FHIR IG analytics| Package | rki.emiga.case |
| Resource Type | Questionnaire |
| Id | Questionnaire-ContactInformationQuestionnaire.json |
| FHIR Version | R4 |
| Source | https://simplifier.net/resolve?scope=rki.emiga.case@0.3.0-alpha.7&canonical=https://emiga.rki.de/fhir/case/Questionnaire/ContactInformationQuestionnaire |
| URL | https://emiga.rki.de/fhir/case/Questionnaire/ContactInformationQuestionnaire |
| Version | 0.2.0 |
| Status | draft |
| Date | 2025-12-01 |
| Name | ContactInformationQuestionnaire |
| Title | Kontakt Informationen |
| Description | Kontaktspezifische Informationen werden in diesem Fragebogen zusammengestellt. Dieser manifestiert sich als entsprechende QuestionaireResponse innerhalb des Kontaktereignisses. |
| Copyright | Robert Koch Institute |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "Questionnaire",
"id": "ContactInformationQuestionnaire",
"url": "https://emiga.rki.de/fhir/case/Questionnaire/ContactInformationQuestionnaire",
"item": [
{
"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"
}
]
}
}
],
"initial": [
{
"valueCoding": {
"code": "NASK",
"system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"display": "not asked"
}
}
],
"type": "choice",
"linkId": "contactType",
"text": "Zu welcher Kategorie gehört der gemeldete Kontakt?",
"answerValueSet": "https://emiga.rki.de/fhir/case/ValueSet/ContactTypeVS",
"repeats": false,
"required": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"code": "date-picker",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Date picker"
}
]
}
}
],
"initial": [
{
"valueCoding": {
"code": "NASK",
"system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"display": "not asked"
}
}
],
"type": "date",
"linkId": "reportingDate",
"text": "Wann wurde der Kontakt gemeldet?",
"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"
}
]
}
}
],
"initial": [
{
"valueCoding": {
"code": "NASK",
"system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"display": "not asked"
}
}
],
"type": "choice",
"linkId": "county",
"text": "In welchem Landkreis wurde der Kontakt gemeldet?",
"answerValueSet": "https://emiga.rki.de/fhir/ValueSet/CountyVS",
"repeats": false,
"required": true
},
{
"item": [
{
"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"
}
]
}
}
],
"initial": [
{
"valueCoding": {
"code": "NASK",
"system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"display": "not asked"
}
}
],
"enableWhen": [
{
"question": "contactType",
"operator": "=",
"answerCoding": {
"code": "NEI",
"system": "https://emiga.rki.de/fhir/case/CodeSystem/CaseCategory",
"display": "Meningokokken"
}
},
{
"question": "contactType",
"operator": "=",
"answerCoding": {
"code": "CVD",
"system": "https://emiga.rki.de/fhir/case/CodeSystem/CaseCategory",
"display": "COVID-19"
}
},
{
"question": "contactType",
"operator": "=",
"answerCoding": {
"code": "MSV",
"system": "https://emiga.rki.de/fhir/case/CodeSystem/CaseCategory",
"display": "Masern"
}
}
],
"type": "choice",
"linkId": "vaccination",
"text": "Liegen Informationen zum Impfstatus der Kontaktperson vor?",
"answerValueSet": "https://emiga.rki.de/fhir/ValueSet/YesNoNullFlavor",
"repeats": false,
"required": false,
"enableBehavior": "any"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"code": "lookup",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Lookup"
}
]
}
}
],
"enableWhen": [
{
"question": "vaccination",
"operator": "=",
"answerCoding": {
"code": "373066001",
"display": "Ja"
}
}
],
"type": "reference",
"linkId": "vaccinationReference",
"text": "Informationen zum Impfstatus der Kontaktperson",
"repeats": true,
"required": false,
