MedMij:V1.0 Sandbox1-vl: verschil tussen versies
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+ | <noinclude> | ||
+ | {{#customtitle:Vragenlijsten - inhoud kwalificatie}} | ||
+ | __NUMBEREDHEADINGS__ | ||
+ | {{IssueBox|Deze pagina is nog in bewerking}} | ||
+ | |||
+ | =Addenda voor inhoudelijke gegevens Vragenlijsten=</noinclude> | ||
+ | ==Scenario VL - Intake - Questionnaire== | ||
+ | |||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Questionnaire - met id: 'INTAKE-NIEUWE-PATIENT' | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="6" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Url | ||
+ | |style="background-color: white;"|http://examplerepository.nl/intake-nieuwe-patient--20200327 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Version | ||
+ | |style="background-color: white;"|20200327 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Name | ||
+ | |style="background-color: white;"|intake-nieuwe-patient | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="7"|Title | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Value | ||
+ | |style="background-color: white;"|Intake nieuwe patiënt | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Status | ||
+ | |style="background-color: white;"|concept (code = 'draft' in codeSystem 'DocumentReferenceStatus') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Experimental | ||
+ | |style="background-color: white;"|Ja | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Date | ||
+ | |style="background-color: white;"|27 maa 2020 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Publisher | ||
+ | |style="background-color: white;"|Nictiz | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Purpose | ||
+ | |style="background-color: white;"|Deze vragenlijst is ontwikkeld voor test- en kwalificatiedoeleinden binnen de informatiestandaard MedMij Vragenlijsten. | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Onderwerp | ||
+ | |style="background-color: white;"|Patient (code = 'Patient' in codeSystem 'http://hl7.org/fhir/resource-types') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="7"|Item met linkid: 'introductie' en type:'display' | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="4"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Text | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Value | ||
+ | |style="background-color: yellow;"|Met het beantwoorden van deze vragenlijst voorziet u ons van enkele basisgegevens die we opnemen in uw dossier. | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="7"|Item met linkid: 'algemeen' en type:'group' | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="128"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Text | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Value | ||
+ | |style="background-color: yellow;"|Algemene vragen | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Item met linkid: 'gewicht' en type:'decimal' | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="9"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Extension | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="3"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Max decimal places | ||
+ | |style="background-color: white;"|1 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Unit | ||
+ | |style="background-color: white;"|(code = 'kg' in codeSystem 'http://unitsofmeasure.org') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Text | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Value | ||
+ | |style="background-color: yellow;"|Wat is uw gewicht in kg? | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Required | ||
+ | |style="background-color: white;"|Ja | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Item met linkid: 'lengte' en type:'integer' | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="9"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Extension | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="3"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Min length | ||
+ | |style="background-color: white;"|0 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Unit | ||
+ | |style="background-color: white;"|(code = 'cm' in codeSystem 'http://unitsofmeasure.org') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Text | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Value | ||
+ | |style="background-color: yellow;"|Wat is uw lengte in cm? | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Required | ||
+ | |style="background-color: white;"|Ja | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Item met linkid: 'roken' en type:'boolean' | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="4"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Text | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Value | ||
+ | |style="background-color: yellow;"|Rookt u? | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Item met linkid: 'ooitgerookt' en type:'boolean' | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="8"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Text | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Value | ||
+ | |style="background-color: yellow;"|U rookt niet meer, maar heeft u ooit gerookt? | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Enable when | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="3"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Question link id | ||
+ | |style="background-color: white;"|roken | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Answer | ||
+ | |style="background-color: white;"|Nee | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Item met linkid: 'jarensindsroken' en type:'decimal' | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="11"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Extension | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Unit | ||
+ | |style="background-color: white;"|(code = 'a' in codeSystem 'http://unitsofmeasure.org') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Text | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Value | ||
+ | |style="background-color: yellow;"|Hoe lang is het geleden dat u heeft gerookt (in jaren)? | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Enable when | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="3"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Question link id | ||
+ | |style="background-color: white;"|ooitgerookt | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Answer | ||
+ | |style="background-color: white;"|Ja | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Item met linkid: 'hoevaakroken' en type:'choice' | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="14"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Text | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Value | ||
+ | |style="background-color: yellow;"|Hoe vaak rookt u? | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Enable when | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="3"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Question link id | ||
+ | |style="background-color: white;"|roken | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Answer | ||
+ | |style="background-color: white;"|Ja | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Option | ||
+ | |style="background-color: white;"|Dagelijks (code = 'DAG') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Option | ||
+ | |style="background-color: white;"|Bijna dagelijks (code = 'BDA') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Option | ||
+ | |style="background-color: white;"|Een paar dagen per week (code = 'PDW') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Option | ||
+ | |style="background-color: white;"|Alleen in het weekend (code = 'WKD') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Option | ||
+ | |style="background-color: white;"|Af en toe (code = 'AFT') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Option | ||
+ | |style="background-color: white;"|Zelden (code = 'ZEL') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Item met linkid: 'drinken' en type:'boolean' | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="4"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Text | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Value | ||
+ | |style="background-color: yellow;"|Drinkt u alcohol? | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Item met linkid: 'hoevaakdrinken' en type:'choice' | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="14"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Text | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Value | ||
+ | |style="background-color: yellow;"|Hoe vaak per week drinkt u alcohol? | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Enable when | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="3"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Question link id | ||
+ | |style="background-color: white;"|drinken | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Answer | ||
+ | |style="background-color: white;"|Ja | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Option | ||
+ | |style="background-color: white;"|Dagelijks (code = 'DAG') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Option | ||
+ | |style="background-color: white;"|Bijna dagelijks (code = 'BDA') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Option | ||
+ | |style="background-color: white;"|Een paar dagen per week (code = 'PDW') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Option | ||
+ | |style="background-color: white;"|Alleen in het weekend (code = 'WKD') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Option | ||
