CH ORF (R4)
3.0.0 - trial-use
CH ORF (R4), published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 3.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7ch/ch-orf/ and changes regularly. See the Directory of published versions
<Bundle xmlns="http://hl7.org/fhir">
<id value="radiology-order"/>
<meta>
<profile
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-document"/>
</meta>
<language value="de-CH"/>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:ac5fcff4-6f4c-4281-bc7c-451ee1047f15"/>
</identifier>
<type value="document"/>
<timestamp value="2023-06-13T11:57:36+00:00"/>
<entry>
<fullUrl value="urn:uuid:c868aef5-ec90-4f43-be40-e5230fa49815"/>
<resource>
<Composition>
<language value="de-CH"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="de-CH" lang="de-CH"><a name="Composition_null"> </a><p class="res-header-id"><b>Generated Narrative: Composition </b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Language: de-CH</p></div><p><b>CH ORF Receiver</b>: <a href="Bundle-radiology-order.html#urn-uuid-b09d7c4d-a7b1-443c-8c3b-4d01675ad970">Bundle: identifier = UUID:ac5fcff4-6f4c-4281-bc7c-451ee1047f15; type = document; timestamp = 2023-06-13 11:57:36+0000</a></p><blockquote><p><b>EPR Data Enterer</b></p><ul><li>enterer: <a href="Bundle-radiology-order.html#urn-uuid-b6d4abb9-8c83-4d76-89d0-547c0b269f6d">Bundle: identifier = UUID:ac5fcff4-6f4c-4281-bc7c-451ee1047f15; type = document; timestamp = 2023-06-13 11:57:36+0000</a></li></ul></blockquote><p><b>CH ORF Copy Receiver</b>: <a href="Bundle-radiology-order.html#urn-uuid-6e46d994-9eca-4c8f-a0e3-98c5911d45e2">Bundle: identifier = UUID:ac5fcff4-6f4c-4281-bc7c-451ee1047f15; type = document; timestamp = 2023-06-13 11:57:36+0000</a></p><p><b>status</b>: Final</p><p><b>type</b>: <span title="Codes:{http://snomed.info/sct 419891008}">Record artifact (record artifact)</span></p><p><b>category</b>: <span title="Codes:{http://snomed.info/sct 721963009}">Order (record artifact)</span></p><p><b>date</b>: 2023-06-13 11:57:36+0000</p><p><b>author</b>: <a href="Bundle-radiology-order.html#urn-uuid-de8d3b4f-1a57-48c0-9b03-a758ff8f2d2f">Bundle: identifier = UUID:ac5fcff4-6f4c-4281-bc7c-451ee1047f15; type = document; timestamp = 2023-06-13 11:57:36+0000</a></p><p><b>title</b>: Order and Referral by Form</p></div>
</text>
<extension
url="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-receiver">
<valueReference>
<reference value="urn:uuid:b09d7c4d-a7b1-443c-8c3b-4d01675ad970"/>
</valueReference>
</extension>
<extension
url="http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-dataenterer">
<extension url="enterer">
<valueReference>
<reference
value="urn:uuid:b6d4abb9-8c83-4d76-89d0-547c0b269f6d"/>
</valueReference>
</extension>
</extension>
<extension
url="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-copyreceiver">
<valueReference>
<reference value="urn:uuid:6e46d994-9eca-4c8f-a0e3-98c5911d45e2"/>
</valueReference>
</extension>
<status value="final"/>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="419891008"/>
</coding>
</type>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="721963009"/>
</coding>
</category>
<subject>
<reference value="urn:uuid:6e46d994-9eca-4c8f-a0e3-98c5911d45e2"/>
</subject>
<date value="2023-06-13T11:57:36+00:00"/>
<author>
<reference value="urn:uuid:de8d3b4f-1a57-48c0-9b03-a758ff8f2d2f"/>
</author>
<title value="Order and Referral by Form"/>
<section>
<title value="Order-Referral"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="93037-0"/>
<display value="Portable medical order form"/>
</coding>
</code>
<entry>
<reference value="urn:uuid:1fa2627b-3cd4-4992-94e8-823610ed903e"/>
</entry>
<entry>
<reference value="urn:uuid:bc5ac105-cdfe-49c0-b92b-fb378bed4f29"/>
</entry>
<entry>🔗
<reference
value="http://fhir.ch/ig/ch-orf/Questionnaire/order-referral-form"/>
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:6e46d994-9eca-4c8f-a0e3-98c5911d45e2"/>
<resource>
<Patient>
<language value="de-CH"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="de-CH" lang="de-CH"><a name="Patient_null"> </a><p class="res-header-id"><b>Generated Narrative: Patient </b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Language: de-CH</p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Susanna Ufferer Female, DoB: 1970-03-14</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Alternate names (see the one above)">Alt. Name:</td><td colspan="3">Leidend (Name changed for Marriage)</td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3"><ul><li>ph: 079 979 79 79</li><li><a href="mailto:susanna@ufferer.ch">susanna@ufferer.ch</a></li><li>Musterweg 6a Zürich 8000 Schweiz </li></ul></td></tr></table></div>
</text>
<name>
<family value="Ufferer"/>
<given value="Susanna"/>
</name>
<name>
<use value="maiden"/>
<family value="Leidend"/>
</name>
<telecom>
<system value="phone"/>
<value value="079 979 79 79"/>
</telecom>
<telecom>
<system value="email"/>
<value value="susanna@ufferer.ch"/>
</telecom>
<gender value="female"/>
<birthDate value="1970-03-14"/>
<address>
<line value="Musterweg"/>
<line value="6a"/>
<city value="Zürich"/>
<postalCode value="8000"/>
<country value="Schweiz"/>
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:1fa2627b-3cd4-4992-94e8-823610ed903e"/>
<resource>
<QuestionnaireResponse>
<meta>
<profile
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-questionnaireresponse"/>
</meta>
<language value="de-CH"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="de-CH" lang="de-CH"><a name="QuestionnaireResponse_null"> </a><p class="res-header-id"><b>Generated Narrative: QuestionnaireResponse </b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Language: de-CH</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ch-orf-questionnaireresponse.html">CH ORF QuestionnaireResponse</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 : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="The linkID for the item">LinkID</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Text for the item">Text</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Minimum and Maximum # of times the item can appear in the instance">Definition</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="The type of the item">Answer</a><span style="float: right"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3goXBCwdPqAP0wAAAldJREFUOMuNk0tIlFEYhp9z/vE2jHkhxXA0zJCMitrUQlq4lnSltEqCFhFG2MJFhIvIFpkEWaTQqjaWZRkp0g26URZkTpbaaOJkDqk10szoODP//7XIMUe0elcfnPd9zsfLOYplGrpRwZaqTtw3K7PtGem7Q6FoidbGgqHVy/HRb669R+56zx7eRV1L31JGxYbBtjKK93cxeqfyQHbehkZbUkK20goELEuIzEd+dHS+qz/Y8PTSif0FnGkbiwcAjHaU1+QWOptFiyCLp/LnKptpqIuXHx6rbR26kJcBX3yLgBfnd7CxwJmflpP2wUg0HIAoUUpZBmKzELGWcN8nAr6Gpu7tLU/CkwAaoKTWRSQyt89Q8w6J+oVQkKnBoblH7V0PPvUOvDYXfopE/SJmALsxnVm6LbkotrUtNowMeIrVrBcBpaMmdS0j9df7abpSuy7HWehwJdt1lhVwi/J58U5beXGAF6c3UXLycw1wdFklArBn87xdh0ZsZtArghBdAA3+OEDVubG4UEzP6x1FOWneHh2VDAHBAt80IbdXDcesNoCvs3E5AFyNSU5nbrDPZpcUEQQTFZiEVx+51fxMhhyJEAgvlriadIJZZksRuwBYMOPBbO3hePVVqgEJhFeUuFLhIPkRP6BQLIBrmMenujm/3g4zc398awIe90Zb5A1vREALqneMcYgP/xVQWlG+Ncu5vgwwlaUNx+3799rfe96u9K0JSDXcOzOTJg4B6IgmXfsygc7/Bvg9g9E58/cDVmGIBOP/zT8Bz1zqWqpbXIsd0O9hajXfL6u4BaOS6SeWAAAAAElFTkSuQmCC" 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 : 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="QuestionnaireResponseRoot" class="hierarchy"/> </td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Questionnaire:<a href="Questionnaire-order-referral-form.html">Order Referral 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 : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.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"/> order</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Auftrag</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : 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 : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.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="Item" class="hierarchy"/> order.placerOrderIdentifier</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Auftragsnummer des Auftraggebers</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">2156286</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.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="Item" class="hierarchy"/> order.placerOrderIdentifierDomain</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Identifier Domain der Auftragsnummer des Auftraggebers</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">urn:oid:2.999.1.3.4.5.6.7</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.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="Item" class="hierarchy"/> order.priority</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Auftragspriorität</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span><span><a href="http://hl7.org/fhir/R4/codesystem-request-priority.html#request-priority-routine">RequestPriority routine</a>: Routine</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.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"/> receiver</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Empfänger</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : 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 : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" class="hierarchy"><img src="tbl_spacer.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-group.png" alt="." style="background-color: white; background-color: inherit" title="Group" class="hierarchy"/> receiver.practitioner</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Empfangende Person</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : 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 : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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="Item" class="hierarchy"/> receiver.practitioner.title</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Titel</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Dr. med.</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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="Item" class="hierarchy"/> receiver.practitioner.familyName</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Name</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Rderfiller</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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="Item" class="hierarchy"/> receiver.practitioner.givenName</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Vorname</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Otto</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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="Item" class="hierarchy"/> receiver.practitioner.gln</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GLN</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">7601000201041</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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="Item" class="hierarchy"/> receiver.practitioner.phone</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Telefon</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">044 412 00 99</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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="Item" class="hierarchy"/> receiver.practitioner.email</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">E-Mail</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">o.rderfiller@happyhospital.ch</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101.png)" class="hierarchy"><img src="tbl_spacer.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: #F7F7F7; background-color: inherit" title="Group" class="hierarchy"/> receiver.organization</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Empfangende Organisation</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : 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 : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" class="hierarchy"><img src="tbl_spacer.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: white; background-color: inherit" title="Item" class="hierarchy"/> receiver.organization.name</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Name der Organisation</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Klinik Happy Hospital</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" class="hierarchy"><img src="tbl_spacer.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="Item" class="hierarchy"/> receiver.organization.streetAddressLine</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Strasse, Hausnummer, Postfach etc.</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : 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 : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" class="hierarchy"><img src="tbl_spacer.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: white; background-color: inherit" title="Item" class="hierarchy"/> receiver.organization.postalCode</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">PLZ</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">8000</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" class="hierarchy"><img src="tbl_spacer.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="Item" class="hierarchy"/> receiver.organization.city</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Ort</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Zürich</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1000.png)" class="hierarchy"><img src="tbl_spacer.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-string.png" alt="." style="background-color: white; background-color: inherit" title="Item" class="hierarchy"/> receiver.organization.country</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Land</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Schweiz</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.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"/> patient</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Patient</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : 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 : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.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="Item" class="hierarchy"/> patient.familyName</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Name</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Ufferer</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.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="Item" class="hierarchy"/> patient.maidenName</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Ledigname</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Leidend</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.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="Item" class="hierarchy"/> patient.givenName</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Vorname</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Susanna</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.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="Item" class="hierarchy"/> patient.birthDate</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Geburtsdatum</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1970-03-14</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.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="Item" class="hierarchy"/> patient.gender</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Geschlecht</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span><span><a href="http://hl7.org/fhir/R4/codesystem-administrative-gender.html#administrative-gender-female">AdministrativeGender female</a>: Female</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.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="Item" class="hierarchy"/> patient.phone</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Telefon</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">079 979 79 79</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.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="Item" class="hierarchy"/> patient.email</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">E-Mail</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">susanna@ufferer.ch</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.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="Item" class="hierarchy"/> patient.streetAddressLine</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Strasse, Hausnummer, Postfach etc.</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : 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 : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.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="Item" class="hierarchy"/> patient.postalCode</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">PLZ</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">8000</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.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="Item" class="hierarchy"/> patient.city</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Ort</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Zürich</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.