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{
  "resourceType": "Questionnaire",
  "id": "acribis-study-followup",
  "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/StructureDefinition/Questionnaire/acribis-study-followup",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "https://www.medizininformatik-initiative.de"
        }
      ]
    }
  ],
  "useContext": [
    {
      "code": {
        "code": "focus",
        "system": "http://terminology.hl7.org/CodeSystem/usage-context-type"
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "code": "734163000",
            "system": "http://snomed.info/sct",
            "display": "Clinical trial (procedure)"
          }
        ]
      }
    }
  ],
  "subjectType": [
    "Patient"
  ],
  "item": [
    {
      "linkId": "patient-id",
      "prefix": "Identifier",
      "text": "Follow-Up Patienten-ID",
      "type": "string"
    },
    {
      "answerOption": [
        {
          "valueCoding": {
            "code": "116154003",
            "system": "http://snomed.info/sct",
            "display": "Patient"
          }
        },
        {
          "valueCoding": {
            "code": "2187007",
            "system": "http://snomed.info/sct",
            "display": "Relative"
          }
        },
        {
          "valueCoding": {
            "code": "405279007",
            "system": "http://snomed.info/sct",
            "display": "Attending physician"
          }
        },
        {
          "valueCoding": {
            "code": "74964007",
            "system": "http://snomed.info/sct",
            "display": "Other"
          }
        }
      ],
      "item": [
        {
          "enableWhen": [
            {
              "question": "who-filled",
              "operator": "=",
              "answerCoding": {
                "code": "74964007",
                "system": "http://snomed.info/sct"
              }
            }
          ],
          "linkId": "who-filled-other",
          "text": "Andere Person",
          "type": "string"
        }
      ],
      "linkId": "who-filled",
      "prefix": "Angaben zur Kontaktaufnahme",
      "text": "Wer füllt den Fragebogen aus?",
      "type": "choice"
    },
    {
      "answerOption": [
        {
          "valueCoding": {
            "code": "116154003",
            "system": "http://snomed.info/sct",
            "display": "Patient"
          }
        },
        {
          "valueCoding": {
            "code": "2187007",
            "system": "http://snomed.info/sct",
            "display": "Relative"
          }
        },
        {
          "valueCoding": {
            "code": "405279007",
            "system": "http://snomed.info/sct",
            "display": "Attending physician"
          }
        },
        {
          "valueCoding": {
            "code": "74964007",
            "system": "http://snomed.info/sct",
            "display": "Other"
          }
        }
      ],
      "item": [
        {
          "enableWhen": [
            {
              "question": "phone-contact",
              "operator": "=",
              "answerCoding": {
                "code": "74964007",
                "system": "http://snomed.info/sct",
                "display": "Other"
              }
            }
          ],
          "linkId": "phone-contact-other",
          "text": "Andere Person (Telefonat)",
          "type": "string"
        }
      ],
      "linkId": "phone-contact",
      "prefix": "Angaben zur Kontaktaufnahme",
      "text": "Telefonat mit",
      "type": "choice"
    },
    {
      "linkId": "executing-staff",
      "text": "Durchführender Mitarbeiter",
      "type": "string"
    },
    {
      "linkId": "recording-date",
      "text": "Datum der Datenaufnahme (DD.MM.YYYY)",
      "type": "date"
    },
    {
      "item": [
        {
          "linkId": "call-date",
          "text": "Datum",
          "type": "date"
        },
        {
          "linkId": "call-time",
          "text": "Uhrzeit",
          "type": "time"
        },
        {
          "answerOption": [
            {
              "valueCoding": {
                "code": "Y",
                "system": "http://terminology.hl7.org/CodeSystem/v2-0532",
                "display": "Yes"
              }
            },
