{
"description": "Follow-Up-Fragebogen im Rahmen der Acribis-Studie.",
"_filename": "examples/Questionnaire-MII-QN-Kardio-Acribis-Study-FollowUp.json",
"package_name": "de.medizininformatikinitiative.kerndatensatz.kardiologie",
"subjectType": [ "Patient" ],
"date": "2025-11-17",
"publisher": "Medizininformatik Initiative",
"purpose": "Follow-Up-Fragebogen im Rahmen der Acribis-Studie.",
"name": "MII_QN_Kardio_Acribis_Study_FollowUp",
"item": [ {
"item": [ {
"item": [ {
"text": "Um wen handelt es sich (Name oder Rolle)?",
"type": "string",
"linkId": "o_1a",
"prefix": "Ausfüllende Person",
"enableWhen": [ {
"operator": "=",
"question": "o_1",
"answerCoding": {
"code": "4"
}
} ],
"enableBehavior": "all"
} ],
"text": "Wer füllt den Fragebogen aus?",
"type": "choice",
"linkId": "o_1",
"prefix": "Ausfüllende Person",
"repeats": false,
"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"
} ]
}
} ],
"answerOption": [ {
"valueCoding": {
"code": "1",
"display": "Patient/Patientin"
}
}, {
"valueCoding": {
"code": "2",
"display": "Angehöriger/Angehörige"
}
}, {
"valueCoding": {
"code": "3",
"display": "Arzt/Ärztin"
}
}, {
"valueCoding": {
"code": "4",
"display": "Andere Person"
}
} ]
}, {
"enableBehavior": "any",
"linkId": "243134446838",
"repeats": false,
"item": [ {
"item": [ {
"item": [ {
"code": [ {
"code": "385668008",
"system": "http://snomed.info/sct",
"display": "Success of action",
"version": "http://snomed.info/sct/900000000000207008/version/20240701"
} ],
"text": "1. Telefonat erfolgreich?",
"type": "boolean",
"linkId": "first_telefon_erfolgreich",
"repeats": false,
"enableWhen": [ {
"operator": "exists",
"question": "first_telefon_datum",
"answerBoolean": true
} ],
"enableBehavior": "all"
} ],
"text": "Telefonat 1. Versuch (Tag 0 bis 7)",
"type": "dateTime",
"linkId": "first_telefon_datum",
"repeats": false
}, {
"item": [ {
"code": [ {
"code": "385668008",
"system": "http://snomed.info/sct",
"display": "Success of action",
"version": "http://snomed.info/sct/900000000000207008/version/20240701"
} ],
"text": "2. Telefonat erfolgreich?",
"type": "boolean",
"linkId": "second_telefon_erfolgreich",
"repeats": false,
"enableWhen": [ {
"operator": "exists",
"question": "second_telefon_datum",
"answerBoolean": true
} ],
"enableBehavior": "all"
} ],
"text": "Telefonat 2. Versuch (Tag 0 bis 7)",
"type": "dateTime",
"linkId": "second_telefon_datum",
"repeats": false,
"enableWhen": [ {
"operator": "=",
"question": "first_telefon_erfolgreich",
"answerBoolean": false
} ],
"enableBehavior": "all"
}, {
"item": [ {
"code": [ {
"code": "385668008",
"system": "http://snomed.info/sct",
"display": "Success of action",
"version": "http://snomed.info/sct/900000000000207008/version/20240701"
} ],
"text": "3. Telefonat erfolgreich?",
"type": "boolean",
"linkId": "third_telefon_erfolgreich",
"repeats": false,
"enableWhen": [ {
"operator": "exists",
"question": "third_telefon_datum",
"answerBoolean": true
} ],
"enableBehavior": "all"
} ],
"text": "Telefonat 3. Versuch (Tag 0 bis 7)",
"type": "dateTime",
"linkId": "third_telefon_datum",
"repeats": false,
"enableWhen": [ {
"operator": "=",
"question": "second_telefon_erfolgreich",
"answerBoolean": false
} ],
"enableBehavior": "all"
}, {
"text": "ggf. Versand schriftlicher Information (Tag 7 bis 21)",
"type": "date",
"linkId": "259984180805",
"repeats": false,
"enableWhen": [ {
"operator": "=",
"question": "third_telefon_erfolgreich",
"answerBoolean": false
} ]
}, {
"item": [ {
"code": [ {
"code": "385668008",
"system": "http://snomed.info/sct",
"display": "Success of action",
"version": "http://snomed.info/sct/900000000000207008/version/20240701"
} ],
"text": "4. Telefonat erfolgreich?",
"type": "boolean",
"linkId": "fourth_telefon_erfolgreich",
"repeats": false,
"enableWhen": [ {
"operator": "exists",
"question": "fourth_telefon_datum",
"answerBoolean": true
} ],
"enableBehavior": "all"
} ],
"text": "Telefonat 4. Versuch (Tag 21 bis 28)",
"type": "dateTime",
"linkId": "fourth_telefon_datum",
"repeats": false,
"enableWhen": [ {
"operator": "=",
"question": "third_telefon_erfolgreich",
"answerBoolean": false
} ],
