CH ORF (R4)
3.0.0-ci-build - ci-build
CH ORF (R4), published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 3.0.0-ci-build 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
Official URL: http://fhir.ch/ig/ch-orf/Questionnaire/order-referral-form | Version: 3.0.0-ci-build | |||
Active as of 2022-07-07 | Computable Name: OrderReferralForm | |||
Copyright/Legal: CC0-1.0 |
Generated Narrative: Questionnaire order-referral-form
Language: de-CH
Profiles: CH ORF Questionnaire, SDCBaseQuestionnaire, Extractable Questionnaire - StructureMap, Populatable Questionnaire - Expression
LinkID | Text | Cardinality | Type | Flags | Description & Constraints |
---|---|---|---|---|---|
OrderReferralForm | Questionnaire | http://fhir.ch/ig/ch-orf/Questionnaire/order-referral-form#3.0.0-ci-build | |||
order | Auftrag | 1..1 | group | ||
order.authoredOn | Daum/Zeit der Auftragserteilung | 0..1 | dateTime | Definition: ServiceRequest.authoredOn | |
order.placerOrderIdentifier | Auftragsnummer des Auftraggebers | 0..1 | string | Definition: ServiceRequest.identifier | |
order.placerOrderIdentifierDomain | Identifier Domain der Auftragsnummer des Auftraggebers | 0..1 | string | Definition: ServiceRequest.identifier | |
order.fillerOrderIdentifier | Auftragsnummer des Auftragsempfängers | 0..1 | string | Definition: ServiceRequest.identifier | |
order.fillerOrderIdentifierDomain | Identifier Domain der Auftragsnummer des Auftragsempfängers | 0..1 | string | Definition: ServiceRequest.identifier | |
order.precedentDocumentIdentifier | Identifier des Vorgängerdokuments | 0..1 | string | Definition: Composition.extension | |
order.notificationContactDocument | Dringender Benachrichtigungskontakt für dieses Dokument | 0..1 | group | Definition: Composition.extension | |
order.notificationContactDocument.practitioner | Zu benachrichtigende Person | 0..1 | group | Definition: PractitionerRole.practitioner | |
order.notificationContactDocument.practitioner.title | Titel | 0..1 | string | Definition: Practitioner.name.prefix | |
order.notificationContactDocument.practitioner.familyName | Name | 0..1 | string | Definition: Practitioner.name.family | |
order.notificationContactDocument.practitioner.givenName | Vorname | 0..1 | string | Definition: Practitioner.name.given | |
order.notificationContactDocument.practitioner.phone | Telefon | 0..1 | string | Definition: Practitioner.telecom.value | |
order.notificationContactDocument.practitioner.email | 0..1 | string | Definition: Practitioner.telecom.value | ||
order.notificationContactDocumentResponse | Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument | 0..1 | group | Definition: Composition.extension | |
order.notificationContactDocumentResponse.practitioner | Zu benachrichtigende Person | 0..1 | group | Definition: PractitionerRole.practitioner | |
order.notificationContactDocumentResponse.practitioner.title | Titel | 0..1 | string | Definition: Practitioner.name.prefix | |
order.notificationContactDocumentResponse.practitioner.familyName | Name | 0..1 | string | Definition: Practitioner.name.family | |
order.notificationContactDocumentResponse.practitioner.givenName | Vorname | 0..1 | string | Definition: Practitioner.name.given | |
order.notificationContactDocumentResponse.practitioner.phone | Telefon | 0..1 | string | Definition: Practitioner.telecom.value | |
order.notificationContactDocumentResponse.practitioner.email | 0..1 | string | Definition: Practitioner.telecom.value | ||
order.priority | Auftragspriorität | 0..1 | choice | Definition: ServiceRequest.priority Options: 4 options | |
receiver | Empfänger | 0..1 | group | Definition: Composition.extension | |
receiver.practitioner | Empfangende Person | 0..1 | group | Definition: PractitionerRole.practitioner | |
