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

• Narrative Content
• XML
• JSON

: CH EKM Questionnaire: Mpox (assembled) - XML Representation

Raw xml | Download

<Questionnaire xmlns="http://hl7.org/fhir">
  <id value="ChEkmQuestionnaireMpoxAssembled"/>
  <meta>
    <source
            value="https://github.com/ahdis/ch-ekm/blob/master/tests/assemble-questionnaire.sh"/>
    <profile
             value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-pop-exp"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="extensions"/>
    <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 &amp; 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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm">
    <valueCoding>
      <system value="http://hl7.org/fhir/version-algorithm"/>
      <code value="semver"/>
    </valueCoding>
  </extension>
  <extension
             url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext">
    <extension url="name">
      <valueCoding>
        <system value="http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext"/>
        <code value="patient"/>
        <display value="Patient"/>
      </valueCoding>
    </extension>
    <extension url="type">
      <valueCode value="Patient"/>
    </extension>
    <extension url="description">
      <valueString value="The patient to pre-populate the form with"/>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext">
    <extension url="name">
      <valueCoding>
        <system value="http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext"/>
        <code value="user"/>
        <display value="User"/>
      </valueCoding>
    </extension>
    <extension url="type">
      <valueCode value="PractitionerRole"/>
    </extension>
    <extension url="description">
      <valueString
                   value="The treating physician's PractitionerRole (practitioner + sending organization) to pre-populate the form with"/>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom">
    <valueCanonical
                    value="http://fhir.ch/ig/ch-ekm/Questionnaire/ChEkmQuestionnairePersonName|0.0.1"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom">
    <valueCanonical
                    value="http://fhir.ch/ig/ch-ekm/Questionnaire/ChEkmQuestionnairePersonGeneral|0.0.1"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom">
    <valueCanonical
                    value="http://fhir.ch/ig/ch-ekm/Questionnaire/ChEkmQuestionnaireManifestationBeginUnknown|0.0.1"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom">
    <valueCanonical
                    value="http://fhir.ch/ig/ch-ekm/Questionnaire/ChEkmQuestionnaireTransmissionHow|0.0.1"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom">
    <valueCanonical
                    value="http://fhir.ch/ig/ch-ekm/Questionnaire/ChEkmQuestionnaireTreatingPhysician|0.0.1"/>
  </extension>
  <url
       value="http://fhir.ch/ig/ch-ekm/Questionnaire/ChEkmQuestionnaireMpoxAssembled"/>
  <version value="0.0.1"/>
  <name value="ChEkmQuestionnaireMpoxAssembled"/>
  <title value="CH EKM Questionnaire: Mpox (assembled)"/>
  <status value="active"/>
  <experimental value="false"/>
  <subjectType value="Patient"/>
  <date value="2026-07-14T21:00:26+00:00"/>
  <publisher value="Federal Office of Public Health FOPH"/>
  <contact>
    <name value="Federal Office of Public Health FOPH"/>
    <telecom>
      <system value="url"/>
      <value
             value="https://www.bag.admin.ch/bag/en/home/das-bag/kontakt-standort.html"/>
    </telecom>
  </contact>
  <description
               value="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 value="urn:iso:std:iso:3166"/>
      <code value="CH"/>
    </coding>
  </jurisdiction>
  <copyright value="CC0-1.0"/>
  <item>
    <extension url="http://hl7.org/fhir/StructureDefinition/variable">
      <valueExpression>
        <name value="homeOrFirstAddress"/>
        <language value="text/fhirpath"/>
        <expression
                    value="%patient.address.where(use='home').combine(%patient.address).first()"/>
      </valueExpression>
    </extension>
    <linkId value="mpox-form"/>
    <text value="Clinical findings report: mpox">
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="de-CH"/>
        </extension>
        <extension url="content">
          <valueString value="Meldung zum klinischen Befund: Mpox"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="fr-CH"/>
        </extension>
        <extension url="content">
          <valueString value="Déclaration de résultat clinique : Mpox"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="it-CH"/>
        </extension>
        <extension url="content">
          <valueString value="Notifica del referto clinico: Mpox"/>
        </extension>
      </extension>
    </text>
    <type value="group"/>
    <item>
      <linkId value="person"/>
      <text value="Affected person's details">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-CH"/>
          </extension>
          <extension url="content">
            <valueString value="Angaben zur betroffenen Person"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-CH"/>
          </extension>
          <extension url="content">
            <valueString value="Données relatives à la personne concernée"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="it-CH"/>
          </extension>
          <extension url="content">
            <valueString value="Dati relativi alla persona interessata"/>
          </extension>
        </extension>
      </text>
      <type value="group"/>
      <item>
        <linkId value="surname"/>
        <definition
                    value="http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmPersonForm#ChEkmPersonForm.surname"/>
        <text value="Surname initial">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de-CH"/>
            </extension>
            <extension url="content">
              <valueString value="Name"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr-CH"/>
            </extension>
            <extension url="content">
              <valueString value="Nom"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="it-CH"/>
            </extension>
            <extension url="content">
              <valueString value="Cognome"/>
            </extension>
          </extension>
        </text>
        <type value="string"/>
        <required value="true"/>
      </item>
      <item>
        <linkId value="givenname"/>
        <definition
                    value="http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmPersonForm#ChEkmPersonForm.givenname"/>
        <text value="First name initial">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de-CH"/>
