bundle-radorder-mapped
type: Bundle
node role: treeRoot
resource.id:
  value: bundle-radorder-mapped
bundle.identifier:
  identifier.system:
    value: urn:ietf:rfc:3986
bundle.type:
  value: document
bundle.timestamp:
  value: 2021-06-17T10:32:28+00:00
bundle.entry:
  index: 0
bundle.entry:
  index: 1
bundle.entry:
  index: 2
bundle.entry:
  index: 3
bundle.entry:
  index: 4
bundle.entry:
  index: 5
bundle.entry:
  index: 6
bundle.entry:
  index: 7
bundle.entry:
  index: 8
bundle.entry:
  index: 9
bundle.entry:
  index: 10
bundle.entry:
  index: 11
bundle.entry:
  index: 12
bundle.entry:
  index: 13
bundle.entry:
  index: 14
bundle.entry:
  index: 15
bundle.entry:
  index: 16
bundle.entry:
  index: 17
bundle.entry:
  index: 18
bundle.entry:
  index: 19
bundle.entry:
  index: 20
bundle.entry:
  index: 21

urn:…
type: Composition
domain resource.text:
  narrative.status:
    value: extensions
  narrative.div: Generated Narrative CH ORF Receiver: See above (PractitionerRole/null) EPR Data Enterer value: See above (PractitionerRole/null) CH ORF Copy Receiver: See above (Patient/null) status: final type: Imaging order (record artifact) category: Order (record artifact) date: Jun 17, 2021, 12:32:28 PM author: See above (PractitionerRole/null) title: Anmeldung Radiologie
domain resource.extension:
  index: 0
  extension.url:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-receiver
domain resource.extension:
  index: 1
  extension.url:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer
  element.extension:
    index: 0
    extension.url:
      value: enterer
domain resource.extension:
  index: 2
  extension.url:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-copyreceiver
composition.status:
  value: final
composition.type:
  codeable concept.coding:
    index: 0
    coding.system:
      value: urn:oid:2.16.756.5.30.1.127.3.4
    coding.code:
      value: 2161000195103
    coding.display:
      value: Imaging order (record artifact)
composition.category:
  index: 0
  codeable concept.coding: http://snomed.info/id/721963009
    index: 0
    coding.system:
      value: http://snomed.info/sct
    coding.code:
      value: 721963009
    coding.display:
      value: Order (record artifact)
composition.date:
  value: 2021-06-17T10:32:28+00:00
composition.author:
  index: 0
composition.title:
  value: Anmeldung Radiologie
composition.section:
  index: 0
  composition.section.title:
    value: Order-Referral
  composition.section.code:
    codeable concept.coding: http://loinc.org/rdf#93037-0
      index: 0
      coding.system:
        value: http://loinc.org
      coding.code:
        value: 93037-0
      coding.display:
        value: Portable medical order form
  composition.section.entry:
    index: 0
  composition.section.entry:
    index: 1
  composition.section.entry:
    index: 2

urn:…
type: Patient
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative name: Susanna Ufferer , Leidend (MAIDEN) telecom: +41 79 979 79 79, susanna@ufferer.ch gender: female birthDate: 1970-03-14 address: Musterweg 6a Zürich 8000 Schweiz
patient.name:
  index: 0
  human name.family:
    value: Ufferer
  human name.given:
    value: Susanna
    index: 0
patient.name:
  index: 1
  human name.use:
    value: maiden
  human name.family:
    value: Leidend
patient.telecom:
  index: 0
  contact point.system:
    value: phone
  contact point.value:
    value: +41 79 979 79 79
patient.telecom:
  index: 1
  contact point.system:
    value: email
patient.gender:
  value: female
patient.birth date:
  value: 1970-03-14
patient.address:
  index: 0
  address.line:
    value: Musterweg
    index: 0
  address.line:
    value: 6a
    index: 1
  address.city:
    value: Zürich
  address.postal code:
    value: 8000
  address.country:
    value: Schweiz

urn:…
type: QuestionnaireResponse
resource.meta:
  meta.profile:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-questionnaireresponse
    index: 0
    link: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-questionnaireresponse
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative questionnaire: http://fhir.ch/ig/ch-rad-order/Questionnaire/QuestionnaireRadiologyOrder status: completed item linkId: order text: Auftrag item linkId: order.title text: Titel item linkId: order.type text: Typ item linkId: order.category text: Kategorie item linkId: order.placerOrderIdentifier text: Auftragsnummer des Auftraggebers item linkId: order.placerOrderIdentifierDomain text: Identifier Domain der Auftragsnummer des Auftraggebers item linkId: order.priority text: Auftragspriorität item linkId: patient text: Patient item linkId: patient.familyName text: Name item linkId: patient.maidenName text: Ledigname item linkId: patient.givenName text: Vorname item linkId: patient.birthDate text: Geburtsdatum item linkId: patient.gender text: Geschlecht item linkId: patient.phone text: Telefon item linkId: patient.email text: E-Mail item linkId: patient.streetAddressLine text: Strasse, Hausnummer, Postfach etc. item linkId: patient.postalCode text: PLZ item linkId: patient.city text: Ort item linkId: patient.country text: Land item linkId: coverage text: Kostenträger item linkId: coverage.kvg text: Krankenkasse (nach KVG) item linkId: sender text: Absender item linkId: sender.author text: Verantwortlicher item linkId: sender.dataenterer text: Erfasser item linkId: receiver text: Empfänger item linkId: receiver.organization text: Empfangende Organisation item linkId: receiverCopies text: Kopieempfänger item linkId: receiverCopy text: Kopieempfangende Organisation oder Person item linkId: appointment text: Ort und Zeit der Durchführung der angeforderten Leistung item linkId: appointment.location text: Ort der Durchführung item linkId: appointment.requestedPeriod text: Datum und Zeit, wann der Termin bevorzugt geplant werden soll item linkId: appointment.status text: Status item linkId: appointment.patientInstruction text: Patienteninformation für diesen Termin item linkId: requestedService text: Angeforderte Leistung item linkId: requestedService.servi…
questionnaire response.questionnaire:
  value: http://fhir.ch/ig/ch-rad-order/Questionnaire/QuestionnaireRadiologyOrder
  link: http://fhir.ch/ig/ch-rad-order/Questionnaire/QuestionnaireRadiologyOrder
questionnaire response.status:
  value: completed
questionnaire response.item:
  index: 0
  questionnaire response.item.link id:
    value: order
  questionnaire response.item.text:
    value: Auftrag
  questionnaire response.item.item:
    index: 0
    questionnaire response.item.link id:
      value: order.title
    questionnaire response.item.text:
      value: Titel
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: Anmeldung Radiologie
  questionnaire response.item.item:
    index: 1
    questionnaire response.item.link id:
      value: order.type
    questionnaire response.item.text:
      value: Typ
    questionnaire response.item.answer:
      index: 0
  questionnaire response.item.item:
    index: 2
    questionnaire response.item.link id:
      value: order.category
    questionnaire response.item.text:
      value: Kategorie
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value coding: http://snomed.info/id/721963009
  questionnaire response.item.item:
    index: 3
    questionnaire response.item.link id:
      value: order.placerOrderIdentifier
    questionnaire response.item.text:
      value: Auftragsnummer des Auftraggebers
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: 12345
  questionnaire response.item.item:
    index: 4
    questionnaire response.item.link id:
      value: order.placerOrderIdentifierDomain
    questionnaire response.item.text:
      value: Identifier Domain der Auftragsnummer des Auftraggebers
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: urn:oid:1.3.4.5.6.7
  questionnaire response.item.item:
    index: 5
    questionnaire response.item.link id:
      value: order.priority
    questionnaire response.item.text:
      value: Auftragspriorität
    questionnaire response.item.answer:
      index: 0
questionnaire response.item:
  index: 1
  questionnaire response.item.link id:
    value: patient
  questionnaire response.item.text:
    value: Patient
  questionnaire response.item.item:
    index: 0
    questionnaire response.item.link id:
      value: patient.familyName
    questionnaire response.item.text:
      value: Name
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: Ufferer
  questionnaire response.item.item:
    index: 1
    questionnaire response.item.link id:
      value: patient.maidenName
    questionnaire response.item.text:
      value: Ledigname
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: Leidend
  questionnaire response.item.item:
    index: 2
    questionnaire response.item.link id:
      value: patient.givenName
    questionnaire response.item.text:
      value: Vorname
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: Susanna
  questionnaire response.item.item:
    index: 3
    questionnaire response.item.link id:
      value: patient.birthDate
    questionnaire response.item.text:
      value: Geburtsdatum
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value date:
        value: 1970-03-14
  questionnaire response.item.item:
    index: 4
    questionnaire response.item.link id:
      value: patient.gender
    questionnaire response.item.text:
      value: Geschlecht
    questionnaire response.item.answer:
      index: 0
  questionnaire response.item.item:
    index: 5
    questionnaire response.item.link id:
      value: patient.phone
    questionnaire response.item.text:
      value: Telefon
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: +41 79 979 79 79
  questionnaire response.item.item:
    index: 6
    questionnaire response.item.link id:
      value: patient.email
    questionnaire response.item.text:
      value: E-Mail
    questionnaire response.item.answer:
      index: 0
  questionnaire response.item.item:
    index: 7
    questionnaire response.item.link id:
      value: patient.streetAddressLine
    questionnaire response.item.text:
      value: Strasse, Hausnummer, Postfach etc.
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: Musterweg
    questionnaire response.item.answer:
      index: 1
      questionnaire response.item.answer.value string:
        value: 6a
  questionnaire response.item.item:
    index: 8
    questionnaire response.item.link id:
      value: patient.postalCode
    questionnaire response.item.text:
      value: PLZ
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: 8000
  questionnaire response.item.item:
    index: 9
    questionnaire response.item.link id:
      value: patient.city
    questionnaire response.item.text:
      value: Ort
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: Zürich
  questionnaire response.item.item:
    index: 10
    questionnaire response.item.link id:
      value: patient.country
    questionnaire response.item.text:
      value: Land
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: Schweiz
questionnaire response.item:
  index: 2
  questionnaire response.item.link id:
    value: coverage
  questionnaire response.item.text:
    value: Kostenträger
  questionnaire response.item.item:
    index: 0
    questionnaire response.item.link id:
      value: coverage.kvg

urn:…
type: ServiceRequest
domain resource.text:
  narrative.status:
    value: extensions
  narrative.div: Generated Narrative CH ORF Location and Time: See above (Appointment/null) identifier: Placer Identifier: 12345 status: active intent: order category: Imaging Request priority: routine code: projection radiography orderDetail: Thorax subject: See above (Patient/null) requester: See above (PractitionerRole/null) reasonCode: Diagnostic Question insurance: See above (Coverage/null) supportingInfo: See above (Condition/null) See above (Condition/null) See above (Condition/null) See above (Condition/null) See above (Condition/null) bodySite: Chest wall note: Bemerkung/Kommentar
domain resource.extension:
  index: 0
  extension.url:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-locationandtime
service request.identifier:
  index: 0
  identifier.type:
    codeable concept.coding:
      index: 0
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/v2-0203
      coding.code:
        value: PLAC
  identifier.system:
    value: urn:oid:1.3.4.5.6.7
  identifier.value:
    value: 12345
service request.status:
  value: active
service request.intent:
  value: order
service request.category:
  index: 0
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://fhir.ch/ig/ch-rad-order/CodeSystem/ch-rad-order-requested-service
    coding.code:
      value: ImagingRequest
    coding.display:
      value: Imaging Request
service request.priority:
  value: routine
service request.code:
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://www.radlex.org
    coding.code:
      value: RID10345
    coding.display:
      value: projection radiography
service request.order detail:
  index: 0
  element.extension:
    index: 0
    extension.url:
      value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-order-detail-type
    extension.value coding:
      coding.system:
        value: http://fhir.ch/ig/ch-rad-order/CodeSystem/ch-rad-order-order-detail-type
      coding.code:
        value: imagingRegion
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://www.radlex.org
    coding.code:
      value: RID1243
    coding.display:
      value: Thorax
service request.reason code:
  index: 0
  codeable concept.text:
    value: Diagnostic Question
service request.insurance:
  index: 0
service request.supporting info:
  index: 0
service request.supporting info:
  index: 1
service request.supporting info:
  index: 2
service request.supporting info:
  index: 3
service request.supporting info:
  index: 4
service request.body site:
  index: 0
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://www.radlex.org
    coding.code:
      value: RID2468
    coding.display:
      value: Chest wall
service request.note:
  index: 0
  annotation.text:
    value: Bemerkung/Kommentar

