{ "description": null, "_filename": "examples/questionnaire-IBDControl8.json", "package_name": "nictiz.fhir.nl.r4.outcomebasedcare", "date": "2024-10-18T10:16:46Z", "meta": { "tag": [ { "code": "4.0.1", "system": "http://hl7.org/fhir/FHIR-version" } ], "source": "http://decor.nictiz.nl/fhir/4.0/uz-proms-", "lastUpdated": "2024-10-18T10:16:46+00:00" }, "publisher": "Nictiz", "name": "IBD_Control_8", "item": [ { "item": [ { "enableBehavior": "all", "linkId": "2.16.840.1.113883.2.4.3.11.60.140.2.1.32", "repeats": false, "item": [ { "enableBehavior": "all", "linkId": "2.16.840.1.113883.2.4.3.11.60.140.2.1.33", "repeats": false, "type": "choice", "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-preferredTerminologyServer", "valueUrl": "https://decor.nictiz.nl/fhir/4.0/public" }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "code": "radio-button", "system": "http://hl7.org/fhir/questionnaire-item-control", "display": "Radio Button" } ] } } ], "readOnly": false, "answerValueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.140.11.27--20240325034527", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/rendering-markdown", "valueMarkdown": "a. uw darmziekte goed onder controle was in de afgelopen twee weken?" } ] }, "required": true, "text": "a. uw darmziekte goed onder controle was in de afgelopen twee weken?" }, { "enableBehavior": "all", "linkId": "2.16.840.1.113883.2.4.3.11.60.140.2.1.34", "repeats": false, "type": "choice", "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-preferredTerminologyServer", "valueUrl": "https://decor.nictiz.nl/fhir/4.0/public" }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "code": "radio-button", "system": "http://hl7.org/fhir/questionnaire-item-control", "display": "Radio Button" } ] } } ], "readOnly": false, "answerValueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.140.11.27--20240325034527", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/rendering-markdown", "valueMarkdown": "b. uw huidige behandeling goed helpt om uw darmziekte onder controle te houden?" } ] }, "required": true, "text": "b. uw huidige behandeling goed helpt om uw darmziekte onder controle te houden?" }, { "enableBehavior": "all", "linkId": "2.16.840.1.113883.2.4.3.11.60.140.2.1.40", "repeats": false, "type": "boolean", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "code": "check-box", "system": "http://hl7.org/fhir/questionnaire-item-control", "display": "Check-box" } ] } } ], "readOnly": false, "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/rendering-markdown", "valueMarkdown": "(Als u geen enkele behandeling krijgt, graag dit hokje aankruisen: )" } ] }, "required": false, "text": "(Als u geen enkele behandeling krijgt, graag dit hokje aankruisen: )" } ], "type": "group", "readOnly": true, "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/rendering-markdown", "valueMarkdown": "1. Vindt u dat ..." } ] }, "required": false, "text": "* * Vindt u dat ..." }, { "enableBehavior": "all", "linkId": "2.16.840.1.113883.2.4.3.11.60.140.2.1.30", "repeats": false, "type": "choice", "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-preferredTerminologyServer", "valueUrl": "https://decor.nictiz.nl/fhir/4.0/public" }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "code": "radio-button", "system": "http://hl7.org/fhir/questionnaire-item-control", "display": "Radio Button" } ] } } ], "readOnly": false, "answerValueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.140.11.28--20240325043714", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/rendering-markdown", "valueMarkdown": "1. Zijn uw darmklachten de afgelopen twee weken verslechterd, verbeterd of niet veranderd?" } ] }, "required": true, "text": "* * Zijn uw darmklachten de afgelopen twee weken verslechterd, verbeterd of niet veranderd?" }, { "enableBehavior": "all", "linkId": "2.16.840.1.113883.2.4.3.11.60.140.2.1.35", "repeats": false, "item": [ { "enableBehavior": "all", "linkId": "2.16.840.1.113883.2.4.3.11.60.140.2.1.36", "repeats": false, "type": "choice", "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-preferredTerminologyServer", "valueUrl": "https://decor.nictiz.nl/fhir/4.0/public" }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "code": "radio-button", "system": "http://hl7.org/fhir/questionnaire-item-control", "display": "Radio