| Package | rki.demis.disease |
| Resource Type | Questionnaire |
| Id | DiseaseQuestionsCommon |
| FHIR Version | R4 |
| Source | https://demis.rki.de/fhir/demis/https://simplifier.net/resolve?scope=rki.demis.disease@2.2.1&canonical=https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsCommon |
| URL | https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsCommon |
| Version | 1.4.0 |
| Status | active |
| Date | 2025-01-06 |
| Name | DiseaseQuestionsCommon |
| Title | Fragebogen für meldetatbestandsübergreifende klinische und epidemiologische Angaben |
| Description | Fragen, die meldetatbestandsübergreifend von Interesse sind, werden in diesem allgemeinen Fragebogen abgebildet. Dieser Fragebogen ist für sämtliche Meldungen gemäß §6 Absatz 1, 2 IfSG auszufüllen und somit als spezifische QuestionnaireResponse integraler Bestandteil einer jeden Meldung. |
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FHIR{
"resourceType": "Questionnaire",
"id": "DiseaseQuestionsCommon",
"url": "https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsCommon",
"version": "1.4.0",
"name": "DiseaseQuestionsCommon",
"title": "Fragebogen für meldetatbestandsübergreifende klinische und epidemiologische Angaben",
"status": "active",
"date": "2025-01-06",
"description": "Fragen, die meldetatbestandsübergreifend von Interesse sind, werden in diesem allgemeinen Fragebogen abgebildet. Dieser Fragebogen ist für sämtliche Meldungen gemäß §6 Absatz 1, 2 IfSG auszufüllen und somit als spezifische QuestionnaireResponse integraler Bestandteil einer jeden Meldung.",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button",
"display": "Radio Button"
}
]
}
}
],
"linkId": "isDead",
"text": "Ist die Person verstorben?",
"type": "choice",
"required": true,
"answerValueSet": "https://demis.rki.de/fhir/ValueSet/yesOrNoOrNoInformation",
"initial": [
{
"valueCoding": {
"system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"code": "NASK",
"display": "not asked"
}
}
],
"item": [
{
"linkId": "deathDate",
"text": "Sterbedatum",
"type": "date",
"enableWhen": [
{
"question": "isDead",
"operator": "=",
"answerCoding": {
"system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer",
"code": "yes"
}
}
]
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down",
"display": "Drop down"
}
]
}
}
],
"linkId": "militaryAffiliation",
"text": "Besteht eine Zugehörigkeit zur Bundeswehr?",
"type": "choice",
"required": true,
"answerValueSet": "https://demis.rki.de/fhir/ValueSet/answerSetMilitaryAffiliation",
"initial": [
{
"valueCoding": {
"system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"code": "NASK",
"display": "not asked"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button",
"display": "Radio Button"
}
]
}
}
],
"linkId": "labSpecimenTaken",
"text": "Wurde ein Labor mit der Durchführung einer Erregerdiagnostik beauftragt?",
"type": "choice",
"required": true,
"answerValueSet": "https://demis.rki.de/fhir/ValueSet/yesOrNoOrNoInformation",
"initial": [
{
"valueCoding": {
"system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"code": "NASK",
"display": "not asked"
}
}
],
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceResource",
"valueCode": "Organization"
}
],
"linkId": "labSpecimenLab",
"text": "Beauftragtes Labor",
"type": "reference",
"enableWhen": [
{
"question": "labSpecimenTaken",
"operator": "=",
"answerCoding": {
"system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer",
"code": "yes"
}
}
],
"required": true
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button",
"display": "Radio Button"
}
]
}
}
],
"linkId": "hospitalized",
"text": "Ist bzw. wurde die Person ins Krankenhaus aufgenommen?",
"type": "choice",
"required": true,
"answerValueSet": "https://demis.rki.de/fhir/ValueSet/yesOrNoOrNoInformation",
"initial": [
{
"valueCoding": {
"system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"code": "NASK",
"display": "not asked"
}
}
],
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "gtable",
"display": "Group Table"
}
]
}
}
],
"linkId": "hospitalizedGroup",
"type": "group",
"enableWhen": [
{
"question": "hospitalized",
"operator": "=",
"answerCoding": {
"system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer",
"code": "yes"
}
}
],
"required": true,
"repeats": true,
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceProfile",
"valueCanonical": "https://demis.rki.de/fhir/StructureDefinition/Hospitalization"
}
],
"linkId": "hospitalizedEncounter",
"type": "reference",
"enableWhen": [
{
"question": "hospitalized",
"operator": "=",
"answerCoding": {
"system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer",
"code": "yes"
}
}
]
}
]
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button",
"display": "Radio Button"
}
]
}
}
],
"linkId": "infectProtectFacility",
"text": "Ist die betroffene Person in einer für den Infektionsschutz relevanten Einrichtung tätig, betreut oder untergebracht? (Die für den Infektionsschutz relevanten Einrichtungen sind im Infektionsschutzgesetz definiert. Dazu zählen u.a. Einrichtungen gemäß § 23 IfSG (z.B. Krankenhäuser, ärztliche Praxen, Dialyseeinrichtungen und Rettungsdienste), gemäß § 33 IfSG (z.B. Kitas, Kinderhorte, Schulen, Heime und Ferienlager) und gemäß §§ 35-36 IfSG (Pflegeeinrichtungen, Obdachlosunterkünfte, Einrichtungen zur gemeinschaftlichen Unterbringung von Asylsuchenden, sonstige Massenunterkünfte, Justizvollzugsanstalten).)",
