{
  "description": "Post-session treatment questionnaire",
  "_filename": "examples/back-pain-post-session-en.questionnaire.json",
  "package_name": "smart4health.eu.core",
  "subjectType": [ "Patient" ],
  "date": "2021-01-28",
  "publisher": "D4L data4life gGmbH",
  "name": "Smart4Health_post-session_pain_questionnaire",
  "item": [ {
    "code": [ {
      "code": "72514-3",
      "system": "http://loinc.org",
      "display": "Pain severity 0-10 Score Reported"
    } ],
    "text": "Please indicate your current pain level",
    "type": "choice",
    "linkId": "current_pain_level",
    "required": true,
    "extension": [ {
      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
      "valueCodeableConcept": {
        "coding": [ {
          "code": "painscalewithlabels",
          "system": "http://fhir.smart4health.eu/CodeSystem/questionnaire-ui-codes"
        } ]
      }
    } ],
    "answerValueSet": "http://loinc.org/vs/LL2335-9"
  }, {
    "code": [ {
      "code": "72514-3",
      "system": "http://loinc.org",
      "display": "Pain severity 0-10 Score Reported"
    } ],
    "text": "Please indicate your average pain level during the past four weeks",
    "type": "choice",
    "linkId": "average_pain_level",
    "required": true,
    "extension": [ {
      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
      "valueCodeableConcept": {
        "coding": [ {
          "code": "painscalewithlabels",
          "system": "http://fhir.smart4health.eu/CodeSystem/questionnaire-ui-codes"
        } ]
      }
    } ],
    "answerValueSet": "http://loinc.org/vs/LL2335-9"
  }, {
    "code": [ {
      "code": "72514-3",
      "system": "http://loinc.org",
      "display": "Pain severity 0-10 Score Reported"
    } ],
    "text": "Please indicate your maximum pain level during the past four weeks",
    "type": "choice",
    "linkId": "maximimum_pain_level",
    "required": true,
    "extension": [ {
      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
      "valueCodeableConcept": {
        "coding": [ {
          "code": "painscalewithlabels",
          "system": "http://fhir.smart4health.eu/CodeSystem/questionnaire-ui-codes"
        } ]
      }
    } ],
    "answerValueSet": "http://loinc.org/vs/LL2335-9"
  }, {
    "text": "Can you estimate (in percent %) how much your pain relieved?",
    "type": "decimal",
    "linkId": "lower_backpain_reduced",
    "required": true
  }, {
    "text": "Taken together, what is your impression on your present treatment success?",
    "type": "choice",
    "linkId": "treatment_success",
    "required": true,
    "answerValueSet": "http://loinc.org/vs/LL1023-2"
  }, {
    "text": "Are you taking painkillers at the moment?",
    "type": "choice",
    "linkId": "taking_painkillers",
    "required": true,
    "answerValueSet": "http://fhir.smart4health.eu/ValueSet/yesno"
  } ],
  "type": null,
  "experimental": null,
  "resourceType": "Questionnaire",
  "title": "Post-session treatment questionnaire",
  "package_version": "0.5.1",
  "status": "draft",
  "language": "en",
  "id": "73f44f43-b98d-4a31-9fa8-194a33368578",
  "kind": null,
  "url": "http://fhir.smart4health.eu/Questionnaire/post-session-questionnaire",
  "version": "1.0.0",
  "contact": [ {
    "name": "ITTM Solutions",
    "telecom": [ {
      "value": "https://www.ittm-solutions.com/",
      "system": "url"
    } ]
  }, {
    "name": "D4L data4life gGmbH",
    "telecom": [ {
      "value": "https://www.data4life.care",
      "system": "url"
    } ]
  } ]
}