CH EKM (R4)
0.0.1 - ci-build
CH EKM (R4), published by Federal Office of Public Health FOPH. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/ahdis/ch-ekm/ and changes regularly. See the Directory of published versions
| Active as of 2026-07-14 |
{
"resourceType" : "Questionnaire",
"id" : "ChEkmQuestionnaireMpoxAssembled",
"meta" : {
"source" : "https://github.com/ahdis/ch-ekm/blob/master/tests/assemble-questionnaire.sh",
"profile" : [
🔗 "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-pop-exp"
]
},
"language" : "en",
"text" : {
"status" : "extensions",
"div" : "<div xml:lang=\"en\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en\"><p class=\"res-header-id\"><b>Generated Narrative: Questionnaire ChEkmQuestionnaireMpoxAssembled</b></p><a name=\"ChEkmQuestionnaireMpoxAssembled\"> </a><a name=\"hcChEkmQuestionnaireMpoxAssembled\"> </a><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\">Language: en; </p><p style=\"margin-bottom: 0px\">Information Source: <a href=\"https://github.com/ahdis/ch-ekm/blob/master/tests/assemble-questionnaire.sh\">https://github.com/ahdis/ch-ekm/blob/master/tests/assemble-questionnaire.sh</a></p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/uv/sdc/STU4/StructureDefinition-sdc-questionnaire-pop-exp.html\">Populatable Questionnaire - Expression</a></p></div><table border=\"1\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The linkID for the item\">LinkID</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Text for the item\">Text</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the item can appear in the instance\">Cardinality</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The type of the item\">Type</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Other attributes of the item\">Flags</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the item\">Description & Constraints</a><span style=\"float: right\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_q_root.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"QuestionnaireRoot\" class=\"hierarchy\"/> ChEkmQuestionnaireMpoxAssembled</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">GENERATED FILE — do not edit by hand. Assembled from the modular questionnaire ChEkmQuestionnaireMpox and its sub-questionnaires via Questionnaire/$assemble (tests/assemble-questionnaire.sh). Re-run that script after changing any child questionnaire to keep this resource in sync.</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Questionnaire</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">http://fhir.ch/ig/ch-ekm/Questionnaire/ChEkmQuestionnaireMpoxAssembled#0.0.1</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)\" id=\"item.mpox-form\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> mpox-form</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Clinical findings report: mpox</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)\" id=\"item.person\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> person</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Affected person's details</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)\" id=\"item.surname\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> surname</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Surname initial</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmPersonForm.html#ChEkmPersonForm.surname\">ChEkmPersonForm.surname</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)\" id=\"item.givenname\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> givenname</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">First name initial</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmPersonForm.html#ChEkmPersonForm.givenname\">ChEkmPersonForm.givenname</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)\" id=\"item.dateOfBirth\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-date.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"date\" class=\"hierarchy\"/> dateOfBirth</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Date of birth</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date\">date</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmPersonForm.html#ChEkmPersonForm.dateOfBirth\">ChEkmPersonForm.dateOfBirth</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)\" id=\"item.ahvn13\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> ahvn13</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">OASI number (AHV)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Max Length: 13<br/>Definition: <a href=\"StructureDefinition-ChEkmPersonForm.html#ChEkmPersonForm.ahvn13\">ChEkmPersonForm.ahvn13</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)\" id=\"item.nationality\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> nationality</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Nationality</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmPersonForm.html#ChEkmPersonForm.nationality\">ChEkmPersonForm.nationality</a><br/>Value Set: <a href=\"ValueSet-ChEkmCountryCodes.html\">CH EKM Country Codes (form)</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)\" id=\"item.zipCode\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> zipCode</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Postal code</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmPersonForm.html#ChEkmPersonForm.zipCode\">ChEkmPersonForm.zipCode</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)\" id=\"item.city\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> city</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Place of residence</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmPersonForm.html#ChEkmPersonForm.city\">ChEkmPersonForm.city</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)\" id=\"item.country\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> country</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Country</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmPersonForm.html#ChEkmPersonForm.country\">ChEkmPersonForm.country</a><br/>Value Set: <a href=\"ValueSet-ChEkmCountryCodes.html\">CH EKM Country Codes (form)</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)\" id=\"item.canton\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> canton</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Canton</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-open-choice\">open-choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmPersonForm.html#ChEkmPersonForm.canton\">ChEkmPersonForm.canton</a><br/>Value Set: <a href=\"http://fhir.ch/ig/ch-term/3.4.0/ValueSet-ech-7-cantonabbreviation.html\">eCH-0007 