{
  "resourceType": "Questionnaire",
  "id": "DiseaseQuestionsHIVD",
  "url": "https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsHIVD",
  "version": "1.1.2",
  "name": "DiseaseQuestionsHIVD",
  "title": "Humanes Immundefizienz-Virus (HIV): spezifische klinische und epidemiologische Angaben",
  "status": "active",
  "date": "2026-02-12",
  "description": "HIV 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": "radio-button",
                "display": "Radio Button"
              }
            ]
          }
        }
      ],
      "linkId": "firstDiagnosisGER",
      "text": "Ist dies der erste erfolgte Nachweis der HIV-Infektion in Deutschland?",
      "type": "choice",
      "required": true,
      "repeats": false,
      "answerValueSet": "https://demis.rki.de/fhir/ValueSet/yesOrNoOrUnknown",
      "item": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/regex",
              "valueString": "^19[0-9]{2}-[0-9]{2}$|^20[0-9]{2}-[0-9]{2}$|^19[0-9]{2}$|^20[0-9]{2}$"
            }
          ],
          "linkId": "lastNegTest",
          "text": "Wann wurde der letzte negative HIV-Test durchgeführt?",
          "type": "date",
          "enableWhen": [
            {
              "question": "firstDiagnosisGER",
              "operator": "=",
              "answerCoding": {
                "system": "http://snomed.info/sct",
                "code": "373066001"
              }
            }
          ],
          "required": false,
          "repeats": false
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/regex",
              "valueString": "^19[0-9]{2}-[0-9]{2}$|^20[0-9]{2}-[0-9]{2}$|^19[0-9]{2}$|^20[0-9]{2}$"
            }
          ],
          "linkId": "firstPosTest",
          "text": "Wann wurde der erste bestätigte positive HIV-Test durchgeführt?",
          "type": "date",
          "enableWhen": [
            {
              "question": "firstDiagnosisGER",
              "operator": "=",
              "answerCoding": {
                "system": "http://snomed.info/sct",
                "code": "373067005"
              }
            }
          ],
          "required": false,
          "repeats": false
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "code": "radio-button",
                "display": "Radio Button"
              }
            ]
          }
        }
      ],
      "linkId": "firstDiagnosisAbroad",
      "text": "Wurde zuvor ein positiver Test im Ausland durchgeführt?",
      "type": "choice",
      "required": true,
      "repeats": false,
      "answerValueSet": "https://demis.rki.de/fhir/ValueSet/yesOrNoOrUnknown",
      "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": "firstDiagnosisCountry",
          "text": "In welchem Land wurde dieser positive Test durchgeführt?",
          "type": "choice",
          "enableWhen": [
            {
              "question": "firstDiagnosisAbroad",
              "operator": "=",
              "answerCoding": {
                "system": "http://snomed.info/sct",
                "code": "373066001"
              }
            }
          ],
          "required": false,
          "repeats": false,
          "answerValueSet": "https://demis.rki.de/fhir/ValueSet/answerSetCountry-ISO-SNOMED"
        }
      ]
    },
    {
      "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": "countryOrigin",
      "text": "Welches ist das Herkunftsland der betroffenen Person?",
      "type": "choice",
      "required": true,
      "repeats": false,
      "answerValueSet": "https://demis.rki.de/fhir/ValueSet/answerSetCountry-ISO-SNOMED",
      "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": "regionOrigin",
          "text": "Welche ist die Herkunftsregion der betroffenen Person?",
          "type": "choice",
          "enableWhen": [
            {
              "question": "countryOrigin",
              "operator": "=",
              "answerCoding": {
                "system": "http://snomed.info/sct",
                "code": "261665006"
              }
            }
          ],
          "required": true,
          "repeats": false,
          "answerValueSet": "https://demis.rki.de/fhir/ValueSet/answerSetGeographicSubcontinent"
        }
      ]
    },
    {
      "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": "countryOfInfection",
      "text": "Welches ist das wahrscheinliche Infektionsland?",
      "type": "choice",
      "required": true,
      "repeats": false,
      "answerValueSet": "https://demis.rki.de/fhir/ValueSet/answerSetCountry-ISO-SNOMED",
      "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": "regionOfInfection",
          "text": "Welche ist die wahrscheinliche Infektionsregion?",
          "type": "choice",
          "enableWhen": [
            {
              "question": "countryOfInfection",
              "operator": "=",
              "answerCoding": {
                "system": "http://snomed.info/sct",
                "code": "261665006"
              }
            }
          ],
          "required": true,
          "repeats": false,
          "answerValueSet": "https://demis.rki.de/fhir/ValueSet/answerSetGeographicSubcontinent"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "code": "radio-button",
                "display": "Radio Button"
              }
            ]
          }
        }
      ],
      "linkId": "stadiumHIVD",
