FHIR IG analytics| Package | ch.fhir.ig.ch-orf |
| Resource Type | QuestionnaireResponse |
| Id | QuestionnaireResponse-qr-external-diagnostics-order.json |
| FHIR Version | R4 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: QuestionnaireResponse qr-external-diagnostics-order
Profile: CH ORF QuestionnaireResponse
| LinkID | Text | Definition | Answer |
|---|---|---|---|
![]() | Questionnaire:Order Referral Form | ||
![]() ![]() | Auftrag | ||
![]() ![]() ![]() | Auftragsnummer des Auftraggebers | 60823 | |
![]() ![]() ![]() | Identifier Domain der Auftragsnummer des Auftraggebers | urn:oid:2.999.66.77.88 | |
![]() ![]() ![]() | Dringender Benachrichtigungskontakt für dieses Dokument | ||
![]() ![]() ![]() ![]() | Zu benachrichtigende Person | ||
![]() ![]() ![]() ![]() ![]() | Titel | Dr. med. | |
![]() ![]() ![]() ![]() ![]() | Name | Iller | |
![]() ![]() ![]() ![]() ![]() | Vorname | Frederica | |
![]() ![]() ![]() ![]() ![]() | Telefon | 044 503 44 44 | |
![]() ![]() ![]() ![]() ![]() | f.iller@univerityhospital.ch | ||
![]() ![]() ![]() | Dringender Benachrichtigungskontakt für die Antwort auf dieses Dokument | ||
![]() ![]() ![]() ![]() | Zu benachrichtigende Person | ||
![]() ![]() ![]() ![]() ![]() | Titel | Dr. med. | |
![]() ![]() ![]() ![]() ![]() | Name | Lacer | |
![]() ![]() ![]() ![]() ![]() | Vorname | Paul | |
![]() ![]() ![]() ![]() ![]() | Telefon | 044 987 65 43 | |
![]() ![]() ![]() ![]() ![]() | p.lacer@regionalhospital.ch | ||
![]() ![]() ![]() | Auftragspriorität | RequestPriority: stat (STAT) | |
![]() ![]() | Empfänger | ||
![]() ![]() ![]() | Empfangende Person | ||
![]() ![]() ![]() ![]() | Titel | Dr. med. | |
![]() ![]() ![]() ![]() | Name | Iller | |
![]() ![]() ![]() ![]() | Vorname | Frederica | |
![]() ![]() ![]() ![]() | GLN | 7601000618306 | |
![]() ![]() ![]() ![]() | Telefon | 044 503 44 44 | |
![]() ![]() ![]() ![]() | f.iller@universityhospital.ch | ||
![]() ![]() ![]() | Empfangende Organisation | ||
![]() ![]() ![]() ![]() | Name der Organisation | University Hospital | |
![]() ![]() ![]() ![]() | Strasse, Hausnummer, Postfach etc. | ||
![]() ![]() ![]() ![]() | PLZ | 8000 | |
![]() ![]() ![]() ![]() | Ort | Zürich | |
![]() ![]() ![]() ![]() | Land | Schweiz | |
![]() ![]() | Patient | ||
![]() ![]() ![]() | Name | Ufferer | |
![]() ![]() ![]() | Ledigname | Leidend | |
![]() ![]() ![]() | Vorname | Susanna | |
![]() ![]() ![]() | Lokale Patienten-ID | 44.34.9472.1 | |
![]() ![]() ![]() | Lokale Patienten-ID Domain | urn:oid:2.999.1.2.3.4 | |
![]() ![]() ![]() | Geburtsdatum | 1970-03-14 | |
![]() ![]() ![]() | Geschlecht | AdministrativeGender: female (Female) | |
![]() ![]() ![]() | Telefon | 079 979 79 79 | |
![]() ![]() ![]() | susanna@ufferer.ch | ||
![]() ![]() ![]() | Strasse, Hausnummer, Postfach etc. | ||
![]() ![]() ![]() | PLZ | 8000 | |
![]() ![]() ![]() | Ort | Zürich | |
![]() ![]() ![]() | Land | Schweiz | |
![]() ![]() | Absender | ||
![]() ![]() ![]() | Verantwortlicher | ||
![]() ![]() ![]() ![]() | Verantwortliche Person | ||
![]() ![]() ![]() ![]() ![]() | Titel | Dr. med. | |
![]() ![]() ![]() ![]() ![]() | Name | Lacer | |
![]() ![]() ![]() ![]() ![]() | Vorname | Paul | |
![]() ![]() ![]() ![]() ![]() | GLN | 7601000050717 | |
![]() ![]() ![]() ![]() ![]() | Telefon | 044 987 65 43 | |
![]() ![]() ![]() ![]() ![]() | p.lacer@regionalhospital.ch | ||
![]() ![]() ![]() ![]() | Verantwortliche Organisation | ||
![]() ![]() ![]() ![]() ![]() | Name der Organisation | Regional Hospital | |
![]() ![]() ![]() ![]() ![]() | Strasse, Hausnummer, Postfach etc. | Musterstrasse 129 | |
![]() ![]() ![]() ![]() ![]() | PLZ | 8000 | |
![]() ![]() ![]() ![]() ![]() | Ort | Zürich | |
![]() ![]() ![]() ![]() ![]() | Land | Schweiz | |
{
"resourceType": "QuestionnaireResponse",
"id": "qr-external-diagnostics-order",
"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-orf/Questionnaire/order-referral-form|3.0.1",
"status": "completed",
"item": [
{
"linkId": "order",
