CH ORF (R4)
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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

Example Bundle: Bundle Order-Referral-Form


Document Subject

Generated Narrative: Patient

Language: de-CH

Erika Musterfrau Female, DoB: 1970-03-14 ( Medical record number)


Marital Status:verwitwet
Alt. Name:Vormusterfrau (Name changed for Marriage)
Contact Detail
Language:German (Region=Switzerland) (preferred)
:
Links:

Document Content

Order-Referral


Additional Resources Included in Document


Entry 1 - fullUrl = urn:uuid:2744e113-d29e-40b7-af6e-c19a3a8a1c7c

Resource Composition:

Generated Narrative: Composition

Language: de-CH

CH ORF Precedent Document: Uniform Resource Identifier (URI)/urn:uuid:1622f2fb-6ba3-4532-9aed-35b158def187

CH ORF Urgent Notification Contact For This Documet: Bundle: identifier = UUID:961aba74-a098-44ad-af05-aa6d0dbc4021; type = document; timestamp = 2023-06-12 20:41:06+0000

CH ORF Urgent Notification Contact For The Response To This Document: Bundle: identifier = UUID:961aba74-a098-44ad-af05-aa6d0dbc4021; type = document; timestamp = 2023-06-12 20:41:06+0000

CH ORF Receiver: Bundle: identifier = UUID:961aba74-a098-44ad-af05-aa6d0dbc4021; type = document; timestamp = 2023-06-12 20:41:06+0000

CH ORF Initiator

EPR Data Enterer

CH ORF Copy Receiver: Bundle: identifier = UUID:961aba74-a098-44ad-af05-aa6d0dbc4021; type = document; timestamp = 2023-06-12 20:41:06+0000

CH ORF Copy Receiver: Bundle: identifier = UUID:961aba74-a098-44ad-af05-aa6d0dbc4021; type = document; timestamp = 2023-06-12 20:41:06+0000

CH ORF Episode of Care: Bundle: identifier = UUID:961aba74-a098-44ad-af05-aa6d0dbc4021; type = document; timestamp = 2023-06-12 20:41:06+0000

status: Final

type: Record artifact (record artifact)

category: Order (record artifact)

date: 2023-06-12 20:41:06+0000

author: Bundle: identifier = UUID:961aba74-a098-44ad-af05-aa6d0dbc4021; type = document; timestamp = 2023-06-12 20:41:06+0000

title: Order and Referral by Form


Entry 2 - fullUrl = urn:uuid:aaddb7b1-eb51-4426-8182-42f66fbf24d0

Resource Patient:

Generated Narrative: Patient

Language: de-CH

Erika Musterfrau Female, DoB: 1970-03-14 ( Medical record number)


Marital Status:verwitwet
Alt. Name:Vormusterfrau (Name changed for Marriage)
Contact Detail
Language:German (Region=Switzerland) (preferred)
:
Links:

Entry 3 - fullUrl = urn:uuid:e65f3e97-3e93-400f-9624-ce9fd765b231

Resource QuestionnaireResponse:

