CH ORF (R4)
1.0.0 - STU 1

CH ORF (R4), published by HL7 Switzerland. This is not an authorized publication; it is the continuous build for version 1.0.0). 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 - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Bundle;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "external-diagnostics-order"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-document";
       fhir:index 0;
       fhir:link <http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-document>     ]
  ];
  fhir:Bundle.identifier [
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
     fhir:Identifier.value [ fhir:value "urn:uuid:f9a34cb0-1d1c-4931-937f-ef621341373c" ]
  ];
  fhir:Bundle.type [ fhir:value "document"];
  fhir:Bundle.timestamp [ fhir:value "2021-03-30T13:26:15+00:00"^^xsd:dateTime];
  fhir:Bundle.entry [
     fhir:index 0;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:8b624603-9aea-45b9-935f-5da4b708a0ab" ];
     fhir:Bundle.entry.resource <urn:uuid:8b624603-9aea-45b9-935f-5da4b708a0ab>
  ], [
     fhir:index 1;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:60580cae-b784-43fb-a0b0-e87702c15285" ];
     fhir:Bundle.entry.resource <urn:uuid:60580cae-b784-43fb-a0b0-e87702c15285>
  ], [
     fhir:index 2;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:a56ec999-341e-4a32-ac49-7d9be5fa2494" ];
     fhir:Bundle.entry.resource <urn:uuid:a56ec999-341e-4a32-ac49-7d9be5fa2494>
  ], [
     fhir:index 3;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:51f0760e-a566-4756-b721-0ef9cd428b94" ];
     fhir:Bundle.entry.resource <urn:uuid:51f0760e-a566-4756-b721-0ef9cd428b94>
  ], [
     fhir:index 4;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:0cc17698-6d88-4d48-9c6a-1b0886350ef6" ];
     fhir:Bundle.entry.resource <urn:uuid:0cc17698-6d88-4d48-9c6a-1b0886350ef6>
  ], [
     fhir:index 5;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:23064476-d499-419e-908e-63fd804a57e6" ];
     fhir:Bundle.entry.resource <urn:uuid:23064476-d499-419e-908e-63fd804a57e6>
  ], [
     fhir:index 6;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:b924d326-3f5a-48c0-be83-5bb02521cb25" ];
     fhir:Bundle.entry.resource <urn:uuid:b924d326-3f5a-48c0-be83-5bb02521cb25>
  ], [
     fhir:index 7;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:f4ae3476-1fbd-42ae-b2e3-ae1b445a2460" ];
     fhir:Bundle.entry.resource <urn:uuid:f4ae3476-1fbd-42ae-b2e3-ae1b445a2460>
  ], [
     fhir:index 8;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:354ddeae-95c5-4970-83e5-71b78aeb1c6d" ];
     fhir:Bundle.entry.resource <urn:uuid:354ddeae-95c5-4970-83e5-71b78aeb1c6d>
  ], [
     fhir:index 9;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:b60e96e4-0665-4759-95f2-e962e05da7d5" ];
     fhir:Bundle.entry.resource <urn:uuid:b60e96e4-0665-4759-95f2-e962e05da7d5>
  ], [
     fhir:index 10;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:04a1b8b0-04af-4ef1-ae1e-84f2da419fe3" ];
     fhir:Bundle.entry.resource <urn:uuid:04a1b8b0-04af-4ef1-ae1e-84f2da419fe3>
  ], [
     fhir:index 11;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:e11eeb26-31a1-491f-afbc-d885f6157172" ];
     fhir:Bundle.entry.resource <urn:uuid:e11eeb26-31a1-491f-afbc-d885f6157172>
  ], [
     fhir:index 12;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:61dd236b-3a00-43e0-81fb-864f519bbac3" ];
     fhir:Bundle.entry.resource <urn:uuid:61dd236b-3a00-43e0-81fb-864f519bbac3>
  ], [
     fhir:index 13;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:987098fd-cb54-4b85-a814-fed59a78591e" ];
     fhir:Bundle.entry.resource <urn:uuid:987098fd-cb54-4b85-a814-fed59a78591e>
  ], [
     fhir:index 14;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.com/fhir/Questionnaire/order-referral-form" ];
     fhir:Bundle.entry.resource <http://example.com/fhir/Questionnaire/order-referral-form>
  ].

<urn:uuid:8b624603-9aea-45b9-935f-5da4b708a0ab> a fhir:Composition;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ];
     fhir:Narrative.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>: 2021-03-30T13:26:15Z</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>"
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactforthisdocument" ];
     fhir:Extension.valueReference [
       fhir:Reference.reference [ fhir:value "urn:uuid:0cc17698-6d88-4d48-9c6a-1b0886350ef6" ]     ]
  ], [
     fhir:index 1;
     fhir:Extension.url [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactfortheresponsetothisdocument" ];
     fhir:Extension.valueReference [
       fhir:Reference.reference [ fhir:value "urn:uuid:b924d326-3f5a-48c0-be83-5bb02521cb25" ]     ]
  ], [
     fhir:index 2;
     fhir:Extension.url [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-receiver" ];
     fhir:Extension.valueReference [
       fhir:Reference.reference [ fhir:value "urn:uuid:354ddeae-95c5-4970-83e5-71b78aeb1c6d" ];
       fhir:Reference.type [ fhir:value "PractitionerRole" ]     ]
  ];
  fhir:Composition.status [ fhir:value "final"];
  fhir:Composition.type [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:oid:2.16.756.5.30.1.127.3.4" ];
       fhir:Coding.code [ fhir:value "2161000195103" ];
       fhir:Coding.display [ fhir:value "Imaging order (record artifact)" ]     ]
  ];
  fhir:Composition.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:721963009;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "721963009" ];
       fhir:Coding.display [ fhir:value "Order (record artifact)" ]     ]
  ];
  fhir:Composition.subject [
     fhir:Reference.reference [ fhir:value "urn:uuid:60580cae-b784-43fb-a0b0-e87702c15285" ];
     fhir:Reference.type [ fhir:value "Patient" ]
  ];
  fhir:Composition.date [ fhir:value "2021-03-30T13:26:15+00:00"^^xsd:dateTime];
  fhir:Composition.author [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "urn:uuid:e11eeb26-31a1-491f-afbc-d885f6157172" ];
     fhir:Reference.type [ fhir:value "PractitionerRole" ]
  ];
  fhir:Composition.title [ fhir:value "Order-Referral-Form"];
  fhir:Composition.section [
     fhir:index 0;
     fhir:Composition.section.title [ fhir:value "Order-Referral" ];
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:93037-0;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "93037-0" ];
         fhir:Coding.display [ fhir:value "Portable medical order form" ]       ]     ];
     fhir:Composition.section.entry [
       fhir:index 0;
       fhir:link <http://example.com/fhir/Questionnaire/order-referral-form>;
       fhir:Reference.reference [ fhir:value "http://example.com/fhir/Questionnaire/order-referral-form" ];
       fhir:Reference.type [ fhir:value "Questionnaire" ]     ], [
       fhir:index 1;
       fhir:Reference.reference [ fhir:value "urn:uuid:a56ec999-341e-4a32-ac49-7d9be5fa2494" ];
       fhir:Reference.type [ fhir:value "QuestionnaireResponse" ]     ], [
       fhir:index 2;
       fhir:Reference.reference [ fhir:value "urn:uuid:51f0760e-a566-4756-b721-0ef9cd428b94" ];
       fhir:Reference.type [ fhir:value "ServiceRequest" ]     ]
  ].

<urn:uuid:60580cae-b784-43fb-a0b0-e87702c15285> a fhir:Patient;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:Patient.identifier [
     fhir:index 0;
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ];
         fhir:Coding.code [ fhir:value "MR" ]       ]     ];
     fhir:Identifier.system [ fhir:value "urn:oid:2.999.1.2" ];
     fhir:Identifier.value [ fhir:value "44.34.9472.1" ]
  ];
  fhir:Patient.name [
     fhir:index 0;
     fhir:HumanName.use [ fhir:value "official" ];
     fhir:HumanName.family [
       fhir:value "Ufferer";
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name" ];
         fhir:Extension.valueCode [ fhir:value "officialName" ]       ]     ];
     fhir:HumanName.given [
       fhir:value "Susanna";
       fhir:index 0;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname" ];
         fhir:Extension.valueCode [ fhir:value "officialFirstName" ]       ]     ]
  ], [
     fhir:index 1;
     fhir:HumanName.use [ fhir:value "maiden" ];
     fhir:HumanName.family [
       fhir:value "Leidend";
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name" ];
         fhir:Extension.valueCode [ fhir:value "originalName" ]       ]     ]
  ];
  fhir:Patient.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "079 979 79 79" ]
  ], [
     fhir:index 1;
     fhir:ContactPoint.system [ fhir:value "email" ];
     fhir:ContactPoint.value [ fhir:value "susanna@ufferer.ch" ]
  ];
  fhir:Patient.gender [ fhir:value "female"];
  fhir:Patient.birthDate [ fhir:value "1970-03-14"^^xsd:date];
  fhir:Patient.address [
     fhir:index 0;
     fhir:Address.line [
       fhir:value "Musterweg";
       fhir:index 0     ], [
       fhir:value "6a";
       fhir:index 1     ];
     fhir:Address.city [ fhir:value "Zürich" ];
     fhir:Address.postalCode [ fhir:value "8000" ];
     fhir:Address.country [ fhir:value "Schweiz" ]
  ].