+ | |style="background-color: white;"|Af en toe (code = 'AFT') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Option | ||
+ | |style="background-color: white;"|Zelden (code = 'ZEL') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Item met linkid: 'lichamelijkegezondheid' en type:'text' | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="4"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Text | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Value | ||
+ | |style="background-color: yellow;"|Hoe omschrijft u uw algemene lichamelijke gezondheid? | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Item met linkid: 'opstaan' en type:'time' | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="4"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Text | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Value | ||
+ | |style="background-color: yellow;"|Hoe laat staat u meestal op? | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Item met linkid: 'sport' en type:'boolean' | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="4"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Text | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Value | ||
+ | |style="background-color: yellow;"|Beoefent u een sport? | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Item met linkid: 'welkesport' en type:'choice' | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="17"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Text | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Value | ||
+ | |style="background-color: yellow;"|Welke sport(en) beoefent u? | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Enable when | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="3"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Question link id | ||
+ | |style="background-color: white;"|sport | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Answer | ||
+ | |style="background-color: white;"|Ja | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Repeats | ||
+ | |style="background-color: white;"|Ja | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Option | ||
+ | |style="background-color: white;"|Voetbal (code = 'VOE') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Option | ||
+ | |style="background-color: white;"|Tennis (code = 'TEN') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Option | ||
+ | |style="background-color: white;"|Hockey (code = 'HOC') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Option | ||
+ | |style="background-color: white;"|Volleybal (code = 'VOL') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Option | ||
+ | |style="background-color: white;"|Basketbal (code = 'BAS') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Option | ||
+ | |style="background-color: white;"|Zwemmen (code = 'ZWE') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Option | ||
+ | |style="background-color: white;"|Yoga (code = 'YOG') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Option | ||
+ | |style="background-color: white;"|Anders, namelijk (code = 'AND') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Item met linkid: 'welkeanderesport' en type:'string' | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="9"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Text | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Value | ||
+ | |style="background-color: yellow;"|Anders, namelijk | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Enable when | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="3"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Question link id | ||
+ | |style="background-color: white;"|welkesport | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Answer | ||
+ | |style="background-color: white;"|Anders, namelijk (code = 'AND') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Repeats | ||
+ | |style="background-color: white;"|Ja | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="7"|Item met linkid: 'voorgeschiedenis' en type:'group' | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="25"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Text | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Value | ||
+ | |style="background-color: yellow;"|Voorgeschiedenis | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Item met linkid: 'onderbehandeling' en type:'boolean' | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="5"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Text | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Value | ||
+ | |style="background-color: yellow;"|Bent u op dit moment onder behandeling van een specialist? | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Required | ||
+ | |style="background-color: white;"|Ja | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Item met linkid: 'datumlaatstebehandeling' en type:'date' | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="8"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Text | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Value | ||
+ | |style="background-color: yellow;"|Wanneer was uw laatste contact met een specialist? | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Enable when | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="3"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Question link id | ||
+ | |style="background-color: white;"|onderbehandeling | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Answer | ||
+ | |style="background-color: white;"|Ja | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Item met linkid: 'geneesmiddelen' en type:'boolean' | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="5"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Text | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Value | ||
+ | |style="background-color: yellow;"|Gebruikt u geneesmiddelen? | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Required | ||
+ | |style="background-color: white;"|Ja | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="7"|Item met linkid: 'socialemedia' en type:'group' | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="57"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Text | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Value | ||
+ | |style="background-color: yellow;"|Sociale media | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Item met linkid: 'actiefsocialemedia' en type:'display' | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="4"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Text | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Value | ||
+ | |style="background-color: yellow;"|Bent u actief op sociale media? | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Item met linkid: 'facebook' en type:'boolean' | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="4"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Text | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Value | ||
+ | |style="background-color: yellow;"|Facebook | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Item met linkid: 'instagram' en type:'boolean' | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="4"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Text | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Value | ||
+ | |style="background-color: yellow;"|Instagram | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Item met linkid: 'linkedin' en type:'boolean' | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="4"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Text | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Value | ||
+ | |style="background-color: yellow;"|LinkedIn | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Item met linkid: 'anderplatform' en type:'boolean' | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="4"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Text | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Value | ||
+ | |style="background-color: yellow;"|Van een ander platform dat hier niet is genoemd? | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Item met linkid: 'hoeveelandere' en type:'integer' | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="18"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Extension | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="4"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Min value | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Integer | ||
+ | |style="background-color: white;"|1 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Extension | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="4"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Max value | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Integer | ||
+ | |style="background-color: white;"|5 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Text | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Value | ||
+ | |style="background-color: yellow;"|Hoeveel andere platforms zijn dit dan? (maximaal 5) | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Enable when | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="3"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Question link id | ||
+ | |style="background-color: white;"|anderplatform | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Answer | ||
+ | |style="background-color: white;"|Ja | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Item met linkid: 'welkplatform' en type:'string' | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="8"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Text | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Value | ||
