{ "resourceType" : "Bundle", "id" : "radiology-order", "meta" : { "profile" : ["http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-document"] }, "language" : "de-CH", "identifier" : { "system" : "urn:ietf:rfc:3986", "value" : "urn:uuid:ac5fcff4-6f4c-4281-bc7c-451ee1047f15" }, "type" : "document", "timestamp" : "2023-06-13T11:57:36+00:00", "entry" : [{ "fullUrl" : "urn:uuid:c868aef5-ec90-4f43-be40-e5230fa49815", "resource" : { "resourceType" : "Composition", "language" : "de-CH", "text" : { "status" : "extensions", "div" : "

Generated Narrative: Composition

Language: de-CH

CH ORF Receiver: PractitionerRole

EPR Data Enterer

CH ORF Copy Receiver: Susanna Ufferer Female, DoB: 1970-03-14

status: Final

type: Record artifact (record artifact)

category: Order (record artifact)

date: 2023-06-13 11:57:36+0000

author: PractitionerRole

title: Order and Referral by Form

" }, "extension" : [{ "url" : "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-receiver", "valueReference" : { "reference" : "urn:uuid:b09d7c4d-a7b1-443c-8c3b-4d01675ad970" } }, { "url" : "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer", "extension" : [{ "url" : "enterer", "valueReference" : { "reference" : "urn:uuid:b6d4abb9-8c83-4d76-89d0-547c0b269f6d" } }] }, { "url" : "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-copyreceiver", "valueReference" : { "reference" : "urn:uuid:6e46d994-9eca-4c8f-a0e3-98c5911d45e2" } }], "status" : "final", "type" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "419891008" }] }, "category" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "721963009" }] }], "subject" : { "reference" : "urn:uuid:6e46d994-9eca-4c8f-a0e3-98c5911d45e2" }, "date" : "2023-06-13T11:57:36+00:00", "author" : [{ "reference" : "urn:uuid:de8d3b4f-1a57-48c0-9b03-a758ff8f2d2f" }], "title" : "Order and Referral by Form", "section" : [{ "title" : "Order-Referral", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "93037-0", "display" : "Portable medical order form" }] }, "entry" : [{ "reference" : "urn:uuid:1fa2627b-3cd4-4992-94e8-823610ed903e" }, { "reference" : "urn:uuid:bc5ac105-cdfe-49c0-b92b-fb378bed4f29" }, { "reference" : "http://fhir.ch/ig/ch-orf/Questionnaire/order-referral-form" }] }] } }, { "fullUrl" : "urn:uuid:6e46d994-9eca-4c8f-a0e3-98c5911d45e2", "resource" : { "resourceType" : "Patient", "language" : "de-CH", "text" : { "status" : "generated", "div" : "

Generated Narrative: Patient

Language: de-CH

Susanna Ufferer Female, DoB: 1970-03-14

Alt. Name:Leidend (Name changed for Marriage)
Contact Detail
" }, "name" : [{ "family" : "Ufferer", "given" : ["Susanna"] }, { "use" : "maiden", "family" : "Leidend" }], "telecom" : [{ "system" : "phone", "value" : "079 979 79 79" }, { "system" : "email", "value" : "susanna@ufferer.ch" }], "gender" : "female", "birthDate" : "1970-03-14", "address" : [{ "line" : ["Musterweg", "6a"], "city" : "Zürich", "postalCode" : "8000", "country" : "Schweiz" }] } }, { "fullUrl" : "urn:uuid:1fa2627b-3cd4-4992-94e8-823610ed903e", "resource" : { "resourceType" : "QuestionnaireResponse", "meta" : { "profile" : ["http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-questionnaireresponse"] }, "language" : "de-CH", "text" : { "status" : "generated", "div" : "

Generated Narrative: QuestionnaireResponse

Language: de-CH

Profile: CH ORF QuestionnaireResponse

\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
LinkIDTextDefinitionAnswer\"doco\"
\".\"\".\" Questionnaire:Order Referral Form
\".\"\".\"\".\" orderAuftrag
\".\"\".\"\".\"\".\" order.placerOrderIdentifierAuftragsnummer des Auftraggebers2156286
\".\"\".\"\".\"\".\" order.placerOrderIdentifierDomainIdentifier Domain der Auftragsnummer des Auftraggebersurn:oid:2.999.1.3.4.5.6.7
\".\"\".\"\".\"\".\" order.priorityAuftragsprioritätRequestPriority: routine (Routine)
\".\"\".\"\".\" receiverEmpfänger
\".\"\".\"\".\"\".\" receiver.practitionerEmpfangende Person
\".\"\".\"\".\"\".\"\".\" receiver.practitioner.titleTitelDr. med.
\".\"\".\"\".\"\".\"\".\" receiver.practitioner.familyNameNameRderfiller
\".\"\".\"\".\"\".\"\".\" receiver.practitioner.givenNameVornameOtto
\".\"\".\"\".\"\".\"\".\" receiver.practitioner.glnGLN7601000201041
\".\"\".\"\".\"\".\"\".\" receiver.practitioner.phoneTelefon044 412 00 99
\".\"\".\"\".\"\".\"\".\" receiver.practitioner.emailE-Mailo.rderfiller@happyhospital.ch
\".\"\".\"\".\"\".\" receiver.organizationEmpfangende Organisation
\".\"\".\"\".\"\".\"\".\" receiver.organization.nameName der OrganisationKlinik Happy Hospital
\".\"\".\"\".\"\".\"\".\" receiver.organization.streetAddressLineStrasse, Hausnummer, Postfach etc.
\".\"\".\"\".\"\".\"\".\" receiver.organization.postalCodePLZ8000
\".\"\".\"\".\"\".\"\".\" receiver.organization.cityOrtZürich
\".\"\".\"\".\"\".\"\".\" receiver.organization.countryLandSchweiz
\".\"\".\"\".\" patientPatient
\".\"\".\"\".\"\".\" patient.familyNameNameUfferer
\".\"\".\"\".\"\".\" patient.maidenNameLedignameLeidend
\".\"\".\"\".\"\".\" patient.givenNameVornameSusanna
\".\"\".\"\".\"\".\" patient.birthDateGeburtsdatum1970-03-14
\".\"\".\"\".\"\".\" patient.genderGeschlechtAdministrativeGender: female (Female)
\".\"\".\"\".\"\".\" patient.phoneTelefon079 979 79 79
\".\"\".\"\".\"\".\" patient.emailE-Mailsusanna@ufferer.ch
\".\"\".\"\".\"\".\" patient.streetAddressLineStrasse, Hausnummer, Postfach etc.
\".\"\".\"\".\"\".\" patient.postalCodePLZ8000
\".\"\".\"\".\"\".\" patient.cityOrtZürich
\".\"\".\"\".\"\".\" patient.countryLandSchweiz
\".\"\".\"\".\" senderAbsender
\".\"\".\"\".\"\".\" sender.authorVerantwortlicher
\".\"\".\"\".\"\".\"\".\" sender.author.practitionerVerantwortliche Person
\".\"\".\"\".\"\".\"\".\"\".\" sender.author.practitioner.titleTitelDr. med.
\".\"\".\"\".\"\".\"\".\"\".\" sender.author.practitioner.familyNameNameRderplacer
\".\"\".\"\".\"\".\"\".\"\".\" sender.author.practitioner.givenNameVornameOttilie
\".\"\".\"\".\"\".\"\".\"\".\" sender.author.practitioner.glnGLN7601000618627
\".\"\".\"\".\"\".\"\".\"\".\" sender.author.practitioner.phoneTelefon044 333 22 11
\".\"\".\"\".\"\".\"\".\"\".\" sender.author.practitioner.emailE-Mailo.rderplacer@happydoctors.ch
\".\"\".\"\".\"\".\"\".\" sender.author.organizationVerantwortliche Organisation
\".\"\".\"\".\"\".\"\".\"\".\" sender.author.organization.nameName der OrganisationPraxis Happy Doctors
\".\"\".\"\".\"\".\"\".\"\".\" sender.author.organization.streetAddressLineStrasse, Hausnummer, Postfach etc.
\".\"\".\"\".\"\".\"\".\"\".\" sender.author.organization.postalCodePLZ8000
\".\"\".\"\".\"\".\"\".\"\".\" sender.author.organization.cityOrtZürich
\".\"\".\"\".\"\".\"\".\"\".\" sender.author.organization.countryLandSchweiz
\".\"\".\"\".\"\".\" sender.dataentererErfasser
\".\"\".\"\".\"\".\"\".\" sender.dataenterer.practitionerErfassende Person
\".\"\".\"\".\"\".\"\".\"\".\" sender.dataenterer.practitioner.familyNameNameAtaenterer
\".\"\".\"\".\"\".\"\".\"\".\" sender.dataenterer.practitioner.givenNameVornameDoris
\".\"\".\"\".\"\".\"\".\"\".\" sender.dataenterer.practitioner.phoneTelefon044 333 22 11
\".\"\".\"\".\"\".\"\".\"\".\" sender.dataenterer.practitioner.emailE-Maild.ataenterer@happydoctors.ch
\".\"\".\"\".\" receiverCopyKopieempfänger (Kopie dieses Auftrags und aller daraus resultierenden Resultate)
\".\"\".\"\".\"\".\" receiverCopy.patientPatient selbsttrue

