CH RAD-Order (R4)
0.1.0 - STU 1 Ballot
This page is part of the CH RAD-Order (R4) (v0.1.0: STU 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.0.1. For a full list of available versions, see the Directory of published versions
<QuestionnaireResponse xmlns="http://hl7.org/fhir">
<id value="QuestionnaireResponseRadiologyOrder"/>
<meta>
<profile
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-questionnaireresponse"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>questionnaire</b>: <a href="http://fhir.ch/ig/ch-rad-order/Questionnaire/QuestionnaireRadiologyOrder">http://fhir.ch/ig/ch-rad-order/Questionnaire/QuestionnaireRadiologyOrder</a></p><p><b>status</b>: completed</p><blockquote><p><b>item</b></p><p><b>linkId</b>: order</p><p><b>text</b>: Auftrag</p><blockquote><p><b>item</b></p><p><b>linkId</b>: order.title</p><p><b>text</b>: Titel</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.type</p><p><b>text</b>: Typ</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.category</p><p><b>text</b>: Kategorie</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.placerOrderIdentifier</p><p><b>text</b>: Auftragsnummer des Auftraggebers</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.placerOrderIdentifierDomain</p><p><b>text</b>: Identifier Domain der Auftragsnummer des Auftraggebers</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.priority</p><p><b>text</b>: Auftragspriorität</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient</p><p><b>text</b>: Patient</p><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.familyName</p><p><b>text</b>: Name</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.maidenName</p><p><b>text</b>: Ledigname</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.givenName</p><p><b>text</b>: Vorname</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.birthDate</p><p><b>text</b>: Geburtsdatum</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.gender</p><p><b>text</b>: Geschlecht</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.phone</p><p><b>text</b>: Telefon</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.email</p><p><b>text</b>: E-Mail</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.streetAddressLine</p><p><b>text</b>: Strasse, Hausnummer, Postfach etc.</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.postalCode</p><p><b>text</b>: PLZ</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.city</p><p><b>text</b>: Ort</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.country</p><p><b>text</b>: Land</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage</p><p><b>text</b>: Kostenträger</p><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.kvg</p><p><b>text</b>: Krankenkasse (nach KVG)</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: sender</p><p><b>text</b>: Absender</p><blockquote><p><b>item</b></p><p><b>linkId</b>: sender.author</p><p><b>text</b>: Verantwortlicher</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: sender.dataenterer</p><p><b>text</b>: Erfasser</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiver</p><p><b>text</b>: Empfänger</p><blockquote><p><b>item</b></p><p><b>linkId</b>: receiver.organization</p><p><b>text</b>: Empfangende Organisation</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiverCopies</p><p><b>text</b>: Kopieempfänger</p><blockquote><p><b>item</b></p><p><b>linkId</b>: receiverCopy</p><p><b>text</b>: Kopieempfangende Organisation oder Person</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: appointment</p><p><b>text</b>: Ort und Zeit der Durchführung der angeforderten Leistung</p><blockquote><p><b>item</b></p><p><b>linkId</b>: appointment.location</p><p><b>text</b>: Ort der Durchführung</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: appointment.requestedPeriod</p><p><b>text</b>: Datum und Zeit, wann der Termin bevorzugt