            {
              "valueCoding": {
                "code": "N",
                "system": "http://terminology.hl7.org/CodeSystem/v2-0532",
                "display": "No"
              }
            }
          ],
          "linkId": "call-success",
          "text": "Erfolgreich?",
          "type": "choice"
        }
      ],
      "linkId": "calls",
      "prefix": "Angaben zur Kontaktaufnahme",
      "text": "Telefonat",
      "type": "group",
      "repeats": true
    },
    {
      "linkId": "gp-contact",
      "prefix": "Kontaktaufnahme Hausarzt",
      "text": "Kontaktaufnahme Hausarzt",
      "type": "boolean"
    },
    {
      "enableWhen": [
        {
          "question": "gp-contact",
          "operator": "=",
          "answerBoolean": true
        }
      ],
      "linkId": "gp-contact-date",
      "prefix": "Kontaktaufnahme Hausarzt",
      "text": "Datum der Kontaktaufnahme",
      "type": "date"
    },
    {
      "answerOption": [
        {
          "valueCoding": {
            "code": "Y",
            "system": "http://terminology.hl7.org/CodeSystem/v2-0532",
            "display": "Yes"
          }
        },
        {
          "valueCoding": {
            "code": "N",
            "system": "http://terminology.hl7.org/CodeSystem/v2-0532",
            "display": "No"
          }
        },
        {
          "valueCoding": {
            "code": "UNK",
            "system": "http://terminology.hl7.org/CodeSystem/v2-0532",
            "display": "unknown"
          }
        },
        {
          "valueCoding": {
            "code": "NASK",
            "system": "http://terminology.hl7.org/CodeSystem/v2-0532",
            "display": "not asked"
          }
        }
      ],
      "linkId": "death-status",
      "prefix": "Angaben zum Tod",
      "text": "Tod",
      "type": "choice"
    },
    {
      "answerOption": [
        {
          "valueCoding": {
            "code": "UNK",
            "system": "http://terminology.hl7.org/CodeSystem/v2-0532",
            "display": "unknown"
          }
        },
        {
          "valueCoding": {
            "code": "NASK",
            "system": "http://terminology.hl7.org/CodeSystem/v2-0532",
            "display": "not asked"
          }
        },
        {
          "valueCoding": {
            "code": "Y",
            "system": "http://terminology.hl7.org/CodeSystem/v2-0532",
            "display": "Yes"
          }
        }
      ],
      "enableWhen": [
        {
          "answerCoding": {
            "code": "Y"
          },
          "question": "death-status",
          "operator": "="
        }
      ],
      "item": [
        {
          "enableWhen": [
            {
              "question": "death-date",
              "operator": "=",
              "answerCoding": {
                "code": "Y",
                "system": "http://terminology.hl7.org/CodeSystem/v2-0532",
                "display": "Yes"
              }
            }
          ],
          "linkId": "death-date-mm-yyyy",
          "text": "MM.YYYY",
          "type": "date"
        }
      ],
      "linkId": "death-date",
      "prefix": "Angaben zum Tod",
      "text": "Datum des Todes",
      "type": "choice"
    },
    {
      "answerOption": [
        {
          "valueCoding": {
            "code": "cardiovascular-cause",
            "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/CodeSystem/mii-cs-follow-up",
            "display": "kardiovaskulär"
          }
        },
        {
          "valueCoding": {
            "code": "no-cardiovascular-cause",
            "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/CodeSystem/mii-cs-follow-up",
            "display": "nicht kardiovaskulär"
          }
        },
        {
          "valueCoding": {
            "code": "UNK",
            "system": "http://terminology.hl7.org/CodeSystem/v2-0532",
            "display": "unknown"
          }
        },
        {
          "valueCoding": {
            "code": "NASK",
            "system": "http://terminology.hl7.org/CodeSystem/v2-0532",
            "display": "not asked"
          }
        }
      ],
      "enableWhen": [
        {
          "question": "death-status",
          "operator": "=",
          "answerCoding": {
            "code": "Y",
