CH ORF (R4)
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CH ORF (R4), published by HL7 Switzerland. This is not an authorized publication; it is the continuous build for version 1.1.0). This version is based on the current content of https://github.com/hl7ch/ch-orf/ and changes regularly. See the Directory of published versions

: Order External Diagnostics - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "external-diagnostics-order",
  "meta" : {
    "profile" : [
      "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-document"
    ]
  },
  "identifier" : {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:uuid:f9a34cb0-1d1c-4931-937f-ef621341373c"
  },
  "type" : "document",
  "timestamp" : "2021-03-30T13:26:15+00:00",
  "entry" : [
    {
      "fullUrl" : "urn:uuid:8b624603-9aea-45b9-935f-5da4b708a0ab",
      "resource" : {
        "resourceType" : "Composition",
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"></div><p><b>CH ORF Urgent Notification Contact For This Documet</b>: <a href=\"#urnuuid0cc17698-6d88-4d48-9c6a-1b0886350ef6\">See above (urn:uuid:0cc17698-6d88-4d48-9c6a-1b0886350ef6)</a></p><p><b>CH ORF Urgent Notification Contact For The Response To This Document</b>: <a href=\"#urnuuidb924d326-3f5a-48c0-be83-5bb02521cb25\">See above (urn:uuid:b924d326-3f5a-48c0-be83-5bb02521cb25)</a></p><p><b>CH ORF Receiver</b>: <a href=\"#urnuuid354ddeae-95c5-4970-83e5-71b78aeb1c6d\">See above (urn:uuid:354ddeae-95c5-4970-83e5-71b78aeb1c6d)</a></p><p><b>status</b>: final</p><p><b>type</b>: Imaging order (record artifact) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://fhir.ch/ig/ch-epr-term/CodeSystem-2.16.756.5.30.1.127.3.4.html\">SNOMED CT Swiss Extension</a>#2161000195103)</span></p><p><b>category</b>: Order (record artifact) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#721963009)</span></p><p><b>date</b>: 2021-03-30 01:26:15+0000</p><p><b>author</b>: <a href=\"#urnuuide11eeb26-31a1-491f-afbc-d885f6157172\">See above (urn:uuid:e11eeb26-31a1-491f-afbc-d885f6157172)</a></p><p><b>title</b>: Order-Referral-Form</p></div>"
        },
        "extension" : [
          {
            "url" : "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactforthisdocument",
            "valueReference" : {
              "reference" : "urn:uuid:0cc17698-6d88-4d48-9c6a-1b0886350ef6"
            }
          },
          {
            "url" : "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactfortheresponsetothisdocument",
            "valueReference" : {
              "reference" : "urn:uuid:b924d326-3f5a-48c0-be83-5bb02521cb25"
            }
          },
          {
            "url" : "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-receiver",
            "valueReference" : {
              "reference" : "urn:uuid:354ddeae-95c5-4970-83e5-71b78aeb1c6d",
              "type" : "PractitionerRole"
            }
          }
        ],
        "status" : "final",
        "type" : {
          "coding" : [
            {
              "system" : "urn:oid:2.16.756.5.30.1.127.3.4",
              "code" : "2161000195103",
              "display" : "Imaging order (record artifact)"
            }
          ]
        },
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "721963009",
                "display" : "Order (record artifact)"
              }
            ]
          }
        ],
        "subject" : {
          "reference" : "urn:uuid:60580cae-b784-43fb-a0b0-e87702c15285",
          "type" : "Patient"
        },
        "date" : "2021-03-30T13:26:15+00:00",
        "author" : [
          {
            "reference" : "urn:uuid:e11eeb26-31a1-491f-afbc-d885f6157172",
            "type" : "PractitionerRole"
          }
        ],
        "title" : "Order-Referral-Form",
        "section" : [
          {
            "title" : "Order-Referral",
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "93037-0",
                  "display" : "Portable medical order form"
                }
              ]
            },
            "entry" : [
              {
                "reference" : "http://example.com/fhir/Questionnaire/order-referral-form",
                "type" : "Questionnaire"
              },
              {
                "reference" : "urn:uuid:a56ec999-341e-4a32-ac49-7d9be5fa2494",
                "type" : "QuestionnaireResponse"
              },
              {
                "reference" : "urn:uuid:51f0760e-a566-4756-b721-0ef9cd428b94",
                "type" : "ServiceRequest"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:60580cae-b784-43fb-a0b0-e87702c15285",
      "resource" : {
        "resourceType" : "Patient",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"></div><p><b>identifier</b>: Medical record number: 44.34.9472.1</p><p><b>name</b>: Susanna Ufferer (OFFICIAL), Leidend (MAIDEN)</p><p><b>telecom</b>: ph: 079 979 79 79, <a href=\"mailto:susanna@ufferer.ch\">susanna@ufferer.ch</a></p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1970-03-14</p><p><b>address</b>: Musterweg 6a Zürich 8000 Schweiz </p></div>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "MR"
                }
              ]
            },
            "system" : "urn:oid:2.999.1.2",
            "value" : "44.34.9472.1"
          }
        ],
        "name" : [
          {
            "use" : "official",
            "family" : "Ufferer",
            "_family" : {
              "extension" : [
                {
                  "url" : "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name",
                  "valueCode" : "officialName"
                }
              ]
            },
            "given" : [
              "Susanna"
            ],
            "_given" : [
              {
                "extension" : [
                  {
                    "url" : "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname",
                    "valueCode" : "officialFirstName"
                  }
                ]
              }
            ]
          },
          {
            "use" : "maiden",
            "family" : "Leidend",
            "_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" : "susanna@ufferer.ch"