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="Item" class="hierarchy"/> patient.country</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Land</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Schweiz</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.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"/> sender</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Absender</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : 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 : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" class="hierarchy"><img src="tbl_spacer.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-group.png" alt="." style="background-color: white; background-color: inherit" title="Group" class="hierarchy"/> sender.author</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Verantwortlicher</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : 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 : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1111.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Group" class="hierarchy"/> sender.author.practitioner</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Verantwortliche Person</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : 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 : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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="Item" class="hierarchy"/> sender.author.practitioner.title</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Titel</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Dr. med.</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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="Item" class="hierarchy"/> sender.author.practitioner.familyName</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Name</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Rderplacer</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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="Item" class="hierarchy"/> sender.author.practitioner.givenName</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Vorname</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Ottilie</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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="Item" class="hierarchy"/> sender.author.practitioner.gln</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GLN</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">7601000618627</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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="Item" class="hierarchy"/> sender.author.practitioner.phone</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Telefon</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">044 333 22 11</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> sender.author.practitioner.email</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">E-Mail</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">o.rderplacer@happydoctors.ch</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1101.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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"/> sender.author.organization</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Verantwortliche Organisation</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : 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 : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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="Item" class="hierarchy"/> sender.author.organization.name</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Name der Organisation</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Praxis Happy Doctors</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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: white; background-color: inherit" title="Item" class="hierarchy"/> sender.author.organization.streetAddressLine</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Strasse, Hausnummer, Postfach etc.</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : 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 : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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="Item" class="hierarchy"/> sender.author.organization.postalCode</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">PLZ</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">8000</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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: white; background-color: inherit" title="Item" class="hierarchy"/> sender.author.organization.city</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Ort</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Zürich</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11000.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> sender.author.organization.country</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Land</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Schweiz</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101.png)" class="hierarchy"><img src="tbl_spacer.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"/> sender.dataenterer</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Erfasser</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : 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 : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1001.png)" class="hierarchy"><img src="tbl_spacer.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-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Group" class="hierarchy"/> sender.dataenterer.practitioner</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Erfassende Person</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : 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 : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10010.png)" class="hierarchy"><img src="tbl_spacer.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_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="Item" class="hierarchy"/> sender.dataenterer.practitioner.familyName</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Name</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Ataenterer</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10010.png)" class="hierarchy"><img src="tbl_spacer.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_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="Item" class="hierarchy"/> sender.dataenterer.practitioner.givenName</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Vorname</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Doris</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10010.png)" class="hierarchy"><img src="tbl_spacer.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_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="Item" class="hierarchy"/> sender.dataenterer.practitioner.phone</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Telefon</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">044 333 22 11</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10000.png)" class="hierarchy"><img src="tbl_spacer.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_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: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> sender.dataenterer.practitioner.email</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">E-Mail</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">d.ataenterer@happydoctors.ch</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)" 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: white; background-color: inherit" title="Group" class="hierarchy"/> receiverCopy</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Kopieempfänger (Kopie dieses Auftrags und aller daraus resultierenden Resultate)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : 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 : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)" 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-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> receiverCopy.patient</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Patient selbst</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">true</td></tr>
<tr><td colspan="4" class="hierarchy"><br/><a href="http://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>
<questionnaire
value="http://fhir.ch/ig/ch-orf/Questionnaire/order-referral-form"/>
<status value="completed"/>
<item>
<linkId value="order"/>
<text value="Auftrag"/>
<item>
<linkId value="order.placerOrderIdentifier"/>
<text value="Auftragsnummer des Auftraggebers"/>
<answer>
<valueString value="2156286"/>
</answer>
</item>
<item>
<linkId value="order.placerOrderIdentifierDomain"/>
<text
value="Identifier Domain der Auftragsnummer des Auftraggebers"/>
<answer>
<valueString value="urn:oid:2.999.1.3.4.5.6.7"/>
</answer>
</item>
<item>
<linkId value="order.priority"/>
<text value="Auftragspriorität"/>
<answer>
<valueCoding>
<system value="http://hl7.org/fhir/request-priority"/>
<code value="routine"/>
</valueCoding>
</answer>
</item>
</item>
<item>
<linkId value="receiver"/>
<text value="Empfänger"/>
<item>
<linkId value="receiver.practitioner"/>
<text value="Empfangende Person"/>
<item>
<linkId value="receiver.practitioner.title"/>
<text value="Titel"/>
<answer>
<valueString value="Dr. med."/>
</answer>
</item>
<item>
<linkId value="receiver.practitioner.familyName"/>
<text value="Name"/>
<answer>
<valueString value="Rderfiller"/>
</answer>
</item>
<item>
<linkId value="receiver.practitioner.givenName"/>
<text value="Vorname"/>
<answer>
<valueString value="Otto"/>
</answer>
</item>
<item>
<linkId value="receiver.practitioner.gln"/>
<text value="GLN"/>
<answer>
<valueString value="7601000201041"/>
</answer>
</item>
<item>
<linkId value="receiver.practitioner.phone"/>
<text value="Telefon"/>
<answer>
<valueString value="044 412 00 99"/>
</answer>
</item>
<item>
<linkId value="receiver.practitioner.email"/>
<text value="E-Mail"/>
<answer>
<valueString value="o.rderfiller@happyhospital.ch"/>
</answer>
</item>
</item>
<item>
<linkId value="receiver.organization"/>
<text value="Empfangende Organisation"/>
<item>
<linkId value="receiver.organization.name"/>
<text value="Name der Organisation"/>
<answer>
<valueString value="Klinik Happy Hospital"/>
</answer>
</item>
<item>
<linkId value="receiver.organization.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<answer>
<valueString value="Seestrasse 133"/>
</answer>
<answer>
<valueString value="Haus C"/>
</answer>
</item>
<item>
<linkId value="receiver.organization.postalCode"/>
<text value="PLZ"/>
<answer>
<valueString value="8000"/>
</answer>
</item>
<item>
<linkId value="receiver.organization.city"/>
<text value="Ort"/>
<answer>
<valueString value="Zürich"/>
</answer>
</item>
<item>
<linkId value="receiver.organization.country"/>
<text value="Land"/>
<answer>
<valueString value="Schweiz"/>
</answer>
</item>
</item>
</item>
<item>
<linkId value="patient"/>
<text value="Patient"/>
<item>
<linkId value="patient.familyName"/>
<text value="Name"/>
<answer>
<valueString value="Ufferer"/>
</answer>
</item>
<item>
<linkId value="patient.maidenName"/>
<text value="Ledigname"/>
<answer>
<valueString value="Leidend"/>
</answer>
</item>
<item>
<linkId value="patient.givenName"/>
<text value="Vorname"/>
<answer>
<valueString value="Susanna"/>
</answer>
</item>
<item>
<linkId value="patient.birthDate"/>
<text value="Geburtsdatum"/>
<answer>
<valueDate value="1970-03-14"/>
</answer>
</item>
<item>
<linkId value="patient.gender"/>
<text value="Geschlecht"/>
<answer>
<valueCoding>
<system value="http://hl7.org/fhir/administrative-gender"/>
<code value="female"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="patient.phone"/>
<text value="Telefon"/>
<answer>
<valueString value="079 979 79 79"/>
</answer>
</item>
<item>
<linkId value="patient.email"/>
<text value="E-Mail"/>
<answer>
<valueString value="susanna@ufferer.ch"/>
</answer>
</item>
<item>
<linkId value="patient.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<answer>
<valueString value="Musterweg"/>
</answer>
<answer>
<valueString value="6a"/>
</answer>
</item>
<item>
<linkId value="patient.postalCode"/>
<text value="PLZ"/>
<answer>
<valueString value="8000"/>
</answer>
</item>
<item>
<linkId value="patient.city"/>
<text value="Ort"/>
<answer>
<valueString value="Zürich"/>
</answer>
</item>
<item>
<linkId value="patient.country"/>
<text value="Land"/>
<answer>
<valueString value="Schweiz"/>
</answer>
</item>
</item>
<item>
<linkId value="sender"/>
<text value="Absender"/>
<item>
<linkId value="sender.author"/>
<text value="Verantwortlicher"/>
<item>
<linkId value="sender.author.practitioner"/>
<text value="Verantwortliche Person"/>
<item>
<linkId value="sender.author.practitioner.title"/>
<text value="Titel"/>
<answer>
<valueString value="Dr. med."/>
</answer>
</item>
<item>
<linkId value="sender.author.practitioner.familyName"/>
<text value="Name"/>
<answer>
<valueString value="Rderplacer"/>
</answer>
</item>
<item>
<linkId value="sender.author.practitioner.givenName"/>
<text value="Vorname"/>
<answer>
<valueString value="Ottilie"/>
</answer>
</item>
<item>
<linkId value="sender.author.practitioner.gln"/>
<text value="GLN"/>
<answer>
<valueString value="7601000618627"/>
</answer>
</item>
<item>
<linkId value="sender.author.practitioner.phone"/>
<text value="Telefon"/>
<answer>
<valueString value="044 333 22 11"/>
</answer>
</item>
<item>
<linkId value="sender.author.practitioner.email"/>
<text value="E-Mail"/>
<answer>
<valueString value="o.rderplacer@happydoctors.ch"/>
</answer>
</item>
</item>
<item>
<linkId value="sender.author.organization"/>
<text value="Verantwortliche Organisation"/>
<item>
<linkId value="sender.author.organization.name"/>
<text value="Name der Organisation"/>
<answer>
<valueString value="Praxis Happy Doctors"/>
</answer>
</item>
<item>
<linkId value="sender.author.organization.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<answer>
<valueString value="Kantonsstrasse 14"/>
</answer>
<answer>
<valueString value="Postfach 14"/>
</answer>
</item>
<item>
<linkId value="sender.author.organization.postalCode"/>
<text value="PLZ"/>
<answer>
<valueString value="8000"/>
</answer>
</item>
<item>
<linkId value="sender.author.organization.city"/>
<text value="Ort"/>
<answer>
<valueString value="Zürich"/>
</answer>
</item>
<item>
<linkId value="sender.author.organization.country"/>
<text value="Land"/>
<answer>
<valueString value="Schweiz"/>
</answer>
</item>
</item>
</item>
<item>
<linkId value="sender.dataenterer"/>
<text value="Erfasser"/>
<item>
<linkId value="sender.dataenterer.practitioner"/>
<text value="Erfassende Person"/>
<item>
<linkId value="sender.dataenterer.practitioner.familyName"/>
<text value="Name"/>
<answer>
<valueString value="Ataenterer"/>
</answer>
</item>
<item>
<linkId value="sender.dataenterer.practitioner.givenName"/>
<text value="Vorname"/>
<answer>
<valueString value="Doris"/>
</answer>
</item>
<item>
<linkId value="sender.dataenterer.practitioner.phone"/>
<text value="Telefon"/>
<answer>
<valueString value="044 333 22 11"/>
</answer>
</item>
<item>
<linkId value="sender.dataenterer.practitioner.email"/>
<text value="E-Mail"/>
<answer>
<valueString value="d.ataenterer@happydoctors.ch"/>
</answer>
</item>
</item>
</item>
</item>
<item>
<linkId value="receiverCopy"/>
<text
value="Kopieempfänger (Kopie dieses Auftrags und aller daraus resultierenden Resultate)"/>
<item>
<linkId value="receiverCopy.patient"/>
<text value="Patient selbst"/>
<answer>
<valueBoolean value="true"/>
</answer>
</item>
</item>
</QuestionnaireResponse>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:bc5ac105-cdfe-49c0-b92b-fb378bed4f29"/>
<resource>
<ServiceRequest>
<language value="de-CH"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="de-CH" lang="de-CH"><a name="ServiceRequest_null"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest </b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Language: de-CH</p></div><p><b>identifier</b>: Placer Identifier/2156286</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>priority</b>: Routine</p><p><b>subject</b>: <a href="Bundle-radiology-order.html#urn-uuid-6e46d994-9eca-4c8f-a0e3-98c5911d45e2">Bundle: identifier = UUID:ac5fcff4-6f4c-4281-bc7c-451ee1047f15; type = document; timestamp = 2023-06-13 11:57:36+0000</a></p><p><b>requester</b>: <a href="Bundle-radiology-order.html#urn-uuid-de8d3b4f-1a57-48c0-9b03-a758ff8f2d2f">Bundle: identifier = UUID:ac5fcff4-6f4c-4281-bc7c-451ee1047f15; type = document; timestamp = 2023-06-13 11:57:36+0000</a></p></div>
</text>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PLAC"/>
</coding>
</type>
<system value="urn:oid:2.999.1.3.4.5.6.7"/>
<value value="2156286"/>
</identifier>
<status value="active"/>
<intent value="order"/>
<priority value="routine"/>
<subject>
<reference value="urn:uuid:6e46d994-9eca-4c8f-a0e3-98c5911d45e2"/>
</subject>
<requester>
<reference value="urn:uuid:de8d3b4f-1a57-48c0-9b03-a758ff8f2d2f"/>
</requester>
</ServiceRequest>
</resource>
</entry>
<entry>
<fullUrl
value="http://fhir.ch/ig/ch-orf/Questionnaire/order-referral-form"/>
<resource>
<Questionnaire>
<id value="order-referral-form"/>
<meta>