            "system": "http://terminology.hl7.org/CodeSystem/v2-0532",
            "display": "Yes"
          }
        }
      ],
      "linkId": "cause-of-death",
      "prefix": "Angaben zum Tod",
      "text": "Todesursache",
      "type": "choice"
    },
    {
      "answerOption": [
        {
          "valueCoding": {
            "code": "22298006",
            "system": "http://snomed.info/sct",
            "display": "Myocardial infarction"
          }
        },
        {
          "valueCoding": {
            "code": "230690007",
            "system": "http://snomed.info/sct",
            "display": "Cerebrovascular accident"
          }
        },
        {
          "valueCoding": {
            "code": "other-cardiovascular-cause",
            "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/CodeSystem/mii-cs-follow-up"
          }
        },
        {
          "valueCoding": {
            "code": "UNK",
            "system": "http://terminology.hl7.org/CodeSystem/v2-0532",
            "display": "unknown"
          }
        },
        {
          "valueCoding": {
            "code": "NASK",
            "system": "http://terminology.hl7.org/CodeSystem/v2-0532",
            "display": "not asked"
          }
        }
      ],
      "enableWhen": [
        {
          "question": "cause-of-death",
          "operator": "=",
          "answerCoding": {
            "code": "cardiovascular-cause",
            "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/CodeSystem/mii-cs-follow-up"
          }
        }
      ],
      "linkId": "cardiovascular-death-detail",
      "prefix": "Angaben zum Tod",
      "text": "Bei kardiovaskulärer Todesursache",
      "type": "choice"
    },
    {
      "enableWhen": [
        {
          "question": "cardiovascular-death-detail",
          "operator": "=",
          "answerCoding": {
            "code": "230690007",
            "system": "http://snomed.info/sct"
          }
        }
      ],
      "item": [
        {
          "linkId": "cv-death-ischemic-stroke",
          "prefix": "Angaben zum Tod",
          "text": "Ischämischer Schlaganfall",
          "type": "boolean"
        },
        {
          "linkId": "cv-death-intracerebral-bleeding",
          "text": "Intrazerebrale Blutung",
          "type": "boolean"
        },
        {
          "linkId": "cv-death-subarachnoid-bleeding",
          "text": "Subarachnoidalblutung",
          "type": "boolean"
        }
      ],
      "linkId": "cardiovascular-death-stroke-details",
      "prefix": "Angaben zum Tod",
      "text": "Details zum Schlaganfall",
      "type": "group"
    },
    {
      "answerOption": [
        {
          "valueCoding": {
            "code": "Y",
            "system": "http://terminology.hl7.org/CodeSystem/v2-0532",
            "display": "Yes"
          }
        },
        {
          "valueCoding": {
            "code": "N",
            "system": "http://terminology.hl7.org/CodeSystem/v2-0532",
            "display": "No"
          }
        },
        {
          "valueCoding": {
            "code": "UNK",
            "system": "http://terminology.hl7.org/CodeSystem/v2-0532",
            "display": "unknown"
          }
        },
        {
          "valueCoding": {
            "code": "NASK",
            "system": "http://terminology.hl7.org/CodeSystem/v2-0532",
            "display": "not asked"
          }
        }
      ],
      "linkId": "cv-events-if-not-dead",
      "prefix": "Angaben zu kardiovaskulären Ereignissen",
      "text": "Wenn nein, sind kardiovaskuläre Ereignisse aufgetreten?",
      "type": "choice"
    },
    {
      "enableWhen": [
        {
          "question": "cv-events-if-not-dead",
          "operator": "=",
          "answerCoding": {
            "code": "Y",
            "system": "http://terminology.hl7.org/CodeSystem/v2-0532",
            "display": "Yes"
          }
        }
      ],
      "linkId": "cv-event-heart-attack",
      "prefix": "Angaben zu kardiovaskulären Ereignissen",
      "text": "Herzinfarkt",
      "type": "boolean"
    },
    {
      "enableWhen": [
        {
          "question": "cv-events-if-not-dead",
          "operator": "=",
          "answerCoding": {
            "code": "Y",
            "system": "http://terminology.hl7.org/CodeSystem/v2-0532",
