FHIR IG analytics| Package | ch.fhir.ig.ch-ekm |
| Resource Type | Questionnaire |
| Id | Questionnaire-ChEkmQuestionnaireImmunizationMpox.json |
| FHIR Version | R4 |
| Source | https://build.fhir.org/ig/ahdis/ch-ekm/Questionnaire-ChEkmQuestionnaireImmunizationMpox.html |
| URL | http://fhir.ch/ig/ch-ekm/Questionnaire/ChEkmQuestionnaireImmunizationMpox |
| Version | 0.0.1 |
| Status | active |
| Date | 2026-08-26T14:49:37+00:00 |
| Name | ChEkmQuestionnaireImmunizationMpox |
| Title | CH EKM Questionnaire: Immunization Mpox |
| Realm | ch |
| Authority | hl7 |
| Description | Modular sub-questionnaire for the 'Impfstatus' section of the Mpox report: per vaccination type asked about (smallpox vaccination, mpox vaccination) whether the affected person was vaccinated, with how many doses in total, when the last dose was given and with which product. Reusable as an SDC assemble-child. |
| Copyright | CC0-1.0 |
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Note: links and images are rebased to the (stated) source
Generated Narrative: Questionnaire ChEkmQuestionnaireImmunizationMpox
Language: en
| LinkID | Text | Cardinality | Type | Flags | Description & Constraints |
|---|---|---|---|---|---|
  ChEkmQuestionnaireImmunizationMpox | Modular sub-questionnaire for the 'Impfstatus' section of the Mpox report: per vaccination type asked about (smallpox vaccination, mpox vaccination) whether the affected person was vaccinated, with how many doses in total, when the last dose was given and with which product. Reusable as an SDC assemble-child. | Questionnaire | http://fhir.ch/ig/ch-ekm/Questionnaire/ChEkmQuestionnaireImmunizationMpox#0.0.1 | ||
  immunization | Immunisation status | 0..1 | group | ||
  immunizationSmallpox | Smallpox vaccination — earlier smallpox vaccination programmes | 0..1 | group | ||
  immunizationStatusSmallpox | Vaccinated? | 0..1 | choice |  | Definition: ChEkmImmunizationForm.status Value Set: CH EKM Yes No Unknown |
 immunizationDosesSmallpox | Total number of doses | 0..1 | integer | Definition: ChEkmImmunizationForm.doses Enable When: immunizationStatusSmallpox = Yes (qualifier value) (SNOMED CT#373066001) | |
 immunizationLastDoseSmallpox | Date of the last dose | 0..1 | date | Definition: ChEkmImmunizationForm.lastDoseDate Enable When: immunizationStatusSmallpox = Yes (qualifier value) (SNOMED CT#373066001) | |
| immunizationVaccineSmallpox | Vaccine — brand name | 0..1 | open-choice | Definition: ChEkmImmunizationForm.vaccine Enable When: immunizationStatusSmallpox = Yes (qualifier value) (SNOMED CT#373066001) Value Set: CH VACD All Swiss Vaccine Codes | |
| immunizationMpox | Mpox vaccination | 0..1 | group | ||
| immunizationStatusMpox | Vaccinated? | 0..1 | choice | | Definition: ChEkmImmunizationForm.status Value Set: CH EKM Yes No Unknown |
| immunizationDosesMpox | Total number of doses | 0..1 | integer | Definition: ChEkmImmunizationForm.doses Enable When: immunizationStatusMpox = Yes (qualifier value) (SNOMED CT#373066001) | |
| immunizationLastDoseMpox | Date of the last dose | 0..1 | date | Definition: ChEkmImmunizationForm.lastDoseDate Enable When: immunizationStatusMpox = Yes (qualifier value) (SNOMED CT#373066001) | |
| immunizationVaccineMpox | Vaccine — brand name | 0..1 | open-choice | Definition: ChEkmImmunizationForm.vaccine Enable When: immunizationStatusMpox = Yes (qualifier value) (SNOMED CT#373066001) Value Set: CH VACD All Swiss Vaccine Codes | |
| Documentation for this format | |||||
FHIR
FHIRsmith{
"resourceType": "Questionnaire",
"id": "ChEkmQuestionnaireImmunizationMpox",
"language": "en",
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assemble-expectation",
"valueCode": "assemble-child"
}
],
"url": "http://fhir.ch/ig/ch-ekm/Questionnaire/ChEkmQuestionnaireImmunizationMpox",
"version": "0.0.1",
"name": "ChEkmQuestionnaireImmunizationMpox",
"title": "CH EKM Questionnaire: Immunization Mpox",
"status": "active",
"experimental": false,
"subjectType": [
"Patient"
],
"date": "2026-08-26T14:49:37+00:00",
"publisher": "Federal Office of Public Health FOPH",
"contact": [
{
"name": "Federal Office of Public Health FOPH",
"telecom": [
{
"system": "url",
"value": "https://www.bag.admin.ch/bag/en/home/das-bag/kontakt-standort.html"
}
]
}
],
"description": "Modular sub-questionnaire for the 'Impfstatus' section of the Mpox report: per vaccination type asked about (smallpox vaccination, mpox vaccination) whether the affected person was vaccinated, with how many doses in total, when the last dose was given and with which product. Reusable as an SDC assemble-child.",
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "CH"
}
]
}
],
"copyright": "CC0-1.0",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-shortText",