urn:…
type: Questionnaire
resource.meta:
  meta.profile:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-questionnaire
    index: 0
    link: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-questionnaire
  meta.profile:
    value: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire
    index: 1
    link: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire
  meta.profile:
    value: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-extract
    index: 2
    link: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-extract
domain resource.text:
  narrative.status:
    value: extensions
  narrative.div: Generated Narrative Target structure map: http://fhir.ch/ig/ch-rad-order/StructureMap/RadOrderQrToBundle Source structure map: http://fhir.ch/ig/ch-orf/StructureMap/OrfPrepopBundleToQr Launch context resources value: Bundle value: Bundle value: The Bundle that is to be used to pre-populate the form url: http://fhir.ch/ig/ch-rad-order/Questionnaire/QuestionnaireRadiologyOrder name: QuestionnaireRadiologyOrder title: Questionnaire Radiology Order derivedFrom: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-questionnaire status: active subjectType: Patient date: 2021-02-24 publisher: HL7 Switzerland item linkId: order definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-document#Bundle text: Auftrag type: group required: true item linkId: order.title definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-composition#Composition.title text: Titel type: string required: true readOnly: true item linkId: order.type definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-composition#Composition.type text: Typ type: choice required: true readOnly: true answerValueSet: http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.typeCode item linkId: order.category definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-composition#Composition.category text: Kategorie type: choice required: true readOnly: true answerValueSet: http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.classCode item linkId: order.placerOrderIdentifier definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-servicerequest#ServiceRequest.identifier:placerOrderIdentifier.value text: Auftragsnummer des Auftraggebers type: string required: true item hidden: true linkId: order.placerOrderIdentifierDomain definition: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-servicerequest#ServiceRequest.identifier:placerOrderIdentifier.system text: Identifier Domain der Auftragsnummer des Auftraggebers…
domain resource.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-targetStructureMap
  extension.value canonical:
    value: http://fhir.ch/ig/ch-rad-order/StructureMap/RadOrderQrToBundle
    link: http://fhir.ch/ig/ch-rad-order/StructureMap/RadOrderQrToBundle
domain resource.extension:
  index: 1
  extension.url:
    value: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-sourceStructureMap
  extension.value canonical:
    value: http://fhir.ch/ig/ch-orf/StructureMap/OrfPrepopBundleToQr
    link: http://fhir.ch/ig/ch-orf/StructureMap/OrfPrepopBundleToQr
domain resource.extension:
  index: 2
  extension.url:
    value: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext
  element.extension:
    index: 0
    extension.url:
      value: name
    extension.value id:
      value: Bundle
  element.extension:
    index: 1
    extension.url:
      value: type
    extension.value code:
      value: Bundle
  element.extension:
    index: 2
    extension.url:
      value: description
    extension.value string:
      value: The Bundle that is to be used to pre-populate the form
questionnaire.url:
  value: http://fhir.ch/ig/ch-rad-order/Questionnaire/QuestionnaireRadiologyOrder
questionnaire.name:
  value: QuestionnaireRadiologyOrder
questionnaire.title:
  value: Questionnaire Radiology Order
questionnaire.derived from:
  value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-questionnaire
  index: 0
  link: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-questionnaire
questionnaire.status:
  value: active
questionnaire.subject type:
  value: Patient
  index: 0
questionnaire.date:
  value: 2021-02-24
questionnaire.publisher:
  value: HL7 Switzerland
questionnaire.item:
  index: 0
  questionnaire.item.link id:
    value: order
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-document#Bundle
  questionnaire.item.text:
    value: Auftrag
  questionnaire.item.type:
    value: group
  questionnaire.item.required:
    value: true
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: order.title
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-composition#Composition.title
    questionnaire.item.text:
      value: Titel
    questionnaire.item.type:
      value: string
    questionnaire.item.required:
      value: true
    questionnaire.item.read only:
      value: true
  questionnaire.item.item:
    index: 1
    questionnaire.item.link id:
      value: order.type
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-composition#Composition.type
    questionnaire.item.text:
      value: Typ
    questionnaire.item.type:
      value: choice
    questionnaire.item.required:
      value: true
    questionnaire.item.read only:
      value: true
    questionnaire.item.answer value set:
      value: http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.typeCode
      link: http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.typeCode
  questionnaire.item.item:
    index: 2
    questionnaire.item.link id:
      value: order.category
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-composition#Composition.category
    questionnaire.item.text:
      value: Kategorie
    questionnaire.item.type:
      value: choice
    questionnaire.item.required:
      value: true
    questionnaire.item.read only:
      value: true
    questionnaire.item.answer value set:
      value: http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.classCode
      link: http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.classCode
  questionnaire.item.item:
    index: 3
    questionnaire.item.link id:
      value: order.placerOrderIdentifier
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-servicerequest#ServiceRequest.identifier:placerOrderIdentifier.value
    questionnaire.item.text:
      value: Auftragsnummer des Auftraggebers
    questionnaire.item.type:
      value: string
    questionnaire.item.required:
      value: true
  questionnaire.item.item:
    index: 4
    element.extension:
      index: 0
      extension.url:
        value: http://hl7.org/fhir/StructureDefinition/questionnaire-hidden
      extension.value boolean:
        value: true
    questionnaire.item.link id:
      value: order.placerOrderIdentifierDomain
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-servicerequest#ServiceRequest.identifier:placerOrderIdentifier.system
    questionnaire.item.text:
      value: Identifier Domain der Auftragsnummer des Auftraggebers
    questionnaire.item.type:
      value: string
    questionnaire.item.required:
      value: true
  questionnaire.item.item:
    index: 5
    questionnaire.item.link id:
      value: order.fillerOrderIdentifier
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-servicerequest#ServiceRequest.identifier:fillerOrderIdentifier.value
    questionnaire.item.text:
      value: Auftragsnummer des Auftragsempfängers
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 6
    element.extension:
      index: 0
      extension.url:
        value: http://hl7.org/fhir/StructureDefinition/questionnaire-hidden
      extension.value boolean:
        value: true
    questionnaire.item.link id:
      value: order.fillerOrderIdentifierDomain
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-servicerequest#ServiceRequest.identifier:fillerOrderIdentifier.system
    questionnaire.item.text:
      value: Identifier Domain der Auftragsnummer des Auftragsempfängers
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 7
    element.extension:
      index: 0
      extension.url:
        value: http://hl7.org/fhir/StructureDefinition/questionnaire-hidden
      extension.value boolean:
        value: true
    questionnaire.item.link id:
      value: order.precedentDocumentIdentifier
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-composition#Composition.extension:precedentDocument
    questionnaire.item.text:
      value: Identifier des Vorgängerdokuments

urn:…
type: PractitionerRole
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative organization: See above (Organization/null)

urn:…
type: Organization
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative name: Klinik Happy Hospital address: Seestrasse 133 Haus C Zürich 8000 Schweiz
organization.name:
  value: Klinik Happy Hospital
organization.address:
  index: 0
  address.line:
    value: Seestrasse 133
    index: 0
  address.line:
    value: Haus C
    index: 1
  address.city:
    value: Zürich
  address.postal code:
    value: 8000
  address.country:
    value: Schweiz

urn:…
type: Coverage
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative identifier: Insurance Card Number: 80756015090002647590 status: active type: According to KVG beneficiary: See above (Patient/null) payor: name: Sanitas
domain resource.contained: Organization
  index: 0
  resource.id:
    value: org
  organization.name:
    value: Sanitas
coverage.identifier:
  index: 0
  identifier.type:
    codeable concept.coding:
      index: 0
      coding.system:
        value: http://fhir.ch/ig/ch-orf/CodeSystem/ch-orf-cs-coverageidentifiertype
      coding.code:
        value: VeKa
  identifier.value:
    value: 80756015090002647590
coverage.status:
  value: active
coverage.type:
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://fhir.ch/ig/ch-orf/CodeSystem/ch-orf-cs-coveragetype
    coding.code:
      value: KVG
coverage.payor:
  index: 0
  reference.reference:
    value: #org

urn:…
type: PractitionerRole
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative practitioner: See above (Practitioner/null) organization: See above (Organization/null)

urn:…
type: Practitioner
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative identifier: id: 7601000034321 name: Ottilie Rderplacer telecom: +41 44 333 22 11, o.rderplacer@happydoctors.ch
practitioner.identifier:
  index: 0
  identifier.system:
    value: urn:oid:2.51.1.3
  identifier.value:
    value: 7601000034321
practitioner.name:
  index: 0
  human name.family:
    value: Rderplacer
  human name.given:
    value: Ottilie
    index: 0
  human name.prefix:
    value: Dr. med.
    index: 0
    element.extension:
      index: 0
      extension.url:
        value: http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier
      extension.value code:
        value: AC
practitioner.telecom:
  index: 0
  contact point.system:
    value: phone
  contact point.value:
    value: +41 44 333 22 11
practitioner.telecom:
  index: 1
  contact point.system:
    value: email

urn:…
type: Organization
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative name: Praxis Happy Doctors address: Kantonsstrasse 14 Postfach 14 Zürich 8000 Schweiz
organization.name:
  value: Praxis Happy Doctors
organization.address:
  index: 0
  address.line:
    value: Kantonsstrasse 14
    index: 0
  address.line:
    value: Postfach 14
    index: 1
  address.city:
    value: Zürich
  address.postal code:
    value: 8000
  address.country:
    value: Schweiz

urn:…
type: PractitionerRole
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative practitioner: See above (Practitioner/null) organization: See above (Organization/null)

urn:…
type: Practitioner
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative name: Doris Ataenterer telecom: +41 44 333 22 11, d.ataenterer@happydoctors.ch
practitioner.name:
  index: 0
  human name.family:
    value: Ataenterer
  human name.given:
    value: Doris
    index: 0
practitioner.telecom:
  index: 0
  contact point.system:
    value: phone
  contact point.value:
    value: +41 44 333 22 11
practitioner.telecom:
  index: 1
  contact point.system:
    value: email

urn:…
type: Patient
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative name: Susanna Ufferer telecom: +41 79 979 79 79, susanna@ufferer.ch address: Musterweg 6a Zürich 8000 Schweiz
patient.name:
  index: 0
  human name.family:
    value: Ufferer
  human name.given:
    value: Susanna
    index: 0
patient.telecom:
  index: 0
  contact point.system:
    value: phone
  contact point.value:
    value: +41 79 979 79 79
patient.telecom:
  index: 1
  contact point.system:
    value: email
patient.address:
  index: 0
  address.line:
    value: Musterweg
    index: 0
  address.line:
    value: 6a
    index: 1
  address.city:
    value: Zürich
  address.postal code:
    value: 8000
  address.country:
    value: Schweiz