"enableBehavior": "all"
}, {
"item": [ {
"code": [ {
"code": "385668008",
"system": "http://snomed.info/sct",
"display": "Success of action",
"version": "http://snomed.info/sct/900000000000207008/version/20240701"
} ],
"text": "5. Telefonat erfolgreich?",
"type": "boolean",
"linkId": "fifth_telefon_erfolgreich",
"repeats": false,
"enableWhen": [ {
"operator": "exists",
"question": "fifth_telefon_datum",
"answerBoolean": true
} ],
"enableBehavior": "all"
} ],
"text": "Telefonat 5. Versuch (Tag 21 bis 28)",
"type": "dateTime",
"linkId": "fifth_telefon_datum",
"repeats": false,
"enableWhen": [ {
"operator": "=",
"question": "fourth_telefon_erfolgreich",
"answerBoolean": false
} ],
"enableBehavior": "all"
}, {
"item": [ {
"code": [ {
"code": "385668008",
"system": "http://snomed.info/sct",
"display": "Success of action",
"version": "http://snomed.info/sct/900000000000207008/version/20240701"
} ],
"text": "6. Telefonat erfolgreich?",
"type": "boolean",
"linkId": "sixth_telefon_erfolgreich",
"repeats": false,
"enableWhen": [ {
"operator": "exists",
"question": "sixth_telefon_datum",
"answerBoolean": true
} ],
"enableBehavior": "all"
} ],
"text": "Telefonat 6. Versuch (Tag 21 bis 28)",
"type": "dateTime",
"linkId": "sixth_telefon_datum",
"repeats": false,
"enableWhen": [ {
"operator": "=",
"question": "fifth_telefon_erfolgreich",
"answerBoolean": false
} ],
"enableBehavior": "all"
}, {
"text": "ggf. Versand schriftlicher Information (Tag 28 bis 42)",
"type": "date",
"linkId": "430864563593",
"repeats": false,
"enableWhen": [ {
"operator": "=",
"question": "sixth_telefon_erfolgreich",
"answerBoolean": false
} ]
}, {
"item": [ {
"code": [ {
"code": "385668008",
"system": "http://snomed.info/sct",
"display": "Success of action",
"version": "http://snomed.info/sct/900000000000207008/version/20240701"
} ],
"text": "7. Telefonat erfolgreich?",
"type": "boolean",
"linkId": "seventh_telefon_erfolgreich",
"repeats": false,
"enableWhen": [ {
"operator": "exists",
"question": "seventh_telefon_datum",
"answerBoolean": true
} ],
"enableBehavior": "all"
} ],
"text": "Telefonat 7. Versuch (Tag 42 bis 49)",
"type": "dateTime",
"linkId": "seventh_telefon_datum",
"repeats": false,
"enableWhen": [ {
"operator": "=",
"question": "sixth_telefon_erfolgreich",
"answerBoolean": false
} ],
"enableBehavior": "all"
}, {
"item": [ {
"code": [ {
"code": "385668008",
"system": "http://snomed.info/sct",
"display": "Success of action",
"version": "http://snomed.info/sct/900000000000207008/version/20240701"
} ],
"text": "8. Telefonat erfolgreich?",
"type": "boolean",
"linkId": "eighth_telefon_erfolgreich",
"repeats": false,
"enableWhen": [ {
"operator": "exists",
"question": "eighth_telefon_datum",
"answerBoolean": true
} ],
"enableBehavior": "all"
} ],
"text": "Telefonat 8. Versuch (Tag 42 bis 49)",
"type": "dateTime",
"linkId": "eighth_telefon_datum",
"repeats": false,
"enableWhen": [ {
"operator": "=",
"question": "seventh_telefon_erfolgreich",
"answerBoolean": false
} ],
"enableBehavior": "all"
}, {
"item": [ {
"code": [ {
"code": "385668008",
"system": "http://snomed.info/sct",
"display": "Success of action",
"version": "http://snomed.info/sct/900000000000207008/version/20240701"
} ],
"text": "9. Telefonat erfolgreich?",
"type": "boolean",
"linkId": "ninth_telefon_erfolgreich",
"repeats": false,
"enableWhen": [ {
"operator": "exists",
"question": "ninth_telefon_datum",
"answerBoolean": true
} ],
"enableBehavior": "all"
} ],
"text": "Telefonat 9. Versuch (Tag 42 bis 49)",
"type": "dateTime",
"linkId": "ninth_telefon_datum",
"repeats": false,
"enableWhen": [ {
"operator": "=",
"question": "eighth_telefon_erfolgreich",
"answerBoolean": false
} ],
"enableBehavior": "all"
} ],
"text": "Telefonisches Follow-Up",
"type": "group",
"linkId": "group2",
"repeats": false,
"enableWhen": [ {
"operator": "=",
"question": "243134446838",
"answerCoding": {
"code": "VERBAL",
"display": "Telefonisches Follow-Up (Telefon, ggf. schriftlich)"
}
} ],
"enableBehavior": "all"
}, {
"item": [ {
"item": [ {
"text": "ggf. Telefonat 1. Versuch (Tag 14 bis 21)",
"type": "dateTime",
"linkId": "551754048694",