Generated Narrative: QuestionnaireResponse

Language: de-CH

Profile: CH ORF QuestionnaireResponse

LinkIDTextDefinitionAnswerdoco
.. Questionnaire:Order Referral Form
... orderAuftrag
.... order.placerOrderIdentifierAuftragsnummer des Auftraggebers123
.... order.placerOrderIdentifierDomainIdentifier Domain der Auftragsnummer des Auftraggebersurn:oid:2.999.1.3.4.5.6.7
.... order.fillerOrderIdentifierAuftragsnummer des Auftragsempfängers456
.... order.fillerOrderIdentifierDomainIdentifier Domain der Auftragsnummer des Auftragsempfängersurn:oid:2.999.7.8.9.10.11
.... order.precedentDocumentIdentifierIdentifier des Vorgängerdokuments1622f2fb-6ba3-4532-9aed-35b158def187
.... order.notificationContactDocumentDringender Benachrichtigungskontakt für dieses Dokument
..... order.notificationContactDocument.practitionerZu benachrichtigende Person
...... order.notificationContactDocument.practitioner.titleTitelDr. med.
...... order.notificationContactDocument.practitioner.familyNameNameRöntgen
...... order.notificationContactDocument.practitioner.givenNameVornameHans
...... order.notificationContactDocument.practitioner.phoneTelefon044 412 00 99
...... order.notificationContactDocument.practitioner.emailE-Mailhans.roentgen@kantonsspital.ch
.... order.notificationContactDocumentResponseDringender Benachrichtigungskontakt für die Antwort auf dieses Dokument
..... order.notificationContactDocumentResponse.practitionerZu benachrichtigende Person
...... order.notificationContactDocumentResponse.practitioner.titleTitelDr. med.
...... order.notificationContactDocumentResponse.practitioner.familyNameNameMeier
...... order.notificationContactDocumentResponse.practitioner.givenNameVornameSabine
...... order.notificationContactDocumentResponse.practitioner.phoneTelefon044 333 22 11
...... order.notificationContactDocumentResponse.practitioner.emailE-Mailsabine.meier@praxisseeblick.ch
.... order.priorityAuftragsprioritätRequestPriority routine: Routine
... receiverEmpfänger
.... receiver.practitionerEmpfangende Person
..... receiver.practitioner.titleTitelDr. med.
..... receiver.practitioner.familyNameNameRöntgen
..... receiver.practitioner.givenNameVornameHans
..... receiver.practitioner.glnGLN7601000201041
..... receiver.practitioner.zsrZSR (fr/it: RCC)A123262
..... receiver.practitioner.phoneTelefon044 412 00 99
..... receiver.practitioner.emailE-Mailhans.roentgen@kantonsspital.ch
.... receiver.organizationEmpfangende Organisation
..... receiver.organization.nameName der OrganisationKantonsspital
..... receiver.organization.streetAddressLineStrasse, Hausnummer, Postfach etc.
..... receiver.organization.postalCodePLZ8000
..... receiver.organization.cityOrtZürich
..... receiver.organization.countryLandSchweiz
... initiatorInitiant dieser Anmeldung
.... initiator.legalrelationJuristische Beziehung zum PatientenSNOMED CT 373068000: Undetermined (qualifier value)
.... initiator.personalrelationPersönliche Beziehung zum Patienten?SNOMED CT 65616008: Son
.... initiator.relatedPersonAndere Person
..... initiator.relatedPerson.familyNameNameMusterfrau
..... initiator.relatedPerson.givenNameVornameFritz
... patientPatient
.... patient.familyNameNameMusterfrau
.... patient.maidenNameLedignameVormusterfrau
.... patient.givenNameVornameErika
.... patient.localPidLokale Patienten-ID11.22.33.4567
.... patient.localPidDomainLokale Patienten-ID Domainurn:oid:2.999.1.2.3.4
.... patient.birthDateGeburtsdatum1970-03-14
.... patient.genderGeschlechtAdministrativeGender female: Female
.... patient.maritalStatusZivilstandeCH-011 MaritalStatus 3: verwitwet
.... patient.phoneTelefon079 979 79 79
.... patient.emailE-Mailerika@musterfrau.ch
.... patient.streetAddressLineStrasse, Hausnummer, Postfach etc.
.... patient.postalCodePLZ8000
.... patient.cityOrtZürich
.... patient.countryLandSchweiz
.... patient.languageOfCorrespondenceKorrespondenzspracheTags for the Identification of Languages de-CH: German (Region=Switzerland)
.... patient.contactpersonKontaktperson
..... patient.contactperson.relationshipBeziehungGuter Freund
..... patient.contactperson.familyNameNameFreund
