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

: Order External Diagnostics - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="external-diagnostics-order"/>
  <meta>
    <profile
             value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-document"/>
  </meta>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:uuid:f9a34cb0-1d1c-4931-937f-ef621341373c"/>
  </identifier>
  <type value="document"/>
  <timestamp value="2021-03-30T13:26:15+00:00"/>
  <entry>
    <fullUrl value="urn:uuid:8b624603-9aea-45b9-935f-5da4b708a0ab"/>
    <resource>
      <Composition>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"></div><p><b>CH ORF Urgent Notification Contact For This Documet</b>: <a href="#urnuuid0cc17698-6d88-4d48-9c6a-1b0886350ef6">See above (urn:uuid:0cc17698-6d88-4d48-9c6a-1b0886350ef6)</a></p><p><b>CH ORF Urgent Notification Contact For The Response To This Document</b>: <a href="#urnuuidb924d326-3f5a-48c0-be83-5bb02521cb25">See above (urn:uuid:b924d326-3f5a-48c0-be83-5bb02521cb25)</a></p><p><b>CH ORF Receiver</b>: <a href="#urnuuid354ddeae-95c5-4970-83e5-71b78aeb1c6d">See above (urn:uuid:354ddeae-95c5-4970-83e5-71b78aeb1c6d)</a></p><p><b>status</b>: final</p><p><b>type</b>: Imaging order (record artifact) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://fhir.ch/ig/ch-epr-term/CodeSystem-2.16.756.5.30.1.127.3.4.html">SNOMED CT Swiss Extension</a>#2161000195103)</span></p><p><b>category</b>: Order (record artifact) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#721963009)</span></p><p><b>date</b>: 2021-03-30 01:26:15+0000</p><p><b>author</b>: <a href="#urnuuide11eeb26-31a1-491f-afbc-d885f6157172">See above (urn:uuid:e11eeb26-31a1-491f-afbc-d885f6157172)</a></p><p><b>title</b>: Order-Referral-Form</p></div>
        </text>
        <extension
                   url="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactforthisdocument">
          <valueReference>
            <reference value="urn:uuid:0cc17698-6d88-4d48-9c6a-1b0886350ef6"/>
          </valueReference>
        </extension>
        <extension
                   url="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-urgentnoficationcontactfortheresponsetothisdocument">
          <valueReference>
            <reference value="urn:uuid:b924d326-3f5a-48c0-be83-5bb02521cb25"/>
          </valueReference>
        </extension>
        <extension
                   url="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-receiver">
          <valueReference>
            <reference value="urn:uuid:354ddeae-95c5-4970-83e5-71b78aeb1c6d"/>
            <type value="PractitionerRole"/>
          </valueReference>
        </extension>
        <status value="final"/>
        <type>
          <coding>
            <system value="urn:oid:2.16.756.5.30.1.127.3.4"/>
            <code value="2161000195103"/>
            <display value="Imaging order (record artifact)"/>
          </coding>
        </type>
        <category>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="721963009"/>
            <display value="Order (record artifact)"/>
          </coding>
        </category>
        <subject>
          <reference value="urn:uuid:60580cae-b784-43fb-a0b0-e87702c15285"/>
          <type value="Patient"/>
        </subject>
        <date value="2021-03-30T13:26:15+00:00"/>
        <author>
          <reference value="urn:uuid:e11eeb26-31a1-491f-afbc-d885f6157172"/>
          <type value="PractitionerRole"/>
        </author>
        <title value="Order-Referral-Form"/>
        <section>
          <title value="Order-Referral"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="93037-0"/>
              <display value="Portable medical order form"/>
            </coding>
          </code>
          <entry>
            <reference
                       value="http://example.com/fhir/Questionnaire/order-referral-form"/>
            <type value="Questionnaire"/>
          </entry>
          <entry>
            <reference value="urn:uuid:a56ec999-341e-4a32-ac49-7d9be5fa2494"/>
            <type value="QuestionnaireResponse"/>
          </entry>
          <entry>
            <reference value="urn:uuid:51f0760e-a566-4756-b721-0ef9cd428b94"/>
            <type value="ServiceRequest"/>
          </entry>
        </section>
      </Composition>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:60580cae-b784-43fb-a0b0-e87702c15285"/>
    <resource>
      <Patient>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MR"/>
            </coding>
          </type>
          <system value="urn:oid:2.999.1.2"/>
          <value value="44.34.9472.1"/>
        </identifier>
        <name>
          <use value="official"/>
          <family value="Ufferer">
            <extension
                       url="http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name">
              <valueCode value="officialName"/>
            </extension>
          </family>
          <given value="Susanna">
            <extension
                       url="http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname">
              <valueCode value="officialFirstName"/>
            </extension>
          </given>
        </name>
        <name>
          <use value="maiden"/>
          <family value="Leidend">
            <extension
                       url="http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name">
              <valueCode value="originalName"/>
            </extension>
          </family>
        </name>
        <telecom>
          <system value="phone"/>
          <value value="079 979 79 79"/>
        </telecom>
        <telecom>
          <system value="email"/>
          <value value="susanna@ufferer.ch"/>
        </telecom>
        <gender value="female"/>
        <birthDate value="1970-03-14"/>
        <address>
          <line value="Musterweg"/>
          <line value="6a"/>
          <city value="Zürich"/>
          <postalCode value="8000"/>
          <country value="Schweiz"/>
        </address>
      </Patient>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:a56ec999-341e-4a32-ac49-7d9be5fa2494"/>
    <resource>
      <QuestionnaireResponse>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <questionnaire
                       value="http://fhir.ch/ig/ch-orf/Questionnaire/order-referral-form"/>
        <status value="completed"/>
        <item>
          <linkId value="order"/>
          <text value="Auftrag"/>
          <item>
            <linkId value="order.placerOrderIdentifier"/>
            <text value="Auftragsnummer des Auftraggebers"/>
            <answer>
              <valueString value="60823"/>
            </answer>
          </item>
          <item>
            <linkId value="order.placerOrderIdentifierDomain"/>
            <text value="Identifier Domain der Auftragsnummer des Auftraggebers"/>
            <answer>
              <valueString value="urn:oid:2.16.756.5.30.1"/>
            </answer>
          </item>
          <item>
            <linkId value="order.notificationContactDocument"/>
            <text
                  value="Dringender Benachrichtigungskontakt für dieses Dokument"/>
            <item>
              <linkId value="order.notificationContactDocument.practitioner"/>
              <text value="Zu benachrichtigende Person"/>
              <item>
                <linkId
                        value="order.notificationContactDocument.practitioner.title"/>
                <text value="Titel"/>
                <answer>
                  <valueString value="Dr. med."/>
                </answer>
              </item>
              <item>
                <linkId
                        value="order.notificationContactDocument.practitioner.familyName"/>
                <text value="Name"/>
                <answer>
                  <valueString value="Iller"/>
                </answer>
              </item>
              <item>
                <linkId
                        value="order.notificationContactDocument.practitioner.givenName"/>
                <text value="Vorname"/>
                <answer>
                  <valueString value="Frederica"/>
                </answer>
              </item>
              <item>
                <linkId
                        value="order.notificationContactDocument.practitioner.phone"/>
                <text value="Telefon"/>
                <answer>
                  <valueString value="044 503 44 44"/>
                </answer>
              </item>
              <item>
                <linkId
                        value="order.notificationContactDocument.practitioner.email"/>
                <text value="E-Mail"/>
                <answer>
                  <valueString value="f.iller@univerityhospital.ch"/>
                </answer>
              </item>
            </item>
          </item>
          <item>
            <linkId value="order.notificationContactDocumentResponse"/>
            <text
                  value="Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument"/>
            <item>
              <linkId
                      value="order.notificationContactDocumentResponse.practitioner"/>
              <text value="Zu benachrichtigende Person"/>
              <item>
                <linkId
                        value="order.notificationContactDocumentResponse.practitioner.title"/>
                <text value="Titel"/>
                <answer>
                  <valueString value="Dr. med."/>
                </answer>
              </item>
              <item>
                <linkId
                        value="order.notificationContactDocumentResponse.practitioner.familyName"/>
                <text value="Name"/>
                <answer>
                  <valueString value="Lacer"/>
                </answer>
              </item>
              <item>
                <linkId
                        value="order.notificationContactDocumentResponse.practitioner.givenName"/>
                <text value="Vorname"/>
                <answer>
                  <valueString value="Paul"/>
                </answer>
              </item>
              <item>
                <linkId
                        value="order.notificationContactDocumentResponse.practitioner.phone"/>
                <text value="Telefon"/>
                <answer>
                  <valueString value="044 987 65 43"/>
                </answer>
              </item>
              <item>
                <linkId
                        value="order.notificationContactDocumentResponse.practitioner.email"/>
                <text value="E-Mail"/>
                <answer>
                  <valueString value="p.lacer@regionalhospital.ch"/>
                </answer>
              </item>
            </item>
          </item>
          <item>
            <linkId value="order.priority"/>
            <text value="Auftragspriorität"/>
            <answer>
              <valueCoding>
                <system value="http://hl7.org/fhir/request-priority"/>
                <code value="stat"/>
              </valueCoding>
            </answer>
          </item>
        </item>
        <item>
          <linkId value="receiver"/>
          <text value="Empfänger"/>
          <item>
            <linkId value="receiver.practitioner"/>
            <text value="Empfangende Person"/>
            <item>
              <linkId value="receiver.practitioner.title"/>
              <text value="Titel"/>
              <answer>
                <valueString value="Dr. med."/>
              </answer>
            </item>
            <item>
              <linkId value="receiver.practitioner.familyName"/>
              <text value="Name"/>
              <answer>
                <valueString value="Iller"/>
              </answer>
            </item>
            <item>
              <linkId value="receiver.practitioner.givenName"/>
              <text value="Vorname"/>
              <answer>
                <valueString value="Frederica"/>
              </answer>
            </item>
            <item>
              <linkId value="receiver.practitioner.gln"/>
              <text value="GLN"/>
              <answer>
                <valueString value="7601000618306"/>
              </answer>
            </item>
            <item>
              <linkId value="receiver.practitioner.phone"/>
              <text value="Telefon"/>
              <answer>
                <valueString value="044 503 44 44"/>
              </answer>
            </item>
            <item>
              <linkId value="receiver.practitioner.email"/>
              <text value="E-Mail"/>
              <answer>
                <valueString value="f.iller@universityhospital.ch"/>
              </answer>