<urn:uuid:a56ec999-341e-4a32-ac49-7d9be5fa2494> a fhir:QuestionnaireResponse;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:QuestionnaireResponse.questionnaire [
     fhir:value "http://fhir.ch/ig/ch-orf/Questionnaire/order-referral-form";
     fhir:link <http://fhir.ch/ig/ch-orf/Questionnaire/order-referral-form>
  ];
  fhir:QuestionnaireResponse.status [ fhir:value "completed"];
  fhir:QuestionnaireResponse.item [
     fhir:index 0;
     fhir:QuestionnaireResponse.item.linkId [ fhir:value "order" ];
     fhir:QuestionnaireResponse.item.text [ fhir:value "Auftrag" ];
     fhir:QuestionnaireResponse.item.item [
       fhir:index 0;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "order.placerOrderIdentifier" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Auftragsnummer des Auftraggebers" ];
       fhir:QuestionnaireResponse.item.answer [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "60823" ]       ]     ], [
       fhir:index 1;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "order.placerOrderIdentifierDomain" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Identifier Domain der Auftragsnummer des Auftraggebers" ];
       fhir:QuestionnaireResponse.item.answer [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "urn:oid:2.16.756.5.30.1" ]       ]     ], [
       fhir:index 2;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "order.notificationContactDocument" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Dringender Benachrichtigungskontakt für dieses Dokument" ];
       fhir:QuestionnaireResponse.item.item [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "order.notificationContactDocument.practitioner" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Zu benachrichtigende Person" ];
         fhir:QuestionnaireResponse.item.item [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.linkId [ fhir:value "order.notificationContactDocument.practitioner.title" ];
           fhir:QuestionnaireResponse.item.text [ fhir:value "Titel" ];
           fhir:QuestionnaireResponse.item.answer [
             fhir:index 0;
             fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Dr. med." ]           ]         ], [
           fhir:index 1;
           fhir:QuestionnaireResponse.item.linkId [ fhir:value "order.notificationContactDocument.practitioner.familyName" ];
           fhir:QuestionnaireResponse.item.text [ fhir:value "Name" ];
           fhir:QuestionnaireResponse.item.answer [
             fhir:index 0;
             fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Iller" ]           ]         ], [
           fhir:index 2;
           fhir:QuestionnaireResponse.item.linkId [ fhir:value "order.notificationContactDocument.practitioner.givenName" ];
           fhir:QuestionnaireResponse.item.text [ fhir:value "Vorname" ];
           fhir:QuestionnaireResponse.item.answer [
             fhir:index 0;
             fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Frederica" ]           ]         ], [
           fhir:index 3;
           fhir:QuestionnaireResponse.item.linkId [ fhir:value "order.notificationContactDocument.practitioner.phone" ];
           fhir:QuestionnaireResponse.item.text [ fhir:value "Telefon" ];
           fhir:QuestionnaireResponse.item.answer [
             fhir:index 0;
             fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "044 503 44 44" ]           ]         ], [
           fhir:index 4;
           fhir:QuestionnaireResponse.item.linkId [ fhir:value "order.notificationContactDocument.practitioner.email" ];
           fhir:QuestionnaireResponse.item.text [ fhir:value "E-Mail" ];
           fhir:QuestionnaireResponse.item.answer [
             fhir:index 0;
             fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "f.iller@univerityhospital.ch" ]           ]         ]       ]     ], [
       fhir:index 3;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "order.notificationContactDocumentResponse" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument" ];
       fhir:QuestionnaireResponse.item.item [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "order.notificationContactDocumentResponse.practitioner" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Zu benachrichtigende Person" ];
         fhir:QuestionnaireResponse.item.item [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.linkId [ fhir:value "order.notificationContactDocumentResponse.practitioner.title" ];
           fhir:QuestionnaireResponse.item.text [ fhir:value "Titel" ];
           fhir:QuestionnaireResponse.item.answer [
             fhir:index 0;
             fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Dr. med." ]           ]         ], [
           fhir:index 1;
           fhir:QuestionnaireResponse.item.linkId [ fhir:value "order.notificationContactDocumentResponse.practitioner.familyName" ];
           fhir:QuestionnaireResponse.item.text [ fhir:value "Name" ];
           fhir:QuestionnaireResponse.item.answer [
             fhir:index 0;
             fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Lacer" ]           ]         ], [
           fhir:index 2;
           fhir:QuestionnaireResponse.item.linkId [ fhir:value "order.notificationContactDocumentResponse.practitioner.givenName" ];
           fhir:QuestionnaireResponse.item.text [ fhir:value "Vorname" ];
           fhir:QuestionnaireResponse.item.answer [
             fhir:index 0;
             fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Paul" ]           ]         ], [
           fhir:index 3;
           fhir:QuestionnaireResponse.item.linkId [ fhir:value "order.notificationContactDocumentResponse.practitioner.phone" ];
           fhir:QuestionnaireResponse.item.text [ fhir:value "Telefon" ];
           fhir:QuestionnaireResponse.item.answer [
             fhir:index 0;
             fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "044 987 65 43" ]           ]         ], [
           fhir:index 4;
           fhir:QuestionnaireResponse.item.linkId [ fhir:value "order.notificationContactDocumentResponse.practitioner.email" ];
           fhir:QuestionnaireResponse.item.text [ fhir:value "E-Mail" ];
           fhir:QuestionnaireResponse.item.answer [
             fhir:index 0;
             fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "p.lacer@regionalhospital.ch" ]           ]         ]       ]     ], [
       fhir:index 4;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "order.priority" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Auftragspriorität" ];
       fhir:QuestionnaireResponse.item.answer [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.answer.valueCoding [
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/request-priority" ];
           fhir:Coding.code [ fhir:value "stat" ]         ]       ]     ]
  ], [
     fhir:index 1;
     fhir:QuestionnaireResponse.item.linkId [ fhir:value "receiver" ];
     fhir:QuestionnaireResponse.item.text [ fhir:value "Empfänger" ];
     fhir:QuestionnaireResponse.item.item [
       fhir:index 0;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "receiver.practitioner" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Empfangende Person" ];
       fhir:QuestionnaireResponse.item.item [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "receiver.practitioner.title" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Titel" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Dr. med." ]         ]       ], [
         fhir:index 1;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "receiver.practitioner.familyName" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Name" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Iller" ]         ]       ], [
         fhir:index 2;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "receiver.practitioner.givenName" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Vorname" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Frederica" ]         ]       ], [
         fhir:index 3;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "receiver.practitioner.gln" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "GLN" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "7601000099521" ]         ]       ], [
         fhir:index 4;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "receiver.practitioner.phone" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Telefon" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "044 503 44 44" ]         ]       ], [
         fhir:index 5;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "receiver.practitioner.email" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "E-Mail" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "f.iller@universityhospital.ch" ]         ]       ]     ], [
       fhir:index 1;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "receiver.organization" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Empfangende Organisation" ];
       fhir:QuestionnaireResponse.item.item [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "receiver.organization.name" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Name der Organisation" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "University Hospital" ]         ]       ], [
         fhir:index 1;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "receiver.organization.streetAddressLine" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Strasse, Hausnummer, Postfach etc." ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Uniweg 33" ]         ], [
           fhir:index 1;
           fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Radiology" ]         ]       ], [
         fhir:index 2;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "receiver.organization.postalCode" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "PLZ" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "8000" ]         ]       ], [
         fhir:index 3;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "receiver.organization.city" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Ort" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Zürich" ]         ]       ], [
         fhir:index 4;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "receiver.organization.country" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Land" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Schweiz" ]         ]       ]     ]
  ], [
     fhir:index 2;
     fhir:QuestionnaireResponse.item.linkId [ fhir:value "patient" ];
     fhir:QuestionnaireResponse.item.text [ fhir:value "Patient" ];
     fhir:QuestionnaireResponse.item.item [
       fhir:index 0;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "patient.familyName" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Name" ];
       fhir:QuestionnaireResponse.item.answer [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Ufferer" ]       ]     ], [
       fhir:index 1;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "patient.maidenName" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Ledigname" ];
       fhir:QuestionnaireResponse.item.answer [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Leidend" ]       ]     ], [
       fhir:index 2;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "patient.givenName" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Vorname" ];
       fhir:QuestionnaireResponse.item.answer [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Susanna" ]       ]     ], [
       fhir:index 3;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "patient.localPid" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Lokale Patienten-ID" ];
       fhir:QuestionnaireResponse.item.answer [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "44.34.9472.1" ]       ]     ], [
       fhir:index 4;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "patient.birthDate" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Geburtsdatum" ];
       fhir:QuestionnaireResponse.item.answer [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.answer.valueDate [ fhir:value "1970-03-14"^^xsd:date ]       ]     ], [
       fhir:index 5;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "patient.gender" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Geschlecht" ];
       fhir:QuestionnaireResponse.item.answer [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.answer.valueCoding [
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/administrative-gender" ];
           fhir:Coding.code [ fhir:value "female" ]         ]       ]     ], [
       fhir:index 6;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "patient.phone" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Telefon" ];
       fhir:QuestionnaireResponse.item.answer [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "079 979 79 79" ]       ]     ], [
       fhir:index 7;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "patient.email" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "E-Mail" ];
       fhir:QuestionnaireResponse.item.answer [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "susanna@ufferer.ch" ]       ]     ], [
       fhir:index 8;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "patient.streetAddressLine" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Strasse, Hausnummer, Postfach etc." ];
       fhir:QuestionnaireResponse.item.answer [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Musterweg" ]       ], [
         fhir:index 1;
         fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "6a" ]       ]     ], [
       fhir:index 9;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "patient.postalCode" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "PLZ" ];
       fhir:QuestionnaireResponse.item.answer [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "8000" ]       ]     ], [
       fhir:index 10;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "patient.city" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Ort" ];
       fhir:QuestionnaireResponse.item.answer [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Zürich" ]       ]     ], [
       fhir:index 11;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "patient.country" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Land" ];
       fhir:QuestionnaireResponse.item.answer [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Schweiz" ]       ]     ]
  ], [
     fhir:index 3;
     fhir:QuestionnaireResponse.item.linkId [ fhir:value "sender" ];
     fhir:QuestionnaireResponse.item.text [ fhir:value "Absender" ];
     fhir:QuestionnaireResponse.item.item [
       fhir:index 0;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "sender.author" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Verantwortlicher" ];
       fhir:QuestionnaireResponse.item.item [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "sender.author.practitioner" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Verantwortliche Person" ];
         fhir:QuestionnaireResponse.item.item [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.linkId [ fhir:value "sender.author.practitioner.title" ];
           fhir:QuestionnaireResponse.item.text [ fhir:value "Titel" ];
           fhir:QuestionnaireResponse.item.answer [
             fhir:index 0;
             fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Dr. med." ]           ]         ], [
           fhir:index 1;
           fhir:QuestionnaireResponse.item.linkId [ fhir:value "sender.author.practitioner.familyName" ];
           fhir:QuestionnaireResponse.item.text [ fhir:value "Name" ];
           fhir:QuestionnaireResponse.item.answer [
             fhir:index 0;
             fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Lacer" ]           ]         ], [
           fhir:index 2;
           fhir:QuestionnaireResponse.item.linkId [ fhir:value "sender.author.practitioner.givenName" ];
           fhir:QuestionnaireResponse.item.text [ fhir:value "Vorname" ];
           fhir:QuestionnaireResponse.item.answer [
             fhir:index 0;
             fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Paul" ]           ]         ], [
           fhir:index 3;
           fhir:QuestionnaireResponse.item.linkId [ fhir:value "sender.author.practitioner.gln" ];
           fhir:QuestionnaireResponse.item.text [ fhir:value "GLN" ];
           fhir:QuestionnaireResponse.item.answer [
             fhir:index 0;
             fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "7601003334499" ]           ]         ], [
           fhir:index 4;
           fhir:QuestionnaireResponse.item.linkId [ fhir:value "sender.author.practitioner.phone" ];
           fhir:QuestionnaireResponse.item.text [ fhir:value "Telefon" ];
           fhir:QuestionnaireResponse.item.answer [
             fhir:index 0;
             fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "044 987 65 43" ]           ]         ], [
           fhir:index 5;
           fhir:QuestionnaireResponse.item.linkId [ fhir:value "sender.author.practitioner.email" ];
           fhir:QuestionnaireResponse.item.text [ fhir:value "E-Mail" ];
           fhir:QuestionnaireResponse.item.answer [
             fhir:index 0;
             fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "p.lacer@regionalhospital.ch" ]           ]         ]       ], [
         fhir:index 1;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "sender.author.organization" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Verantwortliche Organisation" ];
         fhir:QuestionnaireResponse.item.item [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.linkId [ fhir:value "sender.author.organization.name" ];
           fhir:QuestionnaireResponse.item.text [ fhir:value "Name der Organisation" ];
           fhir:QuestionnaireResponse.item.answer [
             fhir:index 0;
             fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Regional Hospital" ]           ]         ], [
           fhir:index 1;
           fhir:QuestionnaireResponse.item.linkId [ fhir:value "sender.author.organization.streetAddressLine" ];
           fhir:QuestionnaireResponse.item.text [ fhir:value "Strasse, Hausnummer, Postfach etc." ];
           fhir:QuestionnaireResponse.item.answer [
             fhir:index 0;
             fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Musterstrasse 129" ]           ]         ], [
           fhir:index 2;
           fhir:QuestionnaireResponse.item.linkId [ fhir:value "sender.author.organization.postalCode" ];
           fhir:QuestionnaireResponse.item.text [ fhir:value "PLZ" ];
           fhir:QuestionnaireResponse.item.answer [
             fhir:index 0;
             fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "8000" ]           ]         ], [
           fhir:index 3;
           fhir:QuestionnaireResponse.item.linkId [ fhir:value "sender.author.organization.city" ];
           fhir:QuestionnaireResponse.item.text [ fhir:value "Ort" ];
           fhir:QuestionnaireResponse.item.answer [
             fhir:index 0;
             fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Zürich" ]           ]         ], [
           fhir:index 4;
           fhir:QuestionnaireResponse.item.linkId [ fhir:value "sender.author.organization.country" ];
           fhir:QuestionnaireResponse.item.text [ fhir:value "Land" ];
           fhir:QuestionnaireResponse.item.answer [
             fhir:index 0;
             fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Schweiz" ]           ]         ]       ]     ]
  ].