..... patient.contactperson.givenNameVornameMax
..... patient.contactperson.phoneTelefon079 111 22 33
..... patient.contactperson.emailE-Mailmax@freund.ch
.... familydoctorHausarzt
..... familydoctor.practitionerHausarzt Person
...... familydoctor.practitioner.titleTitelDr. med.
...... familydoctor.practitioner.familyNameNameMeier
...... familydoctor.practitioner.givenNameSabine
... requestedEncounterPatientenaufnahme
.... requestedEncounter.classVoraussichtlich: Ambulant / Stationär / NotfallActCode EMER: emergency
.... requestedEncounter.desiredAccommodationZimmerkategorieBFS Medizinische Statistik - 21 1.3.V02 - Klasse / Classe / Classe 2: halbprivat
... coverageKostenträger
.... coverage.kvgKrankenkasse nach KVG (fr/it: LAMal)
..... coverage.kvg.nameName der VersicherungSanitas
..... coverage.kvg.insuranceCardNumberKennnummer der Versichertenkarte80756015090002647590
... senderAbsender
.... sender.authorVerantwortlicher
..... sender.author.practitionerVerantwortliche Person
...... sender.author.practitioner.titleTitelDr. med.
...... sender.author.practitioner.familyNameNameMeier
...... sender.author.practitioner.givenNameVornameSabine
...... sender.author.practitioner.glnGLN7601000618627
...... sender.author.practitioner.zsrZSR (fr/it: RCC)A123321
...... sender.author.practitioner.phoneTelefon044 333 22 11
...... sender.author.practitioner.emailE-Mailsabine.meier@praxisseeblick.ch
..... sender.author.organizationVerantwortliche Organisation
...... sender.author.organization.nameName der OrganisationPraxis Seeblick
...... sender.author.organization.streetAddressLineStrasse, Hausnummer, Postfach etc.
...... sender.author.organization.postalCodePLZ8000
...... sender.author.organization.cityOrtZürich
...... sender.author.organization.countryLandSchweiz
.... sender.dataentererErfasser
..... sender.dataenterer.practitionerErfassende Person
...... sender.dataenterer.practitioner.familyNameNameBoss
...... sender.dataenterer.practitioner.givenNameVornameStabilo
...... sender.dataenterer.practitioner.phoneTelefon044 333 22 12
...... sender.dataenterer.practitioner.emailE-Mailstabilo.boss@praxisseeblick.ch
... receiverCopyKopieempfänger (Kopie dieses Auftrags und aller daraus resultierenden Resultate)
.... receiverCopy.practitionerRoleGesundheitsfachperson oder -organisation
..... receiverCopy.practitionerRole.practitionerGesundheitsfachperson
...... receiverCopy.practitionerRole.practitioner.titleTitelDr. med.
...... receiverCopy.practitionerRole.practitioner.familyNameNameMeier
...... receiverCopy.practitionerRole.practitioner.givenNameVornameSabine
...... receiverCopy.practitionerRole.practitioner.phoneTelefon044 333 22 11
...... receiverCopy.practitionerRole.practitioner.emailE-Mailsabine.meier@praxisseeblick.ch
..... receiverCopy.practitionerRole.organizationGesundheitsorganisatiton
...... receiverCopy.practitionerRole.organization.nameName der OrganisationPraxis Seeblick
...... receiverCopy.practitionerRole.organization.streetAddressLineStrasse, Hausnummer, Postfach etc.Seestrasse 133
...... receiverCopy.practitionerRole.organization.postalCodePLZ8000
...... receiverCopy.practitionerRole.organization.cityOrtZürich
...... receiverCopy.practitionerRole.organization.countryLandSchweiz
.... receiverCopy.patientPatient selbsttrue
... antecedentEpisodeOfCareVorgängiger Aufenthalt in Spital / Heim
.... antecedentEpisodeOfCare.startVon2023-05-22
.... antecedentEpisodeOfCare.endBis2023-05-27
.... antecedentEpisodeOfCare.managingOrganizationSpital /Heim
..... antecedentEpisodeOfCare.managingOrganization.nameName der OrganisationSpital Hinterfultigen
... appointmentOrt und Zeit der Durchführung der angeforderten Leistung
... consentEinverständniserklärung
.... patient.consent.statementIst der Patient über die Anmeldung informiert und explizit einverstanden?Consent Status Other: Other situation such as 'implicit agreement', 'agreed by legal guardian' etc.
..... patient.consent.statement.noteAnmerkungVoraussichtlich einverstanden; Sohn wird die Situation beim nä. Besuch mit Pat. besprechen
... noteBemerkungen
.... note.textKommentarPatientin ist sehr ängstlich

