{
"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": "2025-01-06",
"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": "Fragebogen für meldetatbestandsübergreifende klinische und epidemiologische Angaben",
"package_version": "2.0.2",
"status": "active",
"id": "80762e19-d434-4c7b-8f27-84e8e1aa8a92",
"kind": null,
"url": "https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsCommon",
"version": "1.4.0"
}