{
  "description": "Tuberkulose spezifische Informationsbedarfe werden in diesem meldetatbestandsspezifischen Fragebogen zusammengestellt. Dieser manifestiert sich als entsprechende QuestionnaireResponse innerhalb der Meldung.",
  "_filename": "Questionnaire-DiseaseQuestionsMYTD.json",
  "package_name": "rki.demis.disease",
  "date": "2024-07-22",
  "publisher": null,
  "name": "DiseaseQuestionsMYTD",
  "item": [ {
    "linkId": "immunization",
    "repeats": false,
    "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/ImmunizationInformationMYTD"
      } ],
      "enableWhen": [ {
        "operator": "=",
        "question": "immunization",
        "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": "Wurde die betroffene Person jemals in Bezug auf die Krankheit geimpft?"
  }, {
    "linkId": "infectionEnvironmentSettingKind",
    "repeats": false,
    "item": [ {
      "item": [ {
        "text": "Beginn Infektionsumfeld",
        "type": "date",
        "linkId": "infectionEnvironmentSettingBegin",
        "repeats": false,
        "required": false
      }, {
        "text": "Ende Infektionsumfeld",
        "type": "date",
        "linkId": "infectionEnvironmentSettingEnd",
        "repeats": false,
        "required": false
      } ],
      "type": "group",
      "linkId": "infectionEnvironmentSettingGroup",
      "repeats": false,
      "required": false,
      "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": "infectionEnvironmentSettingKind",
        "answerCoding": {
          "code": "257656006",
          "system": "http://snomed.info/sct"
        }
      }, {
        "operator": "=",
        "question": "infectionEnvironmentSettingKind",
        "answerCoding": {
          "code": "74964007",
          "system": "http://snomed.info/sct"
        }
      } ],
      "enableBehavior": "any"
    } ],
    "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/answerSetInfectionEnvironmentSettingMYTD",
    "initial": [ {
      "valueCoding": {
        "code": "NASK",
        "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
        "display": "not asked"
      }
    } ],
    "required": true,
    "text": "In welchem Umfeld hat sich die betroffene Person wahrscheinlich infiziert?"
  }, {
    "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": "childrenUnder15Years",
    "repeats": false,
    "item": [ {
      "linkId": "countryOfBirthMother",
      "repeats": false,
      "type": "choice",
      "enableWhen": [ {
        "operator": "=",
        "question": "childrenUnder15Years",
        "answerCoding": {
          "code": "yes",
          "system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer"
        }
      } ],
      "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",
      "initial": [ {
        "valueCoding": {
          "code": "NASK",
          "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
          "display": "not asked"
        }
      } ],
      "required": false,
      "text": "Geburtsstaat der Mutter"
    }, {
      "linkId": "countryOfBirthFather",
      "repeats": false,
      "type": "choice",
      "enableWhen": [ {
        "operator": "=",
        "question": "childrenUnder15Years",
        "answerCoding": {
          "code": "yes",
          "system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer"
        }
      } ],
      "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",
      "initial": [ {
        "valueCoding": {
          "code": "NASK",
          "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
          "display": "not asked"
        }
      } ],
      "required": false,
      "text": "Geburtsstaat des Vaters"
    } ],
    "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": "Ist die betroffene Person <15 Jahre?"
  }, {
    "text": "Was war der Anlass der Diagnose?",
    "type": "choice",
    "linkId": "causeDiagnosis",
    "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/answerSetCauseDiagnosisMYTD"
  }, {
    "linkId": "statusDiagnosis",
    "repeats": false,
    "item": [ {
      "linkId": "treatment",
      "repeats": false,
      "item": [ {
        "text": "Jahr und Monat der Behandlung",
        "type": "date",
        "linkId": "treatmentBegin",
        "repeats": false,
        "required": false,
        "enableWhen": [ {
          "operator": "=",
          "question": "treatment",
          "answerCoding": {
            "code": "yes",
            "system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer"
          }
        } ]
      }, {
        "linkId": "resultOfTreatment",
        "repeats": false,
        "type": "choice",
        "enableWhen": [ {
          "operator": "=",
          "question": "treatment",
          "answerCoding": {
            "code": "yes",
            "system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer"
          }
        } ],
        "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/answerSetResultOfTreatmentMYTD",
        "initial": [ {
          "valueCoding": {
            "code": "NASK",
            "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
            "display": "not asked"
          }
        } ],
        "required": true,
        "text": "Ergebnis der Behandlung"
      } ],
      "type": "choice",
      "enableWhen": [ {
        "operator": "=",
        "question": "statusDiagnosis",
        "answerCoding": {
          "code": "yes",
          "system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer"
        }
      } ],
      "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": "Wurde bei der betroffenen Person eine auf Heilung der TB ausgerichtete Behandlung (Kombinationstherapie mit Antituberkulotika) eingeleitet?"
    } ],
    "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": "Liegt bei der betroffenen Person eine behandlungsbedürftige Tuberkulose vor oder wurden nach dem Tod der betroffenen Person Befunde bekannt, die eine Therapie erforderlich gemacht hätten?"
  }, {
    "text": "Welches Organ war hauptsächlich betroffen?",
    "type": "choice",
    "linkId": "majorSite",
    "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/answerSetMajorSiteMYTD"
  }, {
    "text": "Welches weitere Organ war betroffen?",
    "type": "choice",
    "linkId": "minorSite",
    "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/answerSetMinorSiteMYTD"
  }, {
    "linkId": "prevTreatment",
    "repeats": false,
    "item": [ {
      "linkId": "statusPrevTreatment",
      "repeats": false,
      "item": [ {
        "text": "Jahr der Vorbehandlung",
        "type": "date",
        "linkId": "prevTreatmentYear",
        "repeats": false,
        "required": false,
        "enableWhen": [ {
          "operator": "=",
          "question": "statusPrevTreatment",
          "answerCoding": {
            "code": "yes",
            "system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer"
          }
        } ]
      }, {
        "linkId": "resultOfPrevTreatment",
        "repeats": false,
        "type": "choice",
        "enableWhen": [ {
          "operator": "=",
          "question": "statusPrevTreatment",
          "answerCoding": {
            "code": "yes",
            "system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer"
          }
        } ],
        "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/answerSetResultOfPrevTreatmentMYTD",
        "initial": [ {
          "valueCoding": {
            "code": "NASK",
            "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
            "display": "not asked"
          }
        } ],
        "required": true,
        "text": "Was war das Ergebnis der Vorbehandlung?"
      } ],
      "type": "choice",
      "enableWhen": [ {
        "operator": "=",
        "question": "prevTreatment",
        "answerCoding": {
          "code": "yes",
          "system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer"
        }
      } ],
      "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": "Wurde für die TB-Vorerkrankung eine Behandlung durchgeführt (Vorbehandlung)?"
    } ],
    "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": "War die betroffene Person bereits zuvor an einer Tuberkulose erkrankt (StatusPrevDisease)?"
  }, {
    "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": "Tuberkulose: spezifische klinische und epidemiologische Angaben",
  "package_version": "2.0.0",
  "status": "active",
  "id": "fafadf78-c0b6-4d88-9f07-3b96e8366daf",
  "kind": null,
  "url": "https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsMYTD",
  "version": "1.3.1"
}