+ | |style="background-color: yellow;"|Welk of welke platforms zijn dit dan? | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Enable when | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="3"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Question link id | ||
+ | |style="background-color: white;"|anderplatform | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Answer | ||
+ | |style="background-color: white;"|Ja | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="7"|Item met linkid: 'contactgegevens' en type:'group' | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="19"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Text | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Value | ||
+ | |style="background-color: yellow;"|Contactgegevens | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Item met linkid: 'uitlegcontact' en type:'display' | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="4"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Text | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Value | ||
+ | |style="background-color: yellow;"|Om u beter van dienst te kunnen zijn gebruiken we graag uw mobiele telefoonnummer en e-mailadres, bijvoorbeeld voor afspraakherinneringen en herhaalrecepten. | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Item met linkid: 'mobiel' en type:'string' | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="4"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Text | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Value | ||
+ | |style="background-color: yellow;"|Wat is uw mobiele telefoonnummer? | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Item met linkid: 'mail' en type:'string' | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="4"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Text | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Value | ||
+ | |style="background-color: yellow;"|Wat is uw e-mailadres? | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="7"|Item met linkid: 'belafspraak' en type:'group' | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="20"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Item met linkid: 'uitlegbelafspraak' en type:'display' | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="4"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Text | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Value | ||
+ | |style="background-color: yellow;"|Graag zouden we telefonisch contact met u opnemen om uw inschrijving te voltooien. | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Item met linkid: 'toestemmingbelafspraak' en type:'boolean' | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="4"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Text | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Value | ||
+ | |style="background-color: yellow;"|Mogen we u telefonisch benaderen? | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Item met linkid: 'datumtijdbelafspraak' en type:'dateTime' | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="8"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Text | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Value | ||
+ | |style="background-color: yellow;"|Als u voorkeur heeft voor een datum/tijd, dan kunt u deze hier opgeven. | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Enable when | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="3"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Question link id | ||
+ | |style="background-color: white;"|toestemmingbelafspraak | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Answer | ||
+ | |style="background-color: white;"|Ja | ||
+ | |} | ||
<noinclude> | <noinclude> | ||
{{#customtitle:Vragenlijsten - inhoud kwalificatie}} | {{#customtitle:Vragenlijsten - inhoud kwalificatie}} | ||
Regel 714: | Regel 1.368: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Value | |colspan="3"|Value | ||
− | |style="background-color: yellow;"|Hoe vaak hebt u in de afgelopen 2 weken last gehad van één of meer van de volgende problemen? | + | |style="background-color: yellow;font-weight:bold;font-style:italic;color:#EE7203;"|Hoe vaak hebt u in de afgelopen 2 weken last gehad van één of meer van de volgende problemen? |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Item met linkid: '1' en type:'choice' | |colspan="5"|Item met linkid: '1' en type:'choice' | ||
Regel 731: | Regel 1.385: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Value | |colspan="2"|Value | ||
− | |style="background-color: yellow;"|Weinig interesse of plezier in activiteiten. | + | |style="background-color: yellow;font-weight:bold;"|Weinig interesse of plezier in activiteiten. |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Required | |colspan="3"|Required | ||
Regel 763: | Regel 1.417: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Value | |colspan="2"|Value | ||
− | |style="background-color: yellow;"|U neerslachtig, depressief of wanhopig voelen. | + | |style="background-color: yellow;font-style:italic;"|U neerslachtig, depressief of wanhopig voelen. |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Required | |colspan="3"|Required | ||
Regel 802: | Regel 1.456: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Value | |colspan="2"|Value | ||
− | |style="background-color: yellow;"|Moeilijk inslapen, moeilijk doorslapen of te veel slapen. | + | |style="background-color: yellow;font-weight:bold;"|Moeilijk inslapen, moeilijk doorslapen of te veel slapen. |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Required | |colspan="3"|Required | ||
Regel 834: | Regel 1.488: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Value | |colspan="2"|Value | ||
− | |style="background-color: yellow;"|U moe voelen of gebrek aan energie hebben. | + | |style="background-color: yellow;font-style:italic;"|U moe voelen of gebrek aan energie hebben. |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Required | |colspan="3"|Required | ||
Regel 866: | Regel 1.520: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Value | |colspan="2"|Value | ||
− | |style="background-color: yellow;"|Weinig eetlust of overmatig eten. | + | |style="background-color: yellow;font-weight:bold;"|Weinig eetlust of overmatig eten. |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Required | |colspan="3"|Required | ||
Regel 898: | Regel 1.552: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Value | |colspan="2"|Value | ||
− | |style="background-color: yellow;"|Een slecht gevoel hebben over uzelf, het gevoel hebben dat u een mislukkeling bent of dat u zichzelf of uw familie teleurgesteld hebt. | + | |style="background-color: yellow;font-style:italic;"|Een slecht gevoel hebben over uzelf, het gevoel hebben dat u een mislukkeling bent of dat u zichzelf of uw familie teleurgesteld hebt. |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Required | |colspan="3"|Required | ||
Regel 930: | Regel 1.584: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Value | |colspan="2"|Value | ||
− | |style="background-color: yellow;"|Problemen om u te concentreren, bijvoorbeeld om de krant te lezen of om tv te kijken. | + | |style="background-color: yellow;font-weight:bold;"|Problemen om u te concentreren, bijvoorbeeld om de krant te lezen of om tv te kijken. |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Required | |colspan="3"|Required | ||
Regel 962: | Regel 1.616: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Value | |colspan="2"|Value | ||
− | |style="background-color: yellow;"|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. | + | |style="background-color: yellow;font-style:italic;"|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. |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Required | |colspan="3"|Required | ||
Regel 994: | Regel 1.648: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Value | |colspan="2"|Value | ||
− | |style="background-color: yellow;"|De gedachte dat u beter dood zou kunnen zijn of de gedachte uzelf op een bepaalde manier pijn te doen. | + | |style="background-color: yellow;font-weight:bold;"|De gedachte dat u beter dood zou kunnen zijn of de gedachte uzelf op een bepaalde manier pijn te doen. |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Required | |colspan="3"|Required | ||
Regel 1.026: | Regel 1.680: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Value | |colspan="2"|Value | ||
− | |style="background-color: yellow;"|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? | + | |style="background-color: yellow;font-style:italic;"|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? |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Required | |colspan="3"|Required | ||
Regel 1.061: | Regel 1.715: | ||
|style="background-color: yellow;"|Is de vragenlijst volledig ingevuld? | |style="background-color: yellow;"|Is de vragenlijst volledig ingevuld? | ||
|} | |} | ||
+ | ==Scenario VL - PHQ9 - Questionnaire== | ||
+ | |||
+ | {| class="wikitable" width="85%" | ||
+ | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Questionnaire - met id: 'PHQ-9' | ||
+ | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
+ | |colspan="5" width="25%"| Gegevenselement | ||
+ | || Waarde | ||
+ | |||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Url | ||
+ | |style="background-color: white;"|http://examplerepository.nl/phq-9--20200327 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Version | ||
+ | |style="background-color: white;"|20200327 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Name | ||
+ | |style="background-color: white;"|phq-9 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Title | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Value | ||
