{ "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": "2024-02-02", "publisher": null, "name": "DiseaseQuestionsCommon", "item": [ { "item": [ { "text": "Sterbedatum", "type": "date", "linkId": "deathDate", "enableWhen": [ { "operator": "=", "question": "isDead", "answerCoding": { "code": "yes", "system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" } } ] } ], "text": "Ist die Person 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": "radio-button", "system": "http://hl7.org/fhir/questionnaire-item-control", "display": "Radio Button" } ] } } ], "answerValueSet": "https://demis.rki.de/fhir/ValueSet/yesOrNoOrNoInformation" }, { "text": "Besteht eine 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": "Wurde ein Labor mit der Durchführung einer Erregerdiagnostik beauftragt?", "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": "radio-button", "system": "http://hl7.org/fhir/questionnaire-item-control", "display": "Radio Button" } ] } } ], "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": "Ist bzw. wurde die Person ins Krankenhaus aufgenommen?", "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": "radio-button", "system": "http://hl7.org/fhir/questionnaire-item-control", "display": "Radio Button" } ] } } ], "answerValueSet": "https://demis.rki.de/fhir/ValueSet/yesOrNoOrNoInformation" }, { "item": [ { "item": [ { "text": "Art der Einrichtung", "type": "choice", "linkId": "infectProtectFacilityType", "required": false, "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" } ] } } ], "enableWhen": [ { "operator": "=", "question": "infectProtectFacility", "answerCoding": { "code": "yes", "system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" } } ], "answerValueSet": "https://demis.rki.de/fhir/ValueSet/organizationType" }, { "text": "Beginn", "type": "date", "linkId": "infectProtectFacilityBegin", "enableWhen": [ { "operator": "=", "question": "infectProtectFacility", "answerCoding": { "code": "yes", "system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" } } ] }, { "text": "Ende", "type": "date", "linkId": "infectProtectFacilityEnd", "enableWhen": [ { "operator": "=", "question": "infectProtectFacility", "answerCoding": { "code": "yes", "system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" } } ] }, { "text": "In welcher Beziehung steht die Person zur Einrichtung?", "type": "choice", "linkId": "infectProtectFacilityRole", "required": true, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "code": "radio-button", "system": "http://hl7.org/fhir/questionnaire-item-control", "display": "Radio Button" } ] } } ], "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": "Ist die betroffene Person in einer für den Infektionsschutz relevanten Einrichtung tätig, betreut oder untergebracht? (Die für den Infektionsschutz relevanten Einrichtungen sind im Infektionsschutzgesetz definiert. Dazu zählen u.a. Einrichtungen gemäß § 23 IfSG (z.B. Krankenhäuser, ärztliche Praxen, Dialyseeinrichtungen und Rettungsdienste), gemäß § 33 IfSG (z.B. Kitas, Kinderhorte, Schulen, Heime und Ferienlager) und gemäß §§ 35-36 IfSG (Pflegeeinrichtungen, Obdachlosunterkünfte, Einrichtungen zur gemeinschaftlichen Unterbringung von Asylsuchenden, sonstige Massenunterkünfte, Justizvollzugsanstalten).)", "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": "radio-button", "system": "http://hl7.org/fhir/questionnaire-item-control", "display": "Radio Button" } ] } } ], "answerValueSet": "https://demis.rki.de/fhir/ValueSet/yesOrNoOrNoInformation" }, { "item": [ { "item": [ { "text": "Beginn", "type": "date", "linkId": "placeExposureBegin", "enableWhen": [ { "operator": "=", "question": "placeExposure", "answerCoding": { "code": "yes", "system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" } } ] }, { "text": "Ende", "type": "date", "linkId": "placeExposureEnd", "enableWhen": [ { "operator": "=", "question": "placeExposure", "answerCoding": { "code": "yes", "system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" } } ] }, { "text": "Geografische Region", "type": "choice", "linkId": "placeExposureRegion", "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" } ] } } ], "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 Expositionsort", "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": "Ist der wahrscheinliche 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": "radio-button", "system": "http://hl7.org/fhir/questionnaire-item-control", "display": "Radio Button" } ] } } ], "answerValueSet": "https://demis.rki.de/fhir/ValueSet/yesOrNoOrNoInformation" }, { "text": "Hat die Person in den letzten 6 Monaten Blut, Organe, Gewebe oder Zellen gespendet?", "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": "radio-button", "system": "http://hl7.org/fhir/questionnaire-item-control", "display": "Radio Button" } ] } } ], "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": "2.0.0", "status": "active", "id": "6b4b0eef-47b9-45df-a6a8-f8464d1df88e", "kind": null, "url": "https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsCommon", "version": "1.2.0" }