<urn:uuid:51f0760e-a566-4756-b721-0ef9cd428b94> a fhir:ServiceRequest;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:ServiceRequest.identifier [
     fhir:index 0;
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ];
         fhir:Coding.code [ fhir:value "PLAC" ]       ]     ];
     fhir:Identifier.system [ fhir:value "urn:oid:2.999.1.2.3" ];
     fhir:Identifier.value [ fhir:value "60823" ]
  ];
  fhir:ServiceRequest.status [ fhir:value "active"];
  fhir:ServiceRequest.intent [ fhir:value "order"];
  fhir:ServiceRequest.priority [ fhir:value "stat"];
  fhir:ServiceRequest.subject [
     fhir:Reference.reference [ fhir:value "urn:uuid:60580cae-b784-43fb-a0b0-e87702c15285" ];
     fhir:Reference.type [ fhir:value "Patient" ]
  ];
  fhir:ServiceRequest.requester [
     fhir:Reference.reference [ fhir:value "urn:uuid:e11eeb26-31a1-491f-afbc-d885f6157172" ];
     fhir:Reference.type [ fhir:value "PractitionerRole" ]
  ].

<urn:uuid:0cc17698-6d88-4d48-9c6a-1b0886350ef6> a fhir:PractitionerRole;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:PractitionerRole.practitioner [
     fhir:Reference.reference [ fhir:value "urn:uuid:23064476-d499-419e-908e-63fd804a57e6" ];
     fhir:Reference.type [ fhir:value "Practitioner" ]
  ].

<urn:uuid:23064476-d499-419e-908e-63fd804a57e6> a fhir:Practitioner;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:Practitioner.name [
     fhir:index 0;
     fhir:HumanName.family [ fhir:value "Iller" ];
     fhir:HumanName.given [
       fhir:value "Frederica";
       fhir:index 0     ];
     fhir:HumanName.prefix [
       fhir:value "Dr. med.";
       fhir:index 0;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier" ];
         fhir:Extension.valueCode [ fhir:value "AC" ]       ]     ]
  ];
  fhir:Practitioner.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "044 503 44 44" ]
  ], [
     fhir:index 1;
     fhir:ContactPoint.system [ fhir:value "email" ];
     fhir:ContactPoint.value [ fhir:value "f.iller@univerityhospital.ch" ]
  ].

<urn:uuid:b924d326-3f5a-48c0-be83-5bb02521cb25> a fhir:PractitionerRole;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:PractitionerRole.practitioner [
     fhir:Reference.reference [ fhir:value "urn:uuid:f4ae3476-1fbd-42ae-b2e3-ae1b445a2460" ];
     fhir:Reference.type [ fhir:value "Practitioner" ]
  ].

<urn:uuid:f4ae3476-1fbd-42ae-b2e3-ae1b445a2460> a fhir:Practitioner;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:Practitioner.name [
     fhir:index 0;
     fhir:HumanName.family [ fhir:value "Lacer" ];
     fhir:HumanName.given [
       fhir:value "Paul";
       fhir:index 0     ];
     fhir:HumanName.prefix [
       fhir:value "Dr. med.";
       fhir:index 0;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier" ];
         fhir:Extension.valueCode [ fhir:value "AC" ]       ]     ]
  ];
  fhir:Practitioner.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "044 987 65 43" ]
  ], [
     fhir:index 1;
     fhir:ContactPoint.system [ fhir:value "email" ];
     fhir:ContactPoint.value [ fhir:value "p.lacer@regionalhospital.ch" ]
  ].

<urn:uuid:354ddeae-95c5-4970-83e5-71b78aeb1c6d> a fhir:PractitionerRole;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:PractitionerRole.practitioner [
     fhir:Reference.reference [ fhir:value "urn:uuid:b60e96e4-0665-4759-95f2-e962e05da7d5" ];
     fhir:Reference.type [ fhir:value "Practitioner" ]
  ];
  fhir:PractitionerRole.organization [
     fhir:Reference.reference [ fhir:value "urn:uuid:04a1b8b0-04af-4ef1-ae1e-84f2da419fe3" ];
     fhir:Reference.type [ fhir:value "Organization" ]
  ].

<urn:uuid:b60e96e4-0665-4759-95f2-e962e05da7d5> a fhir:Practitioner;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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: 7601000099521</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>"
  ];
  fhir:Practitioner.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "urn:oid:2.51.1.3" ];
     fhir:Identifier.value [ fhir:value "7601000099521" ]
  ];
  fhir:Practitioner.name [
     fhir:index 0;
     fhir:HumanName.family [ fhir:value "Iller" ];
     fhir:HumanName.given [
       fhir:value "Frederica";
       fhir:index 0     ];
     fhir:HumanName.prefix [
       fhir:value "Dr. med.";
       fhir:index 0;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier" ];
         fhir:Extension.valueCode [ fhir:value "AC" ]       ]     ]
  ];
  fhir:Practitioner.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "044 503 44 44" ]
  ], [
     fhir:index 1;
     fhir:ContactPoint.system [ fhir:value "email" ];
     fhir:ContactPoint.value [ fhir:value "f.iller@universityhospital.ch" ]
  ].

<urn:uuid:04a1b8b0-04af-4ef1-ae1e-84f2da419fe3> a fhir:Organization;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:Organization.name [ fhir:value "University Hospital"];
  fhir:Organization.address [
     fhir:index 0;
     fhir:Address.line [
       fhir:value "Uniweg 33";
       fhir:index 0     ], [
       fhir:value "Radiology";
       fhir:index 1     ];
     fhir:Address.city [ fhir:value "Zürich" ];
     fhir:Address.postalCode [ fhir:value "8000" ];
     fhir:Address.country [ fhir:value "Schweiz" ]
  ].

<urn:uuid:e11eeb26-31a1-491f-afbc-d885f6157172> a fhir:PractitionerRole;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:PractitionerRole.practitioner [
     fhir:Reference.reference [ fhir:value "urn:uuid:61dd236b-3a00-43e0-81fb-864f519bbac3" ];
     fhir:Reference.type [ fhir:value "Practitioner" ]
  ];
  fhir:PractitionerRole.organization [
     fhir:Reference.reference [ fhir:value "urn:uuid:987098fd-cb54-4b85-a814-fed59a78591e" ];
     fhir:Reference.type [ fhir:value "Organization" ]
  ].

<urn:uuid:61dd236b-3a00-43e0-81fb-864f519bbac3> a fhir:Practitioner;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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: 7601003334499</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>"
  ];
  fhir:Practitioner.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "urn:oid:2.51.1.3" ];
     fhir:Identifier.value [ fhir:value "7601003334499" ]
  ];
  fhir:Practitioner.name [
     fhir:index 0;
     fhir:HumanName.family [ fhir:value "Lacer" ];
     fhir:HumanName.given [
       fhir:value "Paul";
       fhir:index 0     ];
     fhir:HumanName.prefix [
       fhir:value "Dr. med.";
       fhir:index 0;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier" ];
         fhir:Extension.valueCode [ fhir:value "AC" ]       ]     ]
  ];
  fhir:Practitioner.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "044 987 65 43" ]
  ], [
     fhir:index 1;
     fhir:ContactPoint.system [ fhir:value "email" ];
     fhir:ContactPoint.value [ fhir:value "p.lacer@regionalhospital.ch" ]
  ].

