MedMij:V1.0 Sandbox1-vl: verschil tussen versies

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Regel 5: Regel 5:


=Addenda voor inhoudelijke gegevens Vragenlijsten=</noinclude>
=Addenda voor inhoudelijke gegevens Vragenlijsten=</noinclude>
==Scenario VL - Intake - Questionnaire==
==Scenario VL - Scenario 3.1 ==
 
=== Patient - met id: 'VERKEULEN' ===


{| class="wikitable" width="85%"
{| 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; font-weight: bold; text-align:center;"  colspan="6" | Patient -  met id: 'VERKEULEN'
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="6" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Naamgegevens
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Url
|rowspan="7"|
|style="background-color: white;"|http://examplerepository.nl/intake-nieuwe-patient--20200327
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Naamgegevens
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Version
|rowspan="5"|
|style="background-color: white;"|20200327
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Name
|colspan="3"|Voornamen
|style="background-color: white;"|intake-nieuwe-patient
|style="background-color: white;"|Jan
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Title
|colspan="4"|Geslachtsnaam
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Value
|colspan="2"|Achternaam
|style="background-color: white;"|Intake nieuwe patiënt
|style="background-color: white;"|Verkeulen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Status
|colspan="5"|Geboortedatum
|style="background-color: white;"|concept (code = 'draft' in codeSystem 'DocumentReferenceStatus')
|style="background-color: white;"|25 nov 1975
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Experimental
|colspan="5"|Geslacht
|style="background-color: white;"|Ja
|style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Date
|colspan="5"|Meerling indicator
|style="background-color: white;"|27 maa 2020
|style="background-color: white;"|NullFlavor: UNK
|-style="vertical-align:top; background-color: #E3E3E3;;"
|}
|colspan="6"|Publisher
=== Questionnaire response - met id: 'QR31' ===
|style="background-color: white;"|Nictiz
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
{| class="wikitable" width="85%"
|colspan="6"|Purpose
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Questionnaire response -  met id: 'QR31'
|style="background-color: white;"|Deze vragenlijst is ontwikkeld voor test- en kwalificatiedoeleinden binnen de informatiestandaard MedMij Vragenlijsten.
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4" width="25%"| Gegevenselement
|colspan="6"|Onderwerp
|| Waarde
|style="background-color: white;"|Patient (code = 'Patient' in codeSystem 'http://hl7.org/fhir/resource-types')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Item met linkid: 'introductie' en type:'display'
|colspan="5"|Questionnaire
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Text
|colspan="4"|Questionnaire
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Value
|colspan="2"|Url
|style="background-color: yellow;"|Met het beantwoorden van deze vragenlijst voorziet u ons van enkele basisgegevens die we opnemen in uw dossier.
|style="background-color: white;"|http://examplerepository.nl/intake-nieuwe-patient--20200327
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="7"|Item met linkid: 'algemeen' en type:'group'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="128"|
|colspan="4"|Status
|style="background-color: white;"|(code = 'completed' in codeSystem 'QuestionnaireResponseStatus')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Text
|colspan="5"|Subject
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Value
|colspan="3"|Patient
|style="background-color: yellow;"|Algemene vragen
|style="background-color: white;"|Zie de patient met id: '[[#Patient%20-%20%20met%20id:%20'VERKEULEN'|VERKEULEN]]'
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Item met linkid: 'gewicht' en type:'decimal'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="9"|
|colspan="4"|Authored
|style="background-color: white;"|T - 1 dag om 11:30:00 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Extension
|colspan="5"|Author
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Max decimal places
|style="background-color: white;"|1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Unit
|colspan="3"|Patient
|style="background-color: white;"|(code = 'kg' in codeSystem 'http://unitsofmeasure.org')
|style="background-color: white;"|Zie de patient met id: '[[#Patient%20-%20%20met%20id:%20'VERKEULEN'|VERKEULEN]]'
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Text
|colspan="5"|Item met linkid: 'algemeen'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="50"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Value
|colspan="3"|question
|style="background-color: yellow;"|Wat is uw gewicht in kg?
|style="background-color: yellow;"|Algemene vragen
|-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;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Extension
|colspan="4"|Item met linkid: 'gewicht'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Min length
|colspan="2"|question
|style="background-color: white;"|0
|style="background-color: yellow;"|Wat is uw gewicht in kg?
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Unit
|colspan="2"|answer (value_decimal)
|style="background-color: white;"|(code = 'cm' in codeSystem 'http://unitsofmeasure.org')
|style="background-color: white;"|89.5
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Text
|colspan="4"|Item met linkid: 'lengte'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Value
|colspan="2"|question
|style="background-color: yellow;"|Wat is uw lengte in cm?
|style="background-color: yellow;"|Wat is uw lengte in cm?
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Required
|colspan="2"|answer (value_integer)
|style="background-color: white;"|Ja
|style="background-color: white;"|183
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Item met linkid: 'roken' en type:'boolean'
|colspan="4"|Item met linkid: 'roken'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="3"|
|-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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Value
|colspan="2"|question
|style="background-color: yellow;"|Rookt u?
|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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
|colspan="2"|answer (value_boolean)
|-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="background-color: white;"|Nee
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Item met linkid: 'jarensindsroken' en type:'decimal'
|colspan="4"|Item met linkid: 'ooitgerookt'
|-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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Question link id
|colspan="2"|question
|style="background-color: white;"|ooitgerookt
|style="background-color: yellow;"|U rookt niet meer, maar heeft u ooit gerookt?
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Answer
|colspan="2"|answer (value_boolean)
|style="background-color: white;"|Ja
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Item met linkid: 'hoevaakroken' en type:'choice'
|colspan="4"|Item met linkid: 'jarensindsroken'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="14"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Text
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|colspan="2"|question
|style="background-color: yellow;"|Hoe lang is het geleden dat u heeft gerookt (in jaren)?
