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Packagech.fhir.ig.ch-etoc
Resource TypeQuestionnaireResponse
IdQuestionnaireResponse-QuestionnaireResponseEtocRequestPrevious.json
FHIR VersionR4

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: QuestionnaireResponse QuestionnaireResponseEtocRequestPrevious

LinkIDTextDefinitionAnswerdoco
.. QuestionnaireResponseEtocRequestPreviousQuestionnaire:QuestionnaireEtoc
... orderAuftrag
.... order.authoredOnDatum/Zeit der Auftragserteilung2024-11-17T11:28:17+01:00
.... 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.familyNameNameRderfiller
...... order.notificationContactDocument.practitioner.givenNameVornameOtto
...... order.notificationContactDocument.practitioner.phoneTelefon044 412 00 99
...... order.notificationContactDocument.practitioner.emailE-Mailotto.rderfiller@happyhosptial.ch
.... order.notificationContactDocumentResponseDringender Benachrichtigungskontakt für die Antwort auf dieses Dokument
..... order.notificationContactDocumentResponse.practitionerZu benachrichtigende Person
...... order.notificationContactDocumentResponse.practitioner.titleTitel
...... order.notificationContactDocumentResponse.practitioner.familyNameName
...... order.notificationContactDocumentResponse.practitioner.givenNameVorname
...... order.notificationContactDocumentResponse.practitioner.phoneTelefon
...... order.notificationContactDocumentResponse.practitioner.emailE-Mail
.... order.priorityAuftragsprioritätRequestPriority: routine (Routine)
... receiverEmpfänger
.... receiver.practitionerEmpfangende Person
..... receiver.practitioner.titleTitelDr. med.
..... receiver.practitioner.familyNameNameRderfiller
..... receiver.practitioner.givenNameVornameOtto
..... receiver.practitioner.glnGLN7601000201041
..... receiver.practitioner.zsrZSRA123262
..... receiver.practitioner.phoneTelefon044 412 00 99
..... receiver.practitioner.emailE-Mailotto.rderfiller@happyhospital.ch
.... receiver.organizationEmpfangende Organisation
..... receiver.organization.nameName der OrganisationSpital Happyhospital
..... receiver.organization.streetAddressLineStrasse, Hausnummer, Postfach etc.Kantonsstrasse 133
..... receiver.organization.postalCodePLZ8000
..... receiver.organization.cityOrtZürich
..... receiver.organization.countryLandSchweiz
... initiatorInitiant dieser Anmeldung
.... initiator.legalrelationJuristische Beziehung zum Patienten
.... initiator.personalrelationPersönliche Beziehung zum Patienten?
.... initiator.relatedPersonAndere Person
..... initiator.relatedPerson.familyNameName
..... initiator.relatedPerson.givenNameVorname
... patientPatient
.... patient.familyNameNameUfferer
.... patient.maidenNameLedignameLeidend
.... patient.givenNameVornameSusanna
.... 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-Mailsusanna@ufferer.ch
.... patient.streetAddressLineStrasse, Hausnummer, Postfach etc.Musterweg 6a
.... patient.postalCodePLZ8000
.... patient.cityOrtZürich
.... patient.countryLandSchweiz
.... patient.languageOfCorrespondenceKorrespondenzspracheTags for the Identification of Languages: de-CH (German (Switzerland))
.... patient.contactpersonKontaktperson
..... patient.contactperson.relationshipBeziehung
..... patient.contactperson.familyNameName
..... patient.contactperson.givenNameVorname
..... patient.contactperson.phoneTelefon
..... patient.contactperson.emailE-Mail
.... familydoctorHausarzt
..... familydoctor.practitionerHausarzt Person
...... familydoctor.practitioner.titleTitel
...... familydoctor.practitioner.familyNameName
...... familydoctor.practitioner.givenName
... requestedEncounterPatientenaufnahme