\"doco\" Documentation for this format
" }, "questionnaire" : "http://fhir.ch/ig/ch-orf/Questionnaire/order-referral-form|3.0.1", "status" : "completed", "item" : [{ "linkId" : "order", "text" : "Auftrag", "item" : [{ "linkId" : "order.placerOrderIdentifier", "text" : "Auftragsnummer des Auftraggebers", "answer" : [{ "valueString" : "2156286" }] }, { "linkId" : "order.placerOrderIdentifierDomain", "text" : "Identifier Domain der Auftragsnummer des Auftraggebers", "answer" : [{ "valueString" : "urn:oid:2.999.1.3.4.5.6.7" }] }, { "linkId" : "order.priority", "text" : "Auftragspriorität", "answer" : [{ "valueCoding" : { "system" : "http://hl7.org/fhir/request-priority", "code" : "routine" } }] }] }, { "linkId" : "receiver", "text" : "Empfänger", "item" : [{ "linkId" : "receiver.practitioner", "text" : "Empfangende Person", "item" : [{ "linkId" : "receiver.practitioner.title", "text" : "Titel", "answer" : [{ "valueString" : "Dr. med." }] }, { "linkId" : "receiver.practitioner.familyName", "text" : "Name", "answer" : [{ "valueString" : "Rderfiller" }] }, { "linkId" : "receiver.practitioner.givenName", "text" : "Vorname", "answer" : [{ "valueString" : "Otto" }] }, { "linkId" : "receiver.practitioner.gln", "text" : "GLN", "answer" : [{ "valueString" : "7601000201041" }] }, { "linkId" : "receiver.practitioner.phone", "text" : "Telefon", "answer" : [{ "valueString" : "044 412 00 99" }] }, { "linkId" : "receiver.practitioner.email", "text" : "E-Mail", "answer" : [{ "valueString" : "o.rderfiller@happyhospital.ch" }] }] }, { "linkId" : "receiver.organization", "text" : "Empfangende Organisation", "item" : [{ "linkId" : "receiver.organization.name", "text" : "Name der Organisation", "answer" : [{ "valueString" : "Klinik Happy Hospital" }] }, { "linkId" : "receiver.organization.streetAddressLine", "text" : "Strasse, Hausnummer, Postfach etc.", "answer" : [{ "valueString" : "Seestrasse 133" }, { "valueString" : "Haus C" }] }, { "linkId" : "receiver.organization.postalCode", "text" : "PLZ", "answer" : [{ "valueString" : "8000" }] }, { "linkId" : "receiver.organization.city", "text" : "Ort", "answer" : [{ "valueString" : "Zürich" }] }, { "linkId" : "receiver.organization.country", "text" : "Land", "answer" : [{ "valueString" : "Schweiz" }] }] }] }, { "linkId" : "patient", "text" : "Patient", "item" : [{ "linkId" : "patient.familyName", "text" : "Name", "answer" : [{ "valueString" : "Ufferer" }] }, { "linkId" : "patient.maidenName", "text" : "Ledigname", "answer" : [{ "valueString" : "Leidend" }] }, { "linkId" : "patient.givenName", "text" : "Vorname", "answer" : [{ "valueString" : "Susanna" }] }, { "linkId" : "patient.birthDate", "text" : "Geburtsdatum", "answer" : [{ "valueDate" : "1970-03-14" }] }, { "linkId" : "patient.gender", "text" : "Geschlecht", "answer" : [{ "valueCoding" : { "system" : "http://hl7.org/fhir/administrative-gender", "code" : "female" } }] }, { "linkId" : "patient.phone", "text" : "Telefon", "answer" : [{ "valueString" : "079 979 79 79" }] }, { "linkId" : "patient.email", "text" : "E-Mail", "answer" : [{ "valueString" : "susanna@ufferer.ch" }] }, { "linkId" : "patient.streetAddressLine", "text" : "Strasse, Hausnummer, Postfach etc.", "answer" : [{ "valueString" : "Musterweg" }, { "valueString" : "6a" }] }, { "linkId" : "patient.postalCode", "text" : "PLZ", "answer" : [{ "valueString" : "8000" }] }, { "linkId" : "patient.city", "text" : "Ort", "answer" : [{ "valueString" : "Zürich" }] }, { "linkId" : "patient.country", "text" : "Land", "answer" : [{ "valueString" : "Schweiz" }] }] }, { "linkId" : "sender", "text" : "Absender", "item" : [{ "linkId" : "sender.author", "text" : "Verantwortlicher", "item" : [{ "linkId" : "sender.author.practitioner", "text" : "Verantwortliche Person", "item" : [{ "linkId" : "sender.author.practitioner.title", "text" : "Titel", "answer" : [{ "valueString" : "Dr. med." }] }, { "linkId" : "sender.author.practitioner.familyName", "text" : "Name", "answer" : [{ "valueString" : "Rderplacer" }] }, { "linkId" : "sender.author.practitioner.givenName", "text" : "Vorname", "answer" : [{ "valueString" : "Ottilie" }] }, { "linkId" : "sender.author.practitioner.gln", "text" : "GLN", "answer" : [{ "valueString" : "7601000618627" }] }, { "linkId" : "sender.author.practitioner.phone", "text" : "Telefon", "answer" : [{ "valueString" : "044 333 22 11" }] }, { "linkId" : "sender.author.practitioner.email", "text" : "E-Mail", "answer" : [{ "valueString" : "o.rderplacer@happydoctors.ch" }] }] }, { "linkId" : "sender.author.organization", "text" : "Verantwortliche Organisation", "item" : [{ "linkId" : "sender.author.organization.name", "text" : "Name der Organisation", "answer" : [{ "valueString" : "Praxis Happy Doctors" }] }, { "linkId" : "sender.author.organization.streetAddressLine", "text" : "Strasse, Hausnummer, Postfach etc.", "answer" : [{ "valueString" : "Kantonsstrasse 14" }, { "valueString" : "Postfach 14" }] }, { "linkId" : "sender.author.organization.postalCode", "text" : "PLZ", "answer" : [{ "valueString" : "8000" }] }, { "linkId" : "sender.author.organization.city", "text" : "Ort", "answer" : [{ "valueString" : "Zürich" }] }, { "linkId" : "sender.author.organization.country", "text" : "Land", "answer" : [{ "valueString" : "Schweiz" }] }] }] }, { "linkId" : "sender.dataenterer", "text" : "Erfasser", "item" : [{ "linkId" : "sender.dataenterer.practitioner", "text" : "Erfassende Person", "item" : [{ "linkId" : "sender.dataenterer.practitioner.familyName", "text" : "Name", "answer" : [{ "valueString" : "Ataenterer" }] }, { "linkId" : "sender.dataenterer.practitioner.givenName", "text" : "Vorname", "answer" : [{ "valueString" : "Doris" }] }, { "linkId" : "sender.dataenterer.practitioner.phone", "text" : "Telefon", "answer" : [{ "valueString" : "044 333 22 11" }] }, { "linkId" : "sender.dataenterer.practitioner.email", "text" : "E-Mail", "answer" : [{ "valueString" : "d.ataenterer@happydoctors.ch" }] }] }] }] }, { "linkId" : "receiverCopy", "text" : "Kopieempfänger (Kopie dieses Auftrags und aller daraus resultierenden Resultate)", "item" : [{ "linkId" : "receiverCopy.patient", "text" : "Patient selbst", "answer" : [{ "valueBoolean" : true }] }] }] } }, { "fullUrl" : "urn:uuid:bc5ac105-cdfe-49c0-b92b-fb378bed4f29", "resource" : { "resourceType" : "ServiceRequest", "language" : "de-CH", "text" : { "status" : "generated", "div" : "

Generated Narrative: ServiceRequest

Language: de-CH

identifier: Placer Identifier/2156286

status: Active

intent: Order

priority: Routine

subject: Susanna Ufferer Female, DoB: 1970-03-14

requester: PractitionerRole

" }, "identifier" : [{ "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "PLAC" }] }, "system" : "urn:oid:2.999.1.3.4.5.6.7", "value" : "2156286" }], "status" : "active", "intent" : "order", "priority" : "routine", "subject" : { "reference" : "urn:uuid:6e46d994-9eca-4c8f-a0e3-98c5911d45e2" }, "requester" : { "reference" : "urn:uuid:de8d3b4f-1a57-48c0-9b03-a758ff8f2d2f" } } }, { "fullUrl" : "http://fhir.ch/ig/ch-orf/Questionnaire/order-referral-form", "resource" : { "resourceType" : "Questionnaire", "id" : "order-referral-form", "meta" : { "versionId" : "42", "lastUpdated" : "2023-06-12T21:11:39.305+00:00", "profile" : ["http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-questionnaire", "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire", "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-extr-smap", "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-pop-exp"] }, "language" : "de-CH", "text" : { "status" : "extensions", "div" : "

Generated Narrative: Questionnaire order-referral-form

version: 42; Last updated: 2023-06-12 21:11:39+0000; Language: de-CH

Profiles: CH ORF Questionnaire, SDCBaseQuestionnaire, Extractable Questionnaire - StructureMap, Populatable Questionnaire - Expression