          }
        ],
        "gender" : "female",
        "birthDate" : "1970-03-14",
        "address" : [
          {
            "line" : [
              "Musterweg",
              "6a"
            ],
            "city" : "Zürich",
            "postalCode" : "8000",
            "country" : "Schweiz"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:a56ec999-341e-4a32-ac49-7d9be5fa2494",
      "resource" : {
        "resourceType" : "QuestionnaireResponse",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"></div><p><b>questionnaire</b>: <a href=\"Questionnaire-order-referral-form.html\">Order Referral Form</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.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.notificationContactDocument</p><p><b>text</b>: Dringender Benachrichtigungskontakt für dieses Dokument</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.notificationContactDocumentResponse</p><p><b>text</b>: Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument</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>: receiver</p><p><b>text</b>: Empfänger</p><blockquote><p><b>item</b></p><p><b>linkId</b>: receiver.practitioner</p><p><b>text</b>: Empfangende Person</p></blockquote><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>: 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.localPid</p><p><b>text</b>: Lokale Patienten-ID</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>: 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></div>"
        },
        "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" : "60823"
                  }
                ]
              },
              {
                "linkId" : "order.placerOrderIdentifierDomain",
                "text" : "Identifier Domain der Auftragsnummer des Auftraggebers",
                "answer" : [
                  {
                    "valueString" : "urn:oid:2.16.756.5.30.1"
                  }
                ]
              },
              {
                "linkId" : "order.notificationContactDocument",
                "text" : "Dringender Benachrichtigungskontakt für dieses Dokument",
                "item" : [
                  {
                    "linkId" : "order.notificationContactDocument.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" : "Iller"
                          }
                        ]
                      },
                      {
                        "linkId" : "order.notificationContactDocument.practitioner.givenName",
                        "text" : "Vorname",
                        "answer" : [
                          {
                            "valueString" : "Frederica"
                          }
                        ]
                      },
                      {
                        "linkId" : "order.notificationContactDocument.practitioner.phone",
                        "text" : "Telefon",
                        "answer" : [
                          {
                            "valueString" : "044 503 44 44"
                          }
                        ]
                      },
                      {
                        "linkId" : "order.notificationContactDocument.practitioner.email",
                        "text" : "E-Mail",
                        "answer" : [
                          {
                            "valueString" : "f.iller@univerityhospital.ch"
                          }
                        ]
                      }
                    ]
                  }
                ]
              },
              {
                "linkId" : "order.notificationContactDocumentResponse",
                "text" : "Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument",
                "item" : [
                  {
                    "linkId" : "order.notificationContactDocumentResponse.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" : "Lacer"
                          }
                        ]
                      },
                      {
                        "linkId" : "order.notificationContactDocumentResponse.practitioner.givenName",
                        "text" : "Vorname",
                        "answer" : [
                          {
                            "valueString" : "Paul"
                          }
                        ]
                      },
                      {
                        "linkId" : "order.notificationContactDocumentResponse.practitioner.phone",
                        "text" : "Telefon",
                        "answer" : [
                          {
                            "valueString" : "044 987 65 43"
                          }
                        ]
                      },
                      {
                        "linkId" : "order.notificationContactDocumentResponse.practitioner.email",
                        "text" : "E-Mail",
                        "answer" : [
                          {
                            "valueString" : "p.lacer@regionalhospital.ch"
                          }
                        ]
                      }
                    ]
                  }
                ]
              },
              {
                "linkId" : "order.priority",
                "text" : "Auftragspriorität",
                "answer" : [
                  {
                    "valueCoding" : {
                      "system" : "http://hl7.org/fhir/request-priority",
                      "code" : "stat"
                    }
                  }
                ]
              }
            ]
          },
          {
            "linkId" : "receiver",
            "text" : "Empfänger",
            "item" : [
              {
                "linkId" : "receiver.practitioner",
                "text" : "Empfangende Person",
                "item" : [
                  {
                    "linkId" : "receiver.practitioner.title",
                    "text" : "Titel",
                    "answer" : [
                      {
                        "valueString" : "Dr. med."