+ | |style="background-color: white;"|Patient Health Questionnaire (PHQ-9) | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Status | ||
+ | |style="background-color: white;"|concept (code = 'draft' in codeSystem 'DocumentReferenceStatus') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Experimental | ||
+ | |style="background-color: white;"|Ja | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Date | ||
+ | |style="background-color: white;"|27 maa 2020 | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Publisher | ||
+ | |style="background-color: white;"|Nictiz | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Purpose | ||
+ | |style="background-color: white;"|Deze vragenlijst is ontwikkeld voor test- en kwalificatiedoeleinden binnen de informatiestandaard MedMij Vragenlijsten. | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Onderwerp | ||
+ | |style="background-color: white;"|(code = 'Patient' in codeSystem 'http://hl7.org/fhir/resource-types') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="6"|Item met linkid: 'phq-9' en type:'group' | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="114"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Text | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Value | ||
+ | |style="background-color: yellow;"|Hoe vaak hebt u in de afgelopen 2 weken last gehad van één of meer van de volgende problemen? | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Item met linkid: '1' en type:'choice' | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="10"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Code | ||
+ | |style="background-color: white;"|Little interest or pleasure in doing things in last 2 weeks [Reported.PHQ] (code = '44250-9' in codeSystem 'LOINC') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Text | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Value | ||
+ | |style="background-color: yellow;"|Weinig interesse of plezier in activiteiten. | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Required | ||
+ | |style="background-color: white;"|Ja | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Option | ||
+ | |style="background-color: white;"|Helemaal niet (code = 'HEN') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Option | ||
+ | |style="background-color: white;"|Meerdere dagen (code = 'MED') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Option | ||
+ | |style="background-color: white;"|Meer dan de helft van de dagen (code = 'MHD') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Option | ||
+ | |style="background-color: white;"|Bijna elke dag (code = 'BED') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Item met linkid: '2' en type:'choice' | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="10"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Code | ||
+ | |style="background-color: white;"|Feeling down, depressed, or hopeless in last 2 weeks [Reported.PHQ] (code = '44255-8' in codeSystem 'LOINC') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Text | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Value | ||
+ | |style="background-color: yellow;"|U neerslachtig, depressief of wanhopig voelen. | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Required | ||
+ | |style="background-color: white;"|Ja | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Option | ||
+ | |style="background-color: white;"|Helemaal niet (code = 'HEN') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Option | ||
+ | |style="background-color: white;"|Meerdere dagen (code = 'MED') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Option | ||
+ | |style="background-color: white;"|Meer dan de helft van de dagen (code = 'MHD') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Option | ||
+ | |style="background-color: white;"|Bijna elke dag (code = 'BED') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Item met linkid: '3' en type:'choice' | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="10"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Code | ||
+ | |style="background-color: white;"|Trouble falling or staying asleep, or sleeping too much in last 2 weeks [Reported.PHQ] (code = '44259-0' in codeSystem 'LOINC') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Text | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Value | ||
+ | |style="background-color: yellow;"|Moeilijk inslapen, moeilijk doorslapen of te veel slapen. | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Required | ||
+ | |style="background-color: white;"|Ja | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Option | ||
+ | |style="background-color: white;"|Helemaal niet (code = 'HEN') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Option | ||
+ | |style="background-color: white;"|Meerdere dagen (code = 'MED') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Option | ||
+ | |style="background-color: white;"|Meer dan de helft van de dagen (code = 'MHD') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Option | ||
+ | |style="background-color: white;"|Bijna elke dag (code = 'BED') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Item met linkid: '4' en type:'choice' | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="10"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Code | ||
+ | |style="background-color: white;"|Feeling tired or having little energy in last 2 weeks [Reported.PHQ] (code = '44254-1' in codeSystem 'LOINC') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Text | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Value | ||
+ | |style="background-color: yellow;"|U moe voelen of gebrek aan energie hebben. | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Required | ||
+ | |style="background-color: white;"|Ja | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Option | ||
+ | |style="background-color: white;"|Helemaal niet (code = 'HEN') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Option | ||
+ | |style="background-color: white;"|Meerdere dagen (code = 'MED') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Option | ||
+ | |style="background-color: white;"|Meer dan de helft van de dagen (code = 'MHD') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Option | ||
+ | |style="background-color: white;"|Bijna elke dag (code = 'BED') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Item met linkid: '5' en type:'choice' | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="10"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Code | ||
+ | |style="background-color: white;"|Poor appetite or overeating in last 2 weeks [Reported.PHQ] (code = '44251-7' in codeSystem 'LOINC') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Text | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Value | ||
+ | |style="background-color: yellow;"|Weinig eetlust of overmatig eten. | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Required | ||
+ | |style="background-color: white;"|Ja | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Option | ||
+ | |style="background-color: white;"|Helemaal niet (code = 'HEN') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Option | ||
+ | |style="background-color: white;"|Meerdere dagen (code = 'MED') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Option | ||
+ | |style="background-color: white;"|Meer dan de helft van de dagen (code = 'MHD') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Option | ||
+ | |style="background-color: white;"|Bijna elke dag (code = 'BED') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Item met linkid: '6' en type:'choice' | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="10"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Code | ||
+ | |style="background-color: white;"|Feeling bad about yourself - or that you are a failure or have let yourself or your family down in last 2 weeks [Reported.PHQ] (code = '44258-2' in codeSystem 'LOINC') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Text | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Value | ||
+ | |style="background-color: yellow;"|Een slecht gevoel hebben over uzelf, het gevoel hebben dat u een mislukkeling bent of dat u zichzelf of uw familie teleurgesteld hebt. | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Required | ||
+ | |style="background-color: white;"|Ja | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Option | ||
+ | |style="background-color: white;"|Helemaal niet (code = 'HEN') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Option | ||
+ | |style="background-color: white;"|Meerdere dagen (code = 'MED') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Option | ||
+ | |style="background-color: white;"|Meer dan de helft van de dagen (code = 'MHD') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Option | ||
+ | |style="background-color: white;"|Bijna elke dag (code = 'BED') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Item met linkid: '7' en type:'choice' | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="10"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Code | ||
+ | |style="background-color: white;"|Trouble concentrating on things, such as reading the newspaper or watching television in last 2 weeks [Reported.PHQ] (code = '44252-5' in codeSystem 'LOINC') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Text | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Value | ||
+ | |style="background-color: yellow;"|Problemen om u te concentreren, bijvoorbeeld om de krant te lezen of om tv te kijken. | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Required | ||
+ | |style="background-color: white;"|Ja | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Option | ||