            </extension>
            <extension url="content">
              <valueString value="Vorname"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr-CH"/>
            </extension>
            <extension url="content">
              <valueString value="Prénom"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="it-CH"/>
            </extension>
            <extension url="content">
              <valueString value="Nome"/>
            </extension>
          </extension>
        </text>
        <type value="string"/>
        <required value="true"/>
      </item>
      <item>
        <extension
                   url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
          <valueExpression>
            <language value="text/fhirpath"/>
            <expression value="%patient.birthDate"/>
          </valueExpression>
        </extension>
        <linkId value="dateOfBirth"/>
        <definition
                    value="http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmPersonForm#ChEkmPersonForm.dateOfBirth"/>
        <text value="Date of birth">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de-CH"/>
            </extension>
            <extension url="content">
              <valueString value="Geburtsdatum"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr-CH"/>
            </extension>
            <extension url="content">
              <valueString value="Date de naissance"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="it-CH"/>
            </extension>
            <extension url="content">
              <valueString value="Data di nascita"/>
            </extension>
          </extension>
        </text>
        <type value="date"/>
        <required value="true"/>
      </item>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/regex">
          <valueString value="^756[0-9]{10}$"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
          <valueExpression>
            <language value="text/fhirpath"/>
            <expression
                        value="%patient.identifier.where(system = 'urn:oid:2.16.756.5.32').value.first()"/>
          </valueExpression>
        </extension>
        <linkId value="ahvn13"/>
        <definition
                    value="http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmPersonForm#ChEkmPersonForm.ahvn13"/>
        <text value="OASI number (AHV)">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de-CH"/>
            </extension>
            <extension url="content">
              <valueString value="AHV-Nummer (OASI)"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr-CH"/>
            </extension>
            <extension url="content">
              <valueString value="Numéro AVS (OASI)"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="it-CH"/>
            </extension>
            <extension url="content">
              <valueString value="Numero AVS (OASI)"/>
            </extension>
          </extension>
        </text>
        <type value="string"/>
        <maxLength value="13"/>
      </item>
      <item>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="autocomplete"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
          <valueExpression>
            <language value="text/fhirpath"/>
            <expression
                        value="%patient.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/patient-citizenship').extension.where(url = 'code').valueCodeableConcept.coding.first()"/>
          </valueExpression>
        </extension>
        <linkId value="nationality"/>
        <definition
                    value="http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmPersonForm#ChEkmPersonForm.nationality"/>
        <text value="Nationality">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de-CH"/>
            </extension>
            <extension url="content">
              <valueString value="Nationalität"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr-CH"/>
            </extension>
            <extension url="content">
              <valueString value="Nationalité"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="it-CH"/>
            </extension>
            <extension url="content">
              <valueString value="Nazionalità"/>
            </extension>
          </extension>
        </text>
        <type value="choice"/>
        <answerValueSet
                        value="http://fhir.ch/ig/ch-ekm/ValueSet/ChEkmCountryCodes"/>
      </item>
      <item>
        <extension
                   url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
          <valueExpression>
            <language value="text/fhirpath"/>
            <expression value="%homeOrFirstAddress.postalCode"/>
          </valueExpression>
        </extension>
        <linkId value="zipCode"/>
        <definition
                    value="http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmPersonForm#ChEkmPersonForm.zipCode"/>
        <text value="Postal code">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de-CH"/>
            </extension>
            <extension url="content">
              <valueString value="PLZ"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr-CH"/>
            </extension>
            <extension url="content">
              <valueString value="NPA"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="it-CH"/>
            </extension>
            <extension url="content">
              <valueString value="NAP"/>
            </extension>
          </extension>
        </text>
        <type value="string"/>
      </item>
      <item>
        <extension
                   url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
          <valueExpression>
            <language value="text/fhirpath"/>
            <expression value="%homeOrFirstAddress.city"/>
          </valueExpression>
        </extension>
        <linkId value="city"/>
        <definition
                    value="http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmPersonForm#ChEkmPersonForm.city"/>
        <text value="Place of residence">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de-CH"/>
            </extension>
            <extension url="content">
              <valueString value="Wohnort"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr-CH"/>
            </extension>
            <extension url="content">
              <valueString value="Localité"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="it-CH"/>
            </extension>
            <extension url="content">
              <valueString value="Località"/>
            </extension>
          </extension>
        </text>
        <type value="string"/>