Canton Abbreviation</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0100.png)\" id=\"item.administrativeGender\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> administrativeGender</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Gender</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"icon\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"icon\"/></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmPersonForm.html#ChEkmPersonForm.administrativeGender\">ChEkmPersonForm.administrativeGender</a><br/>Value Set: <a href=\"http://hl7.org/fhir/R4/valueset-administrative-gender.html\">AdministrativeGender</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)\" id=\"item.manifestation-group\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> manifestation-group</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Diagnosis and manifestation</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)\" id=\"item.manifestation\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> manifestation</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Manifestations</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"icon\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"icon\"/></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmMpoxManifestationForm#ChEkmMpoxManifestationForm.manifestation<br/>Value Set: <a href=\"ValueSet-ChEkmMpoxManifestation.html\">CH EKM Mpox Manifestation</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)\" id=\"item.manifestationBeginUnknown\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-boolean.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"boolean\" class=\"hierarchy\"/> manifestationBeginUnknown</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Onset of manifestation unknown</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmManifestationForm.html#ChEkmManifestationForm.manifestationBeginUnknown\">ChEkmManifestationForm.manifestationBeginUnknown</a><br/>Initial Value: boolean = false</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0100.png)\" id=\"item.manifestationBeginDate\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-date.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"date\" class=\"hierarchy\"/> manifestationBeginDate</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Onset of manifestation (date)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date\">date</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmManifestationForm.html#ChEkmManifestationForm.manifestationBeginDate\">ChEkmManifestationForm.manifestationBeginDate</a><br/>Enable When: <span><a href=\"#item.manifestationBeginUnknown\">manifestationBeginUnknown</a> = false</span></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)\" id=\"item.exposure\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> exposure</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Exposure</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101.png)\" id=\"item.transmission\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> transmission</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">How (route of transmission)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)\" id=\"item.sexualContactPartner\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> sexualContactPartner</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Sexual contact with an infected person (gender)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"icon\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"icon\"/></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmGonorrhoeaExpositionForm.html#ChEkmGonorrhoeaExpositionForm.transmission.sexualContactPartner\">ChEkmGonorrhoeaExpositionForm.transmission.sexualContactPartner</a><br/>Value Set: <a href=\"http://hl7.org/fhir/R4/valueset-administrative-gender.html\">AdministrativeGender</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)\" id=\"item.relationshipType\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> relationshipType</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Type of relationship</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"icon\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"icon\"/></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmGonorrhoeaExpositionForm.html#ChEkmGonorrhoeaExpositionForm.transmission.relationshipType\">ChEkmGonorrhoeaExpositionForm.transmission.relationshipType</a><br/>Value Set: <a href=\"ValueSet-ChEkmExposureRelationshipType.html\">CH EKM Exposure Relationship Type</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)\" id=\"item.otherTransmission\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> otherTransmission</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Other route of transmission (free text)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmGonorrhoeaExpositionForm.html#ChEkmGonorrhoeaExpositionForm.transmission.otherTransmission\">ChEkmGonorrhoeaExpositionForm.transmission.otherTransmission</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01000.png)\" id=\"item.unknown\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-boolean.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"boolean\" class=\"hierarchy\"/> unknown</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Route of transmission unknown</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmGonorrhoeaExpositionForm.html#ChEkmGonorrhoeaExpositionForm.transmission.unknown\">ChEkmGonorrhoeaExpositionForm.transmission.unknown</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck001.png)\" id=\"item.treatingPhysician\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> treatingPhysician</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Treating physician</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0011.png)\" id=\"item.treatingPhysicianPractitioner\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> treatingPhysicianPractitioner</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Treating physician</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00110.png)\" id=\"item.physicianGivenname\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> physicianGivenname</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">First name</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmTreatingPhysicianPractitionerForm.html#ChEkmTreatingPhysicianPractitionerForm.givenname\">ChEkmTreatingPhysicianPractitionerForm.givenname</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00110.png)\" id=\"item.physicianSurname\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> physicianSurname</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Last