="de-CH" lang="de-CH"><a name="PractitionerRole_null"> </a><p><b>Generated Narrative: PractitionerRole</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">ResourcePractitionerRole (Language "de-CH") </p></div><p><b>practitioner</b>: See on this page: urn:uuid:fa460d46-61d2-43bc-8451-35e7637ca4cd</p></div>
</text>
<practitioner>
<reference value="urn:uuid:fa460d46-61d2-43bc-8451-35e7637ca4cd"/>
</practitioner>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:fa460d46-61d2-43bc-8451-35e7637ca4cd"/>
<resource>
<Practitioner>
<language value="de-CH"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="de-CH" lang="de-CH"><a name="Practitioner_null"> </a><p><b>Generated Narrative: Practitioner</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">ResourcePractitioner (Language "de-CH") </p></div><p><b>name</b>: Hans Röntgen </p><p><b>telecom</b>: ph: 044 412 00 99, <a href="mailto:hans.roentgen@kantonsspital.ch">hans.roentgen@kantonsspital.ch</a></p></div>
</text>
<name>
<family value="Röntgen"/>
<given value="Hans"/>
<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="044 412 00 99"/>
</telecom>
<telecom>
<system value="email"/>
<value value="hans.roentgen@kantonsspital.ch"/>
</telecom>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:9fec93d4-ac30-4d89-8975-e5e2ebabd28a"/>
<resource>
<PractitionerRole>
<language value="de-CH"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="de-CH" lang="de-CH"><a name="PractitionerRole_null"> </a><p><b>Generated Narrative: PractitionerRole</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">ResourcePractitionerRole (Language "de-CH") </p></div><p><b>practitioner</b>: See on this page: urn:uuid:265ff485-c1d8-4c92-a515-35a52887d425</p></div>
</text>
<practitioner>
<reference value="urn:uuid:265ff485-c1d8-4c92-a515-35a52887d425"/>
</practitioner>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:265ff485-c1d8-4c92-a515-35a52887d425"/>
<resource>
<Practitioner>
<language value="de-CH"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="de-CH" lang="de-CH"><a name="Practitioner_null"> </a><p><b>Generated Narrative: Practitioner</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">ResourcePractitioner (Language "de-CH") </p></div><p><b>name</b>: Sabine Meier </p><p><b>telecom</b>: ph: 044 333 22 11, <a href="mailto:sabine.meier@praxisseeblick.ch">sabine.meier@praxisseeblick.ch</a></p></div>
</text>
<name>
<family value="Meier"/>
<given value="Sabine"/>
<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="044 333 22 11"/>
</telecom>
<telecom>
<system value="email"/>
<value value="sabine.meier@praxisseeblick.ch"/>
</telecom>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:305422f3-dbfb-4ce0-bd12-e26d0024f550"/>
<resource>
<PractitionerRole>
<language value="de-CH"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="de-CH" lang="de-CH"><a name="PractitionerRole_null"> </a><p><b>Generated Narrative: PractitionerRole</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">ResourcePractitionerRole (Language "de-CH") </p></div><p><b>practitioner</b>: See on this page: urn:uuid:a52dafd4-3a96-463c-88b1-e7096f21dc70</p><p><b>organization</b>: See on this page: urn:uuid:aa7ac1e4-fa1f-4d75-a6ba-a6e1eb022c44</p></div>
</text>
<practitioner>
<reference value="urn:uuid:a52dafd4-3a96-463c-88b1-e7096f21dc70"/>
</practitioner>
<organization>
<reference value="urn:uuid:aa7ac1e4-fa1f-4d75-a6ba-a6e1eb022c44"/>
</organization>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:a52dafd4-3a96-463c-88b1-e7096f21dc70"/>
<resource>
<Practitioner>
