{ "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": "2022-01-28", "publisher": null, "name": "DiseaseQuestionsCommon", "item": [ { "item": [ { "text": "Datum des Todes", "type": "date", "linkId": "deathDate", "enableWhen": [ { "operator": "=", "question": "isDead", "answerCoding": { "code": "yes", "system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" } } ] } ], "text": "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": "drop-down", "system": "http://hl7.org/fhir/questionnaire-item-control", "display": "Drop down" } ] } } ], "answerValueSet": "https://demis.rki.de/fhir/ValueSet/yesOrNoOrNoInformation" }, { "text": "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": "Laborbeauftragung", "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": "drop-down", "system": "http://hl7.org/fhir/questionnaire-item-control", "display": "Drop down" } ] } } ], "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": "Aufnahme in ein Krankenhaus", "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": "drop-down", "system": "http://hl7.org/fhir/questionnaire-item-control", "display": "Drop down" } ] } } ], "answerValueSet": "https://demis.rki.de/fhir/ValueSet/yesOrNoOrNoInformation" }, { "item": [ { "item": [ { "text": "Beginn der Tätigkeit/Betreuung/Unterbringung", "type": "date", "linkId": "infectProtectFacilityBegin", "enableWhen": [ { "operator": "=", "question": "infectProtectFacility", "answerCoding": { "code": "yes", "system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" } } ] }, { "text": "Ende der Tätigkeit/Betreuung/Unterbringung", "type": "date", "linkId": "infectProtectFacilityEnd", "enableWhen": [ { "operator": "=", "question": "infectProtectFacility", "answerCoding": { "code": "yes", "system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" } } ] }, { "text": "Rolle", "type": "choice", "linkId": "infectProtectFacilityRole", "required": true, "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": "Tätigkeit, Betreuung oder Unterbringung in Einrichtungen mit Relevanz für den Infektionsschutz (siehe § 23 Abs. 3 IfSG oder § 36 Abs. 1 oder 2 IfSG)", "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": "drop-down", "system": "http://hl7.org/fhir/questionnaire-item-control", "display": "Drop down" } ] } } ], "answerValueSet": "https://demis.rki.de/fhir/ValueSet/yesOrNoOrNoInformation" }, { "item": [ { "item": [ { "text": "Beginn des Aufenthalts am wahrscheinlichen Expositionsort/Datum des Aufenthalts", "type": "date", "linkId": "placeExposureBegin", "enableWhen": [ { "operator": "=", "question": "placeExposure", "answerCoding": { "code": "yes", "system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" } } ] }, { "text": "Ende des Aufenthalts am wahrscheinlichen Expositionsort", "type": "date", "linkId": "placeExposureEnd", "enableWhen": [ { "operator": "=", "question": "placeExposure", "answerCoding": { "code": "yes", "system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" } } ] }, { "text": "Wahrscheinlicher Expositionsort", "type": "choice", "linkId": "placeExposureRegion", "initial": [ { "valueCoding": { "code": "NASK", "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor", "display": "not asked" } } ], "required": true, "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 Expositonsort", "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": "Wahrscheinlicher 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": "drop-down", "system": "http://hl7.org/fhir/questionnaire-item-control", "display": "Drop down" } ] } } ], "answerValueSet": "https://demis.rki.de/fhir/ValueSet/yesOrNoOrNoInformation" }, { "text": "Spender für eine Blut-, Organ-, Gewebe- oder Zellspende in den letzten 6 Monaten", "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": "drop-down", "system": "http://hl7.org/fhir/questionnaire-item-control", "display": "Drop down" } ] } } ], "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": "1.1.0", "status": "active", "id": "98567652-f968-43cf-af5f-5769bc845143", "kind": null, "url": "https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsCommon", "version": "1.0.0" }