{
"resourceType": "Bundle",
"id": "bundle-order-referral-form",
"meta": {
"profile": [
"http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-document"
]
},
"identifier": {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:26d3dff7-ab05-4737-a49c-5eccd33595f7"
},
"type": "document",
"timestamp": "2019-04-01T20:18:41.341+00:00",
"entry": [
{
"fullUrl": "http://example.com/fhir/Composition/comp-order-referral-form",
"resource": {
"resourceType": "Composition",
"id": "comp-order-referral-form",
"text": {
"status": "generated",
"div": " Order-Referral-Form
"
},
"extension": [
{
"url": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-precedentdocument",
"valueIdentifier": {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:1622f2fb-6ba3-4532-9aed-35b158def187"
}
},
{
"url": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer",
"extension": [
{
"url": "enterer",
"valueReference": {
"reference": "PractitionerRole/StabiloBossPraxisSeeblick"
}
}
]
},
{
"url": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactforthisdocument",
"valueReference": {
"reference": "PractitionerRole/NotificationContactHansRoentgen"
}
},
{
"url": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactfortheresponsetothisdocument",
"valueReference": {
"reference": "PractitionerRole/NotificationContactSabineMeier"
}
},
{
"url": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-receiver",
"valueReference": {
"reference": "PractitionerRole/HansRoentgenKantonsspital"
}
},
{
"url": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-copyreceiver",
"valueReference": {
"reference": "PractitionerRole/CopyReceiverSabineMeierPraxisSeeblick"
}
},
{
"url": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-copyreceiver",
"valueReference": {
"reference": "Patient/ErikaMusterfrau"
}
}
],
"status": "final",
"type": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "419891008",
"display": "Record artifact (record artifact)"
}
]
},
"category": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "721963009",
"display": "Order (record artifact)"
}
]
}
],
"subject": {
"reference": "Patient/ErikaMusterfrau"
},
"date": "2019-03-31T11:46:09+02:00",
"author": [
{
"reference": "PractitionerRole/SabineMeierPraxisSeeblick"
}
],
"title": "Order-Referral-Form",
"section": [
{
"title": "Order-Referral",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "93037-0",
"display": "Portable medical order form"
}
]
},
"text": {
"status": "generated",
"div": " Order-Referral-Form
"
},
"entry": [
{
"reference": "Questionnaire/order-referral-form"
},
{
"reference": "QuestionnaireResponse/qr-order-referral-form"
},
{
"reference": "ServiceRequest/sr-order-referral-form"
}
]
},
{
"title": "Original representation",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "55108-5",
"display": "Clinical presentation"
}
]
},
"text": {
"status": "generated",
"div": "\n\t\t\t\t\t\t Representation of the original view:\n
![](\"pdf1\"/)
\n
"
},
"entry": [
{
"reference": "Binary/pdf"
}
]
}
]
}
},
{
"fullUrl": "http://example.com/fhir/PractitionerRole/SabineMeierPraxisSeeblick",
"resource": {
"resourceType": "PractitionerRole",
"id": "SabineMeierPraxisSeeblick",
"text": {
"status": "generated",
"div": ""
},
"practitioner": {
"reference": "Practitioner/SabineMeier"
},
"organization": {
"reference": "Organization/PraxisSeeblick"
}
}
},
{
"fullUrl": "http://example.com/fhir/ServiceRequest/sr-order-referral-form",
"resource": {
"resourceType": "ServiceRequest",
"id": "sr-order-referral-form",
"text": {
"status": "extensions",
"div": ""
},
"extension": [
{
"url": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-requestedencounterdetails",
"valueReference": {
"reference": "Encounter/EncounterMusterfrau"
}
}
],
"identifier": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "PLAC"
}
]
},
"system": "urn:oid:2.999.1",
"value": "123"
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "FILL"
}
]
},
"system": "http://example.com/identifier",
"value": "456"
}
],
"status": "active",
"intent": "order",
"priority": "routine",
"subject": {
"reference": "Patient/ErikaMusterfrau"
},
"requester": {
"reference": "PractitionerRole/SabineMeierPraxisSeeblick"
},
"insurance": [
{
"reference": "Coverage/CoverageMusterfrau"
}
],
"note": [
{
"text": "Bemerkung/Kommentar"
}
]
}
},
{
"fullUrl": "http://example.com/fhir/Questionnaire/order-referral-form",
"resource": {
"resourceType": "Questionnaire",
"id": "order-referral-form",
"meta": {
"profile": [
"http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-questionnaire",
"http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire",
"http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-extract",
"http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-populate"
]
},
"text": {
"status": "extensions",
"div": "Generated Narrative
Target structure map: OrfQrToBundle
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-orf/Questionnaire/order-referral-form
version: 0.11.0
name: OrderReferralForm
title: Order-Referral-Form
status: active
subjectType: Patient
date: 2022-01-06
publisher: HL7 Switzerland
contact: HL7 Switzerland: https://www.hl7.ch/
jurisdiction: Switzerland (unknown#CH)
copyright: CC-BY-SA-4.0
item
linkId: order
definition: CH ORF Document
text: Auftrag
type: group
required: true
item
linkId: order.placerOrderIdentifier
definition: CH ORF ServiceRequest
text: Auftragsnummer des Auftraggebers
type: string
item
hidden: true
linkId: order.placerOrderIdentifierDomain
definition: CH ORF ServiceRequest
text: Identifier Domain der Auftragsnummer des Auftraggebers
type: string
item
linkId: order.fillerOrderIdentifier
definition: CH ORF ServiceRequest
text: Auftragsnummer des Auftragsempfängers
type: string
item
hidden: true
linkId: order.fillerOrderIdentifierDomain
definition: CH ORF ServiceRequest
text: Identifier Domain der Auftragsnummer des Auftragsempfängers
type: string
item
hidden: true
linkId: order.precedentDocumentIdentifier
definition: CH ORF Composition
text: Identifier des Vorgängerdokuments
type: string
item
linkId: order.notificationContactDocument
definition: CH ORF Composition
text: Dringender Benachrichtigungskontakt für dieses Dokument
type: group
item
linkId: order.notificationContactDocumentResponse
definition: CH ORF Composition
text: Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument
type: group
item
linkId: order.priority
definition: CH ORF ServiceRequest
text: Auftragspriorität
type: choice
item
linkId: receiver
definition: CH ORF Composition
text: Empfänger
type: group
item
linkId: receiver.practitioner
definition: CH Core Practitioner Role Profile
text: Empfangende Person
type: group
item
linkId: receiver.organization
definition: CH Core Practitioner Role Profile
text: Empfangende Organisation
type: group
item
linkId: patient
definition: CH ORF Composition
text: Patient
type: group
required: true
item
linkId: patient.familyName
definition: CH Core Patient Profile
text: Name
type: string
item
linkId: patient.maidenName
definition: CH Core Patient Profile
text: Ledigname
type: string
item
linkId: patient.givenName
definition: CH Core Patient Profile
text: Vorname
type: string
item
linkId: patient.localPid
definition: CH Core Patient Profile
text: Lokale Patienten-ID
type: string
item
hidden: true
linkId: patient.localPidDomain
definition: CH Core Patient Profile
text: Lokale Patienten-ID Domain
type: string
item
linkId: patient.birthDate
definition: CH Core Patient Profile
text: Geburtsdatum
type: date
item
linkId: patient.gender
definition: CH Core Patient Profile
text: Geschlecht
type: choice
item
linkId: patient.maritalStatus
definition: CH Core Patient Profile
text: Zivilstand
type: choice
item
linkId: patient.phone
definition: CH Core Patient Profile
text: Telefon
type: string
repeats: true
item
linkId: patient.email
definition: CH Core Patient Profile
text: E-Mail
type: string
item
linkId: patient.streetAddressLine
definition: CH Core Patient Profile
text: Strasse, Hausnummer, Postfach etc.
