{
  "resourceType": "Questionnaire",
  "id": "KBV-PR-AW-Questionnaire-M40-2014-10",
  "url": "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Questionnaire_M40_2014_10",
  "title": "KBV Muster 40",
  "status": "draft",
  "experimental": false,
  "subjectType": [
    "Patient"
  ],
  "date": "2014-10",
  "publisher": "Kassenärztliche Bundesvereinigung",
  "description": "Vorläufige Abbildung des KBV Muster 40 Version 2014-10",
  "item": [
    {
      "linkId": "1",
      "text": "Personalienfeld",
      "type": "group",
      "item": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceProfile",
              "valueCanonical": "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Patient|1.3.0"
            }
          ],
          "linkId": "1.1",
          "text": "Referenz Patient inkl. Geburtsjahr",
          "type": "reference"
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceProfile",
              "valueCanonical": "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_BehandelnderFunktion|1.3.0"
            }
          ],
          "linkId": "1.2",
          "text": "Referenz BehandelnderFunktion",
          "type": "reference"
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceProfile",
              "valueCanonical": "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Krankenversicherungsverhaeltnis|1.3.0"
            }
          ],
          "linkId": "1.3",
          "text": "Referenz Krankenversicherungsverhältnis",
          "type": "reference"
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceProfile",
              "valueCanonical": "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Begegnung|1.3.0"
            }
          ],
          "linkId": "1.4",
          "text": "Referenz Begegnung",
          "type": "reference"
        },
        {
          "linkId": "1.5",
          "text": "Datum",
          "type": "date"
        }
      ]
    },
    {
      "linkId": "2",
      "text": "Administrative Daten",
      "type": "group",
      "item": [
        {
          "linkId": "2.3",
          "text": "Tag der Untersuchung",
          "type": "string"
        }
      ]
    },
    {
      "linkId": "4",
      "text": "Anamnese",
      "type": "group",
      "item": [
        {
          "linkId": "4.1",
          "text": "Wurde bereits eine Krebsfrüherkennungsuntersuchung durchgeführt?",
          "type": "group",
          "item": [
            {
              "linkId": "4.1.1",
              "text": "nein",
              "type": "boolean"
            },
            {
              "linkId": "4.1.2",
              "text": "ja",
              "type": "boolean"
            },
            {
              "linkId": "4.1.3",
              "text": "ja, zuletzt",
              "type": "date"
            }
          ]
        },
        {
          "linkId": "5.21",
          "text": "Abgang von Blut oder Schleim mit dem Stuhl",
          "type": "group",
          "item": [
            {
              "linkId": "5.21.1",
              "text": "nein",
              "type": "boolean"
            },
            {
              "linkId": "5.21.2",
              "text": "ja",
              "type": "boolean"
            }
          ]
        },
        {
          "linkId": "5.22",
          "text": "Neu aufgetretene Unregelmäßigkeiten im Stuhlgang",
          "type": "group",
          "item": [
            {
              "linkId": "5.22.1",
              "text": "nein",
              "type": "boolean"
            },
            {
              "linkId": "5.22.2",
              "text": "ja",
              "type": "boolean"
            }
          ]
        },
        {
          "linkId": "4.52",
          "text": "Beschwerden beim Wasserlassen",
          "type": "group",
          "item": [
            {
              "linkId": "4.52.1",
              "text": "nein",
              "type": "boolean"
            },
            {
              "linkId": "4.52.2",
              "text": "ja",
              "type": "boolean"
            }
          ]
        },
        {
          "linkId": "4.53",
          "text": "Bräunlich oder rötlich gefärbter Urin",
          "type": "group",
          "item": [
            {
              "linkId": "4.53.1",
              "text": "nein",
              "type": "boolean"
            },
            {
              "linkId": "4.53.2",
              "text": "ja",
              "type": "boolean"
            }
          ]
        }
      ]
    },
    {
      "linkId": "5",
      "text": "Befund",
      "type": "group",
      "item": [
        {
          "linkId": "5.11",
          "text": "Hautwachstum, Verfärbung oder Blutung eines Pigmentfleckens oder Knotens",
          "type": "group",
          "item": [
            {
              "linkId": "5.11.1",