                      }
                    ]
                  },
                  {
                    "linkId" : "receiver.practitioner.familyName",
                    "text" : "Name",
                    "answer" : [
                      {
                        "valueString" : "Iller"
                      }
                    ]
                  },
                  {
                    "linkId" : "receiver.practitioner.givenName",
                    "text" : "Vorname",
                    "answer" : [
                      {
                        "valueString" : "Frederica"
                      }
                    ]
                  },
                  {
                    "linkId" : "receiver.practitioner.gln",
                    "text" : "GLN",
                    "answer" : [
                      {
                        "valueString" : "7601000618306"
                      }
                    ]
                  },
                  {
                    "linkId" : "receiver.practitioner.phone",
                    "text" : "Telefon",
                    "answer" : [
                      {
                        "valueString" : "044 503 44 44"
                      }
                    ]
                  },
                  {
                    "linkId" : "receiver.practitioner.email",
                    "text" : "E-Mail",
                    "answer" : [
                      {
                        "valueString" : "f.iller@universityhospital.ch"
                      }
                    ]
                  }
                ]
              },
              {
                "linkId" : "receiver.organization",
                "text" : "Empfangende Organisation",
                "item" : [
                  {
                    "linkId" : "receiver.organization.name",
                    "text" : "Name der Organisation",
                    "answer" : [
                      {
                        "valueString" : "University Hospital"
                      }
                    ]
                  },
                  {
                    "linkId" : "receiver.organization.streetAddressLine",
                    "text" : "Strasse, Hausnummer, Postfach etc.",
                    "answer" : [
                      {
                        "valueString" : "Uniweg 33"
                      },
                      {
                        "valueString" : "Radiology"
                      }
                    ]
                  },
                  {
                    "linkId" : "receiver.organization.postalCode",
                    "text" : "PLZ",
                    "answer" : [
                      {
                        "valueString" : "8000"
                      }
                    ]
                  },
                  {
                    "linkId" : "receiver.organization.city",
                    "text" : "Ort",
                    "answer" : [
                      {
                        "valueString" : "Zürich"
                      }
                    ]
                  },
                  {
                    "linkId" : "receiver.organization.country",
                    "text" : "Land",
                    "answer" : [
                      {
                        "valueString" : "Schweiz"
                      }
                    ]
                  }
                ]
              }
            ]
          },
          {
            "linkId" : "patient",
            "text" : "Patient",
            "item" : [
              {
                "linkId" : "patient.familyName",
                "text" : "Name",
                "answer" : [
                  {
                    "valueString" : "Ufferer"
                  }
                ]
              },
              {
                "linkId" : "patient.maidenName",
                "text" : "Ledigname",
                "answer" : [
                  {
                    "valueString" : "Leidend"
                  }
                ]
              },
              {
                "linkId" : "patient.givenName",
                "text" : "Vorname",
                "answer" : [
                  {
                    "valueString" : "Susanna"
                  }
                ]
              },
              {
                "linkId" : "patient.localPid",
                "text" : "Lokale Patienten-ID",
                "answer" : [
                  {
                    "valueString" : "44.34.9472.1"
                  }
                ]
              },
              {
                "linkId" : "patient.birthDate",
                "text" : "Geburtsdatum",
                "answer" : [
                  {
                    "valueDate" : "1970-03-14"
                  }
                ]
              },
              {
                "linkId" : "patient.gender",
                "text" : "Geschlecht",
                "answer" : [
                  {
                    "valueCoding" : {
                      "system" : "http://hl7.org/fhir/administrative-gender",
                      "code" : "female"
                    }
                  }
                ]
              },
              {
                "linkId" : "patient.phone",
                "text" : "Telefon",
                "answer" : [
                  {
                    "valueString" : "079 979 79 79"
                  }
                ]
              },
              {
                "linkId" : "patient.email",
                "text" : "E-Mail",
                "answer" : [
                  {
                    "valueString" : "susanna@ufferer.ch"
                  }
                ]
              },
              {
                "linkId" : "patient.streetAddressLine",
                "text" : "Strasse, Hausnummer, Postfach etc.",
                "answer" : [
                  {
                    "valueString" : "Musterweg"
                  },
                  {
                    "valueString" : "6a"
                  }
                ]
              },
              {
                "linkId" : "patient.postalCode",
                "text" : "PLZ",
                "answer" : [
                  {
                    "valueString" : "8000"
                  }
                ]
              },
              {
                "linkId" : "patient.city",
                "text" : "Ort",
                "answer" : [
                  {
                    "valueString" : "Zürich"
                  }
                ]
              },
              {
                "linkId" : "patient.country",
                "text" : "Land",
                "answer" : [
                  {
                    "valueString" : "Schweiz"
                  }
                ]
              }
            ]
          },
          {
            "linkId" : "sender",
            "text" : "Absender",
            "item" : [
              {
                "linkId" : "sender.author",
                "text" : "Verantwortlicher",
                "item" : [
                  {
                    "linkId" : "sender.author.practitioner",
                    "text" : "Verantwortliche Person",
                    "item" : [
                      {
                        "linkId" : "sender.author.practitioner.title",
                        "text" : "Titel",
                        "answer" : [
                          {
                            "valueString" : "Dr. med."
