{
  "resourceType": "Questionnaire",
  "id": "DiseaseQuestionsHCVD",
  "url": "https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsHCVD",
  "version": "1.4.0",
  "name": "DiseaseQuestionsHCVD",
  "title": "Hepatitis C: spezifische klinische und epidemiologische Angaben",
  "status": "active",
  "date": "2024-12-13",
  "description": "Hepatitis C spezifische Informationsbedarfe werden in diesem meldetatbestandsspezifischen Fragebogen zusammengestellt. Dieser manifestiert sich als entsprechende QuestionnaireResponse innerhalb der Meldung.",
  "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": "nationalityGroup",
      "type": "group",
      "required": true,
      "repeats": false,
      "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": "nationality",
          "text": "Welche Staatsangehörigkeit hat die betroffene Person?",
          "type": "choice",
          "required": true,
          "repeats": false,
          "answerValueSet": "https://demis.rki.de/fhir/ValueSet/answerSetCountry",
          "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": "drop-down",
                    "display": "Drop down"
                  }
                ]
              }
            }
          ],
          "linkId": "countryOfBirth",
          "text": "Welcher ist der Geburtsstaat der betroffenen Person?",
          "type": "choice",
          "required": true,
          "repeats": false,
          "answerValueSet": "https://demis.rki.de/fhir/ValueSet/answerSetCountry",
          "initial": [
            {
              "valueCoding": {
                "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
                "code": "NASK",
                "display": "not asked"
              }
            }
          ]
        },
        {
          "linkId": "yearOfEntry",
          "text": "Jahr der Einreise in Deutschland",
          "type": "date",
          "enableWhen": [
            {
              "question": "countryOfBirth",
              "operator": "!=",
              "answerCoding": {
                "system": "urn:iso:std:iso:3166",
                "code": "DE"
              }
            },
            {
              "question": "countryOfBirth",
              "operator": "!=",
              "answerCoding": {
                "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
                "code": "ASKU"
              }
            },
            {
              "question": "countryOfBirth",
              "operator": "!=",
              "answerCoding": {
                "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
                "code": "NASK"
              }
            }
          ],
          "enableBehavior": "all",
          "required": false,
          "repeats": false
        }
      ]
    },
    {
      "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": "stadium",
      "text": "Welches Stadium der Infektion liegt vor?",
      "type": "choice",
      "required": true,
      "repeats": false,
      "answerValueSet": "https://demis.rki.de/fhir/ValueSet/answerSetStadiumHCVD",
      "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": "drop-down",
                    "display": "Drop down"
                  }
                ]
              }
            }
          ],
          "linkId": "acute",
          "text": "Akute Infektion aufgrund",
          "type": "choice",
          "enableWhen": [
            {
              "question": "stadium",
              "operator": "=",
              "answerCoding": {
                "system": "http://snomed.info/sct",
                "code": "773114002"
              }
            }
          ],
          "required": true,
          "repeats": false,
          "answerValueSet": "https://demis.rki.de/fhir/ValueSet/answerSetAcuteHCVD",
          "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": "drop-down",
                "display": "Drop down"
              }
            ]
          }
        }
      ],
      "linkId": "liverCirrhosis",
      "text": "Hat der Fall eine Leberzirrhose (Befund liegt dem Meldenden vor)?",
      "type": "choice",
      "required": true,
      "repeats": false,
      "answerValueSet": "https://demis.rki.de/fhir/ValueSet/yesOrNoOrNoInformation",
      "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": "drop-down",
                "display": "Drop down"
              }
            ]
          }
        }
      ],
      "linkId": "diagnosisKnown",
      "text": "Ist eine Hepatitis-C-Diagnose aktenkundig?",
      "type": "choice",
      "required": true,
      "repeats": false,
      "answerValueSet": "https://demis.rki.de/fhir/ValueSet/yesOrNoOrNoInformation",
      "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": "drop-down",
                "display": "Drop down"
              }
            ]
          }
        }
      ],
      "linkId": "infectionPathKind",
      "text": "Auf welchem Weg hat sich die betroffene Person wahrscheinlich infiziert?",
      "type": "choice",
      "required": true,
      "repeats": true,
      "answerValueSet": "https://demis.rki.de/fhir/ValueSet/answerSetInfectionPathHCVD",
      "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": "drop-down",
                    "display": "Drop down"
                  }
                ]
              }
            }
          ],
          "linkId": "inPrison",
