Er hatte sich leider bei der Beschreibung mancher Fleder verschluckt. Die habe ich dann einfach nochmal neu angelegt. Ich habe Ihnen das mal eben korrigiert. Grundsätzlich, wie auch im Handbuch beschrieben, können wir dafür aber keinen Support anbieten. Wir arbeiten aber daran, die Kontextdateien robuster zu machen und es so zu integrieren, dass die Fehler ausbleiben.
{
"title": {
"en": "Infection Questionnaire (Children)",
"default": "Infekt-Fragebogen (Kinder)"
},
"description": {
"en": "Triage questionnaire for respiratory and gastrointestinal infections. Please complete carefully.",
"default": "Triage-Fragebogen bei Infekten der Atemwege und des Magen-Darm-Trakts. Bitte sorgfältig ausfüllen."
},
"completedHtml": {
"en": "
Thank you!
Your form has been submitted.
",
"default": "
Vielen Dank!
Ihr Formular wurde übermittelt.
"
},
"pages": [
{
"name": "page_intro",
"elements": [
{
"type": "html",
"name": "intro_html",
"html": {
"en": "
This questionnaire helps us assess your child's situation. In case of severe acute breathing difficulties, please call emergency services (112).
",
"default": "
Dieser Fragebogen hilft uns, die Situation Ihres Kindes besser einzuschätzen. Bei akuter schwerer Atemnot rufen Sie bitte den Notruf (112).
"
}
}
],
"title": {
"en": "Information",
"default": "Hinweise"
}
},
{
"name": "page_child_contact",
"elements": [
{
"type": "text",
"name": "child_name",
"title": {
"en": "Child's name",
"default": "Name des Kindes"
},
"isRequired": true,
"shortTitle": "child-name"
},
{
"type": "text",
"name": "child_dob",
"title": {
"en": "Date of birth",
"default": "Geburtsdatum"
},
"isRequired": true,
"inputType": "date",
"shortTitle": "child-dob"
},
{
"type": "text",
"name": "callback_phone",
"title": {
"en": "Callback phone number",
"default": "Rückrufnummer"
},
"isRequired": true,
"inputType": "custom-phone-number",
"shortTitle": "callback-phone"
}
],
"title": {
"en": "Child & Contact",
"default": "Kind & Kontakt"
}
},
{
"name": "page_symptoms",
"elements": [
{
"type": "boolean",
"name": "dyspnea_at_rest",
"title": {
"en": "Acute shortness of breath – at rest",
"default": "Akute Luftnot – in Ruhe"
},
"shortTitle": "dyspnea-at-rest"
},
{
"type": "boolean",
"name": "dyspnea_on_exertion",
"title": {
"en": "Acute shortness of breath – on exertion",
"default": "Akute Luftnot – bei Belastung"
},
"shortTitle": "dyspnea-on-exertion"
},
{
"type": "boolean",
"name": "fever",
"title": {
"en": "Fever",
"default": "Fieber"
},
"shortTitle": "fever"
},
{
"type": "text",
"name": "fever_max_temp",
"visibleIf": "{fever} = true",
"title": {
"en": "Max temperature (°C)",
"default": "Max. Temperatur (°C)"
},
"inputType": "custom-number",
"shortTitle": "fever-max-temp",
"wfaInputType": "number"
},
{
"type": "radiogroup",
"name": "fever_continuous",
"visibleIf": "{fever} = true",
"title": {
"en": "Continuous fever since onset?",
"default": "Fieber durchgängig seit Beginn?"
},
"choices": [
{
"value": "yes",
"text": {
"en": "Yes",
"default": "Ja"
}
},
{
"value": "no",
"text": {
"en": "No",
"default": "Nein"
}
}
],
"shortTitle": "fever-continuous"
},
{
"type": "text",
"name": "fever_today",
"visibleIf": "{fever} = true",
"title": {
"en": "Temperature today (°C)",
"default": "Temperatur heute (°C)"
},
"inputType": "custom-number",
"shortTitle": "fever-today",
"wfaInputType": "number"
},
{
"type": "boolean",
"name": "fatigue",
"title": {
"en": "Pronounced fatigue",
"default": "Ausgeprägte Abgeschlagenheit"
},
"shortTitle": "fatigue"
},
{
"type": "boolean",
"name": "cough",
"title": {
"en": "Cough",
"default": "Husten"
},
"shortTitle": "cough"
},
{
"type": "boolean",
"name": "rhinitis",
"title": {
"en": "Runny/stuffy nose",
"default": "Schnupfen"
},
"shortTitle": "rhinitis"
},
{
"type": "boolean",
"name": "sore_throat",
"title": {
"en": "Sore/scratchy throat",
"default": "Halsschmerzen/-kratzen"
},
"shortTitle": "sore-throat"
},
{
"type": "boolean",
"name": "myalgia",
"title": {
"en": "Body aches",
"default": "Gliederschmerzen"
},
"shortTitle": "myalgia"
},
{
"type": "boolean",
"name": "headache",
"title": {
"en": "Headache",
"default": "Kopfschmerzen"
},
"shortTitle": "headache"
},
{
"type": "boolean",
"name": "vomiting",
"title": {
"en": "Vomiting",
"default": "Erbrechen"
},
"shortTitle": "vomiting"
},
{
"type": "text",
"name": "vomiting_frequency",
"visibleIf": "{vomiting} = true",
"title": {
"en": "Vomiting: how many times/day?",
"default": "Erbrechen: Wie oft pro Tag?"