            "display": "Yes"
          }
        }
      ],
      "item": [
        {
          "enableWhen": [
            {
              "question": "cv-event-stroke",
              "operator": "=",
              "answerBoolean": true
            }
          ],
          "linkId": "cv-event-ischemic-stroke",
          "prefix": "Angaben zu kardiovaskulären Ereignissen",
          "text": "Ischämischer Schlaganfall",
          "type": "boolean"
        },
        {
          "enableWhen": [
            {
              "question": "cv-event-stroke",
              "operator": "=",
              "answerBoolean": true
            }
          ],
          "linkId": "cv-event-icb",
          "prefix": "Angaben zu kardiovaskulären Ereignissen",
          "text": "Intrazerebrale Blutung",
          "type": "boolean"
        },
        {
          "enableWhen": [
            {
              "question": "cv-event-stroke",
              "operator": "=",
              "answerBoolean": true
            }
          ],
          "linkId": "cv-event-sab",
          "prefix": "Angaben zu kardiovaskulären Ereignissen",
          "text": "Subarachnoidalblutung",
          "type": "boolean"
        },
        {
          "enableWhen": [
            {
              "question": "cv-event-stroke",
              "operator": "=",
              "answerBoolean": true
            }
          ],
          "linkId": "cv-event-unknown",
          "prefix": "Angaben zu kardiovaskulären Ereignissen",
          "text": "unbekannt",
          "type": "boolean"
        }
      ],
      "linkId": "cv-event-stroke",
      "prefix": "Angaben zu kardiovaskulären Ereignissen",
      "text": "Schlaganfall",
      "type": "boolean"
    },
    {
      "enableWhen": [
        {
          "question": "cv-events-if-not-dead",
          "operator": "=",
          "answerCoding": {
            "code": "Y",
            "system": "http://terminology.hl7.org/CodeSystem/v2-0532",
            "display": "Yes"
          }
        }
      ],
      "linkId": "cv-event-tia",
      "prefix": "Angaben zu kardiovaskulären Ereignissen",
      "text": "Transiente Ischämische Attacke",
      "type": "boolean"
    },
    {
      "enableWhen": [
        {
          "question": "cv-events-if-not-dead",
          "operator": "=",
          "answerCoding": {
            "code": "Y",
            "system": "http://terminology.hl7.org/CodeSystem/v2-0532",
            "display": "Yes"
          }
        }
      ],
      "linkId": "cv-event-bleeding-other",
      "prefix": "Angaben zu kardiovaskulären Ereignissen",
      "text": "Blutungsereignis (außer Intrazerebrale Blutung/Subarachnoidblutung)",
      "type": "boolean"
    },
    {
      "enableWhen": [
        {
          "question": "cv-event-bleeding-other",
          "operator": "=",
          "answerBoolean": true
        }
      ],
      "linkId": "cv-event-bleeding-other-eingabe",
      "prefix": "Angaben zu kardiovaskulären Ereignissen",
      "text": "Blutungsereignis (außer Intrazerebrale Blutung/Subarachnoidblutung):",
      "type": "string",
      "enableBehavior": "all"
    },
    {
      "enableWhen": [
        {
          "question": "cv-events-if-not-dead",
          "operator": "=",
          "answerCoding": {
            "code": "Y",
            "system": "http://terminology.hl7.org/CodeSystem/v2-0532",
            "display": "Yes"
          }
        }
      ],
      "linkId": "cv-event-other",
      "prefix": "Angaben zu kardiovaskulären Ereignissen",
      "text": "Anderes kardiovaskuläres Ereignis",
      "type": "boolean"
    },
    {
      "enableWhen": [
        {
          "question": "cv-event-other",
          "operator": "=",
          "answerBoolean": true
        }
      ],
      "linkId": "cv-event-other-eingabe",
      "prefix": "Angaben zu kardiovaskulären Ereignissen",
      "text": "Anderes kardiovaskuläres Ereignis:",
      "type": "string",
      "enableBehavior": "all"
    }
  ],
  "version": "2025.0.0",
  "name": "Acribis_Study_FollowUp",
  "title": "Acribis-Studie Follow-Up Fragebogen",
  "status": "draft",
  "experimental": true,
  "date": "2025-06-18",
  "publisher": "Medizininformatik Initiative",
  "description": "Ein Follow-Up-Fragebogen im Rahmen der Acribis-Studie."
}

name : Acribis_Study_FollowUp

{

}