geplant werden soll</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: appointment.status</p><p><b>text</b>: Status</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: appointment.patientInstruction</p><p><b>text</b>: Patienteninformation für diesen Termin</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: requestedService</p><p><b>text</b>: Angeforderte Leistung</p><blockquote><p><b>item</b></p><p><b>linkId</b>: requestedService.service</p><p><b>text</b>: Leistung</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: reason</p><p><b>text</b>: Klinische Fragestellung</p><blockquote><p><b>item</b></p><p><b>linkId</b>: reason.question</p><p><b>text</b>: Fragestellung</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: imagingService</p><p><b>text</b>: Bildgebendes Verfahren</p><blockquote><p><b>item</b></p><p><b>linkId</b>: imagingService.type</p><p><b>text</b>: Art</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: orderDetail</p><p><b>text</b>: Weitere Angaben zur Bildgebung</p><blockquote><p><b>item</b></p><p><b>linkId</b>: orderDetail.imagingRegion</p><p><b>text</b>: Region</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: orderDetail.imagingFocus</p><p><b>text</b>: Fokus</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: desiredRadiologist</p><p><b>text</b>: Gewünschter Radiologe für die Befundung / für die Intervention</p><blockquote><p><b>item</b></p><p><b>linkId</b>: desiredRadiologist.familyName</p><p><b>text</b>: Name</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: desiredRadiologist.givenName</p><p><b>text</b>: Vorname</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: diagnosisList</p><p><b>text</b>: Diagnosen und Befunde</p><blockquote><p><b>item</b></p><p><b>linkId</b>: diagnosisList.primaryDiagnosis</p><p><b>text</b>: Hauptdiagnose</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: diagnosisList.secondaryDiagnosis</p><p><b>text</b>: Nebendiagnose</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: diagnosisList.bodyHeight</p><p><b>text</b>: Grösse (cm)</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: diagnosisList.bodyWeight</p><p><b>text</b>: Gewicht (kg)</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: caveat</p><p><b>text</b>: Caveats</p><blockquote><p><b>item</b></p><p><b>linkId</b>: caveat.bloodCoagulation</p><p><b>text</b>: Beinträchtigte Blutgerinnung</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: caveat.renalInsufficiency</p><p><b>text</b>: Niereninsuffizienz</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: caveat.bodyPiercing</p><p><b>text</b>: Körperpiercing</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: caveat.device</p><p><b>text</b>: Device (Herzschrittmacher, Herzklappenersatz, Insulinpumpe etc.)</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: caveat.drugPrescription</p><p><b>text</b>: Relevante Medikamente, z.B. Metformin</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: previousResults</p><p><b>text</b>: Vorherige Untersuchungsresultate</p><blockquote><p><b>item</b></p><p><b>linkId</b>: previousResults.attachment</p><p><b>text</b>: Anhang</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: note</p><p><b>text</b>: Bemerkungen</p><blockquote><p><b>item</b></p><p><b>linkId</b>: note.text</p><p><b>text</b>: Kommentar</p></blockquote></blockquote></div>
</text>
<questionnaire
value="http://fhir.ch/ig/ch-rad-order/Questionnaire/QuestionnaireRadiologyOrder"/>
<status value="completed"/>
<item>
<linkId value="order"/>
<text value="Auftrag"/>
<item>
<linkId value="order.title"/>
<text value="Titel"/>
<answer>
<valueString value="Anmeldung Radiologie"/>
</answer>
</item>
<item>
<linkId value="order.type"/>
<text value="Typ"/>
<answer>
<valueCoding>
<system value="urn:oid:2.16.756.5.30.1.127.3.4"/>
<code value="2161000195103"/>
