{ "description": null, "_filename": "examples/Questionnaire-CaseInformationCommon.json", "package_name": "rki.emiga.case", "date": "2025-03-17", "publisher": "Robert Koch Institute", "name": "CaseInformationCommon", "item": [ { "code": [ { "code": "419620001", "system": "http://snomed.info/sct", "display": "Tod" } ], "item": [ { "enableBehavior": "all", "linkId": "1.1_causeOfDeath", "repeats": false, "type": "choice", "enableWhen": [ { "operator": "=", "question": "1.0_isDead", "answerBoolean": 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" } ] } }, { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod", "valueDuration": { "code": "a", "unit": "years", "value": 100, "system": "http://unitsofmeasure.org" } }, { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract", "valueBoolean": true } ], "answerValueSet": "https://emiga.rki.de/fhir/case/ValueSet/CauseOfDeathVS", "code": [ { "code": "184305005", "system": "http://snomed.info/sct", "display": "Cause of death" } ], "text": "(1.1) Grund des Todes" } ], "text": "(1.0) Ist die Person gerstorben?", "type": "boolean", "linkId": "1.0_isDead", "initial": [ { "valueBoolean": false } ], "repeats": false, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "code": "check-box", "system": "http://hl7.org/fhir/questionnaire-item-control", "display": "Check box" } ] } }, { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod", "valueDuration": { "code": "a", "unit": "years", "value": 100, "system": "http://unitsofmeasure.org" } }, { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract", "valueBoolean": true } ] }, { "code": [ { "code": "267007007", "system": "http://snomed.info/sct", "display": "History of tissue or organ donation" } ], "text": "(2.0) Hat die Person in den letzten 6 Monaten Blut, Organe, Gewebe oder Zellen gespendet?", "type": "choice", "linkId": "2.0_organDonation", "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" } ] } }, { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod", "valueDuration": { "code": "a", "unit": "years", "value": 100, "system": "http://unitsofmeasure.org" } }, { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract", "valueBoolean": true } ], "answerValueSet": "https://emiga.rki.de/fhir/ValueSet/YesNoNullFlavor" }, { "code": [ { "code": "3.1_startDisease", "system": "https://emiga.rki.de/fhir/case/CodeSystem/CaseInformationCommonQuestions", "display": "(3.1) Wann ist der Erkrankungsbeginn?" } ], "item": [ { "text": "(3.1) Wann ist der Erkrankungsbeginn?", "type": "date", "linkId": "3.1_startDisease", "repeats": false, "required": false, "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" } ] } }, { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod", "valueDuration": { "code": "a", "unit": "years", "value": 100, "system": "http://unitsofmeasure.org" } }, { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract", "valueBoolean": true } ], "enableWhen": [ { "operator": "=", "question": "3.0_clinicalInformationAvailable", "answerCoding": { "code": "373066001", "system": "http://snomed.info/sct" } }, { "operator": "=", "question": "3.0_clinicalInformationAvailable", "answerCoding": { "code": "yesWithSymptoms", "system": "https://emiga.rki.de/fhir/case/CodeSystem/ClinicalInformationPresent" } }, { "operator": "=", "question": "3.0_clinicalInformationAvailable", "answerCoding": { "code": "yesWithoutSymptoms", "system": "https://emiga.rki.de/fhir/case/CodeSystem/ClinicalInformationPresent" } } ], "enableBehavior": "all" } ], "text": "(3.0) Sind Klinische Informationen verfügbar?", "type": "choice", "linkId": "3.0_clinicalInformationAvailable", "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" } ] } }, { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod", "valueDuration": { "code": "a", "unit": "years", "value": 100, "system": "http://unitsofmeasure.org" } }, { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract", "valueBoolean": true } ], "answerValueSet": "https://emiga.rki.de/fhir/case/ValueSet/ClinicalInformationPresentVS" }, { "code": [ { "code": "4.0_labInformationAvailable", "system": "https://emiga.rki.de/fhir/case/CodeSystem/CaseInformationCommonQuestions", "display": "(4.0) Sind Laborangaben verfügbar?" } ], "text": "(4.0) Sind Laborangaben verfügbar?", "type": "choice", "linkId": "4.0_labInformationAvailable", "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" } ] } }, { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod", "valueDuration": { "code": "a", "unit": "years", "value": 100, "system": "http://unitsofmeasure.org" } }, { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract", "valueBoolean": true } ], "answerValueSet": "https://emiga.rki.de/fhir/ValueSet/YesNoNullFlavor" }, { "code": [ { "code": "5.0_hospitalized", "system": "https://emiga.rki.de/fhir/case/CodeSystem/CaseInformationCommonQuestions", "display": "(5.0) Ist bzw. wurde die Person ins Krankenhaus aufgenommen?" } ], "text": "(5.0) Ist bzw. wurde die Person ins Krankenhaus aufgenommen?", "type": "choice", "linkId": "5.0_hospitalized", "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" } ] } }, { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod", "valueDuration": { "code": "a", "unit": "years", "value": 100, "system": "http://unitsofmeasure.org" } }, { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract", "valueBoolean": true } ], "answerValueSet": "https://emiga.rki.de/fhir/ValueSet/YesNoNullFlavor" }, { "code": [ { "code": "6.0_infectProtectiFacility", "system": "https://emiga.rki.de/fhir/case/CodeSystem/CaseInformationCommonQuestions", "display": "(6.0) Ist die betroffene Person in einer für den Infektionsschutz relevanten Einrichtung tätig, betreut oder untergebracht?" } ], "text": "(6.0) Ist die betroffene Person in einer für den Infektionsschutz relevanten Einrichtung tätig, betreut oder untergebracht?", "type": "choice", "linkId": "6.0_infectProtectiFacility", "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" } ] } }, { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod", "valueDuration": { "code": "a", "unit": "years", "value": 100, "system": "http://unitsofmeasure.org" } }, { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract", "valueBoolean": true } ], "answerValueSet": "https://emiga.rki.de/fhir/ValueSet/YesNoNullFlavor" }, { "code": [ { "code": "7.0_epidConfirmation", "system": "https://emiga.rki.de/fhir/case/CodeSystem/CaseInformationCommonQuestions", "display": "(7.0) Ist die Epid. Bestätigung erfüllt?" } ], "text": "(7.0) Ist die Epid. Bestätigung erfüllt?", "type": "choice", "linkId": "7.0_epidConfirmation", "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" } ] } }, { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod", "valueDuration": { "code": "a", "unit": "years", "value": 100, "system": "http://unitsofmeasure.org" } }, { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract", "valueBoolean": true } ], "answerValueSet": "https://emiga.rki.de/fhir/ValueSet/YesNoNullFlavor" }, { "code": [ { "code": "8.0_placeExposure", "system": "https://emiga.rki.de/fhir/case/CodeSystem/CaseInformationCommonQuestions", "display": "(8.0) Ist der wahrscheinliche Expositionsort bekannt?" } ], "text": "(8.0) Ist der wahrscheinliche Expositionsort bekannt?", "type": "choice", "linkId": "8.0_placeExposure", "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" } ] } }, { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod", "valueDuration": { "code": "a", "unit": "years", "value": 100, "system": "http://unitsofmeasure.org" } }, { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract", "valueBoolean": true } ], "answerValueSet": "https://emiga.rki.de/fhir/ValueSet/YesNoNullFlavor" } ], "copyright": "Robert Koch Institute", "type": null, "experimental": null, "resourceType": "Questionnaire", "title": "Fall Angaben", "package_version": "0.1.0", "status": "draft", "id": "e95b6199-acdc-4256-a75c-938b4feed14d", "kind": null, "url": "https://emiga.rki.de/fhir/case/Questionnaire/CaseInformationCommon", "version": "0.1.0" }