| Package | ch.fhir.ig.ch-orf |
| Resource Type | Questionnaire |
| Id | ch-orf-module-coverage |
| FHIR Version | R4 |
| Source | http://fhir.ch/ig/ch-orf/https://build.fhir.org/ig/hl7ch/ch-orf/Questionnaire-ch-orf-module-coverage.html |
| URL | http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-coverage |
| Version | 3.0.2-ci-build |
| Status | active |
| Date | 2022-05-04 |
| Name | ModuleQuestionnaireOrderCoverage |
| Title | Module Questionnaire Order Coverage |
| Realm | ch |
| Authority | hl7 |
| Copyright | CC0-1.0 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: Questionnaire ch-orf-module-coverage
Language: de-CH
| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
![]() | Questionnaire | http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-coverage#3.0.2-ci-build | ||
![]() ![]() | Begünstigter (Patient) | 0..1 | group | Definition: Coverage.beneficiary |
![]() ![]() ![]() | AHV-Nr. des Patienten (fr/it: AVS) | 0..1 | string | Definition: Patient.identifier:AHVN13 |
![]() ![]() | Krankenkasse nach KVG (fr/it: LAMal) | 0..1 | group | Definition: Coverage.type |
![]() ![]() ![]() | Name der Versicherung | 0..1 | string | Definition: Coverage.payor |
![]() ![]() ![]() | Kennnummer der Versichertenkarte | 0..1 | string | Definition: Coverage.identifier |
![]() ![]() | Unfallversicherung nach UVG (fr: LAA, it: LAINF) | 0..1 | group | Definition: Coverage.type |
![]() ![]() ![]() | Name der Versicherung | 0..1 | string | Definition: Coverage.payor |
![]() ![]() ![]() | Schadennummer | 0..1 | string | Definition: Coverage.identifier |
![]() ![]() | Zusatzversicherung nach VVG (fr/it: LCA) | 0..1 | group | Definition: Coverage.type |
![]() ![]() ![]() | Name der Versicherung | 0..1 | string | Definition: Coverage.payor |
![]() ![]() ![]() | Kennnummer der Versichertenkarte | 0..1 | string | Definition: Coverage.identifier |
![]() ![]() | Invalidenversicherung IV (fr/it: AI) | 0..1 | group | Definition: Coverage.type |
![]() ![]() ![]() | IV-Verfügungsnummer | 0..1 | string | Definition: Coverage.identifier |
![]() ![]() | Militärversicherung MV (fr/it: AM) | 0..1 | group | Definition: Coverage.type |
![]() ![]() ![]() | MV-Versichertennummer | 0..1 | string | Definition: Coverage.identifier |
![]() ![]() | Selbstzahler | 0..1 | group | Definition: Coverage.type |
![]() ![]() ![]() | Patient selbst | 0..1 | boolean | Definition: Coverage.payor |
![]() ![]() ![]() | Andere Person | 0..1 | boolean | Definition: Coverage.payor Enable When: coverage.self.patient = |
![]() ![]() ![]() | Andere Person | 0..1 | group | Definition: Coverage.payor Enable When: coverage.self.patientRelatedPerson = |
![]() ![]() ![]() ![]() | Name | 0..1 | string | Definition: RelatedPerson.name.family |
![]() ![]() ![]() ![]() | Vorname | 0..1 | string | Definition: RelatedPerson.name.given |
![]() ![]() ![]() ![]() | Telefon | 0..* | string | Definition: RelatedPerson.telecom.value |
![]() ![]() ![]() ![]() | 0..1 | string | Definition: RelatedPerson.telecom.value | |
![]() ![]() ![]() ![]() | Unable to resolve 'address' sub-questionnaire | 0..1 | display | |
![]() ![]() | Anderer Kostenträger | 0..1 | group | Definition: Coverage.type |
![]() ![]() ![]() | Name des Kostenträgers | 0..1 | string | Definition: Coverage.payor |
![]() ![]() ![]() | Beliebige ID | 0..1 | string | Definition: Coverage.identifier |
![]() ![]() ![]() | Bemerkung zur ID | 0..1 | string | Definition: Coverage.identifier.type.text |
{
"resourceType": "Questionnaire",
"id": "ch-orf-module-coverage",
"language": "de-CH",
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assemble-expectation",
"valueCode": "assemble-child"
}
],
"url": "http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-coverage",
"version": "3.0.2-ci-build",
"name": "ModuleQuestionnaireOrderCoverage",
"title": "Module Questionnaire Order Coverage",
"status": "active",
"date": "2022-05-04",
"publisher": "HL7 Switzerland",
"contact": [
{
"name": "HL7 Switzerland",
"telecom": [
{
"system": "url",
"value": "https://www.hl7.ch/"
}
]
}
],
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "CH"
}
]
}
],
"copyright": "CC0-1.0",
"item": [
{
"linkId": "coverage.beneficiary",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.beneficiary",
"text": "Begünstigter (Patient)",
"type": "group",
"item": [
{
"linkId": "coverage.beneficiary.ahvn13",
"definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.identifier:AHVN13",
"text": "AHV-Nr. des Patienten (fr/it: AVS)",
"type": "string"
}
]
},
{
"linkId": "coverage.kvg",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type",