<urn:uuid:987098fd-cb54-4b85-a814-fed59a78591e> a fhir:Organization;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:Organization.name [ fhir:value "Regional Hospital"];
  fhir:Organization.address [
     fhir:index 0;
     fhir:Address.line [
       fhir:value "Musterstrasse 129";
       fhir:index 0     ];
     fhir:Address.city [ fhir:value "Zürich" ];
     fhir:Address.postalCode [ fhir:value "8000" ];
     fhir:Address.country [ fhir:value "Schweiz" ]
  ].

<http://example.com/fhir/Questionnaire/order-referral-form> a fhir:Questionnaire;
  fhir:Resource.id [ fhir:value "order-referral-form"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-questionnaire";
       fhir:index 0;
       fhir:link <http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-questionnaire>     ], [
       fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire";
       fhir:index 1;
       fhir:link <http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire>     ], [
       fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-extract";
       fhir:index 2;
       fhir:link <http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-extract>     ], [
       fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-populate";
       fhir:index 3;
       fhir:link <http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-populate>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ];
     fhir:Narrative.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/2019May/sdc-questionnaire.html\">Questionnaire</a>, <a href=\"http://hl7.org/fhir/uv/sdc/2019May/sdc-questionnaire-extract.html\">Extractable Questionnaire</a>, <a href=\"http://hl7.org/fhir/uv/sdc/2019May/sdc-questionnaire-populate.html\">Populatable Questionnaire</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/StructureDefinition-ch-core-practitionerrole.html\">CH Core Practitioner Role Profile</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/StructureDefinition-ch-core-practitionerrole.html\">CH Core Practitioner Role Profile</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/StructureDefinition-ch-core-patient.html\">CH Core Patient Profile</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/StructureDefinition-ch-core-patient.html\">CH Core Patient Profile</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/StructureDefinition-ch-core-patient.html\">CH Core Patient Profile</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/StructureDefinition-ch-core-patient.html\">CH Core Patient Profile</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/StructureDefinition-ch-core-patient.html\">CH Core Patient Profile</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/StructureDefinition-ch-core-patient.html\">CH Core Patient Profile</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/StructureDefinition-ch-core-patient.html\">CH Core Patient Profile</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/StructureDefinition-ch-core-patient.html\">CH Core Patient Profile</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/StructureDefinition-ch-core-patient.html\">CH Core Patient Profile</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/StructureDefinition-ch-core-patient.html\">CH Core Patient Profile</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/StructureDefinition-ch-core-patient.html\">CH Core Patient Profile</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/StructureDefinition-ch-core-patient.html\">CH Core Patient Profile</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/StructureDefinition-ch-core-patient.html\">CH Core Patient Profile</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/StructureDefinition-ch-core-patient.html\">CH Core Patient Profile</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.languageOfCorrespondance</p><p><b>definition</b>: <a href=\"http://fhir.ch/ig/ch-core/StructureDefinition-ch-core-patient.html\">CH Core Patient Profile</a></p><p><b>text</b>: Korrespondenssprache</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/StructureDefinition-ch-core-patient.html\">CH Core Patient Profile</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/StructureDefinition-ch-core-practitionerrole.html\">CH Core Practitioner Role Profile</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/StructureDefinition-ch-core-patient.html\">CH Core Patient Profile</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>"
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-targetStructureMap" ];
     fhir:Extension.valueCanonical [
       fhir:value "http://fhir.ch/ig/ch-orf/StructureMap/OrfQrToBundle";
       fhir:link <http://fhir.ch/ig/ch-orf/StructureMap/OrfQrToBundle>     ]
  ], [
     fhir:index 1;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-sourceStructureMap" ];
     fhir:Extension.valueCanonical [
       fhir:value "http://fhir.ch/ig/ch-orf/StructureMap/OrfPrepopBundleToQr";
       fhir:link <http://fhir.ch/ig/ch-orf/StructureMap/OrfPrepopBundleToQr>     ]
  ], [
     fhir:index 2;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext" ];
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "name" ];
       fhir:Extension.valueId [ fhir:value "Bundle" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "type" ];
       fhir:Extension.valueCode [ fhir:value "Bundle" ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "description" ];
       fhir:Extension.valueString [ fhir:value "The Bundle that is to be used to pre-populate the form" ]     ]
  ];
  fhir:Questionnaire.url [ fhir:value "http://fhir.ch/ig/ch-orf/Questionnaire/order-referral-form"];
  fhir:Questionnaire.version [ fhir:value "0.11.0"];
  fhir:Questionnaire.name [ fhir:value "OrderReferralForm"];
  fhir:Questionnaire.title [ fhir:value "Order-Referral-Form"];
  fhir:Questionnaire.status [ fhir:value "active"];
  fhir:Questionnaire.subjectType [
     fhir:value "Patient";
     fhir:index 0
  ];
  fhir:Questionnaire.date [ fhir:value "2022-01-06"^^xsd:date];
  fhir:Questionnaire.publisher [ fhir:value "HL7 Switzerland"];
  fhir:Questionnaire.contact [
     fhir:index 0;
     fhir:ContactDetail.name [ fhir:value "HL7 Switzerland" ];
     fhir:ContactDetail.telecom [
       fhir:index 0;
       fhir:ContactPoint.system [ fhir:value "url" ];
       fhir:ContactPoint.value [ fhir:value "https://www.hl7.ch/" ]     ]
  ];
  fhir:Questionnaire.jurisdiction [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ];
       fhir:Coding.code [ fhir:value "CH" ]     ]
  ];
  fhir:Questionnaire.copyright [ fhir:value "CC-BY-SA-4.0"];
  fhir:Questionnaire.item [
     fhir:index 0;
     fhir:Questionnaire.item.linkId [ fhir:value "order" ];
     fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-document#Bundle" ];
     fhir:Questionnaire.item.text [ fhir:value "Auftrag" ];
     fhir:Questionnaire.item.type [ fhir:value "group" ];
     fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
     fhir:Questionnaire.item.item [
       fhir:index 0;
       fhir:Questionnaire.item.linkId [ fhir:value "order.placerOrderIdentifier" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.identifier:placerOrderIdentifier.value" ];
       fhir:Questionnaire.item.text [ fhir:value "Auftragsnummer des Auftraggebers" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ], [
       fhir:index 1;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
         fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "order.placerOrderIdentifierDomain" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.identifier:placerOrderIdentifier.system" ];
       fhir:Questionnaire.item.text [ fhir:value "Identifier Domain der Auftragsnummer des Auftraggebers" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ], [
       fhir:index 2;
       fhir:Questionnaire.item.linkId [ fhir:value "order.fillerOrderIdentifier" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.identifier:fillerOrderIdentifier.value" ];
       fhir:Questionnaire.item.text [ fhir:value "Auftragsnummer des Auftragsempfängers" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ], [
       fhir:index 3;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
         fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "order.fillerOrderIdentifierDomain" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.identifier:fillerOrderIdentifier.system" ];
       fhir:Questionnaire.item.text [ fhir:value "Identifier Domain der Auftragsnummer des Auftragsempfängers" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ], [
       fhir:index 4;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
         fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "order.precedentDocumentIdentifier" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:precedentDocument" ];
       fhir:Questionnaire.item.text [ fhir:value "Identifier des Vorgängerdokuments" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ], [
       fhir:index 5;
       fhir:Questionnaire.item.linkId [ fhir:value "order.notificationContactDocument" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:urgentNoficationContactForThisDocument" ];
       fhir:Questionnaire.item.text [ fhir:value "Dringender Benachrichtigungskontakt für dieses Dokument" ];
       fhir:Questionnaire.item.type [ fhir:value "group" ];
       fhir:Questionnaire.item.item [
         fhir:index 0;
         fhir:Questionnaire.item.linkId [ fhir:value "order.notificationContactDocument.practitioner" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.practitioner" ];
         fhir:Questionnaire.item.text [ fhir:value "Zu benachrichtigende Person" ];
         fhir:Questionnaire.item.type [ fhir:value "group" ];
         fhir:Questionnaire.item.item [
           fhir:index 0;
           fhir:Questionnaire.item.linkId [ fhir:value "order.notificationContactDocument.practitioner.title" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.prefix" ];
           fhir:Questionnaire.item.text [ fhir:value "Titel" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 1;
           fhir:Questionnaire.item.linkId [ fhir:value "order.notificationContactDocument.practitioner.familyName" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.family" ];
           fhir:Questionnaire.item.text [ fhir:value "Name" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 2;
           fhir:Questionnaire.item.linkId [ fhir:value "order.notificationContactDocument.practitioner.givenName" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.given" ];
           fhir:Questionnaire.item.text [ fhir:value "Vorname" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 3;
           fhir:Questionnaire.item.linkId [ fhir:value "order.notificationContactDocument.practitioner.phone" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value" ];
           fhir:Questionnaire.item.text [ fhir:value "Telefon" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 4;
           fhir:Questionnaire.item.linkId [ fhir:value "order.notificationContactDocument.practitioner.email" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value" ];
           fhir:Questionnaire.item.text [ fhir:value "E-Mail" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ]       ]     ], [
       fhir:index 6;
       fhir:Questionnaire.item.linkId [ fhir:value "order.notificationContactDocumentResponse" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:urgentNoficationContactForTheResponseToThisDocument" ];
       fhir:Questionnaire.item.text [ fhir:value "Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument" ];
       fhir:Questionnaire.item.type [ fhir:value "group" ];
       fhir:Questionnaire.item.item [
         fhir:index 0;
         fhir:Questionnaire.item.linkId [ fhir:value "order.notificationContactDocumentResponse.practitioner" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.practitioner" ];
         fhir:Questionnaire.item.text [ fhir:value "Zu benachrichtigende Person" ];
         fhir:Questionnaire.item.type [ fhir:value "group" ];
         fhir:Questionnaire.item.item [
           fhir:index 0;
           fhir:Questionnaire.item.linkId [ fhir:value "order.notificationContactDocumentResponse.practitioner.title" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.prefix" ];
           fhir:Questionnaire.item.text [ fhir:value "Titel" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 1;
           fhir:Questionnaire.item.linkId [ fhir:value "order.notificationContactDocumentResponse.practitioner.familyName" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.family" ];
           fhir:Questionnaire.item.text [ fhir:value "Name" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 2;
           fhir:Questionnaire.item.linkId [ fhir:value "order.notificationContactDocumentResponse.practitioner.givenName" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.given" ];