<versionId value="42"/>
<lastUpdated value="2023-06-12T21:11:39.305+00:00"/>
<source value="#dQEVCLkxu8TKSXYI"/>
<profile
value="http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-questionnaire"/>
<profile
value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire"/>
<profile
value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-extr-smap"/>
<profile
value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-pop-exp"/>
</meta>
<language value="de-CH"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="de-CH" lang="de-CH"><a name="Questionnaire_order-referral-form"> </a><p class="res-header-id"><b>Generated Narrative: Questionnaire order-referral-form</b></p><a name="order-referral-form"> </a><a name="hcorder-referral-form"> </a><a name="order-referral-form-en-US"> </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">version: 42; Last updated: 2023-06-12 21:11:39+0000; Language: de-CH; </p><p style="margin-bottom: 0px">Information Source: #dQEVCLkxu8TKSXYI</p><p style="margin-bottom: 0px">Profiles: <a href="StructureDefinition-ch-orf-questionnaire.html">CH ORF Questionnaire</a>, <a href="http://hl7.org/fhir/uv/sdc/STU3/StructureDefinition-sdc-questionnaire.html">SDCBaseQuestionnaire</a>, <a href="http://hl7.org/fhir/uv/sdc/STU3/StructureDefinition-sdc-questionnaire-extr-smap.html">Extractable Questionnaire - StructureMap</a>, <a href="http://hl7.org/fhir/uv/sdc/STU3/StructureDefinition-sdc-questionnaire-pop-exp.html">Populatable Questionnaire - Expression</a></p></div><p><b>Target structure map</b>: <a href="StructureMap-OrfQrToBundle.html">OrfQrToBundle</a></p><blockquote><p><b>Launch context resources</b></p><ul><li>name: <a href="http://hl7.org/fhir/uv/sdc/STU3/CodeSystem-launchContext.html#launchContext-patient">Launch Context patient</a>: Patient</li><li>type: Patient</li></ul></blockquote><blockquote><p><b>Launch context resources</b></p><ul><li>name: <a href="http://hl7.org/fhir/uv/sdc/STU3/CodeSystem-launchContext.html#launchContext-user">Launch Context user</a>: User</li><li>type: Practitioner</li><li>description: The practitioner that is to be used to pre-populate the form</li></ul></blockquote><p><b>Assembled From Questionnaire</b>: <code>http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-order|1.1.0</code></p><p><b>Assembled From Questionnaire</b>: <code>http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-practitioner-nametel|1.1.0</code></p><p><b>Assembled From Questionnaire</b>: <code>http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-receiver|1.1.0</code></p><p><b>Assembled From Questionnaire</b>: <code>http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-address|1.1.0</code></p><p><b>Assembled From Questionnaire</b>: <code>http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-initiator|1.1.0</code></p><p><b>Assembled From Questionnaire</b>: <code>http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-patient|1.1.0</code></p><p><b>Assembled From Questionnaire</b>: <code>http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-familydoctor|1.1.0</code></p><p><b>Assembled From Questionnaire</b>: <code>http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-requestedencounter|1.1.0</code></p><p><b>Assembled From Questionnaire</b>: <code>http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-coverage|1.1.0</code></p><p><b>Assembled From Questionnaire</b>: <code>http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-sender|1.1.0</code></p><p><b>Assembled From Questionnaire</b>: <code>http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-receivercopy|1.1.0</code></p><p><b>Assembled From Questionnaire</b>: <code>http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-appointment|1.1.0</code></p><p><b>Assembled From Questionnaire</b>: <code>http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-consent|1.1.0</code></p><p><b>url</b>: <a href="Questionnaire-order-referral-form.html">Questionnaire Order Referral Form</a></p><p><b>version</b>: 1.1.0-assembled</p><p><b>name</b>: OrderReferralForm</p><p><b>title</b>: Order Referral Form</p><p><b>status</b>: Active</p><p><b>subjectType</b>: Patient</p><p><b>date</b>: 2022-07-07</p><p><b>publisher</b>: HL7 Switzerland</p><p><b>contact</b>: HL7 Switzerland: <a href="https://www.hl7.ch/">https://www.hl7.ch/</a></p><p><b>jurisdiction</b>: <span title="Codes:{urn:iso:std:iso:3166 CH}">Switzerland</span></p><p><b>copyright</b>: </p><div><p>CC-BY-SA-4.0</p>
</div><blockquote><p><b>item</b></p><p><b>linkId</b>: order</p><p><b>text</b>: Auftrag</p><p><b>type</b>: Group</p><p><b>required</b>: true</p><blockquote><p><b>item</b></p><p><b>linkId</b>: order.authoredOn</p><p><b>text</b>: Datum/Zeit der Auftragserteilung</p><p><b>type</b>: Date Time</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.placerOrderIdentifier</p><p><b>text</b>: Auftragsnummer des Auftraggebers</p><p><b>type</b>: String</p></blockquote><blockquote><p><b>item</b></p><p><b>Questionnaire Hidden</b>: true</p><p><b>linkId</b>: order.placerOrderIdentifierDomain</p><p><b>text</b>: Identifier Domain der Auftragsnummer des Auftraggebers</p><p><b>type</b>: String</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.fillerOrderIdentifier</p><p><b>text</b>: Auftragsnummer des Auftragsempfängers</p><p><b>type</b>: String</p></blockquote><blockquote><p><b>item</b></p><p><b>Questionnaire Hidden</b>: true</p><p><b>linkId</b>: order.fillerOrderIdentifierDomain</p><p><b>text</b>: Identifier Domain der Auftragsnummer des Auftragsempfängers</p><p><b>type</b>: String</p></blockquote><blockquote><p><b>item</b></p><p><b>Questionnaire Hidden</b>: true</p><p><b>linkId</b>: order.precedentDocumentIdentifier</p><p><b>text</b>: Identifier des Vorgängerdokuments</p><p><b>type</b>: String</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.notificationContactDocument</p><p><b>text</b>: Dringender Benachrichtigungskontakt für dieses Dokument</p><p><b>type</b>: Group</p><blockquote><p><b>item</b></p><p><b>Variable</b>: <span title="text/fhirpath"><code>'order.notificationContactDocument.practitioner.'</code></span>(<b>linkIdPrefix</b>)</p><p><b>linkId</b>: order.notificationContactDocument.practitioner</p><p><b>text</b>: Zu benachrichtigende Person</p><p><b>type</b>: Group</p><h3>Items</h3><table class="grid"><tr><td style="display: none">-</td><td><b>LinkId</b></td><td><b>Text</b></td><td><b>Type</b></td></tr><tr><td style="display: none">*</td><td>order.notificationContactDocument.practitioner.title</td><td>Titel</td><td>String</td></tr><tr><td style="display: none">*</td><td>order.notificationContactDocument.practitioner.familyName</td><td>Name</td><td>String</td></tr><tr><td style="display: none">*</td><td>order.notificationContactDocument.practitioner.givenName</td><td>Vorname</td><td>String</td></tr><tr><td style="display: none">*</td><td>order.notificationContactDocument.practitioner.phone</td><td>Telefon</td><td>String</td></tr><tr><td style="display: none">*</td><td>order.notificationContactDocument.practitioner.email</td><td>E-Mail</td><td>String</td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.notificationContactDocumentResponse</p><p><b>text</b>: Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument</p><p><b>type</b>: Group</p><blockquote><p><b>item</b></p><p><b>Variable</b>: <span title="text/fhirpath"><code>'order.notificationContactDocumentResponse.practitioner.'</code></span>(<b>linkIdPrefix</b>)</p><p><b>linkId</b>: order.notificationContactDocumentResponse.practitioner</p><p><b>text</b>: Zu benachrichtigende Person</p><p><b>type</b>: Group</p><h3>Items</h3><table class="grid"><tr><td style="display: none">-</td><td><b>LinkId</b></td><td><b>Text</b></td><td><b>Type</b></td></tr><tr><td style="display: none">*</td><td>order.notificationContactDocumentResponse.practitioner.title</td><td>Titel</td><td>String</td></tr><tr><td style="display: none">*</td><td>order.notificationContactDocumentResponse.practitioner.familyName</td><td>Name</td><td>String</td></tr><tr><td style="display: none">*</td><td>order.notificationContactDocumentResponse.practitioner.givenName</td><td>Vorname</td><td>String</td></tr><tr><td style="display: none">*</td><td>order.notificationContactDocumentResponse.practitioner.phone</td><td>Telefon</td><td>String</td></tr><tr><td style="display: none">*</td><td>order.notificationContactDocumentResponse.practitioner.email</td><td>E-Mail</td><td>String</td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: order.priority</p><p><b>text</b>: Auftragspriorität</p><p><b>type</b>: Choice</p><blockquote><p><b>answerOption</b></p><p><b>value</b>: <a href="http://hl7.org/fhir/R4/codesystem-request-priority.html#request-priority-routine">RequestPriority routine</a>: Die Anfrage hat normale Priorität.</p><p><b>initialSelected</b>: true</p></blockquote><blockquote><p><b>answerOption</b></p><p><b>value</b>: <a href="http://hl7.org/fhir/R4/codesystem-request-priority.html#request-priority-urgent">RequestPriority urgent</a>: Die Anfrage sollte dringend bearbeitet werden - höhere Priorität als normal.</p></blockquote><blockquote><p><b>answerOption</b></p><p><b>value</b>: <a href="http://hl7.org/fhir/R4/codesystem-request-priority.html#request-priority-asap">RequestPriority asap</a>: Die Anfrage sollte so schnell wie möglich bearbeitet werden - höhere Priorität als dringend.</p></blockquote><blockquote><p><b>answerOption</b></p><p><b>value</b>: <a href="http://hl7.org/fhir/R4/codesystem-request-priority.html#request-priority-stat">RequestPriority stat</a>: Die Anfrage sollte sofort bearbeitet werden - höchstmögliche Priorität. Z.B. bei einem Notfall.</p></blockquote></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiver</p><p><b>text</b>: Empfänger</p><p><b>type</b>: Group</p><blockquote><p><b>item</b></p><p><b>linkId</b>: receiver.practitioner</p><p><b>text</b>: Empfangende Person</p><p><b>type</b>: Group</p><h3>Items</h3><table class="grid"><tr><td style="display: none">-</td><td><b>LinkId</b></td><td><b>Text</b></td><td><b>Type</b></td></tr><tr><td style="display: none">*</td><td>receiver.practitioner.title</td><td>Titel</td><td>String</td></tr><tr><td style="display: none">*</td><td>receiver.practitioner.familyName</td><td>Name</td><td>String</td></tr><tr><td style="display: none">*</td><td>receiver.practitioner.givenName</td><td>Vorname</td><td>String</td></tr><tr><td style="display: none">*</td><td>receiver.practitioner.gln</td><td>GLN</td><td>String</td></tr><tr><td style="display: none">*</td><td>receiver.practitioner.zsr</td><td>ZSR (fr/it: RCC)</td><td>String</td></tr><tr><td style="display: none">*</td><td>receiver.practitioner.phone</td><td>Telefon</td><td>String</td></tr><tr><td style="display: none">*</td><td>receiver.practitioner.email</td><td>E-Mail</td><td>String</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>Variable</b>: <span title="text/fhirpath"><code>'receiver.organization.'</code></span>(<b>linkIdPrefix</b>)</p><p><b>linkId</b>: receiver.organization</p><p><b>text</b>: Empfangende Organisation</p><p><b>type</b>: Group</p><h3>Items</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Extension</b></td><td><b>LinkId</b></td><td><b>Text</b></td><td><b>Type</b></td><td><b>Repeats</b></td></tr><tr><td style="display: none">*</td><td> </td><td>receiver.organization.name</td><td>Name der Organisation</td><td>String</td><td> </td></tr><tr><td style="display: none">*</td><td> </td><td>receiver.organization.gln</td><td>GLN</td><td>String</td><td> </td></tr><tr><td style="display: none">*</td><td/><td>receiver.organization.streetAddressLine</td><td>Strasse, Hausnummer, Postfach etc.</td><td>String</td><td>true</td></tr><tr><td style="display: none">*</td><td/><td>receiver.organization.postalCode</td><td>PLZ</td><td>String</td><td> </td></tr><tr><td style="display: none">*</td><td/><td>receiver.organization.city</td><td>Ort</td><td>String</td><td> </td></tr><tr><td style="display: none">*</td><td/><td>receiver.organization.country</td><td>Land</td><td>String</td><td> </td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: initiator</p><p><b>text</b>: Initiant dieser Anmeldung</p><p><b>type</b>: Group</p><blockquote><p><b>item</b></p><p><b>linkId</b>: initiator.legalrelation</p><p><b>text</b>: Juristische Beziehung zum Patienten</p><p><b>type</b>: Choice</p><blockquote><p><b>answerOption</b></p><p><b>value</b>: <a href="http://snomed.info/id/373068000">SNOMED CT 373068000</a>: Nicht definiert</p></blockquote><blockquote><p><b>answerOption</b></p><p><b>value</b>: <a href="http://snomed.info/id/58626002">SNOMED CT 58626002</a>: Gesetzlicher Vertreter</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: initiator.personalrelation</p><p><b>text</b>: Persönliche Beziehung zum Patienten?</p><p><b>type</b>: Choice</p><blockquote><p><b>answerOption</b></p><p><b>value</b>: <a href="http://snomed.info/id/66089001">SNOMED CT 66089001</a>: Tochter</p></blockquote><blockquote><p><b>answerOption</b></p><p><b>value</b>: <a href="http://snomed.info/id/65616008">SNOMED CT 65616008</a>: Sohn</p></blockquote><blockquote><p><b>answerOption</b></p><p><b>value</b>: <a href="http://snomed.info/id/127849001">SNOMED CT 127849001</a>: Ehemann</p></blockquote><blockquote><p><b>answerOption</b></p><p><b>value</b>: <a href="http://snomed.info/id/127850001">SNOMED CT 127850001</a>: Ehefrau</p></blockquote><blockquote><p><b>answerOption</b></p><p><b>value</b>: <a href="http://snomed.info/id/394921008">SNOMED CT 394921008</a>: Partner (eingetragene Partnerschaft)</p></blockquote><blockquote><p><b>answerOption</b></p><p><b>value</b>: <a href="http://snomed.info/id/70924004">SNOMED CT 70924004</a>: Bruder</p></blockquote><blockquote><p><b>answerOption</b></p><p><b>value</b>: <a href="http://snomed.info/id/27733009">SNOMED CT 27733009</a>: Schwester</p></blockquote><blockquote><p><b>answerOption</b></p><p><b>value</b>: <a href="http://snomed.info/id/72705000">SNOMED CT 72705000</a>: Mutter</p></blockquote><blockquote><p><b>answerOption</b></p><p><b>value</b>: <a href="http://snomed.info/id/66839005">SNOMED CT 66839005</a>: Vater</p></blockquote><blockquote><p><b>answerOption</b></p><p><b>value</b>: <a href="http://snomed.info/id/48385004">SNOMED CT 48385004</a>: Bekannt</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: initiator.practitionerRole</p><p><b>text</b>: Gesundheitsfachperson oder -organisation</p><p><b>type</b>: Group</p><blockquote><p><b>item</b></p><p><b>Variable</b>: <span title="text/fhirpath"><code>'initiator.practitionerRole.practitioner.'</code></span>(<b>linkIdPrefix</b>)</p><p><b>linkId</b>: initiator.practitionerRole.practitioner</p><p><b>text</b>: Gesundheitsfachperson</p><p><b>type</b>: Group</p><h3>Items</h3><table class="grid"><tr><td style="display: none">-</td><td><b>LinkId</b></td><td><b>Text</b></td><td><b>Type</b></td></tr><tr><td style="display: none">*</td><td>initiator.practitionerRole.practitioner.title</td><td>Titel</td><td>String</td></tr><tr><td style="display: none">*</td><td>initiator.practitionerRole.practitioner.familyName</td><td>Name</td><td>String</td></tr><tr><td style="display: none">*</td><td>initiator.practitionerRole.practitioner.givenName</td><td>Vorname</td><td>String</td></tr><tr><td style="display: none">*</td><td>initiator.practitionerRole.practitioner.phone</td><td>Telefon</td><td>String</td></tr><tr><td style="display: none">*</td><td>initiator.practitionerRole.practitioner.email</td><td>E-Mail</td><td>String</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>Variable</b>: <span title="text/fhirpath"><code>'initiator.practitionerRole.organization.'</code></span>(<b>linkIdPrefix</b>)</p><p><b>linkId</b>: initiator.practitionerRole.organization</p><p><b>text</b>: Gesundheitsorganisatiton</p><p><b>type</b>: Group</p><h3>Items</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Extension</b></td><td><b>LinkId</b></td><td><b>Text</b></td><td><b>Type</b></td><td><b>Repeats</b></td></tr><tr><td style="display: none">*</td><td> </td><td>initiator.practitionerRole.organization.name</td><td>Name der Organisation</td><td>String</td><td> </td></tr><tr><td style="display: none">*</td><td/><td>initiator.practitionerRole.organization.streetAddressLine</td><td>Strasse, Hausnummer, Postfach etc.</td><td>String</td><td>true</td></tr><tr><td style="display: none">*</td><td/><td>initiator.practitionerRole.organization.postalCode</td><td>PLZ</td><td>String</td><td> </td></tr><tr><td style="display: none">*</td><td/><td>initiator.practitionerRole.organization.city</td><td>Ort</td><td>String</td><td> </td></tr><tr><td style="display: none">*</td><td/><td>initiator.practitionerRole.organization.country</td><td>Land</td><td>String</td><td> </td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: initiator.relatedPerson</p><p><b>text</b>: Andere Person</p><p><b>type</b>: Group</p><h3>Items</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Extension</b></td><td><b>LinkId</b></td><td><b>Text</b></td><td><b>Type</b></td><td><b>Repeats</b></td></tr><tr><td style="display: none">*</td><td/><td>initiator.relatedPerson.familyName</td><td>Name</td><td>String</td><td> </td></tr><tr><td style="display: none">*</td><td> </td><td>initiator.relatedPerson.givenName</td><td>Vorname</td><td>String</td><td> </td></tr><tr><td style="display: none">*</td><td> </td><td>initiator.relatedPerson.phone</td><td>Telefon</td><td>String</td><td>true</td></tr><tr><td style="display: none">*</td><td> </td><td>initiator.relatedPerson.email</td><td>E-Mail</td><td>String</td><td> </td></tr><tr><td style="display: none">*</td><td/><td>initiator.relatedPerson.streetAddressLine</td><td>Strasse, Hausnummer, Postfach etc.