type: string
repeats: true
item
linkId: patient.postalCode
definition: CH Core Patient Profile
text: PLZ
type: string
item
linkId: patient.city
definition: CH Core Patient Profile
text: Ort
type: string
item
linkId: patient.country
definition: CH Core Patient Profile
text: Land
type: string
item
linkId: patient.languageOfCorrespondance
definition: CH Core Patient Profile
text: Korrespondenssprache
type: choice
answerValueSet: DocumentEntry.languageCode
item
linkId: patient.contactperson
definition: CH Core Patient Profile
text: Kontaktperson
type: group
item
linkId: requestedEncounter
definition: CH ORF ServiceRequest
text: Patientenaufnahme
type: group
item
linkId: requestedEncounter.class
definition: CH ORF Requested Encounter
text: Voraussichtlich: Ambulant / Stationär / Notfall
type: choice
item
linkId: requestedEncounter.desiredAccommodation
definition: CH ORF Requested Encounter
text: Zimmerkategorie
type: choice
item
linkId: coverage
definition: CH ORF ServiceRequest
text: Kostenträger
type: group
item
linkId: coverage.beneficiary
definition: CH ORF Coverage
text: Begünstigter (Patient)
type: group
item
linkId: coverage.kvg
definition: CH ORF Coverage
text: Krankenkasse (nach KVG)
type: group
item
linkId: coverage.uvg
definition: CH ORF Coverage
text: Unfallversicherung (nach UVG)
type: group
item
linkId: coverage.vvg
definition: CH ORF Coverage
text: Zusatzversicherung (nach VVG)
type: group
item
linkId: coverage.iv
definition: CH ORF Coverage
text: Invalidenversicherung (IV)
type: group
item
linkId: coverage.mv
definition: CH ORF Coverage
text: Militärversicherung (MV)
type: group
item
linkId: coverage.self
definition: CH ORF Coverage
text: Selbstzahler
type: group
item
linkId: coverage.other
definition: CH ORF Coverage
text: Anderer Kostenträger
type: group
item
linkId: sender
text: Absender
type: group
required: true
item
linkId: sender.author
definition: CH ORF Composition
text: Verantwortlicher
type: group
required: true
item
linkId: sender.dataenterer
definition: CH ORF Composition
text: Erfasser
type: group
item
linkId: receiverCopy
definition: CH ORF Composition
text: Kopieempfänger (Kopie dieses Auftrags und aller daraus resultierenden Resultate)
type: group
item
linkId: receiverCopy.practitionerRole
definition: CH Core Practitioner Role Profile
text: Gesundheitsfachperson oder -organisation
type: group
repeats: true
item
linkId: receiverCopy.patient
definition: CH Core Patient Profile
text: Patient selbst
type: boolean
item
linkId: receiverCopy.relatedPerson
definition: RelatedPerson
text: Andere Person
type: group
repeats: true
item
linkId: appointment
definition: CH ORF ServiceRequest
text: Ort und Zeit der Durchführung der angeforderten Leistung
type: group
repeats: true
item
linkId: appointment.location
definition: CH ORF Appointment
text: Ort der Durchführung
type: group
required: true
item
linkId: appointment.requestedPeriod
definition: CH ORF Appointment
text: Datum und Zeit, wann der Termin bevorzugt geplant werden soll
type: group
item
linkId: appointment.status
definition: CH ORF Appointment
text: Status
type: choice
required: true
item
linkId: appointment.patientInstruction
definition: CH ORF Appointment
text: Patienteninformation für diesen Termin
type: string
item
linkId: note
text: Bemerkungen
type: group
repeats: true
Items
"
},
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-targetStructureMap",
"valueCanonical": "http://fhir.ch/ig/ch-orf/StructureMap/OrfQrToBundle"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-sourceStructureMap",
"valueCanonical": "http://fhir.ch/ig/ch-orf/StructureMap/OrfPrepopBundleToQr"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext",
"extension": [
{
"url": "name",
"valueId": "Bundle"
},
{
"url": "type",
"valueCode": "Bundle"
},
{
"url": "description",
"valueString": "The Bundle that is to be used to pre-populate the form"
}
]
}
],
"url": "http://fhir.ch/ig/ch-orf/Questionnaire/order-referral-form",
"version": "0.11.0",
"name": "OrderReferralForm",
"title": "Order-Referral-Form",
"status": "active",
"subjectType": [
"Patient"
],
"date": "2022-01-06",
"publisher": "HL7 Switzerland",
"contact": [
{
"name": "HL7 Switzerland",
"telecom": [
{
"system": "url",
"value": "https://www.hl7.ch/"
}
]
}
],
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "CH"
}
]
}
],
"copyright": "CC-BY-SA-4.0",
"item": [
{
"linkId": "order",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-document#Bundle",
"text": "Auftrag",
"type": "group",
"required": true,
"item": [
{
"linkId": "order.placerOrderIdentifier",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.identifier:placerOrderIdentifier.value",
"text": "Auftragsnummer des Auftraggebers",
"type": "string"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
}
],
"linkId": "order.placerOrderIdentifierDomain",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.identifier:placerOrderIdentifier.system",
"text": "Identifier Domain der Auftragsnummer des Auftraggebers",
"type": "string"
},
{
"linkId": "order.fillerOrderIdentifier",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.identifier:fillerOrderIdentifier.value",
"text": "Auftragsnummer des Auftragsempfängers",
"type": "string"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
}
],
"linkId": "order.fillerOrderIdentifierDomain",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.identifier:fillerOrderIdentifier.system",
"text": "Identifier Domain der Auftragsnummer des Auftragsempfängers",
"type": "string"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
}
],
"linkId": "order.precedentDocumentIdentifier",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:precedentDocument",
"text": "Identifier des Vorgängerdokuments",
"type": "string"
},
{
"linkId": "order.notificationContactDocument",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:urgentNoficationContactForThisDocument",
"text": "Dringender Benachrichtigungskontakt für dieses Dokument",
"type": "group",
"item": [
{
"linkId": "order.notificationContactDocument.practitioner",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.practitioner",
"text": "Zu benachrichtigende Person",
"type": "group",
"item": [
{
"linkId": "order.notificationContactDocument.practitioner.title",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.prefix",
"text": "Titel",
"type": "string"
},
{
"linkId": "order.notificationContactDocument.practitioner.familyName",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.family",
"text": "Name",
"type": "string"
},
{
"linkId": "order.notificationContactDocument.practitioner.givenName",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.given",
"text": "Vorname",
"type": "string"
},
{
"linkId": "order.notificationContactDocument.practitioner.phone",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value",
"text": "Telefon",
"type": "string"
},
{
"linkId": "order.notificationContactDocument.practitioner.email",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value",
"text": "E-Mail",
"type": "string"
}
]
}
]
},
{
"linkId": "order.notificationContactDocumentResponse",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:urgentNoficationContactForTheResponseToThisDocument",
"text": "Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument",
"type": "group",
"item": [
{
"linkId": "order.notificationContactDocumentResponse.practitioner",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.practitioner",
"text": "Zu benachrichtigende Person",
"type": "group",
"item": [
{
"linkId": "order.notificationContactDocumentResponse.practitioner.title",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.prefix",
"text": "Titel",
"type": "string"
},
{
"linkId": "order.notificationContactDocumentResponse.practitioner.familyName",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.family",
"text": "Name",
"type": "string"
},
{
"linkId": "order.notificationContactDocumentResponse.practitioner.givenName",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.given",
"text": "Vorname",
"type": "string"
},
{
"linkId": "order.notificationContactDocumentResponse.practitioner.phone",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value",
"text": "Telefon",
"type": "string"
},
{
"linkId": "order.notificationContactDocumentResponse.practitioner.email",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value",
"text": "E-Mail",
"type": "string"
}
]
}
]
},
{
"linkId": "order.priority",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.priority",
"text": "Auftragspriorität",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://hl7.org/fhir/request-priority",
"code": "routine",
"display": "Die Anfrage hat normale Priorität."
},
"initialSelected": true
},
{
"valueCoding": {
"system": "http://hl7.org/fhir/request-priority",
"code": "urgent",
"display": "Die Anfrage sollte dringend bearbeitet werden - höhere Priorität als normal."
