{ "resourceType": "Bundle", "id": "CertificateBundleExample1", "type": "collection", "entry": [ { "resource": { "resourceType": "QuestionnaireResponse", "id": "LakarintygForSjukpenningQR", "meta": { "profile": [ "http://electronichealth.se/fhir/shc/StructureDefinition/SHCQuestionnaireResponse" ] }, "identifier": [ { "system": "FK", "value": "1234" } ], "questionnaire": "Questionnaire/cd0727c9-8032-430b-8061-a4141c6bbb1c", "author": { "reference": "PractitionerRole/PractitionerRoleExample1" }, "subject": { "reference": "Patient/PatientExample1" }, "authored": "2025-12-01T13:00:00+00:00", "status": "in-progress", "item": [ { "linkId": "46c0b0e2-db59-4f35-bcbd-59ccf6915c44", "text": "Smittbärarpenning", "item": [ { "linkId": "63254316-323a-438a-863a-02f9c5a89d9f" }, { "linkId": "087d943f-3712-41d1-887c-d9b64b98ad40", "text": "Förhållningsregler enligt smittskyddslagen på grund av smitta.", "answer": [ { "valueBoolean": false } ] } ] }, { "linkId": "dd6f5852-91fc-420d-8c5f-a748fc691d6c", "text": "I relation till vilken sysselsättning bedömer du arbetsförmågan?", "answer": [ { "item": [ { "linkId": "1b0e1885-0a8d-4ef2-839c-0ecb74a186f6" } ], "valueCoding": { "code": "nuvarande-arbete", "system": "urn:uuid:8685a164-f6ea-4106-f716-b2ced6cceb4b", "display": "Nuvarande arbete" } } ] }, { "linkId": "155b0a9a-d6e4-4f22-a57b-6c03c153bbdf", "text": "Ange yrke och arbetsuppgifter", "answer": [ { "valueString": "Sjuksköterska på vårdcentral" } ] }, { "linkId": "65bea64c-a544-415e-bb08-3c838af9f4e1", "text": "Diagnos/diagnoser för sjukdom som orsakar nedsatt arbetsförmåga", "answer": [ { "valueCoding": { "code": "icd-10-kodverk", "system": "urn:uuid:f70a2f0e-eb27-4fd0-8ff7-366a01dab650", "display": "ICD 10 kodverk" }, "item": [ { "linkId": "f0d0dcd2-7d74-4141-97ec-006320eb4d64" } ] } ] }, { "linkId": "f796813e-15e5-4f16-86a4-b2009c87704e", "text": "Funktionsnedsättning", "answer": [ { "valueString": "Uthållighet och ork (måttlig–svår begränsning) Patienten blir uttröttad efter kort fysisk eller mental ansträngning. Återhämtning efter aktivitet tar längre tid än normalt." } ] }, { "linkId": "7a4afd4c-63fd-4dc0-8114-089eb14d637b", "text": "Aktivitetsbegränsning", "answer": [ { "item": [ { "linkId": "df1d592d-fad7-4753-e07b-9197c997a54a" } ], "valueString": "Patienten har svårt att sitta koncentrerat vid datorn längre än 10–15 minuter utan att behöva vila. Minskad kognitiv uthållighet gör att arbetsuppgifter som kräver noggrannhet, planering och informationshantering inte kan utföras i normal takt. Samtal eller möten via telefon/video ökar hosta och uttröttning." } ] }, { "linkId": "69715348-11c0-4100-b1f2-167b8757332f", "text": "Medicinsk behandling", "answer": [ { "item": [ { "linkId": "e0b59990-1fba-4978-8a95-917b3a38841f" } ], "valueString": "Symtombehandling, vila smärtlindring" } ] }, { "linkId": "01027fde-8930-49bd-963c-2e3cb2ccaafc", "text": "Min bedömning av patientens nedsättning av arbetsförmågan", "answer": [ { "item": [ { "linkId": "a29c6370-f85a-40f0-a55c-00bde69c445b" } ], "valueCoding": { "code": "100-procent", "system": "urn:uuid:68580cd1-0924-4081-8e0f-d0195b43901d", "display": "100 procent" } } ] }, { "linkId": "bc11f79f-492e-4400-8c8b-edda3d075470", "text": "Prognos för arbetsförmåga utifrån aktuellt undersökningstillfälle", "answer": [ { "valueCoding": { "code": "patienten-förväntas-återgå-helt-i-nuvarande-sysselsättning-efter-denna-sjukskrivning", "system": "urn:uuid:8e926d9a-4ab4-4ea3-8861-09758503f1fd", "display": "Patienten förväntas återgå helt i nuvarande sysselsättning efter denna sjukskrivning" } } ] }, { "linkId": "99e84ed1-3c05-4038-afb1-c7ca0ba1fba5", "text": " Här kan du ange åtgärder som du tror skulle göra det lättare för patienten att återgå i arbete" }, { "linkId": "e5d7cdc5-098d-470f-8374-11b3b5c9f556", "text": "Övriga upplysningar" }, { "linkId": "447d8cc6-d441-43eb-99fe-a3da157cbbf0", "text": "Kontakt med Försäkringskassan" } ] } }, { "resource": { "resourceType": "Patient", "id": "PatientExample1", "meta": { "profile": [ "https://electronichealth.se/fhir/shc/StructureDefinition/SHCHealthCertificateSubject" ] }, "identifier": [ { "system": "http://electronichealth.se/identifier/personnummer", "value": "199001212381" } ], "name": [ { "family": "Simonsson", "given": [ "Simone" ] } ], "telecom": [ { "system": "phone", "value": "+46712345678", "period": { "start": "2023-01-01" } } ], "gender": "female", "birthDate": "1990-01-21", "address": [ { "line": [ "Drottninggatan 1", "589 57", "Tornaland" ], "period": { "start": "1970-01-01" } } ] } }, { "resource": { "resourceType": "PractitionerRole", "id": "PractitionerRoleExample1", "meta": { "profile": [ "http://electronichealth.se/fhir/shc/StructureDefinition/SHCPractitionerRole" ] }, "identifier": [ { "use": "official", "system": "urn:oid:1.2.752.29.4.19", "value": "TEST-HSA-ID-321" } ], "practitioner": { "reference": "Practitioner/PractitionerExample1" }, "organization": { "reference": "Organization/OrganizationalUnitExample1" }, "contact": [ { "purpose": { "coding": [ { "code": "ADMIN", "system": "http://terminology.hl7.org/CodeSystem/contactentity-type" } ] }, "telecom": [ { "system": "phone", "value": "+46426165677" } ], "period": { "start": "2000-01-01" } } ] } }, { "resource": { "resourceType": "Practitioner", "id": "PractitionerExample1", "meta": { "profile": [ "http://electronichealth.se/fhir/shc/StructureDefinition/SHCPractitioner" ] }, "identifier": [ { "use": "official", "system": "http://electronichealth.se/identifier/personnummer", "value": "198001122392" } ], "name": [ { "use": "official", "text": "Tom Andersson", "family": "Andersson", "given": [ "Tom" ] } ], "telecom": [ { "system": "phone", "value": "+46701234567", "use": "mobile", "period": { "start": "2025-01-01", "end": "2025-12-31" } } ], "qualification": [ { "identifier": [ { "use": "official", "system": "urn:oid:1.2.752.116.3.1.2", "value": "456789" } ], "code": { "coding": [ { "version": "http://snomed.info/sct/45991000052106", "code": "309453006", "system": "http://snomed.info/sct" } ] }, "period": { "start": "2010-05-01", "end": "2030-05-01" } } ] } }, { "resource": { "resourceType": "Organization", "id": "OrganizationExample1", "meta": { "profile": [ "http://electronichealth.se/fhir/shc/StructureDefinition/SHCOrganization" ] }, "identifier": [ { "system": "urn:oid:1.2.752.29.4.19", "value": "SE1234567890-4T6Y" }, { "system": "urn:oid:2.5.4.97", "value": "165560269986" } ], "active": true, "type": [ { "coding": [ { "version": "http://snomed.info/sct/45991000052106", "code": "143591000052106", "system": "http://snomed.info/sct" } ] } ], "name": "Region Tornaland", "alias": [ "Region Tornaland" ], "contact": [ { "purpose": { "coding": [ { "code": "ADMIN", "system": "http://terminology.hl7.org/CodeSystem/contactentity-type" } ] }, "telecom": [ { "system": "email", "value": "admin.rgtl@tornaland.com" } ], "period": { "start": "2000-01-01" } }, { "purpose": { "coding": [ { "code": "ADMIN", "system": "http://terminology.hl7.org/CodeSystem/contactentity-type" } ] } }, { "address": { "line": [ "Region Tornaland", "IT-avdelningen", "589 57", "Tornaland" ] }, "period": { "start": "2000-01-01" } }, { "telecom": [ { "system": "phone", "value": "+46426165677" } ], "period": { "start": "2000-01-01" } } ] } }, { "resource": { "resourceType": "Organization", "id": "OrganizationalUnitExample1", "meta": { "profile": [ "http://electronichealth.se/fhir/shc/StructureDefinition/SHCOrganizationalUnit" ] }, "identifier": [ { "system": "urn:oid:1.2.752.29.4.19", "value": "SE2321000040-E234515111154" } ], "active": true, "type": [ { "coding": [ { "version": "http://snomed.info/sct/45991000052106", "code": "43741000", "system": "http://snomed.info/sct" } ] } ], "name": "Medicin och akutsjukvård, Tornaland", "alias": [ "Medicin och akutsjukvård Tornaland" ], "contact": [ { "purpose": { "coding": [ { "code": "ADMIN", "system": "http://terminology.hl7.org/CodeSystem/contactentity-type" } ] }, "telecom": [ { "system": "email", "value": "admin.lcs@linkoping.com" } ], "period": { "start": "2000-01-01" } }, { "purpose": { "coding": [ { "code": "ADMIN", "system": "http://terminology.hl7.org/CodeSystem/contactentity-type" } ] } }, { "address": { "line": [ "Tornalands centralsjukhus", "Verksamhet medicin och akutsjukvård", "589 57", "Tornaland" ] }, "period": { "start": "2000-01-01" } }, { "telecom": [ { "system": "phone", "value": "+46426165677" } ], "period": { "start": "2000-01-01" } } ] } } ], "signature": { "type": [ { "code": "1.2.840.10065.1.12.1.1", "system": "urn:iso-astm:E1762-95:2013", "display": "Author's Signature" } ], "when": "2025-12-01T09:05:00+00:00", "who": { "reference": "Practitioner/PractitionerExample1" }, "targetFormat": "application/fhir+json", "sigFormat": "application/pkcs7-signature", "data": "VGhpcy1pcy1hLWR1bW15LWRpZ2l0YWwtc2lnbmF0dXJlLWRhdGE=" } }