                          }
                        ]
                      },
                      {
                        "linkId" : "sender.author.practitioner.familyName",
                        "text" : "Name",
                        "answer" : [
                          {
                            "valueString" : "Lacer"
                          }
                        ]
                      },
                      {
                        "linkId" : "sender.author.practitioner.givenName",
                        "text" : "Vorname",
                        "answer" : [
                          {
                            "valueString" : "Paul"
                          }
                        ]
                      },
                      {
                        "linkId" : "sender.author.practitioner.gln",
                        "text" : "GLN",
                        "answer" : [
                          {
                            "valueString" : "7601000050717"
                          }
                        ]
                      },
                      {
                        "linkId" : "sender.author.practitioner.phone",
                        "text" : "Telefon",
                        "answer" : [
                          {
                            "valueString" : "044 987 65 43"
                          }
                        ]
                      },
                      {
                        "linkId" : "sender.author.practitioner.email",
                        "text" : "E-Mail",
                        "answer" : [
                          {
                            "valueString" : "p.lacer@regionalhospital.ch"
                          }
                        ]
                      }
                    ]
                  },
                  {
                    "linkId" : "sender.author.organization",
                    "text" : "Verantwortliche Organisation",
                    "item" : [
                      {
                        "linkId" : "sender.author.organization.name",
                        "text" : "Name der Organisation",
                        "answer" : [
                          {
                            "valueString" : "Regional Hospital"
                          }
                        ]
                      },
                      {
                        "linkId" : "sender.author.organization.streetAddressLine",
                        "text" : "Strasse, Hausnummer, Postfach etc.",
                        "answer" : [
                          {
                            "valueString" : "Musterstrasse 129"
                          }
                        ]
                      },
                      {
                        "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"
                          }
                        ]
                      }
                    ]
                  }
                ]
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:51f0760e-a566-4756-b721-0ef9cd428b94",
      "resource" : {
        "resourceType" : "ServiceRequest",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"></div><p><b>identifier</b>: Placer Identifier: 60823</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>priority</b>: stat</p><p><b>subject</b>: <a href=\"#urnuuid60580cae-b784-43fb-a0b0-e87702c15285\">See above (urn:uuid:60580cae-b784-43fb-a0b0-e87702c15285)</a></p><p><b>requester</b>: <a href=\"#urnuuide11eeb26-31a1-491f-afbc-d885f6157172\">See above (urn:uuid:e11eeb26-31a1-491f-afbc-d885f6157172)</a></p></div>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "PLAC"
                }
              ]
            },
            "system" : "urn:oid:2.999.1.2.3",
            "value" : "60823"
          }
        ],
        "status" : "active",
        "intent" : "order",
        "priority" : "stat",
        "subject" : {
          "reference" : "urn:uuid:60580cae-b784-43fb-a0b0-e87702c15285",
          "type" : "Patient"
        },
        "requester" : {
          "reference" : "urn:uuid:e11eeb26-31a1-491f-afbc-d885f6157172",
          "type" : "PractitionerRole"
        }
      }
    },
    {
      "fullUrl" : "urn:uuid:0cc17698-6d88-4d48-9c6a-1b0886350ef6",
      "resource" : {
        "resourceType" : "PractitionerRole",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"></div><p><b>practitioner</b>: <a href=\"#urnuuid23064476-d499-419e-908e-63fd804a57e6\">See above (urn:uuid:23064476-d499-419e-908e-63fd804a57e6)</a></p></div>"
        },
        "practitioner" : {
          "reference" : "urn:uuid:23064476-d499-419e-908e-63fd804a57e6",
          "type" : "Practitioner"
        }
      }
    },
    {
      "fullUrl" : "urn:uuid:23064476-d499-419e-908e-63fd804a57e6",
      "resource" : {
        "resourceType" : "Practitioner",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"></div><p><b>name</b>: Frederica Iller </p><p><b>telecom</b>: ph: 044 503 44 44, <a href=\"mailto:f.iller@univerityhospital.ch\">f.iller@univerityhospital.ch</a></p></div>"
        },
        "name" : [
          {
            "family" : "Iller",
            "given" : [
              "Frederica"
            ],
            "prefix" : [
              "Dr. med."
            ],
            "_prefix" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier",
                    "valueCode" : "AC"
                  }
                ]
              }
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "044 503 44 44"
          },
          {
            "system" : "email",
            "value" : "f.iller@univerityhospital.ch"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:b924d326-3f5a-48c0-be83-5bb02521cb25",
      "resource" : {
        "resourceType" : "PractitionerRole",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"></div><p><b>practitioner</b>: <a href=\"#urnuuidf4ae3476-1fbd-42ae-b2e3-ae1b445a2460\">See above (urn:uuid:f4ae3476-1fbd-42ae-b2e3-ae1b445a2460)</a></p></div>"
        },
        "practitioner" : {
          "reference" : "urn:uuid:f4ae3476-1fbd-42ae-b2e3-ae1b445a2460",
          "type" : "Practitioner"
        }
      }
    },
    {
      "fullUrl" : "urn:uuid:f4ae3476-1fbd-42ae-b2e3-ae1b445a2460",
      "resource" : {
        "resourceType" : "Practitioner",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"></div><p><b>name</b>: Paul Lacer </p><p><b>telecom</b>: ph: 044 987 65 43, <a href=\"mailto:p.lacer@regionalhospital.ch\">p.lacer@regionalhospital.ch</a></p></div>"
        },
        "name" : [
          {
            "family" : "Lacer",
            "given" : [
              "Paul"
            ],
            "prefix" : [
              "Dr. med."