.... requestedEncounter.classVoraussichtlich: Ambulant / Stationär / Notfall
.... requestedEncounter.desiredAccommodationZimmerkategorie
... coverageKostenträger
.... coverage.kvgKrankenkasse (nach KVG)
..... 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.familyNameNameRderplacer
...... sender.author.practitioner.givenNameVornameOttilie
...... sender.author.practitioner.glnGLN7601000618627
...... sender.author.practitioner.zsrZSRA123321
...... sender.author.practitioner.phoneTelefon044 333 22 11
...... sender.author.practitioner.emailE-Mailottilie.rderplacer@happydoctors.ch
..... sender.author.organizationVerantwortliche Organisation
...... sender.author.organization.nameName der OrganisationPraxis Happydoctors
...... sender.author.organization.streetAddressLineStrasse, Hausnummer, Postfach etc.Happystrasse 133
...... sender.author.organization.postalCodePLZ8000
...... sender.author.organization.cityOrtZürich
...... sender.author.organization.countryLandSchweiz
.... sender.dataentererErfasser
..... sender.dataenterer.practitionerErfassende Person
...... sender.dataenterer.practitioner.familyNameNameAtaentener
...... sender.dataenterer.practitioner.givenNameVornameDoris
...... sender.dataenterer.practitioner.phoneTelefon044 333 22 12
...... sender.dataenterer.practitioner.emailE-Maild.ataenterer@happydoctors.ch
... receiverCopyKopieempfänger (Kopie dieses Auftrags und aller daraus resultierenden Resultate)
.... receiverCopy.practitionerRoleGesundheitsfachperson oder -organisation
..... receiverCopy.practitionerRole.practitionerGesundheitsfachperson
...... receiverCopy.practitionerRole.practitioner.titleTitel
...... receiverCopy.practitionerRole.practitioner.familyNameName
...... receiverCopy.practitionerRole.practitioner.givenNameVorname
...... receiverCopy.practitionerRole.practitioner.phoneTelefon
...... receiverCopy.practitionerRole.practitioner.emailE-Mail
..... receiverCopy.practitionerRole.organizationGesundheitsorganisatiton
...... receiverCopy.practitionerRole.organization.nameName der Organisation
...... receiverCopy.practitionerRole.organization.streetAddressLineStrasse, Hausnummer, Postfach etc.
...... receiverCopy.practitionerRole.organization.postalCodePLZ
...... receiverCopy.practitionerRole.organization.cityOrt
...... receiverCopy.practitionerRole.organization.countryLand
.... receiverCopy.patientPatient selbsttrue
... antecedentEpisodeOfCareVorgängiger Aufenthalt in Spital / Heim
.... antecedentEpisodeOfCare.startVon
.... antecedentEpisodeOfCare.endBis
.... antecedentEpisodeOfCare.managingOrganizationSpital /Heim
..... antecedentEpisodeOfCare.managingOrganization.nameName der Organisation
..... antecedentEpisodeOfCare.managingOrganization.streetAddressLineStrasse, Hausnummer, Postfach etc.
..... antecedentEpisodeOfCare.managingOrganization.postalCodePLZ
..... antecedentEpisodeOfCare.managingOrganization.cityOrt
..... antecedentEpisodeOfCare.managingOrganization.countryLand
... appointmentOrt und Zeit
.... appointment.locationOrt
..... appointment.location.nameName
..... appointment.location.streetAddressLineStrasse, Hausnummer, Postfach etc.
..... appointment.location.postalCodePLZ
..... appointment.location.cityOrt
..... appointment.location.countryLand
.... appointment.requestedPeriodDatum und Zeit
..... appointment.requestedPeriod.startVon2020
..... appointment.requestedPeriod.endBis2023
.... appointment.status
... consentEinverständniserklärung
.... patient.consent.statementIst der Patient über die Anmeldung informiert und explizit einverstanden?Consent Status: ExplicitAgreement (Patient is informed and has explicitly agreed)
..... patient.consent.statement.noteAnmerkung
... purposeZweck?