"valueString": "Immunisation",
"_valueString": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de-CH"
},
{
"url": "content",
"valueString": "Impfstatus"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "fr-CH"
},
{
"url": "content",
"valueString": "Vaccination"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "it-CH"
},
{
"url": "content",
"valueString": "Vaccinazione"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
],
"linkId": "immunization",
"text": "Immunisation status",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de-CH"
},
{
"url": "content",
"valueString": "Impfstatus"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "fr-CH"
},
{
"url": "content",
"valueString": "Statut vaccinal"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "it-CH"
},
{
"url": "content",
"valueString": "Stato vaccinale"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type": "group",
"item": [
{
"linkId": "immunizationSmallpox",
"text": "Smallpox vaccination — earlier smallpox vaccination programmes",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de-CH"
},
{
"url": "content",
"valueString": "Pockenimpfung — frühere Pockenimpfprogramme"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "fr-CH"
},
{
"url": "content",
"valueString": "Vaccination contre la variole — anciens programmes de vaccination"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "it-CH"
},
{
"url": "content",
"valueString": "Vaccinazione antivaiolosa — precedenti programmi di vaccinazione"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button"
}
]
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}
],
"linkId": "immunizationStatusSmallpox",
"definition": "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmImmunizationForm#ChEkmImmunizationForm.status",
"text": "Vaccinated?",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de-CH"
},
{
"url": "content",
"valueString": "Geimpft?"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "fr-CH"
},
{
"url": "content",
"valueString": "Vacciné ?"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "it-CH"
},
{
"url": "content",
"valueString": "Vaccinato?"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type": "choice",
"answerValueSet": "http://fhir.ch/ig/ch-ekm/ValueSet/ChEkmYesNoUnknown",
"_answerValueSet": {
"extension": [
{
"extension": [
{
"url": "name",
"valueCode": "useSupplement"
},
{
"url": "expression",
"valueString": "http://fhir.ch/ig/ch-ekm/CodeSystem/ch-ekm-snomed-language-supplement"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/binding-parameter"
}
]
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/minValue",
"valueInteger": 1
}
],
"linkId": "immunizationDosesSmallpox",
"definition": "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmImmunizationForm#ChEkmImmunizationForm.doses",
"text": "Total number of doses",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de-CH"
},
{
"url": "content",
"valueString": "Total Anzahl Dosen"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "fr-CH"
},
{
"url": "content",
"valueString": "Nombre total de doses"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "it-CH"
},
{
"url": "content",
"valueString": "Numero totale di dosi"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type": "integer",
"enableWhen": [
{
"question": "immunizationStatusSmallpox",
"operator": "=",
"answerCoding": {
"system": "http://snomed.info/sct",
"code": "373066001",
"display": "Yes (qualifier value)"
}
}
]
},
{
"linkId": "immunizationLastDoseSmallpox",
"definition": "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmImmunizationForm#ChEkmImmunizationForm.lastDoseDate",
"text": "Date of the last dose",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de-CH"
},
{
"url": "content",
"valueString": "Letzte Dosis, Datum"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "fr-CH"
},
{
"url": "content",
"valueString": "Date de la dernière dose"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "it-CH"
},
{
"url": "content",
"valueString": "Data dell'ultima dose"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type": "date",
"enableWhen": [
{
"question": "immunizationStatusSmallpox",
"operator": "=",
"answerCoding": {
"system": "http://snomed.info/sct",
"code": "373066001",
"display": "Yes (qualifier value)"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "autocomplete"
}
]
}
}
],
"linkId": "immunizationVaccineSmallpox",
"definition": "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmImmunizationForm#ChEkmImmunizationForm.vaccine",
"text": "Vaccine — brand name",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de-CH"
},
{
"url": "content",
"valueString": "Impfstoff — Markenname"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "fr-CH"
},