"repeats": false,
"enableWhen": [ {
"operator": "exists",
"question": "531811477735",
"answerBoolean": true
} ]
}, {
"text": "ggf. Telefonat 2. Versuch (Tag 14 bis 21)",
"type": "dateTime",
"linkId": "339142957184",
"repeats": false,
"enableWhen": [ {
"operator": "exists",
"question": "531811477735",
"answerBoolean": true
} ]
}, {
"text": "ggf. Telefonat 3. Versuch (Tag 14 bis 21)",
"type": "dateTime",
"linkId": "336352021151",
"repeats": false,
"enableWhen": [ {
"operator": "exists",
"question": "531811477735",
"answerBoolean": true
} ]
}, {
"text": "1. Kontakt erfolgreich?",
"type": "boolean",
"linkId": "683622335202",
"repeats": false,
"enableWhen": [ {
"operator": "exists",
"question": "531811477735",
"answerBoolean": true
} ]
} ],
"text": "Schriftlicher 1. Versuch (Tag 0 bis 14)",
"type": "date",
"linkId": "531811477735",
"repeats": false
}, {
"item": [ {
"text": "ggf. Telefonat 1. Versuch (Tag 35 bis 42)",
"type": "dateTime",
"linkId": "354842802717",
"repeats": false
}, {
"text": "ggf. Telefonat 2. Versuch (Tag 35 bis 42)",
"type": "dateTime",
"linkId": "638025827421",
"repeats": false
}, {
"text": "ggf. Telefonat 3. Versuch (Tag 35 bis 42)",
"type": "dateTime",
"linkId": "283707904427",
"repeats": false
}, {
"text": "2. Kontakt erfolgreich?",
"type": "boolean",
"linkId": "343328919972",
"repeats": false,
"enableWhen": [ {
"operator": "exists",
"question": "708234487988",
"answerBoolean": true
} ]
} ],
"text": "Schriftlicher 2. Versuch (Tag 21 bis 35)",
"type": "date",
"linkId": "708234487988",
"repeats": false,
"enableWhen": [ {
"operator": "=",
"question": "683622335202",
"answerBoolean": false
} ]
}, {
"item": [ {
"text": "3. Kontakt erfolgreich?",
"type": "boolean",
"linkId": "994511806344",
"repeats": false,
"enableWhen": [ {
"operator": "exists",
"question": "120750438814",
"answerBoolean": true
} ]
} ],
"text": "Schriftlicher 3. Versuch (Tag 42 bis 49)",
"type": "date",
"linkId": "120750438814",
"repeats": false,
"enableWhen": [ {
"operator": "=",
"question": "343328919972",
"answerBoolean": false
} ]
} ],
"text": "Schriftliches Follow-Up",
"type": "group",
"linkId": "653817429944",
"repeats": false,
"enableWhen": [ {
"operator": "=",
"question": "243134446838",
"answerCoding": {
"code": "WRITTEN",
"display": "Schriftliches Follow-Up (Brief/E-Mail/App, ggf. telefonisch)"
}
} ],
"enableBehavior": "all"
}, {
"item": [ {
"text": "War die Kontaktaufnahme mit dem Hausarzt erfolgreich?",
"type": "boolean",
"linkId": "242587999496",
"repeats": false,
"enableWhen": [ {
"operator": "exists",
"question": "175302299373",
"answerBoolean": true
} ]
} ],
"text": "Kontaktaufnahme Hausarzt (nach Tag 49)",
"type": "dateTime",
"linkId": "175302299373",
"repeats": true,
"enableWhen": [ {
"operator": "=",
"question": "994511806344",
"answerBoolean": false
}, {
"operator": "=",
"question": "ninth_telefon_erfolgreich",
"answerBoolean": false
} ],
"enableBehavior": "any"
}, {
"item": [ {
"text": "War die Kontaktaufnahme mit dem Einwohnermeldeamt erfolgreich?",
"type": "boolean",
"linkId": "915186845968",
"repeats": false,
"enableWhen": [ {
"operator": "exists",
"question": "247749186905",
"answerBoolean": true
} ]
} ],
"text": "Kontaktaufnahme Einwohnermeldeamt (nach Tag 49)",
"type": "dateTime",
"linkId": "247749186905",
"repeats": true,
"enableWhen": [ {
"operator": "=",
"question": "ninth_telefon_erfolgreich",
"answerBoolean": false
}, {
"operator": "=",
"question": "994511806344",
"answerBoolean": false
} ],
"enableBehavior": "any"
} ],
"type": "choice",
"enableWhen": [ {
"operator": "=",
"question": "o_1",
"answerCoding": {
"code": "4",
"display": "Andere Person"
}
}, {
"operator": "=",
"question": "o_1",
"answerCoding": {
"code": "3",
"display": "Arzt/Ärztin"
}
} ],
"answerOption": [ {
"valueCoding": {
"code": "WRITTEN",
"display": "Schriftliches Follow-Up (Brief/E-Mail/App, ggf. telefonisch)"
}
}, {
"valueCoding": {
"code": "VERBAL",
"display": "Telefonisches Follow-Up (Telefon, ggf. schriftlich)"
}
} ],
"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"
} ]
}
} ],
"text": "In welcher Form erfolgt an Ihrem Standort das Follow-Up?"