receiver.practitioner.title | Titel | 0..1 | string | Definition: Practitioner.name.prefix | |
receiver.practitioner.familyName | Name | 0..1 | string | Definition: Practitioner.name.family | |
receiver.practitioner.givenName | Vorname | 0..1 | string | Definition: Practitioner.name.given | |
receiver.practitioner.gln | GLN | 0..1 | string | Definition: Practitioner.identifier:GLN.value | |
receiver.practitioner.zsr | ZSR | 0..1 | string | Definition: Practitioner.identifier:ZSR.value | |
receiver.practitioner.phone | Telefon | 0..1 | string | Definition: Practitioner.telecom.value | |
receiver.practitioner.email | 0..1 | string | Definition: Practitioner.telecom.value | ||
receiver.organization | Empfangende Organisation | 0..1 | group | Definition: PractitionerRole.organization | |
receiver.organization.name | Name der Organisation | 0..1 | string | Definition: Organization.name | |
receiver.organization.gln | GLN | 0..1 | string | Definition: Organization.identifier:GLN | |
receiver.organization.streetAddressLine | Strasse, Hausnummer, Postfach etc. | 0..* | string | ||
receiver.organization.postalCode | PLZ | 0..1 | string | ||
receiver.organization.city | Ort | 0..1 | string | ||
receiver.organization.country | Land | 0..1 | string | ||
initiator | Initiant dieser Anmeldung | 0..1 | group | Definition: Composition.extension | |
initiator.legalrelation | Juristische Beziehung zum Patienten | 0..1 | choice | Definition: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-initiator-definitions#Extension Options: 2 options | |
initiator.personalrelation | Persönliche Beziehung zum Patienten? | 0..1 | choice | Definition: http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-initiator-definitions#Extension.extension:ch-orf-personalrelation Options: 10 options | |
initiator.practitionerRole | Gesundheitsfachperson oder -organisation | 0..1 | group | Definition: PractitionerRole.practitioner | |
initiator.practitionerRole.practitioner | Gesundheitsfachperson | 0..1 | group | Definition: PractitionerRole.practitioner | |
initiator.practitionerRole.practitioner.title | Titel | 0..1 | string | Definition: Practitioner.name.prefix | |
initiator.practitionerRole.practitioner.familyName | Name | 0..1 | string | Definition: Practitioner.name.family | |
initiator.practitionerRole.practitioner.givenName | Vorname | 0..1 | string | Definition: Practitioner.name.given | |
initiator.practitionerRole.practitioner.phone | Telefon | 0..1 | string | Definition: Practitioner.telecom.value | |
initiator.practitionerRole.practitioner.email | 0..1 | string | Definition: Practitioner.telecom.value | ||
initiator.practitionerRole.organization | Gesundheitsorganisatiton | 0..1 | group | Definition: PractitionerRole.organization | |
initiator.practitionerRole.organization.name | Name der Organisation | 0..1 | string | Definition: Organization.name | |
initiator.practitionerRole.organization.streetAddressLine | Strasse, Hausnummer, Postfach etc. | 0..* | string | ||
initiator.practitionerRole.organization.postalCode | PLZ | 0..1 | string | ||
initiator.practitionerRole.organization.city | Ort | 0..1 | string | ||
initiator.practitionerRole.organization.country | Land | 0..1 | string | ||
initiator.relatedPerson | Andere Person | 0..1 | group | Definition: RelatedPerson | |
initiator.relatedPerson.familyName | Name | 0..1 | string | Definition: RelatedPerson.name.family | |
initiator.relatedPerson.givenName | Vorname | 0..1 | string | Definition: RelatedPerson.name.given | |
initiator.relatedPerson.phone | Telefon | 0..* | string | Definition: RelatedPerson.telecom.value | |
initiator.relatedPerson.email | 0..1 | string | Definition: RelatedPerson.telecom.value | ||
initiator.relatedPerson.streetAddressLine | Strasse, Hausnummer, Postfach etc. | 0..* | string | ||