</td><td>String</td><td>true</td></tr><tr><td style="display: none">*</td><td/><td>initiator.relatedPerson.postalCode</td><td>PLZ</td><td>String</td><td> </td></tr><tr><td style="display: none">*</td><td/><td>initiator.relatedPerson.city</td><td>Ort</td><td>String</td><td> </td></tr><tr><td style="display: none">*</td><td/><td>initiator.relatedPerson.country</td><td>Land</td><td>String</td><td> </td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>Variable</b>: <span title="text/fhirpath"><code>'patient.'</code></span>(<b>linkIdPrefix</b>)</p><p><b>Variable</b>: <span title="text/fhirpath"><code>%patient.address</code></span>(<b>address</b>)</p><p><b>linkId</b>: patient</p><p><b>text</b>: Patient</p><p><b>type</b>: Group</p><p><b>required</b>: true</p><blockquote><p><b>item</b></p><p><b>initial.exists().not()</b>: <span title="text/fhirpath"><code>%patient.name.where(use='official').family</code></span></p><p><b>linkId</b>: patient.familyName</p><p><b>text</b>: Name</p><p><b>type</b>: String</p></blockquote><blockquote><p><b>item</b></p><p><b>initial.exists().not()</b>: <span title="text/fhirpath"><code>%patient.name.where(use='maiden').family</code></span></p><p><b>linkId</b>: patient.maidenName</p><p><b>text</b>: Ledigname</p><p><b>type</b>: String</p></blockquote><blockquote><p><b>item</b></p><p><b>initial.exists().not()</b>: <span title="text/fhirpath"><code>%patient.name.where(use='official').given</code></span></p><p><b>linkId</b>: patient.givenName</p><p><b>text</b>: Vorname</p><p><b>type</b>: String</p></blockquote><blockquote><p><b>item</b></p><p><b>initial.exists().not()</b>: <span title="text/fhirpath"><code>%patient.identifier.where(type.coding.where(system='http://terminology.hl7.org/CodeSystem/v2-0203' and code='MR').exists()).value</code></span></p><p><b>linkId</b>: patient.localPid</p><p><b>text</b>: Lokale Patienten-ID</p><p><b>type</b>: String</p></blockquote><blockquote><p><b>item</b></p><p><b>Questionnaire Hidden</b>: true</p><p><b>linkId</b>: patient.localPidDomain</p><p><b>text</b>: Lokale Patienten-ID Domain</p><p><b>type</b>: String</p></blockquote><blockquote><p><b>item</b></p><p><b>initial.exists().not()</b>: <span title="text/fhirpath"><code>%patient.birthDate</code></span></p><p><b>linkId</b>: patient.birthDate</p><p><b>text</b>: Geburtsdatum</p><p><b>type</b>: Date</p></blockquote><blockquote><p><b>item</b></p><p><b>initial.exists().not()</b>: <span title="text/fhirpath"><code>%questionnaire.repeat(item).where(linkId='patient.gender').answerOption.valueCoding.where(code=%patient.gender)</code></span></p><p><b>linkId</b>: patient.gender</p><p><b>text</b>: Geschlecht</p><p><b>type</b>: Choice</p><blockquote><p><b>answerOption</b></p><p><b>value</b>: <a href="http://hl7.org/fhir/R4/codesystem-administrative-gender.html#administrative-gender-male">AdministrativeGender male</a>: Männlich</p><p><b>initialSelected</b>: true</p></blockquote><blockquote><p><b>answerOption</b></p><p><b>value</b>: <a href="http://hl7.org/fhir/R4/codesystem-administrative-gender.html#administrative-gender-female">AdministrativeGender female</a>: Weiblich</p></blockquote><blockquote><p><b>answerOption</b></p><p><b>value</b>: <a href="http://hl7.org/fhir/R4/codesystem-administrative-gender.html#administrative-gender-other">AdministrativeGender other</a>: Anderes</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>initial.exists().not()</b>: <span title="text/fhirpath"><code>%patient.maritalStatus</code></span></p><p><b>linkId</b>: patient.maritalStatus</p><p><b>text</b>: Zivilstand</p><p><b>type</b>: Choice</p><blockquote><p><b>answerOption</b></p><p><b>value</b>: <a href="https://build.fhir.org/ig/hl7ch/ch-term/CodeSystem-ech-11-maritalstatus.html#ech-11-maritalstatus-1">eCH-011 MaritalStatus 1</a>: ledig</p></blockquote><blockquote><p><b>answerOption</b></p><p><b>value</b>: <a href="https://build.fhir.org/ig/hl7ch/ch-term/CodeSystem-ech-11-maritalstatus.html#ech-11-maritalstatus-2">eCH-011 MaritalStatus 2</a>: verheiratet</p></blockquote><blockquote><p><b>answerOption</b></p><p><b>value</b>: <a href="https://build.fhir.org/ig/hl7ch/ch-term/CodeSystem-ech-11-maritalstatus.html#ech-11-maritalstatus-3">eCH-011 MaritalStatus 3</a>: verwitwet</p></blockquote><blockquote><p><b>answerOption</b></p><p><b>value</b>: <a href="https://build.fhir.org/ig/hl7ch/ch-term/CodeSystem-ech-11-maritalstatus.html#ech-11-maritalstatus-4">eCH-011 MaritalStatus 4</a>: geschieden</p></blockquote><blockquote><p><b>answerOption</b></p><p><b>value</b>: <a href="https://build.fhir.org/ig/hl7ch/ch-term/CodeSystem-ech-11-maritalstatus.html#ech-11-maritalstatus-5">eCH-011 MaritalStatus 5</a>: unverheiratet</p></blockquote><blockquote><p><b>answerOption</b></p><p><b>value</b>: <a href="https://build.fhir.org/ig/hl7ch/ch-term/CodeSystem-ech-11-maritalstatus.html#ech-11-maritalstatus-6">eCH-011 MaritalStatus 6</a>: in eingetragener Partnerschaft</p></blockquote><blockquote><p><b>answerOption</b></p><p><b>value</b>: <a href="https://build.fhir.org/ig/hl7ch/ch-term/CodeSystem-ech-11-maritalstatus.html#ech-11-maritalstatus-7">eCH-011 MaritalStatus 7</a>: aufgelöste Partnerschaft</p></blockquote><blockquote><p><b>answerOption</b></p><p><b>value</b>: <a href="https://build.fhir.org/ig/hl7ch/ch-term/CodeSystem-ech-11-maritalstatus.html#ech-11-maritalstatus-9">eCH-011 MaritalStatus 9</a>: unbekannt</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>initial.exists().not()</b>: <span title="text/fhirpath"><code>%patient.telecom.where(system='phone').value</code></span></p><p><b>linkId</b>: patient.phone</p><p><b>text</b>: Telefon</p><p><b>type</b>: String</p><p><b>repeats</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>initial.exists().not()</b>: <span title="text/fhirpath"><code>%patient.telecom.where(system='email').value</code></span></p><p><b>linkId</b>: patient.email</p><p><b>text</b>: E-Mail</p><p><b>type</b>: String</p></blockquote><blockquote><p><b>item</b></p><p><b>initial.exists().not()</b>: <span title="text/fhirpath"><code>%address.line</code></span></p><p><b>linkId</b>: patient.streetAddressLine</p><p><b>text</b>: Strasse, Hausnummer, Postfach etc.</p><p><b>type</b>: String</p><p><b>repeats</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>initial.exists().not()</b>: <span title="text/fhirpath"><code>%address.postalCode</code></span></p><p><b>linkId</b>: patient.postalCode</p><p><b>text</b>: PLZ</p><p><b>type</b>: String</p></blockquote><blockquote><p><b>item</b></p><p><b>initial.exists().not()</b>: <span title="text/fhirpath"><code>%address.city</code></span></p><p><b>linkId</b>: patient.city</p><p><b>text</b>: Ort</p><p><b>type</b>: String</p></blockquote><blockquote><p><b>item</b></p><p><b>initial.exists().not()</b>: <span title="text/fhirpath"><code>%address.country</code></span></p><p><b>linkId</b>: patient.country</p><p><b>text</b>: Land</p><p><b>type</b>: String</p></blockquote><blockquote><p><b>item</b></p><p><b>initial.exists().not()</b>: <span title="text/fhirpath"><code>%patient.communication.where(preferred=true).language.coding</code></span></p><p><b>linkId</b>: patient.languageOfCorrespondence</p><p><b>text</b>: Korrespondenzsprache</p><p><b>type</b>: Choice</p><p><b>answerValueSet</b>: <a href="https://build.fhir.org/ig/hl7ch/ch-term/ValueSet-DocumentEntry.languageCode.html">DocumentEntry.languageCode</a></p></blockquote><blockquote><p><b>item</b></p><p><b>Variable</b>: <span title="text/fhirpath"><code>%patient.contact</code></span>(<b>contact</b>)</p><p><b>linkId</b>: patient.contactperson</p><p><b>text</b>: Kontaktperson</p><p><b>type</b>: Group</p><p><b>repeats</b>: true</p><h3>Items</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Extension</b></td><td><b>LinkId</b></td><td><b>Text</b></td><td><b>Type</b></td><td><b>Repeats</b></td></tr><tr><td style="display: none">*</td><td/><td>patient.contactperson.relationship</td><td>Beziehung</td><td>String</td><td> </td></tr><tr><td style="display: none">*</td><td/><td>patient.contactperson.familyName</td><td>Name</td><td>String</td><td> </td></tr><tr><td style="display: none">*</td><td/><td>patient.contactperson.givenName</td><td>Vorname</td><td>String</td><td> </td></tr><tr><td style="display: none">*</td><td/><td>patient.contactperson.phone</td><td>Telefon</td><td>String</td><td>true</td></tr><tr><td style="display: none">*</td><td/><td>patient.contactperson.email</td><td>E-Mail</td><td>String</td><td> </td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: familydoctor</p><p><b>text</b>: Hausarzt</p><p><b>type</b>: Group</p><blockquote><p><b>item</b></p><p><b>linkId</b>: familydoctor.practitioner</p><p><b>text</b>: Hausarzt Person</p><p><b>type</b>: Group</p><h3>Items</h3><table class="grid"><tr><td style="display: none">-</td><td><b>LinkId</b></td><td><b>Text</b></td><td><b>Type</b></td></tr><tr><td style="display: none">*</td><td>familydoctor.practitioner.title</td><td>Titel</td><td>String</td></tr><tr><td style="display: none">*</td><td>familydoctor.practitioner.familyName</td><td>Name</td><td>String</td></tr><tr><td style="display: none">*</td><td>familydoctor.practitioner.givenName</td><td>Vorname</td><td>String</td></tr><tr><td style="display: none">*</td><td>familydoctor.practitioner.gln</td><td>GLN</td><td>String</td></tr><tr><td style="display: none">*</td><td>familydoctor.practitioner.zsr</td><td>ZSR (fr/it: RCC)</td><td>String</td></tr><tr><td style="display: none">*</td><td>familydoctor.practitioner.phone</td><td>Telefon</td><td>String</td></tr><tr><td style="display: none">*</td><td>familydoctor.practitioner.email</td><td>E-Mail</td><td>String</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>Variable</b>: <span title="text/fhirpath"><code>'familydoctor.organization.'</code></span>(<b>linkIdPrefix</b>)</p><p><b>linkId</b>: familydoctor.organization</p><p><b>text</b>: Hausarzt Organisation</p><p><b>type</b>: Group</p><h3>Items</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Extension</b></td><td><b>LinkId</b></td><td><b>Text</b></td><td><b>Type</b></td><td><b>Repeats</b></td></tr><tr><td style="display: none">*</td><td> </td><td>familydoctor.organization.name</td><td>Name der Organisation</td><td>String</td><td> </td></tr><tr><td style="display: none">*</td><td> </td><td>familydoctor.organization.gln</td><td>GLN</td><td>String</td><td> </td></tr><tr><td style="display: none">*</td><td/><td>familydoctor.organization.streetAddressLine</td><td>Strasse, Hausnummer, Postfach etc.</td><td>String</td><td>true</td></tr><tr><td style="display: none">*</td><td/><td>familydoctor.organization.postalCode</td><td>PLZ</td><td>String</td><td> </td></tr><tr><td style="display: none">*</td><td/><td>familydoctor.organization.city</td><td>Ort</td><td>String</td><td> </td></tr><tr><td style="display: none">*</td><td/><td>familydoctor.organization.country</td><td>Land</td><td>String</td><td> </td></tr></table></blockquote></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: requestedEncounter</p><p><b>text</b>: Patientenaufnahme</p><p><b>type</b>: Group</p><blockquote><p><b>item</b></p><p><b>linkId</b>: requestedEncounter.class</p><p><b>text</b>: Voraussichtlich: Ambulant / Stationär / Notfall</p><p><b>type</b>: Choice</p><blockquote><p><b>answerOption</b></p><p><b>value</b>: <a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-AMB">ActCode AMB</a>: Ambulant</p></blockquote><blockquote><p><b>answerOption</b></p><p><b>value</b>: <a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-IMP">ActCode IMP</a>: Stationär</p></blockquote><blockquote><p><b>answerOption</b></p><p><b>value</b>: <a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-EMER">ActCode EMER</a>: Notfall</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: requestedEncounter.desiredAccommodation</p><p><b>text</b>: Zimmerkategorie</p><p><b>type</b>: Choice</p><blockquote><p><b>answerOption</b></p><p><b>value</b>: <a href="https://build.fhir.org/ig/hl7ch/ch-term/CodeSystem-bfs-medstats-21-encountertype.html#bfs-medstats-21-encountertype-1">BFS Medizinische Statistik - 21 1.3.V02 - Klasse / Classe / Classe 1</a>: allgemein</p></blockquote><blockquote><p><b>answerOption</b></p><p><b>value</b>: <a href="https://build.fhir.org/ig/hl7ch/ch-term/CodeSystem-bfs-medstats-21-encountertype.html#bfs-medstats-21-encountertype-2">BFS Medizinische Statistik - 21 1.3.V02 - Klasse / Classe / Classe 2</a>: halbprivat</p></blockquote><blockquote><p><b>answerOption</b></p><p><b>value</b>: <a href="https://build.fhir.org/ig/hl7ch/ch-term/CodeSystem-bfs-medstats-21-encountertype.html#bfs-medstats-21-encountertype-3">BFS Medizinische Statistik - 21 1.3.V02 - Klasse / Classe / Classe 3</a>: privat</p></blockquote></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage</p><p><b>text</b>: Kostenträger</p><p><b>type</b>: Group</p><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.beneficiary</p><p><b>text</b>: Begünstigter (Patient)</p><p><b>type</b>: Group</p><h3>Items</h3><table class="grid"><tr><td style="display: none">-</td><td><b>LinkId</b></td><td><b>Text</b></td><td><b>Type</b></td></tr><tr><td style="display: none">*</td><td>coverage.beneficiary.ahvn13</td><td>AHV-Nr. des Patienten (fr/it: AVS)</td><td>String</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.kvg</p><p><b>text</b>: Krankenkasse nach KVG (fr/it: LAMal)</p><p><b>type</b>: Group</p><h3>Items</h3><table class="grid"><tr><td style="display: none">-</td><td><b>LinkId</b></td><td><b>Text</b></td><td><b>Type</b></td></tr><tr><td style="display: none">*</td><td>coverage.kvg.name</td><td>Name der Versicherung</td><td>String</td></tr><tr><td style="display: none">*</td><td>coverage.kvg.insuranceCardNumber</td><td>Kennnummer der Versichertenkarte</td><td>String</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.uvg</p><p><b>text</b>: Unfallversicherung nach UVG (fr: LAA, it: LAINF)</p><p><b>type</b>: Group</p><h3>Items</h3><table class="grid"><tr><td style="display: none">-</td><td><b>LinkId</b></td><td><b>Text</b></td><td><b>Type</b></td></tr><tr><td style="display: none">*</td><td>coverage.uvg.name</td><td>Name der Versicherung</td><td>String</td></tr><tr><td style="display: none">*</td><td>coverage.uvg.claimNumber</td><td>Schadennummer</td><td>String</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.vvg</p><p><b>text</b>: Zusatzversicherung nach VVG (fr/it: LCA)</p><p><b>type</b>: Group</p><h3>Items</h3><table class="grid"><tr><td style="display: none">-</td><td><b>LinkId</b></td><td><b>Text</b></td><td><b>Type</b></td></tr><tr><td style="display: none">*</td><td>coverage.vvg.name</td><td>Name der Versicherung</td><td>String</td></tr><tr><td style="display: none">*</td><td>coverage.vvg.insuranceCardNumber</td><td>Kennnummer der Versichertenkarte</td><td>String</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.iv</p><p><b>text</b>: Invalidenversicherung IV (fr/it: AI)</p><p><b>type</b>: Group</p><h3>Items</h3><table class="grid"><tr><td style="display: none">-</td><td><b>LinkId</b></td><td><b>Text</b></td><td><b>Type</b></td></tr><tr><td style="display: none">*</td><td>coverage.iv.verfuegungsnummer</td><td>IV-Verfügungsnummer</td><td>String</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.mv</p><p><b>text</b>: Militärversicherung MV (fr/it: AM)</p><p><b>type</b>: Group</p><h3>Items</h3><table class="grid"><tr><td style="display: none">-</td><td><b>LinkId</b></td><td><b>Text</b></td><td><b>Type</b></td></tr><tr><td style="display: none">*</td><td>coverage.mv.versichertennummer</td><td>MV-Versichertennummer</td><td>String</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.self</p><p><b>text</b>: Selbstzahler</p><p><b>type</b>: Group</p><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.self.patient</p><p><b>text</b>: Patient selbst</p><p><b>type</b>: Boolean</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.self.patientRelatedPerson</p><p><b>text</b>: Andere Person</p><p><b>type</b>: Boolean</p><h3>EnableWhens</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Question</b></td><td><b>Operator</b></td><td><b>Answer[x]</b></td></tr><tr><td style="display: none">*</td><td>coverage.self.patient</td><td>Equals</td><td>false</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>Variable</b>: <span title="text/fhirpath"><code>'coverage.self.relatedPerson.'