            </item>
          </item>
          <item>
            <linkId value="receiver.organization"/>
            <text value="Empfangende Organisation"/>
            <item>
              <linkId value="receiver.organization.name"/>
              <text value="Name der Organisation"/>
              <answer>
                <valueString value="University Hospital"/>
              </answer>
            </item>
            <item>
              <linkId value="receiver.organization.streetAddressLine"/>
              <text value="Strasse, Hausnummer, Postfach etc."/>
              <answer>
                <valueString value="Uniweg 33"/>
              </answer>
              <answer>
                <valueString value="Radiology"/>
              </answer>
            </item>
            <item>
              <linkId value="receiver.organization.postalCode"/>
              <text value="PLZ"/>
              <answer>
                <valueString value="8000"/>
              </answer>
            </item>
            <item>
              <linkId value="receiver.organization.city"/>
              <text value="Ort"/>
              <answer>
                <valueString value="Zürich"/>
              </answer>
            </item>
            <item>
              <linkId value="receiver.organization.country"/>
              <text value="Land"/>
              <answer>
                <valueString value="Schweiz"/>
              </answer>
            </item>
          </item>
        </item>
        <item>
          <linkId value="patient"/>
          <text value="Patient"/>
          <item>
            <linkId value="patient.familyName"/>
            <text value="Name"/>
            <answer>
              <valueString value="Ufferer"/>
            </answer>
          </item>
          <item>
            <linkId value="patient.maidenName"/>
            <text value="Ledigname"/>
            <answer>
              <valueString value="Leidend"/>
            </answer>
          </item>
          <item>
            <linkId value="patient.givenName"/>
            <text value="Vorname"/>
            <answer>
              <valueString value="Susanna"/>
            </answer>
          </item>
          <item>
            <linkId value="patient.localPid"/>
            <text value="Lokale Patienten-ID"/>
            <answer>
              <valueString value="44.34.9472.1"/>
            </answer>
          </item>
          <item>
            <linkId value="patient.birthDate"/>
            <text value="Geburtsdatum"/>
            <answer>
              <valueDate value="1970-03-14"/>
            </answer>
          </item>
          <item>
            <linkId value="patient.gender"/>
            <text value="Geschlecht"/>
            <answer>
              <valueCoding>
                <system value="http://hl7.org/fhir/administrative-gender"/>
                <code value="female"/>
              </valueCoding>
            </answer>
          </item>
          <item>
            <linkId value="patient.phone"/>
            <text value="Telefon"/>
            <answer>
              <valueString value="079 979 79 79"/>
            </answer>
          </item>
          <item>
            <linkId value="patient.email"/>
            <text value="E-Mail"/>
            <answer>
              <valueString value="susanna@ufferer.ch"/>
            </answer>
          </item>
          <item>
            <linkId value="patient.streetAddressLine"/>
            <text value="Strasse, Hausnummer, Postfach etc."/>
            <answer>
              <valueString value="Musterweg"/>
            </answer>
            <answer>
              <valueString value="6a"/>
            </answer>
          </item>
          <item>
            <linkId value="patient.postalCode"/>
            <text value="PLZ"/>
            <answer>
              <valueString value="8000"/>
            </answer>
          </item>
          <item>
            <linkId value="patient.city"/>
            <text value="Ort"/>
            <answer>
              <valueString value="Zürich"/>
            </answer>
          </item>
          <item>
            <linkId value="patient.country"/>
            <text value="Land"/>
            <answer>
              <valueString value="Schweiz"/>
            </answer>
          </item>
        </item>
        <item>
          <linkId value="sender"/>
          <text value="Absender"/>
          <item>
            <linkId value="sender.author"/>
            <text value="Verantwortlicher"/>
            <item>
              <linkId value="sender.author.practitioner"/>
              <text value="Verantwortliche Person"/>
              <item>
                <linkId value="sender.author.practitioner.title"/>
                <text value="Titel"/>
                <answer>
                  <valueString value="Dr. med."/>
                </answer>
              </item>
              <item>
                <linkId value="sender.author.practitioner.familyName"/>
                <text value="Name"/>
                <answer>
                  <valueString value="Lacer"/>
                </answer>
              </item>
              <item>
                <linkId value="sender.author.practitioner.givenName"/>
                <text value="Vorname"/>
                <answer>
                  <valueString value="Paul"/>
                </answer>
              </item>
              <item>
                <linkId value="sender.author.practitioner.gln"/>
                <text value="GLN"/>
                <answer>
                  <valueString value="7601000050717"/>
                </answer>
              </item>
              <item>
                <linkId value="sender.author.practitioner.phone"/>
                <text value="Telefon"/>
                <answer>
                  <valueString value="044 987 65 43"/>
                </answer>
              </item>
              <item>
                <linkId value="sender.author.practitioner.email"/>
                <text value="E-Mail"/>
                <answer>
                  <valueString value="p.lacer@regionalhospital.ch"/>
                </answer>
              </item>
            </item>
            <item>
              <linkId value="sender.author.organization"/>
              <text value="Verantwortliche Organisation"/>
              <item>
                <linkId value="sender.author.organization.name"/>
                <text value="Name der Organisation"/>
                <answer>
                  <valueString value="Regional Hospital"/>
                </answer>
              </item>
              <item>
                <linkId value="sender.author.organization.streetAddressLine"/>
                <text value="Strasse, Hausnummer, Postfach etc."/>
                <answer>
                  <valueString value="Musterstrasse 129"/>
                </answer>
              </item>
              <item>
                <linkId value="sender.author.organization.postalCode"/>
                <text value="PLZ"/>
                <answer>
                  <valueString value="8000"/>
                </answer>
              </item>
              <item>
                <linkId value="sender.author.organization.city"/>
                <text value="Ort"/>
                <answer>
                  <valueString value="Zürich"/>
                </answer>
              </item>
              <item>
                <linkId value="sender.author.organization.country"/>
                <text value="Land"/>
                <answer>
                  <valueString value="Schweiz"/>
                </answer>
              </item>
            </item>
          </item>
        </item>
      </QuestionnaireResponse>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:51f0760e-a566-4756-b721-0ef9cd428b94"/>
    <resource>
      <ServiceRequest>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PLAC"/>
            </coding>
          </type>
          <system value="urn:oid:2.999.1.2.3"/>
          <value value="60823"/>
        </identifier>
        <status value="active"/>
        <intent value="order"/>
        <priority value="stat"/>
        <subject>
          <reference value="urn:uuid:60580cae-b784-43fb-a0b0-e87702c15285"/>
          <type value="Patient"/>
        </subject>
        <requester>
          <reference value="urn:uuid:e11eeb26-31a1-491f-afbc-d885f6157172"/>
          <type value="PractitionerRole"/>
        </requester>
      </ServiceRequest>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:0cc17698-6d88-4d48-9c6a-1b0886350ef6"/>
    <resource>
      <PractitionerRole>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <practitioner>
          <reference value="urn:uuid:23064476-d499-419e-908e-63fd804a57e6"/>
          <type value="Practitioner"/>
        </practitioner>
      </PractitionerRole>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:23064476-d499-419e-908e-63fd804a57e6"/>
    <resource>
      <Practitioner>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <name>
          <family value="Iller"/>
          <given value="Frederica"/>
          <prefix value="Dr. med.">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier">
              <valueCode value="AC"/>
            </extension>
          </prefix>
        </name>
        <telecom>
          <system value="phone"/>
          <value value="044 503 44 44"/>
        </telecom>
        <telecom>
          <system value="email"/>
          <value value="f.iller@univerityhospital.ch"/>
        </telecom>
      </Practitioner>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:b924d326-3f5a-48c0-be83-5bb02521cb25"/>
    <resource>
      <PractitionerRole>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <practitioner>
          <reference value="urn:uuid:f4ae3476-1fbd-42ae-b2e3-ae1b445a2460"/>
          <type value="Practitioner"/>
        </practitioner>
      </PractitionerRole>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:f4ae3476-1fbd-42ae-b2e3-ae1b445a2460"/>
    <resource>
      <Practitioner>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <name>
          <family value="Lacer"/>
          <given value="Paul"/>
          <prefix value="Dr. med.">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier">
              <valueCode value="AC"/>
            </extension>
          </prefix>
        </name>
        <telecom>
          <system value="phone"/>
          <value value="044 987 65 43"/>
        </telecom>
        <telecom>
          <system value="email"/>
          <value value="p.lacer@regionalhospital.ch"/>
        </telecom>
      </Practitioner>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:354ddeae-95c5-4970-83e5-71b78aeb1c6d"/>
    <resource>
      <PractitionerRole>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <practitioner>
          <reference value="urn:uuid:b60e96e4-0665-4759-95f2-e962e05da7d5"/>
          <type value="Practitioner"/>
        </practitioner>
        <organization>
          <reference value="urn:uuid:04a1b8b0-04af-4ef1-ae1e-84f2da419fe3"/>
          <type value="Organization"/>
        </organization>
      </PractitionerRole>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:b60e96e4-0665-4759-95f2-e962e05da7d5"/>
    <resource>
      <Practitioner>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"></div><p><b>identifier</b>: id: 7601000618306</p><p><b>name</b>: Frederica Iller </p><p><b>telecom</b>: ph: 044 503 44 44, <a href="mailto:f.iller@universityhospital.ch">f.iller@universityhospital.ch</a></p></div>
        </text>
        <identifier>
          <system value="urn:oid:2.51.1.3"/>
          <value value="7601000618306"/>
        </identifier>
        <name>
          <family value="Iller"/>
          <given value="Frederica"/>
          <prefix value="Dr. med.">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier">
              <valueCode value="AC"/>
            </extension>
          </prefix>
        </name>
        <telecom>
          <system value="phone"/>
          <value value="044 503 44 44"/>
        </telecom>
        <telecom>
          <system value="email"/>
          <value value="f.iller@universityhospital.ch"/>
        </telecom>
      </Practitioner>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:04a1b8b0-04af-4ef1-ae1e-84f2da419fe3"/>
    <resource>
      <Organization>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <name value="University Hospital"/>
        <address>
          <line value="Uniweg 33"/>
          <line value="Radiology"/>
          <city value="Zürich"/>
          <postalCode value="8000"/>
          <country value="Schweiz"/>
        </address>