initiator.relatedPerson.postalCode | PLZ | 0..1 | string | ||
initiator.relatedPerson.city | Ort | 0..1 | string | ||
initiator.relatedPerson.country | Land | 0..1 | string | ||
patient | Patient | 1..1 | group | Definition: Composition.subject | |
patient.familyName | Name | 0..1 | string | Definition: Patient.name.family | |
patient.maidenName | Ledigname | 0..1 | string | Definition: Patient.name.family | |
patient.givenName | Vorname | 0..1 | string | Definition: Patient.name.given | |
patient.localPid | Lokale Patienten-ID | 0..1 | string | Definition: Patient.identifier:LocalPid.value | |
patient.localPidDomain | Lokale Patienten-ID Domain | 0..1 | string | Definition: Patient.identifier:LocalPid.system | |
patient.birthDate | Geburtsdatum | 0..1 | date | Definition: Patient.birthDate | |
patient.gender | Geschlecht | 0..1 | choice | Definition: Patient.gender Options: 3 options | |
patient.maritalStatus | Zivilstand | 0..1 | choice | Definition: Patient.maritalStatus Options: 8 options | |
patient.phone | Telefon | 0..* | string | Definition: Patient.telecom.value | |
patient.email | 0..1 | string | Definition: Patient.telecom.value | ||
patient.streetAddressLine | Strasse, Hausnummer, Postfach etc. | 0..* | string | ||
patient.postalCode | PLZ | 0..1 | string | ||
patient.city | Ort | 0..1 | string | ||
patient.country | Land | 0..1 | string | ||
patient.languageOfCorrespondence | Korrespondenzsprache | 0..1 | choice | Definition: Patient.communication:languageOfCorrespondence Value Set: DocumentEntry.languageCode | |
patient.contactperson | Kontaktperson | 0..* | group | Definition: Patient.contact | |
patient.contactperson.relationship | Beziehung | 0..1 | string | Definition: Patient.contact.relationship.text | |
patient.contactperson.familyName | Name | 0..1 | string | Definition: Patient.contact.name.family | |
patient.contactperson.givenName | Vorname | 0..1 | string | Definition: Patient.contact.name.given | |
patient.contactperson.phone | Telefon | 0..* | string | Definition: Patient.contact.telecom.value | |
patient.contactperson.email | 0..1 | string | Definition: Patient.contact.telecom.value | ||
familydoctor | Hausarzt | 0..1 | group | Definition: Patient.generalPractitioner | |
familydoctor.practitioner | Hausarzt Person | 0..1 | group | Definition: PractitionerRole.practitioner | |
familydoctor.practitioner.title | Titel | 0..1 | string | Definition: Practitioner.name.prefix | |
familydoctor.practitioner.familyName | Name | 0..1 | string | Definition: Practitioner.name.family | |
familydoctor.practitioner.givenName | Vorname | 0..1 | string | Definition: Practitioner.name.given | |
familydoctor.practitioner.gln | GLN | 0..1 | string | Definition: Practitioner.identifier:GLN.value | |
familydoctor.practitioner.zsr | ZSR | 0..1 | string | Definition: Practitioner.identifier:ZSR.value | |
familydoctor.practitioner.phone | Telefon | 0..1 | string | Definition: Practitioner.telecom.value | |
familydoctor.practitioner.email | 0..1 | string | Definition: Practitioner.telecom.value | ||
familydoctor.organization | Hausarzt Organisation | 0..1 | group | Definition: PractitionerRole.organization | |
familydoctor.organization.name | Name der Organisation | 0..1 | string | Definition: Organization.name | |
familydoctor.organization.gln | GLN | 0..1 | string | Definition: Organization.identifier:GLN | |
familydoctor.organization.streetAddressLine | Strasse, Hausnummer, Postfach etc. | 0..* | string | ||
familydoctor.organization.postalCode | PLZ | 0..1 | string | ||
familydoctor.organization.city | Ort | 0..1 | string | ||
familydoctor.organization.country | Land | 0..1 | string | ||
requestedEncounter | Patientenaufnahme | 0..1 | group | Definition: ServiceRequest.extension | |