      "text": "Welches Stadium der HIV-Erkrankung liegt vor?",
      "type": "choice",
      "required": true,
      "repeats": false,
      "answerValueSet": "https://demis.rki.de/fhir/ValueSet/answerSetStadiumHIVD",
      "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": "cdcA",
          "text": "Welche Ausprägung der asymptomatischen HIV-Infektion liegt vor?",
          "type": "choice",
          "enableWhen": [
            {
              "question": "stadiumHIVD",
              "operator": "=",
              "answerCoding": {
                "system": "http://snomed.info/sct",
                "code": "91947003"
              }
            }
          ],
          "required": true,
          "repeats": true,
          "answerValueSet": "https://demis.rki.de/fhir/ValueSet/answerSetCDCAHIVD"
        },
        {
          "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": "cdcB",
          "text": "Welche Symptome einer HIV-Infektion liegen vor?",
          "type": "choice",
          "enableWhen": [
            {
              "question": "stadiumHIVD",
              "operator": "=",
              "answerCoding": {
                "system": "http://snomed.info/sct",
                "code": "81000119104"
              }
            }
          ],
          "required": true,
          "repeats": true,
          "answerValueSet": "https://demis.rki.de/fhir/ValueSet/answerSetCDCBHIVD"
        },
        {
          "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": "cdcC",
          "text": "Welche der AIDS definierenden Erkrankungen liegen vor?",
          "type": "choice",
          "enableWhen": [
            {
              "question": "stadiumHIVD",
              "operator": "=",
              "answerCoding": {
                "system": "http://snomed.info/sct",
                "code": "62479008"
              }
            }
          ],
          "required": true,
          "repeats": true,
          "answerValueSet": "https://demis.rki.de/fhir/ValueSet/answerSetCDCCHIVD"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-minQuantity",
          "valueQuantity": {
            "value": 0,
            "unit": "Anzahl pro Mikroliter",
            "system": "http://unitsofmeasure.org",
            "code": "{#}/uL"
          }
        },
        {
          "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-maxQuantity",
          "valueQuantity": {
            "value": 10000,
            "unit": "Anzahl pro Mikroliter",
            "system": "http://unitsofmeasure.org",
            "code": "{#}/uL"
          }
        }
      ],
      "linkId": "cd4",
      "text": "Höhe der CD4-T-Zellzahl zum Zeitpunkt der HIV-Diagnose (Zellzahl pro Mikroliter).",
      "type": "quantity",
      "required": false,
      "repeats": false
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-minQuantity",
          "valueQuantity": {
            "value": 1,
            "unit": "Kopien pro Milliliter",
            "system": "http://unitsofmeasure.org",
            "code": "{copies}/mL"
          }
        },
        {
          "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-maxQuantity",
          "valueQuantity": {
            "value": 100000000,
            "unit": "Kopien pro Milliliter",
            "system": "http://unitsofmeasure.org",
            "code": "{copies}/mL"
          }
        }
      ],
      "linkId": "viralLoad",
      "text": "Höhe der Viruslast zum Zeitpunkt der HIV-Diagnose (Kopien pro Milliliter).",
      "type": "quantity",
      "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": "coinfections",
      "text": "Liegen Koinfektionen vor?",
      "type": "choice",
      "required": true,
      "repeats": true,
      "answerValueSet": "https://demis.rki.de/fhir/ValueSet/answerSetCoinfectionHIVD"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "code": "radio-button",
                "display": "Radio Button"
              }
            ]
          }
        }
      ],
      "linkId": "hivPrEPStatusHIVD",
      "text": "Wurde innerhalb der letzten 12 Monate vor der HIV-Erstdiagnose eine HIV-PrEP eingenommen?",
      "type": "choice",
      "required": true,
      "repeats": false,
      "answerValueSet": "https://demis.rki.de/fhir/ValueSet/yesOrNoOrUnknown"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "code": "radio-button",
                "display": "Radio Button"
              }
            ]
          }
        }
      ],
      "linkId": "sexWork",
      "text": "Hat die betroffene Person Sexarbeit ausgeübt oder in Anspruch genommen?",
      "type": "choice",
      "required": true,
      "repeats": true,
      "answerValueSet": "https://demis.rki.de/fhir/ValueSet/answerSetSexWork"
    },
    {
      "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": "infectionPathRisk",
      "text": "Auf welchem Weg hat sich die betroffene Person wahrscheinlich infiziert?",
      "type": "choice",
      "required": true,
      "repeats": true,
      "answerValueSet": "https://demis.rki.de/fhir/ValueSet/answerSetInfectionPathHIVD",
      "item": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/regex",
              "valueString": "^19[0-9]{2}-[0-9]{2}$|^20[0-9]{2}-[0-9]{2}$|^19[0-9]{2}$|^20[0-9]{2}$"
            }
          ],
          "linkId": "bloodTransfusionDate",
          "text": "Wann wurden die Blutprodukte verabreicht?",
          "type": "date",