      </item>
      <item>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="autocomplete"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
          <valueExpression>
            <language value="text/fhirpath"/>
            <expression value="%homeOrFirstAddress.country"/>
          </valueExpression>
        </extension>
        <linkId value="country"/>
        <definition
                    value="http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmPersonForm#ChEkmPersonForm.country"/>
        <text value="Country">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de-CH"/>
            </extension>
            <extension url="content">
              <valueString value="Land"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr-CH"/>
            </extension>
            <extension url="content">
              <valueString value="Pays"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="it-CH"/>
            </extension>
            <extension url="content">
              <valueString value="Paese"/>
            </extension>
          </extension>
        </text>
        <type value="choice"/>
        <answerValueSet
                        value="http://fhir.ch/ig/ch-ekm/ValueSet/ChEkmCountryCodes"/>
      </item>
      <item>
        <extension
                   url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
          <valueExpression>
            <language value="text/fhirpath"/>
            <expression value="%homeOrFirstAddress.state"/>
          </valueExpression>
        </extension>
        <linkId value="canton"/>
        <definition
                    value="http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmPersonForm#ChEkmPersonForm.canton"/>
        <text value="Canton">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de-CH"/>
            </extension>
            <extension url="content">
              <valueString value="Kanton"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr-CH"/>
            </extension>
            <extension url="content">
              <valueString value="Canton"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="it-CH"/>
            </extension>
            <extension url="content">
              <valueString value="Cantone"/>
            </extension>
          </extension>
        </text>
        <type value="open-choice"/>
        <answerValueSet
                        value="http://fhir.ch/ig/ch-core/ValueSet/ech-7-cantonabbreviation"/>
      </item>
      <item>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="radio-button"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation">
          <valueCode value="horizontal"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
          <valueExpression>
            <language value="text/fhirpath"/>
            <expression value="%patient.gender"/>
          </valueExpression>
        </extension>
        <linkId value="administrativeGender"/>
        <definition
                    value="http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmPersonForm#ChEkmPersonForm.administrativeGender"/>
        <text value="Gender">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de-CH"/>
            </extension>
            <extension url="content">
              <valueString value="Geschlecht"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr-CH"/>
            </extension>
            <extension url="content">
              <valueString value="Sexe"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="it-CH"/>
            </extension>
            <extension url="content">
              <valueString value="Sesso"/>
            </extension>
          </extension>
        </text>
        <type value="choice"/>
        <required value="true"/>
        <answerValueSet
                        value="http://hl7.org/fhir/ValueSet/administrative-gender">🔗 
          <extension
                     url="http://hl7.org/fhir/tools/StructureDefinition/binding-parameter">
            <extension url="name">
              <valueCode value="useSupplement"/>
            </extension>
            <extension url="expression">
              <valueString
                           value="http://fhir.ch/ig/ch-ekm/CodeSystem/ch-ekm-administrative-gender-language-supplement"/>
            </extension>
          </extension>
        </answerValueSet>
      </item>
    </item>
    <item>
      <linkId value="manifestation-group"/>
      <text value="Diagnosis and manifestation">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-CH"/>
          </extension>
          <extension url="content">
            <valueString value="Diagnose und Manifestation"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-CH"/>
          </extension>
          <extension url="content">
            <valueString value="Diagnostic et manifestation"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="it-CH"/>
          </extension>
          <extension url="content">
            <valueString value="Diagnosi e manifestazione"/>
          </extension>
        </extension>
      </text>
      <type value="group"/>
      <item>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation">
          <valueCode value="horizontal"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="radio-button"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <linkId value="manifestation"/>
        <definition
                    value="http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmMpoxManifestationForm#ChEkmMpoxManifestationForm.manifestation"/>
        <text value="Manifestations">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de-CH"/>
            </extension>
            <extension url="content">
              <valueString value="Manifestationen"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr-CH"/>
            </extension>
            <extension url="content">
              <valueString value="Manifestations"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="it-CH"/>
            </extension>
            <extension url="content">
              <valueString value="Manifestazioni"/>
            </extension>
          </extension>
        </text>
        <type value="choice"/>
        <answerValueSet
                        value="http://fhir.ch/ig/ch-ekm/ValueSet/ChEkmMpoxManifestation">🔗 
          <extension
                     url="http://hl7.org/fhir/tools/StructureDefinition/binding-parameter">
            <extension url="name">
              <valueCode value="useSupplement"/>
            </extension>
            <extension url="expression">
              <valueString
                           value="http://fhir.ch/ig/ch-ekm/CodeSystem/ch-ekm-snomed-language-supplement"/>