name</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmTreatingPhysicianPractitionerForm.html#ChEkmTreatingPhysicianPractitionerForm.surname\">ChEkmTreatingPhysicianPractitionerForm.surname</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00110.png)\" id=\"item.physicianStreetLine\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> physicianStreetLine</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Address (street, house number)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmTreatingPhysicianPractitionerForm.html#ChEkmTreatingPhysicianPractitionerForm.streetLine\">ChEkmTreatingPhysicianPractitionerForm.streetLine</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00110.png)\" id=\"item.physicianZipCode\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> physicianZipCode</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Postal code</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmTreatingPhysicianPractitionerForm.html#ChEkmTreatingPhysicianPractitionerForm.zipCode\">ChEkmTreatingPhysicianPractitionerForm.zipCode</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00110.png)\" id=\"item.physicianCity\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> physicianCity</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Town/city</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmTreatingPhysicianPractitionerForm.html#ChEkmTreatingPhysicianPractitionerForm.city\">ChEkmTreatingPhysicianPractitionerForm.city</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00110.png)\" id=\"item.physicianPhone\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> physicianPhone</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Phone number</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmTreatingPhysicianPractitionerForm.html#ChEkmTreatingPhysicianPractitionerForm.phone\">ChEkmTreatingPhysicianPractitionerForm.phone</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00110.png)\" id=\"item.physicianEmail\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> physicianEmail</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Email</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmTreatingPhysicianPractitionerForm.html#ChEkmTreatingPhysicianPractitionerForm.email\">ChEkmTreatingPhysicianPractitionerForm.email</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00100.png)\" id=\"item.physicianGln\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> physicianGln</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">GLN</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmTreatingPhysicianPractitionerForm.html#ChEkmTreatingPhysicianPractitionerForm.gln\">ChEkmTreatingPhysicianPractitionerForm.gln</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0001.png)\" id=\"item.treatingPhysicianOrganization\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> treatingPhysicianOrganization</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Sending organisation</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00010.png)\" id=\"item.orgName\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> orgName</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Name</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmTreatingPhysicianOrganizationForm.html#ChEkmTreatingPhysicianOrganizationForm.name\">ChEkmTreatingPhysicianOrganizationForm.name</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00010.png)\" id=\"item.orgDepartment\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> orgDepartment</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Department</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmTreatingPhysicianOrganizationForm.html#ChEkmTreatingPhysicianOrganizationForm.department\">ChEkmTreatingPhysicianOrganizationForm.department</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00010.png)\" id=\"item.orgStreetLine\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> orgStreetLine</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Address (street, house number)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmTreatingPhysicianOrganizationForm.html#ChEkmTreatingPhysicianOrganizationForm.streetLine\">ChEkmTreatingPhysicianOrganizationForm.streetLine</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00010.png)\" id=\"item.orgZipCode\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> orgZipCode</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Postal code</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmTreatingPhysicianOrganizationForm.html#ChEkmTreatingPhysicianOrganizationForm.zipCode\">ChEkmTreatingPhysicianOrganizationForm.zipCode</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00010.png)\" id=\"item.orgCity\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> orgCity</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Town/city</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmTreatingPhysicianOrganizationForm.html#ChEkmTreatingPhysicianOrganizationForm.city\">ChEkmTreatingPhysicianOrganizationForm.city</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00010.png)\" id=\"item.orgPhone\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> orgPhone</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Phone number</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmTreatingPhysicianOrganizationForm.html#ChEkmTreatingPhysicianOrganizationForm.phone\">ChEkmTreatingPhysicianOrganizationForm.phone</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00010.png)\" id=\"item.orgEmail\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> orgEmail</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Email</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmTreatingPhysicianOrganizationForm.html#ChEkmTreatingPhysicianOrganizationForm.email\">ChEkmTreatingPhysicianOrganizationForm.email</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00010.png)\" id=\"item.orgBer\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> orgBer</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">BER</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmTreatingPhysicianOrganizationForm.html#ChEkmTreatingPhysicianOrganizationForm.ber\">ChEkmTreatingPhysicianOrganizationForm.ber</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00000.png)\" id=\"item.orgGln\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> orgGln</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">GLN</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"StructureDefinition-ChEkmTreatingPhysicianOrganizationForm.html#ChEkmTreatingPhysicianOrganizationForm.gln\">ChEkmTreatingPhysicianOrganizationForm.gln</a></td></tr>\r\n<tr><td colspan=\"6\" class=\"hierarchy\"><br/><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm",
