{ "description": "Botulismus spezifische Informationsbedarfe werden in diesem meldetatbestandsspezifischen Fragebogen zusammengestellt. Dieser manifestiert sich als entsprechende QuestionnaireResponse innerhalb der Meldung.", "_filename": "Questionnaire-DiseaseQuestionsCLOD.json", "package_name": "rki.demis.disease", "date": "2024-07-22", "publisher": null, "name": "DiseaseQuestionsCLOD", "item": [ { "text": "Welche Krankheitsform liegt vor?", "type": "choice", "linkId": "form", "initial": [ { "valueCoding": { "code": "NASK", "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor", "display": "not asked" } } ], "repeats": false, "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/answerSetFormCLOD" }, { "item": [ { "linkId": "honey", "repeats": false, "type": "choice", "enableWhen": [ { "operator": "=", "question": "form", "answerCoding": { "code": "414488002", "system": "http://snomed.info/sct" } } ], "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", "initial": [ { "valueCoding": { "code": "NASK", "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor", "display": "not asked" } } ], "required": true, "text": "Hat der Säugling Honig verzehrt?" }, { "linkId": "drugs", "repeats": false, "type": "choice", "enableWhen": [ { "operator": "=", "question": "form", "answerCoding": { "code": "398530003", "system": "http://snomed.info/sct" } } ], "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", "initial": [ { "valueCoding": { "code": "NASK", "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor", "display": "not asked" } } ], "required": true, "text": "Konsumiert die betroffene Person intravenöse Drogen?" }, { "item": [ { "item": [ { "text": "Welches andere Lebensmittel hat wahrscheinlich die Infektion verursacht?", "type": "text", "linkId": "otherfood", "repeats": false, "required": false, "enableWhen": [ { "operator": "=", "question": "food", "answerCoding": { "code": "346602001", "system": "http://snomed.info/sct" } } ] } ], "text": "Welches Lebensmittel hat wahrscheinlich die Infektion verursacht?", "type": "choice", "linkId": "food", "initial": [ { "valueCoding": { "code": "NASK", "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor", "display": "not asked" } } ], "repeats": false, "required": true, "answerValueSet": "https://demis.rki.de/fhir/ValueSet/answerSetFoodCLOD" }, { "text": "Verzehr am?", "type": "date", "linkId": "consumptionWhen", "repeats": false, "required": false }, { "text": "Verzehr wo?", "type": "choice", "linkId": "consumptionWhere", "initial": [ { "valueCoding": { "code": "NASK", "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor", "display": "not asked" } } ], "repeats": false, "required": true, "answerValueSet": "https://demis.rki.de/fhir/ValueSet/answerSetConsumptionCLOD" }, { "text": "Auf welche Art wurde das Lebensmittel konserviert?", "type": "choice", "linkId": "conservation", "initial": [ { "valueCoding": { "code": "NASK", "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor", "display": "not asked" } } ], "repeats": false, "required": true, "answerValueSet": "https://demis.rki.de/fhir/ValueSet/answerSetConservationCLOD" }, { "text": "Aus welcher Herstellung stammt das Lebensmittel?", "type": "choice", "linkId": "manufacturing", "initial": [ { "valueCoding": { "code": "NASK", "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor", "display": "not asked" } } ], "repeats": false, "required": true, "answerValueSet": "https://demis.rki.de/fhir/ValueSet/answerSetManufacturingCLOD" }, { "text": "Wurde das Toxin im Lebensmittel nachgewiesen?", "type": "choice", "linkId": "toxinInFood", "initial": [ { "valueCoding": { "code": "NASK", "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor", "display": "not asked" } } ], "repeats": false, "required": true, "answerValueSet": "https://demis.rki.de/fhir/ValueSet/yesOrNoOrNoInformation" } ], "type": "group", "linkId": "foodGroup", "repeats": false, "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": "form", "answerCoding": { "code": "398523009", "system": "http://snomed.info/sct" } } ] } ], "text": "Auf welchem Weg hat sich die betroffene Person wahrscheinlich infiziert?", "type": "group", "linkId": "infectionPathKindGroup", "repeats": false, "required": true, "enableWhen": [ { "operator": "=", "question": "form", "answerCoding": { "code": "414488002", "system": "http://snomed.info/sct" } }, { "operator": "=", "question": "form", "answerCoding": { "code": "398530003", "system": "http://snomed.info/sct" } }, { "operator": "=", "question": "form", "answerCoding": { "code": "398523009", "system": "http://snomed.info/sct" } } ], "enableBehavior": "any" }, { "linkId": "outbreak", "repeats": false, "item": [ { "text": "Fallbezogene Zusatzinformationen zum Ausbruch", "type": "text", "linkId": "outbreakNote", "repeats": false, "required": false, "enableWhen": [ { "operator": "=", "question": "outbreak", "answerCoding": { "code": "yes", "system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" } } ] }, { "text": "Notification-Id der zugehörigen Ausbruchsmeldung", "type": "reference", "linkId": "outbreakNotificationId", "repeats": false, "required": false, "enableWhen": [ { "operator": "=", "question": "outbreak", "answerCoding": { "code": "yes", "system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" } } ] } ], "type": "choice", "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", "initial": [ { "valueCoding": { "code": "NASK", "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor", "display": "not asked" } } ], "required": true, "text": "Kann der gemeldete Fall einem Ausbruch zugeordnet werden?" } ], "type": null, "experimental": null, "resourceType": "Questionnaire", "title": "Botulismus: spezifische klinische und epidemiologische Angaben", "package_version": "2.0.0", "status": "active", "id": "3c8d6149-2fe4-4c88-940e-ca6491eb38d3", "kind": null, "url": "https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsCLOD", "version": "1.2.1" }