            ],
            "_prefix" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier",
                    "valueCode" : "AC"
                  }
                ]
              }
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "044 987 65 43"
          },
          {
            "system" : "email",
            "value" : "p.lacer@regionalhospital.ch"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:354ddeae-95c5-4970-83e5-71b78aeb1c6d",
      "resource" : {
        "resourceType" : "PractitionerRole",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"></div><p><b>practitioner</b>: <a href=\"#urnuuidb60e96e4-0665-4759-95f2-e962e05da7d5\">See above (urn:uuid:b60e96e4-0665-4759-95f2-e962e05da7d5)</a></p><p><b>organization</b>: <a href=\"#urnuuid04a1b8b0-04af-4ef1-ae1e-84f2da419fe3\">See above (urn:uuid:04a1b8b0-04af-4ef1-ae1e-84f2da419fe3)</a></p></div>"
        },
        "practitioner" : {
          "reference" : "urn:uuid:b60e96e4-0665-4759-95f2-e962e05da7d5",
          "type" : "Practitioner"
        },
        "organization" : {
          "reference" : "urn:uuid:04a1b8b0-04af-4ef1-ae1e-84f2da419fe3",
          "type" : "Organization"
        }
      }
    },
    {
      "fullUrl" : "urn:uuid:b60e96e4-0665-4759-95f2-e962e05da7d5",
      "resource" : {
        "resourceType" : "Practitioner",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"></div><p><b>identifier</b>: id: 7601000618306</p><p><b>name</b>: Frederica Iller </p><p><b>telecom</b>: ph: 044 503 44 44, <a href=\"mailto:f.iller@universityhospital.ch\">f.iller@universityhospital.ch</a></p></div>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:2.51.1.3",
            "value" : "7601000618306"
          }
        ],
        "name" : [
          {
            "family" : "Iller",
            "given" : [
              "Frederica"
            ],
            "prefix" : [
              "Dr. med."
            ],
            "_prefix" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier",
                    "valueCode" : "AC"
                  }
                ]
              }
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "044 503 44 44"
          },
          {
            "system" : "email",
            "value" : "f.iller@universityhospital.ch"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:04a1b8b0-04af-4ef1-ae1e-84f2da419fe3",
      "resource" : {
        "resourceType" : "Organization",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"></div><p><b>name</b>: University Hospital</p><p><b>address</b>: Uniweg 33 Radiology Zürich 8000 Schweiz </p></div>"
        },
        "name" : "University Hospital",
        "address" : [
          {
            "line" : [
              "Uniweg 33",
              "Radiology"
            ],
            "city" : "Zürich",
            "postalCode" : "8000",
            "country" : "Schweiz"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:e11eeb26-31a1-491f-afbc-d885f6157172",
      "resource" : {
        "resourceType" : "PractitionerRole",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"></div><p><b>practitioner</b>: <a href=\"#urnuuid61dd236b-3a00-43e0-81fb-864f519bbac3\">See above (urn:uuid:61dd236b-3a00-43e0-81fb-864f519bbac3)</a></p><p><b>organization</b>: <a href=\"#urnuuid987098fd-cb54-4b85-a814-fed59a78591e\">See above (urn:uuid:987098fd-cb54-4b85-a814-fed59a78591e)</a></p></div>"
        },
        "practitioner" : {
          "reference" : "urn:uuid:61dd236b-3a00-43e0-81fb-864f519bbac3",
          "type" : "Practitioner"
        },
        "organization" : {
          "reference" : "urn:uuid:987098fd-cb54-4b85-a814-fed59a78591e",
          "type" : "Organization"
        }
      }
    },
    {
      "fullUrl" : "urn:uuid:61dd236b-3a00-43e0-81fb-864f519bbac3",
      "resource" : {
        "resourceType" : "Practitioner",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"></div><p><b>identifier</b>: id: 7601000050717</p><p><b>name</b>: Paul Lacer </p><p><b>telecom</b>: ph: 044 987 65 43, <a href=\"mailto:p.lacer@regionalhospital.ch\">p.lacer@regionalhospital.ch</a></p></div>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:2.51.1.3",
            "value" : "7601000050717"
          }
        ],
        "name" : [
          {
            "family" : "Lacer",
            "given" : [
              "Paul"
            ],
            "prefix" : [
              "Dr. med."