          "enableWhen": [
            {
              "question": "infectionPathRisk",
              "operator": "=",
              "answerCoding": {
                "system": "http://snomed.info/sct",
                "code": "409496000:704326004=5447007"
              }
            }
          ],
          "required": false,
          "repeats": false
        },
        {
          "linkId": "bloodTransfusionNote",
          "text": "Können Sie die Verabreichung der Blutprodukte näher erläutern?",
          "type": "text",
          "enableWhen": [
            {
              "question": "infectionPathRisk",
              "operator": "=",
              "answerCoding": {
                "system": "http://snomed.info/sct",
                "code": "409496000:704326004=5447007"
              }
            }
          ],
          "required": false,
          "repeats": false
        },
        {
          "linkId": "medicinalWorkerNote",
          "text": "Können Sie die berufliche Exposition näher erläutern?",
          "type": "text",
          "enableWhen": [
            {
              "question": "infectionPathRisk",
              "operator": "=",
              "answerCoding": {
                "system": "http://snomed.info/sct",
                "code": "16090731000119102"
              }
            }
          ],
          "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": "infectionSource",
          "text": "Auf welchem Wege hat sich die Person infiziert, die als Infektionsquelle vermutet wird?",
          "type": "choice",
          "enableWhen": [
            {
              "question": "infectionPathRisk",
              "operator": "=",
              "answerCoding": {
                "system": "http://snomed.info/sct",
                "code": "472986005"
              }
            },
            {
              "question": "infectionPathRisk",
              "operator": "=",
              "answerCoding": {
                "system": "http://snomed.info/sct",
                "code": "472987001"
              }
            },
            {
              "question": "infectionPathRisk",
              "operator": "=",
              "answerCoding": {
                "system": "http://snomed.info/sct",
                "code": "472988006"
              }
            },
            {
              "question": "infectionPathRisk",
              "operator": "=",
              "answerCoding": {
                "system": "http://snomed.info/sct",
                "code": "1290740005"
              }
            }
          ],
          "enableBehavior": "any",
          "required": true,
          "repeats": true,
          "answerValueSet": "https://demis.rki.de/fhir/ValueSet/answerSetInfectionPathHIVD"
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/questionnaire-item-control",
                    "code": "radio-button",
                    "display": "Radio Button"
                  }
                ]
              }
            }
          ],
          "linkId": "infectionSourceSecure",
          "text": "Ist die HIV-Infektion der Person, die als Infektionsquelle vermutet wird, gesichert?",
          "type": "choice",
          "enableWhen": [
            {
              "question": "infectionPathRisk",
              "operator": "=",
              "answerCoding": {
                "system": "http://snomed.info/sct",
                "code": "472986005"
              }
            },
            {
              "question": "infectionPathRisk",
              "operator": "=",
              "answerCoding": {
                "system": "http://snomed.info/sct",
                "code": "472987001"
              }
            },
            {
              "question": "infectionPathRisk",
              "operator": "=",
              "answerCoding": {
                "system": "http://snomed.info/sct",
                "code": "472988006"
              }
            },
            {
              "question": "infectionPathRisk",
              "operator": "=",
              "answerCoding": {
                "system": "http://snomed.info/sct",
                "code": "1290740005"
              }
            }
          ],
          "enableBehavior": "any",
          "required": true,
          "repeats": false,
          "answerValueSet": "https://demis.rki.de/fhir/ValueSet/yesOrNoOrUnknown"
        },
        {
          "linkId": "otherNote",
          "text": "Wenn Sie \"Andere\" ausgewählt haben, können Sie das näher erläutern?",
          "type": "text",
          "enableWhen": [
            {
              "question": "infectionPathRisk",
              "operator": "=",
              "answerCoding": {
                "system": "http://snomed.info/sct",
                "code": "74964007"
              }
            }
          ],
          "required": false,
          "repeats": false
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "code": "radio-button",
                "display": "Radio Button"
              }
            ]
          }
        }
      ],
      "linkId": "genderDefintion",
      "text": "Zusatzangabe zur geschlechtlichen Selbstdefinition der betroffenen Person, falls bekannt.",
      "type": "choice",
      "required": false,
      "repeats": false,
      "answerValueSet": "https://demis.rki.de/fhir/ValueSet/answerSetGenderDefinition"
    }
  ]
}