} ],
"text": "Allgemeine Angaben",
"type": "group",
"linkId": "group1",
"repeats": false
}, {
"item": [ {
"enableBehavior": "any",
"linkId": "o_2",
"repeats": false,
"item": [ {
"code": [ {
"code": "399753006",
"system": "http://snomed.info/sct",
"display": "Date of death",
"version": "http://snomed.info/sct/900000000000207008/version/20240701"
} ],
"text": "Wann ist die Patientin/der Patient verstorben?",
"type": "date",
"linkId": "o_2a",
"repeats": false,
"enableWhen": [ {
"operator": "=",
"question": "o_2",
"answerCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "Yes"
}
} ],
"enableBehavior": "all"
}, {
"enableBehavior": "all",
"linkId": "o_2b",
"repeats": false,
"item": [ {
"enableBehavior": "all",
"linkId": "o_2c",
"repeats": false,
"type": "choice",
"enableWhen": [ {
"operator": "=",
"question": "o_2b",
"answerCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "Yes"
}
} ],
"answerOption": [ {
"valueCoding": {
"code": "22298006",
"system": "http://snomed.info/sct",
"display": "Herzinfarkt",
"version": "http://snomed.info/sct/900000000000207008/version/20240701"
}
}, {
"valueCoding": {
"code": "422504002",
"system": "http://snomed.info/sct",
"display": "Schlaganfall durch Gefäßverschluss",
"version": "http://snomed.info/sct/900000000000207008/version/20240701"
}
}, {
"valueCoding": {
"code": "274100004",
"system": "http://snomed.info/sct",
"display": "Hirnblutung (intrazerebral)",
"version": "http://snomed.info/sct/900000000000207008/version/20240701"
}
}, {
"valueCoding": {
"code": "21454007",
"system": "http://snomed.info/sct",
"display": "Hirnblutung (subarachnoidal)",
"version": "http://snomed.info/sct/900000000000207008/version/20240701"
}
}, {
"valueCoding": {
"code": "hirnblutung__intrazerebral_oder_subarachnoidal",
"display": "Hirnblutung (intrazerebral oder subarachnoidal)"
}
}, {
"valueCoding": {
"code": "andere_kardiovaskulaere__ursache",
"display": "Andere Herz-Kreislauf bedingte Ursache"
}
}, {
"valueCoding": {
"code": "ASKU",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "asked but unknown"
}
}, {
"valueCoding": {
"code": "NI",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "No Information"
},
"initialSelected": true
} ],
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-preferredTerminologyServer",
"valueUrl": "https://snowstorm.ihtsdotools.org/fhir"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "drop-down",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Drop down"
} ]
}
} ],
"code": [ {
"code": "184305005",
"system": "http://snomed.info/sct",
"display": "Cause of death",
"version": "http://snomed.info/sct/900000000000207008/version/20240701"
} ],
"text": "Welche der im Antwortschema aufgeführten Herz-Kreislauf-bedingten Todesursachen lag vor?"
} ],
"type": "choice",
"enableWhen": [ {
"operator": "=",
"question": "o_2",
"answerCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "Yes"
}
} ],
"answerOption": [ {
"valueCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "Yes"
}
}, {
"valueCoding": {
"code": "N",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "No"
}
}, {
"valueCoding": {
"code": "ASKU",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "asked but unknown"
}
}, {
"valueCoding": {
"code": "NI",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "No Information"
},
"initialSelected": 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"
} ]
}
} ],
"text": "Ist eine Herz-Kreislauf-Erkrankung als Todesursache fesgestellt worden?"