+ | |style="background-color: white;"|Helemaal niet (code = 'HEN') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Option | ||
+ | |style="background-color: white;"|Meerdere dagen (code = 'MED') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Option | ||
+ | |style="background-color: white;"|Meer dan de helft van de dagen (code = 'MHD') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Option | ||
+ | |style="background-color: white;"|Bijna elke dag (code = 'BED') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Item met linkid: '8' en type:'choice' | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="10"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Code | ||
+ | |style="background-color: white;"|Moving or speaking so slowly that other people could have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual in last 2 weeks [Reported.PHQ] (code = '44253-3' in codeSystem 'LOINC') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Text | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Value | ||
+ | |style="background-color: yellow;"|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. | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Required | ||
+ | |style="background-color: white;"|Ja | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Option | ||
+ | |style="background-color: white;"|Helemaal niet (code = 'HEN') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Option | ||
+ | |style="background-color: white;"|Meerdere dagen (code = 'MED') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Option | ||
+ | |style="background-color: white;"|Meer dan de helft van de dagen (code = 'MHD') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Option | ||
+ | |style="background-color: white;"|Bijna elke dag (code = 'BED') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Item met linkid: '9' en type:'choice' | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="10"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Code | ||
+ | |style="background-color: white;"|Thoughts that you would be better off dead, or of hurting yourself in some way in last 2 weeks [Reported.PHQ] (code = '44260-8' in codeSystem 'LOINC') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Text | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Value | ||
+ | |style="background-color: yellow;"|De gedachte dat u beter dood zou kunnen zijn of de gedachte uzelf op een bepaalde manier pijn te doen. | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Required | ||
+ | |style="background-color: white;"|Ja | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Option | ||
+ | |style="background-color: white;"|Helemaal niet (code = 'HEN') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Option | ||
+ | |style="background-color: white;"|Meerdere dagen (code = 'MED') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Option | ||
+ | |style="background-color: white;"|Meer dan de helft van de dagen (code = 'MHD') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Option | ||
+ | |style="background-color: white;"|Bijna elke dag (code = 'BED') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="5"|Item met linkid: '10' en type:'choice' | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="10"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Code | ||
+ | |style="background-color: white;"|How difficult have these made it for you to do your work, take care of things at home, or get along with other people [Reported.PHQ] (code = '69722-7' in codeSystem 'LOINC') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="4"|Text | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |rowspan="2"| | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="2"|Value | ||
+ | |style="background-color: yellow;"|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? | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Required | ||
+ | |style="background-color: white;"|Ja | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Option | ||
+ | |style="background-color: white;"|Helemaal niet moeilijk (code = 'HNM') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Option | ||
+ | |style="background-color: white;"|Enigszins moeilijk (code = 'ENM') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Option | ||
+ | |style="background-color: white;"|Erg moeilijk (code = 'ERM') | ||
+ | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
+ | |colspan="3"|Option | ||
+ | |style="background-color: white;"|Extreem moeilijk (code = 'EXM') | ||
+ | |} | ||
+ | [[Categorie:Kwalificatie]] | ||
+ | |||
==Scenario VL - PHQ9 - Questionnaire== | ==Scenario VL - PHQ9 - Questionnaire== | ||
Versie van 2 jun 2020 12:11
{{#customtitle:Vragenlijsten - inhoud kwalificatie}}
Deze pagina is nog in bewerking |
1 Addenda voor inhoudelijke gegevens Vragenlijsten
1.1 Scenario VL - Intake - Questionnaire
Questionnaire - met id: 'INTAKE-NIEUWE-PATIENT' | ||||||
Gegevenselement | Waarde | |||||
Url | http://examplerepository.nl/intake-nieuwe-patient--20200327 | |||||
Version | 20200327 | |||||
Name | intake-nieuwe-patient | |||||
Title | ||||||
Value | Intake nieuwe patiënt | |||||
Status | concept (code = 'draft' in codeSystem 'DocumentReferenceStatus') | |||||
Experimental | Ja | |||||
Date | 27 maa 2020 | |||||
Publisher | Nictiz | |||||
Purpose | Deze vragenlijst is ontwikkeld voor test- en kwalificatiedoeleinden binnen de informatiestandaard MedMij Vragenlijsten. | |||||
Onderwerp | Patient (code = 'Patient' in codeSystem 'http://hl7.org/fhir/resource-types') | |||||
Item met linkid: 'introductie' en type:'display' | ||||||
Text | ||||||
Value | Met het beantwoorden van deze vragenlijst voorziet u ons van enkele basisgegevens die we opnemen in uw dossier. | |||||
Item met linkid: 'algemeen' en type:'group' | ||||||
Text | ||||||
Value | Algemene vragen | |||||
Item met linkid: 'gewicht' en type:'decimal' | ||||||
Extension | ||||||
Max decimal places | 1 | |||||
Unit | (code = 'kg' in codeSystem 'http://unitsofmeasure.org') | |||||
Text | ||||||
Value | Wat is uw gewicht in kg? | |||||
Required | Ja | |||||
Item met linkid: 'lengte' en type:'integer' | ||||||
Extension | ||||||
Min length | 0 | |||||
Unit | (code = 'cm' in codeSystem 'http://unitsofmeasure.org') | |||||
Text | ||||||
Value | Wat is uw lengte in cm? | |||||
Required | Ja | |||||
Item met linkid: 'roken' en type:'boolean' | ||||||
Text | ||||||
Value | Rookt u? | |||||
Item met linkid: 'ooitgerookt' en type:'boolean' | ||||||
Text | ||||||
Value | U rookt niet meer, maar heeft u ooit gerookt? | |||||
Enable when | ||||||
Question link id | roken | |||||
Answer | Nee | |||||
Item met linkid: 'jarensindsroken' en type:'decimal' | ||||||
Extension | ||||||
Unit | (code = 'a' in codeSystem 'http://unitsofmeasure.org') | |||||
Text | ||||||
Value | Hoe lang is het geleden dat u heeft gerookt (in jaren)? | |||||
Enable when | ||||||
Question link id | ooitgerookt | |||||
Answer | Ja | |||||
Item met linkid: 'hoevaakroken' en type:'choice' | ||||||
Text | ||||||
Value | Hoe vaak rookt u? | |||||
Enable when | ||||||
Question link id | roken | |||||
Answer | Ja | |||||
Option | Dagelijks (code = 'DAG') | |||||
Option | Bijna dagelijks (code = 'BDA') | |||||
Option | Een paar dagen per week (code = 'PDW') | |||||
Option | Alleen in het weekend (code = 'WKD') | |||||
Option | Af en toe (code = 'AFT') | |||||
Option | Zelden (code = 'ZEL') | |||||
Item met linkid: 'drinken' en type:'boolean' | ||||||
Text | ||||||
Value | Drinkt u alcohol? | |||||
Item met linkid: 'hoevaakdrinken' en type:'choice' | ||||||
Text | ||||||
Value | Hoe vaak per week drinkt u alcohol? | |||||
Enable when | ||||||
Question link id | drinken | |||||
Answer | Ja | |||||
Option | Dagelijks (code = 'DAG') | |||||
Option | Bijna dagelijks (code = 'BDA') | |||||
Option | Een paar dagen per week (code = 'PDW') | |||||
Option | Alleen in het weekend (code = 'WKD') | |||||
Option | Af en toe (code = 'AFT') | |||||
Option | Zelden (code = 'ZEL') | |||||
Item met linkid: 'lichamelijkegezondheid' en type:'text' | ||||||
Text | ||||||
Value | Hoe omschrijft u uw algemene lichamelijke gezondheid? | |||||
Item met linkid: 'opstaan' en type:'time' | ||||||
Text | ||||||
Value | Hoe laat staat u meestal op? | |||||
Item met linkid: 'sport' en type:'boolean' | ||||||
Text | ||||||
Value | Beoefent u een sport? | |||||
Item met linkid: 'welkesport' en type:'choice' | ||||||
Text | ||||||
Value | Welke sport(en) beoefent u? | |||||
Enable when | ||||||
Question link id | sport | |||||
Answer | Ja | |||||
Repeats | Ja | |||||
Option | Voetbal (code = 'VOE') | |||||
Option | Tennis (code = 'TEN') | |||||
Option | Hockey (code = 'HOC') | |||||
Option | Volleybal (code = 'VOL') | |||||
Option | Basketbal (code = 'BAS') | |||||
Option | Zwemmen (code = 'ZWE') | |||||
Option | Yoga (code = 'YOG') | |||||
Option | Anders, namelijk (code = 'AND') | |||||
Item met linkid: 'welkeanderesport' en type:'string' | ||||||
Text | ||||||
Value | Anders, namelijk | |||||
Enable when | ||||||
Question link id | welkesport | |||||
Answer | Anders, namelijk (code = 'AND') | |||||
Repeats | Ja | |||||
Item met linkid: 'voorgeschiedenis' en type:'group' | ||||||
Text | ||||||
Value | Voorgeschiedenis | |||||
Item met linkid: 'onderbehandeling' en type:'boolean' | ||||||
Text | ||||||
Value | Bent u op dit moment onder behandeling van een specialist? | |||||
Required | Ja | |||||
Item met linkid: 'datumlaatstebehandeling' en type:'date' | ||||||
Text | ||||||
Value | Wanneer was uw laatste contact met een specialist? | |||||
Enable when | ||||||
Question link id | onderbehandeling | |||||
Answer | Ja | |||||
Item met linkid: 'geneesmiddelen' en type:'boolean' | ||||||