{
"url": "content",
"valueString": "Vaccin — nom de marque"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "it-CH"
},
{
"url": "content",
"valueString": "Vaccino — nome commerciale"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type": "open-choice",
"enableWhen": [
{
"question": "immunizationStatusSmallpox",
"operator": "=",
"answerCoding": {
"system": "http://snomed.info/sct",
"code": "373066001",
"display": "Yes (qualifier value)"
}
}
],
"answerValueSet": "http://fhir.ch/ig/ch-vacd/ValueSet/ch-vacd-vaccines-vs"
}
]
},
{
"linkId": "immunizationMpox",
"text": "Mpox vaccination",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de-CH"
},
{
"url": "content",
"valueString": "Affenpockenimpfung"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "fr-CH"
},
{
"url": "content",
"valueString": "Vaccination contre le mpox"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "it-CH"
},
{
"url": "content",
"valueString": "Vaccinazione contro il vaiolo delle scimmie"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button"
}
]
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}
],
"linkId": "immunizationStatusMpox",
"definition": "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmImmunizationForm#ChEkmImmunizationForm.status",
"text": "Vaccinated?",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de-CH"
},
{
"url": "content",
"valueString": "Geimpft?"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "fr-CH"
},
{
"url": "content",
"valueString": "Vacciné ?"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "it-CH"
},
{
"url": "content",
"valueString": "Vaccinato?"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type": "choice",
"answerValueSet": "http://fhir.ch/ig/ch-ekm/ValueSet/ChEkmYesNoUnknown",
"_answerValueSet": {
"extension": [
{
"extension": [
{
"url": "name",
"valueCode": "useSupplement"
},
{
"url": "expression",
"valueString": "http://fhir.ch/ig/ch-ekm/CodeSystem/ch-ekm-snomed-language-supplement"
}
],
"url": "http://hl7.org/fhir/tools/StructureDefinition/binding-parameter"
}
]
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/minValue",
"valueInteger": 1
}
],
"linkId": "immunizationDosesMpox",
"definition": "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmImmunizationForm#ChEkmImmunizationForm.doses",
"text": "Total number of doses",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de-CH"
},
{
"url": "content",
"valueString": "Total Anzahl Dosen"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "fr-CH"
},
{
"url": "content",
"valueString": "Nombre total de doses"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "it-CH"
},
{
"url": "content",
"valueString": "Numero totale di dosi"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type": "integer",
"enableWhen": [
{
"question": "immunizationStatusMpox",
"operator": "=",
"answerCoding": {
"system": "http://snomed.info/sct",
"code": "373066001",
"display": "Yes (qualifier value)"
}
}
]
},
{
"linkId": "immunizationLastDoseMpox",
"definition": "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmImmunizationForm#ChEkmImmunizationForm.lastDoseDate",
"text": "Date of the last dose",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de-CH"
},
{
"url": "content",
"valueString": "Letzte Dosis, Datum"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "fr-CH"
},
{
"url": "content",
"valueString": "Date de la dernière dose"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "it-CH"
},
{
"url": "content",
"valueString": "Data dell'ultima dose"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type": "date",
"enableWhen": [
{
"question": "immunizationStatusMpox",
"operator": "=",
"answerCoding": {
"system": "http://snomed.info/sct",
"code": "373066001",
"display": "Yes (qualifier value)"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "autocomplete"
}
]
}
}
],
"linkId": "immunizationVaccineMpox",
"definition": "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmImmunizationForm#ChEkmImmunizationForm.vaccine",
"text": "Vaccine — brand name",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de-CH"
},
{
"url": "content",
"valueString": "Impfstoff — Markenname"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "fr-CH"
},
{
"url": "content",
"valueString": "Vaccin — nom de marque"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "it-CH"
},
{
"url": "content",
"valueString": "Vaccino — nome commerciale"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type": "open-choice",
"enableWhen": [
{
"question": "immunizationStatusMpox",
"operator": "=",
"answerCoding": {
"system": "http://snomed.info/sct",
"code": "373066001",
"display": "Yes (qualifier value)"
}
}
],
"answerValueSet": "http://fhir.ch/ig/ch-vacd/ValueSet/ch-vacd-vaccines-vs"
}
]
}
]
}
]
}