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FHIR IG analytics

Packagech.fhir.ig.ch-orf
Resource TypeQuestionnaireResponse
IdQuestionnaireResponse-qr-order-referral-form.json
FHIR VersionR4

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Narrative

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

Generated Narrative: QuestionnaireResponse qr-order-referral-form

LinkIDTextDefinitionAnswerdoco
.. qr-order-referral-formQuestionnaire: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.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.titleTitelDr. med.
...... order.notificationContactDocumentResponse.practitioner.familyNameNameRderplacer
...... order.notificationContactDocumentResponse.practitioner.givenNameVornameOttilie
...... order.notificationContactDocumentResponse.practitioner.phoneTelefon044 333 22 11
...... order.notificationContactDocumentResponse.practitioner.emailE-Mailottilie.rderplacer@happydoctors.ch
.... order.priorityAuftragsprioritätRequestPriority: routine (Routine)
... receiverEmpfänger
.... receiver.practitionerEmpfangende Person
..... receiver.practitioner.titleTitelDr. med.
..... receiver.practitioner.familyNameNameRderfiller
..... receiver.practitioner.givenNameVornameOtto
..... receiver.practitioner.glnGLN7601000201041
..... receiver.practitioner.zsrZSR (fr/it: RCC)Y604801
..... 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.
..... receiver.organization.postalCodePLZ8000
..... receiver.organization.cityOrtZürich
..... receiver.organization.countryLandSchweiz
... initiatorInitiant dieser Anmeldung
.... initiator.legalrelationJuristische Beziehung zum PatientenSNOMED CT: 373068000 (Nicht definiert)
.... initiator.personalrelationPersönliche Beziehung zum Patienten?SNOMED CT: 65616008 (Son)
.... initiator.relatedPersonAndere Person
..... initiator.relatedPerson.familyNameNameLeidend
..... initiator.relatedPerson.givenNameVornameFritz
... 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.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.familyNameNameRderplacer
...... sender.author.practitioner.givenNameVornameOttilie
...... sender.author.practitioner.glnGLN7601000618627
...... sender.author.practitioner.zsrZSR (fr/it: RCC)L248519
...... 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.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
.... appointment.locationOrt der Durchführung
..... appointment.location.nameNameNotfall Spital Happyhospital
.... appointment.statusAppointmentStatus: pending (Pending)
... 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