</code></span>(<b>linkIdPrefix</b>)</p><p><b>linkId</b>: coverage.self.relatedPerson</p><p><b>text</b>: Andere Person</p><p><b>type</b>: Group</p><h3>EnableWhens</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Question</b></td><td><b>Operator</b></td><td><b>Answer[x]</b></td></tr><tr><td style="display: none">*</td><td>coverage.self.patientRelatedPerson</td><td>Equals</td><td>true</td></tr></table><h3>Items</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Extension</b></td><td><b>LinkId</b></td><td><b>Text</b></td><td><b>Type</b></td><td><b>Repeats</b></td></tr><tr><td style="display: none">*</td><td> </td><td>coverage.self.relatedPerson.familyName</td><td>Name</td><td>String</td><td> </td></tr><tr><td style="display: none">*</td><td> </td><td>coverage.self.relatedPerson.givenName</td><td>Vorname</td><td>String</td><td> </td></tr><tr><td style="display: none">*</td><td> </td><td>coverage.self.relatedPerson.phone</td><td>Telefon</td><td>String</td><td>true</td></tr><tr><td style="display: none">*</td><td> </td><td>coverage.self.relatedPerson.email</td><td>E-Mail</td><td>String</td><td> </td></tr><tr><td style="display: none">*</td><td/><td>coverage.self.relatedPerson.streetAddressLine</td><td>Strasse, Hausnummer, Postfach etc.</td><td>String</td><td>true</td></tr><tr><td style="display: none">*</td><td/><td>coverage.self.relatedPerson.postalCode</td><td>PLZ</td><td>String</td><td> </td></tr><tr><td style="display: none">*</td><td/><td>coverage.self.relatedPerson.city</td><td>Ort</td><td>String</td><td> </td></tr><tr><td style="display: none">*</td><td/><td>coverage.self.relatedPerson.country</td><td>Land</td><td>String</td><td> </td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: coverage.other</p><p><b>text</b>: Anderer Kostenträger</p><p><b>type</b>: Group</p><h3>Items</h3><table class="grid"><tr><td style="display: none">-</td><td><b>LinkId</b></td><td><b>Text</b></td><td><b>Type</b></td></tr><tr><td style="display: none">*</td><td>coverage.other.name</td><td>Name des Kostenträgers</td><td>String</td></tr><tr><td style="display: none">*</td><td>coverage.other.id</td><td>Beliebige ID</td><td>String</td></tr><tr><td style="display: none">*</td><td>coverage.other.id.note</td><td>Bemerkung zur ID</td><td>String</td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: sender</p><p><b>text</b>: Absender</p><p><b>type</b>: Group</p><p><b>required</b>: true</p><blockquote><p><b>item</b></p><p><b>Variable</b>: <span title="application/x-fhir-query"><code>PractitionerRole?practitioner={{%user.id}}</code></span>(<b>senderPractitionerRoles</b>)</p><p><b>Variable</b>: <span title="text/fhirpath"><code>%senderPractitionerRoles.entry[0].resource</code></span>(<b>senderPractitionerRole</b>)</p><p><b>Variable</b>: <span title="application/x-fhir-query"><code>Organization?_id={{%senderPractitionerRole.organization.reference}}</code></span>(<b>senderOrganizations</b>)</p><p><b>Variable</b>: <span title="text/fhirpath"><code>%senderOrganizations.entry[0].resource</code></span>(<b>senderOrganization</b>)</p><p><b>Variable</b>: <span title="text/fhirpath"><code>%senderOrganization.address</code></span>(<b>address</b>)</p><p><b>linkId</b>: sender.author</p><p><b>text</b>: Verantwortlicher</p><p><b>type</b>: Group</p><p><b>required</b>: true</p><blockquote><p><b>item</b></p><p><b>linkId</b>: sender.author.practitioner</p><p><b>text</b>: Verantwortliche Person</p><p><b>type</b>: Group</p><h3>Items</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Extension</b></td><td><b>LinkId</b></td><td><b>Text</b></td><td><b>Type</b></td></tr><tr><td style="display: none">*</td><td> </td><td>sender.author.practitioner.title</td><td>Titel</td><td>String</td></tr><tr><td style="display: none">*</td><td/><td>sender.author.practitioner.familyName</td><td>Name</td><td>String</td></tr><tr><td style="display: none">*</td><td/><td>sender.author.practitioner.givenName</td><td>Vorname</td><td>String</td></tr><tr><td style="display: none">*</td><td/><td>sender.author.practitioner.gln</td><td>GLN</td><td>String</td></tr><tr><td style="display: none">*</td><td/><td>sender.author.practitioner.zsr</td><td>ZSR (fr/it: RCC)</td><td>String</td></tr><tr><td style="display: none">*</td><td/><td>sender.author.practitioner.phone</td><td>Telefon</td><td>String</td></tr><tr><td style="display: none">*</td><td/><td>sender.author.practitioner.email</td><td>E-Mail</td><td>String</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>Variable</b>: <span title="text/fhirpath"><code>'sender.author.organization.'</code></span>(<b>linkIdPrefix</b>)</p><p><b>linkId</b>: sender.author.organization</p><p><b>text</b>: Verantwortliche Organisation</p><p><b>type</b>: Group</p><h3>Items</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Extension</b></td><td><b>LinkId</b></td><td><b>Text</b></td><td><b>Type</b></td><td><b>Repeats</b></td></tr><tr><td style="display: none">*</td><td/><td>sender.author.organization.name</td><td>Name der Organisation</td><td>String</td><td> </td></tr><tr><td style="display: none">*</td><td/><td>sender.author.organization.gln</td><td>GLN</td><td>String</td><td> </td></tr><tr><td style="display: none">*</td><td/><td>sender.author.organization.streetAddressLine</td><td>Strasse, Hausnummer, Postfach etc.</td><td>String</td><td>true</td></tr><tr><td style="display: none">*</td><td/><td>sender.author.organization.postalCode</td><td>PLZ</td><td>String</td><td> </td></tr><tr><td style="display: none">*</td><td/><td>sender.author.organization.city</td><td>Ort</td><td>String</td><td> </td></tr><tr><td style="display: none">*</td><td/><td>sender.author.organization.country</td><td>Land</td><td>String</td><td> </td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: sender.dataenterer</p><p><b>text</b>: Erfasser</p><p><b>type</b>: Group</p><blockquote><p><b>item</b></p><p><b>Variable</b>: <span title="text/fhirpath"><code>'sender.dataenterer.practitioner.'</code></span>(<b>linkIdPrefix</b>)</p><p><b>linkId</b>: sender.dataenterer.practitioner</p><p><b>text</b>: Erfassende Person</p><p><b>type</b>: Group</p><h3>Items</h3><table class="grid"><tr><td style="display: none">-</td><td><b>LinkId</b></td><td><b>Text</b></td><td><b>Type</b></td></tr><tr><td style="display: none">*</td><td>sender.dataenterer.practitioner.title</td><td>Titel</td><td>String</td></tr><tr><td style="display: none">*</td><td>sender.dataenterer.practitioner.familyName</td><td>Name</td><td>String</td></tr><tr><td style="display: none">*</td><td>sender.dataenterer.practitioner.givenName</td><td>Vorname</td><td>String</td></tr><tr><td style="display: none">*</td><td>sender.dataenterer.practitioner.phone</td><td>Telefon</td><td>String</td></tr><tr><td style="display: none">*</td><td>sender.dataenterer.practitioner.email</td><td>E-Mail</td><td>String</td></tr></table></blockquote></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiverCopy</p><p><b>text</b>: Kopieempfänger (Kopie dieses Auftrags und aller daraus resultierenden Resultate)</p><p><b>type</b>: Group</p><blockquote><p><b>item</b></p><p><b>linkId</b>: receiverCopy.practitionerRole</p><p><b>text</b>: Gesundheitsfachperson oder -organisation</p><p><b>type</b>: Group</p><p><b>repeats</b>: true</p><blockquote><p><b>item</b></p><p><b>Variable</b>: <span title="text/fhirpath"><code>'receiverCopy.practitionerRole.practitioner.'</code></span>(<b>linkIdPrefix</b>)</p><p><b>linkId</b>: receiverCopy.practitionerRole.practitioner</p><p><b>text</b>: Gesundheitsfachperson</p><p><b>type</b>: Group</p><h3>Items</h3><table class="grid"><tr><td style="display: none">-</td><td><b>LinkId</b></td><td><b>Text</b></td><td><b>Type</b></td></tr><tr><td style="display: none">*</td><td>receiverCopy.practitionerRole.practitioner.title</td><td>Titel</td><td>String</td></tr><tr><td style="display: none">*</td><td>receiverCopy.practitionerRole.practitioner.familyName</td><td>Name</td><td>String</td></tr><tr><td style="display: none">*</td><td>receiverCopy.practitionerRole.practitioner.givenName</td><td>Vorname</td><td>String</td></tr><tr><td style="display: none">*</td><td>receiverCopy.practitionerRole.practitioner.phone</td><td>Telefon</td><td>String</td></tr><tr><td style="display: none">*</td><td>receiverCopy.practitionerRole.practitioner.email</td><td>E-Mail</td><td>String</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>Variable</b>: <span title="text/fhirpath"><code>'receiverCopy.practitionerRole.organization.'</code></span>(<b>linkIdPrefix</b>)</p><p><b>linkId</b>: receiverCopy.practitionerRole.organization</p><p><b>text</b>: Gesundheitsorganisatiton</p><p><b>type</b>: Group</p><h3>Items</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Extension</b></td><td><b>LinkId</b></td><td><b>Text</b></td><td><b>Type</b></td><td><b>Repeats</b></td></tr><tr><td style="display: none">*</td><td> </td><td>receiverCopy.practitionerRole.organization.name</td><td>Name der Organisation</td><td>String</td><td> </td></tr><tr><td style="display: none">*</td><td/><td>receiverCopy.practitionerRole.organization.streetAddressLine</td><td>Strasse, Hausnummer, Postfach etc.</td><td>String</td><td>true</td></tr><tr><td style="display: none">*</td><td/><td>receiverCopy.practitionerRole.organization.postalCode</td><td>PLZ</td><td>String</td><td> </td></tr><tr><td style="display: none">*</td><td/><td>receiverCopy.practitionerRole.organization.city</td><td>Ort</td><td>String</td><td> </td></tr><tr><td style="display: none">*</td><td/><td>receiverCopy.practitionerRole.organization.country</td><td>Land</td><td>String</td><td> </td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiverCopy.patient</p><p><b>text</b>: Patient selbst</p><p><b>type</b>: Boolean</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: receiverCopy.relatedPerson</p><p><b>text</b>: Andere Person</p><p><b>type</b>: Group</p><p><b>repeats</b>: true</p><h3>Items</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Extension</b></td><td><b>LinkId</b></td><td><b>Text</b></td><td><b>Type</b></td><td><b>Repeats</b></td></tr><tr><td style="display: none">*</td><td/><td>receiverCopy.relatedPerson.familyName</td><td>Name</td><td>String</td><td> </td></tr><tr><td style="display: none">*</td><td> </td><td>receiverCopy.relatedPerson.givenName</td><td>Vorname</td><td>String</td><td> </td></tr><tr><td style="display: none">*</td><td> </td><td>receiverCopy.relatedPerson.phone</td><td>Telefon</td><td>String</td><td>true</td></tr><tr><td style="display: none">*</td><td> </td><td>receiverCopy.relatedPerson.email</td><td>E-Mail</td><td>String</td><td> </td></tr><tr><td style="display: none">*</td><td/><td>receiverCopy.relatedPerson.streetAddressLine</td><td>Strasse, Hausnummer, Postfach etc.</td><td>String</td><td>true</td></tr><tr><td style="display: none">*</td><td/><td>receiverCopy.relatedPerson.postalCode</td><td>PLZ</td><td>String</td><td> </td></tr><tr><td style="display: none">*</td><td/><td>receiverCopy.relatedPerson.city</td><td>Ort</td><td>String</td><td> </td></tr><tr><td style="display: none">*</td><td/><td>receiverCopy.relatedPerson.country</td><td>Land</td><td>String</td><td> </td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: antecedentEpisodeOfCare</p><p><b>text</b>: Vorgängiger Aufenthalt in Spital / Heim</p><p><b>type</b>: Group</p><blockquote><p><b>item</b></p><p><b>linkId</b>: antecedentEpisodeOfCare.start</p><p><b>text</b>: Von</p><p><b>type</b>: Date Time</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: antecedentEpisodeOfCare.end</p><p><b>text</b>: Bis</p><p><b>type</b>: Date Time</p></blockquote><blockquote><p><b>item</b></p><p><b>Variable</b>: <span title="text/fhirpath"><code>'antecedentEpisodeOfCare.managingOrganization.'</code></span>(<b>linkIdPrefix</b>)</p><p><b>linkId</b>: antecedentEpisodeOfCare.managingOrganization</p><p><b>text</b>: Spital /Heim</p><p><b>type</b>: Group</p><h3>Items</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Extension</b></td><td><b>LinkId</b></td><td><b>Text</b></td><td><b>Type</b></td><td><b>Repeats</b></td></tr><tr><td style="display: none">*</td><td> </td><td>antecedentEpisodeOfCare.managingOrganization.name</td><td>Name der Organisation</td><td>String</td><td> </td></tr><tr><td style="display: none">*</td><td/><td>antecedentEpisodeOfCare.managingOrganization.streetAddressLine</td><td>Strasse, Hausnummer, Postfach etc.</td><td>String</td><td>true</td></tr><tr><td style="display: none">*</td><td/><td>antecedentEpisodeOfCare.managingOrganization.postalCode</td><td>PLZ</td><td>String</td><td> </td></tr><tr><td style="display: none">*</td><td/><td>antecedentEpisodeOfCare.managingOrganization.city</td><td>Ort</td><td>String</td><td> </td></tr><tr><td style="display: none">*</td><td/><td>antecedentEpisodeOfCare.managingOrganization.country</td><td>Land</td><td>String</td><td> </td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: appointment</p><p><b>text</b>: Ort und Zeit der Durchführung der angeforderten Leistung</p><p><b>type</b>: Group</p><p><b>repeats</b>: true</p><blockquote><p><b>item</b></p><p><b>Variable</b>: <span title="text/fhirpath"><code>'appointment.location.'</code></span>(<b>linkIdPrefix</b>)</p><p><b>linkId</b>: appointment.location</p><p><b>text</b>: Ort der Durchführung</p><p><b>type</b>: Group</p><h3>Items</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Extension</b></td><td><b>LinkId</b></td><td><b>Text</b></td><td><b>Type</b></td><td><b>Required</b></td><td><b>Repeats</b></td></tr><tr><td style="display: none">*</td><td> </td><td>appointment.location.name</td><td>Name</td><td>String</td><td>true</td><td> </td></tr><tr><td style="display: none">*</td><td> </td><td>appointment.location.phone</td><td>Telefon</td><td>String</td><td> </td><td> </td></tr><tr><td style="display: none">*</td><td> </td><td>appointment.location.email</td><td>E-Mail</td><td>String</td><td> </td><td> </td></tr><tr><td style="display: none">*</td><td/><td>appointment.location.streetAddressLine</td><td>Strasse, Hausnummer, Postfach etc.</td><td>String</td><td> </td><td>true</td></tr><tr><td style="display: none">*</td><td/><td>appointment.location.postalCode</td><td>PLZ</td><td>String</td><td> </td><td> </td></tr><tr><td style="display: none">*</td><td/><td>appointment.location.city</td><td>Ort</td><td>String</td><td> </td><td> </td></tr><tr><td style="display: none">*</td><td/><td>appointment.location.country</td><td>Land</td><td>String</td><td> </td><td> </td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: appointment.requestedPeriod</p><p><b>text</b>: Datum und Zeit, wann der Termin bevorzugt geplant werden soll</p><p><b>type</b>: Group</p><h3>Items</h3><table class="grid"><tr><td style="display: none">-</td><td><b>LinkId</b></td><td><b>Text</b></td><td><b>Type</b></td></tr><tr><td style="display: none">*</td><td>appointment.requestedPeriod.start</td><td>Von</td><td>Date Time</td></tr><tr><td style="display: none">*</td><td>appointment.requestedPeriod.end</td><td>Bis</td><td>Date Time</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: appointment.status</p><p><b>text</b>: Status</p><p><b>type</b>: Choice</p><p><b>required</b>: true</p><blockquote><p><b>answerOption</b></p><p><b>value</b>: <a href="http://hl7.org/fhir/R4/codesystem-appointmentstatus.html#appointmentstatus-proposed">AppointmentStatus proposed</a>: Wunsch des Patienten (vorgeschlagen)</p><p><b>initialSelected</b>: true</p></blockquote><blockquote><p><b>answerOption</b></p><p><b>value</b>: <a href="http://hl7.org/fhir/R4/codesystem-appointmentstatus.html#appointmentstatus-pending">AppointmentStatus pending</a>: Vom Patienten bestätigt, aber vom Leistungserbringer noch nicht (ausstehend)</p></blockquote><blockquote><p><b>answerOption</b></p><p><b>value</b>: <a href="http://hl7.org/fhir/R4/codesystem-appointmentstatus.html#appointmentstatus-booked">AppointmentStatus booked</a>: Vom Patienten und Leistungserbringer bestätigt (gebucht)</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: appointment.patientInstruction</p><p><b>text</b>: Patienteninformation für diesen Termin</p><p><b>type</b>: String</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: consent</p><p><b>text</b>: Einverständniserklärung</p><p><b>type</b>: Group</p><blockquote><p><b>item</b></p><p><b>linkId</b>: patient.consent.statement</p><p><b>text</b>: Ist der Patient über die Anmeldung informiert und explizit einverstanden?</p><p><b>type</b>: Choice</p><blockquote><p><b>answerOption</b></p><p><b>value</b>: <a href="CodeSystem-ch-orf-cs-consentstatus.html#ch-orf-cs-consentstatus-ExplicitAgreement">Consent Status ExplicitAgreement</a>: Patient is informed and has explicitly agreed</p></blockquote><blockquote><p><b>answerOption</b></p><p><b>value</b>: <a href="CodeSystem-ch-orf-cs-consentstatus.html#ch-orf-cs-consentstatus-Other">Consent Status Other</a>: Other situation such as 'implicit agreement', 'agreed by legal guardian' etc.</p></blockquote><h3>Items</h3><table class="grid"><tr><td style="display: none">-</td><td><b>LinkId</b></td><td><b>Text</b></td><td><b>Type</b></td></tr><tr><td style="display: none">*</td><td>patient.consent.statement.note</td><td>Anmerkung</td><td>String</td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: note</p><p><b>text</b>: Bemerkungen</p><p><b>type</b>: Group</p><p><b>repeats</b>: true</p><h3>Items</h3><table class="grid"><tr><td style="display: none">-</td><td><b>LinkId</b></td><td><b>Text</b></td><td><b>Type</b></td></tr><tr><td style="display: none">*</td><td>note.text</td><td>Kommentar</td><td>String</td></tr></table></blockquote></div>
</text>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-targetStructureMap">
<valueCanonical
value="http://fhir.ch/ig/ch-orf/StructureMap/OrfQrToBundle"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext">