           fhir:Questionnaire.item.text [ fhir:value "Vorname" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 3;
           fhir:Questionnaire.item.linkId [ fhir:value "order.notificationContactDocumentResponse.practitioner.phone" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value" ];
           fhir:Questionnaire.item.text [ fhir:value "Telefon" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 4;
           fhir:Questionnaire.item.linkId [ fhir:value "order.notificationContactDocumentResponse.practitioner.email" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value" ];
           fhir:Questionnaire.item.text [ fhir:value "E-Mail" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ]       ]     ], [
       fhir:index 7;
       fhir:Questionnaire.item.linkId [ fhir:value "order.priority" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.priority" ];
       fhir:Questionnaire.item.text [ fhir:value "Auftragspriorität" ];
       fhir:Questionnaire.item.type [ fhir:value "choice" ];
       fhir:Questionnaire.item.answerOption [
         fhir:index 0;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/request-priority" ];
           fhir:Coding.code [ fhir:value "routine" ];
           fhir:Coding.display [ fhir:value "Die Anfrage hat normale Priorität." ]         ];
         fhir:Questionnaire.item.answerOption.initialSelected [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 1;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/request-priority" ];
           fhir:Coding.code [ fhir:value "urgent" ];
           fhir:Coding.display [ fhir:value "Die Anfrage sollte dringend bearbeitet werden - höhere Priorität als normal." ]         ]       ], [
         fhir:index 2;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/request-priority" ];
           fhir:Coding.code [ fhir:value "asap" ];
           fhir:Coding.display [ fhir:value "Die Anfrage sollte so schnell wie möglich bearbeitet werden - höhere Priorität als dringend." ]         ]       ], [
         fhir:index 3;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/request-priority" ];
           fhir:Coding.code [ fhir:value "stat" ];
           fhir:Coding.display [ fhir:value "Die Anfrage sollte sofort bearbeitet werden - höchstmögliche Priorität. Z.B. bei einem Notfall." ]         ]       ]     ]
  ], [
     fhir:index 1;
     fhir:Questionnaire.item.linkId [ fhir:value "receiver" ];
     fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:receiver" ];
     fhir:Questionnaire.item.text [ fhir:value "Empfänger" ];
     fhir:Questionnaire.item.type [ fhir:value "group" ];
     fhir:Questionnaire.item.item [
       fhir:index 0;
       fhir:Questionnaire.item.linkId [ fhir:value "receiver.practitioner" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.practitioner" ];
       fhir:Questionnaire.item.text [ fhir:value "Empfangende Person" ];
       fhir:Questionnaire.item.type [ fhir:value "group" ];
       fhir:Questionnaire.item.item [
         fhir:index 0;
         fhir:Questionnaire.item.linkId [ fhir:value "receiver.practitioner.title" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.prefix" ];
         fhir:Questionnaire.item.text [ fhir:value "Titel" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 1;
         fhir:Questionnaire.item.linkId [ fhir:value "receiver.practitioner.familyName" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.family" ];
         fhir:Questionnaire.item.text [ fhir:value "Name" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 2;
         fhir:Questionnaire.item.linkId [ fhir:value "receiver.practitioner.givenName" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.given" ];
         fhir:Questionnaire.item.text [ fhir:value "Vorname" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 3;
         fhir:Questionnaire.item.linkId [ fhir:value "receiver.practitioner.gln" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.identifier:GLN.value" ];
         fhir:Questionnaire.item.text [ fhir:value "GLN" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 4;
         fhir:Questionnaire.item.linkId [ fhir:value "receiver.practitioner.zsr" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.identifier:ZSR.value" ];
         fhir:Questionnaire.item.text [ fhir:value "ZSR" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 5;
         fhir:Questionnaire.item.linkId [ fhir:value "receiver.practitioner.phone" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value" ];
         fhir:Questionnaire.item.text [ fhir:value "Telefon" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 6;
         fhir:Questionnaire.item.linkId [ fhir:value "receiver.practitioner.email" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value" ];
         fhir:Questionnaire.item.text [ fhir:value "E-Mail" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ]     ], [
       fhir:index 1;
       fhir:Questionnaire.item.linkId [ fhir:value "receiver.organization" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.organization" ];
       fhir:Questionnaire.item.text [ fhir:value "Empfangende Organisation" ];
       fhir:Questionnaire.item.type [ fhir:value "group" ];
       fhir:Questionnaire.item.item [
         fhir:index 0;
         fhir:Questionnaire.item.linkId [ fhir:value "receiver.organization.name" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.name" ];
         fhir:Questionnaire.item.text [ fhir:value "Name der Organisation" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 1;
         fhir:Questionnaire.item.linkId [ fhir:value "receiver.organization.gln" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition-ch-core-organization-definitions.html#Organization.identifier:GLN" ];
         fhir:Questionnaire.item.text [ fhir:value "GLN" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 2;
         fhir:Questionnaire.item.linkId [ fhir:value "receiver.organization.streetAddressLine" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.line" ];
         fhir:Questionnaire.item.text [ fhir:value "Strasse, Hausnummer, Postfach etc." ];
         fhir:Questionnaire.item.type [ fhir:value "string" ];
         fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 3;
         fhir:Questionnaire.item.linkId [ fhir:value "receiver.organization.postalCode" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.postalCode" ];
         fhir:Questionnaire.item.text [ fhir:value "PLZ" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 4;
         fhir:Questionnaire.item.linkId [ fhir:value "receiver.organization.city" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.city" ];
         fhir:Questionnaire.item.text [ fhir:value "Ort" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 5;
         fhir:Questionnaire.item.linkId [ fhir:value "receiver.organization.country" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.country" ];
         fhir:Questionnaire.item.text [ fhir:value "Land" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ]     ]
  ], [
     fhir:index 2;
     fhir:Questionnaire.item.linkId [ fhir:value "patient" ];
     fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.subject" ];
     fhir:Questionnaire.item.text [ fhir:value "Patient" ];
     fhir:Questionnaire.item.type [ fhir:value "group" ];
     fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
     fhir:Questionnaire.item.item [
       fhir:index 0;
       fhir:Questionnaire.item.linkId [ fhir:value "patient.familyName" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.name.family" ];
       fhir:Questionnaire.item.text [ fhir:value "Name" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ], [
       fhir:index 1;
       fhir:Questionnaire.item.linkId [ fhir:value "patient.maidenName" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.name.family" ];
       fhir:Questionnaire.item.text [ fhir:value "Ledigname" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ], [
       fhir:index 2;
       fhir:Questionnaire.item.linkId [ fhir:value "patient.givenName" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.name.given" ];
       fhir:Questionnaire.item.text [ fhir:value "Vorname" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ], [
       fhir:index 3;
       fhir:Questionnaire.item.linkId [ fhir:value "patient.localPid" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.identifier:LocalPid.value" ];
       fhir:Questionnaire.item.text [ fhir:value "Lokale Patienten-ID" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ], [
       fhir:index 4;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ];
         fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "patient.localPidDomain" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.identifier:LocalPid.system" ];
       fhir:Questionnaire.item.text [ fhir:value "Lokale Patienten-ID Domain" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ], [
       fhir:index 5;
       fhir:Questionnaire.item.linkId [ fhir:value "patient.birthDate" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.birthDate" ];
       fhir:Questionnaire.item.text [ fhir:value "Geburtsdatum" ];
       fhir:Questionnaire.item.type [ fhir:value "date" ]     ], [
       fhir:index 6;
       fhir:Questionnaire.item.linkId [ fhir:value "patient.gender" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.gender" ];
       fhir:Questionnaire.item.text [ fhir:value "Geschlecht" ];
       fhir:Questionnaire.item.type [ fhir:value "choice" ];
       fhir:Questionnaire.item.answerOption [
         fhir:index 0;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/administrative-gender" ];
           fhir:Coding.code [ fhir:value "male" ];
           fhir:Coding.display [ fhir:value "Männlich" ]         ];
         fhir:Questionnaire.item.answerOption.initialSelected [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 1;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/administrative-gender" ];
           fhir:Coding.code [ fhir:value "female" ];
           fhir:Coding.display [ fhir:value "Weiblich" ]         ]       ], [
         fhir:index 2;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/administrative-gender" ];
           fhir:Coding.code [ fhir:value "other" ];
           fhir:Coding.display [ fhir:value "Anderes" ]         ]       ]     ], [
       fhir:index 7;
       fhir:Questionnaire.item.linkId [ fhir:value "patient.maritalStatus" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.maritalStatus" ];
       fhir:Questionnaire.item.text [ fhir:value "Zivilstand" ];
       fhir:Questionnaire.item.type [ fhir:value "choice" ];
       fhir:Questionnaire.item.answerOption [
         fhir:index 0;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus" ];
           fhir:Coding.code [ fhir:value "1" ];
           fhir:Coding.display [ fhir:value "ledig" ]         ]       ], [
         fhir:index 1;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus" ];
           fhir:Coding.code [ fhir:value "2" ];
           fhir:Coding.display [ fhir:value "verheiratet" ]         ]       ], [
         fhir:index 2;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus" ];
           fhir:Coding.code [ fhir:value "3" ];
           fhir:Coding.display [ fhir:value "verwitwet" ]         ]       ], [
         fhir:index 3;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus" ];
           fhir:Coding.code [ fhir:value "4" ];
           fhir:Coding.display [ fhir:value "geschieden" ]         ]       ], [
         fhir:index 4;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus" ];
           fhir:Coding.code [ fhir:value "5" ];
           fhir:Coding.display [ fhir:value "unverheiratet" ]         ]       ], [
         fhir:index 5;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus" ];
           fhir:Coding.code [ fhir:value "6" ];
           fhir:Coding.display [ fhir:value "in eingetragener Partnerschaft" ]         ]       ], [
         fhir:index 6;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus" ];
           fhir:Coding.code [ fhir:value "7" ];
           fhir:Coding.display [ fhir:value "aufgelöste Partnerschaft" ]         ]       ], [
         fhir:index 7;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus" ];
           fhir:Coding.code [ fhir:value "9" ];
           fhir:Coding.display [ fhir:value "unbekannt" ]         ]       ]     ], [
       fhir:index 8;
       fhir:Questionnaire.item.linkId [ fhir:value "patient.phone" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.telecom.value" ];
       fhir:Questionnaire.item.text [ fhir:value "Telefon" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ];
       fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 9;
       fhir:Questionnaire.item.linkId [ fhir:value "patient.email" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.telecom.value" ];