urn:…
type: Appointment
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative status: proposed patientInstruction: Wunschtermin der Patientin Participants - Actor Status * See above (Location/null) tentative requestedPeriod: Apr 1, 2019, 5:00:00 PM --> Apr 1, 2019, 5:30:00 PM
appointment.status:
  value: proposed
appointment.patient instruction:
  value: Wunschtermin der Patientin
appointment.participant:
  index: 0
  appointment.participant.status:
    value: tentative
appointment.requested period:
  index: 0
  period.start:
    value: 2019-04-01T15:00:00.000+00:00
  period.end:
    value: 2019-04-01T15:30:00.000+00:00

urn:…
type: Location
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative name: Radiologie telecom: +41 44 412 65 56 address: Zürich 8000 Schweiz
location.name:
  value: Radiologie
location.telecom:
  index: 0
  contact point.system:
    value: phone
  contact point.value:
    value: +41 44 412 65 56
location.address:
  address.city:
    value: Zürich
  address.postal code:
    value: 8000
  address.country:
    value: Schweiz

urn:…
type: Condition
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative category: Problem List Item code: Secondary Diagnosis 1 subject: See above (Patient/null)
condition.category:
  index: 0
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://terminology.hl7.org/CodeSystem/condition-category
    coding.code:
      value: problem-list-item
    coding.display:
      value: Problem List Item
condition.code:
  codeable concept.text:
    value: Secondary Diagnosis 1

urn:…
type: Condition
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative category: Problem List Item code: Secondary Diagnosis 2 subject: See above (Patient/null)
condition.category:
  index: 0
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://terminology.hl7.org/CodeSystem/condition-category
    coding.code:
      value: problem-list-item
    coding.display:
      value: Problem List Item
condition.code:
  codeable concept.text:
    value: Secondary Diagnosis 2

urn:…
type: Condition
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative category: Problem List Item code: Blood coagulation disorder (disorder) subject: See above (Patient/null)
condition.category:
  index: 0
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://terminology.hl7.org/CodeSystem/condition-category
    coding.code:
      value: problem-list-item
    coding.display:
      value: Problem List Item
condition.code:
  codeable concept.coding: http://snomed.info/id/64779008
    index: 0
    coding.system:
      value: http://snomed.info/sct
    coding.code:
      value: 64779008
    coding.display:
      value: Blood coagulation disorder (disorder)

urn:…
type: Condition
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative category: Problem List Item code: Renal insufficiency (disorder) subject: See above (Patient/null) Evidences - Detail * See above (Observation/null)
condition.category:
  index: 0
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://terminology.hl7.org/CodeSystem/condition-category
    coding.code:
      value: problem-list-item
    coding.display:
      value: Problem List Item
condition.code:
  codeable concept.coding: http://snomed.info/id/723188008
    index: 0
    coding.system:
      value: http://snomed.info/sct
    coding.code:
      value: 723188008
    coding.display:
      value: Renal insufficiency (disorder)
condition.evidence:
  index: 0
  condition.evidence.detail:
    index: 0

urn:…
type: Observation
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative code: Renal insufficiency (disorder) subject: See above (Patient/null) effective: Apr 1, 2019, 12:10:00 PM value: 90 umol/L
observation.status:
  value: final
observation.code:
  codeable concept.coding: http://snomed.info/id/723188008
    index: 0
    coding.system:
      value: http://snomed.info/sct
    coding.code:
      value: 723188008
    coding.display:
      value: Renal insufficiency (disorder)
observation.effective date time:
  value: 2019-04-01T10:10:00.000+00:00
observation.value quantity:
  quantity.value:
    value: 90
  quantity.system:
    value: http://unitsofmeasure.org
  quantity.code:
    value: umol/L

urn:…
type: Condition
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative category: Problem List Item code: Body piercing (finding) subject: See above (Patient/null)
condition.category:
  index: 0
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://terminology.hl7.org/CodeSystem/condition-category
    coding.code:
      value: problem-list-item
    coding.display:
      value: Problem List Item
condition.code:
  codeable concept.coding: http://snomed.info/id/879862001
    index: 0
    coding.system:
      value: http://snomed.info/sct
    coding.code:
      value: 879862001
    coding.display:
      value: Body piercing (finding)

value: urn:oid:2.16.756.5.30.1.127.3.4

value: 2161000195103

value: Imaging order (record artifact)

value: 721963009

value: Order (record artifact)

value: routine

value: Die Anfrage hat normale Priorität.

value: female

value: Krankenkasse (nach KVG)

index: 0
questionnaire response.item.link id:
  value: coverage.kvg.name
questionnaire response.item.text:
  value: Name der Versicherung
questionnaire response.item.answer:
  index: 0
  questionnaire response.item.answer.value string:
    value: Sanitas

index: 1
questionnaire response.item.link id:
  value: coverage.kvg.insuranceCardNumber
questionnaire response.item.text:
  value: Kennnummer der Versichertenkarte
questionnaire response.item.answer:
  index: 0
  questionnaire response.item.answer.value string:
    value: 80756015090002647590

index: 3
questionnaire response.item.link id:
  value: sender
questionnaire response.item.text:
  value: Absender
questionnaire response.item.item:
  index: 0
  questionnaire response.item.link id:
    value: sender.author
  questionnaire response.item.text:
    value: Verantwortlicher
  questionnaire response.item.item:
    index: 0
    questionnaire response.item.link id:
      value: sender.author.practitioner
    questionnaire response.item.text:
      value: Verantwortliche Person
    questionnaire response.item.item:
      index: 0
      questionnaire response.item.link id:
        value: sender.author.practitioner.title
      questionnaire response.item.text:
        value: Titel
      questionnaire response.item.answer:
        index: 0
    questionnaire response.item.item:
      index: 1
      questionnaire response.item.link id:
        value: sender.author.practitioner.familyName
      questionnaire response.item.text:
        value: Name
      questionnaire response.item.answer:
        index: 0
    questionnaire response.item.item:
      index: 2
      questionnaire response.item.link id:
        value: sender.author.practitioner.givenName
      questionnaire response.item.text:
        value: Vorname
      questionnaire response.item.answer:
        index: 0
    questionnaire response.item.item:
      index: 3
      questionnaire response.item.link id:
        value: sender.author.practitioner.gln
      questionnaire response.item.text:
        value: GLN
      questionnaire response.item.answer:
        index: 0
    questionnaire response.item.item:
      index: 4
      questionnaire response.item.link id:
        value: sender.author.practitioner.phone
      questionnaire response.item.text:
        value: Telefon
      questionnaire response.item.answer:
        index: 0
    questionnaire response.item.item:
      index: 5
      questionnaire response.item.link id:
        value: sender.author.practitioner.email
      questionnaire response.item.text:
        value: E-Mail
      questionnaire response.item.answer:
        index: 0
  questionnaire response.item.item:
    index: 1
    questionnaire response.item.link id:
      value: sender.author.organization
    questionnaire response.item.text:
      value: Verantwortliche Organisation
    questionnaire response.item.item:
      index: 0
      questionnaire response.item.link id:
        value: sender.author.organization.name
      questionnaire response.item.text:
        value: Name der Organisation
      questionnaire response.item.answer:
        index: 0
    questionnaire response.item.item:
      index: 1
      questionnaire response.item.link id:
        value: sender.author.organization.streetAddressLine
      questionnaire response.item.text:
        value: Strasse, Hausnummer, Postfach etc.
      questionnaire response.item.answer:
        index: 0
      questionnaire response.item.answer:
        index: 1
    questionnaire response.item.item:
      index: 2
      questionnaire response.item.link id:
        value: sender.author.organization.postalCode
      questionnaire response.item.text:
        value: PLZ
      questionnaire response.item.answer:
        index: 0
    questionnaire response.item.item:
      index: 3
      questionnaire response.item.link id:
        value: sender.author.organization.city
      questionnaire response.item.text:
        value: Ort
      questionnaire response.item.answer:
        index: 0
    questionnaire response.item.item:
      index: 4
      questionnaire response.item.link id:
        value: sender.author.organization.country
      questionnaire response.item.text:
        value: Land
      questionnaire response.item.answer:
        index: 0
questionnaire response.item.item:
  index: 1
  questionnaire response.item.link id:
    value: sender.dataenterer
  questionnaire response.item.text:
    value: Erfasser
  questionnaire response.item.item:
    index: 0
    questionnaire response.item.link id:
      value: sender.dataenterer.practitioner
    questionnaire response.item.text:
      value: Erfassende Person
    questionnaire response.item.item:
      index: 0
      questionnaire response.item.link id:
        value: sender.dataenterer.practitioner.familyName
      questionnaire response.item.text:
        value: Name
      questionnaire response.item.answer:
        index: 0
    questionnaire response.item.item:
      index: 1
      questionnaire response.item.link id:
        value: sender.dataenterer.practitioner.givenName
      questionnaire response.item.text:
        value: Vorname
      questionnaire response.item.answer:
        index: 0
    questionnaire response.item.item:
      index: 2
      questionnaire response.item.link id:
        value: sender.dataenterer.practitioner.phone
      questionnaire response.item.text:
        value: Telefon
      questionnaire response.item.answer:
        index: 0
    questionnaire response.item.item:
      index: 3
      questionnaire response.item.link id:
        value: sender.dataenterer.practitioner.email
      questionnaire response.item.text:
        value: E-Mail
      questionnaire response.item.answer:
        index: 0

value: Dr. med.

value: Rderplacer

value: Ottilie

value: 7601000034321

value: +41 44 333 22 11

value: Praxis Happy Doctors

value: Kantonsstrasse 14

value: Postfach 14

value: 8000

value: Zürich

value: Schweiz

value: Ataenterer

value: Doris

value: +41 44 333 22 11

index: 4
questionnaire response.item.link id:
  value: receiver
questionnaire response.item.text:
  value: Empfänger
questionnaire response.item.item:
  index: 0
  questionnaire response.item.link id:
    value: receiver.organization
  questionnaire response.item.text:
    value: Empfangende Organisation
  questionnaire response.item.item:
    index: 0
    questionnaire response.item.link id:
      value: receiver.organization.name
    questionnaire response.item.text:
      value: Name der Organisation
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: Klinik Happy Hospital
  questionnaire response.item.item:
    index: 1
    questionnaire response.item.link id:
      value: receiver.organization.streetAddressLine
    questionnaire response.item.text:
      value: Strasse, Hausnummer, Postfach etc.
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: Seestrasse 133
    questionnaire response.item.answer:
      index: 1
      questionnaire response.item.answer.value string:
        value: Haus C
  questionnaire response.item.item:
    index: 2
    questionnaire response.item.link id:
      value: receiver.organization.postalCode
    questionnaire response.item.text:
      value: PLZ
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: 8000
  questionnaire response.item.item:
    index: 3
    questionnaire response.item.link id:
      value: receiver.organization.city
    questionnaire response.item.text:
      value: Ort
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: Zürich
  questionnaire response.item.item:
    index: 4
    questionnaire response.item.link id:
      value: receiver.organization.country
    questionnaire response.item.text:
      value: Land
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: Schweiz