Source1

{
  "resourceType": "QuestionnaireResponse",
  "id": "qr-order-referral-form",
  "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": "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",
                  "answer": [
                    {
                      "valueString": "Dr. med."
                    }
                  ]
                },
                {
                  "linkId": "order.notificationContactDocumentResponse.practitioner.familyName",
                  "text": "Name",
                  "answer": [
                    {
                      "valueString": "Rderplacer"
                    }
                  ]
                },
                {
                  "linkId": "order.notificationContactDocumentResponse.practitioner.givenName",
                  "text": "Vorname",
                  "answer": [
                    {
                      "valueString": "Ottilie"
                    }
                  ]
                },
                {
                  "linkId": "order.notificationContactDocumentResponse.practitioner.phone",
                  "text": "Telefon",
                  "answer": [
                    {
                      "valueString": "044 333 22 11"
                    }
                  ]
                },
                {
                  "linkId": "order.notificationContactDocumentResponse.practitioner.email",
                  "text": "E-Mail",
                  "answer": [
                    {
                      "valueString": "ottilie.rderplacer@happydoctors.ch"
                    }
                  ]
                }
              ]
            }
          ]
        },
        {
          "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 (fr/it: RCC)",
              "answer": [
                {
                  "valueString": "Y604801"
                }
              ]
            },
            {
              "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": "Happystrasse 14"
                },
                {
                  "valueString": "Postfach 14"
                }
              ]
            },
            {
              "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",
          "answer": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "373068000",
                "display": "Nicht definiert"
              }
            }
          ]
        },
        {
          "linkId": "initiator.personalrelation",
          "text": "Persönliche Beziehung zum Patienten?",
          "answer": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "65616008"
              }
            }
          ]
        },
        {
          "linkId": "initiator.relatedPerson",
          "text": "Andere Person",
          "item": [
            {
              "linkId": "initiator.relatedPerson.familyName",
              "text": "Name",
              "answer": [
                {
                  "valueString": "Leidend"
                }
              ]
            },
            {
              "linkId": "initiator.relatedPerson.givenName",
              "text": "Vorname",
              "answer": [
                {
                  "valueString": "Fritz"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "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",
              "answer": [
                {
                  "valueString": "Guter Freund"
                }
              ]
            },
            {
              "linkId": "patient.contactperson.familyName",
              "text": "Name",
              "answer": [
                {
                  "valueString": "Freund"
                }
              ]
            },
            {
              "linkId": "patient.contactperson.givenName",
              "text": "Vorname",
              "answer": [
                {
                  "valueString": "Max"
                }
              ]
            },
            {
              "linkId": "patient.contactperson.phone",
              "text": "Telefon",
              "answer": [
                {
                  "valueString": "079 111 22 33"
                }
              ]
            },
            {
              "linkId": "patient.contactperson.email",
              "text": "E-Mail",
              "answer": [
                {
                  "valueString": "max@freund.ch"
                }
              ]
            }
          ]
        },
        {
          "linkId": "familydoctor",
          "text": "Hausarzt",
          "item": [
            {
              "linkId": "familydoctor.practitioner",
              "text": "Hausarzt Person",
              "item": [
                {
                  "linkId": "familydoctor.practitioner.title",
                  "text": "Titel",
                  "answer": [
                    {
                      "valueString": "Dr. med."
                    }
                  ]
                },
                {
                  "linkId": "familydoctor.practitioner.familyName",
                  "text": "Name",
                  "answer": [
                    {
                      "valueString": "Meier"
                    }
                  ]
                },
                {
                  "linkId": "familydoctor.practitioner.givenName",
                  "answer": [
                    {
                      "valueString": "Sabine"
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "linkId": "requestedEncounter",
      "text": "Patientenaufnahme",
      "item": [
        {
          "linkId": "requestedEncounter.class",
          "text": "Voraussichtlich: Ambulant / Stationär / Notfall",
          "answer": [
            {
              "valueCoding": {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
                "code": "EMER"
              }
            }
          ]
        },
        {
          "linkId": "requestedEncounter.desiredAccommodation",
          "text": "Zimmerkategorie",
          "answer": [
            {
              "valueCoding": {
                "system": "http://fhir.ch/ig/ch-core/CodeSystem/bfs-medstats-21-encountertype",
                "code": "2",
                "display": "halbprivat"
              }
            }
          ]
        }
      ]
    },
    {
      "linkId": "coverage",
      "text": "Kostenträger",
      "item": [
        {
          "linkId": "coverage.kvg",
          "text": "Krankenkasse nach KVG (fr/it: LAMal)",
          "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 (fr/it: RCC)",
                  "answer": [
                    {
                      "valueString": "L248519"
                    }
                  ]
                },
                {
                  "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": "Boss"
                    }
                  ]
                },
