{
  "description": null,
  "_filename": "Questionnaire-ch-orf-module-patient.json",
  "package_name": "ch.fhir.ig.ch-orf",
  "date": "2022-05-04",
  "publisher": "HL7 Switzerland",
  "jurisdiction": [ {
    "coding": [ {
      "code": "CH",
      "system": "urn:iso:std:iso:3166"
    } ]
  } ],
  "name": "ModuleQuestionnaireOrderPatient",
  "item": [ {
    "text": "Name",
    "type": "string",
    "linkId": "patient.familyName",
    "extension": [ {
      "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
      "valueExpression": {
        "language": "text/fhirpath",
        "expression": "%patient.name.where(use='official').family"
      }
    } ],
    "definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.name.family"
  }, {
    "text": "Ledigname",
    "type": "string",
    "linkId": "patient.maidenName",
    "extension": [ {
      "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
      "valueExpression": {
        "language": "text/fhirpath",
        "expression": "%patient.name.where(use='maiden').family"
      }
    } ],
    "definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.name.family"
  }, {
    "text": "Vorname",
    "type": "string",
    "linkId": "patient.givenName",
    "extension": [ {
      "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
      "valueExpression": {
        "language": "text/fhirpath",
        "expression": "%patient.name.where(use='official').given"
      }
    } ],
    "definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.name.given"
  }, {
    "text": "Lokale Patienten-ID",
    "type": "string",
    "linkId": "patient.localPid",
    "extension": [ {
      "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
      "valueExpression": {
        "language": "text/fhirpath",
        "expression": "%patient.identifier.where(type.coding.where(system='http://terminology.hl7.org/CodeSystem/v2-0203' and code='MR').exists()).value"
      }
    } ],
    "definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.identifier:LocalPid.value"
  }, {
    "text": "Lokale Patienten-ID Domain",
    "type": "string",
    "linkId": "patient.localPidDomain",
    "extension": [ {
      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
      "valueBoolean": true
    } ],
    "definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.identifier:LocalPid.system"
  }, {
    "text": "Geburtsdatum",
    "type": "date",
    "linkId": "patient.birthDate",
    "extension": [ {
      "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
      "valueExpression": {
        "language": "text/fhirpath",
        "expression": "%patient.birthDate"
      }
    } ],
    "definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.birthDate"
  }, {
    "text": "Geschlecht",
    "type": "choice",
    "linkId": "patient.gender",
    "extension": [ {
      "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
      "valueExpression": {
        "language": "text/fhirpath",
        "expression": "%questionnaire.repeat(item).where(linkId='patient.gender').answerOption.valueCoding.where(code=%patient.gender)"
      }
    } ],
    "definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.gender",
    "answerOption": [ {
      "valueCoding": {
        "code": "male",
        "system": "http://hl7.org/fhir/administrative-gender",
        "display": "Männlich"
      },
      "initialSelected": true
    }, {
      "valueCoding": {
        "code": "female",
        "system": "http://hl7.org/fhir/administrative-gender",
        "display": "Weiblich"
      }
    }, {
      "valueCoding": {
        "code": "other",
        "system": "http://hl7.org/fhir/administrative-gender",
        "display": "Anderes"
      }
    } ]
  }, {
    "text": "Zivilstand",
    "type": "choice",
    "linkId": "patient.maritalStatus",
    "extension": [ {
      "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
      "valueExpression": {
        "language": "text/fhirpath",
        "expression": "%patient.maritalStatus"
      }
    } ],
    "definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.maritalStatus",
    "answerOption": [ {
      "valueCoding": {
        "code": "1",
        "system": "http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus",
        "display": "ledig"
      }
    }, {
      "valueCoding": {
        "code": "2",
        "system": "http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus",
        "display": "verheiratet"
      }
    }, {
      "valueCoding": {
        "code": "3",
        "system": "http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus",
        "display": "verwitwet"
      }
    }, {
      "valueCoding": {
        "code": "4",
        "system": "http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus",
        "display": "geschieden"
      }
    }, {
      "valueCoding": {
        "code": "5",
        "system": "http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus",
        "display": "unverheiratet"
      }
    }, {
      "valueCoding": {
        "code": "6",
        "system": "http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus",
        "display": "in eingetragener Partnerschaft"
      }
    }, {
      "valueCoding": {
        "code": "7",
        "system": "http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus",
        "display": "aufgelöste Partnerschaft"
      }
    }, {
      "valueCoding": {
        "code": "9",
        "system": "http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus",
        "display": "unbekannt"
      }
    } ]
  }, {
    "text": "Telefon",
    "type": "string",
    "linkId": "patient.phone",
