{
"description": "Fragen, die meldetatbestandsübergreifend von Interesse sind, werden in diesem allgemeinen Fragebogen abgebildet. Dieser Fragebogen ist für sämtliche Meldungen gemäß §6 Absatz 1, 2 IfSG auszufüllen und somit als spezifische QuestionnaireResponse integraler Bestandteil einer jeden Meldung.",
"_filename": "Questionnaire-DiseaseQuestionsCommon.json",
"package_name": "rki.demis.disease",
"date": "2022-01-28",
"publisher": null,
"name": "DiseaseQuestionsCommon",
"item": [ {
"item": [ {
"text": "Datum des Todes",
"type": "date",
"linkId": "deathDate",
"enableWhen": [ {
"operator": "=",
"question": "isDead",
"answerCoding": {
"code": "yes",
"system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer"
}
} ]
} ],
"text": "Verstorben",
"type": "choice",
"linkId": "isDead",
"initial": [ {
"valueCoding": {
"code": "NASK",
"system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"display": "not asked"
}
} ],
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "drop-down",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Drop down"
} ]
}
} ],
"answerValueSet": "https://demis.rki.de/fhir/ValueSet/yesOrNoOrNoInformation"
}, {
"text": "Zugehörigkeit zur Bundeswehr",
"type": "choice",
"linkId": "militaryAffiliation",
"initial": [ {
"valueCoding": {
"code": "NASK",
"system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"display": "not asked"
}
} ],
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "drop-down",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Drop down"
} ]
}
} ],
"answerValueSet": "https://demis.rki.de/fhir/ValueSet/answerSetMilitaryAffiliation"
}, {
"item": [ {
"text": "Beauftragtes Labor",
"type": "reference",
"linkId": "labSpecimenLab",
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceResource",
"valueCode": "Organization"
} ],
"enableWhen": [ {
"operator": "=",
"question": "labSpecimenTaken",
"answerCoding": {
"code": "yes",
"system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer"
}
} ]
} ],
"text": "Laborbeauftragung",
"type": "choice",
"linkId": "labSpecimenTaken",
"initial": [ {
"valueCoding": {
"code": "NASK",
"system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"display": "not asked"
}
} ],
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "drop-down",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Drop down"
} ]
}
} ],
"answerValueSet": "https://demis.rki.de/fhir/ValueSet/yesOrNoOrNoInformation"
}, {
"item": [ {
"item": [ {
"type": "reference",
"linkId": "hospitalizedEncounter",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceProfile",
"valueCanonical": "https://demis.rki.de/fhir/StructureDefinition/Hospitalization"
} ],
"enableWhen": [ {
"operator": "=",
"question": "hospitalized",
"answerCoding": {
"code": "yes",
"system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer"
}
} ]
} ],
"type": "group",
"linkId": "hospitalizedGroup",
"repeats": true,
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "gtable",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Group Table"
} ]
}
} ],
"enableWhen": [ {
"operator": "=",
"question": "hospitalized",
"answerCoding": {
"code": "yes",
"system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer"
}
} ]
} ],
"text": "Aufnahme in ein Krankenhaus",
"type": "choice",
"linkId": "hospitalized",
"initial": [ {
"valueCoding": {
"code": "NASK",
"system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"display": "not asked"
}
} ],
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "drop-down",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Drop down"
} ]
}
} ],
"answerValueSet": "https://demis.rki.de/fhir/ValueSet/yesOrNoOrNoInformation"
}, {
"item": [ {
"item": [ {
"text": "Beginn der Tätigkeit/Betreuung/Unterbringung",
"type": "date",
"linkId": "infectProtectFacilityBegin",
"enableWhen": [ {
"operator": "=",
"question": "infectProtectFacility",
"answerCoding": {
"code": "yes",
"system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer"
}
} ]
}, {
"text": "Ende der Tätigkeit/Betreuung/Unterbringung",
"type": "date",
"linkId": "infectProtectFacilityEnd",
"enableWhen": [ {
"operator": "=",
"question": "infectProtectFacility",
"answerCoding": {
"code": "yes",
"system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer"
}
} ]
}, {
"text": "Rolle",
"type": "choice",
"linkId": "infectProtectFacilityRole",
"required": true,
"enableWhen": [ {
"operator": "=",
"question": "infectProtectFacility",
"answerCoding": {
"code": "yes",
"system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer"
}
} ],