            ],
            "_prefix" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier",
                    "valueCode" : "AC"
                  }
                ]
              }
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "044 987 65 43"
          },
          {
            "system" : "email",
            "value" : "p.lacer@regionalhospital.ch"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:987098fd-cb54-4b85-a814-fed59a78591e",
      "resource" : {
        "resourceType" : "Organization",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"></div><p><b>name</b>: Regional Hospital</p><p><b>address</b>: Musterstrasse 129 Zürich 8000 Schweiz </p></div>"
        },
        "name" : "Regional Hospital",
        "address" : [
          {
            "line" : [
              "Musterstrasse 129"
            ],
            "city" : "Zürich",
            "postalCode" : "8000",
            "country" : "Schweiz"
          }
        ]
      }
    },
    {
      "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-extr-smap",
            "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-pop-exp"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"order-referral-form\" </p><p style=\"margin-bottom: 0px\">Profiles: <a href=\"StructureDefinition-ch-orf-questionnaire.html\">CH ORF Questionnaire</a>, <a href=\"http://hl7.org/fhir/uv/sdc/STU3/StructureDefinition-sdc-questionnaire.html\">SDCBaseQuestionnaire</a>, <a href=\"http://hl7.org/fhir/uv/sdc/STU3/StructureDefinition-sdc-questionnaire-extr-smap.html\">Extractable Questionnaire - StructureMap</a>, <a href=\"http://hl7.org/fhir/uv/sdc/STU3/StructureDefinition-sdc-questionnaire-pop-exp.html\">Populatable Questionnaire - Expression</a></p></div><p><b>Target structure map</b>: <a href=\"StructureMap-OrfQrToBundle.html\">OrfQrToBundle</a></p><p><b>Source structure map</b>: <a href=\"http://fhir.ch/ig/ch-orf/StructureMap/OrfPrepopBundleToQr\">http://fhir.ch/ig/ch-orf/StructureMap/OrfPrepopBundleToQr</a></p><blockquote><p><b>Launch context resources</b></p><p><b>value</b>: Bundle</p><p><b>value</b>: Bundle</p><p><b>value</b>: The Bundle that is to be used to pre-populate the form</p></blockquote><p><b>url</b>: <code>http://fhir.ch/ig/ch-orf/Questionnaire/order-referral-form</code></p><p><b>version</b>: 0.11.0</p><p><b>name</b>: OrderReferralForm</p><p><b>title</b>: Order-Referral-Form</p><p><b>status</b>: active</p><p><b>subjectType</b>: Patient</p><p><b>date</b>: 2022-01-06</p><p><b>publisher</b>: HL7 Switzerland</p><p><b>contact</b>: HL7 Switzerland: <a href=\"https://www.hl7.ch/\">https://www.hl7.ch/</a></p><p><b>jurisdiction</b>: Switzerland <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (unknown#CH)</span></p><p><b>copyright</b>: CC-BY-SA-4.0</p><blockquote><p><b>item</b></p><p><b>linkId</b>: order</p><p><b>definition</b>: <a href=\"StructureDefinition-ch-orf-document.html\">CH ORF Document</a></p><p><b>text</b>: Auftrag</p><p><b>type</b>: group</p><p><b>required</b>: true</p><blockquote><p><b>item</b></p><p><b>linkId</b>: order.placerOrderIdentifier</p><p><b>definition</b>: <a href=\"StructureDefinition-ch-orf-servicerequest.html\">CH ORF ServiceRequest</a></p><p><b>text</b>: Auftragsnummer des Auftraggebers</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>hidden</b>: true</p><p><b>linkId</b>: order.placerOrderIdentifierDomain</p><p><b>definition</b>: <a href=\"StructureDefinition-ch-orf-servicerequest.html\">CH ORF ServiceRequest</a></p><p><b>text</b>: Identifier Domain der Auftragsnummer des Auftraggebers</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.fillerOrderIdentifier</p><p><b>definition</b>: <a href=\"StructureDefinition-ch-orf-servicerequest.html\">CH ORF ServiceRequest</a></p><p><b>text</b>: Auftragsnummer des Auftragsempfängers</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>hidden</b>: true</p><p><b>linkId</b>: order.fillerOrderIdentifierDomain</p><p><b>definition</b>: <a href=\"StructureDefinition-ch-orf-servicerequest.html\">CH ORF ServiceRequest</a></p><p><b>text</b>: Identifier Domain der Auftragsnummer des Auftragsempfängers</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>hidden</b>: true</p><p><b>linkId</b>: order.precedentDocumentIdentifier</p><p><b>definition</b>: <a href=\"StructureDefinition-ch-orf-composition.html\">CH ORF Composition</a></p><p><b>text</b>: Identifier des Vorgängerdokuments</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.notificationContactDocument</p><p><b>definition</b>: <a href=\"StructureDefinition-ch-orf-composition.html\">CH ORF Composition</a></p><p><b>text</b>: Dringender Benachrichtigungskontakt für dieses Dokument</p><p><b>type</b>: group</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.notificationContactDocumentResponse</p><p><b>definition</b>: <a href=\"StructureDefinition-ch-orf-composition.html\">CH ORF Composition</a></p><p><b>text</b>: Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument</p><p><b>type</b>: group</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.priority</p><p><b>definition</b>: <a href=\"StructureDefinition-ch-orf-servicerequest.html\">CH ORF ServiceRequest</a></p><p><b>text</b>: Auftragspriorität</p><p><b>type</b>: choice</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiver</p><p><b>definition</b>: <a href=\"StructureDefinition-ch-orf-composition.html\">CH ORF Composition</a></p><p><b>text</b>: Empfänger</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p><p><b>linkId</b>: receiver.practitioner</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-core/2.1.0/StructureDefinition-ch-core-practitionerrole.html\">CH Core PractitionerRole</a></p><p><b>text</b>: Empfangende Person</p><p><b>type</b>: group</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiver.organization</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-core/2.1.0/StructureDefinition-ch-core-practitionerrole.html\">CH Core PractitionerRole</a></p><p><b>text</b>: Empfangende Organisation</p><p><b>type</b>: group</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient</p><p><b>definition</b>: <a href=\"StructureDefinition-ch-orf-composition.html\">CH ORF Composition</a></p><p><b>text</b>: Patient</p><p><b>type</b>: group</p><p><b>required</b>: true</p><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.familyName</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-core/2.1.0/StructureDefinition-ch-core-patient.html\">CH Core Patient</a></p><p><b>text</b>: Name</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.maidenName</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-core/2.1.0/StructureDefinition-ch-core-patient.html\">CH Core Patient</a></p><p><b>text</b>: Ledigname</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.givenName</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-core/2.1.0/StructureDefinition-ch-core-patient.html\">CH Core Patient</a></p><p><b>text</b>: Vorname</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.localPid</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-core/2.1.0/StructureDefinition-ch-core-patient.html\">CH Core Patient</a></p><p><b>text</b>: Lokale Patienten-ID</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>hidden</b>: true</p><p><b>linkId</b>: patient.localPidDomain</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-core/2.1.0/StructureDefinition-ch-core-patient.html\">CH Core Patient</a></p><p><b>text</b>: Lokale Patienten-ID Domain</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.birthDate</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-core/2.1.0/StructureDefinition-ch-core-patient.html\">CH Core Patient</a></p><p><b>text</b>: Geburtsdatum</p><p><b>type</b>: date</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.gender</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-core/2.1.0/StructureDefinition-ch-core-patient.html\">CH Core Patient</a></p><p><b>text</b>: Geschlecht</p><p><b>type</b>: choice</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.maritalStatus</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-core/2.1.0/StructureDefinition-ch-core-patient.html\">CH Core Patient</a></p><p><b>text</b>: Zivilstand</p><p><b>type</b>: choice</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.phone</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-core/2.1.0/StructureDefinition-ch-core-patient.html\">CH Core Patient</a></p><p><b>text</b>: Telefon</p><p><b>type</b>: string</p><p><b>repeats</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.email</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-core/2.1.0/StructureDefinition-ch-core-patient.html\">CH Core Patient</a></p><p><b>text</b>: E-Mail</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.streetAddressLine</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-core/2.1.0/StructureDefinition-ch-core-patient.html\">CH Core Patient</a></p><p><b>text</b>: Strasse, Hausnummer, Postfach etc.</p><p><b>type</b>: string</p><p><b>repeats</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.postalCode</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-core/2.1.0/StructureDefinition-ch-core-patient.html\">CH Core Patient</a></p><p><b>text</b>: PLZ</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.city</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-core/2.1.0/StructureDefinition-ch-core-patient.html\">CH Core Patient</a></p><p><b>text</b>: Ort</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.country</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-core/2.1.0/StructureDefinition-ch-core-patient.html\">CH Core Patient</a></p><p><b>text</b>: Land</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.languageOfCorrespondence</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-core/2.1.0/StructureDefinition-ch-core-patient.html\">CH Core Patient</a></p><p><b>text</b>: Korrespondenzsprache</p><p><b>type</b>: choice</p><p><b>answerValueSet</b>: <a href=\"http://fhir.ch/ig/ch-epr-term/ValueSet-DocumentEntry.languageCode.html\">DocumentEntry.languageCode</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.contactperson</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-core/2.1.0/StructureDefinition-ch-core-patient.html\">CH Core Patient</a></p><p><b>text</b>: Kontaktperson</p><p><b>type</b>: group</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: requestedEncounter</p><p><b>definition</b>: <a href=\"StructureDefinition-ch-orf-servicerequest.html\">CH ORF ServiceRequest</a></p><p><b>text</b>: Patientenaufnahme</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p><p><b>linkId</b>: requestedEncounter.class</p><p><b>definition</b>: <a href=\"StructureDefinition-ch-orf-encounter.html\">CH ORF Requested Encounter</a></p><p><b>text</b>: Voraussichtlich: Ambulant / Stationär / Notfall</p><p><b>type</b>: choice</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: requestedEncounter.desiredAccommodation</p><p><b>definition</b>: <a href=\"StructureDefinition-ch-orf-encounter.html\">CH ORF Requested Encounter</a></p><p><b>text</b>: Zimmerkategorie</p><p><b>type</b>: choice</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage</p><p><b>definition</b>: <a href=\"StructureDefinition-ch-orf-servicerequest.html\">CH ORF ServiceRequest</a></p><p><b>text</b>: Kostenträger</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.beneficiary</p><p><b>definition</b>: <a href=\"StructureDefinition-ch-orf-coverage.html\">CH