Text | ||||||
Value | Gebruikt u geneesmiddelen? | |||||
Required | Ja | |||||
Item met linkid: 'socialemedia' en type:'group' | ||||||
Text | ||||||
Value | Sociale media | |||||
Item met linkid: 'actiefsocialemedia' en type:'display' | ||||||
Text | ||||||
Value | Bent u actief op sociale media? | |||||
Item met linkid: 'facebook' en type:'boolean' | ||||||
Text | ||||||
Value | ||||||
Item met linkid: 'instagram' en type:'boolean' | ||||||
Text | ||||||
Value | ||||||
Item met linkid: 'linkedin' en type:'boolean' | ||||||
Text | ||||||
Value | ||||||
Item met linkid: 'anderplatform' en type:'boolean' | ||||||
Text | ||||||
Value | Van een ander platform dat hier niet is genoemd? | |||||
Item met linkid: 'hoeveelandere' en type:'integer' | ||||||
Extension | ||||||
Min value | ||||||
Integer | 1 | |||||
Extension | ||||||
Max value | ||||||
Integer | 5 | |||||
Text | ||||||
Value | Hoeveel andere platforms zijn dit dan? (maximaal 5) | |||||
Enable when | ||||||
Question link id | anderplatform | |||||
Answer | Ja | |||||
Item met linkid: 'welkplatform' en type:'string' | ||||||
Text | ||||||
Value | Welk of welke platforms zijn dit dan? | |||||
Enable when | ||||||
Question link id | anderplatform | |||||
Answer | Ja | |||||
Item met linkid: 'contactgegevens' en type:'group' | ||||||
Text | ||||||
Value | Contactgegevens | |||||
Item met linkid: 'uitlegcontact' en type:'display' | ||||||
Text | ||||||
Value | Om u beter van dienst te kunnen zijn gebruiken we graag uw mobiele telefoonnummer en e-mailadres, bijvoorbeeld voor afspraakherinneringen en herhaalrecepten. | |||||
Item met linkid: 'mobiel' en type:'string' | ||||||
Text | ||||||
Value | Wat is uw mobiele telefoonnummer? | |||||
Item met linkid: 'mail' en type:'string' | ||||||
Text | ||||||
Value | Wat is uw e-mailadres? | |||||
Item met linkid: 'belafspraak' en type:'group' | ||||||
Item met linkid: 'uitlegbelafspraak' en type:'display' | ||||||
Text | ||||||
Value | Graag zouden we telefonisch contact met u opnemen om uw inschrijving te voltooien. | |||||
Item met linkid: 'toestemmingbelafspraak' en type:'boolean' | ||||||
Text | ||||||
Value | Mogen we u telefonisch benaderen? | |||||
Item met linkid: 'datumtijdbelafspraak' en type:'dateTime' | ||||||
Text | ||||||
Value | Als u voorkeur heeft voor een datum/tijd, dan kunt u deze hier opgeven. | |||||
Enable when | ||||||
Question link id | toestemmingbelafspraak | |||||
Answer | Ja |
{{#customtitle:Vragenlijsten - inhoud kwalificatie}}
Deze pagina is nog in bewerking |
2 Addenda voor inhoudelijke gegevens Vragenlijsten
2.1 Scenario VL - Intake - Questionnaire
Questionnaire - met id: 'INTAKE-NIEUWE-PATIENT' | ||||||
Gegevenselement | Waarde | |||||
Url | http://examplerepository.nl/intake-nieuwe-patient--20200327 | |||||
Version | 20200327 | |||||
Name | intake-nieuwe-patient | |||||
Title | ||||||
Value | Intake nieuwe patiënt | |||||
Status | concept (code = 'draft' in codeSystem 'DocumentReferenceStatus') | |||||
Experimental | Ja | |||||
Date | 27 maa 2020 | |||||
Publisher | Nictiz | |||||
Purpose | Deze vragenlijst is ontwikkeld voor test- en kwalificatiedoeleinden binnen de informatiestandaard MedMij Vragenlijsten. | |||||
Onderwerp | Patient (code = 'Patient' in codeSystem 'http://hl7.org/fhir/resource-types') | |||||
Item met linkid: 'introductie' en type:'display' | ||||||
Text | ||||||
Value | Met het beantwoorden van deze vragenlijst voorziet u ons van enkele basisgegevens die we opnemen in uw dossier. | |||||
Item met linkid: 'algemeen' en type:'group' | ||||||
Text | ||||||
Value | Algemene vragen | |||||
Item met linkid: 'gewicht' en type:'decimal' | ||||||
Extension | ||||||
Max decimal places | 1 | |||||
Unit | (code = 'kg' in codeSystem 'http://unitsofmeasure.org') | |||||
Text | ||||||
Value | Wat is uw gewicht in kg? | |||||
Required | Ja | |||||
Item met linkid: 'lengte' en type:'integer' | ||||||
Extension | ||||||
Min length | 0 | |||||
Unit | (code = 'cm' in codeSystem 'http://unitsofmeasure.org') | |||||
Text | ||||||
Value | Wat is uw lengte in cm? | |||||
Required | Ja | |||||
Item met linkid: 'roken' en type:'boolean' | ||||||
Text | ||||||
Value | Rookt u? | |||||
Item met linkid: 'ooitgerookt' en type:'boolean' | ||||||
Text | ||||||
Value | U rookt niet meer, maar heeft u ooit gerookt? | |||||
Enable when | ||||||
Question link id | roken | |||||
Answer | Nee | |||||
Item met linkid: 'jarensindsroken' en type:'decimal' | ||||||
Extension | ||||||
Unit | (code = 'a' in codeSystem 'http://unitsofmeasure.org') | |||||
Text | ||||||
Value | Hoe lang is het geleden dat u heeft gerookt (in jaren)? | |||||
Enable when | ||||||
Question link id | ooitgerookt | |||||
Answer | Ja | |||||
Item met linkid: 'hoevaakroken' en type:'choice' | ||||||
Text | ||||||
Value | Hoe vaak rookt u? | |||||
Enable when | ||||||
Question link id | roken | |||||
Answer | Ja | |||||
Option | Dagelijks (code = 'DAG') | |||||
Option | Bijna dagelijks (code = 'BDA') | |||||
Option | Een paar dagen per week (code = 'PDW') | |||||
Option | Alleen in het weekend (code = 'WKD') | |||||
Option | Af en toe (code = 'AFT') | |||||
Option | Zelden (code = 'ZEL') | |||||
Item met linkid: 'drinken' en type:'boolean' | ||||||
Text | ||||||
Value | Drinkt u alcohol? | |||||
Item met linkid: 'hoevaakdrinken' en type:'choice' | ||||||
Text | ||||||
Value | Hoe vaak per week drinkt u alcohol? | |||||
Enable when | ||||||
Question link id | drinken | |||||
Answer | Ja | |||||
Option | Dagelijks (code = 'DAG') | |||||
Option | Bijna dagelijks (code = 'BDA') | |||||
Option | Een paar dagen per week (code = 'PDW') | |||||
Option | Alleen in het weekend (code = 'WKD') | |||||
Option | Af en toe (code = 'AFT') | |||||
Option | Zelden (code = 'ZEL') | |||||
Item met linkid: 'lichamelijkegezondheid' en type:'text' | ||||||
Text | ||||||
Value | Hoe omschrijft u uw algemene lichamelijke gezondheid? | |||||
Item met linkid: 'opstaan' en type:'time' | ||||||
Text | ||||||
Value | Hoe laat staat u meestal op? | |||||
Item met linkid: 'sport' en type:'boolean' | ||||||
Text | ||||||
Value | Beoefent u een sport? | |||||
Item met linkid: 'welkesport' en type:'choice' | ||||||
Text | ||||||
Value | Welke sport(en) beoefent u? | |||||
Enable when | ||||||
Question link id | sport | |||||
Answer | Ja | |||||
Repeats | Ja | |||||
Option | Voetbal (code = 'VOE') | |||||
Option | Tennis (code = 'TEN') | |||||
Option | Hockey (code = 'HOC') | |||||
Option | Volleybal (code = 'VOL') | |||||
Option | Basketbal (code = 'BAS') | |||||
Option | Zwemmen (code = 'ZWE') | |||||
Option | Yoga (code = 'YOG') | |||||
Option | Anders, namelijk (code = 'AND') | |||||
Item met linkid: 'welkeanderesport' en type:'string' | ||||||
Text | ||||||
Value | Anders, namelijk | |||||
Enable when | ||||||
Question link id | welkesport | |||||
Answer | Anders, namelijk (code = 'AND') | |||||
Repeats | Ja | |||||
Item met linkid: 'voorgeschiedenis' en type:'group' | ||||||
Text | ||||||
Value | Voorgeschiedenis | |||||
Item met linkid: 'onderbehandeling' en type:'boolean' | ||||||
Text | ||||||
Value | Bent u op dit moment onder behandeling van een specialist? | |||||
Required | Ja | |||||
Item met linkid: 'datumlaatstebehandeling' en type:'date' | ||||||
Text | ||||||
Value | Wanneer was uw laatste contact met een specialist? | |||||
Enable when | ||||||
Question link id | onderbehandeling | |||||
Answer | Ja | |||||
Item met linkid: 'geneesmiddelen' en type:'boolean' | ||||||
Text | ||||||
Value | Gebruikt u geneesmiddelen? | |||||
Required | Ja | |||||
Item met linkid: 'socialemedia' en type:'group' | ||||||
Text | ||||||
Value | Sociale media | |||||
Item met linkid: 'actiefsocialemedia' en type:'display' | ||||||
Text | ||||||
Value | Bent u actief op sociale media? | |||||
Item met linkid: 'facebook' en type:'boolean' | ||||||
Text | ||||||
Value | ||||||
Item met linkid: 'instagram' en type:'boolean' | ||||||
Text | ||||||
Value | ||||||
Item met linkid: 'linkedin' en type:'boolean' | ||||||
Text | ||||||
Value | ||||||
Item met linkid: 'anderplatform' en type:'boolean' | ||||||
Text | ||||||
Value | Van een ander platform dat hier niet is genoemd? | |||||
Item met linkid: 'hoeveelandere' en type:'integer' | ||||||
Extension | ||||||
Min value | ||||||
Integer | 1 | |||||
Extension | ||||||
Max value | ||||||
Integer | 5 | |||||
Text | ||||||
Value | Hoeveel andere platforms zijn dit dan? (maximaal 5) | |||||
Enable when | ||||||
Question link id | anderplatform | |||||
Answer | Ja | |||||
Item met linkid: 'welkplatform' en type:'string' | ||||||
Text | ||||||
Value | Welk of welke platforms zijn dit dan? | |||||
Enable when | ||||||
Question link id | anderplatform | |||||
Answer | Ja | |||||
Item met linkid: 'contactgegevens' en type:'group' | ||||||
Text | ||||||
Value | Contactgegevens | |||||
Item met linkid: 'uitlegcontact' en type:'display' | ||||||
Text | ||||||
Value | Om u beter van dienst te kunnen zijn gebruiken we graag uw mobiele telefoonnummer en e-mailadres, bijvoorbeeld voor afspraakherinneringen en herhaalrecepten. | |||||
Item met linkid: 'mobiel' en type:'string' | ||||||
Text | ||||||
Value | Wat is uw mobiele telefoonnummer? | |||||
Item met linkid: 'mail' en type:'string' | ||||||
Text | ||||||
Value | Wat is uw e-mailadres? | |||||
Item met linkid: 'belafspraak' en type:'group' | ||||||
Item met linkid: 'uitlegbelafspraak' en type:'display' | ||||||
Text | ||||||
Value | Graag zouden we telefonisch contact met u opnemen om uw inschrijving te voltooien. | |||||
Item met linkid: 'toestemmingbelafspraak' en type:'boolean' | ||||||
Text | ||||||
Value | Mogen we u telefonisch benaderen? | |||||