            </extension>
          </extension>
        </answerValueSet>
      </item>
      <item>
        <linkId value="manifestationBeginUnknown"/>
        <definition
                    value="http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmManifestationForm#ChEkmManifestationForm.manifestationBeginUnknown"/>
        <text value="Onset of manifestation unknown">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de-CH"/>
            </extension>
            <extension url="content">
              <valueString value="Manifestationsbeginn unbekannt"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr-CH"/>
            </extension>
            <extension url="content">
              <valueString value="Début des manifestations inconnu"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="it-CH"/>
            </extension>
            <extension url="content">
              <valueString value="Inizio delle manifestazioni sconosciuto"/>
            </extension>
          </extension>
        </text>
        <type value="boolean"/>
        <initial>
          <valueBoolean value="false"/>
        </initial>
      </item>
      <item>
        <linkId value="manifestationBeginDate"/>
        <definition
                    value="http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmManifestationForm#ChEkmManifestationForm.manifestationBeginDate"/>
        <text value="Onset of manifestation (date)">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de-CH"/>
            </extension>
            <extension url="content">
              <valueString value="Manifestationsbeginn (Datum)"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr-CH"/>
            </extension>
            <extension url="content">
              <valueString value="Début des manifestations (date)"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="it-CH"/>
            </extension>
            <extension url="content">
              <valueString value="Inizio delle manifestazioni (data)"/>
            </extension>
          </extension>
        </text>
        <type value="date"/>
        <enableWhen>
          <question value="manifestationBeginUnknown"/>
          <operator value="="/>
          <answerBoolean value="false"/>
        </enableWhen>
      </item>
    </item>
    <item>
      <linkId value="exposure"/>
      <text value="Exposure">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-CH"/>
          </extension>
          <extension url="content">
            <valueString value="Exposition"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-CH"/>
          </extension>
          <extension url="content">
            <valueString value="Exposition"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="it-CH"/>
          </extension>
          <extension url="content">
            <valueString value="Esposizione"/>
          </extension>
        </extension>
      </text>
      <type value="group"/>
      <item>
        <linkId value="transmission"/>
        <text value="How (route of transmission)">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de-CH"/>
            </extension>
            <extension url="content">
              <valueString value="Wie (Übertragungsweg)"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr-CH"/>
            </extension>
            <extension url="content">
              <valueString value="Comment (voie de transmission)"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="it-CH"/>
            </extension>
            <extension url="content">
              <valueString value="Come (via di trasmissione)"/>
            </extension>
          </extension>
        </text>
        <type value="group"/>
        <item>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
            <valueCodeableConcept>
              <coding>
                <system
                        value="http://hl7.org/fhir/questionnaire-item-control"/>
                <code value="radio-button"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation">
            <valueCode value="horizontal"/>
          </extension>
          <linkId value="sexualContactPartner"/>
          <definition
                      value="http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmGonorrhoeaExpositionForm#ChEkmGonorrhoeaExpositionForm.transmission.sexualContactPartner"/>
          <text value="Sexual contact with an infected person (gender)">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de-CH"/>
              </extension>
              <extension url="content">
                <valueString
                             value="Sexualkontakt mit infizierter Person (Geschlecht)"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="fr-CH"/>
              </extension>
              <extension url="content">
                <valueString
                             value="Rapport sexuel avec une personne infectée (sexe)"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="it-CH"/>
              </extension>
              <extension url="content">
                <valueString
                             value="Rapporto sessuale con una persona infetta (sesso)"/>
              </extension>
            </extension>
          </text>
          <type value="choice"/>
          <answerValueSet
                          value="http://hl7.org/fhir/ValueSet/administrative-gender"/>
        </item>
        <item>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
            <valueCodeableConcept>
              <coding>
                <system
                        value="http://hl7.org/fhir/questionnaire-item-control"/>
                <code value="radio-button"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation">
            <valueCode value="horizontal"/>
          </extension>
          <linkId value="relationshipType"/>
          <definition
                      value="http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmGonorrhoeaExpositionForm#ChEkmGonorrhoeaExpositionForm.transmission.relationshipType"/>
          <text value="Type of relationship">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de-CH"/>
              </extension>
              <extension url="content">
                <valueString value="Art der Beziehung"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="fr-CH"/>
              </extension>
              <extension url="content">
                <valueString value="Type de relation"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="it-CH"/>
              </extension>
              <extension url="content">
                <valueString value="Tipo di relazione"/>
              </extension>
            </extension>