<display value="Imaging order (record artifact)"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="order.category"/>
<text value="Kategorie"/>
<answer>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="721963009"/>
<display value="Order (record artifact)"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="order.placerOrderIdentifier"/>
<text value="Auftragsnummer des Auftraggebers"/>
<answer>
<valueString value="12345"/>
</answer>
</item>
<item>
<linkId value="order.placerOrderIdentifierDomain"/>
<text value="Identifier Domain der Auftragsnummer des Auftraggebers"/>
<answer>
<valueString value="urn:oid:1.3.4.5.6.7"/>
</answer>
</item>
<item>
<linkId value="order.priority"/>
<text value="Auftragspriorität"/>
<answer>
<valueCoding>
<system value="http://hl7.org/fhir/request-priority"/>
<code value="routine"/>
<display value="Die Anfrage hat normale Priorität."/>
</valueCoding>
</answer>
</item>
</item>
<item>
<linkId value="patient"/>
<text value="Patient"/>
<item>
<linkId value="patient.familyName"/>
<text value="Name"/>
<answer>
<valueString value="Ufferer"/>
</answer>
</item>
<item>
<linkId value="patient.maidenName"/>
<text value="Ledigname"/>
<answer>
<valueString value="Leidend"/>
</answer>
</item>
<item>
<linkId value="patient.givenName"/>
<text value="Vorname"/>
<answer>
<valueString value="Susanna"/>
</answer>
</item>
<item>
<linkId value="patient.birthDate"/>
<text value="Geburtsdatum"/>
<answer>
<valueDate value="1970-03-14"/>
</answer>
</item>
<item>
<linkId value="patient.gender"/>
<text value="Geschlecht"/>
<answer>
<valueCoding>
<system value="http://hl7.org/fhir/administrative-gender"/>
<code value="female"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="patient.phone"/>
<text value="Telefon"/>
<answer>
<valueString value="+41 79 979 79 79"/>
</answer>
</item>
<item>
<linkId value="patient.email"/>
<text value="E-Mail"/>
<answer>
<valueString value="susanna@ufferer.ch"/>
</answer>
</item>
<item>
<linkId value="patient.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<answer>
<valueString value="Musterweg"/>
</answer>
<answer>
<valueString value="6a"/>
</answer>
</item>
<item>
<linkId value="patient.postalCode"/>
<text value="PLZ"/>
<answer>
<valueString value="8000"/>
</answer>
</item>
<item>
<linkId value="patient.city"/>
<text value="Ort"/>
<answer>
<valueString value="Zürich"/>
</answer>
</item>
<item>
<linkId value="patient.country"/>
<text value="Land"/>
<answer>
<valueString value="Schweiz"/>
</answer>
</item>
</item>
<item>
<linkId value="coverage"/>
<text value="Kostenträger"/>
<item>
<linkId value="coverage.kvg"/>
<text value="Krankenkasse (nach KVG)"/>
<item>
<linkId value="coverage.kvg.name"/>
<text value="Name der Versicherung"/>
<answer>
<valueString value="Sanitas"/>
</answer>
</item>
<item>
<linkId value="coverage.kvg.insuranceCardNumber"/>
<text value="Kennnummer der Versichertenkarte"/>
<answer>
<valueString value="80756015090002647590"/>
</answer>
</item>
</item>
</item>
<item>
<linkId value="sender"/>
<text value="Absender"/>
<item>
<linkId value="sender.author"/>
<text value="Verantwortlicher"/>
<item>
<linkId value="sender.author.practitioner"/>
<text value="Verantwortliche Person"/>
<item>
<linkId value="sender.author.practitioner.title"/>
<text value="Titel"/>
<answer>
<valueString value="Dr. med."/>
</answer>
</item>
<item>
<linkId value="sender.author.practitioner.familyName"/>
<text value="Name"/>
<answer>
<valueString value="Rderplacer"/>
</answer>
</item>
<item>
<linkId value="sender.author.practitioner.givenName"/>
<text value="Vorname"/>
<answer>
<valueString value="Ottilie"/>
</answer>
</item>
<item>
<linkId value="sender.author.practitioner.gln"/>
<text value="GLN"/>
<answer>
<valueString value="7601000034321"/>
</answer>
</item>
<item>
<linkId value="sender.author.practitioner.phone"/>
<text value="Telefon"/>
<answer>
<valueString value="+41 44 333 22 11"/>
</answer>