<language value="de-CH"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="de-CH" lang="de-CH"><a name="Practitioner_null"> </a><p><b>Generated Narrative: Practitioner</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">ResourcePractitioner (Language "de-CH") </p></div><p><b>identifier</b>: <a href="https://www.gs1.org/standards/id-keys/gln" title="Global Location Number">GLN</a>/7601000201041, <code>urn:oid:2.16.756.5.30.1.123.100.2.1.1</code>/A123262</p><p><b>name</b>: Hans Röntgen </p><p><b>telecom</b>: ph: 044 412 00 99, <a href="mailto:hans.roentgen@kantonsspital.ch">hans.roentgen@kantonsspital.ch</a></p></div>
</text>
<identifier>
<system value="urn:oid:2.51.1.3"/>
<value value="7601000201041"/>
</identifier>
<identifier>
<system value="urn:oid:2.16.756.5.30.1.123.100.2.1.1"/>
<value value="A123262"/>
</identifier>
<name>
<family value="Röntgen"/>
<given value="Hans"/>
<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="044 412 00 99"/>
</telecom>
<telecom>
<system value="email"/>
<value value="hans.roentgen@kantonsspital.ch"/>
</telecom>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:aa7ac1e4-fa1f-4d75-a6ba-a6e1eb022c44"/>
<resource>
<Organization>
<language value="de-CH"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="de-CH" lang="de-CH"><a name="Organization_null"> </a><p><b>Generated Narrative: Organization</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">ResourceOrganization (Language "de-CH") </p></div><p><b>name</b>: Kantonsspital</p><p><b>address</b>: Kantonsstrasse 14 Postfach 14 Zürich 8000 Schweiz </p></div>
</text>
<name value="Kantonsspital"/>
<address>
<line value="Kantonsstrasse 14"/>
<line value="Postfach 14"/>
<city value="Zürich"/>
<postalCode value="8000"/>
<country value="Schweiz"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:c1ed3d1d-8aff-401f-ae87-16e178323a10"/>
<resource>
<RelatedPerson>
<language value="de-CH"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="de-CH" lang="de-CH"><a name="RelatedPerson_null"> </a><p><b>Generated Narrative: RelatedPerson</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">ResourceRelatedPerson (Language "de-CH") </p></div><p><b>patient</b>: See on this page: urn:uuid:aaddb7b1-eb51-4426-8182-42f66fbf24d0</p><p><b>name</b>: Fritz Musterfrau </p></div>
</text>
<patient>
<reference value="urn:uuid:aaddb7b1-eb51-4426-8182-42f66fbf24d0"/>
</patient>
<name>
<family value="Musterfrau"/>
<given value="Fritz"/>
</name>
</RelatedPerson>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:11a6e0bc-534a-478a-b729-5d336601e789"/>
<resource>
<PractitionerRole>
<language value="de-CH"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="de-CH" lang="de-CH"><a name="PractitionerRole_null"> </a><p><b>Generated Narrative: PractitionerRole</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">ResourcePractitionerRole (Language "de-CH") </p></div><p><b>practitioner</b>: See on this page: urn:uuid:2b7e232d-7f46-48d3-877c-93e7db6d0576</p></div>
</text>
<practitioner>
<reference value="urn:uuid:2b7e232d-7f46-48d3-877c-93e7db6d0576"/>
</practitioner>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:2b7e232d-7f46-48d3-877c-93e7db6d0576"/>
<resource>
<Practitioner>
<language value="de-CH"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="de-CH" lang="de-CH"><a name="Practitioner_null"> </a><p><b>Generated Narrative: Practitioner</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">ResourcePractitioner (Language "de-CH") </p></div><p><b>name</b>: Sabine Meier </p></div>
</text>
<name>
<family value="Meier"/>
<given value="Sabine"/>
<prefix value="Dr. med.">
<extension
url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier">
<valueCode value="AC"/>
</extension>
</prefix>
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:f435f713-5fb9-42a8-b3cc-7033ba75e3d5"/>
<resource>