ORF Coverage</a></p><p><b>text</b>: Begünstigter (Patient)</p><p><b>type</b>: group</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.kvg</p><p><b>definition</b>: <a href=\"StructureDefinition-ch-orf-coverage.html\">CH ORF Coverage</a></p><p><b>text</b>: Krankenkasse (nach KVG)</p><p><b>type</b>: group</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.uvg</p><p><b>definition</b>: <a href=\"StructureDefinition-ch-orf-coverage.html\">CH ORF Coverage</a></p><p><b>text</b>: Unfallversicherung (nach UVG)</p><p><b>type</b>: group</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.vvg</p><p><b>definition</b>: <a href=\"StructureDefinition-ch-orf-coverage.html\">CH ORF Coverage</a></p><p><b>text</b>: Zusatzversicherung (nach VVG)</p><p><b>type</b>: group</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.iv</p><p><b>definition</b>: <a href=\"StructureDefinition-ch-orf-coverage.html\">CH ORF Coverage</a></p><p><b>text</b>: Invalidenversicherung (IV)</p><p><b>type</b>: group</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.mv</p><p><b>definition</b>: <a href=\"StructureDefinition-ch-orf-coverage.html\">CH ORF Coverage</a></p><p><b>text</b>: Militärversicherung (MV)</p><p><b>type</b>: group</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.self</p><p><b>definition</b>: <a href=\"StructureDefinition-ch-orf-coverage.html\">CH ORF Coverage</a></p><p><b>text</b>: Selbstzahler</p><p><b>type</b>: group</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.other</p><p><b>definition</b>: <a href=\"StructureDefinition-ch-orf-coverage.html\">CH ORF Coverage</a></p><p><b>text</b>: Anderer Kostenträger</p><p><b>type</b>: group</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: sender</p><p><b>text</b>: Absender</p><p><b>type</b>: group</p><p><b>required</b>: true</p><blockquote><p><b>item</b></p><p><b>linkId</b>: sender.author</p><p><b>definition</b>: <a href=\"StructureDefinition-ch-orf-composition.html\">CH ORF Composition</a></p><p><b>text</b>: Verantwortlicher</p><p><b>type</b>: group</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: sender.dataenterer</p><p><b>definition</b>: <a href=\"StructureDefinition-ch-orf-composition.html\">CH ORF Composition</a></p><p><b>text</b>: Erfasser</p><p><b>type</b>: group</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiverCopy</p><p><b>definition</b>: <a href=\"StructureDefinition-ch-orf-composition.html\">CH ORF Composition</a></p><p><b>text</b>: Kopieempfänger (Kopie dieses Auftrags und aller daraus resultierenden Resultate)</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p><p><b>linkId</b>: receiverCopy.practitionerRole</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-core/2.1.0/StructureDefinition-ch-core-practitionerrole.html\">CH Core PractitionerRole</a></p><p><b>text</b>: Gesundheitsfachperson oder -organisation</p><p><b>type</b>: group</p><p><b>repeats</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiverCopy.patient</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-core/2.1.0/StructureDefinition-ch-core-patient.html\">CH Core Patient</a></p><p><b>text</b>: Patient selbst</p><p><b>type</b>: boolean</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiverCopy.relatedPerson</p><p><b>definition</b>: <a href=\"http://hl7.org/fhir/R4/relatedperson.html\">RelatedPerson</a></p><p><b>text</b>: Andere Person</p><p><b>type</b>: group</p><p><b>repeats</b>: true</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: appointment</p><p><b>definition</b>: <a href=\"StructureDefinition-ch-orf-servicerequest.html\">CH ORF ServiceRequest</a></p><p><b>text</b>: Ort und Zeit der Durchführung der angeforderten Leistung</p><p><b>type</b>: group</p><p><b>repeats</b>: true</p><blockquote><p><b>item</b></p><p><b>linkId</b>: appointment.location</p><p><b>definition</b>: <a href=\"StructureDefinition-ch-orf-appointment.html\">CH ORF Appointment</a></p><p><b>text</b>: Ort der Durchführung</p><p><b>type</b>: group</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: appointment.requestedPeriod</p><p><b>definition</b>: <a href=\"StructureDefinition-ch-orf-appointment.html\">CH ORF Appointment</a></p><p><b>text</b>: Datum und Zeit, wann der Termin bevorzugt geplant werden soll</p><p><b>type</b>: group</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: appointment.status</p><p><b>definition</b>: <a href=\"StructureDefinition-ch-orf-appointment.html\">CH ORF Appointment</a></p><p><b>text</b>: Status</p><p><b>type</b>: choice</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: appointment.patientInstruction</p><p><b>definition</b>: <a href=\"StructureDefinition-ch-orf-appointment.html\">CH ORF Appointment</a></p><p><b>text</b>: Patienteninformation für diesen Termin</p><p><b>type</b>: string</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: note</p><p><b>text</b>: Bemerkungen</p><p><b>type</b>: group</p><p><b>repeats</b>: true</p><h3>Items</h3><table class=\"grid\"><tr><td>-</td><td><b>LinkId</b></td><td><b>Definition</b></td><td><b>Text</b></td><td><b>Type</b></td><td><b>Required</b></td></tr><tr><td>*</td><td>note.text</td><td><a href=\"StructureDefinition-ch-orf-servicerequest.html\">CH ORF ServiceRequest</a></td><td>Kommentar</td><td>string</td><td>true</td></tr></table></blockquote></div>"
        },
        "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.languageOfCorrespondence",
                "definition" : "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.communication:languageOfCorrespondence",
                "text" : "Korrespondenzsprache",
                "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
              }
            ]
          }
        ]
      }
    }
  ]
}