{
"description": "Fragen, die fallübergreifend von Interesse sind, werden in diesem allgemeinen Fragebogen erfasst.",
"_filename": "examples/Questionnaire-CaseInformationCommon.json",
"package_name": "rki.emiga.case",
"date": "2026-01-23",
"publisher": "Robert Koch Institute",
"name": "CaseInformationCommon",
"item": [ {
"code": [ {
"code": "419620001",
"system": "http://snomed.info/sct",
"display": "Tod"
} ],
"item": [ {
"text": "Grund des Todes",
"type": "choice",
"linkId": "causeOfDeath",
"repeats": 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": "isDead",
"answerBoolean": true
} ],
"answerValueSet": "https://emiga.rki.de/fhir/case/ValueSet/CauseOfDeathVS",
"enableBehavior": "all"
} ],
"text": "Ist die Person verstorben?",
"type": "choice",
"linkId": "isDead",
"repeats": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check box"
} ]
}
} ],
"answerValueSet": "https://emiga.rki.de/fhir/ValueSet/YesNoNullFlavor"
}, {
"text": "Hat die Person in den letzten 6 Monaten Blut, Organe, Gewebe oder Zellen gespendet?",
"type": "choice",
"linkId": "organDonation",
"repeats": 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"
} ]
}
} ],
"answerValueSet": "https://emiga.rki.de/fhir/ValueSet/YesNoNullFlavor"
}, {
"code": [ {
"code": "clinicalInformationAvailable",
"system": "https://emiga.rki.de/fhir/case/CodeSystem/CaseInformationCommonQuestions",
"display": "Sind Klinische Informationen verfügbar?"
} ],
"item": [ {
"text": "Wann ist der Erkrankungsbeginn?",
"type": "date",
"linkId": "startDisease",
"repeats": false,
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "date-picker",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Date picker"
} ]
}
} ],
"enableWhen": [ {
"operator": "=",
"question": "clinicalInformationAvailable",
"answerCoding": {
"code": "373066001",
"system": "http://snomed.info/sct"
}
}, {
"operator": "=",
"question": "clinicalInformationAvailable",
"answerCoding": {
"code": "yesWithSymptoms",
"system": "https://emiga.rki.de/fhir/case/CodeSystem/ClinicalInformationPresent"
}
}, {
"operator": "=",
"question": "clinicalInformationAvailable",
"answerCoding": {
"code": "yesWithoutSymptoms",
"system": "https://emiga.rki.de/fhir/case/CodeSystem/ClinicalInformationPresent"
}
} ],
"enableBehavior": "all"
} ],
"type": "choice",
"linkId": "clinicalInformationAvailable",
"repeats": 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"
} ]
}
} ],
"answerValueSet": "https://emiga.rki.de/fhir/case/ValueSet/ClinicalInformationPresentVS"
}, {
"text": "Sind Laborangaben verfügbar?",
"type": "choice",
"linkId": "labInformationAvailable",
"repeats": 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"
} ]
}
} ],
"answerValueSet": "https://emiga.rki.de/fhir/ValueSet/YesNoNullFlavor"
}, {
"text": "Ist bzw. wurde die Person ins Krankenhaus aufgenommen?",
"type": "choice",
"linkId": "hospitalized",
"repeats": 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"
} ]
}
} ],
"answerValueSet": "https://emiga.rki.de/fhir/ValueSet/YesNoNullFlavor"
}, {
"text": "Ist die betroffene Person in einer für den Infektionsschutz relevanten Einrichtung tätig, betreut oder untergebracht?",
"type": "choice",
"linkId": "infectProtectiFacility",
"repeats": 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"
} ]
}
} ],
"answerValueSet": "https://emiga.rki.de/fhir/ValueSet/YesNoNullFlavor"
}, {
"text": "Ist die Epid. Bestätigung erfüllt?",
"type": "choice",
"linkId": "epidConfirmation",
"repeats": 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"
} ]
}
} ],
"answerValueSet": "https://emiga.rki.de/fhir/ValueSet/YesNoNullFlavor"
}, {
"text": "Ist der wahrscheinliche Expositionsort bekannt?",
"type": "choice",
"linkId": "placeExposure",
"repeats": 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"
} ]
}
} ],
"answerValueSet": "https://emiga.rki.de/fhir/ValueSet/YesNoNullFlavor"
} ],
"copyright": "Robert Koch Institute",
"type": null,
"experimental": null,
"resourceType": "Questionnaire",
"title": "Fall Angaben",
"package_version": "0.3.0-alpha.6",
"status": "active",
"id": "72bbd3b5-7595-4a9d-90ca-2a6575843384",
"kind": null,
"url": "https://emiga.rki.de/fhir/case/Questionnaire/CaseInformationCommon",
"version": "0.3.0"
}