{
  "resourceType": "Questionnaire",
  "id": "KBV-PR-AW-Questionnaire-M6-2019-10",
  "url": "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Questionnaire_M6_2019_10",
  "title": "KBV Muster 6",
  "status": "draft",
  "experimental": false,
  "subjectType": [
    "Patient"
  ],
  "date": "2019-10",
  "publisher": "Kassenärztliche Bundesvereinigung",
  "description": "Vorläufige Abbildung des KBV Muster 6 Version 2019-10",
  "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. Geschlecht",
          "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 inkl Quartal",
          "type": "reference"
        },
        {
          "linkId": "1.5",
          "text": "Datum",
          "type": "date"
        }
      ]
    },
    {
      "linkId": "2",
      "text": "Administrative Daten",
      "type": "group",
      "item": [
        {
          "linkId": "2.1",
          "text": "Kurativ",
          "type": "boolean"
        },
        {
          "linkId": "2.2",
          "text": "Präventiv",
          "type": "boolean"
        },
        {
          "linkId": "2.3",
          "text": "Behandl. gemäß §116b SGB V",
          "type": "boolean"
        },
        {
          "linkId": "2.4",
          "text": "bei belegärztl. Behandlung",
          "type": "boolean"
        },
        {
          "linkId": "2.5",
          "text": "Unfall/Unfallfolgen Gruppe",
          "type": "group",
          "item": [
            {
              "linkId": "2.5.1",
              "text": "Unfall/Unfallfolgen",
              "type": "boolean"
            },
            {
              "extension": [
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                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceProfile",
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                }
              ],
              "linkId": "2.5.2",
              "text": "Unfall",
              "type": "reference"
            }
          ]
        },
        {
          "linkId": "2.6",
          "text": "OP Gruppe",
          "type": "group",
          "item": [
            {
              "linkId": "2.6.1",
              "text": "Datum der OP bei Leistungen nach Abschnitt 31.2",
              "type": "string"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceProfile",
                  "valueCanonical": "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Ambulante_Operation_General|1.3.0"
                }
              ],
              "linkId": "2.6.2",
              "text": "Referenz ambulante OP",
              "type": "reference"
            }
          ]
        },
        {
          "linkId": "2.7",
          "text": "AU Gruppe",
          "type": "group",
          "item": [
            {
              "linkId": "2.7.1",
              "text": "AU bis",
              "type": "date"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceProfile",
                  "valueCanonical": "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_AU_Composition|1.3.0"
                }
              ],
              "linkId": "2.7.2",
              "text": "Referenz AU",
              "type": "reference"
            }
          ]
        },
        {
          "linkId": "2.8",
          "text": "Überweisung Gruppe",
          "type": "group",
          "item": [
            {
              "linkId": "2.8.1",
              "text": "Überweisung an",
              "type": "string"
            },
            {
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                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceProfile",
                  "valueCanonical": "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Betriebsstaette|1.3.0"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceProfile",
                  "valueCanonical": "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Organisation|1.3.0"
                }
              ],
              "linkId": "2.8.2",
              "text": "Referenz Überweisung",
              "type": "reference"
            }
          ]
        },
        {
          "linkId": "2.9",
          "text": "Ausführung von Auftragsleistungen",
          "type": "boolean"
        },
        {
          "linkId": "2.10",
          "text": "Konsilliaruntersuchung",
          "type": "boolean"
        },
        {
          "linkId": "2.11",
          "text": "Mit-/Weiterbehandlung",
          "type": "boolean"
        },
        {
          "linkId": "2.12",
          "text": "eingeschränkter Leistungsanspruch gemäß §16 Abs. 3a SGB V",
          "type": "boolean"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceProfile",
          "valueCanonical": "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Diagnose|1.3.0"
        }
      ],
      "linkId": "3",
      "text": "Diagnose",
      "type": "reference"
    },
    {
      "linkId": "4",
      "text": "Befund/Medikation Gruppe",
      "type": "group",
      "item": [
        {
          "linkId": "4.1",
          "text": "Befund/Medikation",
          "type": "text"
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceProfile",
              "valueCanonical": "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Rezept_Medication_Compounding|1.3.0"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceProfile",
              "valueCanonical": "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Rezept_Medication_FreeText|1.3.0"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceProfile",
              "valueCanonical": "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Rezept_Medication_Ingredient|1.3.0"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceProfile",
              "valueCanonical": "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Rezept_Medication_PZN|1.3.0"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceProfile",
              "valueCanonical": "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Observation_Befund|1.3.0"
            }
          ],
          "linkId": "4.2",
          "text": "Medikationen/Befunde",
          "type": "reference"
        }
      ]
    },
    {
      "linkId": "5",
      "text": "Auftrag",
      "type": "text"
    }
  ]
}