"valueCoding" : {
"system" : "http://hl7.org/fhir/version-algorithm",
"code" : "semver"
}
},
{
"extension" : [
{
"url" : "name",
"valueCoding" : {
"system" : "http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext",
"code" : "patient",
"display" : "Patient"
}
},
{
"url" : "type",
"valueCode" : "Patient"
},
{
"url" : "description",
"valueString" : "The patient to pre-populate the form with"
}
],
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext"
},
{
"extension" : [
{
"url" : "name",
"valueCoding" : {
"system" : "http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext",
"code" : "user",
"display" : "User"
}
},
{
"url" : "type",
"valueCode" : "PractitionerRole"
},
{
"url" : "description",
"valueString" : "The treating physician's PractitionerRole (practitioner + sending organization) to pre-populate the form with"
}
],
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext"
},
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom",
"valueCanonical" : "http://fhir.ch/ig/ch-ekm/Questionnaire/ChEkmQuestionnairePersonName|0.0.1"
},
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom",
"valueCanonical" : "http://fhir.ch/ig/ch-ekm/Questionnaire/ChEkmQuestionnairePersonGeneral|0.0.1"
},
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom",
"valueCanonical" : "http://fhir.ch/ig/ch-ekm/Questionnaire/ChEkmQuestionnaireManifestationBeginUnknown|0.0.1"
},
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom",
"valueCanonical" : "http://fhir.ch/ig/ch-ekm/Questionnaire/ChEkmQuestionnaireTransmissionHow|0.0.1"
},
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom",
"valueCanonical" : "http://fhir.ch/ig/ch-ekm/Questionnaire/ChEkmQuestionnaireTreatingPhysician|0.0.1"
}
],
"url" : "http://fhir.ch/ig/ch-ekm/Questionnaire/ChEkmQuestionnaireMpoxAssembled",
"version" : "0.0.1",
"name" : "ChEkmQuestionnaireMpoxAssembled",
"title" : "CH EKM Questionnaire: Mpox (assembled)",
"status" : "active",
"experimental" : false,
"subjectType" : [
"Patient"
],
"date" : "2026-07-14T21:00:26+00:00",
"publisher" : "Federal Office of Public Health FOPH",
"contact" : [
{
"name" : "Federal Office of Public Health FOPH",
"telecom" : [
{
"system" : "url",
"value" : "https://www.bag.admin.ch/bag/en/home/das-bag/kontakt-standort.html"
}
]
}
],
"description" : "GENERATED FILE — do not edit by hand. Assembled from the modular questionnaire ChEkmQuestionnaireMpox and its sub-questionnaires via Questionnaire/$assemble (tests/assemble-questionnaire.sh). Re-run that script after changing any child questionnaire to keep this resource in sync.",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "CH"
}
]
}
],
"copyright" : "CC0-1.0",
"item" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression" : {
"name" : "homeOrFirstAddress",
"language" : "text/fhirpath",
"expression" : "%patient.address.where(use='home').combine(%patient.address).first()"
}
}
],
"linkId" : "mpox-form",
"text" : "Clinical findings report: mpox",
"_text" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "de-CH"
},
{
"url" : "content",
"valueString" : "Meldung zum klinischen Befund: Mpox"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "fr-CH"
},
{
"url" : "content",
"valueString" : "Déclaration de résultat clinique : Mpox"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "it-CH"
},
{
"url" : "content",
"valueString" : "Notifica del referto clinico: Mpox"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type" : "group",
"item" : [
{
"linkId" : "person",
"text" : "Affected person's details",
"_text" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "de-CH"
},
{
"url" : "content",
"valueString" : "Angaben zur betroffenen Person"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "fr-CH"
},
{
"url" : "content",
"valueString" : "Données relatives à la personne concernée"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "it-CH"
},
{
"url" : "content",
"valueString" : "Dati relativi alla persona interessata"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type" : "group",
"item" : [
{
"linkId" : "surname",
"definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmPersonForm#ChEkmPersonForm.surname",
"text" : "Surname initial",
"_text" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "de-CH"
},
{
"url" : "content",
"valueString" : "Name"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "fr-CH"
},
{
"url" : "content",
"valueString" : "Nom"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "it-CH"
},
{
"url" : "content",
"valueString" : "Cognome"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type" : "string",
"required" : true
},
{
"linkId" : "givenname",
"definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmPersonForm#ChEkmPersonForm.givenname",
"text" : "First name initial",
"_text" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "de-CH"
},
{
"url" : "content",
"valueString" : "Vorname"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "fr-CH"
},
{
"url" : "content",
"valueString" : "Prénom"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "it-CH"
},
{
"url" : "content",
"valueString" : "Nome"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type" : "string",
"required" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%patient.birthDate"
}
}
],
"linkId" : "dateOfBirth",
"definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmPersonForm#ChEkmPersonForm.dateOfBirth",
"text" : "Date of birth",
"_text" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "de-CH"
},
{
"url" : "content",
"valueString" : "Geburtsdatum"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "fr-CH"
},
{
"url" : "content",
"valueString" : "Date de naissance"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "it-CH"
},
{
"url" : "content",
"valueString" : "Data di nascita"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type" : "date",
"required" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/regex",
"valueString" : "^756[0-9]{10}$"
},
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%patient.identifier.where(system = 'urn:oid:2.16.756.5.32').value.first()"
}
}
],
"linkId" : "ahvn13",
"definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmPersonForm#ChEkmPersonForm.ahvn13",
"text" : "OASI number (AHV)",
"_text" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "de-CH"
},
{
"url" : "content",
"valueString" : "AHV-Nummer (OASI)"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "fr-CH"
