Package | ch.fhir.ig.ch-orf |
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" } ] } ] }