          </text>
          <type value="choice"/>
          <answerValueSet
                          value="http://fhir.ch/ig/ch-ekm/ValueSet/ChEkmExposureRelationshipType"/>
        </item>
        <item>
          <linkId value="otherTransmission"/>
          <definition
                      value="http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmGonorrhoeaExpositionForm#ChEkmGonorrhoeaExpositionForm.transmission.otherTransmission"/>
          <text value="Other route of transmission (free text)">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de-CH"/>
              </extension>
              <extension url="content">
                <valueString value="Anderer Übertragungsweg (Freitext)"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="fr-CH"/>
              </extension>
              <extension url="content">
                <valueString
                             value="Autre voie de transmission (texte libre)"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="it-CH"/>
              </extension>
              <extension url="content">
                <valueString
                             value="Altra via di trasmissione (testo libero)"/>
              </extension>
            </extension>
          </text>
          <type value="string"/>
        </item>
        <item>
          <linkId value="unknown"/>
          <definition
                      value="http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmGonorrhoeaExpositionForm#ChEkmGonorrhoeaExpositionForm.transmission.unknown"/>
          <text value="Route of transmission unknown">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de-CH"/>
              </extension>
              <extension url="content">
                <valueString value="Übertragungsweg unbekannt"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="fr-CH"/>
              </extension>
              <extension url="content">
                <valueString value="Voie de transmission inconnue"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="it-CH"/>
              </extension>
              <extension url="content">
                <valueString value="Via di trasmissione sconosciuta"/>
              </extension>
            </extension>
          </text>
          <type value="boolean"/>
        </item>
      </item>
    </item>
    <item>
      <linkId value="treatingPhysician"/>
      <text value="Treating physician">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-CH"/>
          </extension>
          <extension url="content">
            <valueString value="Behandelnde Ärztin / behandelnder Arzt"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-CH"/>
          </extension>
          <extension url="content">
            <valueString value="Médecin traitant"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="it-CH"/>
          </extension>
          <extension url="content">
            <valueString value="Medico curante"/>
          </extension>
        </extension>
      </text>
      <type value="group"/>
      <item>
        <linkId value="treatingPhysicianPractitioner"/>
        <text value="Treating physician">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de-CH"/>
            </extension>
            <extension url="content">
              <valueString value="Behandelnde Ärztin / behandelnder Arzt"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr-CH"/>
            </extension>
            <extension url="content">
              <valueString value="Médecin traitant"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="it-CH"/>
            </extension>
            <extension url="content">
              <valueString value="Medico curante"/>
            </extension>
          </extension>
        </text>
        <type value="group"/>
        <item>
          <extension
                     url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
            <valueExpression>
              <language value="text/fhirpath"/>
              <expression
                          value="%user.practitioner.resolve().name.first().given.first()"/>
            </valueExpression>
          </extension>
          <linkId value="physicianGivenname"/>
          <definition
                      value="http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianPractitionerForm#ChEkmTreatingPhysicianPractitionerForm.givenname"/>
          <text value="First name">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de-CH"/>
              </extension>
              <extension url="content">
                <valueString value="Vorname"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="fr-CH"/>
              </extension>
              <extension url="content">
                <valueString value="Prénom"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="it-CH"/>
              </extension>
              <extension url="content">
                <valueString value="Nome"/>
              </extension>
            </extension>
          </text>
          <type value="string"/>
          <required value="true"/>
        </item>
        <item>
          <extension
                     url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
            <valueExpression>
              <language value="text/fhirpath"/>
              <expression
                          value="%user.practitioner.resolve().name.first().family"/>
            </valueExpression>
          </extension>
          <linkId value="physicianSurname"/>
          <definition
                      value="http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianPractitionerForm#ChEkmTreatingPhysicianPractitionerForm.surname"/>
          <text value="Last name">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de-CH"/>
              </extension>
              <extension url="content">
                <valueString value="Name"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="fr-CH"/>
              </extension>
              <extension url="content">
                <valueString value="Nom"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="it-CH"/>
              </extension>
              <extension url="content">
                <valueString value="Cognome"/>
              </extension>
            </extension>
          </text>
          <type value="string"/>
          <required value="true"/>
        </item>
        <item>
          <extension
                     url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
            <valueExpression>
              <language value="text/fhirpath"/>
              <expression
                          value="%user.practitioner.resolve().address.where(use='work').combine(%user.practitioner.resolve().address).first().line.first()"/>