} ],
"type": "choice",
"enableWhen": [ {
"operator": "=",
"question": "o_1",
"answerCoding": {
"code": "2"
}
}, {
"operator": "=",
"question": "o_1",
"answerCoding": {
"code": "3"
}
}, {
"operator": "=",
"question": "o_1",
"answerCoding": {
"code": "4"
}
} ],
"answerOption": [ {
"valueCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "Yes"
}
}, {
"valueCoding": {
"code": "N",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "No"
}
}, {
"valueCoding": {
"code": "ASKU",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "asked but unknown"
}
}, {
"valueCoding": {
"code": "NI",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "No Information"
},
"initialSelected": 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"
} ]
}
} ],
"code": [ {
"code": "419099009",
"system": "http://snomed.info/sct",
"display": "Deceased",
"version": "http://snomed.info/sct/900000000000207008/version/20240701"
} ],
"text": "Ist die Patientin/der Patient verstorben?"
} ],
"text": "Vitalstatus",
"type": "group",
"linkId": "group3",
"repeats": false,
"enableWhen": [ {
"operator": "=",
"question": "o_1",
"answerCoding": {
"code": "2",
"display": "Angehöriger/Angehörige"
}
}, {
"operator": "=",
"question": "o_1",
"answerCoding": {
"code": "3",
"display": "Arzt/Ärztin"
}
}, {
"operator": "=",
"question": "o_1",
"answerCoding": {
"code": "4",
"display": "Andere Person"
}
} ],
"enableBehavior": "any"
}, {
"text": "Sehr geehrte Teilnehmende, die folgenden Fragen beziehen sich auf Diagnosen, Krankenhausaufenthalte oder auch Behandlungen die seit Ihrer Teilnahme an der ACRIBiS Studie vor einem Jahr stattfanden. Diese Nachfolgebefragung dient dem Zweck festzustellen in wie weit sich der Gesundheitszustand des/der Probanden/in geändert hat und in wie weit diese Veränderungen Ihr Wohlbefinden beeinflusst haben. Die Teilnahme an der Studie fand am \"Datum Einschluß\" statt.",
"type": "display",
"linkId": "943114148728"
}, {
"item": [ {
"item": [ {
"code": [ {
"code": "22298006",
"system": "http://snomed.info/sct",
"display": "Myocardial infarction",
"version": "http://snomed.info/sct/900000000000207008/version/20240701"
} ],
"item": [ {
"code": [ {
"code": "432213005",
"system": "http://snomed.info/sct",
"display": "Date of diagnosis",
"version": "http://snomed.info/sct/900000000000207008/version/20240701"
} ],
"text": "Wann wurde der Herzinfarkt diagnostiziert?",
"type": "date",
"linkId": "o_3a",
"repeats": true,
"enableWhen": [ {
"operator": "=",
"question": "o_3",
"answerCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "Yes"
}
} ],
"enableBehavior": "all"
} ],
"text": "Wurde ein Herzinfarkt diagnostiziert?",
"type": "choice",
"linkId": "o_3",
"repeats": false,
"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"
} ]
}
} ],
"answerOption": [ {
"valueCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "Yes"
}
}, {
"valueCoding": {
"code": "N",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "No"
}
}, {
"valueCoding": {
"code": "ASKU",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "asked but unknown"
}
}, {
"valueCoding": {
"code": "NI",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "No Information"
},
"initialSelected": true
} ]
} ],
"text": "Herzinfarkt",
"type": "group",
"linkId": "834093031358",
"repeats": false
}, {
"item": [ {
"item": [ {
"code": [ {
"code": "432213005",
"system": "http://snomed.info/sct",
"display": "Date of diagnosis",
"version": "http://snomed.info/sct/900000000000207008/version/20240701"
} ],
"item": [ {
"text": "Wissen Sie welche Art des Schlaganfalls diagnostiziert wurde?",
"type": "choice",
"linkId": "o_4b",
"repeats": 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": "o_4",
"answerCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "Yes"
}
} ],
"answerOption": [ {
"valueCoding": {
"code": "422504002",
"system": "http://snomed.info/sct",
"display": "Schlaganfall durch Gefässverschluss",
"version": "http://snomed.info/sct/900000000000207008/version/20240701"
}
}, {
"valueCoding": {
"code": "274100004",
"system": "http://snomed.info/sct",
"display": "Hirnblutung (intrazerebral)",
"version": "http://snomed.info/sct/900000000000207008/version/20240701"
}
}, {
"valueCoding": {
"code": "21454007",
"system": "http://snomed.info/sct",
"display": "Hirnblutung (subarachnoidal)",
"version": "http://snomed.info/sct/900000000000207008/version/20240701"
}
}, {
"valueCoding": {
"code": "hirnblutung__intrazerebral_oder_subarachnoidal",
"display": "Hirnblutung (intrazerebral oder subarachnoidal)"
}
}, {
"valueCoding": {
"code": "ASKU",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "asked but unknown"
}
}, {
"valueCoding": {
"code": "NI",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "No Information"
},
"initialSelected": true
} ],
"enableBehavior": "all"
} ],