.... purpose.aimProcedere / Behandlung / Sonstiges?Bitte um Zustellung des Austrittsberichtes

doco Documentation for this format

Source1

{
  "resourceType": "QuestionnaireResponse",
  "id": "QuestionnaireResponseEtocRequestPrevious",
  "meta": {
    "profile": [
      "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-questionnaireresponse"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "questionnaire": "http://fhir.ch/ig/ch-etoc/Questionnaire/QuestionnaireEtoc",
  "status": "completed",
  "item": [
    {
      "linkId": "order",
      "text": "Auftrag",
      "item": [
        {
          "linkId": "order.authoredOn",
          "text": "Datum/Zeit der Auftragserteilung",
          "answer": [
            {
              "valueDateTime": "2024-11-17T11:28:17+01:00"
            }
          ]
        },
        {
          "linkId": "order.placerOrderIdentifier",
          "text": "Auftragsnummer des Auftraggebers",
          "answer": [
            {
              "valueString": "123"
            }
          ]
        },
        {
          "linkId": "order.placerOrderIdentifierDomain",
          "text": "Identifier Domain der Auftragsnummer des Auftraggebers",
          "answer": [
            {
              "valueString": "urn:oid:2.999.1.3.4.5.6.7"
            }
          ]
        },
        {
          "linkId": "order.fillerOrderIdentifier",
          "text": "Auftragsnummer des Auftragsempfängers",
          "answer": [
            {
              "valueString": "456"
            }
          ]
        },
        {
          "linkId": "order.fillerOrderIdentifierDomain",
          "text": "Identifier Domain der Auftragsnummer des Auftragsempfängers",
          "answer": [
            {
              "valueString": "urn:oid:2.999.7.8.9.10.11"
            }
          ]
        },
        {
          "linkId": "order.precedentDocumentIdentifier",
          "text": "Identifier des Vorgängerdokuments",
          "answer": [
            {
              "valueString": "1622f2fb-6ba3-4532-9aed-35b158def187"
            }
          ]
        },
        {
          "linkId": "order.notificationContactDocument",
          "text": "Dringender Benachrichtigungskontakt für dieses Dokument",
          "item": [
            {
              "linkId": "order.notificationContactDocument.practitioner",
              "text": "Zu benachrichtigende Person",
              "item": [
                {
                  "linkId": "order.notificationContactDocument.practitioner.title",
                  "text": "Titel",
                  "answer": [
                    {
                      "valueString": "Dr. med."
                    }
                  ]
                },
                {
                  "linkId": "order.notificationContactDocument.practitioner.familyName",
                  "text": "Name",
                  "answer": [
                    {
                      "valueString": "Rderfiller"
                    }
                  ]
                },
                {
                  "linkId": "order.notificationContactDocument.practitioner.givenName",
                  "text": "Vorname",
                  "answer": [
                    {
                      "valueString": "Otto"
                    }
                  ]
                },
                {
                  "linkId": "order.notificationContactDocument.practitioner.phone",
                  "text": "Telefon",
                  "answer": [
                    {
                      "valueString": "044 412 00 99"
                    }
                  ]
                },
                {
                  "linkId": "order.notificationContactDocument.practitioner.email",
                  "text": "E-Mail",
                  "answer": [
                    {
                      "valueString": "otto.rderfiller@happyhosptial.ch"
                    }
                  ]
                }
              ]
            }
          ]
        },
        {
          "linkId": "order.notificationContactDocumentResponse",
          "text": "Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument",
          "item": [
            {
              "linkId": "order.notificationContactDocumentResponse.practitioner",
              "text": "Zu benachrichtigende Person",
              "item": [
                {
                  "linkId": "order.notificationContactDocumentResponse.practitioner.title",
                  "text": "Titel"
                },
                {
                  "linkId": "order.notificationContactDocumentResponse.practitioner.familyName",
                  "text": "Name"
                },
                {
                  "linkId": "order.notificationContactDocumentResponse.practitioner.givenName",
                  "text": "Vorname"
                },
                {
                  "linkId": "order.notificationContactDocumentResponse.practitioner.phone",
                  "text": "Telefon"
                },
                {
                  "linkId": "order.notificationContactDocumentResponse.practitioner.email",
                  "text": "E-Mail"
                }
              ]
            }
          ]
        },
        {
          "linkId": "order.priority",
          "text": "Auftragspriorität",
          "answer": [
            {
              "valueCoding": {
                "system": "http://hl7.org/fhir/request-priority",
                "code": "routine"
              }
            }
          ]
        }
      ]
    },
    {
      "linkId": "receiver",
      "text": "Empfänger",
      "item": [
        {
          "linkId": "receiver.practitioner",
          "text": "Empfangende Person",
          "item": [
            {
              "linkId": "receiver.practitioner.title",
              "text": "Titel",
              "answer": [
                {
                  "valueString": "Dr. med."