index: 5
questionnaire response.item.link id:
  value: receiverCopies
questionnaire response.item.text:
  value: Kopieempfänger
questionnaire response.item.item:
  index: 0
  questionnaire response.item.link id:
    value: receiverCopy
  questionnaire response.item.text:
    value: Kopieempfangende Organisation oder Person
  questionnaire response.item.item:
    index: 0
    questionnaire response.item.link id:
      value: receiverCopy.familyName
    questionnaire response.item.text:
      value: Name
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: Ufferer
  questionnaire response.item.item:
    index: 1
    questionnaire response.item.link id:
      value: receiverCopy.givenName
    questionnaire response.item.text:
      value: Vorname
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: Susanna
  questionnaire response.item.item:
    index: 2
    questionnaire response.item.link id:
      value: receiverCopy.phone
    questionnaire response.item.text:
      value: Telefon
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: +41 79 979 79 79
  questionnaire response.item.item:
    index: 3
    questionnaire response.item.link id:
      value: receiverCopy.email
    questionnaire response.item.text:
      value: E-Mail
    questionnaire response.item.answer:
      index: 0
  questionnaire response.item.item:
    index: 4
    questionnaire response.item.link id:
      value: receiverCopy.streetAddressLine
    questionnaire response.item.text:
      value: Strasse, Hausnummer, Postfach etc.
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: Musterweg
    questionnaire response.item.answer:
      index: 1
      questionnaire response.item.answer.value string:
        value: 6a
  questionnaire response.item.item:
    index: 5
    questionnaire response.item.link id:
      value: receiverCopy.postalCode
    questionnaire response.item.text:
      value: PLZ
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: 8000
  questionnaire response.item.item:
    index: 6
    questionnaire response.item.link id:
      value: receiverCopy.city
    questionnaire response.item.text:
      value: Ort
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: Zürich
  questionnaire response.item.item:
    index: 7
    questionnaire response.item.link id:
      value: receiverCopy.country
    questionnaire response.item.text:
      value: Land
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: Schweiz

index: 6
questionnaire response.item.link id:
  value: appointment
questionnaire response.item.text:
  value: Ort und Zeit der Durchführung der angeforderten Leistung
questionnaire response.item.item:
  index: 0
  questionnaire response.item.link id:
    value: appointment.location
  questionnaire response.item.text:
    value: Ort der Durchführung
  questionnaire response.item.item:
    index: 0
    questionnaire response.item.link id:
      value: appointment.location.name
    questionnaire response.item.text:
      value: Name
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: Radiologie
  questionnaire response.item.item:
    index: 1
    questionnaire response.item.link id:
      value: appointment.location.phone
    questionnaire response.item.text:
      value: Telefon
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: +41 44 412 65 56
  questionnaire response.item.item:
    index: 2
    questionnaire response.item.link id:
      value: appointment.location.streetAddressLine
    questionnaire response.item.text:
      value: Strasse, Hausnummer, Postfach etc.
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: Seestrasse 133
    questionnaire response.item.answer:
      index: 1
      questionnaire response.item.answer.value string:
        value: Röntgen
  questionnaire response.item.item:
    index: 3
    questionnaire response.item.link id:
      value: appointment.location.postalCode
    questionnaire response.item.text:
      value: PLZ
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: 8000
  questionnaire response.item.item:
    index: 4
    questionnaire response.item.link id:
      value: appointment.location.city
    questionnaire response.item.text:
      value: Ort
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: Zürich
  questionnaire response.item.item:
    index: 5
    questionnaire response.item.link id:
      value: appointment.location.country
    questionnaire response.item.text:
      value: Land
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: Schweiz
questionnaire response.item.item:
  index: 1
  questionnaire response.item.link id:
    value: appointment.requestedPeriod
  questionnaire response.item.text:
    value: Datum und Zeit, wann der Termin bevorzugt geplant werden soll
  questionnaire response.item.item:
    index: 0
    questionnaire response.item.link id:
      value: appointment.requestedPeriod.start
    questionnaire response.item.text:
      value: Von
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value date time:
        value: 2019-04-01T15:00:00.000+00:00
  questionnaire response.item.item:
    index: 1
    questionnaire response.item.link id:
      value: appointment.requestedPeriod.end
    questionnaire response.item.text:
      value: Bis
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value date time:
        value: 2019-04-01T15:30:00.000+00:00
questionnaire response.item.item:
  index: 2
  questionnaire response.item.link id:
    value: appointment.status
  questionnaire response.item.text:
    value: Status
  questionnaire response.item.answer:
    index: 0
    questionnaire response.item.answer.value coding:
      coding.system:
        value: http://hl7.org/fhir/appointmentstatus
      coding.code:
        value: proposed
questionnaire response.item.item:
  index: 3
  questionnaire response.item.link id:
    value: appointment.patientInstruction
  questionnaire response.item.text:
    value: Patienteninformation für diesen Termin
  questionnaire response.item.answer:
    index: 0
    questionnaire response.item.answer.value string:
      value: Wunschtermin der Patientin

index: 7
questionnaire response.item.link id:
  value: requestedService
questionnaire response.item.text:
  value: Angeforderte Leistung
questionnaire response.item.item:
  index: 0
  questionnaire response.item.link id:
    value: requestedService.service
  questionnaire response.item.text:
    value: Leistung
  questionnaire response.item.answer:
    index: 0
    questionnaire response.item.answer.value coding:
      coding.system:
        value: http://fhir.ch/ig/ch-rad-order/CodeSystem/ch-rad-order-requested-service
      coding.code:
        value: ImagingRequest
      coding.display:
        value: Imaging Request

index: 8
questionnaire response.item.link id:
  value: reason
questionnaire response.item.text:
  value: Klinische Fragestellung
questionnaire response.item.item:
  index: 0
  questionnaire response.item.link id:
    value: reason.question
  questionnaire response.item.text:
    value: Fragestellung
  questionnaire response.item.answer:
    index: 0
    questionnaire response.item.answer.value string:
      value: Diagnostic Question

index: 9
questionnaire response.item.link id:
  value: imagingService
questionnaire response.item.text:
  value: Bildgebendes Verfahren
questionnaire response.item.item:
  index: 0
  questionnaire response.item.link id:
    value: imagingService.type
  questionnaire response.item.text:
    value: Art
  questionnaire response.item.answer:
    index: 0
    questionnaire response.item.answer.value coding:
      coding.system:
        value: http://www.radlex.org
      coding.code:
        value: RID10345
      coding.display:
        value: projection radiography

index: 10
questionnaire response.item.link id:
  value: orderDetail
questionnaire response.item.text:
  value: Weitere Angaben zur Bildgebung
questionnaire response.item.item:
  index: 0
  questionnaire response.item.link id:
    value: orderDetail.imagingRegion
  questionnaire response.item.text:
    value: Region
  questionnaire response.item.answer:
    index: 0
    questionnaire response.item.answer.value coding:
      coding.system:
        value: http://www.radlex.org
      coding.code:
        value: RID1243
      coding.display:
        value: Thorax
questionnaire response.item.item:
  index: 1
  questionnaire response.item.link id:
    value: orderDetail.imagingFocus
  questionnaire response.item.text:
    value: Fokus
  questionnaire response.item.answer:
    index: 0
    questionnaire response.item.answer.value coding:
      coding.system:
        value: http://www.radlex.org
      coding.code:
        value: RID2468
      coding.display:
        value: Chest wall

index: 11
questionnaire response.item.link id:
  value: desiredRadiologist
questionnaire response.item.text:
  value: Gewünschter Radiologe für die Befundung / für die Intervention
questionnaire response.item.item:
  index: 0
  questionnaire response.item.link id:
    value: desiredRadiologist.familyName
  questionnaire response.item.text:
    value: Name
  questionnaire response.item.answer:
    index: 0
    questionnaire response.item.answer.value string:
      value: Rderfiller
questionnaire response.item.item:
  index: 1
  questionnaire response.item.link id:
    value: desiredRadiologist.givenName
  questionnaire response.item.text:
    value: Vorname
  questionnaire response.item.answer:
    index: 0
    questionnaire response.item.answer.value string:
      value: Otto

index: 12
questionnaire response.item.link id:
  value: diagnosisList
questionnaire response.item.text:
  value: Diagnosen und Befunde
questionnaire response.item.item:
  index: 0
  questionnaire response.item.link id:
    value: diagnosisList.primaryDiagnosis
  questionnaire response.item.text:
    value: Hauptdiagnose
  questionnaire response.item.answer:
    index: 0
    questionnaire response.item.answer.value string:
      value: Primary Diagnosis
questionnaire response.item.item:
  index: 1
  questionnaire response.item.link id:
    value: diagnosisList.secondaryDiagnosis
  questionnaire response.item.text:
    value: Nebendiagnose
  questionnaire response.item.answer:
    index: 0
    questionnaire response.item.answer.value string:
      value: Secondary Diagnosis 1
  questionnaire response.item.answer:
    index: 1
    questionnaire response.item.answer.value string:
      value: Secondary Diagnosis 2
questionnaire response.item.item:
  index: 2
  questionnaire response.item.link id:
    value: diagnosisList.bodyHeight
  questionnaire response.item.text:
    value: Grösse (cm)
  questionnaire response.item.answer:
    index: 0
    questionnaire response.item.answer.value quantity:
      quantity.value:
        value: 176
      quantity.unit:
        value: cm
      quantity.system:
        value: http://unitsofmeasure.org
      quantity.code:
        value: cm
questionnaire response.item.item:
  index: 3
  questionnaire response.item.link id:
    value: diagnosisList.bodyWeight
  questionnaire response.item.text:
    value: Gewicht (kg)
  questionnaire response.item.answer:
    index: 0
    questionnaire response.item.answer.value quantity:
      quantity.value:
        value: 99
      quantity.unit:
        value: kg
      quantity.system:
        value: http://unitsofmeasure.org
      quantity.code:
        value: kg

index: 13
questionnaire response.item.link id:
  value: caveat
questionnaire response.item.text:
  value: Caveats
questionnaire response.item.item:
  index: 0
  questionnaire response.item.link id:
    value: caveat.bloodCoagulation
  questionnaire response.item.text:
    value: Beinträchtigte Blutgerinnung
  questionnaire response.item.answer:
    index: 0
    questionnaire response.item.answer.value boolean:
      value: true
questionnaire response.item.item:
  index: 1
  questionnaire response.item.link id:
    value: caveat.renalInsufficiency
  questionnaire response.item.text:
    value: Niereninsuffizienz
  questionnaire response.item.answer:
    index: 0
    questionnaire response.item.answer.value boolean:
      value: true
    questionnaire response.item.answer.item:
      index: 0
      questionnaire response.item.link id:
        value: caveat.renalInsufficiency.creatinineClearance
      questionnaire response.item.text:
        value: Creatinin-Clearance
      questionnaire response.item.item:
        index: 0
      questionnaire response.item.item:
        index: 1
    questionnaire response.item.answer.item:
      index: 1
      questionnaire response.item.link id:
        value: caveat.renalInsufficiency.creatinine
      questionnaire response.item.text:
        value: Creatinin
      questionnaire response.item.item:
        index: 0
      questionnaire response.item.item:
        index: 1
questionnaire response.item.item:
  index: 2
  questionnaire response.item.link id:
    value: caveat.bodyPiercing
  questionnaire response.item.text:
    value: Körperpiercing
  questionnaire response.item.answer:
    index: 0
    questionnaire response.item.answer.value boolean:
      value: true
questionnaire response.item.item:
  index: 3
  questionnaire response.item.link id:
    value: caveat.device
  questionnaire response.item.text:
    value: Device (Herzschrittmacher, Herzklappenersatz, Insulinpumpe etc.)
  questionnaire response.item.answer:
    index: 0
    questionnaire response.item.answer.value coding: http://snomed.info/id/441509002
      coding.system:
        value: http://snomed.info/sct
      coding.code:
        value: 441509002
      coding.display:
        value: Cardiac pacemaker in situ
questionnaire response.item.item:
  index: 4
  questionnaire response.item.link id:
    value: caveat.drugPrescription
  questionnaire response.item.text:
    value: Relevante Medikamente, z.B. Metformin
  questionnaire response.item.answer:
    index: 0
    questionnaire response.item.answer.value coding: http://snomed.info/id/372567009
      coding.system:
        value: http://snomed.info/sct
      coding.code:
        value: 372567009
      coding.display:
        value: Metformin (substance)

