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Packagech.fhir.ig.ch-rad-order
Resource TypeQuestionnaireResponse
IdQuestionnaireResponse-QuestionnaireResponseRadiologyOrderRequestPrevious.json
FHIR VersionR4

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Narrative

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

Generated Narrative: QuestionnaireResponse QuestionnaireResponseRadiologyOrderRequestPrevious

LinkIDTextDefinitionAnswerdoco
.. QuestionnaireResponseRadiologyOrderRequestPreviousQuestionnaire:QuestionnaireRadiologyOrder
... orderAuftrag
.... order.authoredOnDatum/Zeit der Auftragserteilung2024-11-24T08:30:15+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 Auftragsempfängers368
.... order.fillerOrderIdentifierDomainIdentifier Domain der Auftragsnummer des Auftragsempfängersurn:oid:2.999.7.8.9.10.11
.... order.precedentDocumentIdentifierIdentifier des Vorgängerdokuments
.... 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-Junior
...... order.notificationContactDocumentResponse.practitioner.givenNameVornameOlga
...... order.notificationContactDocumentResponse.practitioner.phoneTelefon+41 32 444 55 11
...... order.notificationContactDocumentResponse.practitioner.emailE-Mailottilie.rderplacer@smallhospital.ch
.... order.priorityAuftragsprioritätRequestPriority: routine (Routine)
... receiverEmpfänger
.... receiver.practitionerEmpfangende Person
..... receiver.practitioner.titleTitelDr. med.
..... receiver.practitioner.familyNameNameRderfiller
..... receiver.practitioner.givenNameVornameOtto
..... receiver.practitioner.glnGLN7601000087232
..... receiver.practitioner.zsrZSRA123262
..... receiver.practitioner.phoneTelefon044 412 00 99
..... receiver.practitioner.emailE-Mailotto.rderfiller@happyhospital.ch
.... receiver.organizationEmpfangende Organisation
..... receiver.organization.nameName der OrganisationRadiologie Klinik 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.practitionerRoleGesundheitsfachperson oder -organisation
..... initiator.practitionerRole.practitionerGesundheitsfachperson
...... initiator.practitionerRole.practitioner.titleTitel
...... initiator.practitionerRole.practitioner.familyNameName
...... initiator.practitionerRole.practitioner.givenNameVorname
...... initiator.practitionerRole.practitioner.phoneTelefon
...... initiator.practitionerRole.practitioner.emailE-Mail
..... initiator.practitionerRole.organizationGesundheitsorganisatiton
...... initiator.practitionerRole.organization.nameName der Organisation
...... initiator.practitionerRole.organization.streetAddressLineStrasse, Hausnummer, Postfach etc.
...... initiator.practitionerRole.organization.postalCodePLZ
...... initiator.practitionerRole.organization.cityOrt
...... initiator.practitionerRole.organization.countryLand
.... initiator.relatedPerson
..... 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.birthDateGeburtsdatum1945-03-14
.... 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.givenNameVorname
...... familydoctor.practitioner.gln
...... familydoctor.practitioner.zsr
...... familydoctor.practitioner.phone
...... familydoctor.practitioner.emailE-Mail
..... familydoctor.organizationHausarzt Organisation
...... familydoctor.organization.nameName der Organisation
...... familydoctor.organization.countryLand
... requestedEncounterPatientenaufnahme
.... requestedEncounter.classVoraussichtlich: Ambulant / Stationär / Notfall
.... requestedEncounter.desiredAccommodationZimmerkategorie
... coverageKostenträger
.... coverage.kvgKrankenkasse (nach KVG)
..... coverage.kvg.nameName der VersicherungOrgSanitas
..... coverage.kvg.insuranceCardNumberKennnummer der Versichertenkarte80756015090002647590
... senderAbsender
.... sender.authorVerantwortlicher
..... sender.author.practitionerVerantwortliche Person
...... sender.author.practitioner.titleTitelDr. med.
...... sender.author.practitioner.familyNameNameRderplacer-Junior
...... sender.author.practitioner.givenNameVornameOlga
...... sender.author.practitioner.glnGLN1321000618618
...... sender.author.practitioner.zsrZSRB123333
...... sender.author.practitioner.phoneTelefon+41 32 444 55 11
...... sender.author.practitioner.emailE-Mailo.rderplacer-junior@smallhospital.ch
..... sender.author.organizationVerantwortliche Organisation
...... sender.author.organization.nameName der OrganisationSmall Hospital
...... sender.author.organization.streetAddressLineStrasse, Hausnummer, Postfach etc.Hausmatten
...... sender.author.organization.postalCodePLZ4535
...... sender.author.organization.cityOrtKammersrohr
...... sender.author.organization.countryLandSchweiz
.... sender.dataentererErfasser
..... sender.dataenterer.practitionerErfassende Person
...... sender.dataenterer.practitioner.familyNameName
...... sender.dataenterer.practitioner.givenNameVorname
...... sender.dataenterer.practitioner.phoneTelefon
...... sender.dataenterer.practitioner.emailE-Mail
... 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.organization
...... 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.organizationSpital /Heim
..... antecedentEpisodeOfCare.organization.nameName der Organisation
..... antecedentEpisodeOfCare.organization.streetAddressLineStrasse, Hausnummer, Postfach etc.
..... antecedentEpisodeOfCare.organization.postalCodePLZ
..... antecedentEpisodeOfCare.organization.cityOrt
..... antecedentEpisodeOfCare.organization.countryLand
... appointmentOrt und Zeit
.... appointment.locationOrt der Durchführung
..... appointment.location.nameName
..... appointment.location.streetAddressLineStrasse, Hausnummer, Postfach etc.
..... appointment.location.postalCodePLZ
..... appointment.location.cityOrt
..... appointment.location.countryLand
.... appointment.requestedPeriodDatum und Zeit, wann der Termin bevorzugt geplant werden soll
..... appointment.requestedPeriod.startVon2022
..... appointment.requestedPeriod.endBis2024
.... appointment.statusAppointmentStatus: pending (Pending)
... 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
... medicalInformation
.... requestedServiceAngeforderte Leistung
..... requestedService.serviceLeistungRequested Service: RequestForPreviousReportAndImages (Bilder und Befundberichte früherer Untersuchung(en))
... noteBemerkungen
.... note.textKommentarThorax Rx vor ca. 1 Jahr