                }
              ]
            },
            {
              "linkId": "receiver.practitioner.familyName",
              "text": "Name",
              "answer": [
                {
                  "valueString": "Rderfiller"
                }
              ]
            },
            {
              "linkId": "receiver.practitioner.givenName",
              "text": "Vorname",
              "answer": [
                {
                  "valueString": "Otto"
                }
              ]
            },
            {
              "linkId": "receiver.practitioner.gln",
              "text": "GLN",
              "answer": [
                {
                  "valueString": "7601000201041"
                }
              ]
            },
            {
              "linkId": "receiver.practitioner.zsr",
              "text": "ZSR",
              "answer": [
                {
                  "valueString": "A123262"
                }
              ]
            },
            {
              "linkId": "receiver.practitioner.phone",
              "text": "Telefon",
              "answer": [
                {
                  "valueString": "044 412 00 99"
                }
              ]
            },
            {
              "linkId": "receiver.practitioner.email",
              "text": "E-Mail",
              "answer": [
                {
                  "valueString": "otto.rderfiller@happyhospital.ch"
                }
              ]
            }
          ]
        },
        {
          "linkId": "receiver.organization",
          "text": "Empfangende Organisation",
          "item": [
            {
              "linkId": "receiver.organization.name",
              "text": "Name der Organisation",
              "answer": [
                {
                  "valueString": "Spital Happyhospital"
                }
              ]
            },
            {
              "linkId": "receiver.organization.streetAddressLine",
              "text": "Strasse, Hausnummer, Postfach etc.",
              "answer": [
                {
                  "valueString": "Kantonsstrasse 133"
                }
              ]
            },
            {
              "linkId": "receiver.organization.postalCode",
              "text": "PLZ",
              "answer": [
                {
                  "valueString": "8000"
                }
              ]
            },
            {
              "linkId": "receiver.organization.city",
              "text": "Ort",
              "answer": [
                {
                  "valueString": "Zürich"
                }
              ]
            },
            {
              "linkId": "receiver.organization.country",
              "text": "Land",
              "answer": [
                {
                  "valueString": "Schweiz"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "linkId": "initiator",
      "text": "Initiant dieser Anmeldung",
      "item": [
        {
          "linkId": "initiator.legalrelation",
          "text": "Juristische Beziehung zum Patienten"
        },
        {
          "linkId": "initiator.personalrelation",
          "text": "Persönliche Beziehung zum Patienten?"
        },
        {
          "linkId": "initiator.relatedPerson",
          "text": "Andere Person",
          "item": [
            {
              "linkId": "initiator.relatedPerson.familyName",
              "text": "Name"
            },
            {
              "linkId": "initiator.relatedPerson.givenName",
              "text": "Vorname"
            }
          ]
        }
      ]
    },
    {
      "linkId": "patient",
      "text": "Patient",
      "item": [
        {
          "linkId": "patient.familyName",
          "text": "Name",
          "answer": [
            {
              "valueString": "Ufferer"
            }
          ]
        },
        {
          "linkId": "patient.maidenName",
          "text": "Ledigname",
          "answer": [
            {
              "valueString": "Leidend"
            }
          ]
        },
        {
          "linkId": "patient.givenName",
          "text": "Vorname",
          "answer": [
            {
              "valueString": "Susanna"
            }
          ]
        },
        {
          "linkId": "patient.localPid",
          "text": "Lokale Patienten-ID",
          "answer": [
            {
              "valueString": "11.22.33.4567"
            }
          ]
        },
        {
          "linkId": "patient.localPidDomain",
          "text": "Lokale Patienten-ID Domain",
          "answer": [
            {
              "valueString": "urn:oid:2.999.1.2.3.4"
            }
          ]
        },
        {
          "linkId": "patient.birthDate",
          "text": "Geburtsdatum",
          "answer": [
            {
              "valueDate": "1970-03-14"
            }
          ]
        },
        {
          "linkId": "patient.gender",
          "text": "Geschlecht",
          "answer": [
            {