      </Organization>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:e11eeb26-31a1-491f-afbc-d885f6157172"/>
    <resource>
      <PractitionerRole>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <practitioner>
          <reference value="urn:uuid:61dd236b-3a00-43e0-81fb-864f519bbac3"/>
          <type value="Practitioner"/>
        </practitioner>
        <organization>
          <reference value="urn:uuid:987098fd-cb54-4b85-a814-fed59a78591e"/>
          <type value="Organization"/>
        </organization>
      </PractitionerRole>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:61dd236b-3a00-43e0-81fb-864f519bbac3"/>
    <resource>
      <Practitioner>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"></div><p><b>identifier</b>: id: 7601000050717</p><p><b>name</b>: Paul Lacer </p><p><b>telecom</b>: ph: 044 987 65 43, <a href="mailto:p.lacer@regionalhospital.ch">p.lacer@regionalhospital.ch</a></p></div>
        </text>
        <identifier>
          <system value="urn:oid:2.51.1.3"/>
          <value value="7601000050717"/>
        </identifier>
        <name>
          <family value="Lacer"/>
          <given value="Paul"/>
          <prefix value="Dr. med.">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier">
              <valueCode value="AC"/>
            </extension>
          </prefix>
        </name>
        <telecom>
          <system value="phone"/>
          <value value="044 987 65 43"/>
        </telecom>
        <telecom>
          <system value="email"/>
          <value value="p.lacer@regionalhospital.ch"/>
        </telecom>
      </Practitioner>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:987098fd-cb54-4b85-a814-fed59a78591e"/>
    <resource>
      <Organization>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <name value="Regional Hospital"/>
        <address>
          <line value="Musterstrasse 129"/>
          <city value="Zürich"/>
          <postalCode value="8000"/>
          <country value="Schweiz"/>
        </address>
      </Organization>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://example.com/fhir/Questionnaire/order-referral-form"/>
    <resource>
      <Questionnaire>
        <id value="order-referral-form"/>
        <meta>
          <profile
                   value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-questionnaire"/>
          <profile
                   value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire"/>
          <profile
                   value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-extr-smap"/>
          <profile
                   value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-pop-exp"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource "order-referral-form" </p><p style="margin-bottom: 0px">Profiles: <a href="StructureDefinition-ch-orf-questionnaire.html">CH ORF Questionnaire</a>, <a href="http://hl7.org/fhir/uv/sdc/STU3/StructureDefinition-sdc-questionnaire.html">SDCBaseQuestionnaire</a>, <a href="http://hl7.org/fhir/uv/sdc/STU3/StructureDefinition-sdc-questionnaire-extr-smap.html">Extractable Questionnaire - StructureMap</a>, <a href="http://hl7.org/fhir/uv/sdc/STU3/StructureDefinition-sdc-questionnaire-pop-exp.html">Populatable Questionnaire - Expression</a></p></div><p><b>Target structure map</b>: <a href="StructureMap-OrfQrToBundle.html">OrfQrToBundle</a></p><p><b>Source structure map</b>: <a href="http://fhir.ch/ig/ch-orf/StructureMap/OrfPrepopBundleToQr">http://fhir.ch/ig/ch-orf/StructureMap/OrfPrepopBundleToQr</a></p><blockquote><p><b>Launch context resources</b></p><p><b>value</b>: Bundle</p><p><b>value</b>: Bundle</p><p><b>value</b>: The Bundle that is to be used to pre-populate the form</p></blockquote><p><b>url</b>: <code>http://fhir.ch/ig/ch-orf/Questionnaire/order-referral-form</code></p><p><b>version</b>: 0.11.0</p><p><b>name</b>: OrderReferralForm</p><p><b>title</b>: Order-Referral-Form</p><p><b>status</b>: active</p><p><b>subjectType</b>: Patient</p><p><b>date</b>: 2022-01-06</p><p><b>publisher</b>: HL7 Switzerland</p><p><b>contact</b>: HL7 Switzerland: <a href="https://www.hl7.ch/">https://www.hl7.ch/</a></p><p><b>jurisdiction</b>: Switzerland <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (unknown#CH)</span></p><p><b>copyright</b>: CC-BY-SA-4.0</p><blockquote><p><b>item</b></p><p><b>linkId</b>: order</p><p><b>definition</b>: <a href="StructureDefinition-ch-orf-document.html">CH ORF Document</a></p><p><b>text</b>: Auftrag</p><p><b>type</b>: group</p><p><b>required</b>: true</p><blockquote><p><b>item</b></p><p><b>linkId</b>: order.placerOrderIdentifier</p><p><b>definition</b>: <a href="StructureDefinition-ch-orf-servicerequest.html">CH ORF ServiceRequest</a></p><p><b>text</b>: Auftragsnummer des Auftraggebers</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>hidden</b>: true</p><p><b>linkId</b>: order.placerOrderIdentifierDomain</p><p><b>definition</b>: <a href="StructureDefinition-ch-orf-servicerequest.html">CH ORF ServiceRequest</a></p><p><b>text</b>: Identifier Domain der Auftragsnummer des Auftraggebers</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.fillerOrderIdentifier</p><p><b>definition</b>: <a href="StructureDefinition-ch-orf-servicerequest.html">CH ORF ServiceRequest</a></p><p><b>text</b>: Auftragsnummer des Auftragsempfängers</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>hidden</b>: true</p><p><b>linkId</b>: order.fillerOrderIdentifierDomain</p><p><b>definition</b>: <a href="StructureDefinition-ch-orf-servicerequest.html">CH ORF ServiceRequest</a></p><p><b>text</b>: Identifier Domain der Auftragsnummer des Auftragsempfängers</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>hidden</b>: true</p><p><b>linkId</b>: order.precedentDocumentIdentifier</p><p><b>definition</b>: <a href="StructureDefinition-ch-orf-composition.html">CH ORF Composition</a></p><p><b>text</b>: Identifier des Vorgängerdokuments</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.notificationContactDocument</p><p><b>definition</b>: <a href="StructureDefinition-ch-orf-composition.html">CH ORF Composition</a></p><p><b>text</b>: Dringender Benachrichtigungskontakt für dieses Dokument</p><p><b>type</b>: group</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.notificationContactDocumentResponse</p><p><b>definition</b>: <a href="StructureDefinition-ch-orf-composition.html">CH ORF Composition</a></p><p><b>text</b>: Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument</p><p><b>type</b>: group</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.priority</p><p><b>definition</b>: <a href="StructureDefinition-ch-orf-servicerequest.html">CH ORF ServiceRequest</a></p><p><b>text</b>: Auftragspriorität</p><p><b>type</b>: choice</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiver</p><p><b>definition</b>: <a href="StructureDefinition-ch-orf-composition.html">CH ORF Composition</a></p><p><b>text</b>: Empfänger</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p><p><b>linkId</b>: receiver.practitioner</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-core/2.1.0/StructureDefinition-ch-core-practitionerrole.html">CH Core PractitionerRole</a></p><p><b>text</b>: Empfangende Person</p><p><b>type</b>: group</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiver.organization</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-core/2.1.0/StructureDefinition-ch-core-practitionerrole.html">CH Core PractitionerRole</a></p><p><b>text</b>: Empfangende Organisation</p><p><b>type</b>: group</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient</p><p><b>definition</b>: <a href="StructureDefinition-ch-orf-composition.html">CH ORF Composition</a></p><p><b>text</b>: Patient</p><p><b>type</b>: group</p><p><b>required</b>: true</p><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.familyName</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-core/2.1.0/StructureDefinition-ch-core-patient.html">CH Core Patient</a></p><p><b>text</b>: Name</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.maidenName</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-core/2.1.0/StructureDefinition-ch-core-patient.html">CH Core Patient</a></p><p><b>text</b>: Ledigname</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.givenName</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-core/2.1.0/StructureDefinition-ch-core-patient.html">CH Core Patient</a></p><p><b>text</b>: Vorname</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.localPid</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-core/2.1.0/StructureDefinition-ch-core-patient.html">CH Core Patient</a></p><p><b>text</b>: Lokale Patienten-ID</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>hidden</b>: true</p><p><b>linkId</b>: patient.localPidDomain</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-core/2.1.0/StructureDefinition-ch-core-patient.html">CH Core Patient</a></p><p><b>text</b>: Lokale Patienten-ID Domain</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.birthDate</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-core/2.1.0/StructureDefinition-ch-core-patient.html">CH Core Patient</a></p><p><b>text</b>: Geburtsdatum</p><p><b>type</b>: date</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.gender</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-core/2.1.0/StructureDefinition-ch-core-patient.html">CH Core Patient</a></p><p><b>text</b>: Geschlecht</p><p><b>type</b>: choice</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.maritalStatus</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-core/2.1.0/StructureDefinition-ch-core-patient.html">CH Core Patient</a></p><p><b>text</b>: Zivilstand</p><p><b>type</b>: choice</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.phone</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-core/2.1.0/StructureDefinition-ch-core-patient.html">CH Core Patient</a></p><p><b>text</b>: Telefon</p><p><b>type</b>: string</p><p><b>repeats</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.email</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-core/2.1.0/StructureDefinition-ch-core-patient.html">CH Core Patient</a></p><p><b>text</b>: E-Mail</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.streetAddressLine</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-core/2.1.0/StructureDefinition-ch-core-patient.html">CH Core Patient</a></p><p><b>text</b>: Strasse, Hausnummer, Postfach etc.</p><p><b>type</b>: string</p><p><b>repeats</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.postalCode</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-core/2.1.0/StructureDefinition-ch-core-patient.html">CH Core Patient</a></p><p><b>text</b>: PLZ</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.city</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-core/2.1.0/StructureDefinition-ch-core-patient.html">CH Core Patient</a></p><p><b>text</b>: Ort</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.country</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-core/2.1.0/StructureDefinition-ch-core-patient.html">CH Core Patient</a></p><p><b>text</b>: Land</p><p><b>type</b>: string</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.languageOfCorrespondence</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-core/2.1.0/StructureDefinition-ch-core-patient.html">CH Core Patient</a></p><p><b>text</b>: Korrespondenzsprache</p><p><b>type</b>: choice</p><p><b>answerValueSet</b>: <a href="http://fhir.ch/ig/ch-epr-term/ValueSet-DocumentEntry.languageCode.html">DocumentEntry.languageCode</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.contactperson</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-core/2.1.0/StructureDefinition-ch-core-patient.html">CH Core Patient</a></p><p><b>text</b>: Kontaktperson</p><p><b>type</b>: group</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: requestedEncounter</p><p><b>definition</b>: <a href="StructureDefinition-ch-orf-servicerequest.html">CH ORF ServiceRequest</a></p><p><b>text</b>: Patientenaufnahme</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p><p><b>linkId</b>: requestedEncounter.class</p><p><b>definition</b>: <a href="StructureDefinition-ch-orf-encounter.html">CH ORF Requested Encounter</a></p><p><b>text</b>: Voraussichtlich: Ambulant / Stationär / Notfall</p><p><b>type</b>: choice</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: requestedEncounter.desiredAccommodation</p><p><b>definition</b>: <a href="StructureDefinition-ch-orf-encounter.html">CH ORF Requested Encounter</a></p><p><b>text</b>: Zimmerkategorie</p><p><b>type</b>: choice</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage</p><p><b>definition</b>: <a href="StructureDefinition-ch-orf-servicerequest.html">CH ORF ServiceRequest</a></p><p><b>text</b>: Kostenträger</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.beneficiary</p><p><b>definition</b>: <a href="StructureDefinition-ch-orf-coverage.html">CH ORF Coverage</a></p><p><b>text</b>: Begünstigter (Patient)</p><p><b>type</b>: group</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.kvg</p><p><b>definition</b>: <a href="StructureDefinition-ch-orf-coverage.html">CH ORF Coverage</a></p><p><b>text</b>: Krankenkasse (nach KVG)</p><p><b>type</b>: group</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.uvg</p><p><b>definition</b>: <a href="StructureDefinition-ch-orf-coverage.html">CH ORF Coverage</a></p><p><b>text</b>: Unfallversicherung (nach UVG)</p><p><b>type</b>: group</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.vvg</p><p><b>definition</b>: <a href="StructureDefinition-ch-orf-coverage.html">CH ORF Coverage</a></p><p><b>text</b>: Zusatzversicherung (nach VVG)</p><p><b>type</b>: group</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.iv</p><p><b>definition</b>: <a href="StructureDefinition-ch-orf-coverage.html">CH ORF Coverage</a></p><p><b>text</b>: Invalidenversicherung (IV)</p><p><b>type</b>: group</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.mv</p><p><b>definition</b>: <a href="StructureDefinition-ch-orf-coverage.html">CH ORF Coverage</a></p><p><b>text</b>: Militärversicherung (MV)</p><p><b>type</b>: group</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.self</p><p><b>definition</b>: <a href="StructureDefinition-ch-orf-coverage.html">CH ORF Coverage</a></p><p><b>text</b>: Selbstzahler</p><p><b>type</b>: group</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.other</p><p><b>definition</b>: <a href="StructureDefinition-ch-orf-coverage.html">CH ORF Coverage</a></p><p><b>text</b>: Anderer Kostenträger</p><p><b>type</b>: group</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: sender</p><p><b>text</b>: Absender</p><p><b>type</b>: group</p><p><b>required</b>: true</p><blockquote><p><b>item</b></p><p><b>linkId</b>: sender.author</p><p><b>definition</b>: <a href="StructureDefinition-ch-orf-composition.html">CH ORF Composition</a></p><p><b>text</b>: Verantwortlicher</p><p><b>type</b>: group</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: sender.dataenterer</p><p><b>definition</b>: <a href="StructureDefinition-ch-orf-composition.html">CH ORF Composition</a></p><p><b>text</b>: Erfasser</p><p><b>type</b>: group</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiverCopy</p><p><b>definition</b>: <a href="StructureDefinition-ch-orf-composition.html">CH ORF Composition</a></p><p><b>text</b>: Kopieempfänger (Kopie dieses Auftrags und aller daraus resultierenden Resultate)</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p><p><b>linkId</b>: receiverCopy.practitionerRole</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-core/2.1.0/StructureDefinition-ch-core-practitionerrole.html">CH Core PractitionerRole</a></p><p><b>text</b>: Gesundheitsfachperson oder -organisation</p><p><b>type</b>: group</p><p><b>repeats</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiverCopy.patient</p><p><b>definition</b>: <a href="http://fhir.ch/ig/ch-core/2.1.0/StructureDefinition-ch-core-patient.html">CH Core Patient</a></p><p><b>text</b>: Patient selbst</p><p><b>type</b>: boolean</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiverCopy.relatedPerson</p><p><b>definition</b>: <a href="http://hl7.org/fhir/R4/relatedperson.html">RelatedPerson</a></p><p><b>text</b>: Andere Person</p><p><b>type</b>: group</p><p><b>repeats</b>: true</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: appointment</p><p><b>definition</b>: <a href="StructureDefinition-ch-orf-servicerequest.html">CH ORF ServiceRequest</a></p><p><b>text</b>: Ort und Zeit der Durchführung der angeforderten Leistung</p><p><b>type</b>: group</p><p><b>repeats</b>: true</p><blockquote><p><b>item</b></p><p><b>linkId</b>: appointment.location</p><p><b>definition</b>: <a href="StructureDefinition-ch-orf-appointment.html">CH ORF Appointment</a></p><p><b>text</b>: Ort der Durchführung</p><p><b>type</b>: group</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: appointment.requestedPeriod</p><p><b>definition</b>: <a href="StructureDefinition-ch-orf-appointment.html">CH ORF Appointment</a></p><p><b>text</b>: Datum und Zeit, wann der Termin bevorzugt geplant werden soll</p><p><b>type</b>: group</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: appointment.status</p><p><b>definition</b>: <a href="StructureDefinition-ch-orf-appointment.html">CH ORF Appointment</a></p><p><b>text</b>: Status</p><p><b>type</b>: choice</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: appointment.patientInstruction</p><p><b>definition</b>: <a href="StructureDefinition-ch-orf-appointment.html">CH ORF Appointment</a></p><p><b>text</b>: Patienteninformation für diesen Termin</p><p><b>type</b>: string</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: note</p><p><b>text</b>: Bemerkungen</p><p><b>type</b>: group</p><p><b>repeats</b>: true</p><h3>Items</h3><table class="grid"><tr><td>-</td><td><b>LinkId</b></td><td><b>Definition</b></td><td><b>Text</b></td><td><b>Type</b></td><td><b>Required</b></td></tr><tr><td>*</td><td>note.text</td><td><a href="StructureDefinition-ch-orf-servicerequest.html">CH ORF ServiceRequest</a></td><td>Kommentar</td><td>string</td><td>true</td></tr></table></blockquote></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-targetStructureMap">
          <valueCanonical
                          value="http://fhir.ch/ig/ch-orf/StructureMap/OrfQrToBundle"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-sourceStructureMap">
          <valueCanonical
                          value="http://fhir.ch/ig/ch-orf/StructureMap/OrfPrepopBundleToQr"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext">
          <extension url="name">
            <valueId value="Bundle"/>
          </extension>
          <extension url="type">
            <valueCode value="Bundle"/>
          </extension>
          <extension url="description">
            <valueString
                         value="The Bundle that is to be used to pre-populate the form"/>
          </extension>
        </extension>
        <url value="http://fhir.ch/ig/ch-orf/Questionnaire/order-referral-form"/>
        <version value="0.11.0"/>
        <name value="OrderReferralForm"/>
        <title value="Order-Referral-Form"/>
        <status value="active"/>
        <subjectType value="Patient"/>
        <date value="2022-01-06"/>
        <publisher value="HL7 Switzerland"/>
        <contact>
          <name value="HL7 Switzerland"/>
          <telecom>
            <system value="url"/>
            <value value="https://www.hl7.ch/"/>
          </telecom>
        </contact>
        <jurisdiction>
          <coding>
            <system value="urn:iso:std:iso:3166"/>
            <code value="CH"/>
          </coding>
        </jurisdiction>
        <copyright value="CC-BY-SA-4.0"/>
        <item>
          <linkId value="order"/>
          <definition
                      value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-document#Bundle"/>
          <text value="Auftrag"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="order.placerOrderIdentifier"/>
            <definition
                        value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.identifier:placerOrderIdentifier.value"/>
            <text value="Auftragsnummer des Auftraggebers"/>
            <type value="string"/>
          </item>
          <item>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
              <valueBoolean value="true"/>
            </extension>
            <linkId value="order.placerOrderIdentifierDomain"/>
            <definition
                        value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.identifier:placerOrderIdentifier.system"/>
            <text value="Identifier Domain der Auftragsnummer des Auftraggebers"/>
            <type value="string"/>
          </item>
          <item>
            <linkId value="order.fillerOrderIdentifier"/>
            <definition
                        value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.identifier:fillerOrderIdentifier.value"/>
            <text value="Auftragsnummer des Auftragsempfängers"/>
            <type value="string"/>
          </item>
          <item>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
              <valueBoolean value="true"/>
            </extension>
            <linkId value="order.fillerOrderIdentifierDomain"/>
            <definition
                        value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.identifier:fillerOrderIdentifier.system"/>
            <text
                  value="Identifier Domain der Auftragsnummer des Auftragsempfängers"/>
            <type value="string"/>
          </item>
          <item>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
              <valueBoolean value="true"/>
            </extension>
            <linkId value="order.precedentDocumentIdentifier"/>
            <definition
                        value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:precedentDocument"/>
            <text value="Identifier des Vorgängerdokuments"/>
            <type value="string"/>
          </item>
          <item>
            <linkId value="order.notificationContactDocument"/>
            <definition
                        value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:urgentNoficationContactForThisDocument"/>
            <text
                  value="Dringender Benachrichtigungskontakt für dieses Dokument"/>
            <type value="group"/>
            <item>
              <linkId value="order.notificationContactDocument.practitioner"/>
              <definition
                          value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.practitioner"/>
              <text value="Zu benachrichtigende Person"/>
              <type value="group"/>
              <item>
                <linkId
                        value="order.notificationContactDocument.practitioner.title"/>
                <definition
                            value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.prefix"/>
                <text value="Titel"/>
                <type value="string"/>
              </item>
              <item>
                <linkId
                        value="order.notificationContactDocument.practitioner.familyName"/>
                <definition
                            value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.family"/>
                <text value="Name"/>
                <type value="string"/>
              </item>
              <item>
                <linkId
                        value="order.notificationContactDocument.practitioner.givenName"/>
                <definition
                            value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.given"/>
                <text value="Vorname"/>
                <type value="string"/>
              </item>
              <item>
                <linkId
                        value="order.notificationContactDocument.practitioner.phone"/>
                <definition
                            value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value"/>
                <text value="Telefon"/>
                <type value="string"/>
              </item>
              <item>
                <linkId
                        value="order.notificationContactDocument.practitioner.email"/>
                <definition
                            value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value"/>
                <text value="E-Mail"/>
                <type value="string"/>
              </item>
            </item>
          </item>
          <item>
            <linkId value="order.notificationContactDocumentResponse"/>
            <definition
                        value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:urgentNoficationContactForTheResponseToThisDocument"/>
            <text
                  value="Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument"/>
            <type value="group"/>
            <item>
              <linkId
                      value="order.notificationContactDocumentResponse.practitioner"/>
              <definition
                          value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.practitioner"/>
              <text value="Zu benachrichtigende Person"/>
              <type value="group"/>
              <item>
                <linkId
                        value="order.notificationContactDocumentResponse.practitioner.title"/>
                <definition