</item>
<item>
<linkId value="sender.author.practitioner.email"/>
<text value="E-Mail"/>
<answer>
<valueString value="o.rderplacer@happydoctors.ch"/>
</answer>
</item>
</item>
<item>
<linkId value="sender.author.organization"/>
<text value="Verantwortliche Organisation"/>
<item>
<linkId value="sender.author.organization.name"/>
<text value="Name der Organisation"/>
<answer>
<valueString value="Praxis Happy Doctors"/>
</answer>
</item>
<item>
<linkId value="sender.author.organization.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<answer>
<valueString value="Kantonsstrasse 14"/>
</answer>
<answer>
<valueString value="Postfach 14"/>
</answer>
</item>
<item>
<linkId value="sender.author.organization.postalCode"/>
<text value="PLZ"/>
<answer>
<valueString value="8000"/>
</answer>
</item>
<item>
<linkId value="sender.author.organization.city"/>
<text value="Ort"/>
<answer>
<valueString value="Zürich"/>
</answer>
</item>
<item>
<linkId value="sender.author.organization.country"/>
<text value="Land"/>
<answer>
<valueString value="Schweiz"/>
</answer>
</item>
</item>
</item>
<item>
<linkId value="sender.dataenterer"/>
<text value="Erfasser"/>
<item>
<linkId value="sender.dataenterer.practitioner"/>
<text value="Erfassende Person"/>
<item>
<linkId value="sender.dataenterer.practitioner.familyName"/>
<text value="Name"/>
<answer>
<valueString value="Ataenterer"/>
</answer>
</item>
<item>
<linkId value="sender.dataenterer.practitioner.givenName"/>
<text value="Vorname"/>
<answer>
<valueString value="Doris"/>
</answer>
</item>
<item>
<linkId value="sender.dataenterer.practitioner.phone"/>
<text value="Telefon"/>
<answer>
<valueString value="+41 44 333 22 11"/>
</answer>
</item>
<item>
<linkId value="sender.dataenterer.practitioner.email"/>
<text value="E-Mail"/>
<answer>
<valueString value="d.ataenterer@happydoctors.ch"/>
</answer>
</item>
</item>
</item>
</item>
<item>
<linkId value="receiver"/>
<text value="Empfänger"/>
<item>
<linkId value="receiver.organization"/>
<text value="Empfangende Organisation"/>
<item>
<linkId value="receiver.organization.name"/>
<text value="Name der Organisation"/>
<answer>
<valueString value="Klinik Happy Hospital"/>
</answer>
</item>
<item>
<linkId value="receiver.organization.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<answer>
<valueString value="Seestrasse 133"/>
</answer>
<answer>
<valueString value="Haus C"/>
</answer>
</item>
<item>
<linkId value="receiver.organization.postalCode"/>
<text value="PLZ"/>
<answer>
<valueString value="8000"/>
</answer>
</item>
<item>
<linkId value="receiver.organization.city"/>
<text value="Ort"/>
<answer>
<valueString value="Zürich"/>
</answer>
</item>
<item>
<linkId value="receiver.organization.country"/>
<text value="Land"/>
<answer>
<valueString value="Schweiz"/>
</answer>
</item>
</item>
</item>
<item>
<linkId value="receiverCopies"/>
<text value="Kopieempfänger"/>
<item>
<linkId value="receiverCopy"/>
<text value="Kopieempfangende Organisation oder Person"/>
<item>
<linkId value="receiverCopy.familyName"/>
<text value="Name"/>
<answer>
<valueString value="Ufferer"/>
</answer>
</item>
<item>
<linkId value="receiverCopy.givenName"/>
<text value="Vorname"/>
<answer>
<valueString value="Susanna"/>
</answer>
</item>
<item>
<linkId value="receiverCopy.phone"/>
<text value="Telefon"/>
<answer>
<valueString value="+41 79 979 79 79"/>
</answer>
</item>
<item>
<linkId value="receiverCopy.email"/>
<text value="E-Mail"/>
<answer>
<valueString value="susanna@ufferer.ch"/>
</answer>
</item>
<item>
<linkId value="receiverCopy.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<answer>
<valueString value="Musterweg"/>
</answer>
<answer>
<valueString value="6a"/>
</answer>
</item>
<item>
<linkId value="receiverCopy.postalCode"/>
<text value="PLZ"/>
<answer>
<valueString value="8000"/>
</answer>
</item>
<item>
<linkId value="receiverCopy.city"/>