value: caveat.renalInsufficiency.creatinineClearance.quantity

value: Wert (ml/min)

index: 0
questionnaire response.item.answer.value quantity:
  quantity.value:
    value: 55
  quantity.system:
    value: http://unitsofmeasure.org
  quantity.code:
    value: mL/min

value: caveat.renalInsufficiency.creatinineClearance.dateTime

value: Zeitpunkt der Bestimmung

index: 0
questionnaire response.item.answer.value date time:
  value: 2019-04-01T10:10:00.000+00:00

value: caveat.renalInsufficiency.creatinine.quantity

value: Wert (µmol/l)

index: 0
questionnaire response.item.answer.value quantity:
  quantity.value:
    value: 90
  quantity.system:
    value: http://unitsofmeasure.org
  quantity.code:
    value: umol/L

value: caveat.renalInsufficiency.creatinine.dateTime

value: Zeitpunkt der Bestimmung

index: 0
questionnaire response.item.answer.value date time:
  value: 2019-04-01T10:10:00.000+00:00

index: 14
questionnaire response.item.link id:
  value: previousResults
questionnaire response.item.text:
  value: Vorherige Untersuchungsresultate
questionnaire response.item.item:
  index: 0
  questionnaire response.item.link id:
    value: previousResults.attachment
  questionnaire response.item.text:
    value: Anhang
  questionnaire response.item.item:
    index: 0
    questionnaire response.item.link id:
      value: previousResults.attachtment.title
    questionnaire response.item.text:
      value: Dateiname und -endung der angehängten Datei (z.B. "shoulder_re_F_Muster_12021988.pdf")
    questionnaire response.item.answer:
      index: 0
      questionnaire response.item.answer.value string:
        value: xray_chest_S_Ufferer_20190401.dcm

index: 15
questionnaire response.item.link id:
  value: note
questionnaire response.item.text:
  value: Bemerkungen
questionnaire response.item.item:
  index: 0
  questionnaire response.item.link id:
    value: note.text
  questionnaire response.item.text:
    value: Kommentar
  questionnaire response.item.answer:
    index: 0
    questionnaire response.item.answer.value string:
      value: Bemerkung/Kommentar

value: string

index: 8
questionnaire.item.link id:
  value: order.notificationContactDocument
questionnaire.item.definition:
  value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-composition#Composition.extension:urgentNoficationContactForThisDocument
questionnaire.item.text:
  value: Dringender Benachrichtigungskontakt für dieses Dokument
questionnaire.item.type:
  value: group
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: order.notificationContactDocument.practitioner
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.practitioner
  questionnaire.item.text:
    value: Zu benachrichtigende Person
  questionnaire.item.type:
    value: group
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: order.notificationContactDocument.practitioner.title
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.prefix
    questionnaire.item.text:
      value: Titel
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 1
    questionnaire.item.link id:
      value: order.notificationContactDocument.practitioner.familyName
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.family
    questionnaire.item.text:
      value: Name
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 2
    questionnaire.item.link id:
      value: order.notificationContactDocument.practitioner.givenName
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.given
    questionnaire.item.text:
      value: Vorname
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 3
    questionnaire.item.link id:
      value: order.notificationContactDocument.practitioner.phone
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value
    questionnaire.item.text:
      value: Telefon
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 4
    questionnaire.item.link id:
      value: order.notificationContactDocument.practitioner.email
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value
    questionnaire.item.text:
      value: E-Mail
    questionnaire.item.type:
      value: string

index: 9
questionnaire.item.link id:
  value: order.notificationContactDocumentResponse
questionnaire.item.definition:
  value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-composition#Composition.extension:urgentNoficationContactForTheResponseToThisDocument
questionnaire.item.text:
  value: Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument
questionnaire.item.type:
  value: group
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: order.notificationContactDocumentResponse.practitioner
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.practitioner
  questionnaire.item.text:
    value: Zu benachrichtigende Person
  questionnaire.item.type:
    value: group
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: order.notificationContactDocumentResponse.practitioner.title
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.prefix
    questionnaire.item.text:
      value: Titel
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 1
    questionnaire.item.link id:
      value: order.notificationContactDocumentResponse.practitioner.familyName
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.family
    questionnaire.item.text:
      value: Name
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 2
    questionnaire.item.link id:
      value: order.notificationContactDocumentResponse.practitioner.givenName
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.given
    questionnaire.item.text:
      value: Vorname
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 3
    questionnaire.item.link id:
      value: order.notificationContactDocumentResponse.practitioner.phone
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value
    questionnaire.item.text:
      value: Telefon
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 4
    questionnaire.item.link id:
      value: order.notificationContactDocumentResponse.practitioner.email
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value
    questionnaire.item.text:
      value: E-Mail
    questionnaire.item.type:
      value: string

index: 10
questionnaire.item.link id:
  value: order.priority
questionnaire.item.definition:
  value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-servicerequest#ServiceRequest.priority
questionnaire.item.text:
  value: Auftragspriorität
questionnaire.item.type:
  value: choice
questionnaire.item.answer option:
  index: 0
  questionnaire.item.answer option.value coding:
    coding.system:
      value: http://hl7.org/fhir/request-priority
    coding.code:
      value: routine
    coding.display:
      value: Die Anfrage hat normale Priorität.
  questionnaire.item.answer option.initial selected:
    value: true
questionnaire.item.answer option:
  index: 1
  questionnaire.item.answer option.value coding:
    coding.system:
      value: http://hl7.org/fhir/request-priority
    coding.code:
      value: urgent
    coding.display:
      value: Die Anfrage sollte dringend bearbeitet werden - höhere Priorität als normal.
questionnaire.item.answer option:
  index: 2
  questionnaire.item.answer option.value coding:
    coding.system:
      value: http://hl7.org/fhir/request-priority
    coding.code:
      value: asap
    coding.display:
      value: Die Anfrage sollte so schnell wie möglich bearbeitet werden - höhere Priorität als dringend.
questionnaire.item.answer option:
  index: 3
  questionnaire.item.answer option.value coding:
    coding.system:
      value: http://hl7.org/fhir/request-priority
    coding.code:
      value: stat
    coding.display:
      value: Die Anfrage sollte sofort bearbeitet werden - höchstmögliche Priorität. Z.B. bei einem Notfall.

index: 1
questionnaire.item.link id:
  value: patient
questionnaire.item.definition:
  value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-composition#Composition.subject
questionnaire.item.text:
  value: Patient
questionnaire.item.type:
  value: group
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: patient.familyName
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.name.family
  questionnaire.item.text:
    value: Name
  questionnaire.item.type:
    value: string
questionnaire.item.item:
  index: 1
  questionnaire.item.link id:
    value: patient.maidenName
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.name.family
  questionnaire.item.text:
    value: Ledigname
  questionnaire.item.type:
    value: string
questionnaire.item.item:
  index: 2
  questionnaire.item.link id:
    value: patient.givenName
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.name.given
  questionnaire.item.text:
    value: Vorname
  questionnaire.item.type:
    value: string
questionnaire.item.item:
  index: 3
  questionnaire.item.link id:
    value: patient.localPid
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.identifier:LocalPid.value
  questionnaire.item.text:
    value: Lokale Patienten-ID
  questionnaire.item.type:
    value: string
questionnaire.item.item:
  index: 4
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/questionnaire-hidden
    extension.value boolean:
      value: true
  questionnaire.item.link id:
    value: patient.localPidDomain
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.identifier:LocalPid.system
  questionnaire.item.text:
    value: Lokale Patienten-ID Domain
  questionnaire.item.type:
    value: string
questionnaire.item.item:
  index: 5
  questionnaire.item.link id:
    value: patient.birthDate
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.birthDate
  questionnaire.item.text:
    value: Geburtsdatum
  questionnaire.item.type:
    value: date
questionnaire.item.item:
  index: 6
  questionnaire.item.link id:
    value: patient.gender
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.gender
  questionnaire.item.text:
    value: Geschlecht
  questionnaire.item.type:
    value: choice
  questionnaire.item.answer option:
    index: 0
    questionnaire.item.answer option.value coding:
      coding.system:
        value: http://hl7.org/fhir/administrative-gender
      coding.code:
        value: male
      coding.display:
        value: Männlich
    questionnaire.item.answer option.initial selected:
      value: true
  questionnaire.item.answer option:
    index: 1
    questionnaire.item.answer option.value coding:
      coding.system:
        value: http://hl7.org/fhir/administrative-gender
      coding.code:
        value: female
      coding.display:
        value: Weiblich
  questionnaire.item.answer option:
    index: 2
    questionnaire.item.answer option.value coding:
      coding.system:
        value: http://hl7.org/fhir/administrative-gender
      coding.code:
        value: other
      coding.display:
        value: Anderes
questionnaire.item.item:
  index: 7
  questionnaire.item.link id:
    value: patient.phone
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.telecom.value
  questionnaire.item.text:
    value: Telefon
  questionnaire.item.type:
    value: string
  questionnaire.item.repeats:
    value: true
questionnaire.item.item:
  index: 8
  questionnaire.item.link id:
    value: patient.email
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.telecom.value
  questionnaire.item.text:
    value: E-Mail
  questionnaire.item.type:
    value: string
questionnaire.item.item:
  index: 9
  questionnaire.item.link id:
    value: patient.streetAddressLine
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.address.line
  questionnaire.item.text:
    value: Strasse, Hausnummer, Postfach etc.
  questionnaire.item.type:
    value: string
  questionnaire.item.repeats:
    value: true
questionnaire.item.item:
  index: 10
  questionnaire.item.link id:
    value: patient.postalCode
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.address.postalCode
  questionnaire.item.text:
    value: PLZ
  questionnaire.item.type:
    value: string
questionnaire.item.item:
  index: 11
  questionnaire.item.link id:
    value: patient.city
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.address.city
  questionnaire.item.text:
    value: Ort
  questionnaire.item.type:
    value: string
questionnaire.item.item:
  index: 12
  questionnaire.item.link id:
    value: patient.country
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.address.country
  questionnaire.item.text:
    value: Land
  questionnaire.item.type:
    value: string

index: 2
questionnaire.item.link id:
  value: requestedEncounter
questionnaire.item.definition:
  value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-servicerequest#ServiceRequest.extension:requestedEncounterDetails
questionnaire.item.text:
  value: Patientenaufnahme
questionnaire.item.type:
  value: group
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: requestedEncounter.class
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-encounter#Encounter.class
  questionnaire.item.text:
    value: Voraussichtlich: Ambulant / Stationär / Notfall
  questionnaire.item.type:
    value: choice
  questionnaire.item.required:
    value: true
  questionnaire.item.answer option:
    index: 0
    questionnaire.item.answer option.value coding:
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/v3-ActCode
      coding.code:
        value: AMB
      coding.display:
        value: Ambulant
  questionnaire.item.answer option:
    index: 1
    questionnaire.item.answer option.value coding:
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/v3-ActCode
      coding.code:
        value: IMP
      coding.display:
        value: Stationär
  questionnaire.item.answer option:
    index: 2
    questionnaire.item.answer option.value coding:
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/v3-ActCode
      coding.code:
        value: EMER
      coding.display:
        value: Notfall
questionnaire.item.item:
  index: 1
  questionnaire.item.link id:
    value: requestedEncounter.desiredAccommodation
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-encounter#Encounter.extension:desiredAccommodation
  questionnaire.item.text:
    value: Zimmerkategorie
  questionnaire.item.type:
    value: choice
  questionnaire.item.answer option:
    index: 0
    questionnaire.item.answer option.value coding:
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/v3-ActCode
      coding.code:
        value: P
      coding.display:
        value: Einerzimmer
  questionnaire.item.answer option:
    index: 1
    questionnaire.item.answer option.value coding:
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/v3-ActCode
      coding.code:
        value: SP
      coding.display:
        value: Zweierzimmer
  questionnaire.item.answer option:
    index: 2
    questionnaire.item.answer option.value coding:
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/v3-ActCode
      coding.code:
        value: W
      coding.display:
        value: Mehrbettzimmer