<Encounter>
<language value="de-CH"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="de-CH" lang="de-CH"><a name="Encounter_null"> </a><p><b>Generated Narrative: Encounter</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">ResourceEncounter (Language "de-CH") </p></div><p><b>CH ORF Desired Accommodation</b>: halbprivat (Details: BFS Medizinische Statistik - 21 1.3.V02 - Klasse / Classe / Classe code 2 = 'halbprivat', stated as 'halbprivat')</p><p><b>status</b>: planned</p><p><b>class</b>: emergency (Details: ActCode code EMER = 'emergency', stated as 'null')</p><p><b>subject</b>: See on this page: urn:uuid:aaddb7b1-eb51-4426-8182-42f66fbf24d0</p></div>
</text>
<extension
url="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-desiredaccommodation">
<valueCoding>
<system
value="http://fhir.ch/ig/ch-core/CodeSystem/bfs-medstats-21-encountertype"/>
<code value="2"/>
<display value="halbprivat"/>
</valueCoding>
</extension>
<status value="planned"/>
<class>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="EMER"/>
</class>
<subject>
<reference value="urn:uuid:aaddb7b1-eb51-4426-8182-42f66fbf24d0"/>
</subject>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:4d45ffb2-6335-4cf2-9d16-ad4387272345"/>
<resource>
<Coverage>
<language value="de-CH"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="de-CH" lang="de-CH"><a name="Coverage_null"> </a><p><b>Generated Narrative: Coverage</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">ResourceCoverage (Language "de-CH") </p></div><p><b>identifier</b>: Insurance Card Number/80756015090002647590</p><p><b>status</b>: active</p><p><b>type</b>: According to KVG <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-ch-orf-cs-coveragetype.html">Coverage Type</a>#KVG)</span></p><p><b>beneficiary</b>: See on this page: urn:uuid:aaddb7b1-eb51-4426-8182-42f66fbf24d0</p><p><b>payor</b>: <a name="hcorg"> </a></p><blockquote><p/><p><a name="org"> </a></p><p><a name="hcorg"> </a></p><p><b>name</b>: Sanitas</p></blockquote><hr/><blockquote><p><b>Generated Narrative: Organization #org</b><a name="org"> </a><a name="hcorg"> </a></p><p><b>name</b>: Sanitas</p></blockquote></div>
</text>
<contained>
<Organization>
<id value="org"/>
<name value="Sanitas"/>
</Organization>
</contained>
<identifier>
<type>
<coding>
<system
value="http://fhir.ch/ig/ch-orf/CodeSystem/ch-orf-cs-coverageidentifiertype"/>
<code value="VeKa"/>
</coding>
</type>
<value value="80756015090002647590"/>
</identifier>
<status value="active"/>
<type>
<coding>
<system
value="http://fhir.ch/ig/ch-orf/CodeSystem/ch-orf-cs-coveragetype"/>
<code value="KVG"/>
</coding>
</type>
<beneficiary>
<reference value="urn:uuid:aaddb7b1-eb51-4426-8182-42f66fbf24d0"/>
</beneficiary>
<payor>
<reference value="#org"/>
</payor>
</Coverage>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:4388146d-9909-4613-b0c5-2ac3de31dfb8"/>
<resource>
<PractitionerRole>
<language value="de-CH"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="de-CH" lang="de-CH"><a name="PractitionerRole_null"> </a><p><b>Generated Narrative: PractitionerRole</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">ResourcePractitionerRole (Language "de-CH") </p></div><p><b>practitioner</b>: See on this page: urn:uuid:46ff1cb2-4ece-4952-8fdd-ffc23727f7cc</p><p><b>organization</b>: See on this page: urn:uuid:d8d014fe-01b0-403d-b8a3-1caa177d59f6</p></div>
</text>
<practitioner>
<reference value="urn:uuid:46ff1cb2-4ece-4952-8fdd-ffc23727f7cc"/>
</practitioner>
<organization>
<reference value="urn:uuid:d8d014fe-01b0-403d-b8a3-1caa177d59f6"/>
</organization>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:46ff1cb2-4ece-4952-8fdd-ffc23727f7cc"/>
<resource>