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Value
|colspan="2"|answer (value_decimal)
|style="background-color: yellow;"|Hoe vaak rookt u?
|style="background-color: white;"|10
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Enable when
|colspan="4"|Item met linkid: 'drinken'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Question link id
|colspan="2"|question
|style="background-color: white;"|roken
|style="background-color: yellow;"|Drinkt u alcohol?
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Answer
|colspan="2"|answer (value_boolean)
|style="background-color: white;"|Ja
|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;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Item met linkid: 'drinken' en type:'boolean'
|colspan="4"|Item met linkid: 'hoevaakdrinken'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Text
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|colspan="2"|question
|-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="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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Question link id
|colspan="2"|answer (value_coding)
|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="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;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Item met linkid: 'lichamelijkegezondheid' en type:'text'
|colspan="4"|Item met linkid: 'lichamelijkegezondheid'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Text
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|colspan="2"|question
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Value
|style="background-color: yellow;"|Hoe omschrijft u uw algemene lichamelijke gezondheid?
|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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|colspan="2"|answer (value_string)
|style="background-color: white;"|De laatste jaren krijg ik wat kwaaltjes
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Text
|colspan="4"|Item met linkid: 'opstaan'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Value
|colspan="2"|question
|style="background-color: yellow;"|Hoe laat staat u meestal op?
|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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|colspan="2"|answer (value_time)
|style="background-color: white;"|06:30:00
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Text
|colspan="4"|Item met linkid: 'sport'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Value
|colspan="2"|question
|style="background-color: yellow;"|Beoefent u een sport?
|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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="17"|
|colspan="2"|answer (value_boolean)
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Text
|colspan="4"|Item met linkid: 'welkesport'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Value
|colspan="2"|question
|style="background-color: yellow;"|Welke sport(en) beoefent u?
|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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|colspan="2"|answer (value_coding)
|-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="background-color: white;"|Anders, namelijk (code = 'AND')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Item met linkid: 'welkeanderesport' en type:'string'
|colspan="4"|Item met linkid: 'welkeanderesport'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="9"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Text
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|colspan="2"|question
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Value
|style="background-color: yellow;"|Anders, namelijk
|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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Repeats
|colspan="2"|answer (value_string)
|style="background-color: white;"|Ja
|style="background-color: white;"|Schaken
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Item met linkid: 'voorgeschiedenis' en type:'group'
|colspan="5"|Item met linkid: 'voorgeschiedenis'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="25"|
|rowspan="14"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Text
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|colspan="3"|question
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Value
|style="background-color: yellow;"|Voorgeschiedenis
|style="background-color: yellow;"|Voorgeschiedenis
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Item met linkid: 'onderbehandeling' en type:'boolean'
|colspan="4"|Item met linkid: 'onderbehandeling'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Text
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|colspan="2"|question
|-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="background-color: yellow;"|Bent u op dit moment onder behandeling van een specialist?
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Required
|colspan="2"|answer (value_boolean)
|style="background-color: white;"|Ja
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Item met linkid: 'datumlaatstebehandeling' en type:'date'
|colspan="4"|Item met linkid: 'datumlaatstebehandeling'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Text
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|colspan="2"|question
|style="background-color: yellow;"|Wanneer was uw laatste contact met een specialist?
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Value
|colspan="2"|answer (value_date)
|style="background-color: yellow;"|Wanneer was uw laatste contact met een specialist?
|style="background-color: white;"|T - 30 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Enable when
|colspan="4"|Item met linkid: 'geneesmiddelen'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Question link id
|colspan="2"|question
|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="background-color: yellow;"|Gebruikt u geneesmiddelen?
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Required
|colspan="2"|answer (value_boolean)
|style="background-color: white;"|Ja
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Item met linkid: 'socialemedia' en type:'group'
|colspan="5"|Item met linkid: 'socialemedia'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="57"|
|rowspan="18"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Text
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|colspan="3"|question
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Value
|style="background-color: yellow;"|Sociale media
|style="background-color: yellow;"|Sociale media
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Item met linkid: 'actiefsocialemedia' en type:'display'
|colspan="4"|Item met linkid: 'facebook'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="3"|
|-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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|colspan="2"|question
|-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="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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|colspan="2"|answer (value_boolean)
|style="background-color: white;"|Nee
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Text
|colspan="4"|Item met linkid: 'instagram'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Value
|colspan="2"|question
|style="background-color: yellow;"|Instagram
|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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|colspan="2"|answer (value_boolean)
|style="background-color: white;"|Nee
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Text
|colspan="4"|Item met linkid: 'linkedin'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Value
|colspan="2"|question
|style="background-color: yellow;"|LinkedIn
|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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|colspan="2"|answer (value_boolean)
|style="background-color: white;"|Nee
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Text
|colspan="4"|Item met linkid: 'anderplatform'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Value
|colspan="2"|question
|style="background-color: yellow;"|Van een ander platform dat hier niet is genoemd?
|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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="18"|
|colspan="2"|answer (value_boolean)
|style="background-color: white;"|Nee
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Extension
|colspan="5"|Item met linkid: 'contactgegevens'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="10"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Min value
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|colspan="3"|question
|-style="vertical-align:top; background-color: #E3E3E3;;"
|style="background-color: yellow;"|Contactgegevens
|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;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Text
|colspan="4"|Item met linkid: 'mobiel'
|-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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Question link id
|colspan="2"|question
|style="background-color: white;"|anderplatform
|style="background-color: yellow;"|Wat is uw mobiele telefoonnummer?