"enableBehavior": "all"
}
],
"type": "group",
"linkId": "vaccinationGroup",
"text": "Informationen zum Impfstatus der Kontaktperson",
"repeats": false,
"required": false
},
{
"item": [
{
"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"
}
]
}
}
],
"initial": [
{
"valueCoding": {
"code": "NASK",
"system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"display": "not asked"
}
}
],
"type": "choice",
"linkId": "placing",
"text": "Liegen Informationen zur Unterbringung der Kontaktperson vor?",
"answerValueSet": "https://emiga.rki.de/fhir/ValueSet/YesNoNullFlavor",
"repeats": false,
"required": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"code": "lookup",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Lookup"
}
]
}
}
],
"enableWhen": [
{
"question": "placing",
"operator": "=",
"answerCoding": {
"code": "373066001",
"display": "Ja"
}
}
],
"type": "reference",
"linkId": "contactOrganization",
"text": "Bitte Einrichtung, mit der die Kontaktperson in Verbindung steht angeben.",
"repeats": true,
"required": false,
"enableBehavior": "all"
},
{
"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"
}
]
}
}
],
"enableWhen": [
{
"question": "placing",
"operator": "=",
"answerCoding": {
"code": "373066001",
"display": "Ja"
}
}
],
"type": "choice",
"linkId": "contactOrganizationRelation",
"text": "In welcher Verbindung steht die Kontaktperson mit der Einrichtung?",
"repeats": true,
"required": false,
"answerValueSet": "https://emiga.rki.de/fhir/common/ValueSet/FacilityAssociationTypeVS",
"enableBehavior": "all"
},
{
"enableWhen": [
{
"question": "placing",
"operator": "=",
"answerCoding": {
"code": "373066001",
"display": "Ja"
}
}
],
"item": [
{
"type": "date",
"linkId": "organizationPeriod_start",
"text": "Verbindung zur Einrichtung: Beginn",
"repeats": false,
"required": false
},
{
"type": "date",
"linkId": "organizationPeriod_end",
"text": "Verbindung zur Einrichtung: Ende",
"repeats": false,
"required": false
}
],
"type": "group",
"linkId": "organizationPeriod",
"text": "Von wann bis wann besteht die Verbindung zur Einrichtung?",
"repeats": false,
"required": false,
"enableBehavior": "all"
}
],
"type": "group",
"linkId": "placingGroup",
"text": "Informationen zur Unterbringung der Kontaktperson",
"repeats": false,
"required": false
},
{
"item": [
{
"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"
}
]
}
}
],
"initial": [
{
"valueCoding": {
"code": "NASK",
"system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"display": "not asked"
}
}
],
"type": "choice",
"linkId": "quarantine",
"text": "Liegt eine Anordnung zur Absonderung vor?",
"answerValueSet": "https://emiga.rki.de/fhir/ValueSet/YesNoNullFlavor",
"repeats": false,
"required": false
},
{
"enableWhen": [
{
"question": "quarantine",
"operator": "=",
"answerCoding": {
"code": "373066001",
"display": "Ja"
}
}
],
"type": "date",
"linkId": "quarantineOrder",
"text": "Wann wurde die Anordnung zur Absonderung erteilt?",
"repeats": false,
"required": false,
"enableBehavior": "all"
},
{
"enableWhen": [
{
"question": "quarantine",
"operator": "=",
"answerCoding": {
"code": "373066001",
"display": "Ja"
}
}
],
"item": [
{
"type": "date",
"linkId": "quarantinePeriod_start",
"text": "Absonderung: Beginn",
"repeats": false,
"required": false
},
{
"type": "date",
"linkId": "quarantinePeriod_end",
"text": "Absonderung: Ende",
"repeats": false,
"required": false
}
],
"type": "group",
"linkId": "quarantinePeriod",
"text": "Von wann bis wann ist die Absonderung angeordnet?",
"repeats": false,
"required": false,
"enableBehavior": "all"
}
],
"type": "group",
"linkId": "quarantineGroup",
