CH EKM (R4), published by Federal Office of Public Health FOPH. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/ahdis/ch-ekm/ and changes regularly. See the Directory of published versions

• Narrative Content
• XML
• JSON

Questionnaire: CH EKM Questionnaire: Mpox (assembled)

GENERATED FILE — do not edit by hand. Assembled from the modular questionnaire ChEkmQuestionnaireMpox and its sub-questionnaires via Questionnaire/$assemble (tests/assemble-questionnaire.sh). Re-run that script after changing any child questionnaire to keep this resource in sync.

Language: en;

Information Source: https://github.com/ahdis/ch-ekm/blob/master/tests/assemble-questionnaire.sh

Profile: Populatable Questionnaire - Expression

LinkID	Text	Cardinality	Type	Flags	Description & Constraints
ChEkmQuestionnaireMpoxAssembled	GENERATED FILE — do not edit by hand. Assembled from the modular questionnaire ChEkmQuestionnaireMpox and its sub-questionnaires via Questionnaire/$assemble (tests/assemble-questionnaire.sh). Re-run that script after changing any child questionnaire to keep this resource in sync.		Questionnaire		http://fhir.ch/ig/ch-ekm/Questionnaire/ChEkmQuestionnaireMpoxAssembled#0.0.1
mpox-form	Clinical findings report: mpox	0..1	group		Value Set:
person	Affected person's details	0..1	group		Value Set:
surname	Surname initial	1..1	string		Definition: ChEkmPersonForm.surname Value Set:
givenname	First name initial	1..1	string		Definition: ChEkmPersonForm.givenname Value Set:
dateOfBirth	Date of birth	1..1	date		Definition: ChEkmPersonForm.dateOfBirth Value Set:
ahvn13	OASI number (AHV)	0..1	string		Max Length: 13 Definition: ChEkmPersonForm.ahvn13 Value Set:
nationality	Nationality	0..1	choice		Definition: ChEkmPersonForm.nationality Value Set: CH EKM Country Codes (form)
zipCode	Postal code	0..1	string		Definition: ChEkmPersonForm.zipCode Value Set:
city	Place of residence	0..1	string		Definition: ChEkmPersonForm.city Value Set:
country	Country	0..1	choice		Definition: ChEkmPersonForm.country Value Set: CH EKM Country Codes (form)
canton	Canton	0..1	open-choice		Definition: ChEkmPersonForm.canton Value Set: eCH-0007 Canton Abbreviation
administrativeGender	Gender	1..1	choice		Definition: ChEkmPersonForm.administrativeGender Value Set: AdministrativeGender
manifestation-group	Diagnosis and manifestation	0..1	group		Value Set:
manifestation	Manifestations	0..1	choice		Definition: http://fhir.ch/ig/ch-ekm/StructureDefinition/ChEkmMpoxManifestationForm#ChEkmMpoxManifestationForm.manifestation Value Set: CH EKM Mpox Manifestation
manifestationBeginUnknown	Onset of manifestation unknown	0..1	boolean		Definition: ChEkmManifestationForm.manifestationBeginUnknown Value Set: Initial Value: boolean = false
manifestationBeginDate	Onset of manifestation (date)	0..1	date		Definition: ChEkmManifestationForm.manifestationBeginDate Enable When: manifestationBeginUnknown = false Value Set:
exposure	Exposure	0..1	group		Value Set:
transmission	How (route of transmission)	0..1	group		Value Set:
sexualContactPartner	Sexual contact with an infected person (gender)	0..1	choice		Definition: ChEkmGonorrhoeaExpositionForm.transmission.sexualContactPartner Value Set: AdministrativeGender
relationshipType	Type of relationship	0..1	choice		Definition: ChEkmGonorrhoeaExpositionForm.transmission.relationshipType Value Set: CH EKM Exposure Relationship Type
otherTransmission	Other route of transmission (free text)	0..1	string		Definition: ChEkmGonorrhoeaExpositionForm.transmission.otherTransmission Value Set:
unknown	Route of transmission unknown	0..1	boolean		Definition: ChEkmGonorrhoeaExpositionForm.transmission.unknown Value Set:
treatingPhysician	Treating physician	0..1	group		Value Set:
treatingPhysicianPractitioner	Treating physician	0..1	group		Value Set:
physicianGivenname	First name	1..1	string		Definition: ChEkmTreatingPhysicianPractitionerForm.givenname Value Set:
physicianSurname	Last name	1..1	string		Definition: ChEkmTreatingPhysicianPractitionerForm.surname Value Set:
physicianStreetLine	Address (street, house number)	0..1	string		Definition: ChEkmTreatingPhysicianPractitionerForm.streetLine Value Set:
physicianZipCode	Postal code	1..1	string		Definition: ChEkmTreatingPhysicianPractitionerForm.zipCode Value Set:
physicianCity	Town/city	1..1	string		Definition: ChEkmTreatingPhysicianPractitionerForm.city Value Set:
physicianPhone	Phone number	1..1	string		Definition: ChEkmTreatingPhysicianPractitionerForm.phone Value Set:
physicianEmail	Email	0..1	string		Definition: ChEkmTreatingPhysicianPractitionerForm.email Value Set:
physicianGln	GLN	0..1	string		Definition: ChEkmTreatingPhysicianPractitionerForm.gln Value Set:
treatingPhysicianOrganization	Sending organisation	0..1	group		Value Set:
orgName	Name	1..1	string		Definition: ChEkmTreatingPhysicianOrganizationForm.name Value Set:
orgDepartment	Department	0..1	string		Definition: ChEkmTreatingPhysicianOrganizationForm.department Value Set:
orgStreetLine	Address (street, house number)	0..1	string		Definition: ChEkmTreatingPhysicianOrganizationForm.streetLine Value Set:
orgZipCode	Postal code	1..1	string		Definition: ChEkmTreatingPhysicianOrganizationForm.zipCode Value Set:
orgCity	Town/city	1..1	string		Definition: ChEkmTreatingPhysicianOrganizationForm.city Value Set:
orgPhone	Phone number	1..1	string		Definition: ChEkmTreatingPhysicianOrganizationForm.phone Value Set:
orgEmail	Email	0..1	string		Definition: ChEkmTreatingPhysicianOrganizationForm.email Value Set:
orgBer	BER	0..1	string		Definition: ChEkmTreatingPhysicianOrganizationForm.ber Value Set:
orgGln	GLN	0..1	string		Definition: ChEkmTreatingPhysicianOrganizationForm.gln Value Set:
Documentation for this format