              "valueCoding": {
                "system": "http://hl7.org/fhir/administrative-gender",
                "code": "female"
              }
            }
          ]
        },
        {
          "linkId": "patient.maritalStatus",
          "text": "Zivilstand",
          "answer": [
            {
              "valueCoding": {
                "system": "http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus",
                "code": "3",
                "display": "verwitwet"
              }
            }
          ]
        },
        {
          "linkId": "patient.phone",
          "text": "Telefon",
          "answer": [
            {
              "valueString": "079 979 79 79"
            }
          ]
        },
        {
          "linkId": "patient.email",
          "text": "E-Mail",
          "answer": [
            {
              "valueString": "susanna@ufferer.ch"
            }
          ]
        },
        {
          "linkId": "patient.streetAddressLine",
          "text": "Strasse, Hausnummer, Postfach etc.",
          "answer": [
            {
              "valueString": "Musterweg 6a"
            }
          ]
        },
        {
          "linkId": "patient.postalCode",
          "text": "PLZ",
          "answer": [
            {
              "valueString": "8000"
            }
          ]
        },
        {
          "linkId": "patient.city",
          "text": "Ort",
          "answer": [
            {
              "valueString": "Zürich"
            }
          ]
        },
        {
          "linkId": "patient.country",
          "text": "Land",
          "answer": [
            {
              "valueString": "Schweiz"
            }
          ]
        },
        {
          "linkId": "patient.languageOfCorrespondence",
          "text": "Korrespondenzsprache",
          "answer": [
            {
              "valueCoding": {
                "system": "urn:ietf:bcp:47",
                "code": "de-CH",
                "display": "German (Switzerland)"
              }
            }
          ]
        },
        {
          "linkId": "patient.contactperson",
          "text": "Kontaktperson",
          "item": [
            {
              "linkId": "patient.contactperson.relationship",
              "text": "Beziehung"
            },
            {
              "linkId": "patient.contactperson.familyName",
              "text": "Name"
            },
            {
              "linkId": "patient.contactperson.givenName",
              "text": "Vorname"
            },
            {
              "linkId": "patient.contactperson.phone",
              "text": "Telefon"
            },
            {
              "linkId": "patient.contactperson.email",
              "text": "E-Mail"
            }
          ]
        },
        {
          "linkId": "familydoctor",
          "text": "Hausarzt",
          "item": [
            {
              "linkId": "familydoctor.practitioner",
              "text": "Hausarzt Person",
              "item": [
                {
                  "linkId": "familydoctor.practitioner.title",
                  "text": "Titel"
                },
                {
                  "linkId": "familydoctor.practitioner.familyName",
                  "text": "Name"
                },
                {
                  "linkId": "familydoctor.practitioner.givenName"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "linkId": "requestedEncounter",
      "text": "Patientenaufnahme",
      "item": [
        {
          "linkId": "requestedEncounter.class",
          "text": "Voraussichtlich: Ambulant / Stationär / Notfall"
        },
        {
          "linkId": "requestedEncounter.desiredAccommodation",
          "text": "Zimmerkategorie"
        }
      ]
    },
    {
      "linkId": "coverage",
      "text": "Kostenträger",
      "item": [
        {
          "linkId": "coverage.kvg",
          "text": "Krankenkasse (nach KVG)",
          "item": [
            {
              "linkId": "coverage.kvg.name",
              "text": "Name der Versicherung",
              "answer": [
                {
                  "valueString": "Sanitas"
                }
              ]
            },
            {
              "linkId": "coverage.kvg.insuranceCardNumber",
              "text": "Kennnummer der Versichertenkarte",
              "answer": [
                {
                  "valueString": "80756015090002647590"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "linkId": "sender",
      "text": "Absender",
      "item": [
        {
          "linkId": "sender.author",
          "text": "Verantwortlicher",
          "item": [
            {
              "linkId": "sender.author.practitioner",
              "text": "Verantwortliche Person",
              "item": [
                {
                  "linkId": "sender.author.practitioner.title",
                  "text": "Titel",
                  "answer": [
                    {
                      "valueString": "Dr. med."