doco Documentation for this format

Source1

{
  "resourceType": "QuestionnaireResponse",
  "id": "QuestionnaireResponseRadiologyOrderRequestPrevious",
  "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-rad-order/Questionnaire/QuestionnaireRadiologyOrder",
  "status": "completed",
  "item": [
    {
      "linkId": "order",
      "text": "Auftrag",
      "item": [
        {
          "linkId": "order.authoredOn",
          "text": "Datum/Zeit der Auftragserteilung",
          "answer": [
            {
              "valueDateTime": "2024-11-24T08:30:15+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": "368"
            }
          ]
        },
        {
          "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"
        },
        {
          "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-Junior"
                    }
                  ]
                },
                {
                  "linkId": "order.notificationContactDocumentResponse.practitioner.givenName",
                  "text": "Vorname",
                  "answer": [
                    {
                      "valueString": "Olga"
                    }
                  ]
                },
                {
                  "linkId": "order.notificationContactDocumentResponse.practitioner.phone",
                  "text": "Telefon",
                  "answer": [
                    {
                      "valueString": "+41 32 444 55 11"
                    }
                  ]
                },
                {
                  "linkId": "order.notificationContactDocumentResponse.practitioner.email",
                  "text": "E-Mail",
                  "answer": [
                    {
                      "valueString": "ottilie.rderplacer@smallhospital.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": "7601000087232"
                }
              ]
            },
            {
              "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": "Radiologie Klinik 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.practitionerRole",
          "text": "Gesundheitsfachperson oder -organisation",
          "item": [
            {
              "linkId": "initiator.practitionerRole.practitioner",
              "text": "Gesundheitsfachperson",
              "item": [
                {
                  "linkId": "initiator.practitionerRole.practitioner.title",
                  "text": "Titel"
                },
                {
                  "linkId": "initiator.practitionerRole.practitioner.familyName",
                  "text": "Name"
                },
                {
                  "linkId": "initiator.practitionerRole.practitioner.givenName",
                  "text": "Vorname"
                },
                {
                  "linkId": "initiator.practitionerRole.practitioner.phone",
                  "text": "Telefon"
                },
                {
                  "linkId": "initiator.practitionerRole.practitioner.email",
                  "text": "E-Mail"
                }
              ]
            },
            {
              "linkId": "initiator.practitionerRole.organization",
              "text": "Gesundheitsorganisatiton",
              "item": [
                {
                  "linkId": "initiator.practitionerRole.organization.name",
                  "text": "Name der Organisation"
                },
                {
                  "linkId": "initiator.practitionerRole.organization.streetAddressLine",
                  "text": "Strasse, Hausnummer, Postfach etc."
                },
                {
                  "linkId": "initiator.practitionerRole.organization.postalCode",
                  "text": "PLZ"
                },
                {
                  "linkId": "initiator.practitionerRole.organization.city",
                  "text": "Ort"
                },
                {
                  "linkId": "initiator.practitionerRole.organization.country",
                  "text": "Land"
                }
              ]
            }
          ]
        },
        {
          "linkId": "initiator.relatedPerson",
          "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": "1945-03-14"
            }
          ]
        },
        {
          "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",
                  "text": "Vorname"
                },
                {
                  "linkId": "familydoctor.practitioner.gln"
                },
                {
                  "linkId": "familydoctor.practitioner.zsr"
                },
                {
                  "linkId": "familydoctor.practitioner.phone"
                },
                {
                  "linkId": "familydoctor.practitioner.email",
                  "text": "E-Mail"
                }
              ]
            },
            {
              "linkId": "familydoctor.organization",
              "text": "Hausarzt Organisation",
              "item": [
                {
                  "linkId": "familydoctor.organization.name",
                  "text": "Name der Organisation"
                },
                {
                  "linkId": "familydoctor.organization.country",
                  "text": "Land"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "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": "OrgSanitas"
                }
              ]
            },
            {
              "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-Junior"
                    }
                  ]
                },
                {
                  "linkId": "sender.author.practitioner.givenName",
                  "text": "Vorname",
                  "answer": [
                    {
                      "valueString": "Olga"
                    }
                  ]
                },
                {
                  "linkId": "sender.author.practitioner.gln",
                  "text": "GLN",
                  "answer": [
                    {
                      "valueString": "1321000618618"