<extension url="name">
<valueCoding>
<system
value="http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext"/>
<code value="patient"/>
</valueCoding>
</extension>
<extension url="type">
<valueCode value="Patient"/>
</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="Practitioner"/>
</extension>
<extension url="description">
<valueString
value="The practitioner that is to be used to pre-populate the form"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom">
<valueCanonical
value="http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-order|1.1.0"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom">
<valueCanonical
value="http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-practitioner-nametel|1.1.0"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom">
<valueCanonical
value="http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-receiver|1.1.0"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom">
<valueCanonical
value="http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-address|1.1.0"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom">
<valueCanonical
value="http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-initiator|1.1.0"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom">
<valueCanonical
value="http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-patient|1.1.0"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom">
<valueCanonical
value="http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-familydoctor|1.1.0"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom">
<valueCanonical
value="http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-requestedencounter|1.1.0"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom">
<valueCanonical
value="http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-coverage|1.1.0"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom">
<valueCanonical
value="http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-sender|1.1.0"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom">
<valueCanonical
value="http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-receivercopy|1.1.0"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom">
<valueCanonical
value="http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-appointment|1.1.0"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembledFrom">
<valueCanonical
value="http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-consent|1.1.0"/>
</extension>
<url
value="http://fhir.ch/ig/ch-orf/Questionnaire/order-referral-form"/>
<version value="1.1.0-assembled"/>
<name value="OrderReferralForm"/>
<title value="Order Referral Form"/>
<status value="active"/>
<subjectType value="Patient"/>
<date value="2022-07-07"/>
<publisher value="HL7 Switzerland"/>
<contact>
<name value="HL7 Switzerland"/>
<telecom>
<system value="url"/>
<value value="https://www.hl7.ch/"/>
</telecom>
</contact>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="CH"/>
</coding>
</jurisdiction>
<copyright value="CC-BY-SA-4.0"/>
<item>
<linkId value="order"/>
<text value="Auftrag"/>
<type value="group"/>
<required value="true"/>
<item>
<linkId value="order.authoredOn"/>
<text value="Datum/Zeit der Auftragserteilung"/>
<type value="dateTime"/>
</item>
<item>
<linkId value="order.placerOrderIdentifier"/>
<text value="Auftragsnummer des Auftraggebers"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
<valueBoolean value="true"/>
</extension>
<linkId value="order.placerOrderIdentifierDomain"/>
<text
value="Identifier Domain der Auftragsnummer des Auftraggebers"/>
<type value="string"/>
</item>
<item>
<linkId value="order.fillerOrderIdentifier"/>
<text value="Auftragsnummer des Auftragsempfängers"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
<valueBoolean value="true"/>
</extension>
<linkId value="order.fillerOrderIdentifierDomain"/>
<text
value="Identifier Domain der Auftragsnummer des Auftragsempfängers"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
<valueBoolean value="true"/>
</extension>
<linkId value="order.precedentDocumentIdentifier"/>
<text value="Identifier des Vorgängerdokuments"/>
<type value="string"/>
</item>
<item>
<linkId value="order.notificationContactDocument"/>
<text
value="Dringender Benachrichtigungskontakt für dieses Dokument"/>
<type value="group"/>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="linkIdPrefix"/>
<language value="text/fhirpath"/>
<expression
value="'order.notificationContactDocument.practitioner.'"/>
</valueExpression>
</extension>
<linkId value="order.notificationContactDocument.practitioner"/>
<text value="Zu benachrichtigende Person"/>
<type value="group"/>
<item>
<linkId
value="order.notificationContactDocument.practitioner.title"/>
<text value="Titel"/>
<type value="string"/>
</item>
<item>
<linkId
value="order.notificationContactDocument.practitioner.familyName"/>
<text value="Name"/>
<type value="string"/>
</item>
<item>
<linkId
value="order.notificationContactDocument.practitioner.givenName"/>
<text value="Vorname"/>
<type value="string"/>
</item>
<item>
<linkId
value="order.notificationContactDocument.practitioner.phone"/>
<text value="Telefon"/>
<type value="string"/>
</item>
<item>
<linkId
value="order.notificationContactDocument.practitioner.email"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
</item>
</item>
<item>
<linkId value="order.notificationContactDocumentResponse"/>
<text
value="Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument"/>
<type value="group"/>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="linkIdPrefix"/>
<language value="text/fhirpath"/>
<expression
value="'order.notificationContactDocumentResponse.practitioner.'"/>
</valueExpression>
</extension>
<linkId
value="order.notificationContactDocumentResponse.practitioner"/>
<text value="Zu benachrichtigende Person"/>
<type value="group"/>
<item>
<linkId
value="order.notificationContactDocumentResponse.practitioner.title"/>
<text value="Titel"/>
<type value="string"/>
</item>
<item>
<linkId
value="order.notificationContactDocumentResponse.practitioner.familyName"/>
<text value="Name"/>
<type value="string"/>
</item>
<item>
<linkId
value="order.notificationContactDocumentResponse.practitioner.givenName"/>
<text value="Vorname"/>
<type value="string"/>
</item>
<item>
<linkId
value="order.notificationContactDocumentResponse.practitioner.phone"/>
<text value="Telefon"/>
<type value="string"/>
</item>
<item>
<linkId
value="order.notificationContactDocumentResponse.practitioner.email"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
</item>
</item>
<item>
<linkId value="order.priority"/>
<text value="Auftragspriorität"/>
<type value="choice"/>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/request-priority"/>
<code value="routine"/>
<display value="Die Anfrage hat normale Priorität."/>
</valueCoding>
<initialSelected value="true"/>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/request-priority"/>
<code value="urgent"/>
<display
value="Die Anfrage sollte dringend bearbeitet werden - höhere Priorität als normal."/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/request-priority"/>
<code value="asap"/>
<display
value="Die Anfrage sollte so schnell wie möglich bearbeitet werden - höhere Priorität als dringend."/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/request-priority"/>
<code value="stat"/>
<display
value="Die Anfrage sollte sofort bearbeitet werden - höchstmögliche Priorität. Z.B. bei einem Notfall."/>
</valueCoding>
</answerOption>
</item>
</item>
<item>
<linkId value="receiver"/>
<text value="Empfänger"/>
<type value="group"/>
<item>
<linkId value="receiver.practitioner"/>
<text value="Empfangende Person"/>
<type value="group"/>
<item>
<linkId value="receiver.practitioner.title"/>
<text value="Titel"/>
<type value="string"/>
</item>
<item>
<linkId value="receiver.practitioner.familyName"/>
<text value="Name"/>
<type value="string"/>
</item>
<item>
<linkId value="receiver.practitioner.givenName"/>
<text value="Vorname"/>
<type value="string"/>
</item>
<item>
<linkId value="receiver.practitioner.gln"/>
<text value="GLN"/>
<type value="string"/>
</item>
<item>
<linkId value="receiver.practitioner.zsr"/>
<text value="ZSR (fr/it: RCC)"/>
<type value="string"/>
</item>
<item>
<linkId value="receiver.practitioner.phone"/>
<text value="Telefon"/>
<type value="string"/>
</item>
<item>
<linkId value="receiver.practitioner.email"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="linkIdPrefix"/>
<language value="text/fhirpath"/>
<expression value="'receiver.organization.'"/>
</valueExpression>
</extension>
<linkId value="receiver.organization"/>
<text value="Empfangende Organisation"/>
<type value="group"/>
<item>
<linkId value="receiver.organization.name"/>
<text value="Name der Organisation"/>
<type value="string"/>
</item>
<item>
<linkId value="receiver.organization.gln"/>
<text value="GLN"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.line"/>
</valueExpression>
</extension>
<linkId value="receiver.organization.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<type value="string"/>
<repeats value="true"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.postalCode"/>
</valueExpression>
</extension>
<linkId value="receiver.organization.postalCode"/>
<text value="PLZ"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.city"/>
</valueExpression>
</extension>
<linkId value="receiver.organization.city"/>
<text value="Ort"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.country"/>
</valueExpression>
</extension>
<linkId value="receiver.organization.country"/>
<text value="Land"/>
<type value="string"/>
</item>
</item>
</item>
<item>
<linkId value="initiator"/>
<text value="Initiant dieser Anmeldung"/>
<type value="group"/>
<item>
<linkId value="initiator.legalrelation"/>
<text value="Juristische Beziehung zum Patienten"/>
<type value="choice"/>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="373068000"/>
<display value="Nicht definiert"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="58626002"/>
<display value="Gesetzlicher Vertreter"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="initiator.personalrelation"/>
<text value="Persönliche Beziehung zum Patienten?"/>
<type value="choice"/>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="66089001"/>
<display value="Tochter"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="65616008"/>
<display value="Sohn"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="127849001"/>
<display value="Ehemann"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="127850001"/>
<display value="Ehefrau"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="394921008"/>
<display value="Partner (eingetragene Partnerschaft)"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="70924004"/>
<display value="Bruder"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="27733009"/>
<display value="Schwester"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="72705000"/>
<display value="Mutter"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="66839005"/>
<display value="Vater"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="48385004"/>
<display value="Bekannt"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="initiator.practitionerRole"/>
<text value="Gesundheitsfachperson oder -organisation"/>
<type value="group"/>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="linkIdPrefix"/>
<language value="text/fhirpath"/>
<expression
value="'initiator.practitionerRole.practitioner.'"/>
</valueExpression>
</extension>
<linkId value="initiator.practitionerRole.practitioner"/>
<text value="Gesundheitsfachperson"/>
<type value="group"/>
<item>
<linkId
value="initiator.practitionerRole.practitioner.title"/>
<text value="Titel"/>
<type value="string"/>
</item>
<item>
<linkId
value="initiator.practitionerRole.practitioner.familyName"/>
<text value="Name"/>
<type value="string"/>
</item>
<item>
<linkId
value="initiator.practitionerRole.practitioner.givenName"/>
<text value="Vorname"/>
<type value="string"/>
</item>
<item>
<linkId
value="initiator.practitionerRole.practitioner.phone"/>
<text value="Telefon"/>
<type value="string"/>
</item>
<item>
<linkId
value="initiator.practitionerRole.practitioner.email"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="linkIdPrefix"/>
<language value="text/fhirpath"/>
<expression
value="'initiator.practitionerRole.organization.'"/>
</valueExpression>
</extension>
<linkId value="initiator.practitionerRole.organization"/>
<text value="Gesundheitsorganisatiton"/>
<type value="group"/>
<item>
<linkId value="initiator.practitionerRole.organization.name"/>
<text value="Name der Organisation"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.line"/>
</valueExpression>
</extension>
<linkId
value="initiator.practitionerRole.organization.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<type value="string"/>
<repeats value="true"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.postalCode"/>
</valueExpression>
</extension>
<linkId
value="initiator.practitionerRole.organization.postalCode"/>
<text value="PLZ"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.city"/>
</valueExpression>
</extension>
<linkId value="initiator.practitionerRole.organization.city"/>
<text value="Ort"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.country"/>
</valueExpression>
</extension>
<linkId
value="initiator.practitionerRole.organization.country"/>
<text value="Land"/>
<type value="string"/>
</item>
</item>
</item>
<item>
<linkId value="initiator.relatedPerson"/>
<text value="Andere Person"/>
<type value="group"/>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="linkIdPrefix"/>
<language value="text/fhirpath"/>
<expression value="'initiator.relatedPerson.'"/>
</valueExpression>
</extension>
<linkId value="initiator.relatedPerson.familyName"/>
<text value="Name"/>
<type value="string"/>
</item>
<item>
<linkId value="initiator.relatedPerson.givenName"/>
<text value="Vorname"/>
<type value="string"/>
</item>
<item>
<linkId value="initiator.relatedPerson.phone"/>
<text value="Telefon"/>
<type value="string"/>
<repeats value="true"/>
</item>
<item>
<linkId value="initiator.relatedPerson.email"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.line"/>
</valueExpression>
</extension>
<linkId value="initiator.relatedPerson.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<type value="string"/>
<repeats value="true"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.postalCode"/>
</valueExpression>
</extension>
<linkId value="initiator.relatedPerson.postalCode"/>
<text value="PLZ"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.city"/>
</valueExpression>
</extension>
<linkId value="initiator.relatedPerson.city"/>
<text value="Ort"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.country"/>
</valueExpression>
</extension>
<linkId value="initiator.relatedPerson.country"/>
<text value="Land"/>
<type value="string"/>
</item>
</item>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="linkIdPrefix"/>
<language value="text/fhirpath"/>
<expression value="'patient.'"/>
</valueExpression>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="address"/>
<language value="text/fhirpath"/>
<expression value="%patient.address"/>
</valueExpression>
</extension>
<linkId value="patient"/>
<text value="Patient"/>
<type value="group"/>
<required value="true"/>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression
value="%patient.name.where(use='official').family"/>
</valueExpression>
</extension>
<linkId value="patient.familyName"/>
<text value="Name"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%patient.name.where(use='maiden').family"/>
</valueExpression>
</extension>
<linkId value="patient.maidenName"/>
<text value="Ledigname"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression
value="%patient.name.where(use='official').given"/>
</valueExpression>
</extension>
<linkId value="patient.givenName"/>
<text value="Vorname"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression
value="%patient.identifier.where(type.coding.where(system='http://terminology.hl7.org/CodeSystem/v2-0203' and code='MR').exists()).value"/>
</valueExpression>
</extension>
<linkId value="patient.localPid"/>
<text value="Lokale Patienten-ID"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
<valueBoolean value="true"/>
</extension>
<linkId value="patient.localPidDomain"/>
<text value="Lokale Patienten-ID Domain"/>
<type value="string"/>
</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="patient.birthDate"/>
<text value="Geburtsdatum"/>
<type value="date"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression
value="%questionnaire.repeat(item).where(linkId='patient.gender').answerOption.valueCoding.where(code=%patient.gender)"/>
</valueExpression>
</extension>
<linkId value="patient.gender"/>
<text value="Geschlecht"/>
<type value="choice"/>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/administrative-gender"/>
<code value="male"/>
<display value="Männlich"/>
</valueCoding>
<initialSelected value="true"/>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/administrative-gender"/>
<code value="female"/>