"text": "Informationen zur Absonderung",
"repeats": false,
"required": false
},
{
"item": [
{
"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"
}
]
}
}
],
"initial": [
{
"valueCoding": {
"code": "NASK",
"system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"display": "not asked"
}
}
],
"type": "choice",
"linkId": "workingProhibition",
"text": "Liegt ein Tätigkeitsverbot vor?",
"answerValueSet": "https://emiga.rki.de/fhir/ValueSet/YesNoNullFlavor",
"repeats": false,
"required": false
},
{
"enableWhen": [
{
"question": "workingProhibition",
"operator": "=",
"answerCoding": {
"code": "373066001",
"display": "Ja"
}
}
],
"type": "date",
"linkId": "workingProhibitionOrder",
"text": "Wann wurde die Anordnung zum Tätigkeitsverbot erteilt?",
"repeats": false,
"required": false,
"enableBehavior": "all"
},
{
"enableWhen": [
{
"question": "workingProhibition",
"operator": "=",
"answerCoding": {
"code": "373066001",
"display": "Ja"
}
}
],
"item": [
{
"type": "date",
"linkId": "workingProhibitionPeriod_start",
"text": "Tätigkeitsverbot: Beginn",
"repeats": false,
"required": false
},
{
"type": "date",
"linkId": "workingProhibitionPeriod_end",
"text": "Tätigkeitsverbot: Ende",
"repeats": false,
"required": false
}
],
"type": "group",
"linkId": "workingProhibitionPeriod",
"text": "Von wann bis wann ist das Tätigkeitsverbot angeordnet?",
"repeats": false,
"required": false,
"enableBehavior": "all"
}
],
"type": "group",
"linkId": "workingProhibitionGroup",
"text": "Informationen zum Tätigkeitsverbot",
"repeats": false,
"required": false
},
{
"item": [
{
"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"
}
]
}
}
],
"initial": [
{
"valueCoding": {
"code": "NASK",
"system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"display": "not asked"
}
}
],
"type": "choice",
"linkId": "returnTraveler",
"text": "Handelt es sich bei der Kontaktperson um einen/eine Reiserückkehrer/in?",
"answerValueSet": "https://emiga.rki.de/fhir/ValueSet/YesNoNullFlavor",
"repeats": false,
"required": false
},
{
"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"
}
]
}
}
],
"enableWhen": [
{
"question": "returnTraveler",
"operator": "=",
"answerCoding": {
"code": "373066001",
"display": "Ja"
}
}
],
"item": [
{
"enableWhen": [
{
"question": "returnTraveler",
"operator": "=",
"answerCoding": {
"code": "373066001",
"display": "Ja"
}
}
],
"item": [
{
"type": "date",
"linkId": "expositionPeriod_start",
"text": "Expositionszeitraum: Beginn",
"repeats": false,
"required": false
},
{
"type": "date",
"linkId": "expositionPeriod_end",
"text": "Expositionszeitraum: Ende",
"repeats": false,
"required": false
}
],
"type": "group",
"linkId": "expositionPeriod",
"text": "Von wann bis wann war die Person am Expositionsort?",
"repeats": false,
"required": false,
"enableBehavior": "all"
}
],
"type": "choice",
"linkId": "expositionPlace",
"text": "Bitte geben Sie den Expositionsort an.",
"answerValueSet": "https://simplifier.net/rki.demis.common/geographicregion",
"repeats": false,
"required": false,
"enableBehavior": "all"
}
],
"type": "group",
"linkId": "returnTravelerGroup",
"text": "Reiserückkehrer Informationen",
"repeats": false,
"required": false
}
],
"version": "0.2.0",
"name": "ContactInformationQuestionnaire",
"title": "Kontakt Informationen",
"status": "draft",
"date": "2025-12-01",
"publisher": "Robert Koch Institute",
"copyright": "Robert Koch Institute",
"description": "\r\nKontaktspezifische Informationen werden in diesem Fragebogen zusammengestellt. \r\nDieser manifestiert sich als entsprechende QuestionaireResponse innerhalb des Kontaktereignisses.\r\n"
}