Button" } ] } } ], "readOnly": false, "answerValueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.140.11.27--20240325034527", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/rendering-markdown", "valueMarkdown": "a. geplande activiteiten gemist door uw darmziekte? *(bijv. naar school/universiteit, werk of een sociale gebeurtenis gaan)*" } ] }, "required": true, "text": "a. geplande activiteiten gemist door uw darmziekte? (bijv. naar school/universiteit, werk of een sociale gebeurtenis gaan)" }, { "enableBehavior": "all", "linkId": "2.16.840.1.113883.2.4.3.11.60.140.2.1.37", "repeats": false, "type": "choice", "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-preferredTerminologyServer", "valueUrl": "https://decor.nictiz.nl/fhir/4.0/public" }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "code": "radio-button", "system": "http://hl7.org/fhir/questionnaire-item-control", "display": "Radio Button" } ] } } ], "readOnly": false, "answerValueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.140.11.27--20240325034527", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/rendering-markdown", "valueMarkdown": "b. 's nachts wakker geworden door klachten van uw darmziekte?" } ] }, "required": true, "text": "b. 's nachts wakker geworden door klachten van uw darmziekte?" }, { "enableBehavior": "all", "linkId": "2.16.840.1.113883.2.4.3.11.60.140.2.1.38", "repeats": false, "type": "choice", "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-preferredTerminologyServer", "valueUrl": "https://decor.nictiz.nl/fhir/4.0/public" }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "code": "radio-button", "system": "http://hl7.org/fhir/questionnaire-item-control", "display": "Radio Button" } ] } } ], "readOnly": false, "answerValueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.140.11.27--20240325034527", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/rendering-markdown", "valueMarkdown": "c. last gehad van ernstige pijn of ongemak?" } ] }, "required": true, "text": "c. last gehad van ernstige pijn of ongemak?" }, { "enableBehavior": "all", "linkId": "2.16.840.1.113883.2.4.3.11.60.140.2.1.39", "repeats": false, "type": "choice", "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-preferredTerminologyServer", "valueUrl": "https://decor.nictiz.nl/fhir/4.0/public" }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "code": "radio-button", "system": "http://hl7.org/fhir/questionnaire-item-control", "display": "Radio Button" } ] } } ], "readOnly": false, "answerValueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.140.11.27--20240325034527", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/rendering-markdown", "valueMarkdown": "d. vaak het gevoel gehad geen energie te hebben (vermoeid te zijn)? *(met vaak bedoelen we meer dan de helft van de tijd)*" } ] }, "required": true, "text": "d. vaak het gevoel gehad geen energie te hebben (vermoeid te zijn)? (met vaak bedoelen we meer dan de helft van de tijd)" }, { "enableBehavior": "all", "linkId": "2.16.840.1.113883.2.4.3.11.60.140.2.1.41", "repeats": false, "type": "choice", "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-preferredTerminologyServer", "valueUrl": "https://decor.nictiz.nl/fhir/4.0/public" }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "code": "radio-button", "system": "http://hl7.org/fhir/questionnaire-item-control", "display": "Radio Button" } ] } } ], "readOnly": false, "answerValueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.140.11.27--20240325034527", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/rendering-markdown", "valueMarkdown": "e. zich angstig of depressief gevoeld door uw darmziekte?" } ] }, "required": true, "text": "e. zich angstig of depressief gevoeld door uw darmziekte?" }, { "enableBehavior": "all", "linkId": "2.16.840.1.113883.2.4.3.11.60.140.2.1.42", "repeats": false, "type": "choice", "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-preferredTerminologyServer", "valueUrl": "https://decor.nictiz.nl/fhir/4.0/public" }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "code": "radio-button", "system": "http://hl7.org/fhir/questionnaire-item-control", "display": "Radio