}
},
{
"valueCoding": {
"system": "http://hl7.org/fhir/request-priority",
"code": "asap",
"display": "Die Anfrage sollte so schnell wie möglich bearbeitet werden - höhere Priorität als dringend."
}
},
{
"valueCoding": {
"system": "http://hl7.org/fhir/request-priority",
"code": "stat",
"display": "Die Anfrage sollte sofort bearbeitet werden - höchstmögliche Priorität. Z.B. bei einem Notfall."
}
}
]
}
]
},
{
"linkId": "receiver",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:receiver",
"text": "Empfänger",
"type": "group",
"item": [
{
"linkId": "receiver.practitioner",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.practitioner",
"text": "Empfangende Person",
"type": "group",
"item": [
{
"linkId": "receiver.practitioner.title",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.prefix",
"text": "Titel",
"type": "string"
},
{
"linkId": "receiver.practitioner.familyName",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.family",
"text": "Name",
"type": "string"
},
{
"linkId": "receiver.practitioner.givenName",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.given",
"text": "Vorname",
"type": "string"
},
{
"linkId": "receiver.practitioner.gln",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.identifier:GLN.value",
"text": "GLN",
"type": "string"
},
{
"linkId": "receiver.practitioner.zsr",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.identifier:ZSR.value",
"text": "ZSR",
"type": "string"
},
{
"linkId": "receiver.practitioner.phone",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value",
"text": "Telefon",
"type": "string"
},
{
"linkId": "receiver.practitioner.email",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value",
"text": "E-Mail",
"type": "string"
}
]
},
{
"linkId": "receiver.organization",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.organization",
"text": "Empfangende Organisation",
"type": "group",
"item": [
{
"linkId": "receiver.organization.name",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.name",
"text": "Name der Organisation",
"type": "string"
},
{
"linkId": "receiver.organization.gln",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.identifier:GLN",
"text": "GLN",
"type": "string"
},
{
"linkId": "receiver.organization.streetAddressLine",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.line",
"text": "Strasse, Hausnummer, Postfach etc.",
"type": "string",
"repeats": true
},
{
"linkId": "receiver.organization.postalCode",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.postalCode",
"text": "PLZ",
"type": "string"
},
{
"linkId": "receiver.organization.city",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.city",
"text": "Ort",
"type": "string"
},
{
"linkId": "receiver.organization.country",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.country",
"text": "Land",
"type": "string"
}
]
}
]
},
{
"linkId": "patient",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.subject",
"text": "Patient",
"type": "group",
"required": true,
"item": [
{
"linkId": "patient.familyName",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.name.family",
"text": "Name",
"type": "string"
},
{
"linkId": "patient.maidenName",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.name.family",
"text": "Ledigname",
"type": "string"
},
{
"linkId": "patient.givenName",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.name.given",
"text": "Vorname",
"type": "string"
},
{
"linkId": "patient.localPid",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.identifier:LocalPid.value",
"text": "Lokale Patienten-ID",
"type": "string"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
}
],
"linkId": "patient.localPidDomain",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.identifier:LocalPid.system",
"text": "Lokale Patienten-ID Domain",
"type": "string"
},
{
"linkId": "patient.birthDate",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.birthDate",
"text": "Geburtsdatum",
"type": "date"
},
{
"linkId": "patient.gender",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.gender",
"text": "Geschlecht",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://hl7.org/fhir/administrative-gender",
"code": "male",
"display": "Männlich"
},
"initialSelected": true
},
{
"valueCoding": {
"system": "http://hl7.org/fhir/administrative-gender",
"code": "female",
"display": "Weiblich"
}
},
{
"valueCoding": {
"system": "http://hl7.org/fhir/administrative-gender",
"code": "other",
"display": "Anderes"
}
}
]
},
{
"linkId": "patient.maritalStatus",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.maritalStatus",
"text": "Zivilstand",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus",
"code": "1",
"display": "ledig"
}
},
{
"valueCoding": {
"system": "http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus",
"code": "2",
"display": "verheiratet"
}
},
{
"valueCoding": {
"system": "http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus",
"code": "3",
"display": "verwitwet"
}
},
{
"valueCoding": {
"system": "http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus",
"code": "4",
"display": "geschieden"
}
},
{
"valueCoding": {
"system": "http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus",
"code": "5",
"display": "unverheiratet"
}
},
{
"valueCoding": {
"system": "http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus",
"code": "6",
"display": "in eingetragener Partnerschaft"
}
},
{
"valueCoding": {
"system": "http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus",
"code": "7",
"display": "aufgelöste Partnerschaft"
}
},
{
"valueCoding": {
"system": "http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus",
"code": "9",
"display": "unbekannt"
}
}
]
},
{
"linkId": "patient.phone",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.telecom.value",
"text": "Telefon",
"type": "string",
"repeats": true
},
{
"linkId": "patient.email",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.telecom.value",
"text": "E-Mail",
"type": "string"
},
{
"linkId": "patient.streetAddressLine",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.address.line",
"text": "Strasse, Hausnummer, Postfach etc.",
"type": "string",
"repeats": true
},
{
"linkId": "patient.postalCode",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.address.postalCode",
"text": "PLZ",
"type": "string"
},
{
"linkId": "patient.city",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.address.city",
"text": "Ort",
"type": "string"
},
{
"linkId": "patient.country",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.address.country",
"text": "Land",
"type": "string"
},
{
"linkId": "patient.languageOfCorrespondance",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.communication:languageOfCorrespondance",
"text": "Korrespondenssprache",
"type": "choice",
"answerValueSet": "http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.languageCode"
},
{
"linkId": "patient.contactperson",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact",
"text": "Kontaktperson",
"type": "group",
"item": [
{
"linkId": "patient.contactperson.relationship",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact.relationship.text",
"text": "Beziehung",
"type": "string"
},
{
"linkId": "patient.contactperson.familyName",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact.name.family",
"text": "Name",
"type": "string"
},
{
"linkId": "patient.contactperson.givenName",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact.name.given",
"text": "Vorname",
"type": "string"
},
{
"linkId": "patient.contactperson.phone",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact.telecom.value",
"text": "Telefon",
"type": "string",
"repeats": true
},
{
"linkId": "patient.contactperson.email",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact.telecom.value",
"text": "E-Mail",
"type": "string"
}
]
}
]
},
{
"linkId": "requestedEncounter",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.extension:requestedEncounterDetails",
"text": "Patientenaufnahme",
"type": "group",
"item": [
{
"linkId": "requestedEncounter.class",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-encounter#Encounter.class",
"text": "Voraussichtlich: Ambulant / Stationär / Notfall",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB",
"display": "Ambulant"
}
},
{
"valueCoding": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "IMP",
"display": "Stationär"
}
},
{
"valueCoding": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "EMER",
"display": "Notfall"
}
}
]
},
{
"linkId": "requestedEncounter.desiredAccommodation",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-encounter#Encounter.extension:desiredAccommodation",