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Answer
|colspan="2"|answer (value_string)
|style="background-color: white;"|Ja
|style="background-color: white;"|06-12121212
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Item met linkid: 'welkplatform' en type:'string'
|colspan="4"|Item met linkid: 'mail'
|-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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Question link id
|colspan="2"|question
|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="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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="20"|
|colspan="2"|answer (value_string)
|style="background-color: white;"|jverkeu@durftevragen.nl
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Item met linkid: 'uitlegbelafspraak' en type:'display'
|colspan="5"|Item met linkid: 'belafspraak'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="10"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Text
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|colspan="3"|question
|-style="vertical-align:top; background-color: #E3E3E3;;"
|style="background-color: yellow;"|
|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;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Item met linkid: 'toestemmingbelafspraak' en type:'boolean'
|colspan="4"|Item met linkid: 'toestemmingbelafspraak'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="3"|
|-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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Value
|colspan="2"|question
|style="background-color: yellow;"|Mogen we u telefonisch benaderen?
|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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
|colspan="2"|answer (value_boolean)
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Text
|colspan="4"|Item met linkid: 'datumtijdbelafspraak'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Value
|colspan="2"|question
|style="background-color: yellow;"|Als u voorkeur heeft voor een datum/tijd, dan kunt u deze hier opgeven.
|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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|colspan="2"|answer (value_date_time)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|style="background-color: white;"|T + 5 dagen om 14:00:00 uur
|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>
=== Questionnaire provisioning task ===
{{#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%"
{| 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; font-weight: bold; text-align:center;"  colspan="5" | Questionnaire provisioning task
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="6" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Url
|colspan="4"|Status
|style="background-color: white;"|http://examplerepository.nl/intake-nieuwe-patient--20200327
|style="background-color: white;"|(code = 'completed' in codeSystem 'TaskStatus')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Version
|colspan="4"|Description
|style="background-color: white;"|20200327
|style="background-color: white;"|De vragenlijst 'Intake nieuwe patiënt' is beschikbaar om in te vullen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Name
|colspan="4"|Authored on
|style="background-color: white;"|intake-nieuwe-patient
|style="background-color: white;"|T - 4 dagen om 13:00:00 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="7"|Title
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|colspan="4"|Last modified
|-style="vertical-align:top; background-color: #E3E3E3;;"
|style="background-color: white;"|T - 4 dagen om 19:30:00 uur
|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;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Item met linkid: 'introductie' en type:'display'
|colspan="5"|Requester
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="3"|
|-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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Value
|colspan="3"|Zorgverlener
|style="background-color: yellow;"|Met het beantwoorden van deze vragenlijst voorziet u ons van enkele basisgegevens die we opnemen in uw dossier.
|style="background-color: white;"|Zie de zorgverlener met id: '[[#Zorgverlener%20-%20%20met%20id:%20'FRANSLIJSTER'|FRANSLIJSTER]]'
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="7"|Item met linkid: 'algemeen' en type:'group'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="128"|
|colspan="3"|Zorgaanbieder
|style="background-color: white;"|Zie de zorgaanbieder met id: '[[#Zorgaanbieder%20-%20%20met%20id:%20'GEZONDHEIDSCENTRUMQUAESTIONARIO'|GEZONDHEIDSCENTRUMQUAESTIONARIO]]'
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Text
|colspan="5"|Owner
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Value
|colspan="3"|Patient
|style="background-color: yellow;"|Algemene vragen
|style="background-color: white;"|Zie de patient met id: '[[#Patient%20-%20%20met%20id:%20'VERKEULEN'|VERKEULEN]]'
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Item met linkid: 'gewicht' en type:'decimal'
|colspan="5"|Input
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="9"|
|rowspan="7"|
|-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;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Text
|colspan="4"|Subject
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Value
|colspan="2"|Patient
|style="background-color: yellow;"|Wat is uw gewicht in kg?
|style="background-color: white;"|Zie de patient met id: '[[#Patient%20-%20%20met%20id:%20'VERKEULEN'|VERKEULEN]]'
|-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;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Text
|colspan="4"|Questionnaire
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Value
|colspan="2"|Url
|style="background-color: yellow;"|Wat is uw lengte in cm?
|style="background-color: white;"|http://examplerepository.nl/intake-nieuwe-patient--20200327
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Required
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Item met linkid: 'roken' en type:'boolean'
|colspan="5"|Output
|-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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Value
|colspan="3"|Questionnaire response
|style="background-color: yellow;"|Rookt u?
|style="background-color: white;"|Zie de questionnaire_response met id: '[[#Questionnaire%20response%20-%20%20met%20id:%20'QR31'|QR31]]'
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|}
|colspan="6"|Item met linkid: 'ooitgerookt' en type:'boolean'
=== Zorgverlener - met id: 'FRANSLIJSTER' ===
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Zorgverlener -  met id: 'FRANSLIJSTER'
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="5" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
|colspan="5"|Zorgverlener identificatienummer
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Text
|colspan="6"|Naamgegevens
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="7"|
|-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;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Enable when
|colspan="5"|Naamgegevens
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Question link id
|style="background-color: white;"|roken
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Answer
|colspan="3"|Roepnaam
|style="background-color: white;"|Nee
|style="background-color: white;"|Frans
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Item met linkid: 'jarensindsroken' en type:'decimal'
|colspan="4"|Geslachtsnaam
|-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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Unit
|colspan="2"|Achternaam
|style="background-color: white;"|(code = 'a' in codeSystem 'http://unitsofmeasure.org')
|style="background-color: white;"|Lijster
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Text
|colspan="6"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Value
|colspan="4"|Zorgaanbieder
|style="background-color: yellow;"|Hoe lang is het geleden dat u heeft gerookt (in jaren)?