Button" } ] } } ], "readOnly": false, "answerValueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.140.11.27--20240325034527", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/rendering-markdown", "valueMarkdown": "f. gedacht dat een verandering in uw behandeling nodig is?" } ] }, "required": true, "text": "f. gedacht dat een verandering in uw behandeling nodig is?" } ], "type": "group", "readOnly": true, "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/rendering-markdown", "valueMarkdown": "1. Heeft/bent u in de afgelopen twee weken..." } ] }, "required": false, "text": "* * Heeft/bent u in de afgelopen twee weken..." }, { "enableBehavior": "all", "linkId": "2.16.840.1.113883.2.4.3.11.60.140.2.1.43", "repeats": false, "item": [ { "enableBehavior": "all", "linkId": "2.16.840.1.113883.2.4.3.11.60.140.2.1.44", "repeats": false, "type": "choice", "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-preferredTerminologyServer", "valueUrl": "https://decor.nictiz.nl/fhir/4.0/public" }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "code": "radio-button", "system": "http://hl7.org/fhir/questionnaire-item-control", "display": "Radio Button" } ] } } ], "readOnly": false, "answerValueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.140.11.27--20240325034527", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/rendering-markdown", "valueMarkdown": "a. andere medicijnen willen bespreken om uw darmziekte onder controle te houden?" } ] }, "required": true, "text": "a. andere medicijnen willen bespreken om uw darmziekte onder controle te houden?" }, { "enableBehavior": "all", "linkId": "2.16.840.1.113883.2.4.3.11.60.140.2.1.45", "repeats": false, "type": "choice", "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-preferredTerminologyServer", "valueUrl": "https://decor.nictiz.nl/fhir/4.0/public" }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "code": "radio-button", "system": "http://hl7.org/fhir/questionnaire-item-control", "display": "Radio Button" } ] } } ], "readOnly": false, "answerValueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.140.11.27--20240325034527", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/rendering-markdown", "valueMarkdown": "b. manieren willen bespreken om uw eigen behandeling aan te passen?" } ] }, "required": true, "text": "b. manieren willen bespreken om uw eigen behandeling aan te passen?" }, { "enableBehavior": "all", "linkId": "2.16.840.1.113883.2.4.3.11.60.140.2.1.46", "repeats": false, "type": "choice", "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-preferredTerminologyServer", "valueUrl": "https://decor.nictiz.nl/fhir/4.0/public" }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "code": "radio-button", "system": "http://hl7.org/fhir/questionnaire-item-control", "display": "Radio Button" } ] } } ], "readOnly": false, "answerValueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.140.11.27--20240325034527", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/rendering-markdown", "valueMarkdown": "c. bijwerkingen van of moeilijkheden met het gebruik van uw medicijnen willen bespreken?" } ] }, "required": true, "text": "c. bijwerkingen van of moeilijkheden met het gebruik van uw medicijnen willen bespreken?" }, { "enableBehavior": "all", "linkId": "2.16.840.1.113883.2.4.3.11.60.140.2.1.47", "repeats": false, "type": "choice", "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-preferredTerminologyServer", "valueUrl": "https://decor.nictiz.nl/fhir/4.0/public" }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "code": "radio-button", "system": "http://hl7.org/fhir/questionnaire-item-control", "display": "Radio Button" } ] } } ], "readOnly": false, "answerValueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.140.11.27--20240325034527", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/rendering-markdown", "valueMarkdown": "c. bijwerkingen van of moeilijkheden met het gebruik van uw medicijnen willen bespreken?" } ] }, "required": true, "text": "c. bijwerkingen van of moeilijkheden met het gebruik van uw medicijnen willen bespreken?" } ], "type": "group", "readOnly": true, "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/rendering-markdown", "valueMarkdown": "1. Zou u bij uw