{
  "description": "Hepatitis C spezifische Informationsbedarfe werden in diesem meldetatbestandsspezifischen Fragebogen zusammengestellt. Dieser manifestiert sich als entsprechende QuestionnaireResponse innerhalb der Meldung.",
  "_filename": "Questionnaire-DiseaseQuestionsHCVD.json",
  "package_name": "rki.demis.disease",
  "date": "2024-07-22",
  "publisher": null,
  "name": "DiseaseQuestionsHCVD",
  "item": [ {
    "item": [ {
      "text": "Welche Staatsangehörigkeit hat die betroffene Person?",
      "type": "choice",
      "linkId": "nationality",
      "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://demis.rki.de/fhir/ValueSet/answerSetCountry"
    }, {
      "text": "Welcher ist der Geburtsstaat der betroffenen Person?",
      "type": "choice",
      "linkId": "countryOfBirth",
      "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://demis.rki.de/fhir/ValueSet/answerSetCountry"
    }, {
      "text": "Jahr der Einreise in Deutschland",
      "type": "date",
      "linkId": "yearOfEntry",
      "repeats": false,
      "required": false,
      "enableWhen": [ {
        "operator": "!=",
        "question": "countryOfBirth",
        "answerCoding": {
          "code": "DE",
          "system": "urn:iso:std:iso:3166"
        }
      }, {
        "operator": "!=",
        "question": "countryOfBirth",
        "answerCoding": {
          "code": "ASKU",
          "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor"
        }
      }, {
        "operator": "!=",
        "question": "countryOfBirth",
        "answerCoding": {
          "code": "NASK",
          "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor"
        }
      } ],
      "enableBehavior": "all"
    } ],
    "type": "group",
    "linkId": "nationalityGroup",
    "repeats": false,
    "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"
        } ]
      }
    } ]
  }, {
    "linkId": "stadium",
    "repeats": false,
    "item": [ {
      "linkId": "acute",
      "repeats": false,
      "type": "choice",
      "enableWhen": [ {
        "operator": "=",
        "question": "stadium",
        "answerCoding": {
          "code": "773114002",
          "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/answerSetAcuteHCVD",
      "initial": [ {
        "valueCoding": {
          "code": "NASK",
          "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
          "display": "not asked"
        }
      } ],
      "required": true,
      "text": "Akute Infektion aufgrund"
    } ],
    "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/answerSetStadiumHCVD",
    "initial": [ {
      "valueCoding": {
        "code": "NASK",
        "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
        "display": "not asked"
      }
    } ],
    "required": true,
    "text": "Welches Stadium der Infektion liegt vor?"
  }, {
    "text": "Hat der Fall eine Leberzirrhose (Befund liegt dem Meldenden vor)?",
    "type": "choice",
    "linkId": "liverCirrhosis",
    "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://demis.rki.de/fhir/ValueSet/yesOrNoOrNoInformation"
  }, {
    "text": "Ist eine Hepatitis-C-Diagnose aktenkundig?",
    "type": "choice",
    "linkId": "diagnosisKnown",
    "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://demis.rki.de/fhir/ValueSet/yesOrNoOrNoInformation"
  }, {
    "linkId": "infectionPathKind",
    "repeats": true,
    "item": [ {
      "linkId": "inPrison",
      "repeats": false,
      "type": "choice",
      "enableWhen": [ {
        "operator": "=",
        "question": "infectionPathKind",
        "answerCoding": {
          "code": "409496000:{704326004=365984004}",
          "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/yesOrNoOrNoInformation",
      "initial": [ {
        "valueCoding": {
          "code": "NASK",
          "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
          "display": "not asked"
        }
      } ],
      "required": true,
      "text": "Während eines Haftaufenthaltes?"
    }, {
      "enableBehavior": "any",
      "linkId": "sexualContact",
      "repeats": false,
      "type": "choice",
      "enableWhen": [ {
        "operator": "=",
        "question": "infectionPathKind",
        "answerCoding": {
          "code": "409496000:{704326004=225531006}",
          "system": "http://snomed.info/sct"
        }
      }, {
        "operator": "=",
        "question": "infectionPathKind",
        "answerCoding": {
          "code": "409496000:{704326004=1288017002}",
          "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/yesOrNoOrNoInformation",
      "initial": [ {
        "valueCoding": {
          "code": "NASK",
          "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
          "display": "not asked"
        }
      } ],
      "required": true,
      "text": "War der Sexualpartner/die Sexualpartnerin bekanntermaßen Hepatitis C infiziert?"
    }, {
      "linkId": "transmissionKind",
      "repeats": true,
      "item": [ {
        "text": "Jahr und Monat des Erhalts von Blutprodukten",
        "type": "date",
        "linkId": "receiptBloodProductsDate",
        "repeats": false,
        "required": false,
        "enableWhen": [ {
          "operator": "=",
          "question": "transmissionKind",
          "answerCoding": {
            "code": "409496000:{704326004=5447007}",
            "system": "http://snomed.info/sct"
          }
        } ]
      }, {
        "linkId": "receiptBloodProductsUnknownDate",
        "repeats": false,
        "type": "choice",
        "enableWhen": [ {
          "operator": "=",
          "question": "transmissionKind",
          "answerCoding": {
            "code": "409496000:{704326004=5447007}",
            "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/answerSetBeforeOrAfter1991",
        "initial": [ {
          "valueCoding": {
            "code": "NASK",
            "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
            "display": "not asked"
          }
        } ],
        "required": true,
        "text": "Falls genaues Datum unbekannt"
      } ],
      "type": "choice",
      "enableWhen": [ {
        "operator": "=",
        "question": "infectionPathKind",
        "answerCoding": {
          "code": "409496000:{704326004=408678008}",
          "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/answerSetTransmissionKindHCVD",
      "initial": [ {
        "valueCoding": {
          "code": "NASK",
          "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
          "display": "not asked"
        }
      } ],
      "required": true,
      "text": "Welche Form der nosokomialen Übertragung ist der wahrscheinliche Infektionsweg?"
    } ],
    "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/answerSetInfectionPathHCVD",
    "initial": [ {
      "valueCoding": {
        "code": "NASK",
        "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
        "display": "not asked"
      }
    } ],
    "required": true,
    "text": "Auf welchem Weg hat sich die betroffene Person wahrscheinlich infiziert?"
  }, {
    "linkId": "outbreak",
    "repeats": false,
    "item": [ {
      "text": "Fallbezogene Zusatzinformationen zum Ausbruch",
      "type": "text",
      "linkId": "outbreakNote",
      "repeats": false,
      "required": false,
      "enableWhen": [ {
        "operator": "=",
        "question": "outbreak",
        "answerCoding": {
          "code": "yes",
          "system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer"
        }
      } ]
    }, {
      "text": "Notification-Id der zugehörigen Ausbruchsmeldung",
      "type": "reference",
      "linkId": "outbreakNotificationId",
      "repeats": false,
      "required": false,
      "enableWhen": [ {
        "operator": "=",
        "question": "outbreak",
        "answerCoding": {
          "code": "yes",
          "system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer"
        }
      } ]
    } ],
    "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": true,
    "text": "Kann der gemeldete Fall einem Ausbruch zugeordnet werden?"
  } ],
  "type": null,
  "experimental": null,
  "resourceType": "Questionnaire",
  "title": "Hepatitis C: spezifische klinische und epidemiologische Angaben",
  "package_version": "2.0.0",
  "status": "active",
  "id": "b2daa99f-5098-4b9b-8df5-5696997fbc72",
  "kind": null,
  "url": "https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsHCVD",
  "version": "1.2.1"
}