{ "resourceType" : "Questionnaire", "id" : "ChEkmQuestionnaireMpox", "meta" : { "profile" : ["http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-modular", "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-pop-exp"] }, "language" : "en", "text" : { "status" : "extensions", "div" : "

Generated Narrative: Questionnaire ChEkmQuestionnaireMpox

Language: en

Profiles: SDC Modular Questionnaire, Populatable Questionnaire - Expression

\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
LinkIDTextCardinalityTypeFlagsDescription & Constraints\"doco\"
\".\"\".\" ChEkmQuestionnaireMpoxQuestionnairehttp://fhir.ch/ig/ch-ekm/Questionnaire/ChEkmQuestionnaireMpox#0.0.1
\".\"\".\"\".\" mpox-formClinical findings report: mpox0..1group
\".\"\".\"\".\"\".\" personAffected person's details0..1group
\".\"\".\"\".\"\".\"\".\" personNameName0..1display
\".\"\".\"\".\"\".\"\".\" personGeneralGeneral information0..1display
\".\"\".\"\".\"\".\" manifestation-groupDiagnosis and manifestation0..1group
\".\"\".\"\".\"\".\"\".\" manifestationManifestations0..1choice\"icon\"/\"icon\"/Definition: http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmMpoxManifestationForm#ChEkmMpoxManifestationForm.manifestation
Value Set: CH EKM Mpox Manifestation
\".\"\".\"\".\"\".\"\".\" manifestationBeginUnknownOnset of manifestation unknown0..1display
\".\"\".\"\".\"\".\" exposureExposure0..1group
\".\"\".\"\".\"\".\"\".\" transmissionhowExposition (how)0..1display
\".\"\".\"\".\"\".\" treatingPhysicianTreating physician0..1display