|style="background-color: white;"|Zie de zorgaanbieder met id: '[[#Zorgaanbieder%20-%20%20met%20id:%20'GEZONDHEIDSCENTRUMQUAESTIONARIO'|GEZONDHEIDSCENTRUMQUAESTIONARIO]]'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|}
|colspan="5"|Enable when
=== Zorgaanbieder - met id: 'GEZONDHEIDSCENTRUMQUAESTIONARIO' ===
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Zorgaanbieder -  met id: 'GEZONDHEIDSCENTRUMQUAESTIONARIO'
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="2" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Question link id
|colspan="2"|Organisatie naam
|style="background-color: white;"|ooitgerookt
|style="background-color: white;"|Gezondheidscentrum Quaestionario
|-style="vertical-align:top; background-color: #E3E3E3;;"
|}
|colspan="3"|Answer
==Scenario VL - Scenario 3.1 ==
|style="background-color: white;"|Ja
 
=== Patient -  met id: 'VERKEULEN' ===
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Patient -  met id: 'VERKEULEN'
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="5" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Item met linkid: 'hoevaakroken' en type:'choice'
|colspan="6"|Naamgegevens
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="14"|
|rowspan="8"|
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Text
|colspan="5"|Naamgegevens
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="6"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Value
|colspan="3"|Voornamen
|style="background-color: yellow;"|Hoe vaak rookt u?
|style="background-color: white;"|Jan
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Enable when
|colspan="4"|Geslachtsnaam
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Question link id
|colspan="2"|Voorvoegsels
|style="background-color: white;"|roken
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Answer
|colspan="2"|Achternaam
|style="background-color: white;"|Ja
|style="background-color: white;"|Verkeulen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Option
|colspan="5"|Geboortedatum
|style="background-color: white;"|Dagelijks (code = 'DAG')
|style="background-color: white;"|25 nov 1975
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Option
|colspan="5"|Geslacht
|style="background-color: white;"|Bijna dagelijks (code = 'BDA')
|style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Option
|colspan="5"|Meerling indicator
|style="background-color: white;"|Een paar dagen per week (code = 'PDW')
|style="background-color: white;"|NullFlavor: UNK
|-style="vertical-align:top; background-color: #E3E3E3;;"
|}
|colspan="4"|Option
=== Questionnaire response -  met id: 'QR32' ===
|style="background-color: white;"|Alleen in het weekend (code = 'WKD')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
{| class="wikitable" width="85%"
|colspan="4"|Option
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Questionnaire response - met id: 'QR32'
|style="background-color: white;"|Af en toe (code = 'AFT')
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4" width="25%"| Gegevenselement
|colspan="4"|Option
|| Waarde
|style="background-color: white;"|Zelden (code = 'ZEL')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Item met linkid: 'drinken' en type:'boolean'
|colspan="5"|Questionnaire
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Text
|colspan="4"|Questionnaire
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Value
|colspan="2"|Url
|style="background-color: yellow;"|Drinkt u alcohol?
|style="background-color: white;"|http://examplerepository.nl/phq-9--20200327
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Item met linkid: 'hoevaakdrinken' en type:'choice'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="14"|
|colspan="4"|Status
|style="background-color: white;"|(code = 'completed' in codeSystem 'QuestionnaireResponseStatus')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Text
|colspan="5"|Subject
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Value
|colspan="3"|Patient
|style="background-color: yellow;"|Hoe vaak per week drinkt u alcohol?
|style="background-color: white;"|Zie de patient met id: '[[#Patient%20-%20%20met%20id:%20'VERKEULEN'|VERKEULEN]]'
|-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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Question link id
|colspan="4"|Authored
|style="background-color: white;"|drinken
|style="background-color: white;"|T - 2 dagen om 11:40:00 uur
|-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;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Item met linkid: 'lichamelijkegezondheid' en type:'text'
|colspan="5"|Author
|-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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Value
|colspan="3"|Patient
|style="background-color: yellow;"|Hoe omschrijft u uw algemene lichamelijke gezondheid?
|style="background-color: white;"|Zie de patient met id: '[[#Patient%20-%20%20met%20id:%20'VERKEULEN'|VERKEULEN]]'
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Item met linkid: 'opstaan' en type:'time'
|colspan="5"|Item met linkid: 'phq-9'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="42"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Text
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|colspan="3"|question
|-style="vertical-align:top; background-color: #E3E3E3;;"
|style="background-color: yellow;"|Hoe vaak hebt u in de afgelopen 2 weken last gehad van één of meer van de volgende problemen?
|colspan="3"|Value
|style="background-color: yellow;"|Hoe laat staat u meestal op?
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Item met linkid: 'sport' en type:'boolean'
|colspan="4"|Item met linkid: '1'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Text
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|colspan="2"|question
|style="background-color: yellow;"|Weinig interesse of plezier in activiteiten.
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Value
|colspan="2"|answer (value_coding)
|style="background-color: yellow;"|Beoefent u een sport?
|style="background-color: white;"|Meerdere dagen (code = 'MED')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Item met linkid: 'welkesport' en type:'choice'
|colspan="4"|Item met linkid: '2'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="17"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Text
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|colspan="2"|question
|style="background-color: yellow;"|U neerslachtig, depressief of wanhopig voelen.
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Value
|colspan="2"|answer (value_coding)
|style="background-color: yellow;"|Welke sport(en) beoefent u?
|style="background-color: white;"|Helemaal niet (code = 'HEN')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Enable when
|colspan="4"|Item met linkid: '3'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Question link id
|colspan="2"|question
|style="background-color: white;"|sport
|style="background-color: yellow;"|Moeilijk inslapen, moeilijk doorslapen of te veel slapen.
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Answer
|colspan="2"|answer (value_coding)
|style="background-color: white;"|Ja
|style="background-color: white;"|Helemaal niet (code = 'HEN')
|-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;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Item met linkid: 'welkeanderesport' en type:'string'
|colspan="4"|Item met linkid: '4'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="9"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Text
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|colspan="2"|question
|style="background-color: yellow;"|U moe voelen of gebrek aan energie hebben.
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Value
|colspan="2"|answer (value_coding)
|style="background-color: yellow;"|Anders, namelijk
|style="background-color: white;"|Meerdere dagen (code = 'MED')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Enable when
|colspan="4"|Item met linkid: '5'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Question link id
|colspan="2"|question
|style="background-color: white;"|welkesport
|style="background-color: yellow;"|Weinig eetlust of overmatig eten.
