FHIR IG analytics| Package | ch.fhir.ig.ch-ekm |
| Resource Type | QuestionnaireResponse |
| Id | QuestionnaireResponse-ChEkmQuestionnaireResponseMpox.json |
| FHIR Version | R4 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: QuestionnaireResponse ChEkmQuestionnaireResponseMpox
| LinkID | Text | Definition | Answer |
|---|---|---|---|
  ChEkmQuestionnaireResponseMpox | Questionnaire:CH EKM Questionnaire: Mpox (assembled) | ||
  mpox-form | |||
  person | |||
  surname | Muster | ||
| givenname | Beat Ruedi | ||
| dateOfBirth | 2000-01-01 | ||
| ahvn13 | 7560000000000 | ||
| nationality | ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code: CH (Switzerland) | ||
| zipCode | 3097 | ||
| city | Liebefeld | ||
| canton | BE | ||
| administrativeGender | AdministrativeGender: male (male) | ||
| genderIdentity | SNOMED CT: 1384187000 (Identifies as transgender (finding)) | ||
| manifestation-group | |||
| manifestation | |||
| manifestationBeginUnknown | false | ||
| manifestationBeginDate | 2026-07-20 | ||
| course | |||
| hospitalisation | |||
| hospitalisationStatus | SNOMED CT: 373066001 (Yes (qualifier value)) | ||
| hospitalisationReason | CH EKM Reported Pathogen: reported-pathogen (Reported pathogen) | ||
| hospitalisationAdmissionDate | 2026-01-27 | ||
| death | |||
| deceased | true | ||
| deathDate | 2026-02-03 | ||
| deathCause | CH EKM Reported Pathogen: reported-pathogen (Reported pathogen) | ||
| exposure | |||
| exposureWhere | |||
| exposureWhereCountry | ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code: CD (Congo (Kinshasa)) | ||
| exposureWherePreciseLocation | Kinshasa | ||
| exposureWhen | |||
| exposureWhenDate | 2026-07-01 | ||
| exposureHow | |||
| exposureHowSexualContactPartner | AdministrativeGender: male (male) | ||
| exposureHowRelationshipType | CH EKM Relationship Type: offered-paid-sex (Offered paid sex) | ||
| exposureHowUnknown | false | ||
| immunization | |||
| immunizationSmallpox | |||
| immunizationStatusSmallpox | SNOMED CT: 261665006 (Unknown (qualifier value)) | ||
| immunizationMpox | |||
| immunizationStatusMpox | SNOMED CT: 373066001 (Yes (qualifier value)) | ||
| immunizationDosesMpox | 2 | ||
| immunizationLastDoseMpox | 2026-06-15 | ||
| immunizationVaccineMpox | CH VACD Swissmedic Authorized Vaccines: 69173 (Jynneos) | ||
| treatingPhysician | |||
| treatingPhysicianPractitioner | |||
| physicianGivenname | Potagon | ||
| physicianSurname | Brachialis | ||
| physicianStreetLine | Sodaweg 55 | ||
| physicianZipCode | 3921 | ||
| physicianPhone | +24 74 200 88 77 | ||
| physicianEmail | p.brach@sampledoc.com | ||
| physicianGln | 7601000435666 | ||
| treatingPhysicianOrganization | |||
| orgName | Regionalspital Genesis | ||
| orgDepartment | Immunologie | ||
| orgStreetLine | Radixstrasse 88 | ||
| orgZipCode | 4088 | ||
| orgCity | Pankreas | ||
| orgPhone | +26 34 876 54 33 | ||
| orgEmail | immuno@hospidoc.com | ||
| orgBer | A99086600 | ||
| orgGln | 7601000435777 | ||
| Documentation for this format | |||
FHIR
FHIRsmith{
"resourceType": "QuestionnaireResponse",
"id": "ChEkmQuestionnaireResponseMpox",
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"questionnaire": "http://fhir.ch/ig/ch-ekm/Questionnaire/ChEkmQuestionnaireMpoxAssembled",
"status": "completed",
"authored": "2026-08-05T11:30:00+02:00",
"item": [
{
"linkId": "mpox-form",
"item": [
{
"linkId": "person",
"item": [
{
"linkId": "surname",
"answer": [
{
"valueString": "Muster"
}
]
},
{
"linkId": "givenname",
"answer": [
{
"valueString": "Beat Ruedi"
}
]
},
{
"linkId": "dateOfBirth",
"answer": [
{
"valueDate": "2000-01-01"
}
]
},
{
"linkId": "ahvn13",
"answer": [
{
"valueString": "7560000000000"
}
]
},
{
"linkId": "nationality",
"answer": [
{
"valueCoding": {
"system": "urn:iso:std:iso:3166",
"code": "CH",
"display": "Switzerland"
}
}
]
},
{
"linkId": "zipCode",
"answer": [
{
"valueString": "3097"
}
]
},
{
"linkId": "city",
"answer": [
{
"valueString": "Liebefeld"
}
]
},
{
"linkId": "canton",
"answer": [
{
"valueString": "BE"
}
]
},
{
"linkId": "administrativeGender",
"answer": [
{
"valueCoding": {
"system": "http://hl7.org/fhir/administrative-gender",
"code": "male",
"display": "male"
}
}
]
},
{
"linkId": "genderIdentity",
"answer": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "1384187000",
"display": "Identifies as transgender (finding)"
}
}
]
}
]
},
{
"linkId": "manifestation-group",
"item": [
{
"linkId": "manifestation",
"answer": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "95324001:{363698007=73897004}",