},
{
"url" : "content",
"valueString" : "Numéro AVS (OASI)"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "it-CH"
},
{
"url" : "content",
"valueString" : "Numero AVS (OASI)"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type" : "string",
"maxLength" : 13
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "autocomplete"
}
]
}
},
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%patient.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/patient-citizenship').extension.where(url = 'code').valueCodeableConcept.coding.first()"
}
}
],
"linkId" : "nationality",
"definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmPersonForm#ChEkmPersonForm.nationality",
"text" : "Nationality",
"_text" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "de-CH"
},
{
"url" : "content",
"valueString" : "Nationalität"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "fr-CH"
},
{
"url" : "content",
"valueString" : "Nationalité"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "it-CH"
},
{
"url" : "content",
"valueString" : "Nazionalità"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type" : "choice",
"answerValueSet" : "http://fhir.ch/ig/ch-ekm/ValueSet/ChEkmCountryCodes"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%homeOrFirstAddress.postalCode"
}
}
],
"linkId" : "zipCode",
"definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmPersonForm#ChEkmPersonForm.zipCode",
"text" : "Postal code",
"_text" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "de-CH"
},
{
"url" : "content",
"valueString" : "PLZ"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "fr-CH"
},
{
"url" : "content",
"valueString" : "NPA"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "it-CH"
},
{
"url" : "content",
"valueString" : "NAP"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%homeOrFirstAddress.city"
}
}
],
"linkId" : "city",
"definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmPersonForm#ChEkmPersonForm.city",
"text" : "Place of residence",
"_text" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "de-CH"
},
{
"url" : "content",
"valueString" : "Wohnort"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "fr-CH"
},
{
"url" : "content",
"valueString" : "Localité"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "it-CH"
},
{
"url" : "content",
"valueString" : "Località"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "autocomplete"
}
]
}
},
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%homeOrFirstAddress.country"
}
}
],
"linkId" : "country",
"definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmPersonForm#ChEkmPersonForm.country",
"text" : "Country",
"_text" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "de-CH"
},
{
"url" : "content",
"valueString" : "Land"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "fr-CH"
},
{
"url" : "content",
"valueString" : "Pays"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "it-CH"
},
{
"url" : "content",
"valueString" : "Paese"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type" : "choice",
"answerValueSet" : "http://fhir.ch/ig/ch-ekm/ValueSet/ChEkmCountryCodes"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%homeOrFirstAddress.state"
}
}
],
"linkId" : "canton",
"definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmPersonForm#ChEkmPersonForm.canton",
"text" : "Canton",
"_text" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "de-CH"
},
{
"url" : "content",
"valueString" : "Kanton"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "fr-CH"
},
{
"url" : "content",
"valueString" : "Canton"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "it-CH"
},
{
"url" : "content",
"valueString" : "Cantone"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type" : "open-choice",
"answerValueSet" : "http://fhir.ch/ig/ch-core/ValueSet/ech-7-cantonabbreviation"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "radio-button"
}
]
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode" : "horizontal"
},
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%patient.gender"
}
}
],
"linkId" : "administrativeGender",
"definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmPersonForm#ChEkmPersonForm.administrativeGender",
"text" : "Gender",
"_text" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "de-CH"
},
{
"url" : "content",
"valueString" : "Geschlecht"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "fr-CH"
},
{
"url" : "content",
"valueString" : "Sexe"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "it-CH"
},
{
"url" : "content",
"valueString" : "Sesso"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type" : "choice",
"required" : true,
"answerValueSet" : "http://hl7.org/fhir/ValueSet/administrative-gender",
"_answerValueSet" : {
🔗 "extension" : [
{
"extension" : [
{
"url" : "name",
"valueCode" : "useSupplement"
},
{
"url" : "expression",
"valueString" : "http://fhir.ch/ig/ch-ekm/CodeSystem/ch-ekm-administrative-gender-language-supplement"
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/binding-parameter"
}
]
}
}
]
},
{
"linkId" : "manifestation-group",
"text" : "Diagnosis and manifestation",
"_text" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "de-CH"
},
{
"url" : "content",
"valueString" : "Diagnose und Manifestation"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "fr-CH"
},
{
"url" : "content",
"valueString" : "Diagnostic et manifestation"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "it-CH"
},
{
"url" : "content",
"valueString" : "Diagnosi e manifestazione"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type" : "group",
"item" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode" : "horizontal"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "radio-button"
}
]
}
}
],
"linkId" : "manifestation",
"definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmMpoxManifestationForm#ChEkmMpoxManifestationForm.manifestation",
"text" : "Manifestations",
"_text" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "de-CH"
},
{
"url" : "content",
"valueString" : "Manifestationen"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "fr-CH"
},
{
"url" : "content",
"valueString" : "Manifestations"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "it-CH"
},
{
"url" : "content",
"valueString" : "Manifestazioni"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type" : "choice",
"answerValueSet" : "http://fhir.ch/ig/ch-ekm/ValueSet/ChEkmMpoxManifestation",
"_answerValueSet" : {
🔗 "extension" : [
{
"extension" : [
{
"url" : "name",
"valueCode" : "useSupplement"
},
{
"url" : "expression",
