{ "description": null, "_filename": "examples/vl-Questionnaire-01.json", "package_name": "nictiz.fhir.nl.stu3.questionnaires", "subjectType": [ "Patient" ], "date": "2021-02-09", "meta": { "profile": [ "http://nictiz.nl/fhir/StructureDefinition/vl-Questionnaire" ] }, "publisher": "Nictiz", "purpose": "Deze vragenlijst is ontwikkeld om te dienen als voorbeeld binnen de informatiestandaard Vragenlijsten.", "name": "phq-9", "item": [ { "item": [ { "code": [ { "code": "44250-9", "system": "http://loinc.org" } ], "text": "Weinig interesse of plezier in activiteiten.", "type": "choice", "linkId": "1", "option": [ { "valueCoding": { "code": "HEN", "display": "Helemaal niet" } }, { "valueCoding": { "code": "MED", "display": "Meerdere dagen" } }, { "valueCoding": { "code": "MHD", "display": "Meer dan de helft van de dagen" } }, { "valueCoding": { "code": "BED", "display": "Bijna elke dag" } } ], "required": true }, { "code": [ { "code": "44255-8", "system": "http://loinc.org" } ], "text": "U neerslachtig, depressief of wanhopig voelen.", "type": "choice", "linkId": "2", "option": [ { "valueCoding": { "code": "HEN", "display": "Helemaal niet" } }, { "valueCoding": { "code": "MED", "display": "Meerdere dagen" } }, { "valueCoding": { "code": "MHD", "display": "Meer dan de helft van de dagen" } }, { "valueCoding": { "code": "BED", "display": "Bijna elke dag" } } ], "required": true }, { "code": [ { "code": "44259-0", "system": "http://loinc.org" } ], "text": "Moeilijk inslapen, moeilijk doorslapen of te veel slapen.", "type": "choice", "linkId": "3", "option": [ { "valueCoding": { "code": "HEN", "display": "Helemaal niet" } }, { "valueCoding": { "code": "MED", "display": "Meerdere dagen" } }, { "valueCoding": { "code": "MHD", "display": "Meer dan de helft van de dagen" } }, { "valueCoding": { "code": "BED", "display": "Bijna elke dag" } } ], "required": true }, { "code": [ { "code": "44254-1", "system": "http://loinc.org" } ], "text": "U moe voelen of gebrek aan energie hebben.", "type": "choice", "linkId": "4", "option": [ { "valueCoding": { "code": "HEN", "display": "Helemaal niet" } }, { "valueCoding": { "code": "MED", "display": "Meerdere dagen" } }, { "valueCoding": { "code": "MHD", "display": "Meer dan de helft van de dagen" } }, { "valueCoding": { "code": "BED", "display": "Bijna elke dag" } } ], "required": true }, { "code": [ { "code": "44251-7", "system": "http://loinc.org" } ], "text": "Weinig eetlust of overmatig eten.", "type": "choice", "linkId": "5", "option": [ { "valueCoding": { "code": "HEN", "display": "Helemaal niet" } }, { "valueCoding": { "code": "MED", "display": "Meerdere dagen" } }, { "valueCoding": { "code": "MHD", "display": "Meer dan de helft van de dagen" } }, { "valueCoding": { "code": "BED", "display": "Bijna elke dag" } } ], "required": true }, { "code": [ { "code": "44258-2", "system": "http://loinc.org" } ], "text": "Een slecht gevoel hebben over uzelf, het gevoel hebben dat u een mislukkeling bent of dat u zichzelf of uw familie teleurgesteld hebt.", "type": "choice", "linkId": "6", "option": [ { "valueCoding": { "code": "HEN", "display": "Helemaal niet" } }, { "valueCoding": { "code": "MED", "display": "Meerdere dagen" } }, { "valueCoding": { "code": "MHD", "display": "Meer dan de helft van de dagen" } }, { "valueCoding": { "code": "BED", "display": "Bijna elke dag" } } ], "required": true }, { "code": [ { "code": "44252-5", "system": "http://loinc.org" } ], "text": "Problemen om u te concentreren, bijvoorbeeld om de krant te lezen of om tv te kijken.", "type": "choice", "linkId": "7", "option": [ { "valueCoding": { "code": "HEN", "display": "Helemaal niet" } }, { "valueCoding": { "code": "MED", "display": "Meerdere dagen" } }, { "valueCoding": { "code": "MHD", "display": "Meer dan de helft van de dagen" } }, { "valueCoding": { "code": "BED", "display": "Bijna elke dag" } } ], "required": true }, { "code": [ { "code": "44253-3", "system": "http://loinc.org" } ], "text": "Zo traag bewegen of zo langzaam spreken dat andere mensen dit opgemerkt hebben? Of het tegenovergestelde: zo zenuwachtig of rusteloos zijn dat u veel meer bewoog dan gebruikelijk.", "type": "choice", "linkId": "8", "option": [ { "valueCoding": { "code": "HEN", "display": "Helemaal niet" } }, { "valueCoding": { "code": "MED", "display": "Meerdere dagen" } }, { "valueCoding": { "code": "MHD", "display": "Meer dan de helft van de dagen" } }, { "valueCoding": { "code": "BED", "display": "Bijna elke dag" } } ], "required": true }, { "code": [ { "code": "44260-8", "system": "http://loinc.org" } ], "text": "De gedachte dat u beter dood zou kunnen zijn of de gedachte uzelf op een bepaalde manier pijn te doen.", "type": "choice", "linkId": "9", "option": [ { "valueCoding": { "code": "HEN", "display": "Helemaal niet" } }, { "valueCoding": { "code": "MED", "display": "Meerdere dagen" } }, { "valueCoding": { "code": "MHD", "display": "Meer dan de helft van de dagen" } }, { "valueCoding": { "code": "BED", "display": "Bijna elke dag" } } ], "required": true }, { "code": [ { "code": "69722-7", "system": "http://loinc.org" } ], "text": "Als u enig probleem hebt aangekruist, hoe moeilijk maakten deze problemen het dan voor u om uw werk of uw taken in en om het huis te doen, of om met andere mensen om te gaan?", "type": "choice", "linkId": "10", "option": [ { "valueCoding": { "code": "HNM", "display": "Helemaal niet moeilijk" } }, { "valueCoding": { "code": "ENM", "display": "Enigszins moeilijk" } }, { "valueCoding": { "code": "ERM", "display": "Erg moeilijk" } }, { "valueCoding": { "code": "EXM", "display": "Extreem moeilijk" } } ], "required": true } ], "text": "Hoe vaak hebt u in de afgelopen 2 weken last gehad van één of meer van de volgende problemen?", "type": "group", "linkId": "phq-9" } ], "type": null, "experimental": "true", "resourceType": "Questionnaire", "title": "Patient Health Questionnaire (PHQ-9)", "package_version": "2.0.2", "status": "draft", "language": "nl-NL", "id": "63ad9458-5479-4ae6-b28e-246214480743", "kind": null, "url": "http://voorbeeldvragenlijsten.nl/Questionnaire/phq-9--20210209", "code": [ { "code": "44249-1", "system": "http://loinc.org", "display": "PHQ-9 quick depression assessment panel" } ], "version": "20210209" }