                            value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.prefix"/>
                <text value="Titel"/>
                <type value="string"/>
              </item>
              <item>
                <linkId
                        value="order.notificationContactDocumentResponse.practitioner.familyName"/>
                <definition
                            value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.family"/>
                <text value="Name"/>
                <type value="string"/>
              </item>
              <item>
                <linkId
                        value="order.notificationContactDocumentResponse.practitioner.givenName"/>
                <definition
                            value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.given"/>
                <text value="Vorname"/>
                <type value="string"/>
              </item>
              <item>
                <linkId
                        value="order.notificationContactDocumentResponse.practitioner.phone"/>
                <definition
                            value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value"/>
                <text value="Telefon"/>
                <type value="string"/>
              </item>
              <item>
                <linkId
                        value="order.notificationContactDocumentResponse.practitioner.email"/>
                <definition
                            value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value"/>
                <text value="E-Mail"/>
                <type value="string"/>
              </item>
            </item>
          </item>
          <item>
            <linkId value="order.priority"/>
            <definition
                        value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.priority"/>
            <text value="Auftragspriorität"/>
            <type value="choice"/>
            <answerOption>
              <valueCoding>
                <system value="http://hl7.org/fhir/request-priority"/>
                <code value="routine"/>
                <display value="Die Anfrage hat normale Priorität."/>
              </valueCoding>
              <initialSelected value="true"/>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://hl7.org/fhir/request-priority"/>
                <code value="urgent"/>
                <display
                         value="Die Anfrage sollte dringend bearbeitet werden - höhere Priorität als normal."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://hl7.org/fhir/request-priority"/>
                <code value="asap"/>
                <display
                         value="Die Anfrage sollte so schnell wie möglich bearbeitet werden - höhere Priorität als dringend."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://hl7.org/fhir/request-priority"/>
                <code value="stat"/>
                <display
                         value="Die Anfrage sollte sofort bearbeitet werden - höchstmögliche Priorität. Z.B. bei einem Notfall."/>
              </valueCoding>
            </answerOption>
          </item>
        </item>
        <item>
          <linkId value="receiver"/>
          <definition
                      value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:receiver"/>
          <text value="Empfänger"/>
          <type value="group"/>
          <item>
            <linkId value="receiver.practitioner"/>
            <definition
                        value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.practitioner"/>
            <text value="Empfangende Person"/>
            <type value="group"/>
            <item>
              <linkId value="receiver.practitioner.title"/>
              <definition
                          value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.prefix"/>
              <text value="Titel"/>
              <type value="string"/>
            </item>
            <item>
              <linkId value="receiver.practitioner.familyName"/>
              <definition
                          value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.family"/>
              <text value="Name"/>
              <type value="string"/>
            </item>
            <item>
              <linkId value="receiver.practitioner.givenName"/>
              <definition
                          value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.given"/>
              <text value="Vorname"/>
              <type value="string"/>
            </item>
            <item>
              <linkId value="receiver.practitioner.gln"/>
              <definition
                          value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.identifier:GLN.value"/>
              <text value="GLN"/>
              <type value="string"/>
            </item>
            <item>
              <linkId value="receiver.practitioner.zsr"/>
              <definition
                          value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.identifier:ZSR.value"/>
              <text value="ZSR"/>
              <type value="string"/>
            </item>
            <item>
              <linkId value="receiver.practitioner.phone"/>
              <definition
                          value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value"/>
              <text value="Telefon"/>
              <type value="string"/>
            </item>
            <item>
              <linkId value="receiver.practitioner.email"/>
              <definition
                          value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value"/>
              <text value="E-Mail"/>
              <type value="string"/>
            </item>
          </item>
          <item>
            <linkId value="receiver.organization"/>
            <definition
                        value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.organization"/>
            <text value="Empfangende Organisation"/>
            <type value="group"/>
            <item>
              <linkId value="receiver.organization.name"/>
              <definition
                          value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.name"/>
              <text value="Name der Organisation"/>
              <type value="string"/>
            </item>
            <item>
              <linkId value="receiver.organization.gln"/>
              <definition
                          value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.identifier:GLN"/>
              <text value="GLN"/>
              <type value="string"/>
            </item>
            <item>
              <linkId value="receiver.organization.streetAddressLine"/>
              <definition
                          value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.line"/>
              <text value="Strasse, Hausnummer, Postfach etc."/>
              <type value="string"/>
              <repeats value="true"/>
            </item>
            <item>
              <linkId value="receiver.organization.postalCode"/>
              <definition
                          value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.postalCode"/>
              <text value="PLZ"/>
              <type value="string"/>
            </item>
            <item>
              <linkId value="receiver.organization.city"/>
              <definition
                          value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.city"/>
              <text value="Ort"/>
              <type value="string"/>
            </item>
            <item>
              <linkId value="receiver.organization.country"/>
              <definition
                          value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.country"/>
              <text value="Land"/>
              <type value="string"/>
            </item>
          </item>
        </item>
        <item>
          <linkId value="patient"/>
          <definition
                      value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.subject"/>
          <text value="Patient"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="patient.familyName"/>
            <definition
                        value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.name.family"/>
            <text value="Name"/>
            <type value="string"/>
          </item>
          <item>
            <linkId value="patient.maidenName"/>
            <definition
                        value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.name.family"/>
            <text value="Ledigname"/>
            <type value="string"/>
          </item>
          <item>
            <linkId value="patient.givenName"/>
            <definition
                        value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.name.given"/>
            <text value="Vorname"/>
            <type value="string"/>
          </item>
          <item>
            <linkId value="patient.localPid"/>
            <definition
                        value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.identifier:LocalPid.value"/>
            <text value="Lokale Patienten-ID"/>
            <type value="string"/>
          </item>
          <item>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
              <valueBoolean value="true"/>
            </extension>
            <linkId value="patient.localPidDomain"/>
            <definition
                        value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.identifier:LocalPid.system"/>
            <text value="Lokale Patienten-ID Domain"/>
            <type value="string"/>
          </item>
          <item>
            <linkId value="patient.birthDate"/>
            <definition
                        value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.birthDate"/>
            <text value="Geburtsdatum"/>
            <type value="date"/>
          </item>
          <item>
            <linkId value="patient.gender"/>
            <definition
                        value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.gender"/>
            <text value="Geschlecht"/>
            <type value="choice"/>
            <answerOption>
              <valueCoding>
                <system value="http://hl7.org/fhir/administrative-gender"/>
                <code value="male"/>
                <display value="Männlich"/>
              </valueCoding>
              <initialSelected value="true"/>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://hl7.org/fhir/administrative-gender"/>
                <code value="female"/>
                <display value="Weiblich"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://hl7.org/fhir/administrative-gender"/>
                <code value="other"/>
                <display value="Anderes"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="patient.maritalStatus"/>
            <definition
                        value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.maritalStatus"/>
            <text value="Zivilstand"/>
            <type value="choice"/>
            <answerOption>
              <valueCoding>
                <system
                        value="http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus"/>
                <code value="1"/>
                <display value="ledig"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system
                        value="http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus"/>
                <code value="2"/>
                <display value="verheiratet"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system
                        value="http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus"/>
                <code value="3"/>
                <display value="verwitwet"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system
                        value="http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus"/>
                <code value="4"/>
                <display value="geschieden"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system
                        value="http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus"/>
                <code value="5"/>
                <display value="unverheiratet"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system
                        value="http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus"/>
                <code value="6"/>
                <display value="in eingetragener Partnerschaft"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system
                        value="http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus"/>
                <code value="7"/>
