{
  "description": "Fragebogen zur Erfassung krankheitsspezifischer Fallangaben für COVID-19 im EMIGA-Kontext. Er dient der strukturierten Dokumentation relevanter Informationen zu COVID-19-Fällen zur Unterstützung von Meldung, Bewertung und epidemiologischer Auswertung.",
  "_filename": "examples/Questionnaire-CaseInformationSpecificCVD.json",
  "package_name": "rki.emiga.case",
  "date": "2026-01-20",
  "publisher": "Robert Koch Institute",
  "name": "CaseInformationSpecificCVD",
  "item": [ {
    "text": "Kontakt zu bestätigtem Fall",
    "type": "choice",
    "linkId": "infectionSource",
    "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": [ {
        "linkId": "infectionEnvironmentSettingKind",
        "repeats": false,
        "type": "choice",
        "enableWhen": [ {
          "operator": "=",
          "question": "infectionEnvironmentSetting",
          "answerCoding": {
            "code": "373066001",
            "system": "http://snomed.info/sct"
          }
        } ],
        "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/answerSetInfectionEnvironmentSettingCVDD",
        "initial": [ {
          "valueCoding": {
            "code": "NASK",
            "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
            "display": "not asked"
          }
        } ],
        "required": true,
        "text": "Wahrscheinliches Infektionsumfeld"
      }, {
        "text": "Beginn Infektionsumfeld",
        "type": "date",
        "linkId": "infectionEnvironmentSettingBegin",
        "enableWhen": [ {
          "operator": "=",
          "question": "infectionEnvironmentSetting",
          "answerCoding": {
            "code": "373066001",
            "system": "http://snomed.info/sct"
          }
        } ]
      }, {
        "text": "Ende Infektionsumfeld",
        "type": "date",
        "linkId": "infectionEnvironmentSettingEnd",
        "repeats": false,
        "required": false,
        "enableWhen": [ {
          "operator": "=",
          "question": "infectionEnvironmentSetting",
          "answerCoding": {
            "code": "373066001",
            "system": "http://snomed.info/sct"
          }
        } ]
      } ],
      "type": "group",
      "linkId": "infectionEnvironmentSettingGroup",
      "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": "infectionEnvironmentSetting",
        "answerCoding": {
          "code": "373066001",
          "system": "http://snomed.info/sct"
        }
      } ]
    } ],
    "text": "Infektionsumfeld vorhanden",
    "type": "choice",
    "linkId": "infectionEnvironmentSetting",
    "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": [ {
      "text": "Impfinformationen",
      "type": "reference",
      "linkId": "immunizationRef",
      "repeats": true,
      "required": false,
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceProfile",
        "valueCanonical": "https://demis.rki.de/fhir/StructureDefinition/ImmunizationInformationCVDD"
      } ],
      "enableWhen": [ {
        "operator": "=",
        "question": "immunization",
        "answerCoding": {
          "code": "373066001",
          "system": "http://snomed.info/sct"
        }
      } ]
    } ],
    "text": "Wurde die betroffene Person jemals in Bezug auf die Krankheit geimpft?",
    "type": "choice",
    "linkId": "immunization",
    "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": "Grund der Hospitalisierung",
    "type": "choice",
    "linkId": "reason",
    "initial": [ {
      "valueCoding": {
        "code": "NASK",
        "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
        "display": "not asked"
      }
    } ],
    "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://demis.rki.de/fhir/ValueSet/answerSetHospitalizationReason"
  }, {
    "linkId": "infectionRiskKind",
    "repeats": true,
    "item": [ {
      "linkId": "trimester",
      "repeats": false,
      "type": "choice",
      "enableWhen": [ {
        "operator": "=",
        "question": "infectionRiskKind",
        "answerCoding": {
          "code": "77386006",
          "system": "http://snomed.info/sct"
        }
      } ],
      "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/answerSetTrimester",
      "initial": [ {
        "valueCoding": {
          "code": "NASK",
          "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
          "display": "not asked"
        }
      } ],
      "required": false,
      "text": "Trimester"
    } ],
    "type": "choice",
    "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/answerSetInfectionRiskCVDD",
    "initial": [ {
      "valueCoding": {
        "code": "NASK",
        "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
        "display": "not asked"
      }
    } ],
    "required": false,
    "text": "Welche Risikofaktoren liegen bei der betroffenen Person vor?"
  }, {
    "linkId": "outbreak",
    "repeats": false,
    "item": [ {
      "text": "Fallbezogene Zusatzinformationen zum Ausbruch",
      "type": "text",
      "linkId": "outbreakNote",
      "repeats": false,
      "required": false,
      "enableWhen": [ {
        "operator": "=",
        "question": "outbreak",
        "answerCoding": {
          "code": "373066001",
          "system": "http://snomed.info/sct"
        }
      } ]
    }, {
      "text": "Notification-Id der zugehörigen Ausbruchsmeldung",
      "type": "reference",
      "linkId": "outbreakNotificationId",
      "repeats": false,
      "required": false,
      "enableWhen": [ {
        "operator": "=",
        "question": "outbreak",
        "answerCoding": {
          "code": "373066001",
          "system": "http://snomed.info/sct"
        }
      } ]
    } ],
    "type": "choice",
    "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",
    "initial": [ {
      "valueCoding": {
        "code": "NASK",
        "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
        "display": "not asked"
      }
    } ],
    "required": false,
    "text": "Kann der gemeldete Fall einem Ausbruch zugeordnet werden?"
  } ],
  "copyright": "Robert Koch Institute",
  "type": null,
  "experimental": null,
  "resourceType": "Questionnaire",
  "title": "COVID-19 Fall Angaben",
  "package_version": "0.3.0-alpha.6",
  "status": "active",
  "id": "a08781e2-9d6d-4502-bc25-ed5bf6a685c3",
  "kind": null,
  "url": "https://emiga.rki.de/fhir/case/Questionnaire/CaseInformationSpecificCVD",
  "version": "0.1.0"
}