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Answer
|colspan="2"|answer (value_coding)
|style="background-color: white;"|Anders, namelijk (code = 'AND')
|style="background-color: white;"|Meerdere dagen (code = 'MED')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Repeats
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Item met linkid: 'voorgeschiedenis' en type:'group'
|colspan="4"|Item met linkid: '6'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="25"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Text
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|colspan="2"|question
|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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Value
|colspan="2"|answer (value_coding)
|style="background-color: yellow;"|Voorgeschiedenis
|style="background-color: white;"|Meer dan de helft van de dagen (code = 'MHD')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Item met linkid: 'onderbehandeling' en type:'boolean'
|colspan="4"|Item met linkid: '7'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Text
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|colspan="2"|question
|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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Value
|colspan="2"|answer (value_coding)
|style="background-color: yellow;"|Bent u op dit moment onder behandeling van een specialist?
|style="background-color: white;"|Helemaal niet (code = 'HEN')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Required
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Item met linkid: 'datumlaatstebehandeling' en type:'date'
|colspan="4"|Item met linkid: '4'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Text
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|colspan="2"|question
|style="background-color: yellow;"|U moe voelen of gebrek aan energie hebben.
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Value
|colspan="2"|answer (value_coding)
|style="background-color: yellow;"|Wanneer was uw laatste contact met een specialist?
|style="background-color: white;"|Meerdere dagen (code = 'MED')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Enable when
|colspan="4"|Item met linkid: '9'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Question link id
|colspan="2"|question
|style="background-color: white;"|onderbehandeling
|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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Answer
|colspan="2"|answer (value_coding)
|style="background-color: white;"|Ja
|style="background-color: white;"|Helemaal niet (code = 'HEN')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Item met linkid: 'geneesmiddelen' en type:'boolean'
|colspan="4"|Item met linkid: '10'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Text
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|colspan="2"|question
|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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Value
|colspan="2"|answer (value_coding)
|style="background-color: yellow;"|Gebruikt u geneesmiddelen?
|style="background-color: white;"|Helemaal niet moeilijk (code = 'HNM')
|}
=== Questionnaire provisioning task ===
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Questionnaire provisioning task
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="4" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Required
|colspan="4"|Status
|style="background-color: white;"|Ja
|style="background-color: white;"|(code = 'completed' in codeSystem 'TaskStatus')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="7"|Item met linkid: 'socialemedia' en type:'group'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="57"|
|colspan="4"|Description
|-style="vertical-align:top; background-color: #E3E3E3;;"
|style="background-color: white;"|De vragenlijst 'Patient Health Questionnaire (PHQ-9)' is beschikbaar om in te vullen
|colspan="6"|Text
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|colspan="4"|Authored on
|style="background-color: white;"|T - 2 dagen om 10:00:00 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Value
|colspan="4"|Last modified
|style="background-color: yellow;"|Sociale media
|style="background-color: white;"|T - 2 dagen om 11:40:00 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Item met linkid: 'actiefsocialemedia' en type:'display'
|colspan="5"|Requester
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Text
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|colspan="3"|Zorgverlener
|style="background-color: white;"|Zie de zorgverlener met id: '[[#Zorgverlener%20-%20%20met%20id:%20'FRANSLIJSTER'|FRANSLIJSTER]]'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Value
|colspan="3"|Zorgaanbieder
|style="background-color: yellow;"|Bent u actief op sociale media?
|style="background-color: white;"|Zie de zorgaanbieder met id: '[[#Zorgaanbieder%20-%20%20met%20id:%20'GEZONDHEIDSCENTRUMQUAESTIONARIO'|GEZONDHEIDSCENTRUMQUAESTIONARIO]]'
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Item met linkid: 'facebook' en type:'boolean'
|colspan="5"|Owner
|-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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Value
|colspan="3"|Patient
|style="background-color: yellow;"|Facebook
|style="background-color: white;"|Zie de patient met id: '[[#Patient%20-%20%20met%20id:%20'VERKEULEN'|VERKEULEN]]'
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Item met linkid: 'instagram' en type:'boolean'
|colspan="5"|Input
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="7"|
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Text
|colspan="4"|Subject
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Value
|colspan="2"|Patient
|style="background-color: yellow;"|Instagram
|style="background-color: white;"|Zie de patient met id: '[[#Patient%20-%20%20met%20id:%20'VERKEULEN'|VERKEULEN]]'
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Item met linkid: 'linkedin' en type:'boolean'
|colspan="4"|Questionnaire
|-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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Value
|colspan="2"|Url
|style="background-color: yellow;"|LinkedIn
|style="background-color: white;"|http://examplerepository.nl/phq-9--20200327
|-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;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Text
|colspan="5"|Output
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Value
|colspan="3"|Questionnaire response
|style="background-color: yellow;"|Van een ander platform dat hier niet is genoemd?
|style="background-color: white;"|Zie de questionnaire_response met id: '[[#Questionnaire%20response%20-%20%20met%20id:%20'QR32'|QR32]]'
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|}
|colspan="6"|Item met linkid: 'hoeveelandere' en type:'integer'
=== Zorgverlener - met id: 'FRANSLIJSTER' ===
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Zorgverlener -  met id: 'FRANSLIJSTER'
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="5" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="18"|
|colspan="5"|Zorgverlener identificatienummer
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Extension
|colspan="6"|Naamgegevens
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="7"|
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Min value
|colspan="5"|Naamgegevens
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="5"|
|-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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|colspan="3"|Roepnaam
|style="background-color: white;"|Frans
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Max value
|colspan="4"|Geslachtsnaam
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Integer
|colspan="2"|Achternaam
|style="background-color: white;"|5
|style="background-color: white;"|Lijster
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Text
|colspan="6"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Value
|colspan="4"|Zorgaanbieder
|style="background-color: yellow;"|Hoeveel andere platforms zijn dit dan? (maximaal 5)
|style="background-color: white;"|Zie de zorgaanbieder met id: '[[#Zorgaanbieder%20-%20%20met%20id:%20'GEZONDHEIDSCENTRUMQUAESTIONARIO'|GEZONDHEIDSCENTRUMQUAESTIONARIO]]'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|}
|colspan="5"|Enable when
=== Zorgaanbieder - met id: 'GEZONDHEIDSCENTRUMQUAESTIONARIO' ===
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Zorgaanbieder -  met id: 'GEZONDHEIDSCENTRUMQUAESTIONARIO'
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="2" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Question link id
|colspan="2"|Organisatie naam
|style="background-color: white;"|anderplatform
|style="background-color: white;"|Gezondheidscentrum Quaestionario
|-style="vertical-align:top; background-color: #E3E3E3;;"
|}
|colspan="3"|Answer
==Scenario VL - Scenario 3.1 ==
|style="background-color: white;"|Ja
 
=== Patient -  met id: 'BIEVERKEULEN' ===
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Patient -  met id: 'BIEVERKEULEN'
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="5" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Item met linkid: 'welkplatform' en type:'string'
|colspan="6"|Naamgegevens
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
|rowspan="11"|
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Text
|colspan="5"|Naamgegevens
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="9"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Value
|colspan="3"|Voornamen
|style="background-color: yellow;"|Welk of welke platforms zijn dit dan?
