{
  "description": null,
  "_filename": "example/Questionnaire-referral-min.json",
  "package_name": "ch.fhir.ig.ch-orf",
  "subjectType": [ "Patient" ],
  "date": "2019-03-28T00:00:00+01:00",
  "meta": {
    "profile": [ "http://fhir.ch/ig/ch-orf/StructureDefinition/ch-orf-questionnaire", "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire", "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-extract" ]
  },
  "publisher": "ahdis",
  "name": "ORFReferralMinimial",
  "item": [ {
    "item": [ {
      "text": "Auftrags-Nummer",
      "type": "string",
      "linkId": "order.number",
      "required": true
    } ],
    "text": "Auftrag",
    "type": "group",
    "linkId": "order"
  }, {
    "item": [ {
      "code": [ {
        "code": "Patient.name.family",
        "system": "http://fhir.ch/ig/ch-orf/CodeSystem/minimaldataset"
      } ],
      "text": "Name",
      "type": "string",
      "linkId": "patient.lastname",
      "required": true,
      "definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.name"
    }, {
      "code": [ {
        "code": "Patient.name.given",
        "system": "http://fhir.ch/ig/ch-orf/CodeSystem/minimaldataset"
      } ],
      "text": "Vorname",
      "type": "string",
      "linkId": "patient.firstname",
      "required": true,
      "definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient#Patient.name"
    }, {
      "text": "PID (sendendes System)",
      "type": "string",
      "linkId": "patient.pid"
    }, {
      "text": "Geburtsdatum",
      "type": "date",
      "linkId": "patient.birthdate",
      "required": true
    }, {
      "text": "Geschlecht",
      "type": "choice",
      "linkId": "patient.sex",
      "required": true,
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
        "valueCode": "horizontal"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
        "valueCodeableConcept": {
          "text": "A control where choices are listed with a button beside them. The button can be toggled to select or de-select a given choice. Selecting one item deselects all others.",
          "coding": [ {
            "code": "radio-button",
            "system": "http://hl7.org/fhir/questionnaire-item-control",
            "display": "Radio Button"
          } ]
        }
      } ],
      "answerOption": [ {
        "valueCoding": {
          "code": "F",
          "display": "Weiblich"
        },
        "initialSelected": true
      }, {
        "valueCoding": {
          "code": "M",
          "display": "Männlich"
        }
      } ]
    }, {
      "text": "PLZ",
      "type": "string",
      "linkId": "patient.zip",
      "required": true,
      "maxLength": 6
    } ],
    "text": "Patient",
    "type": "group",
    "linkId": "patient",
    "definition": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient"
  }, {
    "item": [ {
      "text": "Grund Überweisung",
      "type": "text",
      "linkId": "examiniation.reason",
      "required": true
    }, {
      "item": [ {
        "text": "Laborwerte",
        "type": "string",
        "linkId": "lab",
        "answerOption": [ {
          "valueCoding": {
            "code": "27353-2",
            "system": "http://loinc.org",
            "display": "Glucose"
          }
        }, {
          "valueCoding": {
            "code": "33898-8",
            "system": "http://loinc.org",
            "display": "Bilirubin"
          }
        }, {
          "valueCoding": {
            "code": "3094-0",
            "system": "http://loinc.org",
            "display": "Harnstoff"
          }
        } ]
      } ],
      "text": "Chemogramm",
      "type": "open-choice",
      "linkId": "chemogramm",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
        "valueCode": "horizontal"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
        "valueCodeableConcept": {
          "coding": [ {
            "code": "check-box",
            "system": "http://hl7.org/fhir/questionnaire-item-control"
          } ]
        }
      } ]
    }, {
      "text": "Beilage",
      "type": "attachment",
      "linkId": "examiniation.attachments",
      "repeats": true
    } ],
    "text": "Untersuch",
    "type": "group",
    "linkId": "examiniation"
  }, {
    "item": [ {
      "text": "Name",
      "type": "string",
      "linkId": "receiver.lastname"
    }, {
      "text": "Vorname",
      "type": "string",
      "linkId": "receiver.firstname"
    }, {
      "text": "Organisation",
      "type": "string",
      "linkId": "receiver.organization"
    }, {
      "text": "Strasse",
      "type": "string",
      "linkId": "receiver.street"
    }, {
      "text": "Postfach",
      "type": "string",
      "linkId": "receiver.postfach"
    }, {
      "text": "PLZ",
      "type": "string",
      "linkId": "receiver.zip"
    }, {
      "text": "Ort",
      "type": "string",
      "linkId": "receiver.city"
    } ],
    "text": "Receiver",
    "type": "group",
    "linkId": "receiver"
  }, {
    "item": [ {
      "item": [ {
        "text": "Visum",
        "type": "string",
        "linkId": "orderer.sender.visum"
      }, {
        "text": "Bereich",
        "type": "string",
        "linkId": "orderer.sender.bereich"
      }, {
        "text": "Bereich",
        "type": "string",
        "linkId": "orderer.sender.abt"
      }, {
        "text": "Name",
        "type": "string",
        "linkId": "orderer.sender.lastname"
      }, {
        "text": "Vorname",
        "type": "string",
        "linkId": "orderer.sender.firstname"
      }, {
        "text": "Organisastion",
        "type": "string",
        "linkId": "orderer.sender.organization"
      }, {
        "text": "Telefon",
        "type": "string",
        "linkId": "orderer.sender.tel"
      }, {
        "text": "E-Mail",
        "type": "string",
        "linkId": "orderer.sender.e-mail"
      }, {
        "text": "Strasse",
        "type": "string",
        "linkId": "orderer.sender.street"
      }, {
        "text": "Postfach",
        "type": "string",
        "linkId": "orderer.sender.postfach"
      }, {
        "text": "PLZ",
        "type": "string",
        "linkId": "orderer.sender.zip"
      }, {
        "text": "Ort",
        "type": "string",
        "linkId": "orderer.sender.city"
      } ],
      "text": "Sender",
      "type": "group",
      "linkId": "orderer.sender"
    } ],
    "text": "Sender",
    "type": "group",
    "linkId": "orderer"
  } ],
  "type": null,
  "experimental": "true",
  "resourceType": "Questionnaire",
  "title": "ORF Referral Minimial",
  "package_version": "0.9.1",
  "extension": [ {
    "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-targetStructureMap",
    "valueCanonical": "http://fhir.ch/ig/ch-orf/StructureMap/map-orf"
  } ],
  "status": "draft",
  "id": "8f3d80e1-dc90-49d8-90c4-b14e0d3fb4f3",
  "kind": null,
  "url": "http://fhir.ch/ig/ch-orf/Questionnaire/referral-min",
  "version": "0.9.1"
}