"text": "Wann wurde der Schlaganfall / die Erkrankung der Hirngefäße diagnostiziert?",
"type": "date",
"linkId": "o_4a",
"repeats": true,
"enableWhen": [ {
"operator": "=",
"question": "o_4",
"answerCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "Yes"
}
} ],
"enableBehavior": "all"
} ],
"text": "Wurde ein Schlaganfall oder Erkrankung der Hirngefäße diagnostiziert?",
"type": "choice",
"linkId": "o_4",
"repeats": false,
"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"
} ]
}
} ],
"answerOption": [ {
"valueCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "Yes"
}
}, {
"valueCoding": {
"code": "N",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "No"
}
}, {
"valueCoding": {
"code": "ASKU",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "asked but unknown"
}
}, {
"valueCoding": {
"code": "NI",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "No Information"
},
"initialSelected": true
} ]
} ],
"text": "Schlaganfall oder Hirnblutung",
"type": "group",
"linkId": "650578614260",
"repeats": false
}, {
"item": [ {
"code": [ {
"code": "64572001:{116676008=50960005,47429007=131148009,42752001=789750003,246112005=24484000}",
"system": "http://snomed.info/sct",
"display": "Disease:{Associated morphology=Hemorrhage,Associated with=Bleeding,Due to=Spontaneous event,Severity=Severe}",
"version": "http://snomed.info/sct/900000000000207008/version/20250701"
} ],
"item": [ {
"code": [ {
"code": "432213005",
"system": "http://snomed.info/sct",
"display": "Date of diagnosis",
"version": "http://snomed.info/sct/900000000000207008/version/20240701"
} ],
"text": "Wann trat(en) diese starke Blutung(en) auf?",
"type": "date",
"linkId": "o_5a",
"repeats": true,
"enableWhen": [ {
"operator": "=",
"question": "o_5",
"answerCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "Yes"
}
} ],
"enableBehavior": "all"
} ],
"text": "Trat eine starke spontane Blutung (Starke Blutung, siehe Infobox) auf, die diagnostiziert wurde und ärztlch behandelt werden musste?",
"type": "choice",
"linkId": "o_5",
"repeats": false,
"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"
} ]
}
} ],
"answerOption": [ {
"valueCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "Yes"
}
}, {
"valueCoding": {
"code": "N",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "No"
}
}, {
"valueCoding": {
"code": "ASKU",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "asked but unknown"
}
}, {
"valueCoding": {
"code": "NI",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "No Information"
},
"initialSelected": true
} ]
}, {
"text": "Gemeint sind im Folgenden innere Blutung, oder spontane äussere Blutungen, die ohne (starke) äusserliche Krafteinwirkung ausgelöst worden sind, wie starkes Nasenbluten oder Magen-Darmblutung beispielsweise.",
"type": "display",
"linkId": "881254946120_helpText",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Starke Blutung",
"type": "group",
"linkId": "881254946120",
"repeats": false
}, {
"item": [ {
"code": [ {
"code": "266257000",
"system": "http://snomed.info/sct",
"display": "Transient ischemic attack",
"version": "http://snomed.info/sct/900000000000207008/version/20240701"
} ],
"item": [ {
"code": [ {
"code": "432213005",
"system": "http://snomed.info/sct",
"display": "Date of diagnosis",
"version": "http://snomed.info/sct/900000000000207008/version/20240701"
} ],
"text": "Wann wurde die Transiente Ischämische Attacke (TIA) diagnostiziert?",
"type": "date",
"linkId": "o_6a",
"repeats": true,
"enableWhen": [ {
"operator": "=",
"question": "o_6",
"answerCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "Yes"
}
} ],
"enableBehavior": "all"
} ],
"text": "Wurde eine Transiente Ischämische Attacke (TIA, siehe Infobox) diagnostiziert?",
"type": "choice",
"linkId": "o_6",
"repeats": false,
"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"
} ]
}
} ],
"answerOption": [ {
"valueCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "Yes"
}
}, {
"valueCoding": {
"code": "N",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "No"
}
}, {
"valueCoding": {
"code": "ASKU",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "asked but unknown"
}
}, {
"valueCoding": {
"code": "NI",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "No Information"
},
"initialSelected": true
} ]
}, {
"text": "Transiente Ischämische Attacke oder TIA ist eine Art \"Vorstufe zu einem Schlaganfall\" bzw. \"Mini\"-Schlaganfall genannte Unterversorgng des Gehirns bei dem es zur zeitweisen Verlust von Sprache, Lähmungen oder auch sonstige Symptome von Schlaganfällen kommen, die sich jedoch innerhalb eines Tages und meist vollkommen zurückbilden.",
"type": "display",
"linkId": "245973210113_helpText",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "TIA",
"type": "group",
"linkId": "245973210113",
"repeats": false
}, {
"item": [ {