                <display value="aufgelöste Partnerschaft"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system
                        value="http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus"/>
                <code value="9"/>
                <display value="unbekannt"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="patient.phone"/>
            <definition
                        value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.telecom.value"/>
            <text value="Telefon"/>
            <type value="string"/>
            <repeats value="true"/>
          </item>
          <item>
            <linkId value="patient.email"/>
            <definition
                        value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.telecom.value"/>
            <text value="E-Mail"/>
            <type value="string"/>
          </item>
          <item>
            <linkId value="patient.streetAddressLine"/>
            <definition
                        value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.address.line"/>
            <text value="Strasse, Hausnummer, Postfach etc."/>
            <type value="string"/>
            <repeats value="true"/>
          </item>
          <item>
            <linkId value="patient.postalCode"/>
            <definition
                        value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.address.postalCode"/>
            <text value="PLZ"/>
            <type value="string"/>
          </item>
          <item>
            <linkId value="patient.city"/>
            <definition
                        value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.address.city"/>
            <text value="Ort"/>
            <type value="string"/>
          </item>
          <item>
            <linkId value="patient.country"/>
            <definition
                        value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.address.country"/>
            <text value="Land"/>
            <type value="string"/>
          </item>
          <item>
            <linkId value="patient.languageOfCorrespondence"/>
            <definition
                        value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.communication:languageOfCorrespondence"/>
            <text value="Korrespondenzsprache"/>
            <type value="choice"/>
            <answerValueSet
                            value="http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.languageCode"/>
          </item>
          <item>
            <linkId value="patient.contactperson"/>
            <definition
                        value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact"/>
            <text value="Kontaktperson"/>
            <type value="group"/>
            <item>
              <linkId value="patient.contactperson.relationship"/>
              <definition
                          value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact.relationship.text"/>
              <text value="Beziehung"/>
              <type value="string"/>
            </item>
            <item>
              <linkId value="patient.contactperson.familyName"/>
              <definition
                          value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact.name.family"/>
              <text value="Name"/>
              <type value="string"/>
            </item>
            <item>
              <linkId value="patient.contactperson.givenName"/>
              <definition
                          value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact.name.given"/>
              <text value="Vorname"/>
              <type value="string"/>
            </item>
            <item>
              <linkId value="patient.contactperson.phone"/>
              <definition
                          value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact.telecom.value"/>
              <text value="Telefon"/>
              <type value="string"/>
              <repeats value="true"/>
            </item>
            <item>
              <linkId value="patient.contactperson.email"/>
              <definition
                          value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact.telecom.value"/>
              <text value="E-Mail"/>
              <type value="string"/>
            </item>
          </item>
        </item>
        <item>
          <linkId value="requestedEncounter"/>
          <definition
                      value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.extension:requestedEncounterDetails"/>
          <text value="Patientenaufnahme"/>
          <type value="group"/>
          <item>
            <linkId value="requestedEncounter.class"/>
            <definition
                        value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-encounter#Encounter.class"/>
            <text value="Voraussichtlich: Ambulant / Stationär / Notfall"/>
            <type value="choice"/>
            <answerOption>
              <valueCoding>
                <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
                <code value="AMB"/>
                <display value="Ambulant"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
                <code value="IMP"/>
                <display value="Stationär"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
                <code value="EMER"/>
                <display value="Notfall"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="requestedEncounter.desiredAccommodation"/>
            <definition
                        value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-encounter#Encounter.extension:desiredAccommodation"/>
            <text value="Zimmerkategorie"/>
            <type value="choice"/>
            <answerOption>
              <valueCoding>
                <system
                        value="http://fhir.ch/ig/ch-core/CodeSystem/bfs-medstats-21-encountertype"/>
                <code value="1"/>
                <display value="allgemein"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system
                        value="http://fhir.ch/ig/ch-core/CodeSystem/bfs-medstats-21-encountertype"/>
                <code value="2"/>
                <display value="halbprivat"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system
                        value="http://fhir.ch/ig/ch-core/CodeSystem/bfs-medstats-21-encountertype"/>
                <code value="3"/>
                <display value="privat"/>
              </valueCoding>
            </answerOption>
          </item>
        </item>
        <item>
          <linkId value="coverage"/>
          <definition
                      value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.insurance"/>
          <text value="Kostenträger"/>
          <type value="group"/>
          <item>
            <linkId value="coverage.beneficiary"/>
            <definition
                        value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.beneficiary"/>
            <text value="Begünstigter (Patient)"/>
            <type value="group"/>
            <item>
              <linkId value="coverage.beneficiary.ahvn13"/>
              <definition
                          value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.identifier:AHVN13"/>
              <text value="AHV-Nr. des Patienten"/>
              <type value="string"/>
            </item>
          </item>
          <item>
            <linkId value="coverage.kvg"/>
            <definition
                        value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type"/>
            <text value="Krankenkasse (nach KVG)"/>
            <type value="group"/>
            <item>
              <linkId value="coverage.kvg.name"/>
              <definition
                          value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor"/>
              <text value="Name der Versicherung"/>
              <type value="string"/>
            </item>
            <item>
              <linkId value="coverage.kvg.insuranceCardNumber"/>
              <definition
                          value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier"/>
              <text value="Kennnummer der Versichertenkarte"/>
              <type value="string"/>
            </item>
          </item>
          <item>
            <linkId value="coverage.uvg"/>
            <definition
                        value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type"/>
            <text value="Unfallversicherung (nach UVG)"/>
            <type value="group"/>
            <item>
              <linkId value="coverage.uvg.name"/>
              <definition
                          value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor"/>
              <text value="Name der Versicherung"/>
              <type value="string"/>
            </item>
            <item>
              <linkId value="coverage.uvg.claimNumber"/>
              <definition
                          value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier"/>
              <text value="Schadennummer"/>
              <type value="string"/>
            </item>
          </item>
          <item>
            <linkId value="coverage.vvg"/>
            <definition
                        value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type"/>
            <text value="Zusatzversicherung (nach VVG)"/>
            <type value="group"/>
            <item>
              <linkId value="coverage.vvg.name"/>
              <definition
                          value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor"/>
              <text value="Name der Versicherung"/>
              <type value="string"/>
            </item>
            <item>
              <linkId value="coverage.vvg.insuranceCardNumber"/>
              <definition
                          value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier"/>
              <text value="Kennnummer der Versichertenkarte"/>
              <type value="string"/>
            </item>
          </item>
          <item>
            <linkId value="coverage.iv"/>
            <definition
                        value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type"/>
            <text value="Invalidenversicherung (IV)"/>
            <type value="group"/>
            <item>
              <linkId value="coverage.iv.verfuegungsnummer"/>
              <definition
                          value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier"/>
              <text value="IV-Verfügungsnummer"/>
              <type value="string"/>
            </item>
          </item>
          <item>
            <linkId value="coverage.mv"/>
            <definition
                        value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type"/>
            <text value="Militärversicherung (MV)"/>
            <type value="group"/>
            <item>
              <linkId value="coverage.mv.versichertennummer"/>
              <definition
                          value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier"/>
              <text value="MV-Versichertennummer"/>
              <type value="string"/>
            </item>
          </item>
          <item>
            <linkId value="coverage.self"/>
            <definition
                        value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type"/>
            <text value="Selbstzahler"/>
            <type value="group"/>
            <item>
              <linkId value="coverage.self.patient"/>
              <definition
                          value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor"/>
              <text value="Patient selbst"/>
              <type value="boolean"/>
            </item>
            <item>
              <linkId value="coverage.self.patientRelatedPerson"/>
              <definition
                          value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor"/>
              <text value="Andere Person"/>
              <type value="boolean"/>
              <enableWhen>
                <question value="coverage.self.patient"/>
                <operator value="="/>
                <answerBoolean value="false"/>
              </enableWhen>
            </item>
            <item>
              <linkId value="coverage.self.relatedPerson"/>
              <definition
                          value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor"/>
              <text value="Andere Person"/>
              <type value="group"/>
              <enableWhen>
                <question value="coverage.self.patientRelatedPerson"/>
                <operator value="="/>