          "text": "Während eines Haftaufenthaltes?",
          "type": "choice",
          "enableWhen": [
            {
              "question": "infectionPathKind",
              "operator": "=",
              "answerCoding": {
                "system": "http://snomed.info/sct",
                "code": "409496000:{704326004=365984004}"
              }
            }
          ],
          "required": true,
          "repeats": false,
          "answerValueSet": "https://demis.rki.de/fhir/ValueSet/yesOrNoOrNoInformation",
          "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": "drop-down",
                    "display": "Drop down"
                  }
                ]
              }
            }
          ],
          "linkId": "sexualContact",
          "text": "War der Sexualpartner/die Sexualpartnerin bekanntermaßen Hepatitis C infiziert?",
          "type": "choice",
          "enableWhen": [
            {
              "question": "infectionPathKind",
              "operator": "=",
              "answerCoding": {
                "system": "http://snomed.info/sct",
                "code": "409496000:{704326004=225531006}"
              }
            },
            {
              "question": "infectionPathKind",
              "operator": "=",
              "answerCoding": {
                "system": "http://snomed.info/sct",
                "code": "409496000:{704326004=1288017002}"
              }
            }
          ],
          "enableBehavior": "any",
          "required": true,
          "repeats": false,
          "answerValueSet": "https://demis.rki.de/fhir/ValueSet/yesOrNoOrNoInformation",
          "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": "drop-down",
                    "display": "Drop down"
                  }
                ]
              }
            }
          ],
          "linkId": "transmissionKind",
          "text": "Welche Form der nosokomialen Übertragung ist der wahrscheinliche Infektionsweg?",
          "type": "choice",
          "enableWhen": [
            {
              "question": "infectionPathKind",
              "operator": "=",
              "answerCoding": {
                "system": "http://snomed.info/sct",
                "code": "409496000:{704326004=408678008}"
              }
            }
          ],
          "required": true,
          "repeats": true,
          "answerValueSet": "https://demis.rki.de/fhir/ValueSet/answerSetTransmissionKindHCVD",
          "initial": [
            {
              "valueCoding": {
                "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
                "code": "NASK",
                "display": "not asked"
              }
            }
          ],
          "item": [
            {
              "linkId": "receiptBloodProductsDate",
              "text": "Jahr und Monat des Erhalts von Blutprodukten",
              "type": "date",
              "enableWhen": [
                {
                  "question": "transmissionKind",
                  "operator": "=",
                  "answerCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "409496000:{704326004=5447007}"
                  }
                }
              ],
              "required": false,
              "repeats": false
            },
            {
              "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": "receiptBloodProductsUnknownDate",
              "text": "Falls genaues Datum unbekannt",
              "type": "choice",
              "enableWhen": [
                {
                  "question": "transmissionKind",
                  "operator": "=",
                  "answerCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "409496000:{704326004=5447007}"
                  }
                }
              ],
              "required": true,
              "repeats": false,
              "answerValueSet": "https://demis.rki.de/fhir/ValueSet/answerSetBeforeOrAfter1991",
              "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": "drop-down",
                "display": "Drop down"
              }
            ]
          }
        }
      ],
      "linkId": "outbreak",
      "text": "Kann der gemeldete Fall einem Ausbruch zugeordnet werden?",
      "type": "choice",
      "required": true,
      "repeats": false,
      "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": "outbreakNote",
          "text": "Fallbezogene Zusatzinformationen zum Ausbruch",
          "type": "text",
          "enableWhen": [
            {
              "question": "outbreak",
              "operator": "=",
              "answerCoding": {
                "system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer",
                "code": "yes"
              }
            }
          ],
          "required": false,
          "repeats": false
        },
        {
          "linkId": "outbreakNotificationId",
          "text": "Notification-Id der zugehörigen Ausbruchsmeldung",
          "type": "reference",
          "enableWhen": [
            {
              "question": "outbreak",
              "operator": "=",
              "answerCoding": {
                "system": "https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer",
                "code": "yes"
              }
            }
          ],
          "required": false,
          "repeats": false
        }
      ]
    }
  ]
}