"text": "Auftrag",
"item": [
{
"linkId": "order.placerOrderIdentifier",
"text": "Auftragsnummer des Auftraggebers",
"answer": [
{
"valueString": "60823"
}
]
},
{
"linkId": "order.placerOrderIdentifierDomain",
"text": "Identifier Domain der Auftragsnummer des Auftraggebers",
"answer": [
{
"valueString": "urn:oid:2.999.66.77.88"
}
]
},
{
"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": "Iller"
}
]
},
{
"linkId": "order.notificationContactDocument.practitioner.givenName",
"text": "Vorname",
"answer": [
{
"valueString": "Frederica"
}
]
},
{
"linkId": "order.notificationContactDocument.practitioner.phone",
"text": "Telefon",
"answer": [
{
"valueString": "044 503 44 44"
}
]
},
{
"linkId": "order.notificationContactDocument.practitioner.email",
"text": "E-Mail",
"answer": [
{
"valueString": "f.iller@univerityhospital.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",
"answer": [
{
"valueString": "Dr. med."
}
]
},
{
"linkId": "order.notificationContactDocumentResponse.practitioner.familyName",
"text": "Name",
"answer": [
{
"valueString": "Lacer"
}
]
},
{
"linkId": "order.notificationContactDocumentResponse.practitioner.givenName",
"text": "Vorname",
"answer": [
{
"valueString": "Paul"
}
]
},
{
"linkId": "order.notificationContactDocumentResponse.practitioner.phone",
"text": "Telefon",
"answer": [
{
"valueString": "044 987 65 43"
}
]
},
{
"linkId": "order.notificationContactDocumentResponse.practitioner.email",
"text": "E-Mail",
"answer": [
{
"valueString": "p.lacer@regionalhospital.ch"
}
]
}
]
}
]
},
{
"linkId": "order.priority",
"text": "Auftragspriorität",
"answer": [
{
"valueCoding": {
"system": "http://hl7.org/fhir/request-priority",
"code": "stat"
}
}
]
}
]
},
{
"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": "Iller"
}
]
},
{
"linkId": "receiver.practitioner.givenName",
"text": "Vorname",
"answer": [
{
"valueString": "Frederica"
}
]
},
{
"linkId": "receiver.practitioner.gln",
"text": "GLN",
"answer": [
{
"valueString": "7601000618306"
}
]
},
{
"linkId": "receiver.practitioner.phone",
"text": "Telefon",
"answer": [
{
"valueString": "044 503 44 44"
}
]
},
{
"linkId": "receiver.practitioner.email",
"text": "E-Mail",
"answer": [
{
"valueString": "f.iller@universityhospital.ch"
}
]
}
]
},
{
"linkId": "receiver.organization",
"text": "Empfangende Organisation",
"item": [
{
"linkId": "receiver.organization.name",
"text": "Name der Organisation",
"answer": [
{
"valueString": "University Hospital"
}
]
},
{
"linkId": "receiver.organization.streetAddressLine",
"text": "Strasse, Hausnummer, Postfach etc.",
"answer": [
{
"valueString": "Uniweg 33"
},
{
"valueString": "Radiology"
}
]
},
{
"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": "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": "44.34.9472.1"
}
]
},
{
"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.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"
},
{
"valueString": "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": "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": "Lacer"
}
]
},
{
"linkId": "sender.author.practitioner.givenName",
"text": "Vorname",
"answer": [
{
"valueString": "Paul"
}
]
},
{
"linkId": "sender.author.practitioner.gln",
"text": "GLN",
"answer": [
{
"valueString": "7601000050717"
}
]
},
{
"linkId": "sender.author.practitioner.phone",
"text": "Telefon",
"answer": [
{
"valueString": "044 987 65 43"
}
]
},
{
"linkId": "sender.author.practitioner.email",
"text": "E-Mail",
"answer": [
{
"valueString": "p.lacer@regionalhospital.ch"
}
]
}
]
},
{
"linkId": "sender.author.organization",
"text": "Verantwortliche Organisation",
"item": [
{
"linkId": "sender.author.organization.name",
"text": "Name der Organisation",
"answer": [
{
"valueString": "Regional Hospital"
}
]
},
{
"linkId": "sender.author.organization.streetAddressLine",
"text": "Strasse, Hausnummer, Postfach etc.",
"answer": [
{
"valueString": "Musterstrasse 129"
}
]
},
{
"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"
}
]
}
]
}
]
}
]
}
]
}