                    }
                  ]
                },
                {
                  "linkId": "sender.author.practitioner.familyName",
                  "text": "Name",
                  "answer": [
                    {
                      "valueString": "Rderplacer"
                    }
                  ]
                },
                {
                  "linkId": "sender.author.practitioner.givenName",
                  "text": "Vorname",
                  "answer": [
                    {
                      "valueString": "Ottilie"
                    }
                  ]
                },
                {
                  "linkId": "sender.author.practitioner.gln",
                  "text": "GLN",
                  "answer": [
                    {
                      "valueString": "7601000618627"
                    }
                  ]
                },
                {
                  "linkId": "sender.author.practitioner.zsr",
                  "text": "ZSR",
                  "answer": [
                    {
                      "valueString": "A123321"
                    }
                  ]
                },
                {
                  "linkId": "sender.author.practitioner.phone",
                  "text": "Telefon",
                  "answer": [
                    {
                      "valueString": "044 333 22 11"
                    }
                  ]
                },
                {
                  "linkId": "sender.author.practitioner.email",
                  "text": "E-Mail",
                  "answer": [
                    {
                      "valueString": "ottilie.rderplacer@happydoctors.ch"
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "sender.author.organization",
              "text": "Verantwortliche Organisation",
              "item": [
                {
                  "linkId": "sender.author.organization.name",
                  "text": "Name der Organisation",
                  "answer": [
                    {
                      "valueString": "Praxis Happydoctors"
                    }
                  ]
                },
                {
                  "linkId": "sender.author.organization.streetAddressLine",
                  "text": "Strasse, Hausnummer, Postfach etc.",
                  "answer": [
                    {
                      "valueString": "Happystrasse 133"
                    }
                  ]
                },
                {
                  "linkId": "sender.author.organization.postalCode",
                  "text": "PLZ",
                  "answer": [
                    {
                      "valueString": "8000"
                    }
                  ]
                },
                {
                  "linkId": "sender.author.organization.city",
                  "text": "Ort",
                  "answer": [
                    {
                      "valueString": "Zürich"
                    }
                  ]
                },
                {
                  "linkId": "sender.author.organization.country",
                  "text": "Land",
                  "answer": [
                    {
                      "valueString": "Schweiz"
                    }
                  ]
                }
              ]
            }
          ]
        },
        {
          "linkId": "sender.dataenterer",
          "text": "Erfasser",
          "item": [
            {
              "linkId": "sender.dataenterer.practitioner",
              "text": "Erfassende Person",
              "item": [
                {
                  "linkId": "sender.dataenterer.practitioner.familyName",
                  "text": "Name",
                  "answer": [
                    {
                      "valueString": "Ataentener"
                    }
                  ]
                },
                {
                  "linkId": "sender.dataenterer.practitioner.givenName",
                  "text": "Vorname",
                  "answer": [
                    {
                      "valueString": "Doris"
                    }
                  ]
                },
                {
                  "linkId": "sender.dataenterer.practitioner.phone",
                  "text": "Telefon",
                  "answer": [
                    {
                      "valueString": "044 333 22 12"
                    }
                  ]
                },
                {
                  "linkId": "sender.dataenterer.practitioner.email",
                  "text": "E-Mail",
                  "answer": [
                    {
                      "valueString": "d.ataenterer@happydoctors.ch"
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "linkId": "receiverCopy",
      "text": "Kopieempfänger (Kopie dieses Auftrags und aller daraus resultierenden Resultate)",
      "item": [
        {
          "linkId": "receiverCopy.practitionerRole",
          "text": "Gesundheitsfachperson oder -organisation",
          "item": [
            {
              "linkId": "receiverCopy.practitionerRole.practitioner",
              "text": "Gesundheitsfachperson",
              "item": [
                {
                  "linkId": "receiverCopy.practitionerRole.practitioner.title",
                  "text": "Titel"
                },
                {
                  "linkId": "receiverCopy.practitionerRole.practitioner.familyName",
                  "text": "Name"
                },
                {
                  "linkId": "receiverCopy.practitionerRole.practitioner.givenName",
                  "text": "Vorname"
                },
                {
                  "linkId": "receiverCopy.practitionerRole.practitioner.phone",
                  "text": "Telefon"
                },
                {
                  "linkId": "receiverCopy.practitionerRole.practitioner.email",
                  "text": "E-Mail"
                }
              ]
            },
            {
              "linkId": "receiverCopy.practitionerRole.organization",
              "text": "Gesundheitsorganisatiton",
              "item": [
                {
                  "linkId": "receiverCopy.practitionerRole.organization.name",
                  "text": "Name der Organisation"
                },
                {
                  "linkId": "receiverCopy.practitionerRole.organization.streetAddressLine",
                  "text": "Strasse, Hausnummer, Postfach etc."