"text": "Zimmerkategorie",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.ch/ig/ch-core/CodeSystem/bfs-medstats-21-encountertype",
"code": "1",
"display": "allgemein"
}
},
{
"valueCoding": {
"system": "http://fhir.ch/ig/ch-core/CodeSystem/bfs-medstats-21-encountertype",
"code": "2",
"display": "halbprivat"
}
},
{
"valueCoding": {
"system": "http://fhir.ch/ig/ch-core/CodeSystem/bfs-medstats-21-encountertype",
"code": "3",
"display": "privat"
}
}
]
}
]
},
{
"linkId": "coverage",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.insurance",
"text": "Kostenträger",
"type": "group",
"item": [
{
"linkId": "coverage.beneficiary",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.beneficiary",
"text": "Begünstigter (Patient)",
"type": "group",
"item": [
{
"linkId": "coverage.beneficiary.ahvn13",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.identifier:AHVN13",
"text": "AHV-Nr. des Patienten",
"type": "string"
}
]
},
{
"linkId": "coverage.kvg",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type",
"text": "Krankenkasse (nach KVG)",
"type": "group",
"item": [
{
"linkId": "coverage.kvg.name",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor",
"text": "Name der Versicherung",
"type": "string"
},
{
"linkId": "coverage.kvg.insuranceCardNumber",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier",
"text": "Kennnummer der Versichertenkarte",
"type": "string"
}
]
},
{
"linkId": "coverage.uvg",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type",
"text": "Unfallversicherung (nach UVG)",
"type": "group",
"item": [
{
"linkId": "coverage.uvg.name",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor",
"text": "Name der Versicherung",
"type": "string"
},
{
"linkId": "coverage.uvg.claimNumber",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier",
"text": "Schadennummer",
"type": "string"
}
]
},
{
"linkId": "coverage.vvg",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type",
"text": "Zusatzversicherung (nach VVG)",
"type": "group",
"item": [
{
"linkId": "coverage.vvg.name",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor",
"text": "Name der Versicherung",
"type": "string"
},
{
"linkId": "coverage.vvg.insuranceCardNumber",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier",
"text": "Kennnummer der Versichertenkarte",
"type": "string"
}
]
},
{
"linkId": "coverage.iv",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type",
"text": "Invalidenversicherung (IV)",
"type": "group",
"item": [
{
"linkId": "coverage.iv.verfuegungsnummer",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier",
"text": "IV-Verfügungsnummer",
"type": "string"
}
]
},
{
"linkId": "coverage.mv",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type",
"text": "Militärversicherung (MV)",
"type": "group",
"item": [
{
"linkId": "coverage.mv.versichertennummer",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier",
"text": "MV-Versichertennummer",
"type": "string"
}
]
},
{
"linkId": "coverage.self",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type",
"text": "Selbstzahler",
"type": "group",
"item": [
{
"linkId": "coverage.self.patient",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor",
"text": "Patient selbst",
"type": "boolean"
},
{
"linkId": "coverage.self.patientRelatedPerson",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor",
"text": "Andere Person",
"type": "boolean",
"enableWhen": [
{
"question": "coverage.self.patient",
"operator": "=",
"answerBoolean": false
}
]
},
{
"linkId": "coverage.self.relatedPerson",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor",
"text": "Andere Person",
"type": "group",
"enableWhen": [
{
"question": "coverage.self.patientRelatedPerson",
"operator": "=",
"answerBoolean": true
}
],
"item": [
{
"linkId": "coverage.self.relatedPerson.familyName",
"definition": "http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.name.family",
"text": "Name",
"type": "string"
},
{
"linkId": "coverage.self.relatedPerson.givenName",
"definition": "http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.name.given",
"text": "Vorname",
"type": "string"
},
{
"linkId": "coverage.self.relatedPerson.phone",
"definition": "http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.telecom.value",
"text": "Telefon",
"type": "string",
"repeats": true
},
{
"linkId": "coverage.self.relatedPerson.email",
"definition": "http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.telecom.value",
"text": "E-Mail",
"type": "string"
},
{
"linkId": "coverage.self.relatedPerson.streetAddressLine",
"definition": "http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.address.line",
"text": "Strasse, Hausnummer, Postfach etc.",
"type": "string",
"repeats": true
},
{
"linkId": "coverage.self.relatedPerson.postalCode",
"definition": "http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.address.postalCode",
"text": "PLZ",
"type": "string"
},
{
"linkId": "coverage.self.relatedPerson.city",
"definition": "http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.address.city",
"text": "Ort",
"type": "string"
},
{
"linkId": "coverage.self.relatedPerson.country",
"definition": "http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.address.country",
"text": "Land",
"type": "string"
}
]
}
]
},
{
"linkId": "coverage.other",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type",
"text": "Anderer Kostenträger",
"type": "group",
"item": [
{
"linkId": "coverage.other.name",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor",
"text": "Name des Kostenträgers",
"type": "string"
},
{
"linkId": "coverage.other.id",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier",
"text": "Beliebige ID",
"type": "string"
},
{
"linkId": "coverage.other.id.note",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier.type.text",
"text": "Bemerkung zur ID",
"type": "string"
}
]
}
]
},
{
"linkId": "sender",
"text": "Absender",
"type": "group",
"required": true,
"item": [
{
"linkId": "sender.author",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.author",
"text": "Verantwortlicher",
"type": "group",
"required": true,
"item": [
{
"linkId": "sender.author.practitioner",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.practitioner",
"text": "Verantwortliche Person",
"type": "group",
"item": [
{
"linkId": "sender.author.practitioner.title",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.prefix",
"text": "Titel",
"type": "string"
},
{
"linkId": "sender.author.practitioner.familyName",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.family",
"text": "Name",
"type": "string"
},
{
"linkId": "sender.author.practitioner.givenName",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.given",
"text": "Vorname",
"type": "string"
},
{
"linkId": "sender.author.practitioner.gln",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.identifier:GLN.value",
"text": "GLN",
"type": "string"
},
{
"linkId": "sender.author.practitioner.zsr",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.identifier:ZSR.value",
"text": "ZSR",
"type": "string"
},
{
"linkId": "sender.author.practitioner.phone",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value",
"text": "Telefon",
"type": "string"
},
{
"linkId": "sender.author.practitioner.email",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value",
"text": "E-Mail",
"type": "string"
}
]
},
{
"linkId": "sender.author.organization",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.organization",
"text": "Verantwortliche Organisation",
"type": "group",
"item": [
{
"linkId": "sender.author.organization.name",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.name",
"text": "Name der Organisation",
"type": "string"
},
{
"linkId": "sender.author.organization.gln",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.identifier:GLN",
"text": "GLN",
"type": "string"
},
{
"linkId": "sender.author.organization.streetAddressLine",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.line",
"text": "Strasse, Hausnummer, Postfach etc.",
"type": "string",
"repeats": true
},
{
"linkId": "sender.author.organization.postalCode",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.postalCode",
"text": "PLZ",
"type": "string"
},
{
"linkId": "sender.author.organization.city",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.city",
"text": "Ort",
"type": "string"
},
{
"linkId": "sender.author.organization.country",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.country",
"text": "Land",
"type": "string"
}
]
}
]
},
{