"display": "Skin lesion of face"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "386661006",
"display": "Fever (finding)"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "25064002",
"display": "Headache (finding)"
}
}
]
},
{
"linkId": "manifestationBeginUnknown",
"answer": [
{
"valueBoolean": false
}
]
},
{
"linkId": "manifestationBeginDate",
"answer": [
{
"valueDate": "2026-07-20"
}
]
}
]
},
{
"linkId": "course",
"item": [
{
"linkId": "hospitalisation",
"item": [
{
"linkId": "hospitalisationStatus",
"answer": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "373066001",
"display": "Yes (qualifier value)"
}
}
]
},
{
"linkId": "hospitalisationReason",
"answer": [
{
"valueCoding": {
"system": "http://fhir.ch/ig/ch-ekm/CodeSystem/ch-ekm-reported-pathogen",
"code": "reported-pathogen",
"display": "Reported pathogen"
}
}
]
},
{
"linkId": "hospitalisationAdmissionDate",
"answer": [
{
"valueDate": "2026-01-27"
}
]
}
]
},
{
"linkId": "death",
"item": [
{
"linkId": "deceased",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "deathDate",
"answer": [
{
"valueDate": "2026-02-03"
}
]
},
{
"linkId": "deathCause",
"answer": [
{
"valueCoding": {
"system": "http://fhir.ch/ig/ch-ekm/CodeSystem/ch-ekm-reported-pathogen",
"code": "reported-pathogen",
"display": "Reported pathogen"
}
}
]
}
]
}
]
},
{
"linkId": "exposure",
"item": [
{
"linkId": "exposureWhere",
"item": [
{
"linkId": "exposureWhereCountry",
"answer": [
{
"valueCoding": {
"system": "urn:iso:std:iso:3166",
"code": "CD",
"display": "Congo (Kinshasa)"
}
}
]
},
{
"linkId": "exposureWherePreciseLocation",
"answer": [
{
"valueString": "Kinshasa"
}
]
}
]
},
{
"linkId": "exposureWhen",
"item": [
{
"linkId": "exposureWhenDate",
"answer": [
{
"valueDate": "2026-07-01"
}
]
}
]
},
{
"linkId": "exposureHow",
"item": [
{
"linkId": "exposureHowSexualContactPartner",
"answer": [
{
"valueCoding": {
"system": "http://hl7.org/fhir/administrative-gender",
"code": "male",
"display": "male"
}
}
]
},
{
"linkId": "exposureHowRelationshipType",
"answer": [
{
"valueCoding": {
"system": "http://fhir.ch/ig/ch-ekm/CodeSystem/ch-ekm-relationship-type",
"code": "offered-paid-sex",
"display": "Offered paid sex"
}
}
]
},
{
"linkId": "exposureHowUnknown",
"answer": [
{
"valueBoolean": false
}
]
}
]
}
]
},
{
"linkId": "immunization",
"item": [
{
"linkId": "immunizationSmallpox",
"item": [
{
"linkId": "immunizationStatusSmallpox",
"answer": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "261665006",
"display": "Unknown (qualifier value)"
}
}
]
}
]
},
{
"linkId": "immunizationMpox",
"item": [
{
"linkId": "immunizationStatusMpox",
"answer": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "373066001",
"display": "Yes (qualifier value)"
}
}
]
},
{
"linkId": "immunizationDosesMpox",
"answer": [
{
"valueInteger": 2
}
]
},
{
"linkId": "immunizationLastDoseMpox",
"answer": [
{
"valueDate": "2026-06-15"
}
]
},
{
"linkId": "immunizationVaccineMpox",
"answer": [
{
"valueCoding": {
"system": "http://fhir.ch/ig/ch-vacd/CodeSystem/ch-vacd-swissmedic-cs",
"code": "69173",
"display": "Jynneos"
}
}
]
}
]
}
]
},
{
"linkId": "treatingPhysician",
"item": [
{
"linkId": "treatingPhysicianPractitioner",
"item": [
{
"linkId": "physicianGivenname",
"answer": [
{
"valueString": "Potagon"
}
]
},
{
"linkId": "physicianSurname",
"answer": [
{
"valueString": "Brachialis"
}
]
},
{
"linkId": "physicianStreetLine",
"answer": [
{
"valueString": "Sodaweg 55"
}
]
},
{
"linkId": "physicianZipCode",
"answer": [
{
"valueString": "3921"
}
]
},
{
"linkId": "physicianPhone",
"answer": [
{
"valueString": "+24 74 200 88 77"
}
]
},
{
"linkId": "physicianEmail",
"answer": [
{
"valueString": "p.brach@sampledoc.com"
}
]
},
{
"linkId": "physicianGln",
"answer": [
{
"valueString": "7601000435666"
}
]
}
]
},
{
"linkId": "treatingPhysicianOrganization",
"item": [
{
"linkId": "orgName",
"answer": [
{
"valueString": "Regionalspital Genesis"
}
]
},
{
"linkId": "orgDepartment",
"answer": [
{
"valueString": "Immunologie"
}
]
},
{
"linkId": "orgStreetLine",
"answer": [
{
"valueString": "Radixstrasse 88"
}
]
},
{
"linkId": "orgZipCode",
"answer": [
{
"valueString": "4088"
}
]
},
{
"linkId": "orgCity",
"answer": [
{
"valueString": "Pankreas"
}
]
},
{
"linkId": "orgPhone",
"answer": [
{
"valueString": "+26 34 876 54 33"
}
]
},
{
"linkId": "orgEmail",
"answer": [
{
"valueString": "immuno@hospidoc.com"
}
]
},
{
"linkId": "orgBer",
"answer": [
{
"valueString": "A99086600"
}
]
},
{
"linkId": "orgGln",
"answer": [
{
"valueString": "7601000435777"
}
]
}
]
}
]
}
]
}
]
}