                <answerBoolean value="true"/>
              </enableWhen>
              <item>
                <linkId value="coverage.self.relatedPerson.familyName"/>
                <definition
                            value="http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.name.family"/>
                <text value="Name"/>
                <type value="string"/>
              </item>
              <item>
                <linkId value="coverage.self.relatedPerson.givenName"/>
                <definition
                            value="http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.name.given"/>
                <text value="Vorname"/>
                <type value="string"/>
              </item>
              <item>
                <linkId value="coverage.self.relatedPerson.phone"/>
                <definition
                            value="http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.telecom.value"/>
                <text value="Telefon"/>
                <type value="string"/>
                <repeats value="true"/>
              </item>
              <item>
                <linkId value="coverage.self.relatedPerson.email"/>
                <definition
                            value="http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.telecom.value"/>
                <text value="E-Mail"/>
                <type value="string"/>
              </item>
              <item>
                <linkId value="coverage.self.relatedPerson.streetAddressLine"/>
                <definition
                            value="http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.address.line"/>
                <text value="Strasse, Hausnummer, Postfach etc."/>
                <type value="string"/>
                <repeats value="true"/>
              </item>
              <item>
                <linkId value="coverage.self.relatedPerson.postalCode"/>
                <definition
                            value="http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.address.postalCode"/>
                <text value="PLZ"/>
                <type value="string"/>
              </item>
              <item>
                <linkId value="coverage.self.relatedPerson.city"/>
                <definition
                            value="http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.address.city"/>
                <text value="Ort"/>
                <type value="string"/>
              </item>
              <item>
                <linkId value="coverage.self.relatedPerson.country"/>
                <definition
                            value="http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.address.country"/>
                <text value="Land"/>
                <type value="string"/>
              </item>
            </item>
          </item>
          <item>
            <linkId value="coverage.other"/>
            <definition
                        value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type"/>
            <text value="Anderer Kostenträger"/>
            <type value="group"/>
            <item>
              <linkId value="coverage.other.name"/>
              <definition
                          value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor"/>
              <text value="Name des Kostenträgers"/>
              <type value="string"/>
            </item>
            <item>
              <linkId value="coverage.other.id"/>
              <definition
                          value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier"/>
              <text value="Beliebige ID"/>
              <type value="string"/>
            </item>
            <item>
              <linkId value="coverage.other.id.note"/>
              <definition
                          value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier.type.text"/>
              <text value="Bemerkung zur ID"/>
              <type value="string"/>
            </item>
          </item>
        </item>
        <item>
          <linkId value="sender"/>
          <text value="Absender"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="sender.author"/>
            <definition
                        value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.author"/>
            <text value="Verantwortlicher"/>
            <type value="group"/>
            <required value="true"/>
            <item>
              <linkId value="sender.author.practitioner"/>
              <definition
                          value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.practitioner"/>
              <text value="Verantwortliche Person"/>
              <type value="group"/>
              <item>
                <linkId value="sender.author.practitioner.title"/>
                <definition
                            value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.prefix"/>
                <text value="Titel"/>
                <type value="string"/>
              </item>
              <item>
                <linkId value="sender.author.practitioner.familyName"/>
                <definition
                            value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.family"/>
                <text value="Name"/>
                <type value="string"/>
              </item>
              <item>
                <linkId value="sender.author.practitioner.givenName"/>
                <definition
                            value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.given"/>
                <text value="Vorname"/>
                <type value="string"/>
              </item>
              <item>
                <linkId value="sender.author.practitioner.gln"/>
                <definition
                            value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.identifier:GLN.value"/>
                <text value="GLN"/>
                <type value="string"/>
              </item>
              <item>
                <linkId value="sender.author.practitioner.zsr"/>
                <definition
                            value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.identifier:ZSR.value"/>
                <text value="ZSR"/>
                <type value="string"/>
              </item>
              <item>
                <linkId value="sender.author.practitioner.phone"/>
                <definition
                            value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value"/>
                <text value="Telefon"/>
                <type value="string"/>
              </item>
              <item>
                <linkId value="sender.author.practitioner.email"/>
                <definition
                            value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value"/>
                <text value="E-Mail"/>
                <type value="string"/>
              </item>
            </item>
            <item>
              <linkId value="sender.author.organization"/>
              <definition
                          value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.organization"/>
              <text value="Verantwortliche Organisation"/>
              <type value="group"/>
              <item>
                <linkId value="sender.author.organization.name"/>
                <definition
                            value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.name"/>
                <text value="Name der Organisation"/>
                <type value="string"/>
              </item>
              <item>
                <linkId value="sender.author.organization.gln"/>
                <definition
                            value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.identifier:GLN"/>
                <text value="GLN"/>
                <type value="string"/>
              </item>
              <item>
                <linkId value="sender.author.organization.streetAddressLine"/>
                <definition
                            value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.line"/>
                <text value="Strasse, Hausnummer, Postfach etc."/>
                <type value="string"/>
                <repeats value="true"/>
              </item>
              <item>
                <linkId value="sender.author.organization.postalCode"/>
                <definition
                            value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.postalCode"/>
                <text value="PLZ"/>
                <type value="string"/>
              </item>
              <item>
                <linkId value="sender.author.organization.city"/>
                <definition
                            value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.city"/>
                <text value="Ort"/>
                <type value="string"/>
              </item>
              <item>
                <linkId value="sender.author.organization.country"/>
                <definition
                            value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.address.country"/>
                <text value="Land"/>
                <type value="string"/>
              </item>
            </item>
          </item>
          <item>
            <linkId value="sender.dataenterer"/>
            <definition
                        value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:dataEnterer"/>
            <text value="Erfasser"/>
            <type value="group"/>
            <item>
              <linkId value="sender.dataenterer.practitioner"/>
              <definition
                          value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.practitioner"/>
              <text value="Erfassende Person"/>
              <type value="group"/>
              <item>
                <linkId value="sender.dataenterer.practitioner.familyName"/>
                <definition
                            value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.family"/>
                <text value="Name"/>
                <type value="string"/>
              </item>
              <item>
                <linkId value="sender.dataenterer.practitioner.givenName"/>
                <definition
                            value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.name.given"/>
                <text value="Vorname"/>
                <type value="string"/>
              </item>
              <item>
                <linkId value="sender.dataenterer.practitioner.phone"/>
                <definition
                            value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value"/>
                <text value="Telefon"/>
                <type value="string"/>
              </item>
              <item>
                <linkId value="sender.dataenterer.practitioner.email"/>
                <definition
                            value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner#Practitioner.telecom.value"/>
                <text value="E-Mail"/>
                <type value="string"/>
              </item>
            </item>
          </item>
        </item>
        <item>
          <linkId value="receiverCopy"/>
          <definition
                      value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-composition#Composition.extension:copyReceiver"/>
          <text
                value="Kopieempfänger (Kopie dieses Auftrags und aller daraus resultierenden Resultate)"/>
          <type value="group"/>
          <item>
            <linkId value="receiverCopy.practitionerRole"/>
            <definition
                        value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole"/>
            <text value="Gesundheitsfachperson oder -organisation"/>
            <type value="group"/>
            <repeats value="true"/>
            <item>
              <linkId value="receiverCopy.practitionerRole.practitioner"/>
              <definition
                          value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.practitioner"/>
              <text value="Gesundheitsfachperson"/>
              <type value="group"/>
              <item>
                <linkId value="receiverCopy.practitionerRole.practitioner.title"/>
                <definition
                            value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-humanname#HumanName.prefix"/>
                <text value="Titel"/>
                <type value="string"/>
              </item>
              <item>
                <linkId
                        value="receiverCopy.practitionerRole.practitioner.familyName"/>
                <definition