       fhir:Questionnaire.item.text [ fhir:value "E-Mail" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ], [
       fhir:index 10;
       fhir:Questionnaire.item.linkId [ fhir:value "patient.streetAddressLine" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.address.line" ];
       fhir:Questionnaire.item.text [ fhir:value "Strasse, Hausnummer, Postfach etc." ];
       fhir:Questionnaire.item.type [ fhir:value "string" ];
       fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 11;
       fhir:Questionnaire.item.linkId [ fhir:value "patient.postalCode" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.address.postalCode" ];
       fhir:Questionnaire.item.text [ fhir:value "PLZ" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ], [
       fhir:index 12;
       fhir:Questionnaire.item.linkId [ fhir:value "patient.city" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.address.city" ];
       fhir:Questionnaire.item.text [ fhir:value "Ort" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ], [
       fhir:index 13;
       fhir:Questionnaire.item.linkId [ fhir:value "patient.country" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.address.country" ];
       fhir:Questionnaire.item.text [ fhir:value "Land" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ], [
       fhir:index 14;
       fhir:Questionnaire.item.linkId [ fhir:value "patient.languageOfCorrespondance" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.communication:languageOfCorrespondance" ];
       fhir:Questionnaire.item.text [ fhir:value "Korrespondenssprache" ];
       fhir:Questionnaire.item.type [ fhir:value "choice" ];
       fhir:Questionnaire.item.answerValueSet [
         fhir:value "http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.languageCode";
         fhir:link <http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.languageCode>       ]     ], [
       fhir:index 15;
       fhir:Questionnaire.item.linkId [ fhir:value "patient.contactperson" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact" ];
       fhir:Questionnaire.item.text [ fhir:value "Kontaktperson" ];
       fhir:Questionnaire.item.type [ fhir:value "group" ];
       fhir:Questionnaire.item.item [
         fhir:index 0;
         fhir:Questionnaire.item.linkId [ fhir:value "patient.contactperson.relationship" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact.relationship.text" ];
         fhir:Questionnaire.item.text [ fhir:value "Beziehung" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 1;
         fhir:Questionnaire.item.linkId [ fhir:value "patient.contactperson.familyName" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact.name.family" ];
         fhir:Questionnaire.item.text [ fhir:value "Name" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 2;
         fhir:Questionnaire.item.linkId [ fhir:value "patient.contactperson.givenName" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact.name.given" ];
         fhir:Questionnaire.item.text [ fhir:value "Vorname" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 3;
         fhir:Questionnaire.item.linkId [ fhir:value "patient.contactperson.phone" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact.telecom.value" ];
         fhir:Questionnaire.item.text [ fhir:value "Telefon" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ];
         fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 4;
         fhir:Questionnaire.item.linkId [ fhir:value "patient.contactperson.email" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact.telecom.value" ];
         fhir:Questionnaire.item.text [ fhir:value "E-Mail" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ]     ]
  ], [
     fhir:index 3;
     fhir:Questionnaire.item.linkId [ fhir:value "requestedEncounter" ];
     fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.extension:requestedEncounterDetails" ];
     fhir:Questionnaire.item.text [ fhir:value "Patientenaufnahme" ];
     fhir:Questionnaire.item.type [ fhir:value "group" ];
     fhir:Questionnaire.item.item [
       fhir:index 0;
       fhir:Questionnaire.item.linkId [ fhir:value "requestedEncounter.class" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-encounter#Encounter.class" ];
       fhir:Questionnaire.item.text [ fhir:value "Voraussichtlich: Ambulant / Stationär / Notfall" ];
       fhir:Questionnaire.item.type [ fhir:value "choice" ];
       fhir:Questionnaire.item.answerOption [
         fhir:index 0;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ];
           fhir:Coding.code [ fhir:value "AMB" ];
           fhir:Coding.display [ fhir:value "Ambulant" ]         ]       ], [
         fhir:index 1;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ];
           fhir:Coding.code [ fhir:value "IMP" ];
           fhir:Coding.display [ fhir:value "Stationär" ]         ]       ], [
         fhir:index 2;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ];
           fhir:Coding.code [ fhir:value "EMER" ];
           fhir:Coding.display [ fhir:value "Notfall" ]         ]       ]     ], [
       fhir:index 1;
       fhir:Questionnaire.item.linkId [ fhir:value "requestedEncounter.desiredAccommodation" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-encounter#Encounter.extension:desiredAccommodation" ];
       fhir:Questionnaire.item.text [ fhir:value "Zimmerkategorie" ];
       fhir:Questionnaire.item.type [ fhir:value "choice" ];
       fhir:Questionnaire.item.answerOption [
         fhir:index 0;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://fhir.ch/ig/ch-core/CodeSystem/bfs-medstats-21-encountertype" ];
           fhir:Coding.code [ fhir:value "1" ];
           fhir:Coding.display [ fhir:value "allgemein" ]         ]       ], [
         fhir:index 1;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://fhir.ch/ig/ch-core/CodeSystem/bfs-medstats-21-encountertype" ];
           fhir:Coding.code [ fhir:value "2" ];
           fhir:Coding.display [ fhir:value "halbprivat" ]         ]       ], [
         fhir:index 2;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://fhir.ch/ig/ch-core/CodeSystem/bfs-medstats-21-encountertype" ];
           fhir:Coding.code [ fhir:value "3" ];
           fhir:Coding.display [ fhir:value "privat" ]         ]       ]     ]
  ], [
     fhir:index 4;
     fhir:Questionnaire.item.linkId [ fhir:value "coverage" ];
     fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.insurance" ];
     fhir:Questionnaire.item.text [ fhir:value "Kostenträger" ];
     fhir:Questionnaire.item.type [ fhir:value "group" ];
     fhir:Questionnaire.item.item [
       fhir:index 0;
       fhir:Questionnaire.item.linkId [ fhir:value "coverage.beneficiary" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.beneficiary" ];
       fhir:Questionnaire.item.text [ fhir:value "Begünstigter (Patient)" ];
       fhir:Questionnaire.item.type [ fhir:value "group" ];
       fhir:Questionnaire.item.item [
         fhir:index 0;
         fhir:Questionnaire.item.linkId [ fhir:value "coverage.beneficiary.ahvn13" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.identifier:AHVN13" ];
         fhir:Questionnaire.item.text [ fhir:value "AHV-Nr. des Patienten" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ]     ], [
       fhir:index 1;
       fhir:Questionnaire.item.linkId [ fhir:value "coverage.kvg" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type" ];
       fhir:Questionnaire.item.text [ fhir:value "Krankenkasse (nach KVG)" ];
       fhir:Questionnaire.item.type [ fhir:value "group" ];
       fhir:Questionnaire.item.item [
         fhir:index 0;
         fhir:Questionnaire.item.linkId [ fhir:value "coverage.kvg.name" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor" ];
         fhir:Questionnaire.item.text [ fhir:value "Name der Versicherung" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 1;
         fhir:Questionnaire.item.linkId [ fhir:value "coverage.kvg.insuranceCardNumber" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier" ];
         fhir:Questionnaire.item.text [ fhir:value "Kennnummer der Versichertenkarte" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ]     ], [
       fhir:index 2;
       fhir:Questionnaire.item.linkId [ fhir:value "coverage.uvg" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type" ];
       fhir:Questionnaire.item.text [ fhir:value "Unfallversicherung (nach UVG)" ];
       fhir:Questionnaire.item.type [ fhir:value "group" ];
       fhir:Questionnaire.item.item [
         fhir:index 0;
         fhir:Questionnaire.item.linkId [ fhir:value "coverage.uvg.name" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor" ];
         fhir:Questionnaire.item.text [ fhir:value "Name der Versicherung" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 1;
         fhir:Questionnaire.item.linkId [ fhir:value "coverage.uvg.claimNumber" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier" ];
         fhir:Questionnaire.item.text [ fhir:value "Schadennummer" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ]     ], [
       fhir:index 3;
       fhir:Questionnaire.item.linkId [ fhir:value "coverage.vvg" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type" ];
       fhir:Questionnaire.item.text [ fhir:value "Zusatzversicherung (nach VVG)" ];
       fhir:Questionnaire.item.type [ fhir:value "group" ];
       fhir:Questionnaire.item.item [
         fhir:index 0;
         fhir:Questionnaire.item.linkId [ fhir:value "coverage.vvg.name" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor" ];
         fhir:Questionnaire.item.text [ fhir:value "Name der Versicherung" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 1;
         fhir:Questionnaire.item.linkId [ fhir:value "coverage.vvg.insuranceCardNumber" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier" ];
         fhir:Questionnaire.item.text [ fhir:value "Kennnummer der Versichertenkarte" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ]     ], [
       fhir:index 4;
       fhir:Questionnaire.item.linkId [ fhir:value "coverage.iv" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type" ];
       fhir:Questionnaire.item.text [ fhir:value "Invalidenversicherung (IV)" ];
       fhir:Questionnaire.item.type [ fhir:value "group" ];
       fhir:Questionnaire.item.item [
         fhir:index 0;
         fhir:Questionnaire.item.linkId [ fhir:value "coverage.iv.verfuegungsnummer" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier" ];
         fhir:Questionnaire.item.text [ fhir:value "IV-Verfügungsnummer" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ]     ], [
       fhir:index 5;
       fhir:Questionnaire.item.linkId [ fhir:value "coverage.mv" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type" ];
       fhir:Questionnaire.item.text [ fhir:value "Militärversicherung (MV)" ];
       fhir:Questionnaire.item.type [ fhir:value "group" ];
       fhir:Questionnaire.item.item [
         fhir:index 0;
         fhir:Questionnaire.item.linkId [ fhir:value "coverage.mv.versichertennummer" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier" ];
         fhir:Questionnaire.item.text [ fhir:value "MV-Versichertennummer" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ]     ], [
       fhir:index 6;
       fhir:Questionnaire.item.linkId [ fhir:value "coverage.self" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type" ];
       fhir:Questionnaire.item.text [ fhir:value "Selbstzahler" ];
       fhir:Questionnaire.item.type [ fhir:value "group" ];
       fhir:Questionnaire.item.item [
         fhir:index 0;
         fhir:Questionnaire.item.linkId [ fhir:value "coverage.self.patient" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor" ];
         fhir:Questionnaire.item.text [ fhir:value "Patient selbst" ];
         fhir:Questionnaire.item.type [ fhir:value "boolean" ]       ], [
         fhir:index 1;
         fhir:Questionnaire.item.linkId [ fhir:value "coverage.self.patientRelatedPerson" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor" ];
         fhir:Questionnaire.item.text [ fhir:value "Andere Person" ];
         fhir:Questionnaire.item.type [ fhir:value "boolean" ];
         fhir:Questionnaire.item.enableWhen [
           fhir:index 0;
           fhir:Questionnaire.item.enableWhen.question [ fhir:value "coverage.self.patient" ];
           fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
           fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "false"^^xsd:boolean ]         ]       ], [
         fhir:index 2;
         fhir:Questionnaire.item.linkId [ fhir:value "coverage.self.relatedPerson" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor" ];
         fhir:Questionnaire.item.text [ fhir:value "Andere Person" ];