doco Documentation for this format

Entry 4 - fullUrl = urn:uuid:2f9f6d08-6fbc-4659-af0d-abdae83da63f

Resource ServiceRequest:

Generated Narrative: ServiceRequest

Language: de-CH

CH ORF Requested Encounter Details: Bundle: identifier = UUID:961aba74-a098-44ad-af05-aa6d0dbc4021; type = document; timestamp = 2023-06-12 20:41:06+0000

identifier: Placer Identifier/123, Filler Identifier/456

status: Active

intent: Order

priority: Routine

subject: Bundle: identifier = UUID:961aba74-a098-44ad-af05-aa6d0dbc4021; type = document; timestamp = 2023-06-12 20:41:06+0000

requester: Bundle: identifier = UUID:961aba74-a098-44ad-af05-aa6d0dbc4021; type = document; timestamp = 2023-06-12 20:41:06+0000

insurance: Bundle: identifier = UUID:961aba74-a098-44ad-af05-aa6d0dbc4021; type = document; timestamp = 2023-06-12 20:41:06+0000

note: Patientin ist sehr ängstlich


Entry 5 - fullUrl = http://fhir.ch/ig/ch-orf/Questionnaire/order-referral-form

Resource Questionnaire:

Generated Narrative: Questionnaire order-referral-form

Language: de-CH


Entry 6 - fullUrl = urn:uuid:a5c91b7a-8c58-4a71-a1bc-08bd093681b8

Resource PractitionerRole:

Generated Narrative: PractitionerRole

Language: de-CH

practitioner: Bundle: identifier = UUID:961aba74-a098-44ad-af05-aa6d0dbc4021; type = document; timestamp = 2023-06-12 20:41:06+0000


Entry 7 - fullUrl = urn:uuid:fa460d46-61d2-43bc-8451-35e7637ca4cd

Resource Practitioner:

Generated Narrative: Practitioner

Language: de-CH

name: Hans Röntgen

telecom: ph: 044 412 00 99, hans.roentgen@kantonsspital.ch


Entry 8 - fullUrl = urn:uuid:9fec93d4-ac30-4d89-8975-e5e2ebabd28a

Resource PractitionerRole:

Generated Narrative: PractitionerRole

Language: de-CH

practitioner: Bundle: identifier = UUID:961aba74-a098-44ad-af05-aa6d0dbc4021; type = document; timestamp = 2023-06-12 20:41:06+0000


Entry 9 - fullUrl = urn:uuid:265ff485-c1d8-4c92-a515-35a52887d425

Resource Practitioner:

Generated Narrative: Practitioner

Language: de-CH

name: Sabine Meier

telecom: ph: 044 333 22 11, sabine.meier@praxisseeblick.ch


Entry 10 - fullUrl = urn:uuid:305422f3-dbfb-4ce0-bd12-e26d0024f550

Resource PractitionerRole:

Generated Narrative: PractitionerRole

Language: de-CH

practitioner: Bundle: identifier = UUID:961aba74-a098-44ad-af05-aa6d0dbc4021; type = document; timestamp = 2023-06-12 20:41:06+0000

organization: Bundle: identifier = UUID:961aba74-a098-44ad-af05-aa6d0dbc4021; type = document; timestamp = 2023-06-12 20:41:06+0000


Entry 11 - fullUrl = urn:uuid:a52dafd4-3a96-463c-88b1-e7096f21dc70

Resource Practitioner:

Generated Narrative: Practitioner

Language: de-CH

identifier: GLN/7601000201041, urn:oid:2.16.756.5.30.1.123.100.2.1.1/A123262

name: Hans Röntgen

telecom: ph: 044 412 00 99, hans.roentgen@kantonsspital.ch


Entry 12 - fullUrl = urn:uuid:aa7ac1e4-fa1f-4d75-a6ba-a6e1eb022c44

Resource Organization:

Generated Narrative: Organization

Language: de-CH

name: Kantonsspital

Contacts

-Address
*Kantonsstrasse 14 Postfach 14 Zürich 8000 Schweiz

Entry 13 - fullUrl = urn:uuid:c1ed3d1d-8aff-401f-ae87-16e178323a10

Resource RelatedPerson:

Generated Narrative: RelatedPerson

Language: de-CH

patient: Bundle: identifier = UUID:961aba74-a098-44ad-af05-aa6d0dbc4021; type = document; timestamp = 2023-06-12 20:41:06+0000

name: Fritz Musterfrau


Entry 14 - fullUrl = urn:uuid:11a6e0bc-534a-478a-b729-5d336601e789

Resource PractitionerRole:

Generated Narrative: PractitionerRole

Language: de-CH

practitioner: Bundle: identifier = UUID:961aba74-a098-44ad-af05-aa6d0dbc4021; type = document; timestamp = 2023-06-12 20:41:06+0000


Entry 15 - fullUrl = urn:uuid:2b7e232d-7f46-48d3-877c-93e7db6d0576

Resource Practitioner:

Generated Narrative: Practitioner

Language: de-CH

name: Sabine Meier


Entry 16 - fullUrl = urn:uuid:f435f713-5fb9-42a8-b3cc-7033ba75e3d5

Resource Encounter:

Generated Narrative: Encounter

Language: de-CH

CH ORF Desired Accommodation: BFS Medizinische Statistik - 21 1.3.V02 - Klasse / Classe / Classe 2: halbprivat

status: Planned

class: emergency

subject: Bundle: identifier = UUID:961aba74-a098-44ad-af05-aa6d0dbc4021; type = document; timestamp = 2023-06-12 20:41:06+0000


Entry 17 - fullUrl = urn:uuid:4d45ffb2-6335-4cf2-9d16-ad4387272345

Resource Coverage:

Generated Narrative: Coverage

Language: de-CH

identifier: Insurance Card Number/80756015090002647590

status: Active

type: Krankenversicherung (obligat.)