                            value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-humanname#HumanName.family"/>
                <text value="Name"/>
                <type value="string"/>
              </item>
              <item>
                <linkId
                        value="receiverCopy.practitionerRole.practitioner.givenName"/>
                <definition
                            value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-humanname#HumanName.given"/>
                <text value="Vorname"/>
                <type value="string"/>
              </item>
              <item>
                <linkId value="receiverCopy.practitionerRole.practitioner.phone"/>
                <definition
                            value="http://hl7.org/fhir/StructureDefinition/ContactPoint#ContactPoint.value"/>
                <text value="Telefon"/>
                <type value="string"/>
              </item>
              <item>
                <linkId value="receiverCopy.practitionerRole.practitioner.email"/>
                <definition
                            value="http://hl7.org/fhir/StructureDefinition/ContactPoint#ContactPoint.value"/>
                <text value="E-Mail"/>
                <type value="string"/>
              </item>
            </item>
            <item>
              <linkId value="receiverCopy.practitionerRole.organization"/>
              <definition
                          value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole#PractitionerRole.organization"/>
              <text value="Gesundheitsorganisatiton"/>
              <type value="group"/>
              <item>
                <linkId value="receiverCopy.practitionerRole.organization.name"/>
                <definition
                            value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization#Organization.name"/>
                <text value="Name der Organisation"/>
                <type value="string"/>
              </item>
              <item>
                <linkId
                        value="receiverCopy.practitionerRole.organization.streetAddressLine"/>
                <definition
                            value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-address#Address.line"/>
                <text value="Strasse, Hausnummer, Postfach etc."/>
                <type value="string"/>
                <repeats value="true"/>
              </item>
              <item>
                <linkId
                        value="receiverCopy.practitionerRole.organization.postalCode"/>
                <definition
                            value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-address#Address.postalCode"/>
                <text value="PLZ"/>
                <type value="string"/>
              </item>
              <item>
                <linkId value="receiverCopy.practitionerRole.organization.city"/>
                <definition
                            value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-address#Address.city"/>
                <text value="Ort"/>
                <type value="string"/>
              </item>
              <item>
                <linkId
                        value="receiverCopy.practitionerRole.organization.country"/>
                <definition
                            value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-address#Address.country"/>
                <text value="Land"/>
                <type value="string"/>
              </item>
            </item>
          </item>
          <item>
            <linkId value="receiverCopy.patient"/>
            <definition
                        value="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient"/>
            <text value="Patient selbst"/>
            <type value="boolean"/>
          </item>
          <item>
            <linkId value="receiverCopy.relatedPerson"/>
            <definition
                        value="http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson"/>
            <text value="Andere Person"/>
            <type value="group"/>
            <repeats value="true"/>
            <item>
              <linkId value="receiverCopy.relatedPerson.familyName"/>
              <definition
                          value="http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.name.family"/>
              <text value="Name"/>
              <type value="string"/>
            </item>
            <item>
              <linkId value="receiverCopy.relatedPerson.givenName"/>
              <definition
                          value="http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.name.given"/>
              <text value="Vorame"/>
              <type value="string"/>
            </item>
            <item>
              <linkId value="receiverCopy.relatedPerson.phone"/>
              <definition
                          value="http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.telecom.value"/>
              <text value="Telefon"/>
              <type value="string"/>
              <repeats value="true"/>
            </item>
            <item>
              <linkId value="receiverCopy.relatedPerson.email"/>
              <definition
                          value="http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.telecom.value"/>
              <text value="E-Mail"/>
              <type value="string"/>
            </item>
            <item>
              <linkId value="receiverCopy.relatedPerson.streetAddressLine"/>
              <definition
                          value="http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.address.line"/>
              <text value="Strasse, Hausnummer, Postfach etc."/>
              <type value="string"/>
              <repeats value="true"/>
            </item>
            <item>
              <linkId value="receiverCopy.relatedPerson.postalCode"/>
              <definition
                          value="http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.address.postalCode"/>
              <text value="PLZ"/>
              <type value="string"/>
            </item>
            <item>
              <linkId value="receiverCopy.relatedPerson.city"/>
              <definition
                          value="http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.address.city"/>
              <text value="Ort"/>
              <type value="string"/>
            </item>
            <item>
              <linkId value="receiverCopy.relatedPerson.country"/>
              <definition
                          value="http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.address.country"/>
              <text value="Land"/>
              <type value="string"/>
            </item>
          </item>
        </item>
        <item>
          <linkId value="appointment"/>
          <definition
                      value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.extension:locationAndTime"/>
          <text value="Ort und Zeit der Durchführung der angeforderten Leistung"/>
          <type value="group"/>
          <repeats value="true"/>
          <item>
            <linkId value="appointment.location"/>
            <definition
                        value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.participant.actor"/>
            <text value="Ort der Durchführung"/>
            <type value="group"/>
            <required value="true"/>
            <item>
              <linkId value="appointment.location.name"/>
              <definition
                          value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location#Location.name"/>
              <text value="Name"/>
              <type value="string"/>
              <required value="true"/>
            </item>
            <item>
              <linkId value="appointment.location.phone"/>
              <definition
                          value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location#Location.telecom.value"/>
              <text value="Telefon"/>
              <type value="string"/>
            </item>
            <item>
              <linkId value="appointment.location.email"/>
              <definition
                          value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location#Location.telecom.value"/>
              <text value="E-Mail"/>
              <type value="string"/>
            </item>
            <item>
              <linkId value="appointment.location.streetAddressLine"/>
              <definition
                          value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location#Location.address.line"/>
              <text value="Strasse, Hausnummer, Postfach etc."/>
              <type value="string"/>
              <repeats value="true"/>
            </item>
            <item>
              <linkId value="appointment.location.postalCode"/>
              <definition
                          value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location#Location.address.postalCode"/>
              <text value="PLZ"/>
              <type value="string"/>
            </item>
            <item>
              <linkId value="appointment.location.city"/>
              <definition
                          value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location#Location.address.city"/>
              <text value="Ort"/>
              <type value="string"/>
            </item>
            <item>
              <linkId value="appointment.location.country"/>
              <definition
                          value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-location#Location.address.country"/>
              <text value="Land"/>
              <type value="string"/>
            </item>
          </item>
          <item>
            <linkId value="appointment.requestedPeriod"/>
            <definition
                        value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.requestedPeriod"/>
            <text
                  value="Datum und Zeit, wann der Termin bevorzugt geplant werden soll"/>
            <type value="group"/>
            <item>
              <linkId value="appointment.requestedPeriod.start"/>
              <definition
                          value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.requestedPeriod.start"/>
              <text value="Von"/>
              <type value="dateTime"/>
            </item>
            <item>
              <linkId value="appointment.requestedPeriod.end"/>
              <definition
                          value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.requestedPeriod.end"/>
              <text value="Bis"/>
              <type value="dateTime"/>
            </item>
          </item>
          <item>
            <linkId value="appointment.status"/>
            <definition
                        value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.status"/>
            <text value="Status"/>
            <type value="choice"/>
            <required value="true"/>
            <answerOption>
              <valueCoding>
                <system value="http://hl7.org/fhir/appointmentstatus"/>
                <code value="proposed"/>
                <display value="Wunsch des Patienten (vorgeschlagen)"/>
              </valueCoding>
              <initialSelected value="true"/>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://hl7.org/fhir/appointmentstatus"/>
                <code value="pending"/>
                <display
                         value="Vom Patienten bestätigt, aber vom Leistungserbringer noch nicht (ausstehend)"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://hl7.org/fhir/appointmentstatus"/>
                <code value="booked"/>
                <display
                         value="Vom Patienten und Leistungserbringer bestätigt (gebucht)"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="appointment.patientInstruction"/>
            <definition
                        value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-appointment#Appointment.patientInstruction"/>
            <text value="Patienteninformation für diesen Termin"/>
            <type value="string"/>
          </item>
        </item>
        <item>
          <linkId value="note"/>
          <text value="Bemerkungen"/>
          <type value="group"/>
          <repeats value="true"/>
          <item>
            <linkId value="note.text"/>
            <definition
                        value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.note.text"/>
            <text value="Kommentar"/>
            <type value="string"/>
            <required value="true"/>
          </item>
        </item>
      </Questionnaire>
    </resource>
  </entry>
</Bundle>