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 - XML Representation
| Draft as of 2026-02-25 |
<Questionnaire xmlns="http://hl7.org/fhir">
<id value="ConsentModule-example-1"/>
<meta>
<extension
url="https://ths-greifswald.de/fhir/StructureDefinition/gics/Created">
<valueInstant value="2020-01-02T04:05:06+01:00"/>
</extension>
<profile
value="https://ths-greifswald.de/fhir/gics/StructureDefinition/ConsentModule"/>
</meta>
<language value="de"/>
<text>
<status value="extensions"/>
<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>
<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>
<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>
</text>
<url
value="https://ths-greifswald.de/fhir/gics/Questionnaire/ConsentModule-example-1"/>
<version value="2025.2.0"/>
<name value="BIOMAT_erheben_lagern_nutzen"/>
<status value="draft"/>
<date value="2026-02-25T17:02:58+01:00"/>
<publisher
value="Unabhängige Treuhandstelle der Universitätsmedizin Greifswald"/>
<contact>
<name
value="Unabhängige Treuhandstelle der Universitätsmedizin Greifswald"/>
<telecom>
<system value="url"/>
<value value="https://www.ths-greifswald.de/"/>
</telecom>
</contact>
<useContext>
<code>
<system
value="http://fhir.de/ConsentManagement/CodeSystem/QuestionnaireComponents"/>
<code value="TemplateModule"/>
</code>
<valueReference>
<reference value="ResearchStudy/6048563-3f7f6-42f3-9752-fb6bd3feffc6"/>
</valueReference>
</useContext>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/designNote">
<valueMarkdown
value="erheben, lagern, nutzen, eigentum übertragen, analysedaten zusammenführen"/>
</extension>
<extension
url="https://ths-greifswald.de/fhir/StructureDefinition/gics/ConsentPolicyReference" id="36512b3f-994a-4010-b7d5-aac90a5b5b3a">
<extension url="reference">
<valueReference>
<reference
value="ActivityDefinition/b320c204-4b4e-4dd8-a11e-d29cc37d6535"/>
</valueReference>
</extension>
</extension>
<extension
url="https://ths-greifswald.de/fhir/StructureDefinition/gics/ConsentPolicyReference" id="725f3ff0-4d31-42af-8e62-244cea523ec1">
<extension url="reference">
<valueReference>
<reference
value="ActivityDefinition/cf816922-e849-49f0-bc65-33a9e6f277ae"/>
</valueReference>
</extension>
</extension>
<extension
url="https://ths-greifswald.de/fhir/StructureDefinition/gics/ConsentPolicyReference" id="f33a4ce5-f875-4f1b-838f-b90c51260246">
<extension url="reference">
<valueReference>
<reference
value="ActivityDefinition/e7f37956-eea7-41a4-8f8b-e268b522508b"/>
</valueReference>
</extension>
</extension>
<extension
url="https://ths-greifswald.de/fhir/StructureDefinition/gics/ConsentPolicyReference" id="92f53938-0e96-4572-af94-23ea6a5db17d">
<extension url="reference">
<valueReference>
<reference
value="ActivityDefinition/ad258a43-1e03-42c4-b535-5c8c69ef2df2"/>
</valueReference>
</extension>
</extension>
<extension
url="https://ths-greifswald.de/fhir/StructureDefinition/gics/ConsentPolicyReference" id="6250957d-ca69-4887-9f5a-1cb6e142bc95">
<extension url="reference">
<valueReference>
<reference
value="ActivityDefinition/a5f323ef-5915-4771-bba2-614ea0a600fb"/>
</valueReference>
</extension>
</extension>
<extension
url="https://ths-greifswald.de/fhir/StructureDefinition/gics/QuestionnaireLabel">
<valueString value="BIOMAT_erheben_lagern_nutzen"/>
</extension>
<extension
url="https://ths-greifswald.de/fhir/StructureDefinition/gics/ExternalProperty">
<extension url="key">
<valueString value="mii_question_oid"/>
</extension>
<extension url="value">
<valueString value="2.16.840.1.113883.3.1937.777.24.5.3.18"/>
</extension>
</extension>
<linkId value="BIOMAT_erheben_lagern_nutzen|1.6"/>
<text>
<extension
url="http://hl7.org/fhir/StructureDefinition/rendering-xhtml">
<valueString
value="<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>"/>
</extension>
</text>
<type value="choice"/>
</item>
</Questionnaire>