{
"description": "\\r\\nKontaktspezifische Informationen werden in diesem Fragebogen zusammengestellt. \\r\\nDieser manifestiert sich als entsprechende QuestionaireResponse innerhalb des Kontaktereignisses.\\r\\n",
"_filename": "examples/Questionnaire-ContactInformationQuestionnaire.json",
"package_name": "rki.emiga.case",
"date": "2025-12-01",
"publisher": "Robert Koch Institute",
"name": "ContactInformationQuestionnaire",
"item": [ {
"text": "Zu welcher Kategorie gehört der gemeldete Kontakt?",
"type": "choice",
"linkId": "contactType",
"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://emiga.rki.de/fhir/case/ValueSet/ContactTypeVS"
}, {
"text": "Wann wurde der Kontakt gemeldet?",
"type": "date",
"linkId": "reportingDate",
"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": "date-picker",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Date picker"
} ]
}
} ]
}, {
"text": "In welchem Landkreis wurde der Kontakt gemeldet?",
"type": "choice",
"linkId": "county",
"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://emiga.rki.de/fhir/ValueSet/CountyVS"
}, {
"item": [ {
"enableBehavior": "any",
"linkId": "vaccination",
"repeats": false,
"type": "choice",
"enableWhen": [ {
"operator": "=",
"question": "contactType",
"answerCoding": {
"code": "NEI",
"system": "https://emiga.rki.de/fhir/case/CodeSystem/CaseCategory",
"display": "Meningokokken"
}
}, {
"operator": "=",
"question": "contactType",
"answerCoding": {
"code": "CVD",
"system": "https://emiga.rki.de/fhir/case/CodeSystem/CaseCategory",
"display": "COVID-19"
}
}, {
"operator": "=",
"question": "contactType",
"answerCoding": {
"code": "MSV",
"system": "https://emiga.rki.de/fhir/case/CodeSystem/CaseCategory",
"display": "Masern"
}
} ],
"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",
"initial": [ {
"valueCoding": {
"code": "NASK",
"system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"display": "not asked"
}
} ],
"required": false,
"text": "Liegen Informationen zum Impfstatus der Kontaktperson vor?"
}, {
"text": "Informationen zum Impfstatus der Kontaktperson",
"type": "reference",
"linkId": "vaccinationReference",
"repeats": true,
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "lookup",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Lookup"
} ]
}
} ],
"enableWhen": [ {
"operator": "=",
"question": "vaccination",
"answerCoding": {
"code": "373066001",
"display": "Ja"
}
} ],
"enableBehavior": "all"
} ],
"text": "Informationen zum Impfstatus der Kontaktperson",
"type": "group",
"linkId": "vaccinationGroup",
"repeats": false,
"required": false
}, {
"item": [ {
"text": "Liegen Informationen zur Unterbringung der Kontaktperson vor?",
"type": "choice",
"linkId": "placing",
"initial": [ {
"valueCoding": {
"code": "NASK",
"system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"display": "not asked"
}
} ],
"repeats": false,
"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"
} ]
}
} ],
"answerValueSet": "https://emiga.rki.de/fhir/ValueSet/YesNoNullFlavor"
}, {
"text": "Bitte Einrichtung, mit der die Kontaktperson in Verbindung steht angeben.",
"type": "reference",
"linkId": "contactOrganization",
"repeats": true,
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "lookup",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Lookup"
} ]
}
} ],
"enableWhen": [ {
"operator": "=",
"question": "placing",
"answerCoding": {
"code": "373066001",
"display": "Ja"
}
} ],
"enableBehavior": "all"
}, {
"enableBehavior": "all",
"linkId": "contactOrganizationRelation",
"repeats": true,
"type": "choice",
"enableWhen": [ {
"operator": "=",
"question": "placing",
"answerCoding": {
"code": "373066001",
"display": "Ja"
}
} ],
"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/common/ValueSet/FacilityAssociationTypeVS",
"required": false,
"text": "In welcher Verbindung steht die Kontaktperson mit der Einrichtung?"