                    }
                  ]
                },
                {
                  "linkId": "sender.author.practitioner.zsr",
                  "text": "ZSR",
                  "answer": [
                    {
                      "valueString": "B123333"
                    }
                  ]
                },
                {
                  "linkId": "sender.author.practitioner.phone",
                  "text": "Telefon",
                  "answer": [
                    {
                      "valueString": "+41 32 444 55 11"
                    }
                  ]
                },
                {
                  "linkId": "sender.author.practitioner.email",
                  "text": "E-Mail",
                  "answer": [
                    {
                      "valueString": "o.rderplacer-junior@smallhospital.ch"
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "sender.author.organization",
              "text": "Verantwortliche Organisation",
              "item": [
                {
                  "linkId": "sender.author.organization.name",
                  "text": "Name der Organisation",
                  "answer": [
                    {
                      "valueString": "Small Hospital"
                    }
                  ]
                },
                {
                  "linkId": "sender.author.organization.streetAddressLine",
                  "text": "Strasse, Hausnummer, Postfach etc.",
                  "answer": [
                    {
                      "valueString": "Hausmatten"
                    }
                  ]
                },
                {
                  "linkId": "sender.author.organization.postalCode",
                  "text": "PLZ",
                  "answer": [
                    {
                      "valueString": "4535"
                    }
                  ]
                },
                {
                  "linkId": "sender.author.organization.city",
                  "text": "Ort",
                  "answer": [
                    {
                      "valueString": "Kammersrohr"
                    }
                  ]
                },
                {
                  "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"
                },
                {
                  "linkId": "sender.dataenterer.practitioner.givenName",
                  "text": "Vorname"
                },
                {
                  "linkId": "sender.dataenterer.practitioner.phone",
                  "text": "Telefon"
                },
                {
                  "linkId": "sender.dataenterer.practitioner.email",
                  "text": "E-Mail"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "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",
              "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.organization",
          "text": "Spital /Heim",
          "item": [
            {
              "linkId": "antecedentEpisodeOfCare.organization.name",
              "text": "Name der Organisation"
            },
            {
              "linkId": "antecedentEpisodeOfCare.organization.streetAddressLine",
              "text": "Strasse, Hausnummer, Postfach etc."
            },
            {
              "linkId": "antecedentEpisodeOfCare.organization.postalCode",
              "text": "PLZ"
            },
            {
              "linkId": "antecedentEpisodeOfCare.organization.city",
              "text": "Ort"
            },
            {
              "linkId": "antecedentEpisodeOfCare.organization.country",
              "text": "Land"
            }
          ]
        }
      ]
    },
    {
      "linkId": "appointment",
      "definition": "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-servicerequest#extension:locationAndTime",
      "text": "Ort und Zeit",
      "item": [
        {
          "linkId": "appointment.location",
          "text": "Ort der Durchführung",
          "item": [
            {
              "linkId": "appointment.location.name",
              "text": "Name",
              "answer": [
                {
                  "valueString": ""
                }
              ]
            },
            {
              "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, wann der Termin bevorzugt geplant werden soll",
          "item": [
            {
              "linkId": "appointment.requestedPeriod.start",
              "text": "Von",
              "answer": [
                {
                  "valueDateTime": "2022"
                }
              ]
            },
            {
              "linkId": "appointment.requestedPeriod.end",
              "text": "Bis",
              "answer": [
                {
                  "valueDateTime": "2024"
                }
              ]
            }
          ]
        },
        {
          "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": "ExplicitAgreement"
              },
              "item": [
                {
                  "linkId": "patient.consent.statement.note",
                  "text": "Anmerkung"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "linkId": "medicalInformation",
      "item": [
        {
          "linkId": "requestedService",
          "text": "Angeforderte Leistung",
          "item": [
            {
              "linkId": "requestedService.service",
              "text": "Leistung",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://fhir.ch/ig/ch-rad-order/CodeSystem/ch-rad-order-requested-service",
                    "code": "RequestForPreviousReportAndImages",
                    "display": "Bilder und Befundberichte früherer Untersuchung(en)"
                  }
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "linkId": "note",
      "text": "Bemerkungen",
      "item": [
        {
          "linkId": "note.text",
          "text": "Kommentar",
          "answer": [
            {
              "valueString": "Thorax Rx vor ca. 1 Jahr"
            }
          ]
        }
      ]
    }
  ]
}