"answerValueSet": "https://demis.rki.de/fhir/ValueSet/organizationAssociation"
}, {
"text": "Einrichtung",
"type": "reference",
"linkId": "infectProtectFacilityOrganization",
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceResource",
"valueCode": "Organization"
} ],
"enableWhen": [ {
"operator": "=",
"question": "infectProtectFacility",
"answerCoding": {
"code": "yes",
"system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer"
}
} ]
} ],
"type": "group",
"linkId": "infectProtectFacilityGroup",
"repeats": true,
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "gtable",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Group Table"
} ]
}
} ],
"enableWhen": [ {
"operator": "=",
"question": "infectProtectFacility",
"answerCoding": {
"code": "yes",
"system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer"
}
} ]
} ],
"text": "Tätigkeit, Betreuung oder Unterbringung in Einrichtungen mit Relevanz für den Infektionsschutz (siehe § 23 Abs. 3 IfSG oder § 36 Abs. 1 oder 2 IfSG)",
"type": "choice",
"linkId": "infectProtectFacility",
"initial": [ {
"valueCoding": {
"code": "NASK",
"system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"display": "not asked"
}
} ],
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "drop-down",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Drop down"
} ]
}
} ],
"answerValueSet": "https://demis.rki.de/fhir/ValueSet/yesOrNoOrNoInformation"
}, {
"item": [ {
"item": [ {
"text": "Beginn des Aufenthalts am wahrscheinlichen Expositionsort/Datum des Aufenthalts",
"type": "date",
"linkId": "placeExposureBegin",
"enableWhen": [ {
"operator": "=",
"question": "placeExposure",
"answerCoding": {
"code": "yes",
"system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer"
}
} ]
}, {
"text": "Ende des Aufenthalts am wahrscheinlichen Expositionsort",
"type": "date",
"linkId": "placeExposureEnd",
"enableWhen": [ {
"operator": "=",
"question": "placeExposure",
"answerCoding": {
"code": "yes",
"system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer"
}
} ]
}, {
"text": "Wahrscheinlicher Expositionsort",
"type": "choice",
"linkId": "placeExposureRegion",
"initial": [ {
"valueCoding": {
"code": "NASK",
"system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"display": "not asked"
}
} ],
"required": true,
"enableWhen": [ {
"operator": "=",
"question": "placeExposure",
"answerCoding": {
"code": "yes",
"system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer"
}
} ],
"answerValueSet": "https://demis.rki.de/fhir/ValueSet/answerSetGeographicRegion"
}, {
"text": "Anmerkungen zum Expositonsort",
"type": "text",
"linkId": "placeExposureHint",
"enableWhen": [ {
"operator": "=",
"question": "placeExposure",
"answerCoding": {
"code": "yes",
"system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer"
}
} ]
} ],
"type": "group",
"linkId": "placeExposureGroup",
"repeats": true,
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "gtable",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Group Table"
} ]
}
} ],
"enableWhen": [ {
"operator": "=",
"question": "placeExposure",
"answerCoding": {
"code": "yes",
"system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer"
}
} ]
} ],
"text": "Wahrscheinlicher Expositionsort bekannt",
"type": "choice",
"linkId": "placeExposure",
"initial": [ {
"valueCoding": {
"code": "NASK",
"system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"display": "not asked"
}
} ],
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "drop-down",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Drop down"
} ]
}
} ],
"answerValueSet": "https://demis.rki.de/fhir/ValueSet/yesOrNoOrNoInformation"
}, {
"text": "Spender für eine Blut-, Organ-, Gewebe- oder Zellspende in den letzten 6 Monaten",
"type": "choice",
"linkId": "organDonation",
"initial": [ {
"valueCoding": {
"code": "NASK",
"system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"display": "not asked"
}
} ],
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "drop-down",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Drop down"
} ]
}
} ],
"answerValueSet": "https://demis.rki.de/fhir/ValueSet/yesOrNoOrNoInformation"
}, {
"text": "Wichtige Zusatzinformationen",
"type": "text",
"linkId": "additionalInformation"
} ],
"type": null,
"experimental": null,
"resourceType": "Questionnaire",
"title": "Meldetatbestandsübergreifende klinische und epidemiologische Angaben",
"package_version": "1.1.0",
"status": "active",
"id": "0d769e0a-cd6a-446e-964d-6488c6e1c278",
"kind": null,
"url": "https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsCommon",
"version": "1.0.0"
}