"text": "Krankenkasse nach KVG (fr/it: LAMal)",
"type": "group",
"item": [
{
"linkId": "coverage.kvg.name",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor",
"text": "Name der Versicherung",
"type": "string"
},
{
"linkId": "coverage.kvg.insuranceCardNumber",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier",
"text": "Kennnummer der Versichertenkarte",
"type": "string"
}
]
},
{
"linkId": "coverage.uvg",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type",
"text": "Unfallversicherung nach UVG (fr: LAA, it: LAINF)",
"type": "group",
"item": [
{
"linkId": "coverage.uvg.name",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor",
"text": "Name der Versicherung",
"type": "string"
},
{
"linkId": "coverage.uvg.claimNumber",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier",
"text": "Schadennummer",
"type": "string"
}
]
},
{
"linkId": "coverage.vvg",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type",
"text": "Zusatzversicherung nach VVG (fr/it: LCA)",
"type": "group",
"item": [
{
"linkId": "coverage.vvg.name",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor",
"text": "Name der Versicherung",
"type": "string"
},
{
"linkId": "coverage.vvg.insuranceCardNumber",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier",
"text": "Kennnummer der Versichertenkarte",
"type": "string"
}
]
},
{
"linkId": "coverage.iv",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type",
"text": "Invalidenversicherung IV (fr/it: AI)",
"type": "group",
"item": [
{
"linkId": "coverage.iv.verfuegungsnummer",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier",
"text": "IV-Verfügungsnummer",
"type": "string"
}
]
},
{
"linkId": "coverage.mv",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type",
"text": "Militärversicherung MV (fr/it: AM)",
"type": "group",
"item": [
{
"linkId": "coverage.mv.versichertennummer",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier",
"text": "MV-Versichertennummer",
"type": "string"
}
]
},
{
"linkId": "coverage.self",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type",
"text": "Selbstzahler",
"type": "group",
"item": [
{
"linkId": "coverage.self.patient",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor",
"text": "Patient selbst",
"type": "boolean"
},
{
"linkId": "coverage.self.patientRelatedPerson",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor",
"text": "Andere Person",
"type": "boolean",
"enableWhen": [
{
"question": "coverage.self.patient",
"operator": "=",
"answerBoolean": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "linkIdPrefix",
"language": "text/fhirpath",
"expression": "'coverage.self.relatedPerson.'"
}
}
],
"linkId": "coverage.self.relatedPerson",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor",
"text": "Andere Person",
"type": "group",
"enableWhen": [
{
"question": "coverage.self.patientRelatedPerson",
"operator": "=",
"answerBoolean": true
}
],
"item": [
{
"linkId": "coverage.self.relatedPerson.familyName",
"definition": "http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.name.family",
"text": "Name",
"type": "string"
},
{
"linkId": "coverage.self.relatedPerson.givenName",
"definition": "http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.name.given",
"text": "Vorname",
"type": "string"
},
{
"linkId": "coverage.self.relatedPerson.phone",
"definition": "http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.telecom.value",
"text": "Telefon",
"type": "string",
"repeats": true
},
{
"linkId": "coverage.self.relatedPerson.email",
"definition": "http://hl7.org/fhir/StructureDefinition/RelatedPerson#RelatedPerson.telecom.value",
"text": "E-Mail",
"type": "string"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-subQuestionnaire",
"valueCanonical": "http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-address|3.0.1"
}
],
"linkId": "coverage.self.relatedPerson.1",
"text": "Unable to resolve 'address' sub-questionnaire",
"type": "display"
}
]
}
]
},
{
"linkId": "coverage.other",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.type",
"text": "Anderer Kostenträger",
"type": "group",
"item": [
{
"linkId": "coverage.other.name",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.payor",
"text": "Name des Kostenträgers",
"type": "string"
},
{
"linkId": "coverage.other.id",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier",
"text": "Beliebige ID",
"type": "string"
},
{
"linkId": "coverage.other.id.note",
"definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-coverage#Coverage.identifier.type.text",
"text": "Bemerkung zur ID",
"type": "string"
}
]
}
]
}