"code": [ {
"code": "49436004",
"system": "http://snomed.info/sct",
"display": "Atrial fibrillation",
"version": "http://snomed.info/sct/900000000000207008/version/20240701"
} ],
"item": [ {
"code": [ {
"code": "432213005",
"system": "http://snomed.info/sct",
"display": "Date of diagnosis",
"version": "http://snomed.info/sct/900000000000207008/version/20240701"
} ],
"text": "Wann wurde das Vorhofflimmern diagnostiziert?",
"type": "date",
"linkId": "o_7a",
"repeats": true,
"enableWhen": [ {
"operator": "=",
"question": "o_7",
"answerCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "Yes"
}
} ],
"enableBehavior": "all"
} ],
"text": "Wurde ein Vorhofflimmern (dauerhaft oder anfallsartig) diagnostiziert?",
"type": "choice",
"linkId": "o_7",
"repeats": false,
"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"
} ]
}
} ],
"answerOption": [ {
"valueCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "Yes"
}
}, {
"valueCoding": {
"code": "N",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "No"
}
}, {
"valueCoding": {
"code": "ASKU",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "asked but unknown"
}
}, {
"valueCoding": {
"code": "NI",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "No Information"
},
"initialSelected": true
} ]
} ],
"text": "Vorhofflimmern",
"type": "group",
"linkId": "826742623985",
"repeats": false
}, {
"item": [ {
"code": [ {
"code": "48447003",
"system": "http://snomed.info/sct",
"display": "Chronic heart failure",
"version": "http://snomed.info/sct/900000000000207008/version/20240701"
} ],
"item": [ {
"code": [ {
"code": "432213005",
"system": "http://snomed.info/sct",
"display": "Date of diagnosis",
"version": "http://snomed.info/sct/900000000000207008/version/20240701"
} ],
"text": "Wann wurde die Herzinsuffizienz diagnostiziert?",
"type": "date",
"linkId": "o_8a",
"repeats": true,
"enableWhen": [ {
"operator": "=",
"question": "o_8",
"answerCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "Yes"
}
} ],
"enableBehavior": "all"
} ],
"text": "Wurde eine Herzinsuffizienz (Herzschwäche, siehe Infobox) diagnostiziert?",
"type": "choice",
"linkId": "o_8",
"repeats": false,
"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"
} ]
}
} ],
"answerOption": [ {
"valueCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "Yes"
}
}, {
"valueCoding": {
"code": "N",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "No"
}
}, {
"valueCoding": {
"code": "ASKU",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "asked but unknown"
}
}, {
"valueCoding": {
"code": "NI",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "No Information"
},
"initialSelected": true
} ]
}, {
"item": [ {
"code": [ {
"code": "298060002",
"system": "http://snomed.info/sct",
"display": "Number of admissions",
"version": "http://snomed.info/sct/900000000000207008/version/20240701"
} ],
"text": "Wie häufig war aus diesem Grund im letzten Jahr im Krankenhaus notwendig?",
"type": "integer",
"linkId": "o_9a",
"repeats": false,
"enableWhen": [ {
"operator": "=",
"question": "o_9",
"answerCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "Yes"
}
} ],
"enableBehavior": "all"
}, {
"code": [ {
"code": "399423000",
"system": "http://snomed.info/sct",
"display": "Date of admission",
"version": "http://snomed.info/sct/900000000000207008/version/20240701"
} ],
"text": "Wann kam es wegen eine Verschlechterung der Herzinsuffizienz zu einer stationären Aufnahme im Krankenhaus?",
"type": "date",
"linkId": "o_9b",
"repeats": true,
"enableWhen": [ {
"operator": "=",
"question": "o_9",
"answerCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "Yes"
}
} ],
"enableBehavior": "all"
} ],
"text": "Wurden der Proband/die Probandin aufgrund einer Verschlechterung Ihrer Herzinsuffizienz (siehe Infobox) im letzten Jahr im Krankenhaus behandelt?",
"type": "choice",
"linkId": "o_9",
"repeats": false,
"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"
} ]
}
} ],
"answerOption": [ {
"valueCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "Yes"
}
}, {
"valueCoding": {
"code": "N",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "No"
}
}, {
"valueCoding": {
"code": "ASKU",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "asked but unknown"
}
}, {
"valueCoding": {
"code": "NI",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "No Information"
},
"initialSelected": true
} ]
}, {
"text": "Bei einer Herzinsuffizienz -die auch Herzschwäche genannt wird- hat das Herz nicht mehr genügend Kraft ausreichend Blut durch den Körper zu pumpen und es kommt zu einer zunehmend verminderten körperlichen Belastbarkeit, vermehrte Luftnot oder Einlagerung von Flüssigkeit (z.B. in den Beinen). Das kann zu behandlungsbedürftigen Zuständen führen, die mit Krankenhausaufenthalten verbunden sind.",
"type": "display",