                {
                  "linkId": "sender.dataenterer.practitioner.givenName",
                  "text": "Vorname",
                  "answer": [
                    {
                      "valueString": "Stabilo"
                    }
                  ]
                },
                {
                  "linkId": "sender.dataenterer.practitioner.phone",
                  "text": "Telefon",
                  "answer": [
                    {
                      "valueString": "044 333 22 12"
                    }
                  ]
                },
                {
                  "linkId": "sender.dataenterer.practitioner.email",
                  "text": "E-Mail",
                  "answer": [
                    {
                      "valueString": "stabilo.boss@praxisseeblick.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",
                  "answer": [
                    {
                      "valueString": "Dr. med."
                    }
                  ]
                },
                {
                  "linkId": "receiverCopy.practitionerRole.practitioner.familyName",
                  "text": "Name",
                  "answer": [
                    {
                      "valueString": "Meier"
                    }
                  ]
                },
                {
                  "linkId": "receiverCopy.practitionerRole.practitioner.givenName",
                  "text": "Vorname",
                  "answer": [
                    {
                      "valueString": "Sabine"
                    }
                  ]
                },
                {
                  "linkId": "receiverCopy.practitionerRole.practitioner.phone",
                  "text": "Telefon",
                  "answer": [
                    {
                      "valueString": "044 333 22 11"
                    }
                  ]
                },
                {
                  "linkId": "receiverCopy.practitionerRole.practitioner.email",
                  "text": "E-Mail",
                  "answer": [
                    {
                      "valueString": "sabine.meier@praxisseeblick.ch"
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "receiverCopy.practitionerRole.organization",
              "text": "Gesundheitsorganisatiton",
              "item": [
                {
                  "linkId": "receiverCopy.practitionerRole.organization.name",
                  "text": "Name der Organisation",
                  "answer": [
                    {
                      "valueString": "Praxis Seeblick"
                    }
                  ]
                },
                {
                  "linkId": "receiverCopy.practitionerRole.organization.streetAddressLine",
                  "text": "Strasse, Hausnummer, Postfach etc.",
                  "answer": [
                    {
                      "valueString": "Seestrasse 133"
                    }
                  ]
                },
                {
                  "linkId": "receiverCopy.practitionerRole.organization.postalCode",
                  "text": "PLZ",
                  "answer": [
                    {
                      "valueString": "8000"
                    }
                  ]
                },
                {
                  "linkId": "receiverCopy.practitionerRole.organization.city",
                  "text": "Ort",
                  "answer": [
                    {
                      "valueString": "Zürich"
                    }
                  ]
                },
                {
                  "linkId": "receiverCopy.practitionerRole.organization.country",
                  "text": "Land",
                  "answer": [
                    {
                      "valueString": "Schweiz"
                    }
                  ]
                }
              ]
            }
          ]
        },
        {
          "linkId": "receiverCopy.patient",
          "text": "Patient selbst",
          "answer": [
            {
              "valueBoolean": true
            }
          ]
        }
      ]
    },
    {
      "linkId": "antecedentEpisodeOfCare",
      "text": "Vorgängiger Aufenthalt in Spital / Heim",
      "item": [
        {
          "linkId": "antecedentEpisodeOfCare.start",
          "text": "Von",
          "answer": [
            {
              "valueDateTime": "2023-05-22"
            }
          ]
        },
        {
          "linkId": "antecedentEpisodeOfCare.end",
          "text": "Bis",
          "answer": [
            {
              "valueDateTime": "2023-05-27"
            }
          ]
        },
        {
          "linkId": "antecedentEpisodeOfCare.managingOrganization",
          "text": "Spital /Heim",
          "item": [
            {
              "linkId": "antecedentEpisodeOfCare.managingOrganization.name",
              "text": "Name der Organisation",
              "answer": [
                {
                  "valueString": "Spital Hinterfultigen"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "linkId": "appointment",
      "definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#ServiceRequest.extension:locationAndTime",
      "text": "Ort und Zeit der Durchführung der angeforderten Leistung",
      "item": [
        {
          "linkId": "appointment.location",
          "text": "Ort der Durchführung",
          "item": [
            {
              "linkId": "appointment.location.name",
              "text": "Name",
              "answer": [
                {
                  "valueString": "Notfall Spital Happyhospital"
                }
              ]
            }
          ]
        },
        {
          "linkId": "appointment.status",
          "answer": [
            {
              "valueCoding": {
                "system": "http://hl7.org/fhir/appointmentstatus",
                "code": "pending"
              }
            }
          ]
        }
      ]
    },
    {
      "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": "Other",
                "display": "Other situation such as 'implicit agreement', 'agreed by legal guardian' etc."
              },
              "item": [
                {
                  "linkId": "patient.consent.statement.note",
                  "text": "Anmerkung",
                  "answer": [
                    {
                      "valueString": "Voraussichtlich einverstanden; Sohn wird die Situation beim nä. Besuch mit Pat. besprechen"
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "linkId": "note",
      "text": "Bemerkungen",
      "item": [
        {
          "linkId": "note.text",
          "text": "Kommentar",
          "answer": [
            {
              "valueString": "Patientin ist sehr ängstlich"
            }
          ]
        }
      ]
    }
  ]
}