requestedEncounter.class | Voraussichtlich: Ambulant / Stationär / Notfall | 0..1 | choice | Definition: Encounter.class Options: 3 options | |
requestedEncounter.desiredAccommodation | Zimmerkategorie | 0..1 | choice | Definition: Encounter.extension Options: 3 options | |
coverage | Kostenträger | 0..1 | group | Definition: ServiceRequest.insurance | |
coverage.beneficiary | Begünstigter (Patient) | 0..1 | group | Definition: Coverage.beneficiary | |
coverage.beneficiary.ahvn13 | AHV-Nr. des Patienten | 0..1 | string | Definition: Patient.identifier:AHVN13 | |
coverage.kvg | Krankenkasse (nach KVG) | 0..1 | group | Definition: Coverage.type | |
coverage.kvg.name | Name der Versicherung | 0..1 | string | Definition: Coverage.payor | |
coverage.kvg.insuranceCardNumber | Kennnummer der Versichertenkarte | 0..1 | string | Definition: Coverage.identifier | |
coverage.uvg | Unfallversicherung (nach UVG) | 0..1 | group | Definition: Coverage.type | |
coverage.uvg.name | Name der Versicherung | 0..1 | string | Definition: Coverage.payor | |
coverage.uvg.claimNumber | Schadennummer | 0..1 | string | Definition: Coverage.identifier | |
coverage.vvg | Zusatzversicherung (nach VVG) | 0..1 | group | Definition: Coverage.type | |
coverage.vvg.name | Name der Versicherung | 0..1 | string | Definition: Coverage.payor | |
coverage.vvg.insuranceCardNumber | Kennnummer der Versichertenkarte | 0..1 | string | Definition: Coverage.identifier | |
coverage.iv | Invalidenversicherung (IV) | 0..1 | group | Definition: Coverage.type | |
coverage.iv.verfuegungsnummer | IV-Verfügungsnummer | 0..1 | string | Definition: Coverage.identifier | |
coverage.mv | Militärversicherung (MV) | 0..1 | group | Definition: Coverage.type | |
coverage.mv.versichertennummer | MV-Versichertennummer | 0..1 | string | Definition: Coverage.identifier | |
coverage.self | Selbstzahler | 0..1 | group | Definition: Coverage.type | |
coverage.self.patient | Patient selbst | 0..1 | boolean | Definition: Coverage.payor | |
coverage.self.patientRelatedPerson | Andere Person | 0..1 | boolean | Definition: Coverage.payor Enable When: coverage.self.patient = | |
coverage.self.relatedPerson | Andere Person | 0..1 | group | Definition: Coverage.payor Enable When: coverage.self.patientRelatedPerson = | |
coverage.self.relatedPerson.familyName | Name | 0..1 | string | Definition: RelatedPerson.name.family | |
coverage.self.relatedPerson.givenName | Vorname | 0..1 | string | Definition: RelatedPerson.name.given | |
coverage.self.relatedPerson.phone | Telefon | 0..* | string | Definition: RelatedPerson.telecom.value | |
coverage.self.relatedPerson.email | 0..1 | string | Definition: RelatedPerson.telecom.value | ||
coverage.self.relatedPerson.streetAddressLine | Strasse, Hausnummer, Postfach etc. | 0..* | string | ||
coverage.self.relatedPerson.postalCode | PLZ | 0..1 | string | ||
coverage.self.relatedPerson.city | Ort | 0..1 | string | ||
coverage.self.relatedPerson.country | Land | 0..1 | string | ||
coverage.other | Anderer Kostenträger | 0..1 | group | Definition: Coverage.type | |
coverage.other.name | Name des Kostenträgers | 0..1 | string | Definition: Coverage.payor | |
coverage.other.id | Beliebige ID | 0..1 | string | Definition: Coverage.identifier | |
coverage.other.id.note | Bemerkung zur ID | 0..1 | string | Definition: Coverage.identifier.type.text | |
sender | Absender | 1..1 | group | ||
sender.author | Verantwortlicher | 1..1 | group | Definition: Composition.author | |
sender.author.practitioner | Verantwortliche Person | 0..1 | group | Definition: PractitionerRole.practitioner | |
sender.author.practitioner.title | Titel | 0..1 | string | Definition: Practitioner.name.prefix | |