              "text": "nein",
              "type": "boolean"
            },
            {
              "linkId": "5.11.2",
              "text": "ja",
              "type": "boolean"
            }
          ]
        },
        {
          "linkId": "5.50",
          "text": "Äußeres Genitale auffällig",
          "type": "group",
          "item": [
            {
              "linkId": "5.50.1",
              "text": "nein",
              "type": "boolean"
            },
            {
              "linkId": "5.50.2",
              "text": "ja",
              "type": "boolean"
            }
          ]
        },
        {
          "linkId": "5.51",
          "text": "Prostata auffällig isolierte Verhärtung",
          "type": "group",
          "item": [
            {
              "linkId": "5.51.1",
              "text": "nein",
              "type": "boolean"
            },
            {
              "linkId": "5.51.2",
              "text": "ja",
              "type": "boolean"
            }
          ]
        },
        {
          "linkId": "5.52",
          "text": "Prostata auffällig totale Verhärtung",
          "type": "group",
          "item": [
            {
              "linkId": "5.52.1",
              "text": "nein",
              "type": "boolean"
            },
            {
              "linkId": "5.52.2",
              "text": "ja",
              "type": "boolean"
            }
          ]
        },
        {
          "linkId": "5.20",
          "text": "Rektum / Kolon Zusätzl. ab dem Alter von 50 Jahren",
          "type": "group",
          "item": [
            {
              "linkId": "5.23",
              "text": "Tastbefund auffällig",
              "type": "group",
              "item": [
                {
                  "linkId": "5.23.1",
                  "text": "nein",
                  "type": "boolean"
                },
                {
                  "linkId": "5.23.2",
                  "text": "ja",
                  "type": "boolean"
                }
              ]
            },
            {
              "linkId": "5.33",
              "text": "Stuhltest zurückgegeben",
              "type": "group",
              "item": [
                {
                  "linkId": "5.33.1",
                  "text": "nein",
                  "type": "boolean"
                },
                {
                  "linkId": "5.33.2",
                  "text": "ja",
                  "type": "boolean"
                }
              ]
            },
            {
              "linkId": "5.43",
              "text": "Stuhltest positiv",
              "type": "group",
              "item": [
                {
                  "linkId": "5.43.1",
                  "text": "nein",
                  "type": "boolean"
                },
                {
                  "linkId": "5.43.2",
                  "text": "ja",
                  "type": "boolean"
                }
              ]
            }
          ]
        },
        {
          "linkId": "5.53",
          "text": "Inguinale Lymphknoten auffällig",
          "type": "group",
          "item": [
            {
              "linkId": "5.53.1",
              "text": "nein",
              "type": "boolean"
            },
            {
              "linkId": "5.53.2",
              "text": "ja",
              "type": "boolean"
            }
          ]
        },
        {
          "linkId": "5.54",
          "text": "Bisher unbekannte behandlungsbedürftige Nebenbefunde",
          "type": "group",
          "item": [
            {
              "linkId": "5.54.1",
              "text": "nein",
              "type": "boolean"
            },
            {
              "linkId": "5.54.2",
              "text": "ja",
              "type": "boolean"
            }
          ]
        }
      ]
    },
    {
      "linkId": "8",
      "text": "RR bei Werten über 140/90 bitte 2. Messung eintragen",
      "type": "group",
      "item": [
        {
          "linkId": "8.1",
          "text": "1. Messung",
          "type": "group",
          "item": [
            {
              "linkId": "8.1.1",
              "text": "systolisch",
              "type": "string"
            },
            {
              "linkId": "8.1.2",
              "text": "diastolisch",
              "type": "string"
            }
          ]
        },
        {
          "linkId": "8.2",
          "text": "2. Messung",
          "type": "group",
          "item": [
            {
              "linkId": "8.2.1",
              "text": "systolisch",
              "type": "string"
            },
            {
              "linkId": "8.2.2",
              "text": "diastolisch",
              "type": "string"
            }
          ]
        }
      ]
    }
  ]
}