index: 3
questionnaire.item.link id:
  value: coverage
questionnaire.item.definition:
  value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-servicerequest#ServiceRequest.insurance
questionnaire.item.text:
  value: Kostenträger
questionnaire.item.type:
  value: group
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: coverage.beneficiary
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.beneficiary
  questionnaire.item.text:
    value: Begünstigter (Patient)
  questionnaire.item.type:
    value: group
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: coverage.beneficiary.ahvn13
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.identifier:AHVN13
    questionnaire.item.text:
      value: AHV-Nr. des Patienten
    questionnaire.item.type:
      value: string
questionnaire.item.item:
  index: 1
  questionnaire.item.link id:
    value: coverage.kvg
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type
  questionnaire.item.text:
    value: Krankenkasse (nach KVG)
  questionnaire.item.type:
    value: group
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: coverage.kvg.name
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor
    questionnaire.item.text:
      value: Name der Versicherung
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 1
    questionnaire.item.link id:
      value: coverage.kvg.insuranceCardNumber
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier
    questionnaire.item.text:
      value: Kennnummer der Versichertenkarte
    questionnaire.item.type:
      value: string
questionnaire.item.item:
  index: 2
  questionnaire.item.link id:
    value: coverage.uvg
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type
  questionnaire.item.text:
    value: Unfallversicherung (nach UVG)
  questionnaire.item.type:
    value: group
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: coverage.uvg.name
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor
    questionnaire.item.text:
      value: Name der Versicherung
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 1
    questionnaire.item.link id:
      value: coverage.uvg.claimNumber
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier
    questionnaire.item.text:
      value: Schadennummer
    questionnaire.item.type:
      value: string
questionnaire.item.item:
  index: 3
  questionnaire.item.link id:
    value: coverage.vvg
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type
  questionnaire.item.text:
    value: Zusatzversicherung (nach VVG)
  questionnaire.item.type:
    value: group
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: coverage.vvg.name
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor
    questionnaire.item.text:
      value: Name der Versicherung
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 1
    questionnaire.item.link id:
      value: coverage.vvg.insuranceCardNumber
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier
    questionnaire.item.text:
      value: Kennnummer der Versichertenkarte
    questionnaire.item.type:
      value: string
questionnaire.item.item:
  index: 4
  questionnaire.item.link id:
    value: coverage.iv
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type
  questionnaire.item.text:
    value: Invalidenversicherung (IV)
  questionnaire.item.type:
    value: group
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: coverage.iv.verfuegungsnummer
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier
    questionnaire.item.text:
      value: IV-Verfügungsnummer
    questionnaire.item.type:
      value: string
questionnaire.item.item:
  index: 5
  questionnaire.item.link id:
    value: coverage.mv
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type
  questionnaire.item.text:
    value: Militärversicherung (MV)
  questionnaire.item.type:
    value: group
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: coverage.mv.versichertennummer
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier
    questionnaire.item.text:
      value: MV-Versichertennummer
    questionnaire.item.type:
      value: string
questionnaire.item.item:
  index: 6
  questionnaire.item.link id:
    value: coverage.self
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type
  questionnaire.item.text:
    value: Selbstzahler
  questionnaire.item.type:
    value: group
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: coverage.self.familyName
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor
    questionnaire.item.text:
      value: Name
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 1
    questionnaire.item.link id:
      value: coverage.self.givenName
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor
    questionnaire.item.text:
      value: Vorname
    questionnaire.item.type:
      value: string
questionnaire.item.item:
  index: 7
  questionnaire.item.link id:
    value: coverage.other
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type
  questionnaire.item.text:
    value: Anderer Kostenträger
  questionnaire.item.type:
    value: group
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: coverage.other.name

value: Name des Kostenträgers

value: string

index: 1
questionnaire.item.link id:
  value: coverage.other.id
questionnaire.item.definition:
  value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier
questionnaire.item.text:
  value: Beliebige ID
questionnaire.item.type:
  value: string

index: 2
questionnaire.item.link id:
  value: coverage.other.id.note
questionnaire.item.definition:
  value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier.type.text
questionnaire.item.text:
  value: Bemerkung zur ID
questionnaire.item.type:
  value: string

index: 4
questionnaire.item.link id:
  value: sender
questionnaire.item.text:
  value: Absender
questionnaire.item.type:
  value: group
questionnaire.item.required:
  value: true
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: sender.author
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-composition#Composition.author
  questionnaire.item.text:
    value: Verantwortlicher
  questionnaire.item.type:
    value: group
  questionnaire.item.required:
    value: true
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: sender.author.practitioner
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.practitioner
    questionnaire.item.text:
      value: Verantwortliche Person
    questionnaire.item.type:
      value: group
    questionnaire.item.required:
      value: true
    questionnaire.item.item:
      index: 0
      questionnaire.item.link id:
        value: sender.author.practitioner.title
      questionnaire.item.definition:
        value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.prefix
      questionnaire.item.text:
        value: Titel
      questionnaire.item.type:
        value: string
    questionnaire.item.item:
      index: 1
      questionnaire.item.link id:
        value: sender.author.practitioner.familyName
      questionnaire.item.definition:
        value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.family
      questionnaire.item.text:
        value: Name
      questionnaire.item.type:
        value: string
      questionnaire.item.required:
        value: true
    questionnaire.item.item:
      index: 2
      questionnaire.item.link id:
        value: sender.author.practitioner.givenName
      questionnaire.item.definition:
        value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.given
      questionnaire.item.text:
        value: Vorname
      questionnaire.item.type:
        value: string
      questionnaire.item.required:
        value: true
    questionnaire.item.item:
      index: 3
      questionnaire.item.link id:
        value: sender.author.practitioner.gln
      questionnaire.item.definition:
        value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.identifier:GLN.value
      questionnaire.item.text:
        value: GLN
      questionnaire.item.type:
        value: string
    questionnaire.item.item:
      index: 4
      questionnaire.item.link id:
        value: sender.author.practitioner.phone
      questionnaire.item.definition:
        value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value
      questionnaire.item.text:
        value: Telefon
      questionnaire.item.type:
        value: string
    questionnaire.item.item:
      index: 5
      questionnaire.item.link id:
        value: sender.author.practitioner.email
      questionnaire.item.definition:
        value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value
      questionnaire.item.text:
        value: E-Mail
      questionnaire.item.type:
        value: string
  questionnaire.item.item:
    index: 1
    questionnaire.item.link id:
      value: sender.author.organization
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.organization
    questionnaire.item.text:
      value: Verantwortliche Organisation
    questionnaire.item.type:
      value: group
    questionnaire.item.required:
      value: true
    questionnaire.item.item:
      index: 0
      questionnaire.item.link id:
        value: sender.author.organization.name
      questionnaire.item.definition:
        value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.name
      questionnaire.item.text:
        value: Name der Organisation
      questionnaire.item.type:
        value: string
      questionnaire.item.required:
        value: true
    questionnaire.item.item:
      index: 1
      questionnaire.item.link id:
        value: sender.author.organization.streetAddressLine
      questionnaire.item.definition:
        value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.line
      questionnaire.item.text:
        value: Strasse, Hausnummer, Postfach etc.
      questionnaire.item.type:
        value: string
      questionnaire.item.repeats:
        value: true
    questionnaire.item.item:
      index: 2
      questionnaire.item.link id:
        value: sender.author.organization.postalCode
      questionnaire.item.definition:
        value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.postalCode
      questionnaire.item.text:
        value: PLZ
      questionnaire.item.type:
        value: string
    questionnaire.item.item:
      index: 3
      questionnaire.item.link id:
        value: sender.author.organization.city
      questionnaire.item.definition:
        value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.city
      questionnaire.item.text:
        value: Ort
      questionnaire.item.type:
        value: string
    questionnaire.item.item:
      index: 4
      questionnaire.item.link id:
        value: sender.author.organization.country
      questionnaire.item.definition:
        value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.country
      questionnaire.item.text:
        value: Land
      questionnaire.item.type:
        value: string
questionnaire.item.item:
  index: 1
  questionnaire.item.link id:
    value: sender.dataenterer
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-composition#Composition.extension:dataEnterer
  questionnaire.item.text:
    value: Erfasser
  questionnaire.item.type:
    value: group
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: sender.dataenterer.practitioner
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.practitioner
    questionnaire.item.text:
      value: Erfassende Person
    questionnaire.item.type:
      value: group
    questionnaire.item.item:
      index: 0
      questionnaire.item.link id:
        value: sender.dataenterer.practitioner.familyName
      questionnaire.item.definition:
        value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.family
      questionnaire.item.text:
        value: Name
      questionnaire.item.type:
        value: string
    questionnaire.item.item:
      index: 1
      questionnaire.item.link id:
        value: sender.dataenterer.practitioner.givenName
      questionnaire.item.definition:
        value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.given
      questionnaire.item.text:
        value: Vorname
      questionnaire.item.type:
        value: string

index: 2
questionnaire.item.link id:
  value: sender.dataenterer.practitioner.phone
questionnaire.item.definition:
  value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value
questionnaire.item.text:
  value: Telefon
questionnaire.item.type:
  value: string

index: 3
questionnaire.item.link id:
  value: sender.dataenterer.practitioner.email
questionnaire.item.definition:
  value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value
questionnaire.item.text:
  value: E-Mail
questionnaire.item.type:
  value: string

index: 5
questionnaire.item.link id:
  value: receiver
questionnaire.item.definition:
  value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-composition#Composition.extension:receiver
questionnaire.item.text:
  value: Empfänger
questionnaire.item.type:
  value: group
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: receiver.practitioner
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.practitioner
  questionnaire.item.text:
    value: Empfangende Person
  questionnaire.item.type:
    value: group
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: receiver.practitioner.title
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.prefix
    questionnaire.item.text:
      value: Titel
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 1
    questionnaire.item.link id:
      value: receiver.practitioner.familyName
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.family
    questionnaire.item.text:
      value: Name
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 2
    questionnaire.item.link id:
      value: receiver.practitioner.givenName
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.given
    questionnaire.item.text:
      value: Vorname
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 3
    questionnaire.item.link id:
      value: receiver.practitioner.gln
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.identifier:GLN.value
    questionnaire.item.text:
      value: GLN
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 4
    questionnaire.item.link id:
      value: receiver.practitioner.phone
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value
    questionnaire.item.text:
      value: Telefon
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 5
    questionnaire.item.link id:
      value: receiver.practitioner.email
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value
    questionnaire.item.text:
      value: E-Mail
    questionnaire.item.type:
      value: string
questionnaire.item.item:
  index: 1
  questionnaire.item.link id:
    value: receiver.organization
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.organization
  questionnaire.item.text:
    value: Empfangende Organisation
  questionnaire.item.type:
    value: group
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: receiver.organization.name
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.name
    questionnaire.item.text:
      value: Name der Organisation
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 1
    questionnaire.item.link id:
      value: receiver.organization.streetAddressLine
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.line
    questionnaire.item.text:
      value: Strasse, Hausnummer, Postfach etc.
    questionnaire.item.type:
      value: string
    questionnaire.item.repeats:
      value: true
  questionnaire.item.item:
    index: 2
    questionnaire.item.link id:
      value: receiver.organization.postalCode
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.postalCode
    questionnaire.item.text:
      value: PLZ
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 3
    questionnaire.item.link id:
      value: receiver.organization.city
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.city
    questionnaire.item.text:
      value: Ort
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 4
    questionnaire.item.link id:
      value: receiver.organization.country
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.country
    questionnaire.item.text:
      value: Land
    questionnaire.item.type:
      value: string