"linkId": "sender.dataenterer",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:dataEnterer",
"text": "Erfasser",
"type": "group",
"item": [
{
"linkId": "sender.dataenterer.practitioner",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.practitioner",
"text": "Erfassende Person",
"type": "group",
"item": [
{
"linkId": "sender.dataenterer.practitioner.familyName",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.family",
"text": "Name",
"type": "string"
},
{
"linkId": "sender.dataenterer.practitioner.givenName",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.given",
"text": "Vorname",
"type": "string"
},
{
"linkId": "sender.dataenterer.practitioner.phone",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value",
"text": "Telefon",
"type": "string"
},
{
"linkId": "sender.dataenterer.practitioner.email",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value",
"text": "E-Mail",
"type": "string"
}
]
}
]
}
]
},
{
"linkId": "receiverCopy",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:copyReceiver",
"text": "Kopieempfänger (Kopie dieses Auftrags und aller daraus resultierenden Resultate)",
"type": "group",
"item": [
{
"linkId": "receiverCopy.practitionerRole",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole",
"text": "Gesundheitsfachperson oder -organisation",
"type": "group",
"repeats": true,
"item": [
{
"linkId": "receiverCopy.practitionerRole.practitioner",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.practitioner",
"text": "Gesundheitsfachperson",
"type": "group",
"item": [
{
"linkId": "receiverCopy.practitionerRole.practitioner.title",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-humanname#HumanName.prefix",
"text": "Titel",
"type": "string"
},
{
"linkId": "receiverCopy.practitionerRole.practitioner.familyName",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-humanname#HumanName.family",
"text": "Name",
"type": "string"
},
{
"linkId": "receiverCopy.practitionerRole.practitioner.givenName",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-humanname#HumanName.given",
"text": "Vorname",
"type": "string"
},
{
"linkId": "receiverCopy.practitionerRole.practitioner.phone",
"definition": "http://hl7.org/fhir/StructureDefinition/ContactPoint#ContactPoint.value",
"text": "Telefon",
"type": "string"
},
{
"linkId": "receiverCopy.practitionerRole.practitioner.email",
"definition": "http://hl7.org/fhir/StructureDefinition/ContactPoint#ContactPoint.value",
"text": "E-Mail",
"type": "string"
}
]
},
{
"linkId": "receiverCopy.practitionerRole.organization",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.organization",
"text": "Gesundheitsorganisatiton",
"type": "group",
"item": [
{
"linkId": "receiverCopy.practitionerRole.organization.name",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.name",
"text": "Name der Organisation",
"type": "string"
},
{
"linkId": "receiverCopy.practitionerRole.organization.streetAddressLine",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-address#Address.line",
"text": "Strasse, Hausnummer, Postfach etc.",
"type": "string",
"repeats": true
},
{
"linkId": "receiverCopy.practitionerRole.organization.postalCode",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-address#Address.postalCode",
"text": "PLZ",
"type": "string"
},
{
"linkId": "receiverCopy.practitionerRole.organization.city",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-address#Address.city",
"text": "Ort",
"type": "string"
},
{
"linkId": "receiverCopy.practitionerRole.organization.country",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-address#Address.country",
"text": "Land",
"type": "string"
}
]
}
]
},
{
"linkId": "receiverCopy.patient",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient",
"text": "Patient selbst",
"type": "boolean"
},
{
"linkId": "receiverCopy.relatedPerson",
"definition": "http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson",
"text": "Andere Person",
"type": "group",
"repeats": true,
"item": [
{
"linkId": "receiverCopy.relatedPerson.familyName",
"definition": "http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.name.family",
"text": "Name",
"type": "string"
},
{
"linkId": "receiverCopy.relatedPerson.givenName",
"definition": "http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.name.given",
"text": "Vorame",
"type": "string"
},
{
"linkId": "receiverCopy.relatedPerson.phone",
"definition": "http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.telecom.value",
"text": "Telefon",
"type": "string",
"repeats": true
},
{
"linkId": "receiverCopy.relatedPerson.email",
"definition": "http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.telecom.value",
"text": "E-Mail",
"type": "string"
},
{
"linkId": "receiverCopy.relatedPerson.streetAddressLine",
"definition": "http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.address.line",
"text": "Strasse, Hausnummer, Postfach etc.",
"type": "string",
"repeats": true
},
{
"linkId": "receiverCopy.relatedPerson.postalCode",
"definition": "http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.address.postalCode",
"text": "PLZ",
"type": "string"
},
{
"linkId": "receiverCopy.relatedPerson.city",
"definition": "http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.address.city",
"text": "Ort",
"type": "string"
},
{
"linkId": "receiverCopy.relatedPerson.country",
"definition": "http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.address.country",
"text": "Land",
"type": "string"
}
]
}
]
},
{
"linkId": "appointment",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.extension:locationAndTime",
"text": "Ort und Zeit der Durchführung der angeforderten Leistung",
"type": "group",
"repeats": true,
"item": [
{
"linkId": "appointment.location",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.participant.actor",
"text": "Ort der Durchführung",
"type": "group",
"required": true,
"item": [
{
"linkId": "appointment.location.name",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location#Location.name",
"text": "Name",
"type": "string",
"required": true
},
{
"linkId": "appointment.location.phone",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location#Location.telecom.value",
"text": "Telefon",
"type": "string"
},
{
"linkId": "appointment.location.email",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location#Location.telecom.value",
"text": "E-Mail",
"type": "string"
},
{
"linkId": "appointment.location.streetAddressLine",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location#Location.address.line",
"text": "Strasse, Hausnummer, Postfach etc.",
"type": "string",
"repeats": true
},
{
"linkId": "appointment.location.postalCode",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location#Location.address.postalCode",
"text": "PLZ",
"type": "string"
},
{
"linkId": "appointment.location.city",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location#Location.address.city",
"text": "Ort",
"type": "string"
},
{
"linkId": "appointment.location.country",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location#Location.address.country",
"text": "Land",
"type": "string"
}
]
},
{
"linkId": "appointment.requestedPeriod",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.requestedPeriod",
"text": "Datum und Zeit, wann der Termin bevorzugt geplant werden soll",
"type": "group",
"item": [
{
"linkId": "appointment.requestedPeriod.start",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.requestedPeriod.start",
"text": "Von",
"type": "dateTime"
},
{
"linkId": "appointment.requestedPeriod.end",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.requestedPeriod.end",
"text": "Bis",
"type": "dateTime"
}
]
},
{
"linkId": "appointment.status",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.status",
"text": "Status",
"type": "choice",
"required": true,
"answerOption": [
{
"valueCoding": {
"system": "http://hl7.org/fhir/appointmentstatus",
"code": "proposed",
"display": "Wunsch des Patienten (vorgeschlagen)"
},
"initialSelected": true
},
{
"valueCoding": {
"system": "http://hl7.org/fhir/appointmentstatus",
"code": "pending",
"display": "Vom Patienten bestätigt, aber vom Leistungserbringer noch nicht (ausstehend)"
}
},
{
"valueCoding": {
"system": "http://hl7.org/fhir/appointmentstatus",
"code": "booked",
"display": "Vom Patienten und Leistungserbringer bestätigt (gebucht)"
}
}
]
},
{
"linkId": "appointment.patientInstruction",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.patientInstruction",
"text": "Patienteninformation für diesen Termin",
"type": "string"
}
]
},
{
"linkId": "note",
"text": "Bemerkungen",
"type": "group",