<Practitioner>
<language value="de-CH"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="de-CH" lang="de-CH"><a name="Practitioner_null"> </a><p><b>Generated Narrative: Practitioner</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">ResourcePractitioner (Language "de-CH") </p></div><p><b>identifier</b>: <a href="https://www.gs1.org/standards/id-keys/gln" title="Global Location Number">GLN</a>/7601000618627, <code>urn:oid:2.16.756.5.30.1.123.100.2.1.1</code>/A123321</p><p><b>name</b>: Sabine Meier </p><p><b>telecom</b>: ph: 044 333 22 11, <a href="mailto:sabine.meier@praxisseeblick.ch">sabine.meier@praxisseeblick.ch</a></p></div>
</text>
<identifier>
<system value="urn:oid:2.51.1.3"/>
<value value="7601000618627"/>
</identifier>
<identifier>
<system value="urn:oid:2.16.756.5.30.1.123.100.2.1.1"/>
<value value="A123321"/>
</identifier>
<name>
<family value="Meier"/>
<given value="Sabine"/>
<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="044 333 22 11"/>
</telecom>
<telecom>
<system value="email"/>
<value value="sabine.meier@praxisseeblick.ch"/>
</telecom>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:d8d014fe-01b0-403d-b8a3-1caa177d59f6"/>
<resource>
<Organization>
<language value="de-CH"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="de-CH" lang="de-CH"><a name="Organization_null"> </a><p><b>Generated Narrative: Organization</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">ResourceOrganization (Language "de-CH") </p></div><p><b>name</b>: Praxis Seeblick</p><p><b>address</b>: Seestrasse 133 Haus C Zürich 8000 Schweiz </p></div>
</text>
<name value="Praxis Seeblick"/>
<address>
<line value="Seestrasse 133"/>
<line value="Haus C"/>
<city value="Zürich"/>
<postalCode value="8000"/>
<country value="Schweiz"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:40300c5d-0259-438a-88b8-4b24a9c6bf79"/>
<resource>
<PractitionerRole>
<language value="de-CH"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="de-CH" lang="de-CH"><a name="PractitionerRole_null"> </a><p><b>Generated Narrative: PractitionerRole</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">ResourcePractitionerRole (Language "de-CH") </p></div><p><b>practitioner</b>: See on this page: urn:uuid:99dbf210-4384-4a23-8be4-524d1809bb39</p><p><b>organization</b>: See on this page: urn:uuid:d8d014fe-01b0-403d-b8a3-1caa177d59f6</p></div>
</text>
<practitioner>
<reference value="urn:uuid:99dbf210-4384-4a23-8be4-524d1809bb39"/>
</practitioner>
<organization>
<reference value="urn:uuid:d8d014fe-01b0-403d-b8a3-1caa177d59f6"/>
</organization>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:99dbf210-4384-4a23-8be4-524d1809bb39"/>
<resource>
<Practitioner>
<language value="de-CH"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="de-CH" lang="de-CH"><a name="Practitioner_null"> </a><p><b>Generated Narrative: Practitioner</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">ResourcePractitioner (Language "de-CH") </p></div><p><b>name</b>: Stabilo Boss </p><p><b>telecom</b>: ph: 044 333 22 12, <a href="mailto:stabilo.boss@praxisseeblick.ch">stabilo.boss@praxisseeblick.ch</a></p></div>
</text>
<name>
<family value="Boss"/>
<given value="Stabilo"/>
</name>
<telecom>
<system value="phone"/>
<value value="044 333 22 12"/>
</telecom>
<telecom>
<system value="email"/>
<value value="stabilo.boss@praxisseeblick.ch"/>
</telecom>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:b7fdf56d-3bc9-48d9-b470-d1cafb8a0716"/>
<resource>
<PractitionerRole>