sender.author.practitioner.familyName | Name | 0..1 | string | Definition: Practitioner.name.family | |
sender.author.practitioner.givenName | Vorname | 0..1 | string | Definition: Practitioner.name.given | |
sender.author.practitioner.gln | GLN | 0..1 | string | Definition: Practitioner.identifier:GLN.value | |
sender.author.practitioner.zsr | ZSR | 0..1 | string | Definition: Practitioner.identifier:ZSR.value | |
sender.author.practitioner.phone | Telefon | 0..1 | string | Definition: Practitioner.telecom.value | |
sender.author.practitioner.email | 0..1 | string | Definition: Practitioner.telecom.value | ||
sender.author.organization | Verantwortliche Organisation | 0..1 | group | Definition: PractitionerRole.organization | |
sender.author.organization.name | Name der Organisation | 0..1 | string | Definition: Organization.name | |
sender.author.organization.gln | GLN | 0..1 | string | Definition: Organization.identifier:GLN | |
sender.author.organization.streetAddressLine | Strasse, Hausnummer, Postfach etc. | 0..* | string | ||
sender.author.organization.postalCode | PLZ | 0..1 | string | ||
sender.author.organization.city | Ort | 0..1 | string | ||
sender.author.organization.country | Land | 0..1 | string | ||
sender.dataenterer | Erfasser | 0..1 | group | Definition: Composition.extension | |
sender.dataenterer.practitioner | Erfassende Person | 0..1 | group | Definition: PractitionerRole.practitioner | |
sender.dataenterer.practitioner.title | Titel | 0..1 | string | Definition: Practitioner.name.prefix | |
sender.dataenterer.practitioner.familyName | Name | 0..1 | string | Definition: Practitioner.name.family | |
sender.dataenterer.practitioner.givenName | Vorname | 0..1 | string | Definition: Practitioner.name.given | |
sender.dataenterer.practitioner.phone | Telefon | 0..1 | string | Definition: Practitioner.telecom.value | |
sender.dataenterer.practitioner.email | 0..1 | string | Definition: Practitioner.telecom.value | ||
receiverCopy | Kopieempfänger (Kopie dieses Auftrags und aller daraus resultierenden Resultate) | 0..1 | group | Definition: Composition.extension | |
receiverCopy.practitionerRole | Gesundheitsfachperson oder -organisation | 0..* | group | Definition: PractitionerRole | |
receiverCopy.practitionerRole.practitioner | Gesundheitsfachperson | 0..1 | group | Definition: PractitionerRole.practitioner | |
receiverCopy.practitionerRole.practitioner.title | Titel | 0..1 | string | Definition: Practitioner.name.prefix | |
receiverCopy.practitionerRole.practitioner.familyName | Name | 0..1 | string | Definition: Practitioner.name.family | |
receiverCopy.practitionerRole.practitioner.givenName | Vorname | 0..1 | string | Definition: Practitioner.name.given | |
receiverCopy.practitionerRole.practitioner.phone | Telefon | 0..1 | string | Definition: Practitioner.telecom.value | |
receiverCopy.practitionerRole.practitioner.email | 0..1 | string | Definition: Practitioner.telecom.value | ||
receiverCopy.practitionerRole.organization | Gesundheitsorganisatiton | 0..1 | group | Definition: PractitionerRole.organization | |
receiverCopy.practitionerRole.organization.name | Name der Organisation | 0..1 | string | Definition: Organization.name | |
receiverCopy.practitionerRole.organization.streetAddressLine | Strasse, Hausnummer, Postfach etc. | 0..* | string | ||
receiverCopy.practitionerRole.organization.postalCode | PLZ | 0..1 | string | ||
receiverCopy.practitionerRole.organization.city | Ort | 0..1 | string | ||
receiverCopy.practitionerRole.organization.country | Land | 0..1 | string | ||
receiverCopy.patient | Patient selbst | 0..1 | boolean | Definition: Patient | |
receiverCopy.relatedPerson | Andere Person | 0..* | group | Definition: RelatedPerson | |
receiverCopy.relatedPerson.familyName | Name | 0..1 | string | Definition: RelatedPerson.name.family | |