            </valueExpression>
          </extension>
          <linkId value="physicianStreetLine"/>
          <definition
                      value="http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianPractitionerForm#ChEkmTreatingPhysicianPractitionerForm.streetLine"/>
          <text value="Address (street, house number)">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de-CH"/>
              </extension>
              <extension url="content">
                <valueString value="Adresse (Strasse, Hausnummer)"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="fr-CH"/>
              </extension>
              <extension url="content">
                <valueString value="Adresse (rue, numéro)"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="it-CH"/>
              </extension>
              <extension url="content">
                <valueString value="Indirizzo (via, numero civico)"/>
              </extension>
            </extension>
          </text>
          <type value="string"/>
        </item>
        <item>
          <extension
                     url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
            <valueExpression>
              <language value="text/fhirpath"/>
              <expression
                          value="%user.practitioner.resolve().address.where(use='work').combine(%user.practitioner.resolve().address).first().postalCode"/>
            </valueExpression>
          </extension>
          <linkId value="physicianZipCode"/>
          <definition
                      value="http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianPractitionerForm#ChEkmTreatingPhysicianPractitionerForm.zipCode"/>
          <text value="Postal code">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de-CH"/>
              </extension>
              <extension url="content">
                <valueString value="PLZ"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="fr-CH"/>
              </extension>
              <extension url="content">
                <valueString value="NPA"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="it-CH"/>
              </extension>
              <extension url="content">
                <valueString value="NAP"/>
              </extension>
            </extension>
          </text>
          <type value="string"/>
          <required value="true"/>
        </item>
        <item>
          <extension
                     url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
            <valueExpression>
              <language value="text/fhirpath"/>
              <expression
                          value="%user.practitioner.resolve().address.where(use='work').combine(%user.practitioner.resolve().address).first().city"/>
            </valueExpression>
          </extension>
          <linkId value="physicianCity"/>
          <definition
                      value="http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianPractitionerForm#ChEkmTreatingPhysicianPractitionerForm.city"/>
          <text value="Town/city">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de-CH"/>
              </extension>
              <extension url="content">
                <valueString value="Ort"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="fr-CH"/>
              </extension>
              <extension url="content">
                <valueString value="Localité"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="it-CH"/>
              </extension>
              <extension url="content">
                <valueString value="Località"/>
              </extension>
            </extension>
          </text>
          <type value="string"/>
          <required value="true"/>
        </item>
        <item>
          <extension
                     url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
            <valueExpression>
              <language value="text/fhirpath"/>
              <expression
                          value="%user.practitioner.resolve().telecom.where(system='phone').value.first()"/>
            </valueExpression>
          </extension>
          <linkId value="physicianPhone"/>
          <definition
                      value="http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianPractitionerForm#ChEkmTreatingPhysicianPractitionerForm.phone"/>
          <text value="Phone number">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de-CH"/>
              </extension>
              <extension url="content">
                <valueString value="Telefonnummer"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="fr-CH"/>
              </extension>
              <extension url="content">
                <valueString value="Numéro de téléphone"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="it-CH"/>
              </extension>
              <extension url="content">
                <valueString value="Numero di telefono"/>
              </extension>
            </extension>
          </text>
          <type value="string"/>
          <required value="true"/>
        </item>
        <item>
          <extension
                     url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
            <valueExpression>
              <language value="text/fhirpath"/>
              <expression
                          value="%user.practitioner.resolve().telecom.where(system='email').value.first()"/>
            </valueExpression>
          </extension>
          <linkId value="physicianEmail"/>
          <definition
                      value="http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianPractitionerForm#ChEkmTreatingPhysicianPractitionerForm.email"/>
          <text value="Email">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de-CH"/>
              </extension>
              <extension url="content">
                <valueString value="E-Mail"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="fr-CH"/>
              </extension>
              <extension url="content">
                <valueString value="E-mail"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="it-CH"/>
              </extension>
              <extension url="content">
                <valueString value="E-mail"/>
              </extension>
            </extension>
          </text>
          <type value="string"/>
        </item>
        <item>
          <extension
                     url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
            <valueExpression>
              <language value="text/fhirpath"/>
              <expression
                          value="%user.practitioner.resolve().identifier.where(system='urn:oid:2.51.1.3').value.first()"/>