\"doco\" Documentation for this format
" }, "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assemble-expectation", "valueCode" : "assemble-root" }, { "url" : "http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm", "valueCoding" : { "system" : "http://hl7.org/fhir/version-algorithm", "code" : "semver" } }, { "extension" : [{ "url" : "name", "valueCoding" : { "system" : "http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext", "code" : "patient", "display" : "Patient" } }, { "url" : "type", "valueCode" : "Patient" }, { "url" : "description", "valueString" : "The patient to pre-populate the form with" }], "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext" }, { "extension" : [{ "url" : "name", "valueCoding" : { "system" : "http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext", "code" : "user", "display" : "User" } }, { "url" : "type", "valueCode" : "PractitionerRole" }, { "url" : "description", "valueString" : "The treating physician's PractitionerRole (practitioner + sending organization) to pre-populate the form with" }], "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext" }], "url" : "http://fhir.ch/ig/ch-ekm/Questionnaire/ChEkmQuestionnaireMpox", "version" : "0.0.1", "name" : "ChEkmQuestionnaireMpox", "status" : "active", "experimental" : false, "subjectType" : ["Patient"], "date" : "2026-07-14T21:00:26+00:00", "publisher" : "Federal Office of Public Health FOPH", "contact" : [{ "name" : "Federal Office of Public Health FOPH", "telecom" : [{ "system" : "url", "value" : "https://www.bag.admin.ch/bag/en/home/das-bag/kontakt-standort.html" }] }], "jurisdiction" : [{ "coding" : [{ "system" : "urn:iso:std:iso:3166", "code" : "CH" }] }], "copyright" : "CC0-1.0", "item" : [{ "linkId" : "mpox-form", "text" : "Clinical findings report: mpox", "_text" : { "extension" : [{ "extension" : [{ "url" : "lang", "valueCode" : "de-CH" }, { "url" : "content", "valueString" : "Meldung zum klinischen Befund: Mpox" }], "url" : "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension" : [{ "url" : "lang", "valueCode" : "fr-CH" }, { "url" : "content", "valueString" : "Déclaration de résultat clinique : Mpox" }], "url" : "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension" : [{ "url" : "lang", "valueCode" : "it-CH" }, { "url" : "content", "valueString" : "Notifica del referto clinico: Mpox" }], "url" : "http://hl7.org/fhir/StructureDefinition/translation" }] }, "type" : "group", "item" : [{ "linkId" : "person", "text" : "Affected person's details", "_text" : { "extension" : [{ "extension" : [{ "url" : "lang", "valueCode" : "de-CH" }, { "url" : "content", "valueString" : "Angaben zur betroffenen Person" }], "url" : "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension" : [{ "url" : "lang", "valueCode" : "fr-CH" }, { "url" : "content", "valueString" : "Données relatives à la personne concernée" }], "url" : "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension" : [{ "url" : "lang", "valueCode" : "it-CH" }, { "url" : "content", "valueString" : "Dati relativi alla persona interessata" }], "url" : "http://hl7.org/fhir/StructureDefinition/translation" }] }, "type" : "group", "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-subQuestionnaire", "valueCanonical" : "http://fhir.ch/ig/ch-ekm/Questionnaire/ChEkmQuestionnairePersonName" }], "linkId" : "personName", "text" : "Name", "type" : "display" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-subQuestionnaire", "valueCanonical" : "http://fhir.ch/ig/ch-ekm/Questionnaire/ChEkmQuestionnairePersonGeneral" }], "linkId" : "personGeneral", "text" : "General information", "type" : "display" }] }, { "linkId" : "manifestation-group", "text" : "Diagnosis and manifestation", "_text" : { "extension" : [{ "extension" : [{ "url" : "lang", "valueCode" : "de-CH" }, { "url" : "content", "valueString" : "Diagnose und Manifestation" }], "url" : "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension" : [{ "url" : "lang", "valueCode" : "fr-CH" }, { "url" : "content", "valueString" : "Diagnostic et manifestation" }], "url" : "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension" : [{ "url" : "lang", "valueCode" : "it-CH" }, { "url" : "content", "valueString" : "Diagnosi e manifestazione" }], "url" : "http://hl7.org/fhir/StructureDefinition/translation" }] }, "type" : "group", "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation", "valueCode" : "horizontal" }, { "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "radio-button" }] } }], "linkId" : "manifestation", "definition" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmMpoxManifestationForm#ChEkmMpoxManifestationForm.manifestation", "text" : "Manifestations", "_text" : { "extension" : [{ "extension" : [{ "url" : "lang", "valueCode" : "de-CH" }, { "url" : "content", "valueString" : "Manifestationen" }], "url" : "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension" : [{ "url" : "lang", "valueCode" : "fr-CH" }, { "url" : "content", "valueString" : "Manifestations" }], "url" : "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension" : [{ "url" : "lang", "valueCode" : "it-CH" }, { "url" : "content", "valueString" : "Manifestazioni" }], "url" : "http://hl7.org/fhir/StructureDefinition/translation" }] }, "type" : "choice", "answerValueSet" : "http://fhir.ch/ig/ch-ekm/ValueSet/ChEkmMpoxManifestation", "_answerValueSet" : { "extension" : [{ "extension" : [{ "url" : "name", "valueCode" : "useSupplement" }, { "url" : "expression", "valueString" : "http://fhir.ch/ig/ch-ekm/CodeSystem/ch-ekm-snomed-language-supplement" }], "url" : "http://hl7.org/fhir/tools/StructureDefinition/binding-parameter" }] } }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-subQuestionnaire", "valueCanonical" : "http://fhir.ch/ig/ch-ekm/Questionnaire/ChEkmQuestionnaireManifestationBeginUnknown" }], "linkId" : "manifestationBeginUnknown", "text" : "Onset of manifestation unknown", "type" : "display" }] }, { "linkId" : "exposure", "text" : "Exposure", "_text" : { "extension" : [{ "extension" : [{ "url" : "lang", "valueCode" : "de-CH" }, { "url" : "content", "valueString" : "Exposition" }], "url" : "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension" : [{ "url" : "lang", "valueCode" : "fr-CH" }, { "url" : "content", "valueString" : "Exposition" }], "url" : "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension" : [{ "url" : "lang", "valueCode" : "it-CH" }, { "url" : "content", "valueString" : "Esposizione" }], "url" : "http://hl7.org/fhir/StructureDefinition/translation" }] }, "type" : "group", "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-subQuestionnaire", "valueCanonical" : "http://fhir.ch/ig/ch-ekm/Questionnaire/ChEkmQuestionnaireTransmissionHow" }], "linkId" : "transmissionhow", "text" : "Exposition (how)", "type" : "display" }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-subQuestionnaire", "valueCanonical" : "http://fhir.ch/ig/ch-ekm/Questionnaire/ChEkmQuestionnaireTreatingPhysician" }], "linkId" : "treatingPhysician", "text" : "Treating physician", "type" : "display" }] }] }