}, {
"item": [ {
"text": "Verbindung zur Einrichtung: Beginn",
"type": "date",
"linkId": "organizationPeriod_start",
"repeats": false,
"required": false
}, {
"text": "Verbindung zur Einrichtung: Ende",
"type": "date",
"linkId": "organizationPeriod_end",
"repeats": false,
"required": false
} ],
"text": "Von wann bis wann besteht die Verbindung zur Einrichtung?",
"type": "group",
"linkId": "organizationPeriod",
"repeats": false,
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "placing",
"answerCoding": {
"code": "373066001",
"display": "Ja"
}
} ],
"enableBehavior": "all"
} ],
"text": "Informationen zur Unterbringung der Kontaktperson",
"type": "group",
"linkId": "placingGroup",
"repeats": false,
"required": false
}, {
"item": [ {
"text": "Liegt eine Anordnung zur Absonderung vor?",
"type": "choice",
"linkId": "quarantine",
"initial": [ {
"valueCoding": {
"code": "NASK",
"system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"display": "not asked"
}
} ],
"repeats": false,
"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"
} ]
}
} ],
"answerValueSet": "https://emiga.rki.de/fhir/ValueSet/YesNoNullFlavor"
}, {
"text": "Wann wurde die Anordnung zur Absonderung erteilt?",
"type": "date",
"linkId": "quarantineOrder",
"repeats": false,
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "quarantine",
"answerCoding": {
"code": "373066001",
"display": "Ja"
}
} ],
"enableBehavior": "all"
}, {
"item": [ {
"text": "Absonderung: Beginn",
"type": "date",
"linkId": "quarantinePeriod_start",
"repeats": false,
"required": false
}, {
"text": "Absonderung: Ende",
"type": "date",
"linkId": "quarantinePeriod_end",
"repeats": false,
"required": false
} ],
"text": "Von wann bis wann ist die Absonderung angeordnet?",
"type": "group",
"linkId": "quarantinePeriod",
"repeats": false,
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "quarantine",
"answerCoding": {
"code": "373066001",
"display": "Ja"
}
} ],
"enableBehavior": "all"
} ],
"text": "Informationen zur Absonderung",
"type": "group",
"linkId": "quarantineGroup",
"repeats": false,
"required": false
}, {
"item": [ {
"text": "Liegt ein Tätigkeitsverbot vor?",
"type": "choice",
"linkId": "workingProhibition",
"initial": [ {
"valueCoding": {
"code": "NASK",
"system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"display": "not asked"
}
} ],
"repeats": false,
"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"
} ]
}
} ],
"answerValueSet": "https://emiga.rki.de/fhir/ValueSet/YesNoNullFlavor"
}, {
"text": "Wann wurde die Anordnung zum Tätigkeitsverbot erteilt?",
"type": "date",
"linkId": "workingProhibitionOrder",
"repeats": false,
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "workingProhibition",
"answerCoding": {
"code": "373066001",
"display": "Ja"
}
} ],
"enableBehavior": "all"
}, {
"item": [ {
"text": "Tätigkeitsverbot: Beginn",
"type": "date",
"linkId": "workingProhibitionPeriod_start",
"repeats": false,
"required": false
}, {
"text": "Tätigkeitsverbot: Ende",
"type": "date",
"linkId": "workingProhibitionPeriod_end",
"repeats": false,
"required": false
} ],
"text": "Von wann bis wann ist das Tätigkeitsverbot angeordnet?",
"type": "group",
"linkId": "workingProhibitionPeriod",
"repeats": false,
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "workingProhibition",
"answerCoding": {
"code": "373066001",
"display": "Ja"
}
} ],
"enableBehavior": "all"
} ],
"text": "Informationen zum Tätigkeitsverbot",
"type": "group",
"linkId": "workingProhibitionGroup",
"repeats": false,
"required": false
}, {
"item": [ {
"text": "Handelt es sich bei der Kontaktperson um einen/eine Reiserückkehrer/in?",
"type": "choice",
"linkId": "returnTraveler",
"initial": [ {
"valueCoding": {
"code": "NASK",
"system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"display": "not asked"
}
} ],
"repeats": false,
"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"
} ]
}
} ],
"answerValueSet": "https://emiga.rki.de/fhir/ValueSet/YesNoNullFlavor"
}, {
"enableBehavior": "all",
"linkId": "expositionPlace",
"repeats": false,
"item": [ {
"item": [ {
"text": "Expositionszeitraum: Beginn",
"type": "date",
"linkId": "expositionPeriod_start",
"repeats": false,
"required": false
}, {
"text": "Expositionszeitraum: Ende",
"type": "date",
"linkId": "expositionPeriod_end",
"repeats": false,
"required": false
} ],
"text": "Von wann bis wann war die Person am Expositionsort?",
"type": "group",
"linkId": "expositionPeriod",
"repeats": false,
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "returnTraveler",
"answerCoding": {
"code": "373066001",
"display": "Ja"
}
} ],
"enableBehavior": "all"
} ],
"type": "choice",
"enableWhen": [ {
"operator": "=",
"question": "returnTraveler",
"answerCoding": {
"code": "373066001",
"display": "Ja"
}
} ],
"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://simplifier.net/rki.demis.common/geographicregion",
"required": false,
"text": "Bitte geben Sie den Expositionsort an."
} ],
"text": "Reiserückkehrer Informationen",
"type": "group",
"linkId": "returnTravelerGroup",
"repeats": false,
"required": false
} ],
"copyright": "Robert Koch Institute",
"type": null,
"experimental": null,
"resourceType": "Questionnaire",
"title": "Kontakt Informationen",
"package_version": "0.3.0-alpha.6",
"status": "draft",
"id": "8c864142-4af8-43a6-9eed-56b4475b67ce",
"kind": null,
"url": "https://emiga.rki.de/fhir/case/Questionnaire/ContactInformationQuestionnaire",
"version": "0.2.0"
}