Item met linkid: 'datumtijdbelafspraak' en type:'dateTime' | ||||||
Text | ||||||
Value | Als u voorkeur heeft voor een datum/tijd, dan kunt u deze hier opgeven. | |||||
Enable when | ||||||
Question link id | toestemmingbelafspraak | |||||
Answer | Ja |
2.2 Scenario VL - PHQ9 extended - Questionnaire
Questionnaire - met id: 'PHQ-9-ext' | |||||
Gegevenselement | Waarde | ||||
Rendering style sensitive | Ja | ||||
Url | http://examplerepository.nl/phq-9-extended--20200331 | ||||
Version | 20200331 | ||||
Name | phq-9-extended | ||||
Title | |||||
Value | Patient Health Questionnaire (PHQ-9) - extended | ||||
Status | concept (code = 'draft' in codeSystem 'DocumentReferenceStatus') | ||||
Experimental | Ja | ||||
Date | 31 maa 2020 | ||||
Publisher | Nictiz | ||||
Purpose | Deze vragenlijst is ontwikkeld voor test- en kwalificatiedoeleinden binnen de informatiestandaard MedMij Vragenlijsten. | ||||
Code | PHQ-9 quick depression assessment panel (code = '44249-1' in codeSystem 'LOINC') | ||||
Onderwerp | (code = 'Patient' in codeSystem 'http://hl7.org/fhir/resource-types') | ||||
Item met linkid: 'phq-9' en type:'group' | |||||
Text | |||||
Group textrendering style | font-weight:bold;font-style:italic;color:#EE7203 | ||||
Value | Hoe vaak hebt u in de afgelopen 2 weken last gehad van één of meer van de volgende problemen? | ||||
Item met linkid: '1' en type:'choice' | |||||
Code | Little interest or pleasure in doing things in last 2 weeks [Reported.PHQ] (code = '44250-9' in codeSystem 'LOINC') | ||||
Text | |||||
Group textrendering style | font-weight:bold | ||||
Value | Weinig interesse of plezier in activiteiten. | ||||
Required | Ja | ||||
Option | Helemaal niet (code = 'HEN') | ||||
Option | Meerdere dagen (code = 'MED') | ||||
Option | Meer dan de helft van de dagen (code = 'MHD') | ||||
Option | Bijna elke dag (code = 'BED') | ||||
Item met linkid: '2' en type:'choice' | |||||
Code | Feeling down, depressed, or hopeless in last 2 weeks [Reported.PHQ] (code = '44255-8' in codeSystem 'LOINC') | ||||
Text | |||||
Group textrendering style | font-style:italic | ||||
Value | U neerslachtig, depressief of wanhopig voelen. | ||||
Required | Ja | ||||
Option | Helemaal niet (code = 'HEN') | ||||
Option | Meerdere dagen (code = 'MED') | ||||
Option | Meer dan de helft van de dagen (code = 'MHD') | ||||
Option | Bijna elke dag (code = 'BED') | ||||
Item met linkid: '3' en type:'choice' | |||||
Extension | |||||
Item control | A control where choices are listed with a button beside them. The button can be toggled to select or de-select a given choice. Selecting one item deselects all others. (code = 'radio-button' in codeSystem 'http://hl7.org/fhir/questionnaire-item-control') | ||||
Code | Trouble falling or staying asleep, or sleeping too much in last 2 weeks [Reported.PHQ] (code = '44259-0' in codeSystem 'LOINC') | ||||
Text | |||||
Group textrendering style | font-weight:bold | ||||
Value | Moeilijk inslapen, moeilijk doorslapen of te veel slapen. | ||||
Required | Ja | ||||
Option | Helemaal niet (code = 'HEN') | ||||
Option | Meerdere dagen (code = 'MED') | ||||
Option | Meer dan de helft van de dagen (code = 'MHD') | ||||
Option | Bijna elke dag (code = 'BED') | ||||
Item met linkid: '4' en type:'choice' | |||||
Code | Feeling tired or having little energy in last 2 weeks [Reported.PHQ] (code = '44254-1' in codeSystem 'LOINC') | ||||
Text | |||||
Group textrendering style | font-style:italic | ||||
Value | U moe voelen of gebrek aan energie hebben. | ||||
Required | Ja | ||||
Option | Helemaal niet (code = 'HEN') | ||||
Option | Meerdere dagen (code = 'MED') | ||||
Option | Meer dan de helft van de dagen (code = 'MHD') | ||||
Option | Bijna elke dag (code = 'BED') | ||||
Item met linkid: '5' en type:'choice' | |||||
Code | Poor appetite or overeating in last 2 weeks [Reported.PHQ] (code = '44251-7' in codeSystem 'LOINC') | ||||
Text | |||||
Group textrendering style | font-weight:bold | ||||
Value | Weinig eetlust of overmatig eten. | ||||
Required | Ja | ||||
Option | Helemaal niet (code = 'HEN') | ||||
Option | Meerdere dagen (code = 'MED') | ||||
Option | Meer dan de helft van de dagen (code = 'MHD') | ||||
Option | Bijna elke dag (code = 'BED') | ||||
Item met linkid: '6' en type:'choice' | |||||
Code | Feeling bad about yourself - or that you are a failure or have let yourself or your family down in last 2 weeks [Reported.PHQ] (code = '44258-2' in codeSystem 'LOINC') | ||||
Text | |||||
Group textrendering style | font-style:italic | ||||
Value | Een slecht gevoel hebben over uzelf, het gevoel hebben dat u een mislukkeling bent of dat u zichzelf of uw familie teleurgesteld hebt. | ||||
Required | Ja | ||||
Option | Helemaal niet (code = 'HEN') | ||||
Option | Meerdere dagen (code = 'MED') | ||||
Option | Meer dan de helft van de dagen (code = 'MHD') | ||||
Option | Bijna elke dag (code = 'BED') | ||||
Item met linkid: '7' en type:'choice' | |||||
Code | Trouble concentrating on things, such as reading the newspaper or watching television in last 2 weeks [Reported.PHQ] (code = '44252-5' in codeSystem 'LOINC') | ||||
Text | |||||
Group textrendering style | font-weight:bold | ||||
Value | Problemen om u te concentreren, bijvoorbeeld om de krant te lezen of om tv te kijken. | ||||
Required | Ja | ||||
Option | Helemaal niet (code = 'HEN') | ||||
Option | Meerdere dagen (code = 'MED') | ||||
Option | Meer dan de helft van de dagen (code = 'MHD') | ||||
Option | Bijna elke dag (code = 'BED') | ||||
Item met linkid: '8' en type:'choice' | |||||
Code | Moving or speaking so slowly that other people could have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual in last 2 weeks [Reported.PHQ] (code = '44253-3' in codeSystem 'LOINC') | ||||
Text | |||||
Group textrendering style | font-style:italic | ||||
Value | 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. | ||||
Required | Ja | ||||
Option | Helemaal niet (code = 'HEN') | ||||
Option | Meerdere dagen (code = 'MED') | ||||
Option | Meer dan de helft van de dagen (code = 'MHD') | ||||
Option | Bijna elke dag (code = 'BED') | ||||
Item met linkid: '9' en type:'choice' | |||||
Code | Thoughts that you would be better off dead, or of hurting yourself in some way in last 2 weeks [Reported.PHQ] (code = '44260-8' in codeSystem 'LOINC') | ||||
Text | |||||
Group textrendering style | font-weight:bold | ||||
Value | De gedachte dat u beter dood zou kunnen zijn of de gedachte uzelf op een bepaalde manier pijn te doen. | ||||
Required | Ja | ||||
Option | Helemaal niet (code = 'HEN') | ||||
Option | Meerdere dagen (code = 'MED') | ||||
Option | Meer dan de helft van de dagen (code = 'MHD') | ||||
Option | Bijna elke dag (code = 'BED') | ||||
Item met linkid: '10' en type:'choice' | |||||
Code | How difficult have these made it for you to do your work, take care of things at home, or get along with other people [Reported.PHQ] (code = '69722-7' in codeSystem 'LOINC') | ||||
Text | |||||
Group textrendering style | font-style:italic | ||||
Value | 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? | ||||
Required | Ja | ||||
Option | Helemaal niet moeilijk (code = 'HNM') | ||||
Option | Enigszins moeilijk (code = 'ENM') | ||||
Option | Erg moeilijk (code = 'ERM') | ||||
Option | Extreem moeilijk (code = 'EXM') | ||||
Item met linkid: '11' en type:'boolean' | |||||
Extension | |||||
Item hidden | Ja | ||||
Text | |||||
Value | Is de vragenlijst volledig ingevuld? |
2.3 Scenario VL - PHQ9 - Questionnaire
Questionnaire - met id: 'PHQ-9' | |||||
Gegevenselement | Waarde | ||||
Url | http://examplerepository.nl/phq-9--20200327 | ||||
Version | 20200327 | ||||
Name | phq-9 | ||||
Title | |||||
Value | Patient Health Questionnaire (PHQ-9) | ||||
Status | concept (code = 'draft' in codeSystem 'DocumentReferenceStatus') | ||||
Experimental | Ja | ||||
Date | 27 maa 2020 | ||||
Publisher | Nictiz | ||||
Purpose | Deze vragenlijst is ontwikkeld voor test- en kwalificatiedoeleinden binnen de informatiestandaard MedMij Vragenlijsten. | ||||
Onderwerp | (code = 'Patient' in codeSystem 'http://hl7.org/fhir/resource-types') | ||||
Item met linkid: 'phq-9' en type:'group' | |||||
Text | |||||
Value | Hoe vaak hebt u in de afgelopen 2 weken last gehad van één of meer van de volgende problemen? | ||||
Item met linkid: '1' en type:'choice' | |||||
Code | Little interest or pleasure in doing things in last 2 weeks [Reported.PHQ] (code = '44250-9' in codeSystem 'LOINC') | ||||
Text | |||||
Value | Weinig interesse of plezier in activiteiten. | ||||
Required | Ja | ||||
Option | Helemaal niet (code = 'HEN') | ||||
Option | Meerdere dagen (code = 'MED') | ||||
Option | Meer dan de helft van de dagen (code = 'MHD') | ||||
Option | Bijna elke dag (code = 'BED') | ||||
Item met linkid: '2' en type:'choice' | |||||
Code | Feeling down, depressed, or hopeless in last 2 weeks [Reported.PHQ] (code = '44255-8' in codeSystem 'LOINC') | ||||
Text | |||||
Value | U neerslachtig, depressief of wanhopig voelen. | ||||
Required | Ja | ||||
Option | Helemaal niet (code = 'HEN') | ||||
Option | Meerdere dagen (code = 'MED') | ||||
Option | Meer dan de helft van de dagen (code = 'MHD') | ||||
Option | Bijna elke dag (code = 'BED') | ||||
Item met linkid: '3' en type:'choice' | |||||
Code | Trouble falling or staying asleep, or sleeping too much in last 2 weeks [Reported.PHQ] (code = '44259-0' in codeSystem 'LOINC') | ||||
Text | |||||
Value | Moeilijk inslapen, moeilijk doorslapen of te veel slapen. | ||||
Required | Ja | ||||
Option | Helemaal niet (code = 'HEN') | ||||
Option | Meerdere dagen (code = 'MED') | ||||
Option | Meer dan de helft van de dagen (code = 'MHD') | ||||
Option | Bijna elke dag (code = 'BED') | ||||