|style="background-color: white;"|Marie
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Enable when
|colspan="4"|Geslachtsnaam
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Question link id
|colspan="2"|Voorvoegsels
|style="background-color: white;"|anderplatform
|style="background-color: white;"|de
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Answer
|colspan="2"|Achternaam
|style="background-color: white;"|Ja
|style="background-color: white;"|Bie
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Item met linkid: 'contactgegevens' en type:'group'
|colspan="4"|Geslachtsnaam partner
|-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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Value
|colspan="2"|Achternaam partner
|style="background-color: yellow;"|Contactgegevens
|style="background-color: white;"|Verkeulen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Item met linkid: 'uitlegcontact' en type:'display'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|colspan="5"|Geboortedatum
|-style="vertical-align:top; background-color: #E3E3E3;;
|style="background-color: white;"|3 maa 1977
|colspan="5"|Text
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|colspan="5"|Geslacht
|style="background-color: white;"|Man (code = 'V' in codeSystem 'HL7 AdministrativeGender')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Value
|colspan="5"|Meerling indicator
|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="background-color: white;"|
|}
=== Questionnaire response -  met id: 'QR33' ===
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Questionnaire response -  met id: 'QR33'
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="4" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Item met linkid: 'mobiel' en type:'string'
|colspan="5"|Questionnaire
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Text
|colspan="4"|Questionnaire
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Value
|colspan="2"|Url
|style="background-color: yellow;"|Wat is uw mobiele telefoonnummer?
|style="background-color: white;"|http://examplerepository.nl/intake-nieuwe-patient--20200327
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Item met linkid: 'mail' en type:'string'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|colspan="4"|Status
|style="background-color: white;"|(code = 'completed' in codeSystem 'QuestionnaireResponseStatus')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Text
|colspan="5"|Subject
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Value
|colspan="3"|Patient
|style="background-color: yellow;"|Wat is uw e-mailadres?
|style="background-color: white;"|Zie de patient met id: '[[#Patient%20-%20%20met%20id:%20'BIEVERKEULEN'|BIEVERKEULEN]]'
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="7"|Item met linkid: 'belafspraak' en type:'group'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="20"|
|colspan="4"|Authored
|style="background-color: white;"|T - 4 dagen om 19:30:00 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Item met linkid: 'uitlegbelafspraak' en type:'display'
|colspan="5"|Author
|-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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Value
|colspan="3"|Patient
|style="background-color: yellow;"|Graag zouden we telefonisch contact met u opnemen om uw inschrijving te voltooien.
|style="background-color: white;"|Zie de patient met id: '[[#Patient%20-%20%20met%20id:%20'BIEVERKEULEN'|BIEVERKEULEN]]'
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Item met linkid: 'toestemmingbelafspraak' en type:'boolean'
|colspan="5"|Item met linkid: 'algemeen'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="38"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Text
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|colspan="3"|question
|-style="vertical-align:top; background-color: #E3E3E3;;"
|style="background-color: yellow;"|Algemene vragen
|colspan="3"|Value
|style="background-color: yellow;"|Mogen we u telefonisch benaderen?
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Item met linkid: 'datumtijdbelafspraak' en type:'dateTime'
|colspan="4"|Item met linkid: 'gewicht'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Text
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|colspan="2"|question
|style="background-color: yellow;"|Wat is uw gewicht in kg?
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Value
|colspan="2"|answer (value_decimal)
|style="background-color: yellow;"|Als u voorkeur heeft voor een datum/tijd, dan kunt u deze hier opgeven.
|style="background-color: white;"|67.1
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Enable when
|colspan="4"|Item met linkid: 'lengte'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Question link id
|colspan="2"|question
|style="background-color: white;"|toestemmingbelafspraak
|style="background-color: yellow;"|Wat is uw lengte in cm?
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Answer
|style="background-color: white;"|Ja
|}
==Scenario VL - PHQ9 extended - Questionnaire==
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Questionnaire -  met id: 'PHQ-9-ext'
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="5" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Rendering style sensitive
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Url
|colspan="2"|answer (value_integer)
|style="background-color: white;"|http://examplerepository.nl/phq-9-extended--20200331
|style="background-color: white;"|168
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Version
|style="background-color: white;"|20200331
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Name
|style="background-color: white;"|phq-9-extended
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Title
|colspan="4"|Item met linkid: 'roken'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Value
|colspan="2"|question
|style="background-color: white;"|Patient Health Questionnaire (PHQ-9) - extended
|style="background-color: yellow;"|Rookt u?