<language value="de-CH"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="de-CH" lang="de-CH"><a name="PractitionerRole_null"> </a><p><b>Generated Narrative: PractitionerRole</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">ResourcePractitionerRole (Language "de-CH") </p></div><p><b>practitioner</b>: See on this page: urn:uuid:ba1d8d1f-31ad-4a4f-961e-791cc5444134</p><p><b>organization</b>: See on this page: urn:uuid:0398e29f-0a03-4783-a8db-69c41afa5948</p></div>
</text>
<practitioner>
<reference value="urn:uuid:ba1d8d1f-31ad-4a4f-961e-791cc5444134"/>
</practitioner>
<organization>
<reference value="urn:uuid:0398e29f-0a03-4783-a8db-69c41afa5948"/>
</organization>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:ba1d8d1f-31ad-4a4f-961e-791cc5444134"/>
<resource>
<Practitioner>
<language value="de-CH"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="de-CH" lang="de-CH"><a name="Practitioner_null"> </a><p><b>Generated Narrative: Practitioner</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">ResourcePractitioner (Language "de-CH") </p></div><p><b>name</b>: Sabine Meier </p><p><b>telecom</b>: ph: 044 333 22 11, <a href="mailto:sabine.meier@praxisseeblick.ch">sabine.meier@praxisseeblick.ch</a></p></div>
</text>
<name>
<family value="Meier"/>
<given value="Sabine"/>
<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="044 333 22 11"/>
</telecom>
<telecom>
<system value="email"/>
<value value="sabine.meier@praxisseeblick.ch"/>
</telecom>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:0398e29f-0a03-4783-a8db-69c41afa5948"/>
<resource>
<Organization>
<language value="de-CH"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="de-CH" lang="de-CH"><a name="Organization_null"> </a><p><b>Generated Narrative: Organization</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">ResourceOrganization (Language "de-CH") </p></div><p><b>name</b>: Praxis Seeblick</p><p><b>address</b>: Seestrasse 133 Zürich 8000 Schweiz </p></div>
</text>
<name value="Praxis Seeblick"/>
<address>
<line value="Seestrasse 133"/>
<city value="Zürich"/>
<postalCode value="8000"/>
<country value="Schweiz"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:9ba0fe13-1d13-4785-b408-1c69dda0d4c2"/>
<resource>
<EpisodeOfCare>
<language value="de-CH"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="de-CH" lang="de-CH"><a name="EpisodeOfCare_null"> </a><p><b>Generated Narrative: EpisodeOfCare</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">ResourceEpisodeOfCare (Language "de-CH") </p></div><p><b>status</b>: finished</p><h3>StatusHistories</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Status</b></td><td><b>Period</b></td></tr><tr><td style="display: none">*</td><td>finished</td><td>2023-05-22 --> 2023-05-27</td></tr></table><p><b>patient</b>: See on this page: urn:uuid:aaddb7b1-eb51-4426-8182-42f66fbf24d0</p><p><b>managingOrganization</b>: See on this page: urn:uuid:344e4508-77e1-43ea-b401-b6c4f428b962</p></div>
</text>
<status value="finished"/>
<statusHistory>
<status value="finished"/>
<period>
<start value="2023-05-22"/>
<end value="2023-05-27"/>
</period>
</statusHistory>
<patient>
<reference value="urn:uuid:aaddb7b1-eb51-4426-8182-42f66fbf24d0"/>
</patient>
<managingOrganization>
<reference value="urn:uuid:344e4508-77e1-43ea-b401-b6c4f428b962"/>
</managingOrganization>
</EpisodeOfCare>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:344e4508-77e1-43ea-b401-b6c4f428b962"/>
<resource>
<Organization>
<language value="de-CH"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="de-CH" lang="de-CH"><a name="Organization_null"> </a><p><b>Generated Narrative: Organization</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">ResourceOrganization (Language "de-CH") </p></div><p><b>name</b>: Spital Hinterfultigen</p></div>
</text>
<name value="Spital Hinterfultigen"/>
</Organization>
</resource>
</entry>
</Bundle>