volgende bezoek aan de polikliniek..." } ] }, "required": false, "text": "* * Zou u bij uw volgende bezoek aan de polikliniek..." }, { "enableBehavior": "all", "linkId": "2.16.840.1.113883.2.4.3.11.60.140.2.1.48", "repeats": false, "type": "integer", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "code": "slider", "system": "http://hl7.org/fhir/questionnaire-item-control", "display": "Slider" } ] } }, { "url": "http://hl7.org/fhir/StructureDefinition/minValue", "valueInteger": 0 }, { "url": "http://hl7.org/fhir/StructureDefinition/maxValue", "valueInteger": 100 } ], "readOnly": false, "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/rendering-markdown", "valueMarkdown": "1. Hoe zou u de controle over uw darmziekte in het algemeen in de afgelopen twee weken beoordelen? *Wilt u dit aangeven door op de schaal hieronder een plaats aan te wijzen die op u van toepassing is, waarbij geheel links staat voor \"* ** *slechtst mogelijke controle\"* ** * en geheel rechts staat voor * ** *\"best mogelijke controle\"* ** *?*" } ] }, "required": true, "text": "* * Hoe zou u de controle over uw darmziekte in het algemeen in de afgelopen twee weken beoordelen? Wilt u dit aangeven door op de schaal hieronder een plaats aan te wijzen die op u van toepassing is, waarbij geheel links staat voor \" slechtst mogelijke controle\" en geheel rechts staat voor \"best mogelijke controle\" ?" }, { "text": "Totaalscore", "type": "decimal", "linkId": "2.16.840.1.113883.2.4.3.11.60.140.2.1.1497", "repeats": false, "readOnly": true, "required": false, "enableBehavior": "all" } ], "text": "IBD-control", "type": "group", "linkId": "2.16.840.1.113883.2.4.3.11.60.140.2.1.31", "repeats": false, "readOnly": true, "required": false, "enableBehavior": "all" }, { "enableBehavior": "all", "linkId": "2.16.840.1.113883.2.4.3.11.60.140.2.1.307", "repeats": false, "item": [ { "text": "Scorerichting item: Hoger is beter", "type": "string", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/rendering-markdown", "valueMarkdown": "Scorerichting item: Hoger is beter" } ] }, "linkId": "2.16.840.1.113883.2.4.3.11.60.140.2.1.1437", "repeats": false, "readOnly": false, "required": false, "enableBehavior": "all" }, { "text": "Scoreberekening: Scoring: Each response to the 13 individual items is scored as follows: zero points for least favourable reply; one point for intermediate or indeterminate reply; two points for most favourable reply. The IBD-Control-8 subscore is calculated by summing scores for Q1a, Q1b, Q3a, Q3b, Q3c, Q3d, Q3e and Q3f resulting in a range of 0–16 (0=worst control). The IBD-Control-VAS scores are in the range 0–100 (0=worst control).
", "type": "string", "linkId": "2.16.840.1.113883.2.4.3.11.60.140.2.1.308", "repeats": false, "readOnly": false, "required": false, "enableBehavior": "all" }, { "text": "Interpretatie score", "type": "string", "linkId": "2.16.840.1.113883.2.4.3.11.60.140.2.1.309", "repeats": false, "readOnly": false, "required": false, "enableBehavior": "all" } ], "type": "group", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden", "valueBoolean": true } ], "readOnly": false, "required": false, "text": "Rekenregels" } ], "copyright": "Bodger K, Ormerod C, Shackcloth D, et alDevelopment and validation of a rapid, generic measure of disease control from the patient's perspective: the IBD-Control questionnaireGut 2014;63:1092-1102. Geen copyright", "type": null, "experimental": "false", "resourceType": "Questionnaire", "title": "IBD-Control 8", "package_version": "1.0.0-alpha.1", "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-preferredTerminologyServer", "valueUrl": "https://decor.nictiz.nl/fhir/4.0/public" } ], "status": "draft", "language": "nl-NL", "id": "ac70c34c-59dd-49da-afab-24c46b81dd72", "kind": null, "_name": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "IBD_Control_8" } ] } ] }, "url": "http://decor.nictiz.nl/fhir/Questionnaire/2.16.840.1.113883.2.4.3.11.60.140.27.30--20241016085320", "identifier": [ { "value": "urn:oid:2.16.840.1.113883.2.4.3.11.60.140.27.30", "system": "urn:ietf:rfc:3986" } ], "_title": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "IBD-Control 8" } ] } ] }, "version": "20241016", "effectivePeriod": { "start": "2024-10-16T08:53:20Z" } }