RARECARE.WORLD\Participation and Activities Questionnaire for Shwachman Diamond Syndrome - XML Representation

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: Participation and Activities Questionnaire for Shwachman Diamond Syndrome - XML Representation



<Questionnaire xmlns="http://hl7.org/fhir">
  <id value="shwachman-diamond-syndrome-questionnaire"/>
  <meta>
    <profile
             value="http://rarecare.world/fhir/StructureDefinition/participation-questionnaire"/>
  </meta>
  <text>
    <status value="generated"/>
    <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 &amp; 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>
<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>
<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>
<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>
<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>
  </text>
  <url
       value="https://rarecare.world/fhir/Questionnaire/shwachman-diamond-syndrome"/>
  <version value="0.1.0"/>
  <title
         value="Participation and Activities Questionnaire for Shwachman Diamond Syndrome"/>
  <status value="draft"/>
  <subjectType value="Patient"/>
  <date value="2021-06-18T17:19:10+02:00"/>
  <item>
    <linkId value="d210"/>
    <code>
      <system value="http://hl7.org/fhir/sid/icf-nl"/>
      <code value="d210"/>
      <display value="Undertaking a single task"/>
    </code>
    <text value="Undertaking a single task"/>
    <type value="choice"/>
    <required value="false"/>
    <answerOption>
      <valueCoding>
        <system value="http://hl7.org/fhir/sid/icf-nl"/>
        <code value="d210.0"/>
        <display value="No problem (0-4%)"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system value="http://hl7.org/fhir/sid/icf-nl"/>
        <code value="d210.1"/>
        <display value="Mild problem (5-24%)"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system value="http://hl7.org/fhir/sid/icf-nl"/>
        <code value="d210.2"/>
        <display value="Moderate problem (25-49%)"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system value="http://hl7.org/fhir/sid/icf-nl"/>
        <code value="d210.3"/>
        <display value="Servere problem (50-95%)"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system value="http://hl7.org/fhir/sid/icf-nl"/>
        <code value="d210.4"/>
        <display value="Complete problem (96-100%)"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system value="http://hl7.org/fhir/sid/icf-nl"/>
        <code value="d210.8"/>
        <display value="not specified"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system value="http://hl7.org/fhir/sid/icf-nl"/>
        <code value="d210.9"/>
        <display value="not applicable"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <linkId value="d240"/>
    <code>
      <system value="http://hl7.org/fhir/sid/icf-nl"/>
      <code value="d240"/>
      <display value="Handling stress and other psychological demands"/>
    </code>
    <text value="Handling stress and other psychological demands"/>
    <type value="choice"/>
    <required value="false"/>
    <answerOption>
      <valueCoding>
        <system value="http://hl7.org/fhir/sid/icf-nl"/>
        <code value="d240.0"/>
        <display value="No problem (0-4%)"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system value="http://hl7.org/fhir/sid/icf-nl"/>
        <code value="d240.1"/>
        <display value="Mild problem (5-24%)"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system value="http://hl7.org/fhir/sid/icf-nl"/>
        <code value="d240.2"/>
        <display value="Moderate problem (25-49%)"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system value="http://hl7.org/fhir/sid/icf-nl"/>
        <code value="d240.3"/>
        <display value="Servere problem (50-95%)"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system value="http://hl7.org/fhir/sid/icf-nl"/>
        <code value="d240.4"/>
        <display value="Complete problem (96-100%)"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system value="http://hl7.org/fhir/sid/icf-nl"/>
        <code value="d240.8"/>
        <display value="not specified"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system value="http://hl7.org/fhir/sid/icf-nl"/>
        <code value="d240.9"/>
        <display value="not applicable"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <linkId value="d4751"/>
    <code>
      <system value="http://hl7.org/fhir/sid/icf-nl"/>
      <code value="d4751"/>
      <display value="Driving motorized vehicles"/>
    </code>
    <text value="Driving motorized vehicles"/>
    <type value="choice"/>
    <required value="false"/>
    <answerOption>
      <valueCoding>
        <system value="http://hl7.org/fhir/sid/icf-nl"/>
        <code value="d4751.0"/>
        <display value="No problem (0-4%)"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system value="http://hl7.org/fhir/sid/icf-nl"/>
        <code value="d4751.1"/>
        <display value="Mild problem (5-24%)"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system value="http://hl7.org/fhir/sid/icf-nl"/>
        <code value="d4751.2"/>
        <display value="Moderate problem (25-49%)"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system value="http://hl7.org/fhir/sid/icf-nl"/>
        <code value="d4751.3"/>
        <display value="Servere problem (50-95%)"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system value="http://hl7.org/fhir/sid/icf-nl"/>
        <code value="d4751.4"/>
        <display value="Complete problem (96-100%)"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system value="http://hl7.org/fhir/sid/icf-nl"/>
        <code value="d4751.8"/>
        <display value="not specified"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system value="http://hl7.org/fhir/sid/icf-nl"/>
        <code value="d4751.9"/>
        <display value="not applicable"/>
      </valueCoding>
    </answerOption>
  </item>
</Questionnaire>