         fhir:Questionnaire.item.type [ fhir:value "group" ];
         fhir:Questionnaire.item.enableWhen [
           fhir:index 0;
           fhir:Questionnaire.item.enableWhen.question [ fhir:value "coverage.self.patientRelatedPerson" ];
           fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
           fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "true"^^xsd:boolean ]         ];
         fhir:Questionnaire.item.item [
           fhir:index 0;
           fhir:Questionnaire.item.linkId [ fhir:value "coverage.self.relatedPerson.familyName" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.name.family" ];
           fhir:Questionnaire.item.text [ fhir:value "Name" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 1;
           fhir:Questionnaire.item.linkId [ fhir:value "coverage.self.relatedPerson.givenName" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.name.given" ];
           fhir:Questionnaire.item.text [ fhir:value "Vorname" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 2;
           fhir:Questionnaire.item.linkId [ fhir:value "coverage.self.relatedPerson.phone" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.telecom.value" ];
           fhir:Questionnaire.item.text [ fhir:value "Telefon" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ];
           fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 3;
           fhir:Questionnaire.item.linkId [ fhir:value "coverage.self.relatedPerson.email" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.telecom.value" ];
           fhir:Questionnaire.item.text [ fhir:value "E-Mail" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 4;
           fhir:Questionnaire.item.linkId [ fhir:value "coverage.self.relatedPerson.streetAddressLine" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.address.line" ];
           fhir:Questionnaire.item.text [ fhir:value "Strasse, Hausnummer, Postfach etc." ];
           fhir:Questionnaire.item.type [ fhir:value "string" ];
           fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 5;
           fhir:Questionnaire.item.linkId [ fhir:value "coverage.self.relatedPerson.postalCode" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.address.postalCode" ];
           fhir:Questionnaire.item.text [ fhir:value "PLZ" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 6;
           fhir:Questionnaire.item.linkId [ fhir:value "coverage.self.relatedPerson.city" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.address.city" ];
           fhir:Questionnaire.item.text [ fhir:value "Ort" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 7;
           fhir:Questionnaire.item.linkId [ fhir:value "coverage.self.relatedPerson.country" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.address.country" ];
           fhir:Questionnaire.item.text [ fhir:value "Land" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ]       ]     ], [
       fhir:index 7;
       fhir:Questionnaire.item.linkId [ fhir:value "coverage.other" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type" ];
       fhir:Questionnaire.item.text [ fhir:value "Anderer Kostenträger" ];
       fhir:Questionnaire.item.type [ fhir:value "group" ];
       fhir:Questionnaire.item.item [
         fhir:index 0;
         fhir:Questionnaire.item.linkId [ fhir:value "coverage.other.name" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor" ];
         fhir:Questionnaire.item.text [ fhir:value "Name des Kostenträgers" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 1;
         fhir:Questionnaire.item.linkId [ fhir:value "coverage.other.id" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier" ];
         fhir:Questionnaire.item.text [ fhir:value "Beliebige ID" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 2;
         fhir:Questionnaire.item.linkId [ fhir:value "coverage.other.id.note" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier.type.text" ];
         fhir:Questionnaire.item.text [ fhir:value "Bemerkung zur ID" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ]     ]
  ], [
     fhir:index 5;
     fhir:Questionnaire.item.linkId [ fhir:value "sender" ];
     fhir:Questionnaire.item.text [ fhir:value "Absender" ];
     fhir:Questionnaire.item.type [ fhir:value "group" ];
     fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
     fhir:Questionnaire.item.item [
       fhir:index 0;
       fhir:Questionnaire.item.linkId [ fhir:value "sender.author" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.author" ];
       fhir:Questionnaire.item.text [ fhir:value "Verantwortlicher" ];
       fhir:Questionnaire.item.type [ fhir:value "group" ];
       fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
       fhir:Questionnaire.item.item [
         fhir:index 0;
         fhir:Questionnaire.item.linkId [ fhir:value "sender.author.practitioner" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.practitioner" ];
         fhir:Questionnaire.item.text [ fhir:value "Verantwortliche Person" ];
         fhir:Questionnaire.item.type [ fhir:value "group" ];
         fhir:Questionnaire.item.item [
           fhir:index 0;
           fhir:Questionnaire.item.linkId [ fhir:value "sender.author.practitioner.title" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.prefix" ];
           fhir:Questionnaire.item.text [ fhir:value "Titel" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 1;
           fhir:Questionnaire.item.linkId [ fhir:value "sender.author.practitioner.familyName" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.family" ];
           fhir:Questionnaire.item.text [ fhir:value "Name" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 2;
           fhir:Questionnaire.item.linkId [ fhir:value "sender.author.practitioner.givenName" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.given" ];
           fhir:Questionnaire.item.text [ fhir:value "Vorname" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 3;
           fhir:Questionnaire.item.linkId [ fhir:value "sender.author.practitioner.gln" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.identifier:GLN.value" ];
           fhir:Questionnaire.item.text [ fhir:value "GLN" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 4;
           fhir:Questionnaire.item.linkId [ fhir:value "sender.author.practitioner.zsr" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.identifier:ZSR.value" ];
           fhir:Questionnaire.item.text [ fhir:value "ZSR" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 5;
           fhir:Questionnaire.item.linkId [ fhir:value "sender.author.practitioner.phone" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value" ];
           fhir:Questionnaire.item.text [ fhir:value "Telefon" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 6;
           fhir:Questionnaire.item.linkId [ fhir:value "sender.author.practitioner.email" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value" ];
           fhir:Questionnaire.item.text [ fhir:value "E-Mail" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ]       ], [
         fhir:index 1;
         fhir:Questionnaire.item.linkId [ fhir:value "sender.author.organization" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.organization" ];
         fhir:Questionnaire.item.text [ fhir:value "Verantwortliche Organisation" ];
         fhir:Questionnaire.item.type [ fhir:value "group" ];
         fhir:Questionnaire.item.item [
           fhir:index 0;
           fhir:Questionnaire.item.linkId [ fhir:value "sender.author.organization.name" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.name" ];
           fhir:Questionnaire.item.text [ fhir:value "Name der Organisation" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 1;
           fhir:Questionnaire.item.linkId [ fhir:value "sender.author.organization.gln" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.identifier:GLN" ];
           fhir:Questionnaire.item.text [ fhir:value "GLN" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 2;
           fhir:Questionnaire.item.linkId [ fhir:value "sender.author.organization.streetAddressLine" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.line" ];
           fhir:Questionnaire.item.text [ fhir:value "Strasse, Hausnummer, Postfach etc." ];
           fhir:Questionnaire.item.type [ fhir:value "string" ];
           fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 3;
           fhir:Questionnaire.item.linkId [ fhir:value "sender.author.organization.postalCode" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.postalCode" ];
           fhir:Questionnaire.item.text [ fhir:value "PLZ" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 4;
           fhir:Questionnaire.item.linkId [ fhir:value "sender.author.organization.city" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.city" ];
           fhir:Questionnaire.item.text [ fhir:value "Ort" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 5;
           fhir:Questionnaire.item.linkId [ fhir:value "sender.author.organization.country" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.country" ];
           fhir:Questionnaire.item.text [ fhir:value "Land" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ]       ]     ], [
       fhir:index 1;
       fhir:Questionnaire.item.linkId [ fhir:value "sender.dataenterer" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:dataEnterer" ];
       fhir:Questionnaire.item.text [ fhir:value "Erfasser" ];
       fhir:Questionnaire.item.type [ fhir:value "group" ];
       fhir:Questionnaire.item.item [
         fhir:index 0;
         fhir:Questionnaire.item.linkId [ fhir:value "sender.dataenterer.practitioner" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.practitioner" ];
         fhir:Questionnaire.item.text [ fhir:value "Erfassende Person" ];
         fhir:Questionnaire.item.type [ fhir:value "group" ];
         fhir:Questionnaire.item.item [
           fhir:index 0;
           fhir:Questionnaire.item.linkId [ fhir:value "sender.dataenterer.practitioner.familyName" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.family" ];
           fhir:Questionnaire.item.text [ fhir:value "Name" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 1;
           fhir:Questionnaire.item.linkId [ fhir:value "sender.dataenterer.practitioner.givenName" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.given" ];
           fhir:Questionnaire.item.text [ fhir:value "Vorname" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 2;
           fhir:Questionnaire.item.linkId [ fhir:value "sender.dataenterer.practitioner.phone" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value" ];
           fhir:Questionnaire.item.text [ fhir:value "Telefon" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 3;
           fhir:Questionnaire.item.linkId [ fhir:value "sender.dataenterer.practitioner.email" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value" ];
           fhir:Questionnaire.item.text [ fhir:value "E-Mail" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ]       ]     ]
  ], [
     fhir:index 6;
     fhir:Questionnaire.item.linkId [ fhir:value "receiverCopy" ];
     fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:copyReceiver" ];
     fhir:Questionnaire.item.text [ fhir:value "Kopieempfänger (Kopie dieses Auftrags und aller daraus resultierenden Resultate)" ];
     fhir:Questionnaire.item.type [ fhir:value "group" ];
     fhir:Questionnaire.item.item [
       fhir:index 0;
       fhir:Questionnaire.item.linkId [ fhir:value "receiverCopy.practitionerRole" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole" ];
       fhir:Questionnaire.item.text [ fhir:value "Gesundheitsfachperson oder -organisation" ];
       fhir:Questionnaire.item.type [ fhir:value "group" ];
       fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ];
       fhir:Questionnaire.item.item [
         fhir:index 0;
         fhir:Questionnaire.item.linkId [ fhir:value "receiverCopy.practitionerRole.practitioner" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.practitioner" ];
         fhir:Questionnaire.item.text [ fhir:value "Gesundheitsfachperson" ];
         fhir:Questionnaire.item.type [ fhir:value "group" ];
         fhir:Questionnaire.item.item [
           fhir:index 0;
           fhir:Questionnaire.item.linkId [ fhir:value "receiverCopy.practitionerRole.practitioner.title" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-humanname#HumanName.prefix" ];
           fhir:Questionnaire.item.text [ fhir:value "Titel" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 1;
           fhir:Questionnaire.item.linkId [ fhir:value "receiverCopy.practitionerRole.practitioner.familyName" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-humanname#HumanName.family" ];