<display value="Weiblich"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/administrative-gender"/>
<code value="other"/>
<display value="Anderes"/>
</valueCoding>
</answerOption>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%patient.maritalStatus"/>
</valueExpression>
</extension>
<linkId value="patient.maritalStatus"/>
<text value="Zivilstand"/>
<type value="choice"/>
<answerOption>
<valueCoding>
<system
value="http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus"/>
<code value="1"/>
<display value="ledig"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus"/>
<code value="2"/>
<display value="verheiratet"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus"/>
<code value="3"/>
<display value="verwitwet"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus"/>
<code value="4"/>
<display value="geschieden"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus"/>
<code value="5"/>
<display value="unverheiratet"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus"/>
<code value="6"/>
<display value="in eingetragener Partnerschaft"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus"/>
<code value="7"/>
<display value="aufgelöste Partnerschaft"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus"/>
<code value="9"/>
<display value="unbekannt"/>
</valueCoding>
</answerOption>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression
value="%patient.telecom.where(system='phone').value"/>
</valueExpression>
</extension>
<linkId value="patient.phone"/>
<text value="Telefon"/>
<type value="string"/>
<repeats value="true"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression
value="%patient.telecom.where(system='email').value"/>
</valueExpression>
</extension>
<linkId value="patient.email"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.line"/>
</valueExpression>
</extension>
<linkId value="patient.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<type value="string"/>
<repeats value="true"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.postalCode"/>
</valueExpression>
</extension>
<linkId value="patient.postalCode"/>
<text value="PLZ"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.city"/>
</valueExpression>
</extension>
<linkId value="patient.city"/>
<text value="Ort"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.country"/>
</valueExpression>
</extension>
<linkId value="patient.country"/>
<text value="Land"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression
value="%patient.communication.where(preferred=true).language.coding"/>
</valueExpression>
</extension>
<linkId value="patient.languageOfCorrespondence"/>
<text value="Korrespondenzsprache"/>
<type value="choice"/>
<answerValueSet
value="http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.languageCode"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="contact"/>
<language value="text/fhirpath"/>
<expression value="%patient.contact"/>
</valueExpression>
</extension>
<linkId value="patient.contactperson"/>
<text value="Kontaktperson"/>
<type value="group"/>
<repeats value="true"/>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%contact.relationship.text"/>
</valueExpression>
</extension>
<linkId value="patient.contactperson.relationship"/>
<text value="Beziehung"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%contact.name.family"/>
</valueExpression>
</extension>
<linkId value="patient.contactperson.familyName"/>
<text value="Name"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%contact.name.given"/>
</valueExpression>
</extension>
<linkId value="patient.contactperson.givenName"/>
<text value="Vorname"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression
value="%contact.telecom.where(system='phone').value"/>
</valueExpression>
</extension>
<linkId value="patient.contactperson.phone"/>
<text value="Telefon"/>
<type value="string"/>
<repeats value="true"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression
value="%contact.telecom.where(system='email').value"/>
</valueExpression>
</extension>
<linkId value="patient.contactperson.email"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
</item>
<item>
<linkId value="familydoctor"/>
<text value="Hausarzt"/>
<type value="group"/>
<item>
<linkId value="familydoctor.practitioner"/>
<text value="Hausarzt Person"/>
<type value="group"/>
<item>
<linkId value="familydoctor.practitioner.title"/>
<text value="Titel"/>
<type value="string"/>
</item>
<item>
<linkId value="familydoctor.practitioner.familyName"/>
<text value="Name"/>
<type value="string"/>
</item>
<item>
<linkId value="familydoctor.practitioner.givenName"/>
<text value="Vorname"/>
<type value="string"/>
</item>
<item>
<linkId value="familydoctor.practitioner.gln"/>
<text value="GLN"/>
<type value="string"/>
</item>
<item>
<linkId value="familydoctor.practitioner.zsr"/>
<text value="ZSR (fr/it: RCC)"/>
<type value="string"/>
</item>
<item>
<linkId value="familydoctor.practitioner.phone"/>
<text value="Telefon"/>
<type value="string"/>
</item>
<item>
<linkId value="familydoctor.practitioner.email"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="linkIdPrefix"/>
<language value="text/fhirpath"/>
<expression value="'familydoctor.organization.'"/>
</valueExpression>
</extension>
<linkId value="familydoctor.organization"/>
<text value="Hausarzt Organisation"/>
<type value="group"/>
<item>
<linkId value="familydoctor.organization.name"/>
<text value="Name der Organisation"/>
<type value="string"/>
</item>
<item>
<linkId value="familydoctor.organization.gln"/>
<text value="GLN"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.line"/>
</valueExpression>
</extension>
<linkId value="familydoctor.organization.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<type value="string"/>
<repeats value="true"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.postalCode"/>
</valueExpression>
</extension>
<linkId value="familydoctor.organization.postalCode"/>
<text value="PLZ"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.city"/>
</valueExpression>
</extension>
<linkId value="familydoctor.organization.city"/>
<text value="Ort"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.country"/>
</valueExpression>
</extension>
<linkId value="familydoctor.organization.country"/>
<text value="Land"/>
<type value="string"/>
</item>
</item>
</item>
</item>
<item>
<linkId value="requestedEncounter"/>
<text value="Patientenaufnahme"/>
<type value="group"/>
<item>
<linkId value="requestedEncounter.class"/>
<text value="Voraussichtlich: Ambulant / Stationär / Notfall"/>
<type value="choice"/>
<answerOption>
<valueCoding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="AMB"/>
<display value="Ambulant"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="IMP"/>
<display value="Stationär"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="EMER"/>
<display value="Notfall"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="requestedEncounter.desiredAccommodation"/>
<text value="Zimmerkategorie"/>
<type value="choice"/>
<answerOption>
<valueCoding>
<system
value="http://fhir.ch/ig/ch-core/CodeSystem/bfs-medstats-21-encountertype"/>
<code value="1"/>
<display value="allgemein"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.ch/ig/ch-core/CodeSystem/bfs-medstats-21-encountertype"/>
<code value="2"/>
<display value="halbprivat"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.ch/ig/ch-core/CodeSystem/bfs-medstats-21-encountertype"/>
<code value="3"/>
<display value="privat"/>
</valueCoding>
</answerOption>
</item>
</item>
<item>
<linkId value="coverage"/>
<text value="Kostenträger"/>
<type value="group"/>
<item>
<linkId value="coverage.beneficiary"/>
<text value="Begünstigter (Patient)"/>
<type value="group"/>
<item>
<linkId value="coverage.beneficiary.ahvn13"/>
<text value="AHV-Nr. des Patienten (fr/it: AVS)"/>
<type value="string"/>
</item>
</item>
<item>
<linkId value="coverage.kvg"/>
<text value="Krankenkasse nach KVG (fr/it: LAMal)"/>
<type value="group"/>
<item>
<linkId value="coverage.kvg.name"/>
<text value="Name der Versicherung"/>
<type value="string"/>
</item>
<item>
<linkId value="coverage.kvg.insuranceCardNumber"/>
<text value="Kennnummer der Versichertenkarte"/>
<type value="string"/>
</item>
</item>
<item>
<linkId value="coverage.uvg"/>
<text value="Unfallversicherung nach UVG (fr: LAA, it: LAINF)"/>
<type value="group"/>
<item>
<linkId value="coverage.uvg.name"/>
<text value="Name der Versicherung"/>
<type value="string"/>
</item>
<item>
<linkId value="coverage.uvg.claimNumber"/>
<text value="Schadennummer"/>
<type value="string"/>
</item>
</item>
<item>
<linkId value="coverage.vvg"/>
<text value="Zusatzversicherung nach VVG (fr/it: LCA)"/>
<type value="group"/>
<item>
<linkId value="coverage.vvg.name"/>
<text value="Name der Versicherung"/>
<type value="string"/>
</item>
<item>
<linkId value="coverage.vvg.insuranceCardNumber"/>
<text value="Kennnummer der Versichertenkarte"/>
<type value="string"/>
</item>
</item>
<item>
<linkId value="coverage.iv"/>
<text value="Invalidenversicherung IV (fr/it: AI)"/>
<type value="group"/>
<item>
<linkId value="coverage.iv.verfuegungsnummer"/>
<text value="IV-Verfügungsnummer"/>
<type value="string"/>
</item>
</item>
<item>
<linkId value="coverage.mv"/>
<text value="Militärversicherung MV (fr/it: AM)"/>
<type value="group"/>
<item>
<linkId value="coverage.mv.versichertennummer"/>
<text value="MV-Versichertennummer"/>
<type value="string"/>
</item>
</item>
<item>
<linkId value="coverage.self"/>
<text value="Selbstzahler"/>
<type value="group"/>
<item>
<linkId value="coverage.self.patient"/>
<text value="Patient selbst"/>
<type value="boolean"/>
</item>
<item>
<linkId value="coverage.self.patientRelatedPerson"/>
<text value="Andere Person"/>
<type value="boolean"/>
<enableWhen>
<question value="coverage.self.patient"/>
<operator value="="/>
<answerBoolean value="false"/>
</enableWhen>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="linkIdPrefix"/>
<language value="text/fhirpath"/>
<expression value="'coverage.self.relatedPerson.'"/>
</valueExpression>
</extension>
<linkId value="coverage.self.relatedPerson"/>
<text value="Andere Person"/>
<type value="group"/>
<enableWhen>
<question value="coverage.self.patientRelatedPerson"/>
<operator value="="/>
<answerBoolean value="true"/>
</enableWhen>
<item>
<linkId value="coverage.self.relatedPerson.familyName"/>
<text value="Name"/>
<type value="string"/>
</item>
<item>
<linkId value="coverage.self.relatedPerson.givenName"/>
<text value="Vorname"/>
<type value="string"/>
</item>
<item>
<linkId value="coverage.self.relatedPerson.phone"/>
<text value="Telefon"/>
<type value="string"/>
<repeats value="true"/>
</item>
<item>
<linkId value="coverage.self.relatedPerson.email"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.line"/>
</valueExpression>
</extension>
<linkId
value="coverage.self.relatedPerson.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<type value="string"/>
<repeats value="true"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.postalCode"/>
</valueExpression>
</extension>
<linkId value="coverage.self.relatedPerson.postalCode"/>
<text value="PLZ"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.city"/>
</valueExpression>
</extension>
<linkId value="coverage.self.relatedPerson.city"/>
<text value="Ort"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.country"/>
</valueExpression>
</extension>
<linkId value="coverage.self.relatedPerson.country"/>
<text value="Land"/>
<type value="string"/>
</item>
</item>
</item>
<item>
<linkId value="coverage.other"/>
<text value="Anderer Kostenträger"/>
<type value="group"/>
<item>
<linkId value="coverage.other.name"/>
<text value="Name des Kostenträgers"/>
<type value="string"/>
</item>
<item>
<linkId value="coverage.other.id"/>
<text value="Beliebige ID"/>
<type value="string"/>
</item>
<item>
<linkId value="coverage.other.id.note"/>
<text value="Bemerkung zur ID"/>
<type value="string"/>
</item>
</item>
</item>
<item>
<linkId value="sender"/>
<text value="Absender"/>
<type value="group"/>
<required value="true"/>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="senderPractitionerRoles"/>
<language value="application/x-fhir-query"/>
<expression
value="PractitionerRole?practitioner={{%user.id}}"/>
</valueExpression>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="senderPractitionerRole"/>
<language value="text/fhirpath"/>
<expression
value="%senderPractitionerRoles.entry[0].resource"/>
</valueExpression>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="senderOrganizations"/>
<language value="application/x-fhir-query"/>
<expression
value="Organization?_id={{%senderPractitionerRole.organization.reference}}"/>
</valueExpression>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="senderOrganization"/>
<language value="text/fhirpath"/>
<expression value="%senderOrganizations.entry[0].resource"/>
</valueExpression>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="address"/>
<language value="text/fhirpath"/>
<expression value="%senderOrganization.address"/>
</valueExpression>
</extension>
<linkId value="sender.author"/>
<text value="Verantwortlicher"/>
<type value="group"/>
<required value="true"/>
<item>
<linkId value="sender.author.practitioner"/>
<text value="Verantwortliche Person"/>
<type value="group"/>
<item>
<linkId value="sender.author.practitioner.title"/>
<text value="Titel"/>
<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.name.family"/>
</valueExpression>
</extension>
<linkId value="sender.author.practitioner.familyName"/>
<text value="Name"/>
<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.name.given"/>
</valueExpression>
</extension>
<linkId value="sender.author.practitioner.givenName"/>
<text value="Vorname"/>
<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.identifier.where(system='urn:oid:2.51.1.3').value"/>
</valueExpression>
</extension>
<linkId value="sender.author.practitioner.gln"/>
<text value="GLN"/>
<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.identifier.where(system='urn:oid:2.16.756.5.30.1.123.100.2.1.1').value"/>
</valueExpression>
</extension>
<linkId value="sender.author.practitioner.zsr"/>
<text value="ZSR (fr/it: RCC)"/>
<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.telecom.where(system='phone').value"/>
</valueExpression>
</extension>
<linkId value="sender.author.practitioner.phone"/>
<text value="Telefon"/>
<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.telecom.where(system='email').value"/>
</valueExpression>
</extension>
<linkId value="sender.author.practitioner.email"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="linkIdPrefix"/>
<language value="text/fhirpath"/>
<expression value="'sender.author.organization.'"/>
</valueExpression>
</extension>
<linkId value="sender.author.organization"/>
<text value="Verantwortliche Organisation"/>
<type value="group"/>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%senderOrganization.name"/>
</valueExpression>
</extension>
<linkId value="sender.author.organization.name"/>
<text value="Name der Organisation"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression
value="%senderOrganization.identifier.where(system='urn:oid:2.51.1.3').value"/>
</valueExpression>
</extension>
<linkId value="sender.author.organization.gln"/>
<text value="GLN"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.line"/>
</valueExpression>
</extension>
<linkId value="sender.author.organization.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<type value="string"/>
<repeats value="true"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.postalCode"/>
</valueExpression>
</extension>
<linkId value="sender.author.organization.postalCode"/>
<text value="PLZ"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.city"/>
</valueExpression>
</extension>
<linkId value="sender.author.organization.city"/>
<text value="Ort"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.country"/>
</valueExpression>
</extension>
<linkId value="sender.author.organization.country"/>
<text value="Land"/>
<type value="string"/>
</item>
</item>
</item>
<item>
<linkId value="sender.dataenterer"/>
<text value="Erfasser"/>
<type value="group"/>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="linkIdPrefix"/>
<language value="text/fhirpath"/>
<expression value="'sender.dataenterer.practitioner.'"/>
</valueExpression>
</extension>
<linkId value="sender.dataenterer.practitioner"/>
<text value="Erfassende Person"/>
<type value="group"/>
<item>
<linkId value="sender.dataenterer.practitioner.title"/>
<text value="Titel"/>
<type value="string"/>
</item>
<item>
<linkId value="sender.dataenterer.practitioner.familyName"/>
<text value="Name"/>
<type value="string"/>
</item>
<item>
<linkId value="sender.dataenterer.practitioner.givenName"/>
<text value="Vorname"/>
<type value="string"/>
</item>
<item>
<linkId value="sender.dataenterer.practitioner.phone"/>
<text value="Telefon"/>
<type value="string"/>
</item>
<item>
<linkId value="sender.dataenterer.practitioner.email"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
</item>
</item>
</item>
<item>
<linkId value="receiverCopy"/>
<text
value="Kopieempfänger (Kopie dieses Auftrags und aller daraus resultierenden Resultate)"/>
<type value="group"/>
<item>