<text value="Ort"/>
<answer>
<valueString value="Zürich"/>
</answer>
</item>
<item>
<linkId value="receiverCopy.country"/>
<text value="Land"/>
<answer>
<valueString value="Schweiz"/>
</answer>
</item>
</item>
</item>
<item>
<linkId value="appointment"/>
<text value="Ort und Zeit der Durchführung der angeforderten Leistung"/>
<item>
<linkId value="appointment.location"/>
<text value="Ort der Durchführung"/>
<item>
<linkId value="appointment.location.name"/>
<text value="Name"/>
<answer>
<valueString value="Radiologie"/>
</answer>
</item>
<item>
<linkId value="appointment.location.phone"/>
<text value="Telefon"/>
<answer>
<valueString value="+41 44 412 65 56"/>
</answer>
</item>
<item>
<linkId value="appointment.location.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<answer>
<valueString value="Seestrasse 133"/>
</answer>
<answer>
<valueString value="Röntgen"/>
</answer>
</item>
<item>
<linkId value="appointment.location.postalCode"/>
<text value="PLZ"/>
<answer>
<valueString value="8000"/>
</answer>
</item>
<item>
<linkId value="appointment.location.city"/>
<text value="Ort"/>
<answer>
<valueString value="Zürich"/>
</answer>
</item>
<item>
<linkId value="appointment.location.country"/>
<text value="Land"/>
<answer>
<valueString value="Schweiz"/>
</answer>
</item>
</item>
<item>
<linkId value="appointment.requestedPeriod"/>
<text
value="Datum und Zeit, wann der Termin bevorzugt geplant werden soll"/>
<item>
<linkId value="appointment.requestedPeriod.start"/>
<text value="Von"/>
<answer>
<valueDateTime value="2019-04-01T15:00:00.000+00:00"/>
</answer>
</item>
<item>
<linkId value="appointment.requestedPeriod.end"/>
<text value="Bis"/>
<answer>
<valueDateTime value="2019-04-01T15:30:00.000+00:00"/>
</answer>
</item>
</item>
<item>
<linkId value="appointment.status"/>
<text value="Status"/>
<answer>
<valueCoding>
<system value="http://hl7.org/fhir/appointmentstatus"/>
<code value="proposed"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="appointment.patientInstruction"/>
<text value="Patienteninformation für diesen Termin"/>
<answer>
<valueString value="Wunschtermin der Patientin"/>
</answer>
</item>
</item>
<item>
<linkId value="requestedService"/>
<text value="Angeforderte Leistung"/>
<item>
<linkId value="requestedService.service"/>
<text value="Leistung"/>
<answer>
<valueCoding>
<system
value="http://fhir.ch/ig/ch-rad-order/CodeSystem/ch-rad-order-requested-service"/>
<code value="ImagingRequest"/>
<display value="Imaging Request"/>
</valueCoding>
</answer>
</item>
</item>
<item>
<linkId value="reason"/>
<text value="Klinische Fragestellung"/>
<item>
<linkId value="reason.question"/>
<text value="Fragestellung"/>
<answer>
<valueString value="Diagnostic Question"/>
</answer>
</item>
</item>
<item>
<linkId value="imagingService"/>
<text value="Bildgebendes Verfahren"/>
<item>
<linkId value="imagingService.type"/>
<text value="Art"/>
<answer>
<valueCoding>
<system value="http://www.radlex.org"/>
<code value="RID10345"/>
<display value="projection radiography"/>
</valueCoding>
</answer>
</item>
</item>
<item>
<linkId value="orderDetail"/>
<text value="Weitere Angaben zur Bildgebung"/>
<item>
<linkId value="orderDetail.imagingRegion"/>
<text value="Region"/>
<answer>
<valueCoding>
<system value="http://www.radlex.org"/>
<code value="RID1243"/>
<display value="Thorax"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="orderDetail.imagingFocus"/>
<text value="Fokus"/>
<answer>
<valueCoding>
<system value="http://www.radlex.org"/>
<code value="RID2468"/>
<display value="Chest wall"/>
</valueCoding>
</answer>
</item>
</item>
<item>
<linkId value="desiredRadiologist"/>
<text value="Gewünschter Radiologe für die Befundung / für die Intervention"/>
<item>
<linkId value="desiredRadiologist.familyName"/>
<text value="Name"/>
<answer>
<valueString value="Rderfiller"/>
</answer>