Item met linkid: '4' en type:'choice' | |||||
Code | Feeling tired or having little energy in last 2 weeks [Reported.PHQ] (code = '44254-1' in codeSystem 'LOINC') | ||||
Text | |||||
Value | U moe voelen of gebrek aan energie hebben. | ||||
Required | Ja | ||||
Option | Helemaal niet (code = 'HEN') | ||||
Option | Meerdere dagen (code = 'MED') | ||||
Option | Meer dan de helft van de dagen (code = 'MHD') | ||||
Option | Bijna elke dag (code = 'BED') | ||||
Item met linkid: '5' en type:'choice' | |||||
Code | Poor appetite or overeating in last 2 weeks [Reported.PHQ] (code = '44251-7' in codeSystem 'LOINC') | ||||
Text | |||||
Value | Weinig eetlust of overmatig eten. | ||||
Required | Ja | ||||
Option | Helemaal niet (code = 'HEN') | ||||
Option | Meerdere dagen (code = 'MED') | ||||
Option | Meer dan de helft van de dagen (code = 'MHD') | ||||
Option | Bijna elke dag (code = 'BED') | ||||
Item met linkid: '6' en type:'choice' | |||||
Code | Feeling bad about yourself - or that you are a failure or have let yourself or your family down in last 2 weeks [Reported.PHQ] (code = '44258-2' in codeSystem 'LOINC') | ||||
Text | |||||
Value | Een slecht gevoel hebben over uzelf, het gevoel hebben dat u een mislukkeling bent of dat u zichzelf of uw familie teleurgesteld hebt. | ||||
Required | Ja | ||||
Option | Helemaal niet (code = 'HEN') | ||||
Option | Meerdere dagen (code = 'MED') | ||||
Option | Meer dan de helft van de dagen (code = 'MHD') | ||||
Option | Bijna elke dag (code = 'BED') | ||||
Item met linkid: '7' en type:'choice' | |||||
Code | Trouble concentrating on things, such as reading the newspaper or watching television in last 2 weeks [Reported.PHQ] (code = '44252-5' in codeSystem 'LOINC') | ||||
Text | |||||
Value | Problemen om u te concentreren, bijvoorbeeld om de krant te lezen of om tv te kijken. | ||||
Required | Ja | ||||
Option | Helemaal niet (code = 'HEN') | ||||
Option | Meerdere dagen (code = 'MED') | ||||
Option | Meer dan de helft van de dagen (code = 'MHD') | ||||
Option | Bijna elke dag (code = 'BED') | ||||
Item met linkid: '8' en type:'choice' | |||||
Code | Moving or speaking so slowly that other people could have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual in last 2 weeks [Reported.PHQ] (code = '44253-3' in codeSystem 'LOINC') | ||||
Text | |||||
Value | 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. | ||||
Required | Ja | ||||
Option | Helemaal niet (code = 'HEN') | ||||
Option | Meerdere dagen (code = 'MED') | ||||
Option | Meer dan de helft van de dagen (code = 'MHD') | ||||
Option | Bijna elke dag (code = 'BED') | ||||
Item met linkid: '9' en type:'choice' | |||||
Code | Thoughts that you would be better off dead, or of hurting yourself in some way in last 2 weeks [Reported.PHQ] (code = '44260-8' in codeSystem 'LOINC') | ||||
Text | |||||
Value | De gedachte dat u beter dood zou kunnen zijn of de gedachte uzelf op een bepaalde manier pijn te doen. | ||||
Required | Ja | ||||
Option | Helemaal niet (code = 'HEN') | ||||
Option | Meerdere dagen (code = 'MED') | ||||
Option | Meer dan de helft van de dagen (code = 'MHD') | ||||
Option | Bijna elke dag (code = 'BED') | ||||
Item met linkid: '10' en type:'choice' | |||||
Code | How difficult have these made it for you to do your work, take care of things at home, or get along with other people [Reported.PHQ] (code = '69722-7' in codeSystem 'LOINC') | ||||
Text | |||||
Value | 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? | ||||
Required | Ja | ||||
Option | Helemaal niet moeilijk (code = 'HNM') | ||||
Option | Enigszins moeilijk (code = 'ENM') | ||||
Option | Erg moeilijk (code = 'ERM') | ||||
Option | Extreem moeilijk (code = 'EXM') |
2.4 Scenario VL - PHQ9 - Questionnaire
Questionnaire - met id: 'PHQ-9' | |||||
Gegevenselement | Waarde | ||||
Url | http://examplerepository.nl/phq-9--20200327 | ||||
Version | 20200327 | ||||
Name | phq-9 | ||||
Title | |||||
Value | Patient Health Questionnaire (PHQ-9) | ||||
Status | concept (code = 'draft' in codeSystem 'DocumentReferenceStatus') | ||||
Experimental | Ja | ||||
Date | 27 maa 2020 | ||||
Publisher | Nictiz | ||||
Purpose | Deze vragenlijst is ontwikkeld voor test- en kwalificatiedoeleinden binnen de informatiestandaard MedMij Vragenlijsten. | ||||
Onderwerp | (code = 'Patient' in codeSystem 'http://hl7.org/fhir/resource-types') | ||||
Item met linkid: 'phq-9' en type:'group' | |||||
Text | |||||
Value | Hoe vaak hebt u in de afgelopen 2 weken last gehad van één of meer van de volgende problemen? | ||||
Item met linkid: '1' en type:'choice' | |||||
Code | Little interest or pleasure in doing things in last 2 weeks [Reported.PHQ] (code = '44250-9' in codeSystem 'LOINC') | ||||
Text | |||||
Value | Weinig interesse of plezier in activiteiten. | ||||
Required | Ja | ||||
Option | Helemaal niet (code = 'HEN') | ||||
Option | Meerdere dagen (code = 'MED') | ||||
Option | Meer dan de helft van de dagen (code = 'MHD') | ||||
Option | Bijna elke dag (code = 'BED') | ||||
Item met linkid: '2' en type:'choice' | |||||
Code | Feeling down, depressed, or hopeless in last 2 weeks [Reported.PHQ] (code = '44255-8' in codeSystem 'LOINC') | ||||
Text | |||||
Value | U neerslachtig, depressief of wanhopig voelen. | ||||
Required | Ja | ||||
Option | Helemaal niet (code = 'HEN') | ||||
Option | Meerdere dagen (code = 'MED') | ||||
Option | Meer dan de helft van de dagen (code = 'MHD') | ||||
Option | Bijna elke dag (code = 'BED') | ||||
Item met linkid: '3' en type:'choice' | |||||
Code | Trouble falling or staying asleep, or sleeping too much in last 2 weeks [Reported.PHQ] (code = '44259-0' in codeSystem 'LOINC') | ||||
Text | |||||
Value | Moeilijk inslapen, moeilijk doorslapen of te veel slapen. | ||||
Required | Ja | ||||
Option | Helemaal niet (code = 'HEN') | ||||
Option | Meerdere dagen (code = 'MED') | ||||
Option | Meer dan de helft van de dagen (code = 'MHD') | ||||
Option | Bijna elke dag (code = 'BED') | ||||
Item met linkid: '4' en type:'choice' | |||||
Code | Feeling tired or having little energy in last 2 weeks [Reported.PHQ] (code = '44254-1' in codeSystem 'LOINC') | ||||
Text | |||||
Value | U moe voelen of gebrek aan energie hebben. | ||||
Required | Ja | ||||
Option | Helemaal niet (code = 'HEN') | ||||
Option | Meerdere dagen (code = 'MED') | ||||
Option | Meer dan de helft van de dagen (code = 'MHD') | ||||
Option | Bijna elke dag (code = 'BED') | ||||
Item met linkid: '5' en type:'choice' | |||||
Code | Poor appetite or overeating in last 2 weeks [Reported.PHQ] (code = '44251-7' in codeSystem 'LOINC') | ||||
Text | |||||
Value | Weinig eetlust of overmatig eten. | ||||
Required | Ja | ||||
Option | Helemaal niet (code = 'HEN') | ||||
Option | Meerdere dagen (code = 'MED') | ||||
Option | Meer dan de helft van de dagen (code = 'MHD') | ||||
Option | Bijna elke dag (code = 'BED') | ||||
Item met linkid: '6' en type:'choice' | |||||
Code | Feeling bad about yourself - or that you are a failure or have let yourself or your family down in last 2 weeks [Reported.PHQ] (code = '44258-2' in codeSystem 'LOINC') | ||||
Text | |||||
Value | Een slecht gevoel hebben over uzelf, het gevoel hebben dat u een mislukkeling bent of dat u zichzelf of uw familie teleurgesteld hebt. | ||||
Required | Ja | ||||
Option | Helemaal niet (code = 'HEN') | ||||
Option | Meerdere dagen (code = 'MED') | ||||
Option | Meer dan de helft van de dagen (code = 'MHD') | ||||
Option | Bijna elke dag (code = 'BED') | ||||
Item met linkid: '7' en type:'choice' | |||||
Code | Trouble concentrating on things, such as reading the newspaper or watching television in last 2 weeks [Reported.PHQ] (code = '44252-5' in codeSystem 'LOINC') | ||||
Text | |||||
Value | Problemen om u te concentreren, bijvoorbeeld om de krant te lezen of om tv te kijken. | ||||
Required | Ja | ||||
Option | Helemaal niet (code = 'HEN') | ||||
Option | Meerdere dagen (code = 'MED') | ||||
Option | Meer dan de helft van de dagen (code = 'MHD') | ||||
Option | Bijna elke dag (code = 'BED') | ||||
Item met linkid: '8' en type:'choice' | |||||
Code | Moving or speaking so slowly that other people could have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual in last 2 weeks [Reported.PHQ] (code = '44253-3' in codeSystem 'LOINC') | ||||
Text | |||||
Value | 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. | ||||
Required | Ja | ||||
Option | Helemaal niet (code = 'HEN') | ||||
Option | Meerdere dagen (code = 'MED') | ||||
Option | Meer dan de helft van de dagen (code = 'MHD') | ||||
Option | Bijna elke dag (code = 'BED') | ||||
Item met linkid: '9' en type:'choice' | |||||
Code | Thoughts that you would be better off dead, or of hurting yourself in some way in last 2 weeks [Reported.PHQ] (code = '44260-8' in codeSystem 'LOINC') | ||||
Text | |||||
Value | De gedachte dat u beter dood zou kunnen zijn of de gedachte uzelf op een bepaalde manier pijn te doen. | ||||
Required | Ja | ||||
Option | Helemaal niet (code = 'HEN') | ||||
Option | Meerdere dagen (code = 'MED') | ||||
Option | Meer dan de helft van de dagen (code = 'MHD') | ||||
Option | Bijna elke dag (code = 'BED') | ||||
Item met linkid: '10' en type:'choice' | |||||
Code | How difficult have these made it for you to do your work, take care of things at home, or get along with other people [Reported.PHQ] (code = '69722-7' in codeSystem 'LOINC') | ||||
Text | |||||
Value | 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? | ||||
Required | Ja | ||||
Option | Helemaal niet moeilijk (code = 'HNM') | ||||
Option | Enigszins moeilijk (code = 'ENM') | ||||
Option | Erg moeilijk (code = 'ERM') | ||||
Option | Extreem moeilijk (code = 'EXM') |