            </valueExpression>
          </extension>
          <linkId value="physicianGln"/>
          <definition
                      value="http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianPractitionerForm#ChEkmTreatingPhysicianPractitionerForm.gln"/>
          <text value="GLN">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de-CH"/>
              </extension>
              <extension url="content">
                <valueString value="GLN"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="fr-CH"/>
              </extension>
              <extension url="content">
                <valueString value="GLN"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="it-CH"/>
              </extension>
              <extension url="content">
                <valueString value="GLN"/>
              </extension>
            </extension>
          </text>
          <type value="string"/>
        </item>
      </item>
      <item>
        <linkId value="treatingPhysicianOrganization"/>
        <text value="Sending organisation">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de-CH"/>
            </extension>
            <extension url="content">
              <valueString value="Absendende Organisation"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr-CH"/>
            </extension>
            <extension url="content">
              <valueString value="Organisation émettrice"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="it-CH"/>
            </extension>
            <extension url="content">
              <valueString value="Organizzazione mittente"/>
            </extension>
          </extension>
        </text>
        <type value="group"/>
        <item>
          <extension
                     url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
            <valueExpression>
              <language value="text/fhirpath"/>
              <expression value="%user.organization.resolve().name"/>
            </valueExpression>
          </extension>
          <linkId value="orgName"/>
          <definition
                      value="http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianOrganizationForm#ChEkmTreatingPhysicianOrganizationForm.name"/>
          <text value="Name">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de-CH"/>
              </extension>
              <extension url="content">
                <valueString value="Name"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="fr-CH"/>
              </extension>
              <extension url="content">
                <valueString value="Nom"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="it-CH"/>
              </extension>
              <extension url="content">
                <valueString value="Nome"/>
              </extension>
            </extension>
          </text>
          <type value="string"/>
          <required value="true"/>
        </item>
        <item>
          <extension
                     url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
            <valueExpression>
              <language value="text/fhirpath"/>
              <expression
                          value="%user.organization.resolve().extension.where(url='http://fhir.ch/ig/ch-ekm/StructureDefinition/ch-ekm-ext-department').valueString"/>
            </valueExpression>
          </extension>
          <linkId value="orgDepartment"/>
          <definition
                      value="http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianOrganizationForm#ChEkmTreatingPhysicianOrganizationForm.department"/>
          <text value="Department">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de-CH"/>
              </extension>
              <extension url="content">
                <valueString value="Abteilung"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="fr-CH"/>
              </extension>
              <extension url="content">
                <valueString value="Service"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="it-CH"/>
              </extension>
              <extension url="content">
                <valueString value="Reparto"/>
              </extension>
            </extension>
          </text>
          <type value="string"/>
        </item>
        <item>
          <extension
                     url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
            <valueExpression>
              <language value="text/fhirpath"/>
              <expression
                          value="%user.organization.resolve().address.first().line.first()"/>
            </valueExpression>
          </extension>
          <linkId value="orgStreetLine"/>
          <definition
                      value="http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianOrganizationForm#ChEkmTreatingPhysicianOrganizationForm.streetLine"/>
          <text value="Address (street, house number)">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de-CH"/>
              </extension>
              <extension url="content">
                <valueString value="Adresse (Strasse, Hausnummer)"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="fr-CH"/>
              </extension>
              <extension url="content">
                <valueString value="Adresse (rue, numéro)"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="it-CH"/>
              </extension>
              <extension url="content">
                <valueString value="Indirizzo (via, numero civico)"/>
              </extension>
            </extension>
          </text>
          <type value="string"/>
        </item>
        <item>
          <extension
                     url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
            <valueExpression>
              <language value="text/fhirpath"/>
              <expression
                          value="%user.organization.resolve().address.first().postalCode"/>
            </valueExpression>
          </extension>
          <linkId value="orgZipCode"/>
          <definition
                      value="http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianOrganizationForm#ChEkmTreatingPhysicianOrganizationForm.zipCode"/>
          <text value="Postal code">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de-CH"/>
              </extension>
              <extension url="content">
                <valueString value="PLZ"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="fr-CH"/>
              </extension>
              <extension url="content">
                <valueString value="NPA"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="it-CH"/>
              </extension>
