0.1.0 - ci-build
RarecareFHIRIG - Local Development build (v0.1.0). See the Directory of published versions
{
"resourceType" : "Questionnaire",
"id" : "shwachman-diamond-syndrome-questionnaire",
"meta" : {
"profile" : [
"http://rarecare.world/fhir/StructureDefinition/participation-questionnaire"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><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 : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The linkId for the item\">LinkId</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Text for the item\">Text</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the the itemcan appear in the instance\">Cardinality</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The type of the item\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the item\">Description & Constraints</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" 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 : 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\"/> </td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Questionnaire</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.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\"/> d210</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Undertaking a single task</td><td style=\"vertical-align: top; text-align : 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 : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#coding\">coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"null#item.d210\">7 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> d240</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Handling stress and other psychological demands</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#coding\">coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"null#item.d240\">7 options</a></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 : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" 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\"/> d4751</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Driving motorized vehicles</td><td style=\"vertical-align: top; text-align : 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 : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#coding\">coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"null#item.d4751\">7 options</a></td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
},
"url" : "https://rarecare.world/fhir/Questionnaire/shwachman-diamond-syndrome",
"version" : "0.1.0",
"title" : "Participation and Activities Questionnaire for Shwachman Diamond Syndrome",
"status" : "draft",
"subjectType" : [
"Patient"
],
"date" : "2021-06-18T17:19:10+02:00",
"item" : [
{
"linkId" : "d210",
"code" : [
{
"system" : "http://hl7.org/fhir/sid/icf-nl",
"code" : "d210",
"display" : "Undertaking a single task"
}
],
"text" : "Undertaking a single task",
"type" : "choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://hl7.org/fhir/sid/icf-nl",
"code" : "d210.0",
"display" : "No problem (0-4%)"
}
},
{
"valueCoding" : {
"system" : "http://hl7.org/fhir/sid/icf-nl",
"code" : "d210.1",
"display" : "Mild problem (5-24%)"
}
},
{
"valueCoding" : {
"system" : "http://hl7.org/fhir/sid/icf-nl",
"code" : "d210.2",
"display" : "Moderate problem (25-49%)"
}
},
{
"valueCoding" : {
"system" : "http://hl7.org/fhir/sid/icf-nl",
"code" : "d210.3",
"display" : "Servere problem (50-95%)"
}
},
{
"valueCoding" : {
"system" : "http://hl7.org/fhir/sid/icf-nl",
"code" : "d210.4",
"display" : "Complete problem (96-100%)"
}
},
{
"valueCoding" : {
"system" : "http://hl7.org/fhir/sid/icf-nl",
"code" : "d210.8",
"display" : "not specified"
}
},
{
"valueCoding" : {
"system" : "http://hl7.org/fhir/sid/icf-nl",
"code" : "d210.9",
"display" : "not applicable"
}
}
]
},
{
"linkId" : "d240",
"code" : [
{
"system" : "http://hl7.org/fhir/sid/icf-nl",
"code" : "d240",
"display" : "Handling stress and other psychological demands"
}
],
"text" : "Handling stress and other psychological demands",
"type" : "choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://hl7.org/fhir/sid/icf-nl",
"code" : "d240.0",
"display" : "No problem (0-4%)"
}
},
{
"valueCoding" : {
"system" : "http://hl7.org/fhir/sid/icf-nl",
"code" : "d240.1",
"display" : "Mild problem (5-24%)"
}
},
{
"valueCoding" : {
"system" : "http://hl7.org/fhir/sid/icf-nl",
"code" : "d240.2",
"display" : "Moderate problem (25-49%)"
}
},
{
"valueCoding" : {
"system" : "http://hl7.org/fhir/sid/icf-nl",
"code" : "d240.3",
"display" : "Servere problem (50-95%)"
}
},
{
"valueCoding" : {
"system" : "http://hl7.org/fhir/sid/icf-nl",
"code" : "d240.4",
"display" : "Complete problem (96-100%)"
}
},
{
"valueCoding" : {
"system" : "http://hl7.org/fhir/sid/icf-nl",
"code" : "d240.8",
"display" : "not specified"
}
},
{
"valueCoding" : {
"system" : "http://hl7.org/fhir/sid/icf-nl",
"code" : "d240.9",
"display" : "not applicable"
}
}
]
},
{
"linkId" : "d4751",
"code" : [
{
"system" : "http://hl7.org/fhir/sid/icf-nl",
"code" : "d4751",
"display" : "Driving motorized vehicles"
}
],
"text" : "Driving motorized vehicles",
"type" : "choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://hl7.org/fhir/sid/icf-nl",
"code" : "d4751.0",
"display" : "No problem (0-4%)"
}
},
{
"valueCoding" : {
"system" : "http://hl7.org/fhir/sid/icf-nl",
"code" : "d4751.1",
"display" : "Mild problem (5-24%)"
}
},
{
"valueCoding" : {
"system" : "http://hl7.org/fhir/sid/icf-nl",
"code" : "d4751.2",
"display" : "Moderate problem (25-49%)"
}
},
{
"valueCoding" : {
"system" : "http://hl7.org/fhir/sid/icf-nl",
"code" : "d4751.3",
"display" : "Servere problem (50-95%)"
}
},
{
"valueCoding" : {
"system" : "http://hl7.org/fhir/sid/icf-nl",
"code" : "d4751.4",
"display" : "Complete problem (96-100%)"
}
},
{
"valueCoding" : {
"system" : "http://hl7.org/fhir/sid/icf-nl",
"code" : "d4751.8",
"display" : "not specified"
}
},
{
"valueCoding" : {
"system" : "http://hl7.org/fhir/sid/icf-nl",
"code" : "d4751.9",
"display" : "not applicable"
}
}
]
}
]
}