"valueString" : "http://fhir.ch/ig/ch-ekm/CodeSystem/ch-ekm-snomed-language-supplement"
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/binding-parameter"
}
]
}
},
{
"linkId" : "manifestationBeginUnknown",
"definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmManifestationForm#ChEkmManifestationForm.manifestationBeginUnknown",
"text" : "Onset of manifestation unknown",
"_text" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "de-CH"
},
{
"url" : "content",
"valueString" : "Manifestationsbeginn unbekannt"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "fr-CH"
},
{
"url" : "content",
"valueString" : "Début des manifestations inconnu"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "it-CH"
},
{
"url" : "content",
"valueString" : "Inizio delle manifestazioni sconosciuto"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type" : "boolean",
"initial" : [
{
"valueBoolean" : false
}
]
},
{
"linkId" : "manifestationBeginDate",
"definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmManifestationForm#ChEkmManifestationForm.manifestationBeginDate",
"text" : "Onset of manifestation (date)",
"_text" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "de-CH"
},
{
"url" : "content",
"valueString" : "Manifestationsbeginn (Datum)"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "fr-CH"
},
{
"url" : "content",
"valueString" : "Début des manifestations (date)"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "it-CH"
},
{
"url" : "content",
"valueString" : "Inizio delle manifestazioni (data)"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type" : "date",
"enableWhen" : [
{
"question" : "manifestationBeginUnknown",
"operator" : "=",
"answerBoolean" : false
}
]
}
]
},
{
"linkId" : "exposure",
"text" : "Exposure",
"_text" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "de-CH"
},
{
"url" : "content",
"valueString" : "Exposition"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "fr-CH"
},
{
"url" : "content",
"valueString" : "Exposition"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "it-CH"
},
{
"url" : "content",
"valueString" : "Esposizione"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type" : "group",
"item" : [
{
"linkId" : "transmission",
"text" : "How (route of transmission)",
"_text" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "de-CH"
},
{
"url" : "content",
"valueString" : "Wie (Übertragungsweg)"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "fr-CH"
},
{
"url" : "content",
"valueString" : "Comment (voie de transmission)"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "it-CH"
},
{
"url" : "content",
"valueString" : "Come (via di trasmissione)"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type" : "group",
"item" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "radio-button"
}
]
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode" : "horizontal"
}
],
"linkId" : "sexualContactPartner",
"definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmGonorrhoeaExpositionForm#ChEkmGonorrhoeaExpositionForm.transmission.sexualContactPartner",
"text" : "Sexual contact with an infected person (gender)",
"_text" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "de-CH"
},
{
"url" : "content",
"valueString" : "Sexualkontakt mit infizierter Person (Geschlecht)"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "fr-CH"
},
{
"url" : "content",
"valueString" : "Rapport sexuel avec une personne infectée (sexe)"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "it-CH"
},
{
"url" : "content",
"valueString" : "Rapporto sessuale con una persona infetta (sesso)"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type" : "choice",
"answerValueSet" : "http://hl7.org/fhir/ValueSet/administrative-gender"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "radio-button"
}
]
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode" : "horizontal"
}
],
"linkId" : "relationshipType",
"definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmGonorrhoeaExpositionForm#ChEkmGonorrhoeaExpositionForm.transmission.relationshipType",
"text" : "Type of relationship",
"_text" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "de-CH"
},
{
"url" : "content",
"valueString" : "Art der Beziehung"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "fr-CH"
},
{
"url" : "content",
"valueString" : "Type de relation"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "it-CH"
},
{
"url" : "content",
"valueString" : "Tipo di relazione"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type" : "choice",
"answerValueSet" : "http://fhir.ch/ig/ch-ekm/ValueSet/ChEkmExposureRelationshipType"
},
{
"linkId" : "otherTransmission",
"definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmGonorrhoeaExpositionForm#ChEkmGonorrhoeaExpositionForm.transmission.otherTransmission",
"text" : "Other route of transmission (free text)",
"_text" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "de-CH"
},
{
"url" : "content",
"valueString" : "Anderer Übertragungsweg (Freitext)"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "fr-CH"
},
{
"url" : "content",
"valueString" : "Autre voie de transmission (texte libre)"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "it-CH"
},
{
"url" : "content",
"valueString" : "Altra via di trasmissione (testo libero)"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type" : "string"
},
{
"linkId" : "unknown",
"definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmGonorrhoeaExpositionForm#ChEkmGonorrhoeaExpositionForm.transmission.unknown",
"text" : "Route of transmission unknown",
"_text" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "de-CH"
},
{
"url" : "content",
"valueString" : "Übertragungsweg unbekannt"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "fr-CH"
},
{
"url" : "content",
"valueString" : "Voie de transmission inconnue"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "it-CH"
},
{
"url" : "content",
"valueString" : "Via di trasmissione sconosciuta"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type" : "boolean"
}
]
}
]
},
{
"linkId" : "treatingPhysician",
"text" : "Treating physician",
"_text" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "de-CH"
},
{
"url" : "content",
"valueString" : "Behandelnde Ärztin / behandelnder Arzt"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "fr-CH"
},
{
"url" : "content",
"valueString" : "Médecin traitant"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "it-CH"
},
{
"url" : "content",
"valueString" : "Medico curante"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type" : "group",
"item" : [
{
"linkId" : "treatingPhysicianPractitioner",
"text" : "Treating physician",