Structure\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
LinkIDTextCardinalityTypeFlagsDescription & Constraints\"doco\"
\".\"\".\" OrderReferralFormQuestionnairehttp://fhir.ch/ig/ch-orf/Questionnaire/order-referral-form#3.0.1
\".\"\".\"\".\" orderAuftrag1..1group
\".\"\".\"\".\"\".\" order.authoredOnDatum/Zeit der Auftragserteilung0..1dateTime
\".\"\".\"\".\"\".\" order.placerOrderIdentifierAuftragsnummer des Auftraggebers0..1string
\".\"\".\"\".\"\".\" order.placerOrderIdentifierDomainIdentifier Domain der Auftragsnummer des Auftraggebers0..1string\"icon\"/
\".\"\".\"\".\"\".\" order.fillerOrderIdentifierAuftragsnummer des Auftragsempfängers0..1string
\".\"\".\"\".\"\".\" order.fillerOrderIdentifierDomainIdentifier Domain der Auftragsnummer des Auftragsempfängers0..1string\"icon\"/
\".\"\".\"\".\"\".\" order.precedentDocumentIdentifierIdentifier des Vorgängerdokuments0..1string\"icon\"/
\".\"\".\"\".\"\".\" order.notificationContactDocumentDringender Benachrichtigungskontakt für dieses Dokument0..1group
\".\"\".\"\".\"\".\"\".\" order.notificationContactDocument.practitionerZu benachrichtigende Person0..1group
\".\"\".\"\".\"\".\"\".\"\".\" order.notificationContactDocument.practitioner.titleTitel0..1string
\".\"\".\"\".\"\".\"\".\"\".\" order.notificationContactDocument.practitioner.familyNameName0..1string
\".\"\".\"\".\"\".\"\".\"\".\" order.notificationContactDocument.practitioner.givenNameVorname0..1string
\".\"\".\"\".\"\".\"\".\"\".\" order.notificationContactDocument.practitioner.phoneTelefon0..1string
\".\"\".\"\".\"\".\"\".\"\".\" order.notificationContactDocument.practitioner.emailE-Mail0..1string
\".\"\".\"\".\"\".\" order.notificationContactDocumentResponseDringender Benachrichtigungskontakt für die Antwort auf dieses Dokument0..1group
\".\"\".\"\".\"\".\"\".\" order.notificationContactDocumentResponse.practitionerZu benachrichtigende Person0..1group
\".\"\".\"\".\"\".\"\".\"\".\" order.notificationContactDocumentResponse.practitioner.titleTitel0..1string
\".\"\".\"\".\"\".\"\".\"\".\" order.notificationContactDocumentResponse.practitioner.familyNameName0..1string
\".\"\".\"\".\"\".\"\".\"\".\" order.notificationContactDocumentResponse.practitioner.givenNameVorname0..1string
\".\"\".\"\".\"\".\"\".\"\".\" order.notificationContactDocumentResponse.practitioner.phoneTelefon0..1string
\".\"\".\"\".\"\".\"\".\"\".\" order.notificationContactDocumentResponse.practitioner.emailE-Mail0..1string
\".\"\".\"\".\"\".\" order.priorityAuftragspriorität0..1choiceOptions: 4 options
\".\"\".\"\".\" receiverEmpfänger0..1group
\".\"\".\"\".\"\".\" receiver.practitionerEmpfangende Person0..1group
\".\"\".\"\".\"\".\"\".\" receiver.practitioner.titleTitel0..1string
\".\"\".\"\".\"\".\"\".\" receiver.practitioner.familyNameName0..1string
\".\"\".\"\".\"\".\"\".\" receiver.practitioner.givenNameVorname0..1string
\".\"\".\"\".\"\".\"\".\" receiver.practitioner.glnGLN0..1string
\".\"\".\"\".\"\".\"\".\" receiver.practitioner.zsrZSR (fr/it: RCC)0..1string
\".\"\".\"\".\"\".\"\".\" receiver.practitioner.phoneTelefon0..1string
\".\"\".\"\".\"\".\"\".\" receiver.practitioner.emailE-Mail0..1string
\".\"\".\"\".\"\".\" receiver.organizationEmpfangende Organisation0..1group
\".\"\".\"\".\"\".\"\".\" receiver.organization.nameName der Organisation0..1string
\".\"\".\"\".\"\".\"\".\" receiver.organization.glnGLN0..1string
\".\"\".\"\".\"\".\"\".\" receiver.organization.streetAddressLineStrasse, Hausnummer, Postfach etc.0..*string
\".\"\".\"\".\"\".\"\".\" receiver.organization.postalCodePLZ0..1string
\".\"\".\"\".\"\".\"\".\" receiver.organization.cityOrt0..1string
\".\"\".\"\".\"\".\"\".\" receiver.organization.countryLand0..1string
\".\"\".\"\".\" initiatorInitiant dieser Anmeldung0..1group
\".\"\".\"\".\"\".\" initiator.legalrelationJuristische Beziehung zum Patienten0..1choiceOptions: 2 options
\".\"\".\"\".\"\".\" initiator.personalrelationPersönliche Beziehung zum Patienten?0..1choiceOptions: 10 options
\".\"\".\"\".\"\".\" initiator.practitionerRoleGesundheitsfachperson oder -organisation0..1group
\".\"\".\"\".\"\".\"\".\" initiator.practitionerRole.practitionerGesundheitsfachperson0..1group
\".\"\".\"\".\"\".\"\".\"\".\" initiator.practitionerRole.practitioner.titleTitel0..1string
\".\"\".\"\".\"\".\"\".\"\".\" initiator.practitionerRole.practitioner.familyNameName0..1string
\".\"\".\"\".\"\".\"\".\"\".\" initiator.practitionerRole.practitioner.givenNameVorname0..1string
\".\"\".\"\".\"\".\"\".\"\".\" initiator.practitionerRole.practitioner.phoneTelefon0..1string
\".\"\".\"\".\"\".\"\".\"\".\" initiator.practitionerRole.practitioner.emailE-Mail0..1string
\".\"\".\"\".\"\".\"\".\" initiator.practitionerRole.organizationGesundheitsorganisatiton0..1group
\".\"\".\"\".\"\".\"\".\"\".\" initiator.practitionerRole.organization.nameName der Organisation0..1string
\".\"\".\"\".\"\".\"\".\"\".\" initiator.practitionerRole.organization.streetAddressLineStrasse, Hausnummer, Postfach etc.0..*string
\".\"\".\"\".\"\".\"\".\"\".\" initiator.practitionerRole.organization.postalCodePLZ0..1string
\".\"\".\"\".\"\".\"\".\"\".\" initiator.practitionerRole.organization.cityOrt0..1string
\".\"\".\"\".\"\".\"\".\"\".\" initiator.practitionerRole.organization.countryLand0..1string
\".\"\".\"\".\"\".\" initiator.relatedPersonAndere Person0..1group
\".\"\".\"\".\"\".\"\".\" initiator.relatedPerson.familyNameName0..1string
\".\"\".\"\".\"\".\"\".\" initiator.relatedPerson.givenNameVorname0..1string
\".\"\".\"\".\"\".\"\".\" initiator.relatedPerson.phoneTelefon0..*string
\".\"\".\"\".\"\".\"\".\" initiator.relatedPerson.emailE-Mail0..1string
\".\"\".\"\".\"\".\"\".\" initiator.relatedPerson.streetAddressLineStrasse, Hausnummer, Postfach etc.0..*string
\".\"\".\"\".\"\".\"\".\" initiator.relatedPerson.postalCodePLZ0..1string
\".\"\".\"\".\"\".\"\".\" initiator.relatedPerson.cityOrt0..1string
\".\"\".\"\".\"\".\"\".\" initiator.relatedPerson.countryLand0..1string
\".\"\".\"\".\" patientPatient1..1group
\".\"\".\"\".\"\".\" patient.familyNameName0..1string
\".\"\".\"\".\"\".\" patient.maidenNameLedigname0..1string
\".\"\".\"\".\"\".\" patient.givenNameVorname0..1string
\".\"\".\"\".\"\".\" patient.localPidLokale Patienten-ID0..1string
\".\"\".\"\".\"\".\" patient.localPidDomainLokale Patienten-ID Domain0..1string\"icon\"/
\".\"\".\"\".\"\".\" patient.birthDateGeburtsdatum0..1date
\".\"\".\"\".\"\".\" patient.genderGeschlecht0..1choiceOptions: 3 options
\".\"\".\"\".\"\".\" patient.maritalStatusZivilstand0..1choiceOptions: 8 options
\".\"\".\"\".\"\".\" patient.phoneTelefon0..*string
\".\"\".\"\".\"\".\" patient.emailE-Mail0..1string
\".\"\".\"\".\"\".\" patient.streetAddressLineStrasse, Hausnummer, Postfach etc.0..*string
\".\"\".\"\".\"\".\" patient.postalCodePLZ0..1string
\".\"\".\"\".\"\".\" patient.cityOrt0..1string
\".\"\".\"\".\"\".\" patient.countryLand0..1string
\".\"\".\"\".\"\".\" patient.languageOfCorrespondenceKorrespondenzsprache0..1choiceValue Set: DocumentEntry.languageCode
\".\"\".\"\".\"\".\" patient.contactpersonKontaktperson0..*group
\".\"\".\"\".\"\".\"\".\" patient.contactperson.relationshipBeziehung0..1string
\".\"\".\"\".\"\".\"\".\" patient.contactperson.familyNameName0..1string
\".\"\".\"\".\"\".\"\".\" patient.contactperson.givenNameVorname0..1string
\".\"\".\"\".\"\".\"\".\" patient.contactperson.phoneTelefon0..*string
\".\"\".\"\".\"\".\"\".\" patient.contactperson.emailE-Mail0..1string
\".\"\".\"\".\"\".\" familydoctorHausarzt0..1group
\".\"\".\"\".\"\".\"\".\" familydoctor.practitionerHausarzt Person0..1group
\".\"\".\"\".\"\".\"\".\"\".\" familydoctor.practitioner.titleTitel0..1string
\".\"\".\"\".\"\".\"\".\"\".\" familydoctor.practitioner.familyNameName0..1string
\".\"\".\"\".\"\".\"\".\"\".\" familydoctor.practitioner.givenNameVorname0..1string
\".\"\".\"\".\"\".\"\".\"\".\" familydoctor.practitioner.glnGLN0..1string
\".\"\".\"\".\"\".\"\".\"\".\" familydoctor.practitioner.zsrZSR (fr/it: RCC)0..1string
\".\"\".\"\".\"\".\"\".\"\".\" familydoctor.practitioner.phoneTelefon0..1string
\".\"\".\"\".\"\".\"\".\"\".\" familydoctor.practitioner.emailE-Mail0..1string
\".\"\".\"\".\"\".\"\".\" familydoctor.organizationHausarzt Organisation0..1group
\".\"\".\"\".\"\".\"\".\"\".\" familydoctor.organization.nameName der Organisation0..1string
\".\"\".\"\".\"\".\"\".\"\".\" familydoctor.organization.glnGLN0..1string
\".\"\".\"\".\"\".\"\".\"\".\" familydoctor.organization.streetAddressLineStrasse, Hausnummer, Postfach etc.0..*string
\".\"\".\"\".\"\".\"\".\"\".\" familydoctor.organization.postalCodePLZ0..1string
\".\"\".\"\".\"\".\"\".\"\".\" familydoctor.organization.cityOrt0..1string
\".\"\".\"\".\"\".\"\".\"\".\" familydoctor.organization.countryLand0..1string
\".\"\".\"\".\" requestedEncounterPatientenaufnahme0..1group
\".\"\".\"\".\"\".\" requestedEncounter.classVoraussichtlich: Ambulant / Stationär / Notfall0..1choiceOptions: 3 options
\".\"\".\"\".\"\".\" requestedEncounter.desiredAccommodationZimmerkategorie0..1choiceOptions: 3 options
\".\"\".\"\".\" coverageKostenträger0..1group