receiverCopy.relatedPerson.givenName | Vorname | 0..1 | string | Definition: RelatedPerson.name.given | |
receiverCopy.relatedPerson.phone | Telefon | 0..* | string | Definition: RelatedPerson.telecom.value | |
receiverCopy.relatedPerson.email | 0..1 | string | Definition: RelatedPerson.telecom.value | ||
receiverCopy.relatedPerson.streetAddressLine | Strasse, Hausnummer, Postfach etc. | 0..* | string | ||
receiverCopy.relatedPerson.postalCode | PLZ | 0..1 | string | ||
receiverCopy.relatedPerson.city | Ort | 0..1 | string | ||
receiverCopy.relatedPerson.country | Land | 0..1 | string | ||
antecedentEpisodeOfCare | Vorgängiger Aufenthalt in Spital / Heim | 0..1 | group | Definition: Composition.extension | |
antecedentEpisodeOfCare.start | Von | 0..1 | dateTime | Definition: EpisodeOfCare.period | |
antecedentEpisodeOfCare.end | Bis | 0..1 | dateTime | Definition: EpisodeOfCare.period | |
antecedentEpisodeOfCare.managingOrganization | Spital /Heim | 0..1 | group | Definition: EpisodeOfCare.managingOrganization | |
antecedentEpisodeOfCare.managingOrganization.name | Name der Organisation | 0..1 | string | Definition: Organization.name | |
antecedentEpisodeOfCare.managingOrganization.streetAddressLine | Strasse, Hausnummer, Postfach etc. | 0..* | string | ||
antecedentEpisodeOfCare.managingOrganization.postalCode | PLZ | 0..1 | string | ||
antecedentEpisodeOfCare.managingOrganization.city | Ort | 0..1 | string | ||
antecedentEpisodeOfCare.managingOrganization.country | Land | 0..1 | string | ||
appointment | Ort und Zeit der Durchführung der angeforderten Leistung | 0..* | group | Definition: ServiceRequest.extension | |
appointment.location | Ort der Durchführung | 0..1 | group | Definition: Appointment.participant.actor | |
appointment.location.name | Name | 1..1 | string | Definition: Location.name | |
appointment.location.phone | Telefon | 0..1 | string | Definition: Location.telecom | |
appointment.location.email | 0..1 | string | Definition: Location.telecom | ||
appointment.location.streetAddressLine | Strasse, Hausnummer, Postfach etc. | 0..* | string | ||
appointment.location.postalCode | PLZ | 0..1 | string | ||
appointment.location.city | Ort | 0..1 | string | ||
appointment.location.country | Land | 0..1 | string | ||
appointment.requestedPeriod | Datum und Zeit, wann der Termin bevorzugt geplant werden soll | 0..1 | group | Definition: Appointment.requestedPeriod | |
appointment.requestedPeriod.start | Von | 0..1 | dateTime | Definition: Appointment.requestedPeriod.start | |
appointment.requestedPeriod.end | Bis | 0..1 | dateTime | Definition: Appointment.requestedPeriod.end | |
appointment.status | Status | 1..1 | choice | Definition: Appointment.status Options: 3 options | |
appointment.patientInstruction | Patienteninformation für diesen Termin | 0..1 | string | Definition: Appointment.patientInstruction | |
consent | Einverständniserklärung | 0..1 | group | Definition: Composition.extension | |
patient.consent.statement | Ist der Patient über die Anmeldung informiert und explizit einverstanden? | 0..1 | choice | Options: 2 options | |
patient.consent.statement.note | Anmerkung | 0..1 | string | ||
note | Bemerkungen | 0..* | group | ||
note.text | Kommentar | 0..1 | string | Definition: ServiceRequest.note.text | |
Documentation for this format |
Options Sets
Answer options for order.priority
Answer options for initiator.legalrelation
Answer options for initiator.personalrelation
Answer options for patient.gender
Answer options for patient.maritalStatus
Answer options for requestedEncounter.class
Answer options for requestedEncounter.desiredAccommodation
Answer options for appointment.status
Answer options for patient.consent.statement