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Status
|colspan="2"|answer (value_boolean)
|style="background-color: white;"|concept (code = 'draft' in codeSystem 'DocumentReferenceStatus')
|style="background-color: white;"|Nee
|-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;"|31 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"|Code
|style="background-color: white;"|PHQ-9 quick depression assessment panel (code = '44249-1' in codeSystem 'LOINC')
|-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="136"|
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Text
|colspan="4"|Item met linkid: 'ooitgerookt'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Group textrendering style
|colspan="2"|question
|style="background-color: white;"|font-weight:bold;font-style:italic;color:#EE7203
|style="background-color: yellow;"|U rookt niet meer, maar heeft u ooit gerookt?
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Value
|colspan="2"|answer (value_boolean)
|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="background-color: white;"|Nee
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Item met linkid: '1' en type:'choice'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="11"|
|-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;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Text
|colspan="4"|Item met linkid: 'drinken'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Group textrendering style
|colspan="2"|question
|style="background-color: white;"|font-weight:bold
|style="background-color: yellow;"|Drinkt u alcohol?
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Value
|colspan="2"|answer (value_boolean)
|style="background-color: yellow;font-weight:bold;"|Weinig interesse of plezier in activiteiten.
|style="background-color: white;"|Nee
|-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="11"|
|-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;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Text
|colspan="4"|Item met linkid: 'lichamelijkegezondheid'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Group textrendering style
|colspan="2"|question
|style="background-color: white;"|font-style:italic
|style="background-color: yellow;"|Hoe omschrijft u uw algemene lichamelijke gezondheid?
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Value
|colspan="2"|answer (value_string)
|style="background-color: yellow;font-style:italic;"|U neerslachtig, depressief of wanhopig voelen.
|style="background-color: white;"|Ik voel me fit en gezond
|-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;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Item met linkid: '3' en type:'choice'
|colspan="4"|Item met linkid: 'opstaan'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="14"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Extension
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|colspan="2"|question
|style="background-color: yellow;"|Hoe laat staat u meestal op?
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Item control
|colspan="2"|answer (value_time)
|style="background-color: white;"|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')
|style="background-color: white;"|07:00:00
|-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;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Text
|colspan="4"|Item met linkid: 'sport'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Group textrendering style
|colspan="2"|question
|style="background-color: white;"|font-weight:bold
|style="background-color: yellow;"|Beoefent u een sport?
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Value
|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="2"|answer (value_boolean)
|style="background-color: white;"|Ja
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Item met linkid: 'welkesport'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Option
|rowspan="3"|
|style="background-color: white;"|Helemaal niet (code = 'HEN')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Option
|colspan="2"|question
|style="background-color: white;"|Meerdere dagen (code = 'MED')
|style="background-color: yellow;"|Welke sport(en) beoefent u?
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Option
|colspan="2"|answer (value_coding)
|style="background-color: white;"|Meer dan de helft van de dagen (code = 'MHD')
|style="background-color: white;"|Yoga (code = 'YOG')
|-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;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Item met linkid: '4' en type:'choice'
|colspan="5"|Item met linkid: 'voorgeschiedenis'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="11"|
|rowspan="10"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Code
|colspan="3"|question
|style="background-color: white;"|Feeling tired or having little energy in last 2 weeks [Reported.PHQ] (code = '44254-1' in codeSystem 'LOINC')
|style="background-color: yellow;"|Voorgeschiedenis
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Text
|colspan="4"|Item met linkid: 'onderbehandeling'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Group textrendering style
|colspan="2"|question
|style="background-color: white;"|font-style:italic
|style="background-color: yellow;"|Bent u op dit moment onder behandeling van een specialist?
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Value
|colspan="2"|answer (value_boolean)
|style="background-color: yellow;font-style:italic;"|U moe voelen of gebrek aan energie hebben.
|style="background-color: white;"|Nee
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Item met linkid: 'geneesmiddelen'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Required
|rowspan="3"|
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Option
|colspan="2"|question
|style="background-color: white;"|Helemaal niet (code = 'HEN')
|style="background-color: yellow;"|Gebruikt u geneesmiddelen?
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Option
|colspan="2"|answer (value_boolean)
|style="background-color: white;"|Meerdere dagen (code = 'MED')
|style="background-color: white;"|Nee
|-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;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Item met linkid: '5' en type:'choice'
|colspan="5"|Item met linkid: 'socialemedia'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="11"|
|rowspan="26"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Code
|colspan="3"|question
|style="background-color: white;"|Poor appetite or overeating in last 2 weeks [Reported.PHQ] (code = '44251-7' in codeSystem 'LOINC')
|style="background-color: yellow;"|Sociale media
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Text
|colspan="4"|Item met linkid: 'facebook'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Group textrendering style
|colspan="2"|question
|style="background-color: white;"|font-weight:bold
|style="background-color: yellow;"|Facebook
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Value
|colspan="2"|answer (value_boolean)
|style="background-color: yellow;font-weight:bold;"|Weinig eetlust of overmatig eten.
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Required
|style="background-color: white;"|Ja
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Item met linkid: 'instagram'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Option
|rowspan="3"|
|style="background-color: white;"|Helemaal niet (code = 'HEN')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Option
|colspan="2"|question
|style="background-color: white;"|Meerdere dagen (code = 'MED')
|style="background-color: yellow;"|Instagram
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Option
|colspan="2"|answer (value_boolean)
|style="background-color: white;"|Meer dan de helft van de dagen (code = 'MHD')
|style="background-color: white;"|Nee
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Item met linkid: 'linkedin'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Option
|rowspan="3"|
|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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="11"|
|colspan="2"|question
|style="background-color: yellow;"|LinkedIn
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Code
|colspan="2"|answer (value_boolean)
|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="background-color: white;"|Nee
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Text
|colspan="4"|Item met linkid: 'anderplatform'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Group textrendering style
|colspan="2"|question
|style="background-color: white;"|font-style:italic
|style="background-color: yellow;"|Van een ander platform dat hier niet is genoemd?