\".\"\".\"\".\"\".\" coverage.beneficiaryBegünstigter (Patient)0..1group
\".\"\".\"\".\"\".\"\".\" coverage.beneficiary.ahvn13AHV-Nr. des Patienten (fr/it: AVS)0..1string
\".\"\".\"\".\"\".\" coverage.kvgKrankenkasse nach KVG (fr/it: LAMal)0..1group
\".\"\".\"\".\"\".\"\".\" coverage.kvg.nameName der Versicherung0..1string
\".\"\".\"\".\"\".\"\".\" coverage.kvg.insuranceCardNumberKennnummer der Versichertenkarte0..1string
\".\"\".\"\".\"\".\" coverage.uvgUnfallversicherung nach UVG (fr: LAA, it: LAINF)0..1group
\".\"\".\"\".\"\".\"\".\" coverage.uvg.nameName der Versicherung0..1string
\".\"\".\"\".\"\".\"\".\" coverage.uvg.claimNumberSchadennummer0..1string
\".\"\".\"\".\"\".\" coverage.vvgZusatzversicherung nach VVG (fr/it: LCA)0..1group
\".\"\".\"\".\"\".\"\".\" coverage.vvg.nameName der Versicherung0..1string
\".\"\".\"\".\"\".\"\".\" coverage.vvg.insuranceCardNumberKennnummer der Versichertenkarte0..1string
\".\"\".\"\".\"\".\" coverage.ivInvalidenversicherung IV (fr/it: AI)0..1group
\".\"\".\"\".\"\".\"\".\" coverage.iv.verfuegungsnummerIV-Verfügungsnummer0..1string
\".\"\".\"\".\"\".\" coverage.mvMilitärversicherung MV (fr/it: AM)0..1group
\".\"\".\"\".\"\".\"\".\" coverage.mv.versichertennummerMV-Versichertennummer0..1string
\".\"\".\"\".\"\".\" coverage.selfSelbstzahler0..1group
\".\"\".\"\".\"\".\"\".\" coverage.self.patientPatient selbst0..1boolean
\".\"\".\"\".\"\".\"\".\" coverage.self.patientRelatedPersonAndere Person0..1booleanEnable When: coverage.self.patient =
\".\"\".\"\".\"\".\"\".\" coverage.self.relatedPersonAndere Person0..1groupEnable When: coverage.self.patientRelatedPerson =
\".\"\".\"\".\"\".\"\".\"\".\" coverage.self.relatedPerson.familyNameName0..1string
\".\"\".\"\".\"\".\"\".\"\".\" coverage.self.relatedPerson.givenNameVorname0..1string
\".\"\".\"\".\"\".\"\".\"\".\" coverage.self.relatedPerson.phoneTelefon0..*string
\".\"\".\"\".\"\".\"\".\"\".\" coverage.self.relatedPerson.emailE-Mail0..1string
\".\"\".\"\".\"\".\"\".\"\".\" coverage.self.relatedPerson.streetAddressLineStrasse, Hausnummer, Postfach etc.0..*string
\".\"\".\"\".\"\".\"\".\"\".\" coverage.self.relatedPerson.postalCodePLZ0..1string
\".\"\".\"\".\"\".\"\".\"\".\" coverage.self.relatedPerson.cityOrt0..1string
\".\"\".\"\".\"\".\"\".\"\".\" coverage.self.relatedPerson.countryLand0..1string
\".\"\".\"\".\"\".\" coverage.otherAnderer Kostenträger0..1group
\".\"\".\"\".\"\".\"\".\" coverage.other.nameName des Kostenträgers0..1string
\".\"\".\"\".\"\".\"\".\" coverage.other.idBeliebige ID0..1string
\".\"\".\"\".\"\".\"\".\" coverage.other.id.noteBemerkung zur ID0..1string
\".\"\".\"\".\" senderAbsender1..1group
\".\"\".\"\".\"\".\" sender.authorVerantwortlicher1..1group
\".\"\".\"\".\"\".\"\".\" sender.author.practitionerVerantwortliche Person0..1group
\".\"\".\"\".\"\".\"\".\"\".\" sender.author.practitioner.titleTitel0..1string
\".\"\".\"\".\"\".\"\".\"\".\" sender.author.practitioner.familyNameName0..1string
\".\"\".\"\".\"\".\"\".\"\".\" sender.author.practitioner.givenNameVorname0..1string
\".\"\".\"\".\"\".\"\".\"\".\" sender.author.practitioner.glnGLN0..1string
\".\"\".\"\".\"\".\"\".\"\".\" sender.author.practitioner.zsrZSR (fr/it: RCC)0..1string
\".\"\".\"\".\"\".\"\".\"\".\" sender.author.practitioner.phoneTelefon0..1string
\".\"\".\"\".\"\".\"\".\"\".\" sender.author.practitioner.emailE-Mail0..1string
\".\"\".\"\".\"\".\"\".\" sender.author.organizationVerantwortliche Organisation0..1group
\".\"\".\"\".\"\".\"\".\"\".\" sender.author.organization.nameName der Organisation0..1string
\".\"\".\"\".\"\".\"\".\"\".\" sender.author.organization.glnGLN0..1string
\".\"\".\"\".\"\".\"\".\"\".\" sender.author.organization.streetAddressLineStrasse, Hausnummer, Postfach etc.0..*string
\".\"\".\"\".\"\".\"\".\"\".\" sender.author.organization.postalCodePLZ0..1string
\".\"\".\"\".\"\".\"\".\"\".\" sender.author.organization.cityOrt0..1string
\".\"\".\"\".\"\".\"\".\"\".\" sender.author.organization.countryLand0..1string
\".\"\".\"\".\"\".\" sender.dataentererErfasser0..1group
\".\"\".\"\".\"\".\"\".\" sender.dataenterer.practitionerErfassende Person0..1group
\".\"\".\"\".\"\".\"\".\"\".\" sender.dataenterer.practitioner.titleTitel0..1string
\".\"\".\"\".\"\".\"\".\"\".\" sender.dataenterer.practitioner.familyNameName0..1string
\".\"\".\"\".\"\".\"\".\"\".\" sender.dataenterer.practitioner.givenNameVorname0..1string
\".\"\".\"\".\"\".\"\".\"\".\" sender.dataenterer.practitioner.phoneTelefon0..1string
\".\"\".\"\".\"\".\"\".\"\".\" sender.dataenterer.practitioner.emailE-Mail0..1string
\".\"\".\"\".\" receiverCopyKopieempfänger (Kopie dieses Auftrags und aller daraus resultierenden Resultate)0..1group
\".\"\".\"\".\"\".\" receiverCopy.practitionerRoleGesundheitsfachperson oder -organisation0..*group
\".\"\".\"\".\"\".\"\".\" receiverCopy.practitionerRole.practitionerGesundheitsfachperson0..1group
\".\"\".\"\".\"\".\"\".\"\".\" receiverCopy.practitionerRole.practitioner.titleTitel0..1string
\".\"\".\"\".\"\".\"\".\"\".\" receiverCopy.practitionerRole.practitioner.familyNameName0..1string
\".\"\".\"\".\"\".\"\".\"\".\" receiverCopy.practitionerRole.practitioner.givenNameVorname0..1string
\".\"\".\"\".\"\".\"\".\"\".\" receiverCopy.practitionerRole.practitioner.phoneTelefon0..1string
\".\"\".\"\".\"\".\"\".\"\".\" receiverCopy.practitionerRole.practitioner.emailE-Mail0..1string
\".\"\".\"\".\"\".\"\".\" receiverCopy.practitionerRole.organizationGesundheitsorganisatiton0..1group
\".\"\".\"\".\"\".\"\".\"\".\" receiverCopy.practitionerRole.organization.nameName der Organisation0..1string
\".\"\".\"\".\"\".\"\".\"\".\" receiverCopy.practitionerRole.organization.streetAddressLineStrasse, Hausnummer, Postfach etc.0..*string
\".\"\".\"\".\"\".\"\".\"\".\" receiverCopy.practitionerRole.organization.postalCodePLZ0..1string
\".\"\".\"\".\"\".\"\".\"\".\" receiverCopy.practitionerRole.organization.cityOrt0..1string
\".\"\".\"\".\"\".\"\".\"\".\" receiverCopy.practitionerRole.organization.countryLand0..1string
\".\"\".\"\".\"\".\" receiverCopy.patientPatient selbst0..1boolean
\".\"\".\"\".\"\".\" receiverCopy.relatedPersonAndere Person0..*group
\".\"\".\"\".\"\".\"\".\" receiverCopy.relatedPerson.familyNameName0..1string
\".\"\".\"\".\"\".\"\".\" receiverCopy.relatedPerson.givenNameVorname0..1string
\".\"\".\"\".\"\".\"\".\" receiverCopy.relatedPerson.phoneTelefon0..*string
\".\"\".\"\".\"\".\"\".\" receiverCopy.relatedPerson.emailE-Mail0..1string
\".\"\".\"\".\"\".\"\".\" receiverCopy.relatedPerson.streetAddressLineStrasse, Hausnummer, Postfach etc.0..*string
\".\"\".\"\".\"\".\"\".\" receiverCopy.relatedPerson.postalCodePLZ0..1string
\".\"\".\"\".\"\".\"\".\" receiverCopy.relatedPerson.cityOrt0..1string
\".\"\".\"\".\"\".\"\".\" receiverCopy.relatedPerson.countryLand0..1string
\".\"\".\"\".\" antecedentEpisodeOfCareVorgängiger Aufenthalt in Spital / Heim0..1group
\".\"\".\"\".\"\".\" antecedentEpisodeOfCare.startVon0..1dateTime
\".\"\".\"\".\"\".\" antecedentEpisodeOfCare.endBis0..1dateTime
\".\"\".\"\".\"\".\" antecedentEpisodeOfCare.managingOrganizationSpital /Heim0..1group
\".\"\".\"\".\"\".\"\".\" antecedentEpisodeOfCare.managingOrganization.nameName der Organisation0..1string
\".\"\".\"\".\"\".\"\".\" antecedentEpisodeOfCare.managingOrganization.streetAddressLineStrasse, Hausnummer, Postfach etc.0..*string
\".\"\".\"\".\"\".\"\".\" antecedentEpisodeOfCare.managingOrganization.postalCodePLZ0..1string
\".\"\".\"\".\"\".\"\".\" antecedentEpisodeOfCare.managingOrganization.cityOrt0..1string
\".\"\".\"\".\"\".\"\".\" antecedentEpisodeOfCare.managingOrganization.countryLand0..1string
\".\"\".\"\".\" appointmentOrt und Zeit der Durchführung der angeforderten Leistung0..*group
\".\"\".\"\".\"\".\" appointment.locationOrt der Durchführung0..1group
\".\"\".\"\".\"\".\"\".\" appointment.location.nameName1..1string
\".\"\".\"\".\"\".\"\".\" appointment.location.phoneTelefon0..1string
\".\"\".\"\".\"\".\"\".\" appointment.location.emailE-Mail0..1string
\".\"\".\"\".\"\".\"\".\" appointment.location.streetAddressLineStrasse, Hausnummer, Postfach etc.0..*string
\".\"\".\"\".\"\".\"\".\" appointment.location.postalCodePLZ0..1string
\".\"\".\"\".\"\".\"\".\" appointment.location.cityOrt0..1string
\".\"\".\"\".\"\".\"\".\" appointment.location.countryLand0..1string
\".\"\".\"\".\"\".\" appointment.requestedPeriodDatum und Zeit, wann der Termin bevorzugt geplant werden soll0..1group
\".\"\".\"\".\"\".\"\".\" appointment.requestedPeriod.startVon0..1dateTime
\".\"\".\"\".\"\".\"\".\" appointment.requestedPeriod.endBis0..1dateTime
\".\"\".\"\".\"\".\" appointment.statusStatus1..1choiceOptions: 3 options
\".\"\".\"\".\"\".\" appointment.patientInstructionPatienteninformation für diesen Termin0..1string
\".\"\".\"\".\" consentEinverständniserklärung0..1group
\".\"\".\"\".\"\".\" patient.consent.statementIst der Patient über die Anmeldung informiert und explizit einverstanden?0..1choiceOptions: 2 options
\".\"\".\"\".\"\".\"\".\" patient.consent.statement.noteAnmerkung0..1string
\".\"\".\"\".\" noteBemerkungen0..*group
\".\"\".\"\".\"\".\" note.textKommentar0..1string