"_text" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "de-CH"
},
{
"url" : "content",
"valueString" : "Behandelnde Ärztin / behandelnder Arzt"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "fr-CH"
},
{
"url" : "content",
"valueString" : "Médecin traitant"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "it-CH"
},
{
"url" : "content",
"valueString" : "Medico curante"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type" : "group",
"item" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%user.practitioner.resolve().name.first().given.first()"
}
}
],
"linkId" : "physicianGivenname",
"definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianPractitionerForm#ChEkmTreatingPhysicianPractitionerForm.givenname",
"text" : "First name",
"_text" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "de-CH"
},
{
"url" : "content",
"valueString" : "Vorname"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "fr-CH"
},
{
"url" : "content",
"valueString" : "Prénom"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "it-CH"
},
{
"url" : "content",
"valueString" : "Nome"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type" : "string",
"required" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%user.practitioner.resolve().name.first().family"
}
}
],
"linkId" : "physicianSurname",
"definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianPractitionerForm#ChEkmTreatingPhysicianPractitionerForm.surname",
"text" : "Last name",
"_text" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "de-CH"
},
{
"url" : "content",
"valueString" : "Name"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "fr-CH"
},
{
"url" : "content",
"valueString" : "Nom"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "it-CH"
},
{
"url" : "content",
"valueString" : "Cognome"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type" : "string",
"required" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%user.practitioner.resolve().address.where(use='work').combine(%user.practitioner.resolve().address).first().line.first()"
}
}
],
"linkId" : "physicianStreetLine",
"definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianPractitionerForm#ChEkmTreatingPhysicianPractitionerForm.streetLine",
"text" : "Address (street, house number)",
"_text" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "de-CH"
},
{
"url" : "content",
"valueString" : "Adresse (Strasse, Hausnummer)"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "fr-CH"
},
{
"url" : "content",
"valueString" : "Adresse (rue, numéro)"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "it-CH"
},
{
"url" : "content",
"valueString" : "Indirizzo (via, numero civico)"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%user.practitioner.resolve().address.where(use='work').combine(%user.practitioner.resolve().address).first().postalCode"
}
}
],
"linkId" : "physicianZipCode",
"definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianPractitionerForm#ChEkmTreatingPhysicianPractitionerForm.zipCode",
"text" : "Postal code",
"_text" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "de-CH"
},
{
"url" : "content",
"valueString" : "PLZ"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "fr-CH"
},
{
"url" : "content",
"valueString" : "NPA"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "it-CH"
},
{
"url" : "content",
"valueString" : "NAP"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type" : "string",
"required" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%user.practitioner.resolve().address.where(use='work').combine(%user.practitioner.resolve().address).first().city"
}
}
],
"linkId" : "physicianCity",
"definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianPractitionerForm#ChEkmTreatingPhysicianPractitionerForm.city",
"text" : "Town/city",
"_text" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "de-CH"
},
{
"url" : "content",
"valueString" : "Ort"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "fr-CH"
},
{
"url" : "content",
"valueString" : "Localité"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "it-CH"
},
{
"url" : "content",
"valueString" : "Località"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type" : "string",
"required" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%user.practitioner.resolve().telecom.where(system='phone').value.first()"
}
}
],
"linkId" : "physicianPhone",
"definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianPractitionerForm#ChEkmTreatingPhysicianPractitionerForm.phone",
"text" : "Phone number",
"_text" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "de-CH"
},
{
"url" : "content",
"valueString" : "Telefonnummer"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "fr-CH"
},
{
"url" : "content",
"valueString" : "Numéro de téléphone"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "it-CH"
},
{
"url" : "content",
"valueString" : "Numero di telefono"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type" : "string",
"required" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%user.practitioner.resolve().telecom.where(system='email').value.first()"
}
}
],
"linkId" : "physicianEmail",
"definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianPractitionerForm#ChEkmTreatingPhysicianPractitionerForm.email",
"text" : "Email",
"_text" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "de-CH"
},
{
"url" : "content",
"valueString" : "E-Mail"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "fr-CH"
},
{
"url" : "content",
"valueString" : "E-mail"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "it-CH"
},
{
"url" : "content",
"valueString" : "E-mail"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%user.practitioner.resolve().identifier.where(system='urn:oid:2.51.1.3').value.first()"
}
}
],
"linkId" : "physicianGln",
"definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianPractitionerForm#ChEkmTreatingPhysicianPractitionerForm.gln",
"text" : "GLN",
"_text" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "de-CH"
},
{
"url" : "content",
"valueString" : "GLN"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "fr-CH"
},
{
"url" : "content",
"valueString" : "GLN"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "it-CH"
},
{
"url" : "content",
"valueString" : "GLN"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type" : "string"
}
]
},
{
"linkId" : "treatingPhysicianOrganization",
"text" : "Sending organisation",
"_text" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "de-CH"
},
{
"url" : "content",
"valueString" : "Absendende Organisation"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "fr-CH"
},
{