    "repeats": true,
    "extension": [ {
      "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
      "valueExpression": {
        "language": "text/fhirpath",
        "expression": "%patient.telecom.where(system='phone').value"
      }
    } ],
    "definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.telecom.value"
  }, {
    "text": "E-Mail",
    "type": "string",
    "linkId": "patient.email",
    "extension": [ {
      "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
      "valueExpression": {
        "language": "text/fhirpath",
        "expression": "%patient.telecom.where(system='email').value"
      }
    } ],
    "definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.telecom.value"
  }, {
    "text": "Unable to resolve 'address' sub-questionnaire",
    "type": "display",
    "linkId": "address.1",
    "extension": [ {
      "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-subQuestionnaire",
      "valueCanonical": "http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-address|1.1.0"
    } ]
  }, {
    "text": "Korrespondenzsprache",
    "type": "choice",
    "linkId": "patient.languageOfCorrespondence",
    "extension": [ {
      "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
      "valueExpression": {
        "language": "text/fhirpath",
        "expression": "%patient.communication.where(preferred=true).language.coding"
      }
    } ],
    "definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.communication:languageOfCorrespondence",
    "answerValueSet": "http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.languageCode"
  }, {
    "item": [ {
      "text": "Beziehung",
      "type": "string",
      "linkId": "patient.contactperson.relationship",
      "extension": [ {
        "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
        "valueExpression": {
          "language": "text/fhirpath",
          "expression": "%contact.relationship.text"
        }
      } ],
      "definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact.relationship.text"
    }, {
      "text": "Name",
      "type": "string",
      "linkId": "patient.contactperson.familyName",
      "extension": [ {
        "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
        "valueExpression": {
          "language": "text/fhirpath",
          "expression": "%contact.name.family"
        }
      } ],
      "definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact.name.family"
    }, {
      "text": "Vorname",
      "type": "string",
      "linkId": "patient.contactperson.givenName",
      "extension": [ {
        "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
        "valueExpression": {
          "language": "text/fhirpath",
          "expression": "%contact.name.given"
        }
      } ],
      "definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact.name.given"
    }, {
      "text": "Telefon",
      "type": "string",
      "linkId": "patient.contactperson.phone",
      "repeats": true,
      "extension": [ {
        "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
        "valueExpression": {
          "language": "text/fhirpath",
          "expression": "%contact.telecom.where(system='phone').value"
        }
      } ],
      "definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact.telecom.value"
    }, {
      "text": "E-Mail",
      "type": "string",
      "linkId": "patient.contactperson.email",
      "extension": [ {
        "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
        "valueExpression": {
          "language": "text/fhirpath",
          "expression": "%contact.telecom.where(system='email').value"
        }
      } ],
      "definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact.telecom.value"
    } ],
    "text": "Kontaktperson",
    "type": "group",
    "linkId": "patient.contactperson",
    "repeats": true,
    "extension": [ {
      "url": "http://hl7.org/fhir/StructureDefinition/variable",
      "valueExpression": {
        "name": "contact",
        "language": "text/fhirpath",
        "expression": "%patient.contact"
      }
    } ],
    "definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.contact"
  }, {
    "item": [ {
      "text": "Unable to resolve 'familydoctor' sub-questionnaire",
      "type": "display",
      "linkId": "patientfamilydoctor.1",
      "extension": [ {
        "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-subQuestionnaire",
        "valueCanonical": "http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-familydoctor|1.1.0"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/variable",
        "valueExpression": {
          "name": "linkIdPrefix",
          "language": "text/fhirpath",
          "expression": "'familydoctor.'"
        }
      } ]
    } ],
    "text": "Hausarzt",
    "type": "group",
    "linkId": "familydoctor",
    "definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.generalPractitioner"
  } ],
  "copyright": "CC0-1.0",
  "type": null,
  "experimental": null,
  "resourceType": "Questionnaire",
  "title": "Module Questionnaire Order Patient",
  "package_version": "2.0.0",
  "extension": [ {
    "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assemble-expectation",
    "valueCode": "assemble-child"
  } ],
  "status": "active",
  "language": "de-CH",
  "id": "7535aedd-f242-4f70-86ad-d6e62a27b89d",
  "kind": null,
  "url": "http://fhir.ch/ig/ch-orf/Questionnaire/ch-orf-module-patient",
  "version": "2.0.0",
  "contact": [ {
    "name": "HL7 Switzerland",
    "telecom": [ {
      "value": "https://www.hl7.ch/",
      "system": "url"
    } ]
  } ]
}