| Package | vcds-ig.euvabeco.net |
| Resource Type | Questionnaire |
| Id | example-questionnaire |
| FHIR Version | R5 |
| Source | https://euvabeco.net/vcds-ig/https://build.fhir.org/ig/EUVABECO/VCDS/Questionnaire-example-questionnaire.html |
| URL | https://euvabeco.net/vcds-ig/Questionnaire/example-questionnaire |
| Version | 0.1.0 |
| Status | active |
| Date | 2025-08-07T10:09:39+00:00 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: Questionnaire example-questionnaire
Profile: Questionnaire
| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
  | Questionnaire | https://euvabeco.net/vcds-ig/Questionnaire/example-questionnaire#0.1.0 | ||
  e358c115-9c07-45e2-b1f7-3616637887f9 | Medical history | 0..1 | group | |
  aadd20de-aec1-449d-b545-8efbcb8152aa | Infections | 0..1 | group | |
  3b779e76-ae66-4e18-bba4-7ed81f1befb3 | Date of last history of pertussis | 0..1 | date | |
 help-3b779e76-ae66-4e18-bba4-7ed81f1befb3 | You must be sure that it is pertussis (proven by a biological test, check with your doctor). It is estimated that a person who has had pertussis is protected from getting a new pertussis infection for about 10 years. If this box is checked, vaccination is not considered necessary. If the disease occurred before the age of two, the vaccination program is continued as usual. | 0..1 | display | |
 b6a2264e-c150-41ed-94cd-83205259b17b | Dengue (proven by virological test) | 0..1 | boolean | |
| help-b6a2264e-c150-41ed-94cd-83205259b17b | To check this choice, the diagnosis of dengue must be documented and proven by a virological test performed at the time of the onset of the disease (see the medical file and ask your doctor for help). | 0..1 | display | |
| af34705f-a8ad-4c00-b3f7-2057807db19b | Severe pneumococcal infection | 0..1 | boolean | |
| help-af34705f-a8ad-4c00-b3f7-2057807db19b | It is a history of pulmonary or invasive (meningitis, septicemia) pneumococcal infection. If in doubt, ask your doctor for advice. | 0..1 | display | |
| 803a0bb5-0c74-4e89-8146-424a96af84a9 | Occupation | 0..1 | group | |
 b761aff7-1a8c-4b95-8c5f-01f6768b1d99 | Health profession | 0..1 | coding | Value Set: Health professions |
| 1ed50b04-2834-4193-9212-9fcea1c53f15 | Chronic diseases | 0..1 | group | |
| 74a61dc8-f817-42bb-8604-87da0711d03e | Diabetes | 0..1 | group | |
| f8cedc4a-283b-43f0-ae53-196bbcb5d19a | Treated diabetes | 0..1 | boolean | |
| help-f8cedc4a-283b-43f0-ae53-196bbcb5d19a | Oral anti-diabetic medication or insulin. | 0..1 | display | |
| Documentation for this format | ||||
FHIR{
"resourceType": "Questionnaire",
"id": "example-questionnaire",
"meta": {
"profile": [
"https://euvabeco.net/vcds-ig/StructureDefinition/Questionnaire"
]
},
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"url": "https://euvabeco.net/vcds-ig/Questionnaire/example-questionnaire",
"version": "0.1.0",
"status": "active",
"date": "2025-08-07T10:09:39+00:00",
"publisher": "Euvabeco",
"contact": [
{
"name": "Euvabeco",
"telecom": [
{
"system": "url",
"value": "https://euvabeco.eu"
}
]
}
],
"item": [
{
"linkId": "e358c115-9c07-45e2-b1f7-3616637887f9",
"text": "Medical history",
"type": "group",
"item": [
{
"linkId": "aadd20de-aec1-449d-b545-8efbcb8152aa",
"text": "Infections",
"type": "group",
"item": [
{
"linkId": "3b779e76-ae66-4e18-bba4-7ed81f1befb3",
"code": [
{
"system": "https://euvabeco.net/vcds-ig/CodeSystem/Conditions",
"code": "3b779e76-ae66-4e18-bba4-7ed81f1befb3"
}
],
"text": "Date of last history of pertussis",
"type": "date",
"item": [
{
"linkId": "help-3b779e76-ae66-4e18-bba4-7ed81f1befb3",
"text": "You must be sure that it is pertussis (proven by a biological test, check with your doctor). \nIt is estimated that a person who has had pertussis is protected from getting a new pertussis \ninfection for about 10 years. If this box is checked, vaccination is not considered necessary. \nIf the disease occurred before the age of two, the vaccination program is continued as usual.",
"type": "display"
}
]
},
{
"linkId": "b6a2264e-c150-41ed-94cd-83205259b17b",
"code": [
{
"system": "https://euvabeco.net/vcds-ig/CodeSystem/Conditions",
"code": "b6a2264e-c150-41ed-94cd-83205259b17b"
}
],
"text": "Dengue (proven by virological test)",
"type": "boolean",
"item": [
{
"linkId": "help-b6a2264e-c150-41ed-94cd-83205259b17b",
"text": "To check this choice, the diagnosis of dengue must be documented and proven by a virological \ntest performed at the time of the onset of the disease (see the medical file and ask your doctor \nfor help).",
"type": "display"
}
]
},
{
"linkId": "af34705f-a8ad-4c00-b3f7-2057807db19b",
"code": [
{
"system": "https://euvabeco.net/vcds-ig/CodeSystem/Conditions",
"code": "af34705f-a8ad-4c00-b3f7-2057807db19b"
}
],
"text": "Severe pneumococcal infection",
"type": "boolean",
"item": [
{
"linkId": "help-af34705f-a8ad-4c00-b3f7-2057807db19b",
"text": "It is a history of pulmonary or invasive (meningitis, septicemia) pneumococcal infection. \nIf in doubt, ask your doctor for advice.",
"type": "display"
}
]
}
]
}
]
},
{
"linkId": "803a0bb5-0c74-4e89-8146-424a96af84a9",
"text": "Occupation",
"type": "group",
"item": [
{
"linkId": "b761aff7-1a8c-4b95-8c5f-01f6768b1d99",
"code": [
{
"system": "https://euvabeco.net/vcds-ig/CodeSystem/Conditions",
"code": "b761aff7-1a8c-4b95-8c5f-01f6768b1d99"
}
],
"text": "Health profession",
"type": "coding",
"answerValueSet": "https://euvabeco.net/vcds-ig/ValueSet/HealthProfession"
}
]
},
{
"linkId": "1ed50b04-2834-4193-9212-9fcea1c53f15",
"text": "Chronic diseases",
"type": "group",
"item": [
{
"linkId": "74a61dc8-f817-42bb-8604-87da0711d03e",
"text": "Diabetes",
"type": "group",
"item": [
{
"linkId": "f8cedc4a-283b-43f0-ae53-196bbcb5d19a",
"code": [
{
"system": "https://euvabeco.net/vcds-ig/CodeSystem/Conditions",
"code": "f8cedc4a-283b-43f0-ae53-196bbcb5d19a"
}
],
"text": "Treated diabetes",
"type": "boolean",
"item": [
{
"linkId": "help-f8cedc4a-283b-43f0-ae53-196bbcb5d19a",
"text": "Oral anti-diabetic medication or insulin.",
"type": "display"
}
]
}
]
}
]
}
]
}