"repeats": true,
"item": [
{
"linkId": "note.text",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.note.text",
"text": "Kommentar",
"type": "string",
"required": true
}
]
}
]
}
},
{
"fullUrl": "http://example.com/fhir/Patient/ErikaMusterfrau",
"resource": {
"resourceType": "Patient",
"id": "ErikaMusterfrau",
"text": {
"status": "generated",
"div": "Generated Narrative
Resource \"ErikaMusterfrau\"
identifier: Medical record number: 11.22.33.4567
name: Erika Musterfrau (OFFICIAL), Ledigname (MAIDEN)
telecom: ph: 079 979 79 79, erika@musterfrau.ch
gender: female
birthDate: 1970-03-14
address: Musterweg 6a Zürich 8000 Schweiz
maritalStatus: ledig (eCH-011 MaritalStatus#1)
Contacts
- | Relationship | Name | Telecom |
* | Guter Freund () | Max Freund | ph: 079 111 22 33, max@freund.ch |
Communications
"
},
"identifier": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "MR"
}
]
},
"system": "urn:oid:2.999.1.2",
"value": "11.22.33.4567"
}
],
"name": [
{
"use": "official",
"family": "Musterfrau",
"_family": {
"extension": [
{
"url": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name",
"valueCode": "officialName"
}
]
},
"given": [
"Erika"
],
"_given": [
{
"extension": [
{
"url": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname",
"valueCode": "officialFirstName"
}
]
}
]
},
{
"use": "maiden",
"family": "Ledigname",
"_family": {
"extension": [
{
"url": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name",
"valueCode": "originalName"
}
]
}
}
],
"telecom": [
{
"system": "phone",
"value": "079 979 79 79"
},
{
"system": "email",
"value": "erika@musterfrau.ch"
}
],
"gender": "female",
"birthDate": "1970-03-14",
"address": [
{
"line": [
"Musterweg",
"6a"
],
"city": "Zürich",
"postalCode": "8000",
"country": "Schweiz"
}
],
"maritalStatus": {
"coding": [
{
"system": "http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus",
"code": "1",
"display": "ledig"
}
]
},
"contact": [
{
"relationship": [
{
"text": "Guter Freund"
}
],
"name": {
"family": "Freund",
"given": [
"Max"
]
},
"telecom": [
{
"system": "phone",
"value": "079 111 22 33"
},
{
"system": "email",
"value": "max@freund.ch"
}
]
}
],
"communication": [
{
"language": {
"coding": [
{
"system": "urn:ietf:bcp:47",
"code": "de-CH",
"display": "Deutsch (Schweiz)"
}
]
},
"preferred": true
}
]
}
},
{
"fullUrl": "http://example.com/fhir/QuestionnaireResponse/qr-order-referral-form",
"resource": {
"resourceType": "QuestionnaireResponse",
"id": "qr-order-referral-form",
"text": {
"status": "generated",
"div": "Generated Narrative
Resource \"qr-order-referral-form\"
questionnaire: Order-Referral-Form
status: completed
item
linkId: order
text: Auftrag
item
linkId: order.placerOrderIdentifier
text: Auftragsnummer des Auftraggebers
item
linkId: order.placerOrderIdentifierDomain
text: Identifier Domain der Auftragsnummer des Auftraggebers
item
linkId: order.fillerOrderIdentifier
text: Auftragsnummer des Auftragsempfängers
item
linkId: order.fillerOrderIdentifierDomain
text: Identifier Domain der Auftragsnummer des Auftragsempfängers
item
linkId: order.precedentDocumentIdentifier
text: Identifier des Vorgängerdokuments
item
linkId: order.notificationContactDocument
definition: CH Core Practitioner Role Profile
text: Dringender Benachrichtigungskontakt für dieses Dokument
item
linkId: order.notificationContactDocumentResponse
definition: CH Core Practitioner Role Profile
text: Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument
item
linkId: order.priority
text: Auftragspriorität
item
linkId: receiver
definition: CH Core Practitioner Role Profile
text: Empfänger
item
linkId: receiver.practitioner
definition: CH Core Practitioner Profile
text: Empfangende Person
item
linkId: receiver.organization
definition: CH Core Organization Profile
text: Empfangende Organisation
item
linkId: patient
definition: CH Core Patient Profile
text: Patient
item
linkId: patient.familyName
text: Name
item
linkId: patient.maidenName
text: Ledigname
item
linkId: patient.givenName
text: Vorname
item
linkId: patient.localPid
text: Lokale Patienten-ID
item
linkId: patient.birthDate
text: Geburtsdatum
item
linkId: patient.gender
text: Geschlecht
item
linkId: patient.maritalStatus
text: Zivilstand
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: patient.languageOfCorrespondance
text: Korrespondenssprache
item
linkId: sender
definition: CH Core Practitioner Role Profile
text: Absender
item
linkId: sender.author
definition: CH Core Practitioner Profile
text: Verantwortlicher
item
linkId: sender.dataenterer
definition: CH Core Practitioner Role Profile
text: Erfasser
item
linkId: receiverCopy
text: Kopieempfänger (Kopie dieses Auftrags und aller daraus resultierenden Resultate)
item
linkId: receiverCopy.practitionerRole
text: Gesundheitsfachperson oder -organisation
item
linkId: receiverCopy.patient
text: Patient selbst
"
},
"questionnaire": "http://fhir.ch/ig/ch-orf/Questionnaire/order-referral-form",
"status": "completed",
"item": [
{
"linkId": "order",
"text": "Auftrag",
"item": [
{
"linkId": "order.placerOrderIdentifier",
"text": "Auftragsnummer des Auftraggebers",
"answer": [
{
"valueString": "123"
}
]
},
{
"linkId": "order.placerOrderIdentifierDomain",
"text": "Identifier Domain der Auftragsnummer des Auftraggebers",
"answer": [
{
"valueString": "urn:oid:2.16.756.5.30"
}
]
},
{
"linkId": "order.fillerOrderIdentifier",
"text": "Auftragsnummer des Auftragsempfängers",
"answer": [
{
"valueString": "456"
}
]
},
{
"linkId": "order.fillerOrderIdentifierDomain",
"text": "Identifier Domain der Auftragsnummer des Auftragsempfängers",
"answer": [
{
"valueString": "http://example.com/identifier"
}
]
},
{
"linkId": "order.precedentDocumentIdentifier",
"text": "Identifier des Vorgängerdokuments",
"answer": [
{
"valueString": "1622f2fb-6ba3-4532-9aed-35b158def187"
}
]
},
{
"linkId": "order.notificationContactDocument",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole",
"text": "Dringender Benachrichtigungskontakt für dieses Dokument",
"item": [
{
"linkId": "order.notificationContactDocument.practitioner",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner",
"text": "Zu benachrichtigende Person",
"item": [
{
"linkId": "order.notificationContactDocument.practitioner.title",
"text": "Titel",
"answer": [
{
"valueString": "Dr. med."
}
]
},
{
"linkId": "order.notificationContactDocument.practitioner.familyName",
"text": "Name",
"answer": [
{
"valueString": "Röntgen"
}
]
},
{
"linkId": "order.notificationContactDocument.practitioner.givenName",
"text": "Vorname",
"answer": [
{
"valueString": "Hans"
}
]
},
{
"linkId": "order.notificationContactDocument.practitioner.phone",
"text": "Telefon",
"answer": [
{
"valueString": "044 412 00 99"
}
]
},
{
"linkId": "order.notificationContactDocument.practitioner.email",
"text": "E-Mail",
"answer": [
{
"valueString": "hans.roentgen@kantonsspital.ch"
}
]
}
]
}
]
},
{
"linkId": "order.notificationContactDocumentResponse",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole",
"text": "Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument",
"item": [
{
"linkId": "order.notificationContactDocumentResponse.practitioner",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner",
"text": "Zu benachrichtigende Person",
"item": [
{
"linkId": "order.notificationContactDocumentResponse.practitioner.title",
"text": "Titel",
"answer": [
{
"valueString": "Dr. med."
}
]
},
{
"linkId": "order.notificationContactDocumentResponse.practitioner.familyName",
"text": "Name",
"answer": [
{
"valueString": "Meier"
}
]
},
{
"linkId": "order.notificationContactDocumentResponse.practitioner.givenName",
"text": "Vorname",
"answer": [
{
"valueString": "Sabine"
}
]
},
{
"linkId": "order.notificationContactDocumentResponse.practitioner.phone",
"text": "Telefon",
"answer": [
{
"valueString": "044 333 22 11"
}
]
},
{
"linkId": "order.notificationContactDocumentResponse.practitioner.email",
"text": "E-Mail",
"answer": [
{
"valueString": "sabine.meier@praxisseeblick.ch"
}
]
}
]
}
]
},
{
"linkId": "order.priority",
"text": "Auftragspriorität",
"answer": [
{
"valueCoding": {
"system": "http://hl7.org/fhir/request-priority",
"code": "routine",
"display": "Die Anfrage hat normale Priorität."
}
}
]
}
]
},
{
"linkId": "receiver",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole",
"text": "Empfänger",
"item": [
{
"linkId": "receiver.practitioner",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner",
"text": "Empfangende Person",
"item": [
{
"linkId": "receiver.practitioner.title",
"text": "Titel",
"answer": [
{
"valueString": "Dr. med."
