2025.2.0 - ci-build
IGTTPFHIRGatewaygICS - Local Development build (v2025.2.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
: ConsentModule-example-1 - JSON Representation
| Draft as of 2026-02-25 |
{
"resourceType" : "Questionnaire",
"id" : "ConsentModule-example-1",
"meta" : {
"extension" : [
{
"url" : "https://ths-greifswald.de/fhir/StructureDefinition/gics/Created",
"valueInstant" : "2020-01-02T04:05:06+01:00"
}
],
"profile" : [
🔗 "https://ths-greifswald.de/fhir/gics/StructureDefinition/ConsentModule"
]
},
"language" : "de",
"text" : {
"status" : "extensions",
"div" : "<div xml:lang=\"de\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"de\"><p class=\"res-header-id\"><b>Generated Narrative: Questionnaire ConsentModule-example-1</b></p><a name=\"ConsentModule-example-1\"> </a><a name=\"hcConsentModule-example-1\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Language: de</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ConsentModule.html\">Consent Module</a></p></div><table border=\"1\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The linkID for the item\">LinkID</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Text for the item\">Text</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the item can appear in the instance\">Cardinality</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The type of the item\">Type</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the item\">Description & Constraints</a><span style=\"float: right\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_q_root.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"QuestionnaireRoot\" class=\"hierarchy\"/> BIOMAT_erheben_lagern_nutzen</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Questionnaire</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">https://ths-greifswald.de/fhir/gics/Questionnaire/ConsentModule-example-1#2025.2.0</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" id=\"item.BIOMAT_erheben_lagern_nutzen|1.6\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> BIOMAT_erheben_lagern_nutzen|1.6</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">null</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
},
"url" : "https://ths-greifswald.de/fhir/gics/Questionnaire/ConsentModule-example-1",
"version" : "2025.2.0",
"name" : "BIOMAT_erheben_lagern_nutzen",
"status" : "draft",
"date" : "2026-02-25T17:02:58+01:00",
"publisher" : "Unabhängige Treuhandstelle der Universitätsmedizin Greifswald",
"contact" : [
{
"name" : "Unabhängige Treuhandstelle der Universitätsmedizin Greifswald",
"telecom" : [
{
"system" : "url",
"value" : "https://www.ths-greifswald.de/"
}
]
}
],
"useContext" : [
{
"code" : {
"system" : "http://fhir.de/ConsentManagement/CodeSystem/QuestionnaireComponents",
"code" : "TemplateModule"
},
"valueReference" : {
"reference" : "ResearchStudy/6048563-3f7f6-42f3-9752-fb6bd3feffc6"
}
}
],
"item" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/designNote",
"valueMarkdown" : "erheben, lagern, nutzen, eigentum übertragen, analysedaten zusammenführen"
},
{
"id" : "36512b3f-994a-4010-b7d5-aac90a5b5b3a",
"extension" : [
{
"url" : "reference",
"valueReference" : {
"reference" : "ActivityDefinition/b320c204-4b4e-4dd8-a11e-d29cc37d6535"
}
}
],
"url" : "https://ths-greifswald.de/fhir/StructureDefinition/gics/ConsentPolicyReference"
},
{
"id" : "725f3ff0-4d31-42af-8e62-244cea523ec1",
"extension" : [
{
"url" : "reference",
"valueReference" : {
"reference" : "ActivityDefinition/cf816922-e849-49f0-bc65-33a9e6f277ae"
}
}
],
"url" : "https://ths-greifswald.de/fhir/StructureDefinition/gics/ConsentPolicyReference"
},
{
"id" : "f33a4ce5-f875-4f1b-838f-b90c51260246",
"extension" : [
{
"url" : "reference",
"valueReference" : {
"reference" : "ActivityDefinition/e7f37956-eea7-41a4-8f8b-e268b522508b"
}
}
],
"url" : "https://ths-greifswald.de/fhir/StructureDefinition/gics/ConsentPolicyReference"
},
{
"id" : "92f53938-0e96-4572-af94-23ea6a5db17d",
"extension" : [
{
"url" : "reference",
"valueReference" : {
"reference" : "ActivityDefinition/ad258a43-1e03-42c4-b535-5c8c69ef2df2"
}
}
],
"url" : "https://ths-greifswald.de/fhir/StructureDefinition/gics/ConsentPolicyReference"
},
{
"id" : "6250957d-ca69-4887-9f5a-1cb6e142bc95",
"extension" : [
{
"url" : "reference",
"valueReference" : {
"reference" : "ActivityDefinition/a5f323ef-5915-4771-bba2-614ea0a600fb"
}
}
],
"url" : "https://ths-greifswald.de/fhir/StructureDefinition/gics/ConsentPolicyReference"
},
{
"url" : "https://ths-greifswald.de/fhir/StructureDefinition/gics/QuestionnaireLabel",
"valueString" : "BIOMAT_erheben_lagern_nutzen"
},
{
"extension" : [
{
"url" : "key",
"valueString" : "mii_question_oid"
},
{
"url" : "value",
"valueString" : "2.16.840.1.113883.3.1937.777.24.5.3.18"
}
],
"url" : "https://ths-greifswald.de/fhir/StructureDefinition/gics/ExternalProperty"
}
],
"linkId" : "BIOMAT_erheben_lagern_nutzen|1.6",
"_text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString" : "<div style=\"text-align: justify;\">Ich willige ein in die Gewinnung, Lagerung und wissenschaftliche Nutzung meiner <strong>Biomaterialien </strong>(Gewebe und Körperflüssigkeiten), wie in Punkt 3.1 bis 3.3 der Einwilligungserklärung und Punkt 3 der Patienteninformation beschrieben.</div>"
}
]
},
"type" : "choice"
}
]
}