index: 6
questionnaire.item.link id:
  value: receiverCopies
questionnaire.item.definition:
  value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-composition#Composition.extension:copyReceiver
questionnaire.item.text:
  value: Kopieempfänger
questionnaire.item.type:
  value: group
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: receiverCopy
  questionnaire.item.text:
    value: Kopieempfangende Organisation oder Person
  questionnaire.item.type:
    value: group
  questionnaire.item.repeats:
    value: true
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: receiverCopy.organization.name
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.name
    questionnaire.item.text:
      value: Name der Organisation
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 1
    questionnaire.item.link id:
      value: receiverCopy.title
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-humanname#HumanName.prefix
    questionnaire.item.text:
      value: Titel
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 2
    questionnaire.item.link id:
      value: receiverCopy.familyName
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-humanname#HumanName.family
    questionnaire.item.text:
      value: Name
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 3
    questionnaire.item.link id:
      value: receiverCopy.givenName
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-humanname#HumanName.given
    questionnaire.item.text:
      value: Vorname
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 4
    questionnaire.item.link id:
      value: receiverCopy.phone
    questionnaire.item.definition:
      value: http://hl7.org/fhir/StructureDefinition/ContactPoint#ContactPoint.value
    questionnaire.item.text:
      value: Telefon
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 5
    questionnaire.item.link id:
      value: receiverCopy.email
    questionnaire.item.definition:
      value: http://hl7.org/fhir/StructureDefinition/ContactPoint#ContactPoint.value
    questionnaire.item.text:
      value: E-Mail
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 6
    questionnaire.item.link id:
      value: receiverCopy.streetAddressLine
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-address#Address.line
    questionnaire.item.text:
      value: Strasse, Hausnummer, Postfach etc.
    questionnaire.item.type:
      value: string
    questionnaire.item.repeats:
      value: true
  questionnaire.item.item:
    index: 7
    questionnaire.item.link id:
      value: receiverCopy.postalCode
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-address#Address.postalCode
    questionnaire.item.text:
      value: PLZ
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 8
    questionnaire.item.link id:
      value: receiverCopy.city
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-address#Address.city
    questionnaire.item.text:
      value: Ort
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 9
    questionnaire.item.link id:
      value: receiverCopy.country
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-address#Address.country
    questionnaire.item.text:
      value: Land
    questionnaire.item.type:
      value: string

index: 7
questionnaire.item.link id:
  value: appointment
questionnaire.item.definition:
  value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.extension:locationAndTime
questionnaire.item.text:
  value: Ort und Zeit der Durchführung der angeforderten Leistung
questionnaire.item.type:
  value: group
questionnaire.item.repeats:
  value: true
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: appointment.location
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.participant.actor
  questionnaire.item.text:
    value: Ort der Durchführung
  questionnaire.item.type:
    value: group
  questionnaire.item.required:
    value: true
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: appointment.location.name
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location#Location.name
    questionnaire.item.text:
      value: Name
    questionnaire.item.type:
      value: string
    questionnaire.item.required:
      value: true
  questionnaire.item.item:
    index: 1
    questionnaire.item.link id:
      value: appointment.location.phone
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location#Location.telecom.value
    questionnaire.item.text:
      value: Telefon
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 2
    questionnaire.item.link id:
      value: appointment.location.email
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location#Location.telecom.value
    questionnaire.item.text:
      value: E-Mail
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 3
    questionnaire.item.link id:
      value: appointment.location.streetAddressLine
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location#Location.address.line
    questionnaire.item.text:
      value: Strasse, Hausnummer, Postfach etc.
    questionnaire.item.type:
      value: string
    questionnaire.item.repeats:
      value: true
  questionnaire.item.item:
    index: 4
    questionnaire.item.link id:
      value: appointment.location.postalCode
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location#Location.address.postalCode
    questionnaire.item.text:
      value: PLZ
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 5
    questionnaire.item.link id:
      value: appointment.location.city
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location#Location.address.city
    questionnaire.item.text:
      value: Ort
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 6
    questionnaire.item.link id:
      value: appointment.location.country
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location#Location.address.country
    questionnaire.item.text:
      value: Land
    questionnaire.item.type:
      value: string
questionnaire.item.item:
  index: 1
  questionnaire.item.link id:
    value: appointment.requestedPeriod
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.requestedPeriod
  questionnaire.item.text:
    value: Datum und Zeit, wann der Termin bevorzugt geplant werden soll
  questionnaire.item.type:
    value: group
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: appointment.requestedPeriod.start
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.requestedPeriod.start
    questionnaire.item.text:
      value: Von
    questionnaire.item.type:
      value: dateTime
  questionnaire.item.item:
    index: 1
    questionnaire.item.link id:
      value: appointment.requestedPeriod.end
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.requestedPeriod.end
    questionnaire.item.text:
      value: Bis
    questionnaire.item.type:
      value: dateTime
questionnaire.item.item:
  index: 2
  questionnaire.item.link id:
    value: appointment.status
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.status
  questionnaire.item.text:
    value: Status
  questionnaire.item.type:
    value: choice
  questionnaire.item.required:
    value: true
  questionnaire.item.answer option:
    index: 0
    questionnaire.item.answer option.value coding:
      coding.system:
        value: http://hl7.org/fhir/appointmentstatus
      coding.code:
        value: proposed
      coding.display:
        value: Wunsch des Patienten (vorgeschlagen)
    questionnaire.item.answer option.initial selected:
      value: true
  questionnaire.item.answer option:
    index: 1
    questionnaire.item.answer option.value coding:
      coding.system:
        value: http://hl7.org/fhir/appointmentstatus
      coding.code:
        value: pending
      coding.display:
        value: Vom Patienten bestätigt, aber vom Leistungserbringer noch nicht (ausstehend)
  questionnaire.item.answer option:
    index: 2
    questionnaire.item.answer option.value coding:
      coding.system:
        value: http://hl7.org/fhir/appointmentstatus
      coding.code:
        value: booked
      coding.display:
        value: Vom Patienten und Leistungserbringer bestätigt (gebucht)
questionnaire.item.item:
  index: 3
  questionnaire.item.link id:
    value: appointment.patientInstruction
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.patientInstruction
  questionnaire.item.text:
    value: Patienteninformation für diesen Termin
  questionnaire.item.type:
    value: string

index: 8
questionnaire.item.link id:
  value: requestedService
questionnaire.item.text:
  value: Angeforderte Leistung
questionnaire.item.type:
  value: group
questionnaire.item.required:
  value: true
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: requestedService.service
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-servicerequest#ServiceRequest.category.coding
  questionnaire.item.text:
    value: Leistung
  questionnaire.item.type:
    value: choice
  questionnaire.item.required:
    value: true
  questionnaire.item.answer value set:
    value: http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-requested-service
    link: http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-requested-service

index: 9
questionnaire.item.link id:
  value: reason
questionnaire.item.text:
  value: Klinische Fragestellung
questionnaire.item.type:
  value: group
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: reason.question
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-servicerequest#ServiceRequest.reasonCode.text
  questionnaire.item.text:
    value: Fragestellung
  questionnaire.item.type:
    value: string
  questionnaire.item.repeats:
    value: true

index: 10
questionnaire.item.link id:
  value: imagingService
questionnaire.item.text:
  value: Bildgebendes Verfahren
questionnaire.item.type:
  value: group
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: imagingService.type
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-servicerequest#ServiceRequest.code.coding:RdlxModType
  questionnaire.item.text:
    value: Art
  questionnaire.item.type:
    value: choice
  questionnaire.item.answer value set:
    value: http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-modality-type
    link: http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-modality-type

index: 11
questionnaire.item.link id:
  value: orderDetail
questionnaire.item.text:
  value: Weitere Angaben zur Bildgebung
questionnaire.item.type:
  value: group
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: orderDetail.imagingRegion
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-servicerequest#ServiceRequest.orderDetail:imagingRegion
  questionnaire.item.text:
    value: Region
  questionnaire.item.type:
    value: choice
  questionnaire.item.repeats:
    value: true
  questionnaire.item.answer value set:
    value: http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-imaging-region
    link: http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-imaging-region
questionnaire.item.item:
  index: 1
  questionnaire.item.link id:
    value: orderDetail.imagingFocus
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-servicerequest#ServiceRequest.bodySite
  questionnaire.item.text:
    value: Fokus
  questionnaire.item.type:
    value: choice
  questionnaire.item.repeats:
    value: true
  questionnaire.item.answer value set:
    value: http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-imaging-focus
    link: http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-imaging-focus
questionnaire.item.item:
  index: 2
  questionnaire.item.link id:
    value: orderDetail.laterality
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-servicerequest#ServiceRequest.orderDetail:laterality
  questionnaire.item.text:
    value: Seitenangabe
  questionnaire.item.type:
    value: choice
  questionnaire.item.answer value set:
    value: http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-laterality
    link: http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-laterality
questionnaire.item.item:
  index: 3
  questionnaire.item.link id:
    value: orderDetail.viewType
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-servicerequest#ServiceRequest.orderDetail:viewType
  questionnaire.item.text:
    value: Ansicht
  questionnaire.item.type:
    value: choice
  questionnaire.item.repeats:
    value: true
  questionnaire.item.answer value set:
    value: http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-view-type
    link: http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-view-type
questionnaire.item.item:
  index: 4
  questionnaire.item.link id:
    value: orderDetail.maneuverType
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-servicerequest#ServiceRequest.orderDetail:maneuverType
  questionnaire.item.text:
    value: Manöver
  questionnaire.item.type:
    value: choice
  questionnaire.item.repeats:
    value: true
  questionnaire.item.answer value set:
    value: http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-maneuver-type
    link: http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-maneuver-type
questionnaire.item.item:
  index: 5
  questionnaire.item.link id:
    value: orderDetail.guidanceForAction
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-servicerequest#ServiceRequest.orderDetail:guidanceForAction
  questionnaire.item.text:
    value: Handlungsanleitung
  questionnaire.item.type:
    value: choice
  questionnaire.item.enable when:
    index: 0
    questionnaire.item.enable when.question:
      value: requestedService.service
    questionnaire.item.enable when.operator:
      value: =
    questionnaire.item.enable when.answer coding:
      coding.system:
        value: http://fhir.ch/ig/ch-rad-order/CodeSystem/ch-rad-order-requested-service
      coding.code:
        value: RadIntervention
  questionnaire.item.enable when:
    index: 1
    questionnaire.item.enable when.question:
      value: requestedService.service
    questionnaire.item.enable when.operator:
      value: =
    questionnaire.item.enable when.answer coding:
      coding.system:
        value: http://fhir.ch/ig/ch-rad-order/CodeSystem/ch-rad-order-requested-service
      coding.code:
        value: ImagingRequestWithIntervention
  questionnaire.item.enable behavior:
    value: any
  questionnaire.item.repeats:
    value: true
  questionnaire.item.answer value set:
    value: http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-guidance-for-action
    link: http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-guidance-for-action