}
]
},
{
"linkId": "receiver.practitioner.familyName",
"text": "Name",
"answer": [
{
"valueString": "Röntgen"
}
]
},
{
"linkId": "receiver.practitioner.givenName",
"text": "Vorname",
"answer": [
{
"valueString": "Hans"
}
]
},
{
"linkId": "receiver.practitioner.gln",
"text": "GLN",
"answer": [
{
"valueString": "7601000066878"
}
]
},
{
"linkId": "receiver.practitioner.zsr",
"text": "ZSR",
"answer": [
{
"valueString": "A123262"
}
]
},
{
"linkId": "receiver.practitioner.phone",
"text": "Telefon",
"answer": [
{
"valueString": "044 412 00 99"
}
]
},
{
"linkId": "receiver.practitioner.email",
"text": "E-Mail",
"answer": [
{
"valueString": "hans.roentgen@kantonsspital.ch"
}
]
}
]
},
{
"linkId": "receiver.organization",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization",
"text": "Empfangende Organisation",
"item": [
{
"linkId": "receiver.organization.name",
"text": "Name der Organisation",
"answer": [
{
"valueString": "Kantonsspital"
}
]
},
{
"linkId": "receiver.organization.streetAddressLine",
"text": "Strasse, Hausnummer, Postfach etc.",
"answer": [
{
"valueString": "Kantonsstrasse 14"
},
{
"valueString": "Postfach 14"
}
]
},
{
"linkId": "receiver.organization.postalCode",
"text": "PLZ",
"answer": [
{
"valueString": "8000"
}
]
},
{
"linkId": "receiver.organization.city",
"text": "Ort",
"answer": [
{
"valueString": "Zürich"
}
]
},
{
"linkId": "receiver.organization.country",
"text": "Land",
"answer": [
{
"valueString": "Schweiz"
}
]
}
]
}
]
},
{
"linkId": "patient",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient",
"text": "Patient",
"item": [
{
"linkId": "patient.familyName",
"text": "Name",
"answer": [
{
"valueString": "Musterfrau"
}
]
},
{
"linkId": "patient.maidenName",
"text": "Ledigname",
"answer": [
{
"valueString": "Ledigname"
}
]
},
{
"linkId": "patient.givenName",
"text": "Vorname",
"answer": [
{
"valueString": "Erika"
}
]
},
{
"linkId": "patient.localPid",
"text": "Lokale Patienten-ID",
"answer": [
{
"valueString": "11.22.33.4567"
}
]
},
{
"linkId": "patient.birthDate",
"text": "Geburtsdatum",
"answer": [
{
"valueDate": "1970-03-14"
}
]
},
{
"linkId": "patient.gender",
"text": "Geschlecht",
"answer": [
{
"valueCoding": {
"system": "http://hl7.org/fhir/administrative-gender",
"code": "female",
"display": "Weiblich"
}
}
]
},
{
"linkId": "patient.maritalStatus",
"text": "Zivilstand",
"answer": [
{
"valueCoding": {
"system": "http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus",
"code": "1",
"display": "ledig"
}
}
]
},
{
"linkId": "patient.phone",
"text": "Telefon",
"answer": [
{
"valueString": "079 979 79 79"
}
]
},
{
"linkId": "patient.email",
"text": "E-Mail",
"answer": [
{
"valueString": "erika@musterfrau.ch"
}
]
},
{
"linkId": "patient.streetAddressLine",
"text": "Strasse, Hausnummer, Postfach etc.",
"answer": [
{
"valueString": "Musterweg"
},
{
"valueString": "6a"
}
]
},
{
"linkId": "patient.postalCode",
"text": "PLZ",
"answer": [
{
"valueString": "8000"
}
]
},
{
"linkId": "patient.city",
"text": "Ort",
"answer": [
{
"valueString": "Zürich"
}
]
},
{
"linkId": "patient.country",
"text": "Land",
"answer": [
{
"valueString": "Schweiz"
}
]
},
{
"linkId": "patient.languageOfCorrespondance",
"text": "Korrespondenssprache",
"answer": [
{
"valueCoding": {
"system": "urn:ietf:bcp:47",
"code": "de-CH",
"display": "Deutsch (Schweiz)"
}
}
]
}
]
},
{
"linkId": "sender",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole",
"text": "Absender",
"item": [
{
"linkId": "sender.author",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner",
"text": "Verantwortlicher",
"item": [
{
"linkId": "sender.author.practitioner",
"text": "Verantwortliche Person",
"item": [
{
"linkId": "sender.author.practitioner.title",
"text": "Titel",
"answer": [
{
"valueString": "Dr. med."
}
]
},
{
"linkId": "sender.author.practitioner.familyName",
"text": "Name",
"answer": [
{
"valueString": "Meier"
}
]
},
{
"linkId": "sender.author.practitioner.givenName",
"text": "Vorname",
"answer": [
{
"valueString": "Sabine"
}
]
},
{
"linkId": "sender.author.practitioner.gln",
"text": "GLN",
"answer": [
{
"valueString": "7601000034321"
}
]
},
{
"linkId": "sender.author.practitioner.zsr",
"text": "ZSR",
"answer": [
{
"valueString": "A123321"
}
]
},
{
"linkId": "sender.author.practitioner.phone",
"text": "Telefon",
"answer": [
{
"valueString": "044 333 22 11"
}
]
},
{
"linkId": "sender.author.practitioner.email",
"text": "E-Mail",
"answer": [
{
"valueString": "sabine.meier@praxisseeblick.ch"
}
]
}
]
},
{
"linkId": "sender.author.organization",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization",
"text": "Verantwortliche Organisation",
"item": [
{
"linkId": "sender.author.organization.name",
"text": "Name der Organisation",
"answer": [
{
"valueString": "Praxis Seeblick"
}
]
},
{
"linkId": "sender.author.organization.streetAddressLine",
"text": "Strasse, Hausnummer, Postfach etc.",
"answer": [
{
"valueString": "Seestrasse 133"
},
{
"valueString": "Haus C"
}
]
},
{
"linkId": "sender.author.organization.postalCode",
"text": "PLZ",
"answer": [
{
"valueString": "8000"
}
]
},
{
"linkId": "sender.author.organization.city",
"text": "Ort",
"answer": [
{
"valueString": "Zürich"
}
]
},
{
"linkId": "sender.author.organization.country",
"text": "Land",
"answer": [
{
"valueString": "Schweiz"
}
]
}
]
}
]
},
{
"linkId": "sender.dataenterer",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole",
"text": "Erfasser",
"item": [
{
"linkId": "sender.dataenterer.practitioner",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner",
"text": "Erfassende Person",
"item": [
{
"linkId": "sender.dataenterer.practitioner.familyName",
"text": "Name",
"answer": [
{
"valueString": "Boss"
}
]
},
{
"linkId": "sender.dataenterer.practitioner.givenName",
"text": "Vorname",
"answer": [
{
"valueString": "Stabilo"
}
]
},
{
"linkId": "sender.dataenterer.practitioner.phone",
"text": "Telefon",
"answer": [
{
"valueString": "044 333 22 12"
}
]
},
{
"linkId": "sender.dataenterer.practitioner.email",
"text": "E-Mail",
"answer": [
{
"valueString": "stabilo.boss@praxisseeblick.ch"
}
]
}
]
}
]
}
]
},
{
"linkId": "receiverCopy",
"text": "Kopieempfänger (Kopie dieses Auftrags und aller daraus resultierenden Resultate)",
"item": [
{
"linkId": "receiverCopy.practitionerRole",
"text": "Gesundheitsfachperson oder -organisation",
"item": [
{
"linkId": "receiverCopy.practitionerRole.practitioner",
"text": "Gesundheitsfachperson",
"item": [
{
"linkId": "receiverCopy.practitionerRole.practitioner.title",
"text": "Titel",
"answer": [
{
"valueString": "Dr. med."
}
]
},
{
"linkId": "receiverCopy.practitionerRole.practitioner.familyName",
"text": "Name",
"answer": [
{
"valueString": "Meier"
}
]
},
{
"linkId": "receiverCopy.practitionerRole.practitioner.givenName",
"text": "Vorname",
"answer": [
{
"valueString": "Sabine"
}
]
},
{
"linkId": "receiverCopy.practitionerRole.practitioner.phone",
"text": "Telefon",
"answer": [
{
"valueString": "044 333 22 11"
}
]
},
{
"linkId": "receiverCopy.practitionerRole.practitioner.email",
"text": "E-Mail",
"answer": [
{
"valueString": "sabine.meier@praxisseeblick.ch"
}
]
}
]
},
{
"linkId": "receiverCopy.practitionerRole.organization",
"text": "Gesundheitsorganisatiton",
"item": [
{
"linkId": "receiverCopy.practitionerRole.organization.name",
"text": "Name der Organisation",
"answer": [
{
"valueString": "Praxis Seeblick"
}
]
},
{
"linkId": "receiverCopy.practitionerRole.organization.streetAddressLine",
"text": "Strasse, Hausnummer, Postfach etc.",
"answer": [
{
"valueString": "Seestrasse 133"
}
]
},
{
"linkId": "receiverCopy.practitionerRole.organization.postalCode",
"text": "PLZ",
"answer": [
{
"valueString": "8000"
}
]
},
{
"linkId": "receiverCopy.practitionerRole.organization.city",
"text": "Ort",
"answer": [
{
"valueString": "Zürich"
}
]
},
{
"linkId": "receiverCopy.practitionerRole.organization.country",
"text": "Land",
"answer": [
{
"valueString": "Schweiz"
}
]
}
]
}
]
},
{
"linkId": "receiverCopy.patient",
"text": "Patient selbst",
"answer": [
{
"valueBoolean": true
}
]
}
]
}
]
}
},
{
"fullUrl": "http://example.com/fhir/Practitioner/SabineMeier",
"resource": {
"resourceType": "Practitioner",
"id": "SabineMeier",
"text": {
"status": "generated",
"div": ""
},
"identifier": [
{
"system": "urn:oid:2.51.1.3",
"value": "7601000034321"
},
{
"system": "urn:oid:2.16.756.5.30.1.123.100.2.1.1",
"value": "A123321"
}
],
"name": [
{
"family": "Meier",
"given": [
"Sabine"
],
"prefix": [
"Dr. med."