                },
                {
                  "linkId": "receiverCopy.practitionerRole.organization.postalCode",
                  "text": "PLZ"
                },
                {
                  "linkId": "receiverCopy.practitionerRole.organization.city",
                  "text": "Ort"
                },
                {
                  "linkId": "receiverCopy.practitionerRole.organization.country",
                  "text": "Land"
                }
              ]
            }
          ]
        },
        {
          "linkId": "receiverCopy.patient",
          "text": "Patient selbst",
          "answer": [
            {
              "valueBoolean": true
            }
          ]
        }
      ]
    },
    {
      "linkId": "antecedentEpisodeOfCare",
      "text": "Vorgängiger Aufenthalt in Spital / Heim",
      "item": [
        {
          "linkId": "antecedentEpisodeOfCare.start",
          "text": "Von"
        },
        {
          "linkId": "antecedentEpisodeOfCare.end",
          "text": "Bis"
        },
        {
          "linkId": "antecedentEpisodeOfCare.managingOrganization",
          "text": "Spital /Heim",
          "item": [
            {
              "linkId": "antecedentEpisodeOfCare.managingOrganization.name",
              "text": "Name der Organisation"
            },
            {
              "linkId": "antecedentEpisodeOfCare.managingOrganization.streetAddressLine",
              "text": "Strasse, Hausnummer, Postfach etc."
            },
            {
              "linkId": "antecedentEpisodeOfCare.managingOrganization.postalCode",
              "text": "PLZ"
            },
            {
              "linkId": "antecedentEpisodeOfCare.managingOrganization.city",
              "text": "Ort"
            },
            {
              "linkId": "antecedentEpisodeOfCare.managingOrganization.country",
              "text": "Land"
            }
          ]
        }
      ]
    },
    {
      "linkId": "appointment",
      "text": "Ort und Zeit",
      "item": [
        {
          "linkId": "appointment.location",
          "text": "Ort",
          "item": [
            {
              "linkId": "appointment.location.name",
              "text": "Name"
            },
            {
              "linkId": "appointment.location.streetAddressLine",
              "text": "Strasse, Hausnummer, Postfach etc."
            },
            {
              "linkId": "appointment.location.postalCode",
              "text": "PLZ"
            },
            {
              "linkId": "appointment.location.city",
              "text": "Ort"
            },
            {
              "linkId": "appointment.location.country",
              "text": "Land"
            }
          ]
        },
        {
          "linkId": "appointment.requestedPeriod",
          "text": "Datum und Zeit",
          "item": [
            {
              "linkId": "appointment.requestedPeriod.start",
              "text": "Von",
              "answer": [
                {
                  "valueDateTime": "2020"
                }
              ]
            },
            {
              "linkId": "appointment.requestedPeriod.end",
              "text": "Bis",
              "answer": [
                {
                  "valueDateTime": "2023"
                }
              ]
            }
          ]
        },
        {
          "linkId": "appointment.status"
        }
      ]
    },
    {
      "linkId": "consent",
      "text": "Einverständniserklärung",
      "item": [
        {
          "linkId": "patient.consent.statement",
          "text": "Ist der Patient über die Anmeldung informiert und explizit einverstanden?",
          "answer": [
            {
              "valueCoding": {
                "system": "http://fhir.ch/ig/ch-orf/CodeSystem/ch-orf-cs-consentstatus",
                "code": "ExplicitAgreement"
              },
              "item": [
                {
                  "linkId": "patient.consent.statement.note",
                  "text": "Anmerkung"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "linkId": "purpose",
      "text": "Zweck?",
      "item": [
        {
          "linkId": "purpose.aim",
          "text": "Procedere / Behandlung / Sonstiges?",
          "answer": [
            {
              "valueString": "Bitte um Zustellung des Austrittsberichtes"
            }
          ]
        }
      ]
    }
  ]
}