</item>
<item>
<linkId value="desiredRadiologist.givenName"/>
<text value="Vorname"/>
<answer>
<valueString value="Otto"/>
</answer>
</item>
</item>
<item>
<linkId value="diagnosisList"/>
<text value="Diagnosen und Befunde"/>
<item>
<linkId value="diagnosisList.primaryDiagnosis"/>
<text value="Hauptdiagnose"/>
<answer>
<valueString value="Primary Diagnosis"/>
</answer>
</item>
<item>
<linkId value="diagnosisList.secondaryDiagnosis"/>
<text value="Nebendiagnose"/>
<answer>
<valueString value="Secondary Diagnosis 1"/>
</answer>
<answer>
<valueString value="Secondary Diagnosis 2"/>
</answer>
</item>
<item>
<linkId value="diagnosisList.bodyHeight"/>
<text value="Grösse (cm)"/>
<answer>
<valueQuantity>
<value value="176"/>
<unit value="cm"/>
<system value="http://unitsofmeasure.org"/>
<code value="cm"/>
</valueQuantity>
</answer>
</item>
<item>
<linkId value="diagnosisList.bodyWeight"/>
<text value="Gewicht (kg)"/>
<answer>
<valueQuantity>
<value value="99"/>
<unit value="kg"/>
<system value="http://unitsofmeasure.org"/>
<code value="kg"/>
</valueQuantity>
</answer>
</item>
</item>
<item>
<linkId value="caveat"/>
<text value="Caveats"/>
<item>
<linkId value="caveat.bloodCoagulation"/>
<text value="Beinträchtigte Blutgerinnung"/>
<answer>
<valueBoolean value="true"/>
</answer>
</item>
<item>
<linkId value="caveat.renalInsufficiency"/>
<text value="Niereninsuffizienz"/>
<answer>
<valueBoolean value="true"/>
<item>
<linkId value="caveat.renalInsufficiency.creatinineClearance"/>
<text value="Creatinin-Clearance"/>
<item>
<linkId
value="caveat.renalInsufficiency.creatinineClearance.quantity"/>
<text value="Wert (ml/min)"/>
<answer>
<valueQuantity>
<value value="55"/>
<system value="http://unitsofmeasure.org"/>
<code value="mL/min"/>
</valueQuantity>
</answer>
</item>
<item>
<linkId
value="caveat.renalInsufficiency.creatinineClearance.dateTime"/>
<text value="Zeitpunkt der Bestimmung"/>
<answer>
<valueDateTime value="2019-04-01T10:10:00.000+00:00"/>
</answer>
</item>
</item>
<item>
<linkId value="caveat.renalInsufficiency.creatinine"/>
<text value="Creatinin"/>
<item>
<linkId value="caveat.renalInsufficiency.creatinine.quantity"/>
<text value="Wert (µmol/l)"/>
<answer>
<valueQuantity>
<value value="90"/>
<system value="http://unitsofmeasure.org"/>
<code value="umol/L"/>
</valueQuantity>
</answer>
</item>
<item>
<linkId value="caveat.renalInsufficiency.creatinine.dateTime"/>
<text value="Zeitpunkt der Bestimmung"/>
<answer>
<valueDateTime value="2019-04-01T10:10:00.000+00:00"/>
</answer>
</item>
</item>
</answer>
</item>
<item>
<linkId value="caveat.bodyPiercing"/>
<text value="Körperpiercing"/>
<answer>
<valueBoolean value="true"/>
</answer>
</item>
<item>
<linkId value="caveat.device"/>
<text
value="Device (Herzschrittmacher, Herzklappenersatz, Insulinpumpe etc.)"/>
<answer>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="441509002"/>
<display value="Cardiac pacemaker in situ"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="caveat.drugPrescription"/>
<text value="Relevante Medikamente, z.B. Metformin"/>
<answer>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="372567009"/>
<display value="Metformin (substance)"/>
</valueCoding>
</answer>
</item>
</item>
<item>
<linkId value="previousResults"/>
<text value="Vorherige Untersuchungsresultate"/>
<item>
<linkId value="previousResults.attachment"/>
<text value="Anhang"/>
<item>
<linkId value="previousResults.attachtment.title"/>
<text
value="Dateiname und -endung der angehängten Datei (z.B. "shoulder_re_F_Muster_12021988.pdf")"/>
<answer>
<valueString value="xray_chest_S_Ufferer_20190401.dcm"/>
</answer>
</item>
</item>
</item>
<item>
<linkId value="note"/>
<text value="Bemerkungen"/>
<item>
<linkId value="note.text"/>
<text value="Kommentar"/>
<answer>
<valueString value="Bemerkung/Kommentar"/>
</answer>
</item>
</item>
</QuestionnaireResponse>