},
"inputType": "custom-number",
"shortTitle": "vomiting-frequency",
"wfaInputType": "number"
},
{
"type": "text",
"name": "vomiting_last_time",
"visibleIf": "{vomiting} = true",
"title": {
"en": "Vomiting: when last?",
"default": "Erbrechen: Wann zuletzt?"
},
"shortTitle": "vomiting-last-time"
},
{
"type": "boolean",
"name": "diarrhea",
"title": {
"en": "Diarrhea",
"default": "Durchfall"
},
"shortTitle": "diarrhea"
},
{
"type": "boolean",
"name": "rash",
"title": {
"en": "Rash",
"default": "Ausschlag"
},
"shortTitle": "rash"
},
{
"type": "boolean",
"name": "ear_pain",
"title": {
"en": "Ear pain",
"default": "Ohrenschmerzen"
},
"shortTitle": "ear-pain"
},
{
"type": "boolean",
"name": "conjunctivitis",
"title": {
"en": "Conjunctivitis",
"default": "Bindehautentzündung"
},
"shortTitle": "conjunctivitis"
},
{
"type": "comment",
"name": "Frage1",
"title": "Beschreibung/Notizen (optional)",
"shortTitle": "frage1"
}
],
"title": {
"en": "Symptoms (past 7 days)",
"default": "Beschwerden (letzte 7 Tage)"
}
},
{
"name": "page_history",
"elements": [
{
"type": "radiogroup",
"name": "in_school",
"title": {
"en": "Is/was your child in daycare/school?",
"default": "Ist/war Ihr Kind in Kita/Schule?"
},
"choices": [
{
"value": "yes",
"text": {
"en": "Yes",
"default": "Ja"
}
},
{
"value": "no",
"text": {
"en": "No",
"default": "Nein"
}
}
],
"shortTitle": "in-school"
},
{
"type": "text",
"name": "in_school_last",
"visibleIf": "{in_school} = 'yes'",
"title": {
"en": "If yes: when last?",
"default": "Wenn ja: Wann zuletzt?"
},
"shortTitle": "in-school-last"
},
{
"type": "radiogroup",
"name": "covid_test_done",
"title": {
"en": "Has a COVID-19 rapid test been performed on the child?",
"default": "Covid-19-Schnelltest beim Kind erfolgt?"
},
"choices": [
{
"value": "yes",
"text": {
"en": "Yes",
"default": "Ja"
}
},
{
"value": "no",
"text": {
"en": "No",
"default": "Nein"
}
}
],
"shortTitle": "covid-test-done"
},
{
"type": "text",
"name": "covid_test_date",
"visibleIf": "{covid_test_done} = 'yes'",
"title": {
"en": "If yes: test date",
"default": "Wenn ja: Datum des Tests"
},
"inputType": "date",
"shortTitle": "covid-test-date"
},
{
"type": "radiogroup",
"name": "covid_result",
"visibleIf": "{covid_test_done} = 'yes'",
"title": {
"en": "Test result",
"default": "Ergebnis des Tests"
},
"choices": [
{
"value": "positive",
"text": {
"en": "Positive",
"default": "Positiv"
}
},
{
"value": "negative",
"text": {
"en": "Negative",
"default": "Negativ"
}
}
],
"shortTitle": "covid-result"
},
{
"type": "radiogroup",
"name": "family_sick",
"title": {
"en": "Is anyone in the household currently ill?",
"default": "Ist in der Familie aktuell jemand krank?"
},
"choices": [
{
"value": "yes",
"text": {
"en": "Yes",
"default": "Ja"
}
},
{
"value": "no",
"text": {
"en": "No",
"default": "Nein"
}
}
],
"shortTitle": "family-sick"
},
{
"type": "comment",
"name": "Frage2",
"visibleIf": "{family_sick} = 'yes'",
"title": "Wenn ja: Wer, wann, was?",
"shortTitle": "frage2"
},
{
"type": "comment",
"name": "Frage3",
"title": "Weitere Bemerkungen (optional)",
"shortTitle": "frage3"
}
],
"title": {
"en": "Further history",
"default": "Weitere Anamnese"
}
},
{
"name": "page_signature",
"elements": [
{
"type": "boolean",
"name": "confirm_truth",
"title": {
"en": "I confirm that the information provided is accurate.",
"default": "Ich bestätige die Richtigkeit der Angaben."
},
"isRequired": true,
"shortTitle": "confirm-truth"
},
{
"type": "text",
"name": "form_date",
"title": {
"en": "Date",
"default": "Datum"
},
"isRequired": true,
"inputType": "date",
"shortTitle": "form-date"
},
{
"type": "signaturepad",
"name": "signature",
"title": {
"en": "Signature",
"default": "Unterschrift"
},
"isRequired": true
}
],
"title": {
"en": "Confirmation & Signature",
"default": "Bestätigung & Unterschrift"
}
}
]
}