beneficiary: Bundle: identifier = UUID:961aba74-a098-44ad-af05-aa6d0dbc4021; type = document; timestamp = 2023-06-12 20:41:06+0000


Generated Narrative: Organization #org

name: Sanitas


Entry 18 - fullUrl = urn:uuid:4388146d-9909-4613-b0c5-2ac3de31dfb8

Resource PractitionerRole:

Generated Narrative: PractitionerRole

Language: de-CH

practitioner: Bundle: identifier = UUID:961aba74-a098-44ad-af05-aa6d0dbc4021; type = document; timestamp = 2023-06-12 20:41:06+0000

organization: Bundle: identifier = UUID:961aba74-a098-44ad-af05-aa6d0dbc4021; type = document; timestamp = 2023-06-12 20:41:06+0000


Entry 19 - fullUrl = urn:uuid:46ff1cb2-4ece-4952-8fdd-ffc23727f7cc

Resource Practitioner:

Generated Narrative: Practitioner

Language: de-CH

identifier: GLN/7601000618627, urn:oid:2.16.756.5.30.1.123.100.2.1.1/A123321

name: Sabine Meier

telecom: ph: 044 333 22 11, sabine.meier@praxisseeblick.ch


Entry 20 - fullUrl = urn:uuid:d8d014fe-01b0-403d-b8a3-1caa177d59f6

Resource Organization:

Generated Narrative: Organization

Language: de-CH

name: Praxis Seeblick

Contacts

-Address
*Seestrasse 133 Haus C Zürich 8000 Schweiz

Entry 21 - fullUrl = urn:uuid:40300c5d-0259-438a-88b8-4b24a9c6bf79

Resource PractitionerRole:

Generated Narrative: PractitionerRole

Language: de-CH

practitioner: Bundle: identifier = UUID:961aba74-a098-44ad-af05-aa6d0dbc4021; type = document; timestamp = 2023-06-12 20:41:06+0000

organization: Bundle: identifier = UUID:961aba74-a098-44ad-af05-aa6d0dbc4021; type = document; timestamp = 2023-06-12 20:41:06+0000


Entry 22 - fullUrl = urn:uuid:99dbf210-4384-4a23-8be4-524d1809bb39

Resource Practitioner:

Generated Narrative: Practitioner

Language: de-CH

name: Stabilo Boss

telecom: ph: 044 333 22 12, stabilo.boss@praxisseeblick.ch


Entry 23 - fullUrl = urn:uuid:b7fdf56d-3bc9-48d9-b470-d1cafb8a0716

Resource PractitionerRole:

Generated Narrative: PractitionerRole

Language: de-CH

practitioner: Bundle: identifier = UUID:961aba74-a098-44ad-af05-aa6d0dbc4021; type = document; timestamp = 2023-06-12 20:41:06+0000

organization: Bundle: identifier = UUID:961aba74-a098-44ad-af05-aa6d0dbc4021; type = document; timestamp = 2023-06-12 20:41:06+0000


Entry 24 - fullUrl = urn:uuid:ba1d8d1f-31ad-4a4f-961e-791cc5444134

Resource Practitioner:

Generated Narrative: Practitioner

Language: de-CH

name: Sabine Meier

telecom: ph: 044 333 22 11, sabine.meier@praxisseeblick.ch


Entry 25 - fullUrl = urn:uuid:0398e29f-0a03-4783-a8db-69c41afa5948

Resource Organization:

Generated Narrative: Organization

Language: de-CH

name: Praxis Seeblick

Contacts

-Address
*Seestrasse 133 Zürich 8000 Schweiz

Entry 26 - fullUrl = urn:uuid:9ba0fe13-1d13-4785-b408-1c69dda0d4c2

Resource EpisodeOfCare:

Generated Narrative: EpisodeOfCare

Language: de-CH

status: Finished

StatusHistories

-StatusPeriod
*Finished2023-05-22 --> 2023-05-27

patient: Bundle: identifier = UUID:961aba74-a098-44ad-af05-aa6d0dbc4021; type = document; timestamp = 2023-06-12 20:41:06+0000

managingOrganization: Bundle: identifier = UUID:961aba74-a098-44ad-af05-aa6d0dbc4021; type = document; timestamp = 2023-06-12 20:41:06+0000


Entry 27 - fullUrl = urn:uuid:344e4508-77e1-43ea-b401-b6c4f428b962

Resource Organization:

Generated Narrative: Organization

Language: de-CH

name: Spital Hinterfultigen