\"doco\" Documentation for this format

Options Sets

Answer options for order.priority

Answer options for initiator.legalrelation

Answer options for initiator.personalrelation

Answer options for patient.gender

Answer options for patient.maritalStatus

Answer options for requestedEncounter.class

Answer options for requestedEncounter.desiredAccommodation

Answer options for appointment.status

Answer options for patient.consent.statement

" }, "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-targetStructureMap", "valueCanonical" : "http://fhir.ch/ig/ch-orf/StructureMap/OrfQrToBundle" }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext", "extension" : [{ "url" : "name", "valueCoding" : { "system" : "http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext", "code" : "patient" } }, { "url" : "type", "valueCode" : "Patient" }] }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext", "extension" : [{ "url" : "name", "valueCoding" : { "system" : "http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext", "code" : "user", "display" : "User" } }, { "url" : "type", "valueCode" : "Practitioner" }, { "url" : "description", "valueString" : "The practitioner that is to be used to pre-populate the form" }] }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom", "valueCanonical" : "http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-order|3.0.1" }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom", "valueCanonical" : "http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-practitioner-nametel|3.0.1" }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom", "valueCanonical" : "http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-receiver|3.0.1" }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom", "valueCanonical" : "http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-address|3.0.1" }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom", "valueCanonical" : "http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-initiator|3.0.1" }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom", "valueCanonical" : "http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-patient|3.0.1" }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom", "valueCanonical" : "http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-familydoctor|3.0.1" }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom", "valueCanonical" : "http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-requestedencounter|3.0.1" }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom", "valueCanonical" : "http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-coverage|3.0.1" }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom", "valueCanonical" : "http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-sender|3.0.1" }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom", "valueCanonical" : "http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-receivercopy|3.0.1" }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom", "valueCanonical" : "http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-appointment|3.0.1" }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom", "valueCanonical" : "http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-consent|3.0.1" }], "url" : "http://fhir.ch/ig/ch-orf/Questionnaire/order-referral-form", "version" : "3.0.1", "name" : "OrderReferralForm", "title" : "Order Referral Form", "status" : "active", "subjectType" : ["Patient"], "date" : "2022-07-07", "publisher" : "HL7 Switzerland", "contact" : [{ "name" : "HL7 Switzerland", "telecom" : [{ "system" : "url", "value" : "https://www.hl7.ch/" }] }], "jurisdiction" : [{ "coding" : [{ "system" : "urn:iso:std:iso:3166", "code" : "CH" }] }], "copyright" : "CC-BY-SA-4.0", "item" : [{ "linkId" : "order", "text" : "Auftrag", "type" : "group", "required" : true, "item" : [{ "linkId" : "order.authoredOn", "text" : "Datum/Zeit der Auftragserteilung", "type" : "dateTime" }, { "linkId" : "order.placerOrderIdentifier", "text" : "Auftragsnummer des Auftraggebers", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden", "valueBoolean" : true }], "linkId" : "order.placerOrderIdentifierDomain", "text" : "Identifier Domain der Auftragsnummer des Auftraggebers", "type" : "string" }, { "linkId" : "order.fillerOrderIdentifier", "text" : "Auftragsnummer des Auftragsempfängers", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden", "valueBoolean" : true }], "linkId" : "order.fillerOrderIdentifierDomain", "text" : "Identifier Domain der Auftragsnummer des Auftragsempfängers", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden", "valueBoolean" : true }], "linkId" : "order.precedentDocumentIdentifier", "text" : "Identifier des Vorgängerdokuments", "type" : "string" }, { "linkId" : "order.notificationContactDocument", "text" : "Dringender Benachrichtigungskontakt für dieses Dokument", "type" : "group", "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "linkIdPrefix", "language" : "text/fhirpath", "expression" : "'order.notificationContactDocument.practitioner.'" } }], "linkId" : "order.notificationContactDocument.practitioner", "text" : "Zu benachrichtigende Person", "type" : "group", "item" : [{ "linkId" : "order.notificationContactDocument.practitioner.title", "text" : "Titel", "type" : "string" }, { "linkId" : "order.notificationContactDocument.practitioner.familyName", "text" : "Name", "type" : "string" }, { "linkId" : "order.notificationContactDocument.practitioner.givenName", "text" : "Vorname", "type" : "string" }, { "linkId" : "order.notificationContactDocument.practitioner.phone", "text" : "Telefon", "type" : "string" }, { "linkId" : "order.notificationContactDocument.practitioner.email", "text" : "E-Mail", "type" : "string" }] }] }, { "linkId" : "order.notificationContactDocumentResponse", "text" : "Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument", "type" : "group", "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "linkIdPrefix", "language" : "text/fhirpath", "expression" : "'order.notificationContactDocumentResponse.practitioner.'" } }], "linkId" : "order.notificationContactDocumentResponse.practitioner", "text" : "Zu benachrichtigende Person", "type" : "group", "item" : [{ "linkId" : "order.notificationContactDocumentResponse.practitioner.title", "text" : "Titel", "type" : "string" }, { "linkId" : "order.notificationContactDocumentResponse.practitioner.familyName", "text" : "Name", "type" : "string" }, { "linkId" : "order.notificationContactDocumentResponse.practitioner.givenName", "text" : "Vorname", "type" : "string" }, { "linkId" : "order.notificationContactDocumentResponse.practitioner.phone", "text" : "Telefon", "type" : "string" }, { "linkId" : "order.notificationContactDocumentResponse.practitioner.email", "text" : "E-Mail", "type" : "string" }] }] }, { "linkId" : "order.priority", "text" : "Auftragspriorität", "type" : "choice", "answerOption" : [{ "valueCoding" : { "system" : "http://hl7.org/fhir/request-priority", "code" : "routine", "display" : "Die Anfrage hat normale Priorität." }, "initialSelected" : true }, { "valueCoding" : { "system" : "http://hl7.org/fhir/request-priority", "code" : "urgent", "display" : "Die Anfrage sollte dringend bearbeitet werden - höhere Priorität als normal." } }, { "valueCoding" : { "system" : "http://hl7.org/fhir/request-priority", "code" : "asap", "display" : "Die Anfrage sollte so schnell wie möglich bearbeitet werden - höhere Priorität als dringend." } }, { "valueCoding" : { "system" : "http://hl7.org/fhir/request-priority", "code" : "stat", "display" : "Die Anfrage sollte sofort bearbeitet werden - höchstmögliche Priorität. Z.B. bei einem Notfall." } }] }] }, { "linkId" : "receiver", "text" : "Empfänger", "type" : "group", "item" : [{ "linkId" : "receiver.practitioner", "text" : "Empfangende Person", "type" : "group", "item" : [{ "linkId" : "receiver.practitioner.title", "text" : "Titel", "type" : "string" }, { "linkId" : "receiver.practitioner.familyName", "text" : "Name", "type" : "string" }, { "linkId" : "receiver.practitioner.givenName", "text" : "Vorname", "type" : "string" }, { "linkId" : "receiver.practitioner.gln", "text" : "GLN", "type" : "string" }, { "linkId" : "receiver.practitioner.zsr", "text" : "ZSR (fr/it: RCC)", "type" : "string" }, { "linkId" : "receiver.practitioner.phone", "text" : "Telefon", "type" : "string" }, { "linkId" : "receiver.practitioner.email", "text" : "E-Mail", "type" : "string" }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "linkIdPrefix", "language" : "text/fhirpath", "expression" : "'receiver.organization.'" } }], "linkId" : "receiver.organization", "text" : "Empfangende Organisation", "type" : "group", "item" : [{ "linkId" : "receiver.organization.name", "text" : "Name der Organisation", "type" : "string" }, { "linkId" : "receiver.organization.gln", "text" : "GLN", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%address.line" } }], "linkId" : "receiver.organization.streetAddressLine", "text" : "Strasse, Hausnummer, Postfach etc.", "type" : "string", "repeats" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%address.postalCode" } }], "linkId" : "receiver.organization.postalCode", "text" : "PLZ", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%address.city" } }], "linkId" : "receiver.organization.city", "text" : "Ort", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%address.country" } }], "linkId" : "receiver.organization.country", "text" : "Land", "type" : "string" }] }] }, { "linkId" : "initiator", "text" : "Initiant dieser Anmeldung", "type" : "group", "item" : [{ "linkId" : "initiator.legalrelation", "text" : "Juristische Beziehung zum Patienten", "type" : "choice", "answerOption" : [{ "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "373068000", "display" : "Nicht definiert" } }, { "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "58626002", "display" : "Gesetzlicher Vertreter" } }] }, { "linkId" : "initiator.personalrelation", "text" : "Persönliche Beziehung zum Patienten?", "type" : "choice", "answerOption" : [{ "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "66089001", "display" : "Tochter" } }, { "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "65616008", "display" : "Sohn" } }, { "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "127849001", "display" : "Ehemann" } }, { "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "127850001", "display" : "Ehefrau" } }, { "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "394921008", "display" : "Partner (eingetragene Partnerschaft)" } }, { "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "70924004", "display" : "Bruder" } }, { "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "27733009", "display" : "Schwester" } }, { "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "72705000", "display" : "Mutter" } }, { "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "66839005", "display" : "Vater" } }, { "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "48385004", "display" : "Bekannt" } }] }, { "linkId" : "initiator.practitionerRole", "text" : "Gesundheitsfachperson oder -organisation", "type" : "group", "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "linkIdPrefix", "language" : "text/fhirpath", "expression" : "'initiator.practitionerRole.practitioner.'" } }], "linkId" : "initiator.practitionerRole.practitioner", "text" : "Gesundheitsfachperson", "type" : "group", "item" : [{ "linkId" : "initiator.practitionerRole.practitioner.title", "text" : "Titel", "type" : "string" }, { "linkId" : "initiator.practitionerRole.practitioner.familyName", "text" : "Name", "type" : "string" }, { "linkId" : "initiator.practitionerRole.practitioner.givenName", "text" : "Vorname", "type" : "string" }, { "linkId" : "initiator.practitionerRole.practitioner.phone", "text" : "Telefon", "type" : "string" }, { "linkId" : "initiator.practitionerRole.practitioner.email", "text" : "E-Mail", "type" : "string" }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "linkIdPrefix", "language" : "text/fhirpath", "expression" : "'initiator.practitionerRole.organization.'" } }], "linkId" : "initiator.practitionerRole.organization", "text" : "Gesundheitsorganisatiton", "type" : "group", "item" : [{ "linkId" : "initiator.practitionerRole.organization.name", "text" : "Name der Organisation", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%address.line" } }], "linkId" : "initiator.practitionerRole.organization.streetAddressLine", "text" : "Strasse, Hausnummer, Postfach etc.", "type" : "string", "repeats" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%address.postalCode" } }], "linkId" : "initiator.practitionerRole.organization.postalCode", "text" : "PLZ", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%address.city" } }], "linkId" : "initiator.practitionerRole.organization.city", "text" : "Ort", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%address.country" } }], "linkId" : "initiator.practitionerRole.organization.country", "text" : "Land", "type" : "string" }] }] }, { "linkId" : "initiator.relatedPerson", "text" : "Andere Person", "type" : "group", "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "linkIdPrefix", "language" : "text/fhirpath", "expression" : "'initiator.relatedPerson.'" } }], "linkId" : "initiator.relatedPerson.familyName", "text" : "Name", "type" : "string" }, { "linkId" : "initiator.relatedPerson.givenName", "text" : "Vorname", "type" : "string" }, { "linkId" : "initiator.relatedPerson.phone", "text" : "Telefon", "type" : "string", "repeats" : true }, { "linkId" : "initiator.relatedPerson.email", "text" : "E-Mail", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%address.line" } }], "linkId" : "initiator.relatedPerson.streetAddressLine", "text" : "Strasse, Hausnummer, Postfach etc.", "type" : "string", "repeats" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%address.postalCode" } }], "linkId" : "initiator.relatedPerson.postalCode", "text" : "PLZ", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%address.city" } }], "linkId" : "initiator.relatedPerson.city", "text" : "Ort", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%address.country" } }], "linkId" : "initiator.relatedPerson.country", "text" : "Land", "type" : "string" }] }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "linkIdPrefix", "language" : "text/fhirpath", "expression" : "'patient.'" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "address", "language" : "text/fhirpath", "expression" : "%patient.address" } }], "linkId" : "patient", "text" : "Patient", "type" : "group", "required" : true, "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%patient.name.where(use='official').family" } }], "linkId" : "patient.familyName", "text" : "Name", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%patient.name.where(use='maiden').family" } }], "linkId" : "patient.maidenName", "text" : "Ledigname", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%patient.name.where(use='official').given" } }], "linkId" : "patient.givenName", "text" : "Vorname", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%patient.identifier.where(type.coding.where(system='http://terminology.hl7.org/CodeSystem/v2-0203' and code='MR').exists()).value" } }], "linkId" : "patient.localPid", "text" : "Lokale Patienten-ID", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden", "valueBoolean" : true }], "linkId" : "patient.localPidDomain", "text" : "Lokale Patienten-ID Domain", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%patient.birthDate" } }], "linkId" : "patient.birthDate", "text" : "Geburtsdatum", "type" : "date" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%questionnaire.repeat(item).where(linkId='patient.gender').answerOption.valueCoding.where(code=%patient.gender)" } }], "linkId" : "patient.gender", "text" : "Geschlecht", "type" : "choice", "answerOption" : [{ "valueCoding" : { "system" : "http://hl7.org/fhir/administrative-gender", "code" : "male", "display" : "Männlich" }, "initialSelected" : true }, { "valueCoding" : { "system" : "http://hl7.org/fhir/administrative-gender", "code" : "female", "display" : "Weiblich" } }, { "valueCoding" : { "system" : "http://hl7.org/fhir/administrative-gender", "code" : "other", "display" : "Anderes" } }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%patient.maritalStatus" } }], "linkId" : "patient.maritalStatus", "text" : "Zivilstand", "type" : "choice", "answerOption" : [{ "valueCoding" : { "system" : "http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus", "code" : "1", "display" : "ledig" } }, { "valueCoding" : { "system" : "http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus", "code" : "2", "display" : "verheiratet" } }, { "valueCoding" : { "system" : "http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus", "code" : "3", "display" : "verwitwet" } }, { "valueCoding" : { "system" : "http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus", "code" : "4", "display" : "geschieden" } }, { "valueCoding" : { "system" : "http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus", "code" : "5", "display" : "unverheiratet" } }, { "valueCoding" : { "system" : "http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus", "code" : "6", "display" : "in eingetragener Partnerschaft" } }, { "valueCoding" : { "system" : "http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus", "code" : "7", "display" : "aufgelöste Partnerschaft" } }, { "valueCoding" : { "system" : "http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus", "code" : "9", "display" : "unbekannt" } }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%patient.telecom.where(system='phone').value" } }], "linkId" : "patient.phone", "text" : "Telefon", "type" : "string", "repeats" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%patient.telecom.where(system='email').value" } }], "linkId" : "patient.email", "text" : "E-Mail", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%address.line" } }], "linkId" : "patient.streetAddressLine", "text" : "Strasse, Hausnummer, Postfach etc.", "type" : "string", "repeats" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%address.postalCode" } }], "linkId" : "patient.postalCode", "text" : "PLZ", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%address.city" } }], "linkId" : "patient.city", "text" : "Ort", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%address.country" } }], "linkId" : "patient.country", "text" : "Land", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%patient.communication.where(preferred=true).language.coding" } }], "linkId" : "patient.languageOfCorrespondence", "text" : "Korrespondenzsprache", "type" : "choice", "answerValueSet" : "http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.languageCode" }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "contact", "language" : "text/fhirpath", "expression" : "%patient.contact" } }], "linkId" : "patient.contactperson", "text" : "Kontaktperson", "type" : "group", "repeats" : true, "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%contact.relationship.text" } }], "linkId" : "patient.contactperson.relationship", "text" : "Beziehung", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%contact.name.family" } }], "linkId" : "patient.contactperson.familyName", "text" : "Name", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%contact.name.given" } }], "linkId" : "patient.contactperson.givenName", "text" : "Vorname", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%contact.telecom.where(system='phone').value" } }], "linkId" : "patient.contactperson.phone", "text" : "Telefon", "type" : "string", "repeats" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%contact.telecom.where(system='email').value" } }], "linkId" : "patient.contactperson.email", "text" : "E-Mail", "type" : "string" }] }, { "linkId" : "familydoctor", "text" : "Hausarzt", "type" : "group", "item" : [{ "linkId" : "familydoctor.practitioner", "text" : "Hausarzt Person", "type" : "group", "item" : [{ "linkId" : "familydoctor.practitioner.title", "text" : "Titel", "type" : "string" }, { "linkId" : "familydoctor.practitioner.familyName", "text" : "Name", "type" : "string" }, { "linkId" : "familydoctor.practitioner.givenName", "text" : "Vorname", "type" : "string" }, { "linkId" : "familydoctor.practitioner.gln", "text" : "GLN", "type" : "string" }, { "linkId" : "familydoctor.practitioner.zsr", "text" : "ZSR (fr/it: RCC)", "type" : "string" }, { "linkId" : "familydoctor.practitioner.phone", "text" : "Telefon", "type" : "string" }, { "linkId" : "familydoctor.practitioner.email", "text" : "E-Mail", "type" : "string" }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "linkIdPrefix", "language" : "text/fhirpath", "expression" : "'familydoctor.organization.'" } }], "linkId" : "familydoctor.organization", "text" : "Hausarzt Organisation", "type" : "group", "item" : [{ "linkId" : "familydoctor.organization.name", "text" : "Name der Organisation", "type" : "string" }, { "linkId" : "familydoctor.organization.gln", "text" : "GLN", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%address.line" } }], "linkId" : "familydoctor.organization.streetAddressLine", "text" : "Strasse, Hausnummer, Postfach etc.", "type" : "string", "repeats" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%address.postalCode" } }], "linkId" : "familydoctor.organization.postalCode", "text" : "PLZ", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%address.city" } }], "linkId" : "familydoctor.organization.city", "text" : "Ort", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%address.country" } }], "linkId" : "familydoctor.organization.country", "text" : "Land", "type" : "string" }] }] }] }, { "linkId" : "requestedEncounter", "text" : "Patientenaufnahme", "type" : "group", "item" : [{ "linkId" : "requestedEncounter.class", "text" : "Voraussichtlich: Ambulant / Stationär / Notfall", "type" : "choice", "answerOption" : [{ "valueCoding" : { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "AMB", "display" : "Ambulant" } }, { "valueCoding" : { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "IMP", "display" : "Stationär" } }, { "valueCoding" : { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "EMER", "display" : "Notfall" } }] }, { "linkId" : "requestedEncounter.desiredAccommodation", "text" : "Zimmerkategorie", "type" : "choice", "answerOption" : [{ "valueCoding" : { "system" : "http://fhir.ch/ig/ch-core/CodeSystem/bfs-medstats-21-encountertype", "code" : "1", "display" : "allgemein" } }, { "valueCoding" : { "system" : "http://fhir.ch/ig/ch-core/CodeSystem/bfs-medstats-21-encountertype", "code" : "2", "display" : "halbprivat" } }, { "valueCoding" : { "system" : "http://fhir.ch/ig/ch-core/CodeSystem/bfs-medstats-21-encountertype", "code" : "3", "display" : "privat" } }] }] }, { "linkId" : "coverage", "text" : "Kostenträger", "type" : "group", "item" : [{ "linkId" : "coverage.beneficiary", "text" : "Begünstigter (Patient)", "type" : "group", "item" : [{ "linkId" : "coverage.beneficiary.ahvn13", "text" : "AHV-Nr. des Patienten (fr/it: AVS)", "type" : "string" }] }, { "linkId" : "coverage.kvg", "text" : "Krankenkasse nach KVG (fr/it: LAMal)", "type" : "group", "item" : [{ "linkId" : "coverage.kvg.name", "text" : "Name der Versicherung", "type" : "string" }, { "linkId" : "coverage.kvg.insuranceCardNumber", "text" : "Kennnummer der Versichertenkarte", "type" : "string" }] }, { "linkId" : "coverage.uvg", "text" : "Unfallversicherung nach UVG (fr: LAA, it: LAINF)", "type" : "group", "item" : [{ "linkId" : "coverage.uvg.name", "text" : "Name der Versicherung", "type" : "string" }, { "linkId" : "coverage.uvg.claimNumber", "text" : "Schadennummer", "type" : "string" }] }, { "linkId" : "coverage.vvg", "text" : "Zusatzversicherung nach VVG (fr/it: LCA)", "type" : "group", "item" : [{ "linkId" : "coverage.vvg.name", "text" : "Name der Versicherung", "type" : "string" }, { "linkId" : "coverage.vvg.insuranceCardNumber", "text" : "Kennnummer der Versichertenkarte", "type" : "string" }] }, { "linkId" : "coverage.iv", "text" : "Invalidenversicherung IV (fr/it: AI)", "type" : "group", "item" : [{ "linkId" : "coverage.iv.verfuegungsnummer", "text" : "IV-Verfügungsnummer", "type" : "string" }] }, { "linkId" : "coverage.mv", "text" : "Militärversicherung MV (fr/it: AM)", "type" : "group", "item" : [{ "linkId" : "coverage.mv.versichertennummer", "text" : "MV-Versichertennummer", "type" : "string" }] }, { "linkId" : "coverage.self", "text" : "Selbstzahler", "type" : "group", "item" : [{ "linkId" : "coverage.self.patient", "text" : "Patient selbst", "type" : "boolean" }, { "linkId" : "coverage.self.patientRelatedPerson", "text" : "Andere Person", "type" : "boolean", "enableWhen" : [{ "question" : "coverage.self.patient", "operator" : "=", "answerBoolean" : false }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "linkIdPrefix", "language" : "text/fhirpath", "expression" : "'coverage.self.relatedPerson.'" } }], "linkId" : "coverage.self.relatedPerson", "text" : "Andere Person", "type" : "group", "enableWhen" : [{ "question" : "coverage.self.patientRelatedPerson", "operator" : "=", "answerBoolean" : true }], "item" : [{ "linkId" : "coverage.self.relatedPerson.familyName", "text" : "Name", "type" : "string" }, { "linkId" : "coverage.self.relatedPerson.givenName", "text" : "Vorname", "type" : "string" }, { "linkId" : "coverage.self.relatedPerson.phone", "text" : "Telefon", "type" : "string", "repeats" : true }, { "linkId" : "coverage.self.relatedPerson.email", "text" : "E-Mail", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%address.line" } }], "linkId" : "coverage.self.relatedPerson.streetAddressLine", "text" : "Strasse, Hausnummer, Postfach etc.", "type" : "string", "repeats" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%address.postalCode" } }], "linkId" : "coverage.self.relatedPerson.postalCode", "text" : "PLZ", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%address.city" } }], "linkId" : "coverage.self.relatedPerson.city", "text" : "Ort", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%address.country" } }], "linkId" : "coverage.self.relatedPerson.country", "text" : "Land", "type" : "string" }] }] }, { "linkId" : "coverage.other", "text" : "Anderer Kostenträger", "type" : "group", "item" : [{ "linkId" : "coverage.other.name", "text" : "Name des Kostenträgers", "type" : "string" }, { "linkId" : "coverage.other.id", "text" : "Beliebige ID", "type" : "string" }, { "linkId" : "coverage.other.id.note", "text" : "Bemerkung zur ID", "type" : "string" }] }] }, { "linkId" : "sender", "text" : "Absender", "type" : "group", "required" : true, "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "senderPractitionerRoles", "language" : "application/x-fhir-query", "expression" : "PractitionerRole?practitioner={{%user.id}}" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "senderPractitionerRole", "language" : "text/fhirpath", "expression" : "%senderPractitionerRoles.entry[0].resource" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "senderOrganizations", "language" : "application/x-fhir-query", "expression" : "Organization?