              <extension url="content">
                <valueString value="NAP"/>
              </extension>
            </extension>
          </text>
          <type value="string"/>
          <required value="true"/>
        </item>
        <item>
          <extension
                     url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
            <valueExpression>
              <language value="text/fhirpath"/>
              <expression
                          value="%user.organization.resolve().address.first().city"/>
            </valueExpression>
          </extension>
          <linkId value="orgCity"/>
          <definition
                      value="http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianOrganizationForm#ChEkmTreatingPhysicianOrganizationForm.city"/>
          <text value="Town/city">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de-CH"/>
              </extension>
              <extension url="content">
                <valueString value="Ort"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="fr-CH"/>
              </extension>
              <extension url="content">
                <valueString value="Localité"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="it-CH"/>
              </extension>
              <extension url="content">
                <valueString value="Località"/>
              </extension>
            </extension>
          </text>
          <type value="string"/>
          <required value="true"/>
        </item>
        <item>
          <extension
                     url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
            <valueExpression>
              <language value="text/fhirpath"/>
              <expression
                          value="%user.organization.resolve().telecom.where(system='phone').value.first()"/>
            </valueExpression>
          </extension>
          <linkId value="orgPhone"/>
          <definition
                      value="http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianOrganizationForm#ChEkmTreatingPhysicianOrganizationForm.phone"/>
          <text value="Phone number">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de-CH"/>
              </extension>
              <extension url="content">
                <valueString value="Telefonnummer"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="fr-CH"/>
              </extension>
              <extension url="content">
                <valueString value="Numéro de téléphone"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="it-CH"/>
              </extension>
              <extension url="content">
                <valueString value="Numero di telefono"/>
              </extension>
            </extension>
          </text>
          <type value="string"/>
          <required value="true"/>
        </item>
        <item>
          <extension
                     url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
            <valueExpression>
              <language value="text/fhirpath"/>
              <expression
                          value="%user.organization.resolve().telecom.where(system='email').value.first()"/>
            </valueExpression>
          </extension>
          <linkId value="orgEmail"/>
          <definition
                      value="http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianOrganizationForm#ChEkmTreatingPhysicianOrganizationForm.email"/>
          <text value="Email">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de-CH"/>
              </extension>
              <extension url="content">
                <valueString value="E-Mail"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="fr-CH"/>
              </extension>
              <extension url="content">
                <valueString value="E-mail"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="it-CH"/>
              </extension>
              <extension url="content">
                <valueString value="E-mail"/>
              </extension>
            </extension>
          </text>
          <type value="string"/>
        </item>
        <item>
          <extension
                     url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
            <valueExpression>
              <language value="text/fhirpath"/>
              <expression
                          value="%user.organization.resolve().identifier.where(system='urn:oid:2.16.756.5.45').value.first()"/>
            </valueExpression>
          </extension>
          <linkId value="orgBer"/>
          <definition
                      value="http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianOrganizationForm#ChEkmTreatingPhysicianOrganizationForm.ber"/>
          <text value="BER">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de-CH"/>
              </extension>
              <extension url="content">
                <valueString value="BUR"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="fr-CH"/>
              </extension>
              <extension url="content">
                <valueString value="REE"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="it-CH"/>
              </extension>
              <extension url="content">
                <valueString value="RIS"/>
              </extension>
            </extension>
          </text>
          <type value="string"/>
        </item>
        <item>
          <extension
                     url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
            <valueExpression>
              <language value="text/fhirpath"/>
              <expression
                          value="%user.organization.resolve().identifier.where(system='urn:oid:2.51.1.3').value.first()"/>
            </valueExpression>
          </extension>
          <linkId value="orgGln"/>
          <definition
                      value="http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmTreatingPhysicianOrganizationForm#ChEkmTreatingPhysicianOrganizationForm.gln"/>
          <text value="GLN">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de-CH"/>
              </extension>
              <extension url="content">
                <valueString value="GLN"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="fr-CH"/>
              </extension>
              <extension url="content">
                <valueString value="GLN"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="it-CH"/>
              </extension>
              <extension url="content">
                <valueString value="GLN"/>
              </extension>
            </extension>
          </text>
          <type value="string"/>
        </item>
      </item>
    </item>
  </item>
</Questionnaire>