"url" : "content",
"valueString" : "Organisation émettrice"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "it-CH"
},
{
"url" : "content",
"valueString" : "Organizzazione mittente"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type" : "group",
"item" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%user.organization.resolve().name"
}
}
],
"linkId" : "orgName",
"definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianOrganizationForm#ChEkmTreatingPhysicianOrganizationForm.name",
"text" : "Name",
"_text" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "de-CH"
},
{
"url" : "content",
"valueString" : "Name"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "fr-CH"
},
{
"url" : "content",
"valueString" : "Nom"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "it-CH"
},
{
"url" : "content",
"valueString" : "Nome"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type" : "string",
"required" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%user.organization.resolve().extension.where(url='http://fhir.ch/ig/ch-ekm/StructureDefinition/ch-ekm-ext-department').valueString"
}
}
],
"linkId" : "orgDepartment",
"definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianOrganizationForm#ChEkmTreatingPhysicianOrganizationForm.department",
"text" : "Department",
"_text" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "de-CH"
},
{
"url" : "content",
"valueString" : "Abteilung"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "fr-CH"
},
{
"url" : "content",
"valueString" : "Service"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "it-CH"
},
{
"url" : "content",
"valueString" : "Reparto"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%user.organization.resolve().address.first().line.first()"
}
}
],
"linkId" : "orgStreetLine",
"definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianOrganizationForm#ChEkmTreatingPhysicianOrganizationForm.streetLine",
"text" : "Address (street, house number)",
"_text" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "de-CH"
},
{
"url" : "content",
"valueString" : "Adresse (Strasse, Hausnummer)"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "fr-CH"
},
{
"url" : "content",
"valueString" : "Adresse (rue, numéro)"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "it-CH"
},
{
"url" : "content",
"valueString" : "Indirizzo (via, numero civico)"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%user.organization.resolve().address.first().postalCode"
}
}
],
"linkId" : "orgZipCode",
"definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianOrganizationForm#ChEkmTreatingPhysicianOrganizationForm.zipCode",
"text" : "Postal code",
"_text" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "de-CH"
},
{
"url" : "content",
"valueString" : "PLZ"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "fr-CH"
},
{
"url" : "content",
"valueString" : "NPA"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "it-CH"
},
{
"url" : "content",
"valueString" : "NAP"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type" : "string",
"required" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%user.organization.resolve().address.first().city"
}
}
],
"linkId" : "orgCity",
"definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianOrganizationForm#ChEkmTreatingPhysicianOrganizationForm.city",
"text" : "Town/city",
"_text" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "de-CH"
},
{
"url" : "content",
"valueString" : "Ort"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "fr-CH"
},
{
"url" : "content",
"valueString" : "Localité"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "it-CH"
},
{
"url" : "content",
"valueString" : "Località"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type" : "string",
"required" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%user.organization.resolve().telecom.where(system='phone').value.first()"
}
}
],
"linkId" : "orgPhone",
"definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianOrganizationForm#ChEkmTreatingPhysicianOrganizationForm.phone",
"text" : "Phone number",
"_text" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "de-CH"
},
{
"url" : "content",
"valueString" : "Telefonnummer"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "fr-CH"
},
{
"url" : "content",
"valueString" : "Numéro de téléphone"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "it-CH"
},
{
"url" : "content",
"valueString" : "Numero di telefono"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type" : "string",
"required" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%user.organization.resolve().telecom.where(system='email').value.first()"
}
}
],
"linkId" : "orgEmail",
"definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianOrganizationForm#ChEkmTreatingPhysicianOrganizationForm.email",
"text" : "Email",
"_text" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "de-CH"
},
{
"url" : "content",
"valueString" : "E-Mail"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "fr-CH"
},
{
"url" : "content",
"valueString" : "E-mail"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "it-CH"
},
{
"url" : "content",
"valueString" : "E-mail"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%user.organization.resolve().identifier.where(system='urn:oid:2.16.756.5.45').value.first()"
}
}
],
"linkId" : "orgBer",
"definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianOrganizationForm#ChEkmTreatingPhysicianOrganizationForm.ber",
"text" : "BER",
"_text" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "de-CH"
},
{
"url" : "content",
"valueString" : "BUR"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "fr-CH"
},
{
"url" : "content",
"valueString" : "REE"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "it-CH"
},
{
"url" : "content",
"valueString" : "RIS"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type" : "string"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "%user.organization.resolve().identifier.where(system='urn:oid:2.51.1.3').value.first()"
}
}
],
"linkId" : "orgGln",
"definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianOrganizationForm#ChEkmTreatingPhysicianOrganizationForm.gln",
"text" : "GLN",
"_text" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "de-CH"
},
{
"url" : "content",
"valueString" : "GLN"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "fr-CH"
},
{
"url" : "content",
"valueString" : "GLN"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension" : [
{
"url" : "lang",
"valueCode" : "it-CH"
},
{
"url" : "content",
"valueString" : "GLN"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type" : "string"
}
]
}
]
}
]
}
]
}