_id={{%senderPractitionerRole.organization.reference}}" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "senderOrganization", "language" : "text/fhirpath", "expression" : "%senderOrganizations.entry[0].resource" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "address", "language" : "text/fhirpath", "expression" : "%senderOrganization.address" } }], "linkId" : "sender.author", "text" : "Verantwortlicher", "type" : "group", "required" : true, "item" : [{ "linkId" : "sender.author.practitioner", "text" : "Verantwortliche Person", "type" : "group", "item" : [{ "linkId" : "sender.author.practitioner.title", "text" : "Titel", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%user.name.family" } }], "linkId" : "sender.author.practitioner.familyName", "text" : "Name", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%user.name.given" } }], "linkId" : "sender.author.practitioner.givenName", "text" : "Vorname", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%user.identifier.where(system='urn:oid:2.51.1.3').value" } }], "linkId" : "sender.author.practitioner.gln", "text" : "GLN", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%user.identifier.where(system='urn:oid:2.16.756.5.30.1.123.100.2.1.1').value" } }], "linkId" : "sender.author.practitioner.zsr", "text" : "ZSR (fr/it: RCC)", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%user.telecom.where(system='phone').value" } }], "linkId" : "sender.author.practitioner.phone", "text" : "Telefon", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%user.telecom.where(system='email').value" } }], "linkId" : "sender.author.practitioner.email", "text" : "E-Mail", "type" : "string" }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "linkIdPrefix", "language" : "text/fhirpath", "expression" : "'sender.author.organization.'" } }], "linkId" : "sender.author.organization", "text" : "Verantwortliche Organisation", "type" : "group", "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%senderOrganization.name" } }], "linkId" : "sender.author.organization.name", "text" : "Name der Organisation", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%senderOrganization.identifier.where(system='urn:oid:2.51.1.3').value" } }], "linkId" : "sender.author.organization.gln", "text" : "GLN", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%address.line" } }], "linkId" : "sender.author.organization.streetAddressLine", "text" : "Strasse, Hausnummer, Postfach etc.", "type" : "string", "repeats" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%address.postalCode" } }], "linkId" : "sender.author.organization.postalCode", "text" : "PLZ", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%address.city" } }], "linkId" : "sender.author.organization.city", "text" : "Ort", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%address.country" } }], "linkId" : "sender.author.organization.country", "text" : "Land", "type" : "string" }] }] }, { "linkId" : "sender.dataenterer", "text" : "Erfasser", "type" : "group", "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "linkIdPrefix", "language" : "text/fhirpath", "expression" : "'sender.dataenterer.practitioner.'" } }], "linkId" : "sender.dataenterer.practitioner", "text" : "Erfassende Person", "type" : "group", "item" : [{ "linkId" : "sender.dataenterer.practitioner.title", "text" : "Titel", "type" : "string" }, { "linkId" : "sender.dataenterer.practitioner.familyName", "text" : "Name", "type" : "string" }, { "linkId" : "sender.dataenterer.practitioner.givenName", "text" : "Vorname", "type" : "string" }, { "linkId" : "sender.dataenterer.practitioner.phone", "text" : "Telefon", "type" : "string" }, { "linkId" : "sender.dataenterer.practitioner.email", "text" : "E-Mail", "type" : "string" }] }] }] }, { "linkId" : "receiverCopy", "text" : "Kopieempfänger (Kopie dieses Auftrags und aller daraus resultierenden Resultate)", "type" : "group", "item" : [{ "linkId" : "receiverCopy.practitionerRole", "text" : "Gesundheitsfachperson oder -organisation", "type" : "group", "repeats" : true, "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "linkIdPrefix", "language" : "text/fhirpath", "expression" : "'receiverCopy.practitionerRole.practitioner.'" } }], "linkId" : "receiverCopy.practitionerRole.practitioner", "text" : "Gesundheitsfachperson", "type" : "group", "item" : [{ "linkId" : "receiverCopy.practitionerRole.practitioner.title", "text" : "Titel", "type" : "string" }, { "linkId" : "receiverCopy.practitionerRole.practitioner.familyName", "text" : "Name", "type" : "string" }, { "linkId" : "receiverCopy.practitionerRole.practitioner.givenName", "text" : "Vorname", "type" : "string" }, { "linkId" : "receiverCopy.practitionerRole.practitioner.phone", "text" : "Telefon", "type" : "string" }, { "linkId" : "receiverCopy.practitionerRole.practitioner.email", "text" : "E-Mail", "type" : "string" }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "linkIdPrefix", "language" : "text/fhirpath", "expression" : "'receiverCopy.practitionerRole.organization.'" } }], "linkId" : "receiverCopy.practitionerRole.organization", "text" : "Gesundheitsorganisatiton", "type" : "group", "item" : [{ "linkId" : "receiverCopy.practitionerRole.organization.name", "text" : "Name der Organisation", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%address.line" } }], "linkId" : "receiverCopy.practitionerRole.organization.streetAddressLine", "text" : "Strasse, Hausnummer, Postfach etc.", "type" : "string", "repeats" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%address.postalCode" } }], "linkId" : "receiverCopy.practitionerRole.organization.postalCode", "text" : "PLZ", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%address.city" } }], "linkId" : "receiverCopy.practitionerRole.organization.city", "text" : "Ort", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%address.country" } }], "linkId" : "receiverCopy.practitionerRole.organization.country", "text" : "Land", "type" : "string" }] }] }, { "linkId" : "receiverCopy.patient", "text" : "Patient selbst", "type" : "boolean" }, { "linkId" : "receiverCopy.relatedPerson", "text" : "Andere Person", "type" : "group", "repeats" : true, "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "linkIdPrefix", "language" : "text/fhirpath", "expression" : "'receiverCopy.relatedPerson.'" } }], "linkId" : "receiverCopy.relatedPerson.familyName", "text" : "Name", "type" : "string" }, { "linkId" : "receiverCopy.relatedPerson.givenName", "text" : "Vorname", "type" : "string" }, { "linkId" : "receiverCopy.relatedPerson.phone", "text" : "Telefon", "type" : "string", "repeats" : true }, { "linkId" : "receiverCopy.relatedPerson.email", "text" : "E-Mail", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%address.line" } }], "linkId" : "receiverCopy.relatedPerson.streetAddressLine", "text" : "Strasse, Hausnummer, Postfach etc.", "type" : "string", "repeats" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%address.postalCode" } }], "linkId" : "receiverCopy.relatedPerson.postalCode", "text" : "PLZ", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%address.city" } }], "linkId" : "receiverCopy.relatedPerson.city", "text" : "Ort", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%address.country" } }], "linkId" : "receiverCopy.relatedPerson.country", "text" : "Land", "type" : "string" }] }] }, { "linkId" : "antecedentEpisodeOfCare", "text" : "Vorgängiger Aufenthalt in Spital / Heim", "type" : "group", "item" : [{ "linkId" : "antecedentEpisodeOfCare.start", "text" : "Von", "type" : "dateTime" }, { "linkId" : "antecedentEpisodeOfCare.end", "text" : "Bis", "type" : "dateTime" }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "linkIdPrefix", "language" : "text/fhirpath", "expression" : "'antecedentEpisodeOfCare.managingOrganization.'" } }], "linkId" : "antecedentEpisodeOfCare.managingOrganization", "text" : "Spital /Heim", "type" : "group", "item" : [{ "linkId" : "antecedentEpisodeOfCare.managingOrganization.name", "text" : "Name der Organisation", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%address.line" } }], "linkId" : "antecedentEpisodeOfCare.managingOrganization.streetAddressLine", "text" : "Strasse, Hausnummer, Postfach etc.", "type" : "string", "repeats" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%address.postalCode" } }], "linkId" : "antecedentEpisodeOfCare.managingOrganization.postalCode", "text" : "PLZ", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%address.city" } }], "linkId" : "antecedentEpisodeOfCare.managingOrganization.city", "text" : "Ort", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%address.country" } }], "linkId" : "antecedentEpisodeOfCare.managingOrganization.country", "text" : "Land", "type" : "string" }] }] }, { "linkId" : "appointment", "text" : "Ort und Zeit der Durchführung der angeforderten Leistung", "type" : "group", "repeats" : true, "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "linkIdPrefix", "language" : "text/fhirpath", "expression" : "'appointment.location.'" } }], "linkId" : "appointment.location", "text" : "Ort der Durchführung", "type" : "group", "item" : [{ "linkId" : "appointment.location.name", "text" : "Name", "type" : "string", "required" : true }, { "linkId" : "appointment.location.phone", "text" : "Telefon", "type" : "string" }, { "linkId" : "appointment.location.email", "text" : "E-Mail", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%address.line" } }], "linkId" : "appointment.location.streetAddressLine", "text" : "Strasse, Hausnummer, Postfach etc.", "type" : "string", "repeats" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%address.postalCode" } }], "linkId" : "appointment.location.postalCode", "text" : "PLZ", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%address.city" } }], "linkId" : "appointment.location.city", "text" : "Ort", "type" : "string" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%address.country" } }], "linkId" : "appointment.location.country", "text" : "Land", "type" : "string" }] }, { "linkId" : "appointment.requestedPeriod", "text" : "Datum und Zeit, wann der Termin bevorzugt geplant werden soll", "type" : "group", "item" : [{ "linkId" : "appointment.requestedPeriod.start", "text" : "Von", "type" : "dateTime" }, { "linkId" : "appointment.requestedPeriod.end", "text" : "Bis", "type" : "dateTime" }] }, { "linkId" : "appointment.status", "text" : "Status", "type" : "choice", "required" : true, "answerOption" : [{ "valueCoding" : { "system" : "http://hl7.org/fhir/appointmentstatus", "code" : "proposed", "display" : "Wunsch des Patienten (vorgeschlagen)" }, "initialSelected" : true }, { "valueCoding" : { "system" : "http://hl7.org/fhir/appointmentstatus", "code" : "pending", "display" : "Vom Patienten bestätigt, aber vom Leistungserbringer noch nicht (ausstehend)" } }, { "valueCoding" : { "system" : "http://hl7.org/fhir/appointmentstatus", "code" : "booked", "display" : "Vom Patienten und Leistungserbringer bestätigt (gebucht)" } }] }, { "linkId" : "appointment.patientInstruction", "text" : "Patienteninformation für diesen Termin", "type" : "string" }] }, { "linkId" : "consent", "text" : "Einverständniserklärung", "type" : "group", "item" : [{ "linkId" : "patient.consent.statement", "text" : "Ist der Patient über die Anmeldung informiert und explizit einverstanden?", "type" : "choice", "answerOption" : [{ "valueCoding" : { "system" : "http://fhir.ch/ig/ch-orf/CodeSystem/ch-orf-cs-consentstatus", "code" : "ExplicitAgreement", "display" : "Patient is informed and has explicitly agreed" } }, { "valueCoding" : { "system" : "http://fhir.ch/ig/ch-orf/CodeSystem/ch-orf-cs-consentstatus", "code" : "Other", "display" : "Other situation such as 'implicit agreement', 'agreed by legal guardian' etc." } }], "item" : [{ "linkId" : "patient.consent.statement.note", "text" : "Anmerkung", "type" : "string" }] }] }, { "linkId" : "note", "text" : "Bemerkungen", "type" : "group", "repeats" : true, "item" : [{ "linkId" : "note.text", "text" : "Kommentar", "type" : "string" }] }] } }, { "fullUrl" : "urn:uuid:b09d7c4d-a7b1-443c-8c3b-4d01675ad970", "resource" : { "resourceType" : "PractitionerRole", "language" : "de-CH", "text" : { "status" : "generated", "div" : "