index: 12
questionnaire.item.link id:
  value: desiredRadiologist
questionnaire.item.definition:
  value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-servicerequest#ServiceRequest.performer
questionnaire.item.text:
  value: Gewünschter Radiologe für die Befundung / für die Intervention
questionnaire.item.type:
  value: group
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: desiredRadiologist.familyName
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.family
  questionnaire.item.text:
    value: Name
  questionnaire.item.type:
    value: string
questionnaire.item.item:
  index: 1
  questionnaire.item.link id:
    value: desiredRadiologist.givenName
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.given
  questionnaire.item.text:
    value: Vorname
  questionnaire.item.type:
    value: string

index: 13
questionnaire.item.link id:
  value: diagnosisList
questionnaire.item.text:
  value: Diagnosen und Befunde
questionnaire.item.type:
  value: group
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: diagnosisList.primaryDiagnosis
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-servicerequest#ServiceRequest.reasonReference
  questionnaire.item.text:
    value: Hauptdiagnose
  questionnaire.item.type:
    value: string
  questionnaire.item.repeats:
    value: true
questionnaire.item.item:
  index: 1
  questionnaire.item.link id:
    value: diagnosisList.secondaryDiagnosis
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-servicerequest#ServiceRequest.supportingInfo:diagnosis
  questionnaire.item.text:
    value: Nebendiagnose
  questionnaire.item.type:
    value: string
  questionnaire.item.repeats:
    value: true
questionnaire.item.item:
  index: 2
  questionnaire.item.link id:
    value: diagnosisList.bodyHeight
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-servicerequest#ServiceRequest.supportingInfo:bodyHeight
  questionnaire.item.text:
    value: Grösse (cm)
  questionnaire.item.type:
    value: quantity
  questionnaire.item.repeats:
    value: false
questionnaire.item.item:
  index: 3
  questionnaire.item.link id:
    value: diagnosisList.bodyWeight
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-servicerequest#ServiceRequest.supportingInfo:bodyWeight
  questionnaire.item.text:
    value: Gewicht (kg)
  questionnaire.item.type:
    value: quantity
  questionnaire.item.repeats:
    value: false

index: 14
questionnaire.item.link id:
  value: caveat
questionnaire.item.definition:
  value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-servicerequest#ServiceRequest.supportingInfo:caveats
questionnaire.item.text:
  value: Caveats
questionnaire.item.type:
  value: group
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: caveat.bloodCoagulation
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-caveat-condition#Condition.code
  questionnaire.item.text:
    value: Beinträchtigte Blutgerinnung
  questionnaire.item.type:
    value: boolean
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: caveat.bloodCoagulation.INR
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-caveat-condition#Condition.evidence.detail
    questionnaire.item.text:
      value: INR
    questionnaire.item.type:
      value: group
    questionnaire.item.enable when:
      index: 0
      questionnaire.item.enable when.question:
        value: caveat.bloodCoagulation
      questionnaire.item.enable when.operator:
        value: =
      questionnaire.item.enable when.answer boolean:
        value: true
    questionnaire.item.item:
      index: 0
      questionnaire.item.link id:
        value: caveat.bloodCoagulation.INR.quantity
      questionnaire.item.definition:
        value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-INR-observation#Observation.valueQuantity
      questionnaire.item.text:
        value: Wert (INR)
      questionnaire.item.type:
        value: quantity
    questionnaire.item.item:
      index: 1
      questionnaire.item.link id:
        value: caveat.bloodCoagulation.INR.dateTime
      questionnaire.item.definition:
        value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-INR-observation#Observation.effectiveDateTime
      questionnaire.item.text:
        value: Zeitpunkt der Bestimmung
      questionnaire.item.type:
        value: dateTime
  questionnaire.item.item:
    index: 1
    questionnaire.item.link id:
      value: caveat.bloodCoagulation.platelets
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-caveat-condition#Condition.evidence.detail
    questionnaire.item.text:
      value: Thrombozyten
    questionnaire.item.type:
      value: group
    questionnaire.item.enable when:
      index: 0
      questionnaire.item.enable when.question:
        value: caveat.bloodCoagulation
      questionnaire.item.enable when.operator:
        value: =
      questionnaire.item.enable when.answer boolean:
        value: true
    questionnaire.item.item:
      index: 0
      questionnaire.item.link id:
        value: caveat.bloodCoagulation.platelets.quantity
      questionnaire.item.definition:
        value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-platelets-observation#Observation.valueQuantity
      questionnaire.item.text:
        value: Wert (10^3/µl)
      questionnaire.item.type:
        value: quantity
    questionnaire.item.item:
      index: 1
      questionnaire.item.link id:
        value: caveat.bloodCoagulation.platelets.dateTime
      questionnaire.item.definition:
        value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-platelets-observation#Observation.effectiveDateTime
      questionnaire.item.text:
        value: Zeitpunkt der Bestimmung
      questionnaire.item.type:
        value: dateTime
questionnaire.item.item:
  index: 1
  questionnaire.item.link id:
    value: caveat.renalInsufficiency
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-caveat-condition#Condition.code
  questionnaire.item.text:
    value: Niereninsuffizienz
  questionnaire.item.type:
    value: boolean
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: caveat.renalInsufficiency.creatinineClearance
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-caveat-condition#Condition.evidence.detail
    questionnaire.item.text:
      value: Creatinin-Clearance
    questionnaire.item.type:
      value: group
    questionnaire.item.enable when:
      index: 0
      questionnaire.item.enable when.question:
        value: caveat.renalInsufficiency
      questionnaire.item.enable when.operator:
        value: =
      questionnaire.item.enable when.answer boolean:
        value: true
    questionnaire.item.item:
      index: 0
      questionnaire.item.link id:
        value: caveat.renalInsufficiency.creatinineClearance.quantity
      questionnaire.item.definition:
        value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-creatinineclearance-observation#Observation.valueQuantity
      questionnaire.item.text:
        value: Wert (ml/min)
      questionnaire.item.type:
        value: quantity
    questionnaire.item.item:
      index: 1
      questionnaire.item.link id:
        value: caveat.renalInsufficiency.creatinineClearance.dateTime
      questionnaire.item.definition:
        value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-creatinineclearance-observation#Observation.effectiveDateTime
      questionnaire.item.text:
        value: Zeitpunkt der Bestimmung
      questionnaire.item.type:
        value: dateTime
  questionnaire.item.item:
    index: 1
    questionnaire.item.link id:
      value: caveat.renalInsufficiency.creatinine
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-caveat-condition#Condition.evidence.detail
    questionnaire.item.text:
      value: Creatinin
    questionnaire.item.type:
      value: group
    questionnaire.item.enable when:
      index: 0
      questionnaire.item.enable when.question:
        value: caveat.renalInsufficiency
      questionnaire.item.enable when.operator:
        value: =
      questionnaire.item.enable when.answer boolean:
        value: true
    questionnaire.item.item:
      index: 0
      questionnaire.item.link id:
        value: caveat.renalInsufficiency.creatinine.quantity
      questionnaire.item.definition:
        value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-creatinine-observation#Observation.valueQuantity
      questionnaire.item.text:
        value: Wert (µmol/l)
      questionnaire.item.type:
        value: quantity
    questionnaire.item.item:
      index: 1
      questionnaire.item.link id:
        value: caveat.renalInsufficiency.creatinine.dateTime
      questionnaire.item.definition:
        value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-creatinine-observation#Observation.effectiveDateTime
      questionnaire.item.text:
        value: Zeitpunkt der Bestimmung
      questionnaire.item.type:
        value: dateTime
questionnaire.item.item:
  index: 2
  questionnaire.item.link id:
    value: caveat.claustrophobia
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-caveat-condition#Condition.code
  questionnaire.item.text:
    value: Klaustrophobie
  questionnaire.item.type:
    value: boolean
questionnaire.item.item:
  index: 3
  questionnaire.item.link id:
    value: caveat.bodyPiercing
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-caveat-condition#Condition.code
  questionnaire.item.text:
    value: Körperpiercing
  questionnaire.item.type:
    value: boolean

index: 4
questionnaire.item.link id:
  value: caveat.device
questionnaire.item.definition:
  value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-caveat-condition#Condition.code
questionnaire.item.text:
  value: Device (Herzschrittmacher, Herzklappenersatz, Insulinpumpe etc.)
questionnaire.item.type:
  value: choice
questionnaire.item.repeats:
  value: true
questionnaire.item.answer value set:
  value: http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-caveat-device
  link: http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-caveat-device

index: 5
questionnaire.item.link id:
  value: caveat.hyperthyroidism
questionnaire.item.definition:
  value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-caveat-condition#Condition.code
questionnaire.item.text:
  value: Hyperthyreose
questionnaire.item.type:
  value: boolean

index: 6
questionnaire.item.link id:
  value: caveat.diabetes
questionnaire.item.definition:
  value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-caveat-condition#Condition.code
questionnaire.item.text:
  value: Diabetes mellitus
questionnaire.item.type:
  value: boolean

index: 7
questionnaire.item.link id:
  value: caveat.gravida
questionnaire.item.definition:
  value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-caveat-condition#Condition.code
questionnaire.item.text:
  value: Schwangerschaft
questionnaire.item.type:
  value: boolean

index: 8
questionnaire.item.link id:
  value: caveat.contrastMediaAllergy
questionnaire.item.definition:
  value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-caveat-condition#Condition.code
questionnaire.item.text:
  value: Kontrastmittelallergie
questionnaire.item.type:
  value: boolean

index: 9
questionnaire.item.link id:
  value: caveat.drugPrescription
questionnaire.item.definition:
  value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-caveat-condition#Condition.code
questionnaire.item.text:
  value: Relevante Medikamente, z.B. Metformin
questionnaire.item.type:
  value: choice
questionnaire.item.repeats:
  value: true
questionnaire.item.answer value set:
  value: http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-caveat-substance
  link: http://fhir.ch/ig/ch-rad-order/ValueSet/ch-rad-order-caveat-substance

index: 15
questionnaire.item.link id:
  value: previousResults
questionnaire.item.definition:
  value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-servicerequest#ServiceRequest.supportingInfo:previousImagingResults
questionnaire.item.text:
  value: Vorherige Untersuchungsresultate
questionnaire.item.type:
  value: group
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: previousResults.attachment
  questionnaire.item.text:
    value: Anhang
  questionnaire.item.type:
    value: group
  questionnaire.item.repeats:
    value: true
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: previousResults.attachtment.title
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-media#Media.content.title
    questionnaire.item.text:
      value: Dateiname und -endung der angehängten Datei (z.B. "shoulder_re_F_Muster_12021988.pdf")
    questionnaire.item.type:
      value: string
  questionnaire.item.item:
    index: 1
    questionnaire.item.link id:
      value: previousResults.attachment.data
    questionnaire.item.definition:
      value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-media#Media.content.data
    questionnaire.item.text:
      value: Daten
    questionnaire.item.type:
      value: string

index: 16
questionnaire.item.link id:
  value: note
questionnaire.item.text:
  value: Bemerkungen
questionnaire.item.type:
  value: group
questionnaire.item.repeats:
  value: true
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: note.text
  questionnaire.item.definition:
    value: http://fhir.ch/ig/ch-rad-order/StructureDefinition/ch-rad-order-servicerequest#ServiceRequest.note.text
  questionnaire.item.text:
    value: Kommentar
  questionnaire.item.type:
    value: string
  questionnaire.item.required:
    value: true