],
"_prefix": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier",
"valueCode": "AC"
}
]
}
]
}
],
"telecom": [
{
"system": "phone",
"value": "044 333 22 11"
},
{
"system": "email",
"value": "sabine.meier@praxisseeblick.ch"
}
]
}
},
{
"fullUrl": "http://example.com/fhir/PractitionerRole/HansRoentgenKantonsspital",
"resource": {
"resourceType": "PractitionerRole",
"id": "HansRoentgenKantonsspital",
"text": {
"status": "generated",
"div": ""
},
"practitioner": {
"reference": "Practitioner/HansRoentgen"
},
"organization": {
"reference": "Organization/Kantonsspital"
}
}
},
{
"fullUrl": "http://example.com/fhir/Organization/PraxisSeeblick",
"resource": {
"resourceType": "Organization",
"id": "PraxisSeeblick",
"text": {
"status": "generated",
"div": "Generated Narrative
Resource \"PraxisSeeblick\"
name: Praxis Seeblick
address: Seestrasse 133 Haus C Zürich 8000 Schweiz
"
},
"name": "Praxis Seeblick",
"address": [
{
"line": [
"Seestrasse 133",
"Haus C"
],
"city": "Zürich",
"postalCode": "8000",
"country": "Schweiz"
}
]
}
},
{
"fullUrl": "http://example.com/fhir/Practitioner/HansRoentgen",
"resource": {
"resourceType": "Practitioner",
"id": "HansRoentgen",
"text": {
"status": "generated",
"div": "Generated Narrative
Resource \"HansRoentgen\"
identifier: id: 7601000066878, id: A123262
name: Hans Röntgen
telecom: ph: 044 412 00 99, hans.roentgen@kantonsspital.ch
"
},
"identifier": [
{
"system": "urn:oid:2.51.1.3",
"value": "7601000066878"
},
{
"system": "urn:oid:2.16.756.5.30.1.123.100.2.1.1",
"value": "A123262"
}
],
"name": [
{
"family": "Röntgen",
"given": [
"Hans"
],
"prefix": [
"Dr. med."
],
"_prefix": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier",
"valueCode": "AC"
}
]
}
]
}
],
"telecom": [
{
"system": "phone",
"value": "044 412 00 99"
},
{
"system": "email",
"value": "hans.roentgen@kantonsspital.ch"
}
]
}
},
{
"fullUrl": "http://example.com/fhir/Organization/Kantonsspital",
"resource": {
"resourceType": "Organization",
"id": "Kantonsspital",
"text": {
"status": "generated",
"div": "Generated Narrative
Resource \"Kantonsspital\"
name: Kantonsspital
address: Kantonsstrasse 14 Postfach 14 Zürich 8000 Schweiz
"
},
"name": "Kantonsspital",
"address": [
{
"line": [
"Kantonsstrasse 14",
"Postfach 14"
],
"city": "Zürich",
"postalCode": "8000",
"country": "Schweiz"
}
]
}
},
{
"fullUrl": "http://example.com/fhir/Binary/pdf",
"resource": {
"resourceType": "Binary",
"id": "pdf",
"language": "de-CH",
"contentType": "application/pdf",
"data": "VEJEOiBQREYvQS0xIG9yIFBERi9BLTIsIGJhc2U2NCBlbmNvZGVk"
}
},
{
"fullUrl": "http://example.com/fhir/Coverage/CoverageMusterfrau",
"resource": {
"resourceType": "Coverage",
"id": "CoverageMusterfrau",
"text": {
"status": "generated",
"div": ""
},
"contained": [
{
"resourceType": "Organization",
"id": "sanitas",
"name": "Sanitas"
}
],
"identifier": [
{
"type": {
"coding": [
{
"system": "http://fhir.ch/ig/ch-orf/CodeSystem/ch-orf-cs-coverageidentifiertype",
"code": "VeKa"
}
]
},
"value": "80756015090002647590"
}
],
"status": "active",
"type": {
"coding": [
{
"system": "http://fhir.ch/ig/ch-orf/CodeSystem/ch-orf-cs-coveragetype",
"code": "KVG",
"display": "According to KVG"
}
]
},
"beneficiary": {
"reference": "Patient/ErikaMusterfrau"
},
"payor": [
{
"reference": "#sanitas"
}
]
}
},
{
"fullUrl": "http://example.com/fhir/Encounter/EncounterMusterfrau",
"resource": {
"resourceType": "Encounter",
"id": "EncounterMusterfrau",
"text": {
"status": "extensions",
"div": "Generated Narrative
Resource \"EncounterMusterfrau\"
CH ORF Desired Accommodation: halbprivat (Details: http://fhir.ch/ig/ch-core/CodeSystem/bfs-medstats-21-encountertype code 2 = 'halbprivat', stated as 'halbprivat')
status: planned
class: emergency (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code EMER = 'emergency', stated as 'emergency')
subject: See above (Patient/ErikaMusterfrau)
"
},
"extension": [
{
"url": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-desiredaccommodation",
"valueCoding": {
"system": "http://fhir.ch/ig/ch-core/CodeSystem/bfs-medstats-21-encountertype",
"code": "2",
"display": "halbprivat"
}
}
],
"status": "planned",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "EMER",
"display": "emergency"
},
"subject": {
"reference": "Patient/ErikaMusterfrau"
}
}
},
{
"fullUrl": "http://example.com/fhir/PractitionerRole/CopyReceiverSabineMeierPraxisSeeblick",
"resource": {
"resourceType": "PractitionerRole",
"id": "CopyReceiverSabineMeierPraxisSeeblick",
"text": {
"status": "generated",
"div": ""
},
"practitioner": {
"reference": "Practitioner/CopyReceiverSabineMeier"
},
"organization": {
"reference": "Organization/CopyReceiverPraxisSeeblick"
}
}
},
{
"fullUrl": "http://example.com/fhir/Practitioner/CopyReceiverSabineMeier",
"resource": {
"resourceType": "Practitioner",
"id": "CopyReceiverSabineMeier",
"text": {
"status": "generated",
"div": ""
},
"name": [
{
"family": "Meier",
"given": [
"Sabine"
],
"prefix": [
"Dr. med."
],
"_prefix": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier",
"valueCode": "AC"
}
]
}
]
}
],
"telecom": [
{
"system": "phone",
"value": "044 333 22 11"
},
{
"system": "email",
"value": "sabine.meier@praxisseeblick.ch"
}
]
}
},
{
"fullUrl": "http://example.com/fhir/Organization/CopyReceiverPraxisSeeblick",
"resource": {
"resourceType": "Organization",
"id": "CopyReceiverPraxisSeeblick",
"text": {
"status": "generated",
"div": "Generated Narrative
Resource \"CopyReceiverPraxisSeeblick\"
name: Praxis Seeblick
address: Seestrasse 133 Zürich 8000 Schweiz
"
},
"name": "Praxis Seeblick",
"address": [
{
"line": [
"Seestrasse 133"
],
"city": "Zürich",
"postalCode": "8000",
"country": "Schweiz"
}
]
}
}
]
}