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

: QuestionniaireResponse Radiology Order - XML Representation

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<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. &quot;shoulder_re_F_Muster_12021988.pdf&quot;)"/>
        <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>