Generated Narrative: PractitionerRole

Language: de-CH

practitioner: Practitioner Otto Rderfiller

organization: Organization Klinik Happy Hospital

" }, "practitioner" : { "reference" : "urn:uuid:a4e7a174-e3d1-4096-b93b-eb11ba1f22e8" }, "organization" : { "reference" : "urn:uuid:1ab1aa55-3096-4a6f-affc-a06a0d1d5786" } } }, { "fullUrl" : "urn:uuid:a4e7a174-e3d1-4096-b93b-eb11ba1f22e8", "resource" : { "resourceType" : "Practitioner", "language" : "de-CH", "text" : { "status" : "generated", "div" : "

Generated Narrative: Practitioner

Language: de-CH

identifier: GLN/7601000201041

name: Otto Rderfiller

telecom: ph: 044 412 00 99, o.rderfiller@happyhospital.ch

" }, "identifier" : [{ "system" : "urn:oid:2.51.1.3", "value" : "7601000201041" }], "name" : [{ "family" : "Rderfiller", "given" : ["Otto"], "prefix" : ["Dr. med."], "_prefix" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier", "valueCode" : "AC" }] }] }], "telecom" : [{ "system" : "phone", "value" : "044 412 00 99" }, { "system" : "email", "value" : "o.rderfiller@happyhospital.ch" }] } }, { "fullUrl" : "urn:uuid:1ab1aa55-3096-4a6f-affc-a06a0d1d5786", "resource" : { "resourceType" : "Organization", "language" : "de-CH", "text" : { "status" : "generated", "div" : "

Generated Narrative: Organization

Language: de-CH

name: Klinik Happy Hospital

address: Seestrasse 133 Haus C Zürich 8000 Schweiz

" }, "name" : "Klinik Happy Hospital", "address" : [{ "line" : ["Seestrasse 133", "Haus C"], "city" : "Zürich", "postalCode" : "8000", "country" : "Schweiz" }] } }, { "fullUrl" : "urn:uuid:de8d3b4f-1a57-48c0-9b03-a758ff8f2d2f", "resource" : { "resourceType" : "PractitionerRole", "language" : "de-CH", "text" : { "status" : "generated", "div" : "

Generated Narrative: PractitionerRole

Language: de-CH

practitioner: Practitioner Ottilie Rderplacer

organization: Organization Praxis Happy Doctors

" }, "practitioner" : { "reference" : "urn:uuid:0bba65f4-88a0-442d-91fa-1e95b54c954c" }, "organization" : { "reference" : "urn:uuid:f19b34ca-5f0d-449d-b6a1-0ca9c1257df0" } } }, { "fullUrl" : "urn:uuid:0bba65f4-88a0-442d-91fa-1e95b54c954c", "resource" : { "resourceType" : "Practitioner", "language" : "de-CH", "text" : { "status" : "generated", "div" : "

Generated Narrative: Practitioner

Language: de-CH

identifier: GLN/7601000618627

name: Ottilie Rderplacer

telecom: ph: 044 333 22 11, o.rderplacer@happydoctors.ch

" }, "identifier" : [{ "system" : "urn:oid:2.51.1.3", "value" : "7601000618627" }], "name" : [{ "family" : "Rderplacer", "given" : ["Ottilie"], "prefix" : ["Dr. med."], "_prefix" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier", "valueCode" : "AC" }] }] }], "telecom" : [{ "system" : "phone", "value" : "044 333 22 11" }, { "system" : "email", "value" : "o.rderplacer@happydoctors.ch" }] } }, { "fullUrl" : "urn:uuid:f19b34ca-5f0d-449d-b6a1-0ca9c1257df0", "resource" : { "resourceType" : "Organization", "language" : "de-CH", "text" : { "status" : "generated", "div" : "

Generated Narrative: Organization

Language: de-CH

name: Praxis Happy Doctors

address: Kantonsstrasse 14 Postfach 14 Zürich 8000 Schweiz

" }, "name" : "Praxis Happy Doctors", "address" : [{ "line" : ["Kantonsstrasse 14", "Postfach 14"], "city" : "Zürich", "postalCode" : "8000", "country" : "Schweiz" }] } }, { "fullUrl" : "urn:uuid:b6d4abb9-8c83-4d76-89d0-547c0b269f6d", "resource" : { "resourceType" : "PractitionerRole", "language" : "de-CH", "text" : { "status" : "generated", "div" : "

Generated Narrative: PractitionerRole

Language: de-CH

practitioner: Practitioner Doris Ataenterer

organization: Organization Praxis Happy Doctors

" }, "practitioner" : { "reference" : "urn:uuid:cb7715e3-dbd4-4dc4-8f75-013074c88aba" }, "organization" : { "reference" : "urn:uuid:f19b34ca-5f0d-449d-b6a1-0ca9c1257df0" } } }, { "fullUrl" : "urn:uuid:cb7715e3-dbd4-4dc4-8f75-013074c88aba", "resource" : { "resourceType" : "Practitioner", "language" : "de-CH", "text" : { "status" : "generated", "div" : "

Generated Narrative: Practitioner

Language: de-CH

name: Doris Ataenterer

telecom: ph: 044 333 22 11, d.ataenterer@happydoctors.ch

" }, "name" : [{ "family" : "Ataenterer", "given" : ["Doris"] }], "telecom" : [{ "system" : "phone", "value" : "044 333 22 11" }, { "system" : "email", "value" : "d.ataenterer@happydoctors.ch" }] } }] }