"type": "choice",
"required": true,
"answerValueSet": "https://demis.rki.de/fhir/ValueSet/yesOrNoOrNoInformation",
"initial": [
{
"valueCoding": {
"system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"code": "NASK",
"display": "not asked"
}
}
],
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "gtable",
"display": "Group Table"
}
]
}
}
],
"linkId": "infectProtectFacilityGroup",
"type": "group",
"enableWhen": [
{
"question": "infectProtectFacility",
"operator": "=",
"answerCoding": {
"system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer",
"code": "yes"
}
}
],
"required": true,
"repeats": true,
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down",
"display": "Drop down"
}
]
}
}
],
"linkId": "infectProtectFacilityType",
"text": "Art der Einrichtung",
"type": "choice",
"enableWhen": [
{
"question": "infectProtectFacility",
"operator": "=",
"answerCoding": {
"system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer",
"code": "yes"
}
}
],
"required": false,
"answerValueSet": "https://demis.rki.de/fhir/ValueSet/organizationType"
},
{
"linkId": "infectProtectFacilityBegin",
"text": "Beginn",
"type": "date",
"enableWhen": [
{
"question": "infectProtectFacility",
"operator": "=",
"answerCoding": {
"system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer",
"code": "yes"
}
}
]
},
{
"linkId": "infectProtectFacilityEnd",
"text": "Ende",
"type": "date",
"enableWhen": [
{
"question": "infectProtectFacility",
"operator": "=",
"answerCoding": {
"system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer",
"code": "yes"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button",
"display": "Radio Button"
}
]
}
}
],
"linkId": "infectProtectFacilityRole",
"text": "In welcher Beziehung steht die Person zur Einrichtung?",
"type": "choice",
"enableWhen": [
{
"question": "infectProtectFacility",
"operator": "=",
"answerCoding": {
"system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer",
"code": "yes"
}
}
],
"required": true,
"answerValueSet": "https://demis.rki.de/fhir/ValueSet/organizationAssociation"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceResource",
"valueCode": "Organization"
}
],
"linkId": "infectProtectFacilityOrganization",
"text": "Einrichtung",
"type": "reference",
"enableWhen": [
{
"question": "infectProtectFacility",
"operator": "=",
"answerCoding": {
"system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer",
"code": "yes"
}
}
],
"required": true
}
]
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button",
"display": "Radio Button"
}
]
}
}
],
"linkId": "placeExposure",
"text": "Ist der wahrscheinliche Expositionsort bekannt?",
"type": "choice",
"required": true,
"answerValueSet": "https://demis.rki.de/fhir/ValueSet/yesOrNoOrNoInformation",
"initial": [
{
"valueCoding": {
"system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"code": "NASK",
"display": "not asked"
}
}
],
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "gtable",
"display": "Group Table"
}
]
}
}
],
"linkId": "placeExposureGroup",
"type": "group",
"enableWhen": [
{
"question": "placeExposure",
"operator": "=",
"answerCoding": {
"system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer",
"code": "yes"
}
}
],
"required": true,
"repeats": true,
"item": [
{
"linkId": "placeExposureBegin",
"text": "Beginn",
"type": "date",
"enableWhen": [
{
"question": "placeExposure",
"operator": "=",
"answerCoding": {
"system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer",
"code": "yes"
}
}
]
},
{
"linkId": "placeExposureEnd",
"text": "Ende",
"type": "date",
"enableWhen": [
{
"question": "placeExposure",
"operator": "=",
"answerCoding": {
"system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer",
"code": "yes"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down",
"display": "Drop down"
}
]
}
}
],
"linkId": "placeExposureRegion",
"text": "Geografische Region",
"type": "choice",
"enableWhen": [
{
"question": "placeExposure",
"operator": "=",
"answerCoding": {
"system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer",
"code": "yes"
}
}
],
"required": true,
"answerValueSet": "https://demis.rki.de/fhir/ValueSet/answerSetGeographicRegion",
"initial": [
{
"valueCoding": {
"system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"code": "NASK",
"display": "not asked"
}
}
]
},
{
"linkId": "placeExposureHint",
"text": "Anmerkungen zum Expositionsort",
"type": "text",
"enableWhen": [
{
"question": "placeExposure",
"operator": "=",
"answerCoding": {
"system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer",
"code": "yes"
}
}
]
}
]
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button",
"display": "Radio Button"
}
]
}
}
],
"linkId": "organDonation",
"text": "Hat die Person in den letzten 6 Monaten Blut, Organe, Gewebe oder Zellen gespendet?",
"type": "choice",
"required": true,
"answerValueSet": "https://demis.rki.de/fhir/ValueSet/yesOrNoOrNoInformation",
"initial": [
{
"valueCoding": {
"system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"code": "NASK",
"display": "not asked"
}
}
]
},
{
"linkId": "additionalInformation",
"text": "Wichtige Zusatzinformationen",
"type": "text"
}
]
}