"linkId": "944193442011_helpText",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Herzinsuffizienz",
"type": "group",
"linkId": "944193442011",
"repeats": false
}, {
"item": [ {
"item": [ {
"enableBehavior": "all",
"linkId": "o_10a",
"repeats": true,
"item": [ {
"code": [ {
"code": "432213005",
"system": "http://snomed.info/sct",
"display": "Date of diagnosis",
"version": "http://snomed.info/sct/900000000000207008/version/20240701"
} ],
"text": "Wann wurde diese Erkrankung diagnostiziert?",
"type": "date",
"linkId": "o_10b",
"repeats": false,
"enableWhen": [ {
"operator": "exists",
"question": "o_10a",
"answerBoolean": true
} ],
"enableBehavior": "all"
}, {
"text": "Angabe aus SNOMED-CT (Unterelemente von \"Disorder of cardiovascular system (disorder)\")",
"type": "display",
"linkId": "o_10a_helpText",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"type": "open-choice",
"enableWhen": [ {
"operator": "=",
"question": "o_10",
"answerCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "Yes"
}
} ],
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-preferredTerminologyServer",
"valueUrl": "https://snowstorm.ihtsdotools.org/fhir"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "autocomplete",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Auto-complete"
} ]
}
} ],
"answerValueSet": "http://snomed.info/sct/900000000000207008/version/20251201?fhir_vs=ecl/%3C%3C%2049601007%20%7CDisorder%20of%20cardiovascular%20system%20(disorder)%7C",
"code": [ {
"code": "439401001",
"system": "http://snomed.info/sct",
"display": "Diagnosis",
"version": "http://snomed.info/sct/900000000000207008/version/20240701"
} ],
"text": "Um welche weitere Herz-Kreislauf-Erkrankung handelt es sich?"
} ],
"text": "Wurden weitere Herz-Kreislauf-Erkrankungen diagnostiziert?",
"type": "choice",
"linkId": "o_10",
"repeats": false,
"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"
} ]
}
} ],
"answerOption": [ {
"valueCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "Yes"
}
}, {
"valueCoding": {
"code": "N",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "No"
}
}, {
"valueCoding": {
"code": "ASKU",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "asked but unknown"
}
}, {
"valueCoding": {
"code": "NI",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "No Information"
},
"initialSelected": true
} ]
} ],
"text": "Weitere Herz-Kreislauf-Erkrankung",
"type": "group",
"linkId": "442060932628",
"repeats": false
} ],
"text": "Diagnosen im letzten Jahr (seit Teilnahme an der Acribis-Studie)",
"type": "group",
"linkId": "group4",
"repeats": false
}, {
"item": [ {
"text": "Wie wurde das Follow-Up erhoben?",
"type": "choice",
"linkId": "o_11",
"repeats": 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"
} ]
}
} ],
"answerOption": [ {
"valueCoding": {
"code": "EMAILWRIT",
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationMode",
"display": "email"
}
}, {
"valueCoding": {
"code": "MAILWRIT",
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationMode",
"display": "mail"
}
}, {
"valueCoding": {
"code": "PHONE",
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationMode",
"display": "telephone"
}
}, {
"valueCoding": {
"code": "FACE",
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationMode",
"display": "face-to-face"
}
}, {
"valueCoding": {
"code": "ONLINEWRIT",
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationMode",
"display": "online written"
}
}, {
"valueCoding": {
"code": "NI",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "No Information"
},
"initialSelected": true
} ]
} ],
"text": "Allgemeine Angaben 2",
"type": "group",
"linkId": "101636668393",
"repeats": false
}, {
"text": "Im Kontext der Follow-Up-Befragung der Acribis-Studie ist vorgesehen, dass neben den in diesem Fragebogen enthaltenen Follow-Up-Fragen auch Quality-of-Life-(QoL)-Fragebögen befüllt werden. Konkret handelt es sich um PROMIS-29 und EQ-5D-5L.",
"type": "display",
"linkId": "504755903209"
} ],
"useContext": [ {
"code": {
"code": "focus",
"system": "http://terminology.hl7.org/CodeSystem/usage-context-type"
},
"valueCodeableConcept": {
"coding": [ {
"code": "110465008",
"system": "http://snomed.info/sct",
"display": "Clinical trial (procedure)",
"version": "http://snomed.info/sct/900000000000207008/version/20240701"
} ]
}
} ],
"type": null,
"experimental": "true",
"resourceType": "Questionnaire",
"title": "MII QN Kardio Acribis Study FollowUp",
"package_version": "2026.0.0-alpha.2",
"status": "draft",
"id": "e22c4e74-25c0-4b14-8943-5e00f4e8b2e9",
"kind": null,
"url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/Questionnaire/MII-QN-Kardio-Acribis-Study-FollowUp",
"version": "2026.0.0-alpha.1",
"contact": [ {
"telecom": [ {
"value": "https://www.medizininformatik-initiative.de",
"system": "url"
} ]
} ]
}