<linkId value="receiverCopy.practitionerRole"/>
<text value="Gesundheitsfachperson oder -organisation"/>
<type value="group"/>
<repeats value="true"/>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="linkIdPrefix"/>
<language value="text/fhirpath"/>
<expression
value="'receiverCopy.practitionerRole.practitioner.'"/>
</valueExpression>
</extension>
<linkId value="receiverCopy.practitionerRole.practitioner"/>
<text value="Gesundheitsfachperson"/>
<type value="group"/>
<item>
<linkId
value="receiverCopy.practitionerRole.practitioner.title"/>
<text value="Titel"/>
<type value="string"/>
</item>
<item>
<linkId
value="receiverCopy.practitionerRole.practitioner.familyName"/>
<text value="Name"/>
<type value="string"/>
</item>
<item>
<linkId
value="receiverCopy.practitionerRole.practitioner.givenName"/>
<text value="Vorname"/>
<type value="string"/>
</item>
<item>
<linkId
value="receiverCopy.practitionerRole.practitioner.phone"/>
<text value="Telefon"/>
<type value="string"/>
</item>
<item>
<linkId
value="receiverCopy.practitionerRole.practitioner.email"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="linkIdPrefix"/>
<language value="text/fhirpath"/>
<expression
value="'receiverCopy.practitionerRole.organization.'"/>
</valueExpression>
</extension>
<linkId value="receiverCopy.practitionerRole.organization"/>
<text value="Gesundheitsorganisatiton"/>
<type value="group"/>
<item>
<linkId
value="receiverCopy.practitionerRole.organization.name"/>
<text value="Name der Organisation"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.line"/>
</valueExpression>
</extension>
<linkId
value="receiverCopy.practitionerRole.organization.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<type value="string"/>
<repeats value="true"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.postalCode"/>
</valueExpression>
</extension>
<linkId
value="receiverCopy.practitionerRole.organization.postalCode"/>
<text value="PLZ"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.city"/>
</valueExpression>
</extension>
<linkId
value="receiverCopy.practitionerRole.organization.city"/>
<text value="Ort"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.country"/>
</valueExpression>
</extension>
<linkId
value="receiverCopy.practitionerRole.organization.country"/>
<text value="Land"/>
<type value="string"/>
</item>
</item>
</item>
<item>
<linkId value="receiverCopy.patient"/>
<text value="Patient selbst"/>
<type value="boolean"/>
</item>
<item>
<linkId value="receiverCopy.relatedPerson"/>
<text value="Andere Person"/>
<type value="group"/>
<repeats value="true"/>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="linkIdPrefix"/>
<language value="text/fhirpath"/>
<expression value="'receiverCopy.relatedPerson.'"/>
</valueExpression>
</extension>
<linkId value="receiverCopy.relatedPerson.familyName"/>
<text value="Name"/>
<type value="string"/>
</item>
<item>
<linkId value="receiverCopy.relatedPerson.givenName"/>
<text value="Vorname"/>
<type value="string"/>
</item>
<item>
<linkId value="receiverCopy.relatedPerson.phone"/>
<text value="Telefon"/>
<type value="string"/>
<repeats value="true"/>
</item>
<item>
<linkId value="receiverCopy.relatedPerson.email"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.line"/>
</valueExpression>
</extension>
<linkId value="receiverCopy.relatedPerson.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<type value="string"/>
<repeats value="true"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.postalCode"/>
</valueExpression>
</extension>
<linkId value="receiverCopy.relatedPerson.postalCode"/>
<text value="PLZ"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.city"/>
</valueExpression>
</extension>
<linkId value="receiverCopy.relatedPerson.city"/>
<text value="Ort"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.country"/>
</valueExpression>
</extension>
<linkId value="receiverCopy.relatedPerson.country"/>
<text value="Land"/>
<type value="string"/>
</item>
</item>
</item>
<item>
<linkId value="antecedentEpisodeOfCare"/>
<text value="Vorgängiger Aufenthalt in Spital / Heim"/>
<type value="group"/>
<item>
<linkId value="antecedentEpisodeOfCare.start"/>
<text value="Von"/>
<type value="dateTime"/>
</item>
<item>
<linkId value="antecedentEpisodeOfCare.end"/>
<text value="Bis"/>
<type value="dateTime"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="linkIdPrefix"/>
<language value="text/fhirpath"/>
<expression
value="'antecedentEpisodeOfCare.managingOrganization.'"/>
</valueExpression>
</extension>
<linkId value="antecedentEpisodeOfCare.managingOrganization"/>
<text value="Spital /Heim"/>
<type value="group"/>
<item>
<linkId
value="antecedentEpisodeOfCare.managingOrganization.name"/>
<text value="Name der Organisation"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.line"/>
</valueExpression>
</extension>
<linkId
value="antecedentEpisodeOfCare.managingOrganization.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<type value="string"/>
<repeats value="true"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.postalCode"/>
</valueExpression>
</extension>
<linkId
value="antecedentEpisodeOfCare.managingOrganization.postalCode"/>
<text value="PLZ"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.city"/>
</valueExpression>
</extension>
<linkId
value="antecedentEpisodeOfCare.managingOrganization.city"/>
<text value="Ort"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.country"/>
</valueExpression>
</extension>
<linkId
value="antecedentEpisodeOfCare.managingOrganization.country"/>
<text value="Land"/>
<type value="string"/>
</item>
</item>
</item>
<item>
<linkId value="appointment"/>
<text
value="Ort und Zeit der Durchführung der angeforderten Leistung"/>
<type value="group"/>
<repeats value="true"/>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="linkIdPrefix"/>
<language value="text/fhirpath"/>
<expression value="'appointment.location.'"/>
</valueExpression>
</extension>
<linkId value="appointment.location"/>
<text value="Ort der Durchführung"/>
<type value="group"/>
<item>
<linkId value="appointment.location.name"/>
<text value="Name"/>
<type value="string"/>
<required value="true"/>
</item>
<item>
<linkId value="appointment.location.phone"/>
<text value="Telefon"/>
<type value="string"/>
</item>
<item>
<linkId value="appointment.location.email"/>
<text value="E-Mail"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.line"/>
</valueExpression>
</extension>
<linkId value="appointment.location.streetAddressLine"/>
<text value="Strasse, Hausnummer, Postfach etc."/>
<type value="string"/>
<repeats value="true"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.postalCode"/>
</valueExpression>
</extension>
<linkId value="appointment.location.postalCode"/>
<text value="PLZ"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.city"/>
</valueExpression>
</extension>
<linkId value="appointment.location.city"/>
<text value="Ort"/>
<type value="string"/>
</item>
<item>
<extension
url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="%address.country"/>
</valueExpression>
</extension>
<linkId value="appointment.location.country"/>
<text value="Land"/>
<type value="string"/>
</item>
</item>
<item>
<linkId value="appointment.requestedPeriod"/>
<text
value="Datum und Zeit, wann der Termin bevorzugt geplant werden soll"/>
<type value="group"/>
<item>
<linkId value="appointment.requestedPeriod.start"/>
<text value="Von"/>
<type value="dateTime"/>
</item>
<item>
<linkId value="appointment.requestedPeriod.end"/>
<text value="Bis"/>
<type value="dateTime"/>
</item>
</item>
<item>
<linkId value="appointment.status"/>
<text value="Status"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/appointmentstatus"/>
<code value="proposed"/>
<display value="Wunsch des Patienten (vorgeschlagen)"/>
</valueCoding>
<initialSelected value="true"/>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/appointmentstatus"/>
<code value="pending"/>
<display
value="Vom Patienten bestätigt, aber vom Leistungserbringer noch nicht (ausstehend)"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://hl7.org/fhir/appointmentstatus"/>
<code value="booked"/>
<display
value="Vom Patienten und Leistungserbringer bestätigt (gebucht)"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="appointment.patientInstruction"/>
<text value="Patienteninformation für diesen Termin"/>
<type value="string"/>
</item>
</item>
<item>
<linkId value="consent"/>
<text value="Einverständniserklärung"/>
<type value="group"/>
<item>
<linkId value="patient.consent.statement"/>
<text
value="Ist der Patient über die Anmeldung informiert und explizit einverstanden?"/>
<type value="choice"/>
<answerOption>
<valueCoding>
<system
value="http://fhir.ch/ig/ch-orf/CodeSystem/ch-orf-cs-consentstatus"/>
<code value="ExplicitAgreement"/>
<display
value="Patient is informed and has explicitly agreed"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.ch/ig/ch-orf/CodeSystem/ch-orf-cs-consentstatus"/>
<code value="Other"/>
<display
value="Other situation such as 'implicit agreement', 'agreed by legal guardian' etc."/>
</valueCoding>
</answerOption>
<item>
<linkId value="patient.consent.statement.note"/>
<text value="Anmerkung"/>
<type value="string"/>
</item>
</item>
</item>
<item>
<linkId value="note"/>
<text value="Bemerkungen"/>
<type value="group"/>
<repeats value="true"/>
<item>
<linkId value="note.text"/>
<text value="Kommentar"/>
<type value="string"/>
</item>
</item>
</Questionnaire>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:b09d7c4d-a7b1-443c-8c3b-4d01675ad970"/>
<resource>
<PractitionerRole>
<language value="de-CH"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="de-CH" lang="de-CH"><a name="PractitionerRole_null"> </a><p class="res-header-id"><b>Generated Narrative: PractitionerRole </b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Language: de-CH</p></div><p><b>practitioner</b>: <a href="Bundle-radiology-order.html#urn-uuid-a4e7a174-e3d1-4096-b93b-eb11ba1f22e8">Bundle: identifier = UUID:ac5fcff4-6f4c-4281-bc7c-451ee1047f15; type = document; timestamp = 2023-06-13 11:57:36+0000</a></p><p><b>organization</b>: <a href="Bundle-radiology-order.html#urn-uuid-1ab1aa55-3096-4a6f-affc-a06a0d1d5786">Bundle: identifier = UUID:ac5fcff4-6f4c-4281-bc7c-451ee1047f15; type = document; timestamp = 2023-06-13 11:57:36+0000</a></p></div>
</text>
<practitioner>
<reference value="urn:uuid:a4e7a174-e3d1-4096-b93b-eb11ba1f22e8"/>
</practitioner>
<organization>
<reference value="urn:uuid:1ab1aa55-3096-4a6f-affc-a06a0d1d5786"/>
</organization>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:a4e7a174-e3d1-4096-b93b-eb11ba1f22e8"/>
<resource>
<Practitioner>
<language value="de-CH"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="de-CH" lang="de-CH"><a name="Practitioner_null"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner </b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Language: de-CH</p></div><p><b>identifier</b>: <a href="https://www.gs1.org/standards/id-keys/gln" title="Global Location Number">GLN</a>/7601000201041</p><p><b>name</b>: Otto Rderfiller </p><p><b>telecom</b>: ph: 044 412 00 99, <a href="mailto:o.rderfiller@happyhospital.ch">o.rderfiller@happyhospital.ch</a></p></div>
</text>
<identifier>
<system value="urn:oid:2.51.1.3"/>
<value value="7601000201041"/>
</identifier>
<name>
<family value="Rderfiller"/>
<given value="Otto"/>
<prefix value="Dr. med.">
<extension
url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier">
<valueCode value="AC"/>
</extension>
</prefix>
</name>
<telecom>
<system value="phone"/>
<value value="044 412 00 99"/>
</telecom>
<telecom>
<system value="email"/>
<value value="o.rderfiller@happyhospital.ch"/>
</telecom>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:1ab1aa55-3096-4a6f-affc-a06a0d1d5786"/>
<resource>
<Organization>
<language value="de-CH"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="de-CH" lang="de-CH"><a name="Organization_null"> </a><p class="res-header-id"><b>Generated Narrative: Organization </b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Language: de-CH</p></div><p><b>name</b>: Klinik Happy Hospital</p><p><b>address</b>: Seestrasse 133 Haus C Zürich 8000 Schweiz </p></div>
</text>
<name value="Klinik Happy Hospital"/>
<address>
<line value="Seestrasse 133"/>
<line value="Haus C"/>
<city value="Zürich"/>
<postalCode value="8000"/>
<country value="Schweiz"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:de8d3b4f-1a57-48c0-9b03-a758ff8f2d2f"/>
<resource>
<PractitionerRole>
<language value="de-CH"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="de-CH" lang="de-CH"><a name="PractitionerRole_null"> </a><p class="res-header-id"><b>Generated Narrative: PractitionerRole </b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Language: de-CH</p></div><p><b>practitioner</b>: <a href="Bundle-radiology-order.html#urn-uuid-0bba65f4-88a0-442d-91fa-1e95b54c954c">Bundle: identifier = UUID:ac5fcff4-6f4c-4281-bc7c-451ee1047f15; type = document; timestamp = 2023-06-13 11:57:36+0000</a></p><p><b>organization</b>: <a href="Bundle-radiology-order.html#urn-uuid-f19b34ca-5f0d-449d-b6a1-0ca9c1257df0">Bundle: identifier = UUID:ac5fcff4-6f4c-4281-bc7c-451ee1047f15; type = document; timestamp = 2023-06-13 11:57:36+0000</a></p></div>
</text>
<practitioner>
<reference value="urn:uuid:0bba65f4-88a0-442d-91fa-1e95b54c954c"/>
</practitioner>
<organization>
<reference value="urn:uuid:f19b34ca-5f0d-449d-b6a1-0ca9c1257df0"/>
</organization>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:0bba65f4-88a0-442d-91fa-1e95b54c954c"/>
<resource>
<Practitioner>
<language value="de-CH"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="de-CH" lang="de-CH"><a name="Practitioner_null"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner </b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Language: de-CH</p></div><p><b>identifier</b>: <a href="https://www.gs1.org/standards/id-keys/gln" title="Global Location Number">GLN</a>/7601000618627</p><p><b>name</b>: Ottilie Rderplacer </p><p><b>telecom</b>: ph: 044 333 22 11, <a href="mailto:o.rderplacer@happydoctors.ch">o.rderplacer@happydoctors.ch</a></p></div>
</text>
<identifier>
<system value="urn:oid:2.51.1.3"/>
<value value="7601000618627"/>
</identifier>
<name>
<family value="Rderplacer"/>
<given value="Ottilie"/>
<prefix value="Dr. med.">
<extension
url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier">
<valueCode value="AC"/>
</extension>
</prefix>
</name>
<telecom>
<system value="phone"/>
<value value="044 333 22 11"/>
</telecom>
<telecom>
<system value="email"/>
<value value="o.rderplacer@happydoctors.ch"/>
</telecom>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:f19b34ca-5f0d-449d-b6a1-0ca9c1257df0"/>
<resource>
<Organization>
<language value="de-CH"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="de-CH" lang="de-CH"><a name="Organization_null"> </a><p class="res-header-id"><b>Generated Narrative: Organization </b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Language: de-CH</p></div><p><b>name</b>: Praxis Happy Doctors</p><p><b>address</b>: Kantonsstrasse 14 Postfach 14 Zürich 8000 Schweiz </p></div>
</text>
<name value="Praxis Happy Doctors"/>
<address>
<line value="Kantonsstrasse 14"/>
<line value="Postfach 14"/>
<city value="Zürich"/>
<postalCode value="8000"/>
<country value="Schweiz"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:b6d4abb9-8c83-4d76-89d0-547c0b269f6d"/>
<resource>
<PractitionerRole>
<language value="de-CH"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="de-CH" lang="de-CH"><a name="PractitionerRole_null"> </a><p class="res-header-id"><b>Generated Narrative: PractitionerRole </b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Language: de-CH</p></div><p><b>practitioner</b>: <a href="Bundle-radiology-order.html#urn-uuid-cb7715e3-dbd4-4dc4-8f75-013074c88aba">Bundle: identifier = UUID:ac5fcff4-6f4c-4281-bc7c-451ee1047f15; type = document; timestamp = 2023-06-13 11:57:36+0000</a></p><p><b>organization</b>: <a href="Bundle-radiology-order.html#urn-uuid-f19b34ca-5f0d-449d-b6a1-0ca9c1257df0">Bundle: identifier = UUID:ac5fcff4-6f4c-4281-bc7c-451ee1047f15; type = document; timestamp = 2023-06-13 11:57:36+0000</a></p></div>
</text>
<practitioner>
<reference value="urn:uuid:cb7715e3-dbd4-4dc4-8f75-013074c88aba"/>
</practitioner>
<organization>
<reference value="urn:uuid:f19b34ca-5f0d-449d-b6a1-0ca9c1257df0"/>
</organization>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:cb7715e3-dbd4-4dc4-8f75-013074c88aba"/>
<resource>
<Practitioner>
<language value="de-CH"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="de-CH" lang="de-CH"><a name="Practitioner_null"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner </b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Language: de-CH</p></div><p><b>name</b>: Doris Ataenterer </p><p><b>telecom</b>: ph: 044 333 22 11, <a href="mailto:d.ataenterer@happydoctors.ch">d.ataenterer@happydoctors.ch</a></p></div>
</text>
<name>
<family value="Ataenterer"/>
<given value="Doris"/>
</name>
<telecom>
<system value="phone"/>
<value value="044 333 22 11"/>
</telecom>
<telecom>
<system value="email"/>
<value value="d.ataenterer@happydoctors.ch"/>
</telecom>
</Practitioner>
</resource>
</entry>
</Bundle>