           fhir:Questionnaire.item.text [ fhir:value "Name" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 2;
           fhir:Questionnaire.item.linkId [ fhir:value "receiverCopy.practitionerRole.practitioner.givenName" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-humanname#HumanName.given" ];
           fhir:Questionnaire.item.text [ fhir:value "Vorname" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 3;
           fhir:Questionnaire.item.linkId [ fhir:value "receiverCopy.practitionerRole.practitioner.phone" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://hl7.org/fhir/StructureDefinition/ContactPoint#ContactPoint.value" ];
           fhir:Questionnaire.item.text [ fhir:value "Telefon" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 4;
           fhir:Questionnaire.item.linkId [ fhir:value "receiverCopy.practitionerRole.practitioner.email" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://hl7.org/fhir/StructureDefinition/ContactPoint#ContactPoint.value" ];
           fhir:Questionnaire.item.text [ fhir:value "E-Mail" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ]       ], [
         fhir:index 1;
         fhir:Questionnaire.item.linkId [ fhir:value "receiverCopy.practitionerRole.organization" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.organization" ];
         fhir:Questionnaire.item.text [ fhir:value "Gesundheitsorganisatiton" ];
         fhir:Questionnaire.item.type [ fhir:value "group" ];
         fhir:Questionnaire.item.item [
           fhir:index 0;
           fhir:Questionnaire.item.linkId [ fhir:value "receiverCopy.practitionerRole.organization.name" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.name" ];
           fhir:Questionnaire.item.text [ fhir:value "Name der Organisation" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 1;
           fhir:Questionnaire.item.linkId [ fhir:value "receiverCopy.practitionerRole.organization.streetAddressLine" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-address#Address.line" ];
           fhir:Questionnaire.item.text [ fhir:value "Strasse, Hausnummer, Postfach etc." ];
           fhir:Questionnaire.item.type [ fhir:value "string" ];
           fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 2;
           fhir:Questionnaire.item.linkId [ fhir:value "receiverCopy.practitionerRole.organization.postalCode" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-address#Address.postalCode" ];
           fhir:Questionnaire.item.text [ fhir:value "PLZ" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 3;
           fhir:Questionnaire.item.linkId [ fhir:value "receiverCopy.practitionerRole.organization.city" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-address#Address.city" ];
           fhir:Questionnaire.item.text [ fhir:value "Ort" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ], [
           fhir:index 4;
           fhir:Questionnaire.item.linkId [ fhir:value "receiverCopy.practitionerRole.organization.country" ];
           fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-address#Address.country" ];
           fhir:Questionnaire.item.text [ fhir:value "Land" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ]         ]       ]     ], [
       fhir:index 1;
       fhir:Questionnaire.item.linkId [ fhir:value "receiverCopy.patient" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient" ];
       fhir:Questionnaire.item.text [ fhir:value "Patient selbst" ];
       fhir:Questionnaire.item.type [ fhir:value "boolean" ]     ], [
       fhir:index 2;
       fhir:Questionnaire.item.linkId [ fhir:value "receiverCopy.relatedPerson" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson" ];
       fhir:Questionnaire.item.text [ fhir:value "Andere Person" ];
       fhir:Questionnaire.item.type [ fhir:value "group" ];
       fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ];
       fhir:Questionnaire.item.item [
         fhir:index 0;
         fhir:Questionnaire.item.linkId [ fhir:value "receiverCopy.relatedPerson.familyName" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.name.family" ];
         fhir:Questionnaire.item.text [ fhir:value "Name" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 1;
         fhir:Questionnaire.item.linkId [ fhir:value "receiverCopy.relatedPerson.givenName" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.name.given" ];
         fhir:Questionnaire.item.text [ fhir:value "Vorame" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 2;
         fhir:Questionnaire.item.linkId [ fhir:value "receiverCopy.relatedPerson.phone" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.telecom.value" ];
         fhir:Questionnaire.item.text [ fhir:value "Telefon" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ];
         fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 3;
         fhir:Questionnaire.item.linkId [ fhir:value "receiverCopy.relatedPerson.email" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.telecom.value" ];
         fhir:Questionnaire.item.text [ fhir:value "E-Mail" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 4;
         fhir:Questionnaire.item.linkId [ fhir:value "receiverCopy.relatedPerson.streetAddressLine" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.address.line" ];
         fhir:Questionnaire.item.text [ fhir:value "Strasse, Hausnummer, Postfach etc." ];
         fhir:Questionnaire.item.type [ fhir:value "string" ];
         fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 5;
         fhir:Questionnaire.item.linkId [ fhir:value "receiverCopy.relatedPerson.postalCode" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.address.postalCode" ];
         fhir:Questionnaire.item.text [ fhir:value "PLZ" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 6;
         fhir:Questionnaire.item.linkId [ fhir:value "receiverCopy.relatedPerson.city" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.address.city" ];
         fhir:Questionnaire.item.text [ fhir:value "Ort" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 7;
         fhir:Questionnaire.item.linkId [ fhir:value "receiverCopy.relatedPerson.country" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.address.country" ];
         fhir:Questionnaire.item.text [ fhir:value "Land" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ]     ]
  ], [
     fhir:index 7;
     fhir:Questionnaire.item.linkId [ fhir:value "appointment" ];
     fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.extension:locationAndTime" ];
     fhir:Questionnaire.item.text [ fhir:value "Ort und Zeit der Durchführung der angeforderten Leistung" ];
     fhir:Questionnaire.item.type [ fhir:value "group" ];
     fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ];
     fhir:Questionnaire.item.item [
       fhir:index 0;
       fhir:Questionnaire.item.linkId [ fhir:value "appointment.location" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.participant.actor" ];
       fhir:Questionnaire.item.text [ fhir:value "Ort der Durchführung" ];
       fhir:Questionnaire.item.type [ fhir:value "group" ];
       fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
       fhir:Questionnaire.item.item [
         fhir:index 0;
         fhir:Questionnaire.item.linkId [ fhir:value "appointment.location.name" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location#Location.name" ];
         fhir:Questionnaire.item.text [ fhir:value "Name" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ];
         fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 1;
         fhir:Questionnaire.item.linkId [ fhir:value "appointment.location.phone" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location#Location.telecom.value" ];
         fhir:Questionnaire.item.text [ fhir:value "Telefon" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 2;
         fhir:Questionnaire.item.linkId [ fhir:value "appointment.location.email" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location#Location.telecom.value" ];
         fhir:Questionnaire.item.text [ fhir:value "E-Mail" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 3;
         fhir:Questionnaire.item.linkId [ fhir:value "appointment.location.streetAddressLine" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location#Location.address.line" ];
         fhir:Questionnaire.item.text [ fhir:value "Strasse, Hausnummer, Postfach etc." ];
         fhir:Questionnaire.item.type [ fhir:value "string" ];
         fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 4;
         fhir:Questionnaire.item.linkId [ fhir:value "appointment.location.postalCode" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location#Location.address.postalCode" ];
         fhir:Questionnaire.item.text [ fhir:value "PLZ" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 5;
         fhir:Questionnaire.item.linkId [ fhir:value "appointment.location.city" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location#Location.address.city" ];
         fhir:Questionnaire.item.text [ fhir:value "Ort" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 6;
         fhir:Questionnaire.item.linkId [ fhir:value "appointment.location.country" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location#Location.address.country" ];
         fhir:Questionnaire.item.text [ fhir:value "Land" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ]     ], [
       fhir:index 1;
       fhir:Questionnaire.item.linkId [ fhir:value "appointment.requestedPeriod" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.requestedPeriod" ];
       fhir:Questionnaire.item.text [ fhir:value "Datum und Zeit, wann der Termin bevorzugt geplant werden soll" ];
       fhir:Questionnaire.item.type [ fhir:value "group" ];
       fhir:Questionnaire.item.item [
         fhir:index 0;
         fhir:Questionnaire.item.linkId [ fhir:value "appointment.requestedPeriod.start" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.requestedPeriod.start" ];
         fhir:Questionnaire.item.text [ fhir:value "Von" ];
         fhir:Questionnaire.item.type [ fhir:value "dateTime" ]       ], [
         fhir:index 1;
         fhir:Questionnaire.item.linkId [ fhir:value "appointment.requestedPeriod.end" ];
         fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.requestedPeriod.end" ];
         fhir:Questionnaire.item.text [ fhir:value "Bis" ];
         fhir:Questionnaire.item.type [ fhir:value "dateTime" ]       ]     ], [
       fhir:index 2;
       fhir:Questionnaire.item.linkId [ fhir:value "appointment.status" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.status" ];
       fhir:Questionnaire.item.text [ fhir:value "Status" ];
       fhir:Questionnaire.item.type [ fhir:value "choice" ];
       fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
       fhir:Questionnaire.item.answerOption [
         fhir:index 0;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/appointmentstatus" ];
           fhir:Coding.code [ fhir:value "proposed" ];
           fhir:Coding.display [ fhir:value "Wunsch des Patienten (vorgeschlagen)" ]         ];
         fhir:Questionnaire.item.answerOption.initialSelected [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 1;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/appointmentstatus" ];
           fhir:Coding.code [ fhir:value "pending" ];
           fhir:Coding.display [ fhir:value "Vom Patienten bestätigt, aber vom Leistungserbringer noch nicht (ausstehend)" ]         ]       ], [
         fhir:index 2;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/appointmentstatus" ];
           fhir:Coding.code [ fhir:value "booked" ];
           fhir:Coding.display [ fhir:value "Vom Patienten und Leistungserbringer bestätigt (gebucht)" ]         ]       ]     ], [
       fhir:index 3;
       fhir:Questionnaire.item.linkId [ fhir:value "appointment.patientInstruction" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.patientInstruction" ];
       fhir:Questionnaire.item.text [ fhir:value "Patienteninformation für diesen Termin" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ]
  ], [
     fhir:index 8;
     fhir:Questionnaire.item.linkId [ fhir:value "note" ];
     fhir:Questionnaire.item.text [ fhir:value "Bemerkungen" ];
     fhir:Questionnaire.item.type [ fhir:value "group" ];
     fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ];
     fhir:Questionnaire.item.item [
       fhir:index 0;
       fhir:Questionnaire.item.linkId [ fhir:value "note.text" ];
       fhir:Questionnaire.item.definition [ fhir:value "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.note.text" ];
       fhir:Questionnaire.item.text [ fhir:value "Kommentar" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ];
       fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]     ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.