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Value
|colspan="2"|answer (value_boolean)
|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;;"
|colspan="3"|Required
|style="background-color: white;"|Ja
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Item met linkid: 'hoeveelandere'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Option
|rowspan="3"|
|style="background-color: white;"|Helemaal niet (code = 'HEN')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Option
|colspan="2"|question
|style="background-color: white;"|Meerdere dagen (code = 'MED')
|style="background-color: yellow;"|Hoeveel andere platforms zijn dit dan? (maximaal 5)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Option
|colspan="2"|answer (value_integer)
|style="background-color: white;"|Meer dan de helft van de dagen (code = 'MHD')
|style="background-color: white;"|1
|-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;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Item met linkid: '7' en type:'choice'
|colspan="4"|Item met linkid: 'welkplatform'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="11"|
|-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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Group textrendering style
|colspan="2"|question
|style="background-color: white;"|font-weight:bold
|style="background-color: yellow;"|Welk of welke platforms zijn dit dan?
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Value
|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;;"
|colspan="3"|Required
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Option
|colspan="2"|answer (value_string)
|style="background-color: white;"|Helemaal niet (code = 'HEN')
|style="background-color: white;"|Pinterest
|-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;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Item met linkid: '8' en type:'choice'
|colspan="5"|Item met linkid: 'contactgegevens'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="11"|
|rowspan="10"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Code
|colspan="3"|question
|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="background-color: yellow;"|Contactgegevens
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Text
|colspan="4"|Item met linkid: 'mobiel'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Group textrendering style
|colspan="2"|question
|style="background-color: white;"|font-style:italic
|style="background-color: yellow;"|Wat is uw mobiele telefoonnummer?
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Value
|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;;"
|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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Option
|colspan="2"|answer (value_string)
|style="background-color: white;"|Bijna elke dag (code = 'BED')
|style="background-color: white;"|0621212121
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Item met linkid: '9' en type:'choice'
|colspan="4"|Item met linkid: 'mail'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="11"|
|-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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Group textrendering style
|colspan="2"|question
|style="background-color: white;"|font-weight:bold
|style="background-color: yellow;"|Wat is uw e-mailadres?
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Value
|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;;"
|colspan="3"|Required
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Option
|colspan="2"|answer (value_string)
|style="background-color: white;"|Helemaal niet (code = 'HEN')
|style="background-color: white;"|mariedebie@vraagje.nl
|-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;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Item met linkid: '10' en type:'choice'
|colspan="5"|Item met linkid: 'belafspraak'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="11"|
|rowspan="6"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Code
|colspan="3"|question
|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="background-color: yellow;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Text
|colspan="4"|Item met linkid: 'toestemmingbelafspraak'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Group textrendering style
|colspan="2"|question
|style="background-color: white;"|font-style:italic
|style="background-color: yellow;"|Mogen we u telefonisch benaderen?
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Value
|colspan="2"|answer (value_boolean)
|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;;"
|colspan="3"|Required
|style="background-color: white;"|Ja
|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')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Item met linkid: '11' en type:'boolean'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Extension
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Item hidden
|style="background-color: white;"|Ja
|-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;"|Is de vragenlijst volledig ingevuld?
|}
|}
==Scenario VL - PHQ9 - Questionnaire==
=== Questionnaire provisioning task ===


{| class="wikitable" width="85%"
{| 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; font-weight: bold; text-align:center;"  colspan="5" | Questionnaire provisioning task
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="5" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Url
|colspan="4"|Status
|style="background-color: white;"|http://examplerepository.nl/phq-9--20200327
|style="background-color: white;"|(code = 'completed' in codeSystem 'TaskStatus')
|-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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Experimental
|colspan="4"|Description
|style="background-color: white;"|Ja
|style="background-color: white;"|De vragenlijst 'Intake nieuwe patiënt' is beschikbaar om in te vullen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Date
|colspan="4"|Authored on
|style="background-color: white;"|27 maa 2020
|style="background-color: white;"|T - 4 dagen om 13:00:00 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Publisher
|colspan="4"|Last modified
|style="background-color: white;"|Nictiz
|style="background-color: white;"|T - 4 dagen om 19:30:00 uur
|-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;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Item met linkid: 'phq-9' en type:'group'
|colspan="5"|Requester
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="114"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Text
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|colspan="3"|Zorgverlener
|style="background-color: white;"|Zie de zorgverlener met id: '[[#Zorgverlener%20-%20%20met%20id:%20'FRANSLIJSTER'|FRANSLIJSTER]]'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Value
|colspan="3"|Zorgaanbieder
|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: white;"|Zie de zorgaanbieder met id: '[[#Zorgaanbieder%20-%20%20met%20id:%20'GEZONDHEIDSCENTRUMQUAESTIONARIO'|GEZONDHEIDSCENTRUMQUAESTIONARIO]]'
|-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"|Owner
|-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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Value
|colspan="3"|Patient
|style="background-color: yellow;"|Weinig interesse of plezier in activiteiten.
|style="background-color: white;"|Zie de patient met id: '[[#Patient%20-%20%20met%20id:%20'BIEVERKEULEN'|BIEVERKEULEN]]'
|-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;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Item met linkid: '2' en type:'choice'
|colspan="5"|Input
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
|rowspan="7"|
|-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;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Text
|colspan="4"|Subject
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Value
|colspan="2"|Patient
|style="background-color: yellow;"|U neerslachtig, depressief of wanhopig voelen.
|style="background-color: white;"|Zie de patient met id: '[[#Patient%20-%20%20met%20id:%20'BIEVERKEULEN'|BIEVERKEULEN]]'
|-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;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Item met linkid: '3' en type:'choice'
|colspan="4"|Questionnaire
|-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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Value
|colspan="2"|Url
|style="background-color: yellow;"|Moeilijk inslapen, moeilijk doorslapen of te veel slapen.
|style="background-color: white;"|http://examplerepository.nl/intake-nieuwe-patient--20200327
|-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;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Item met linkid: '4' en type:'choice'
|colspan="5"|Output
|-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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Value
|colspan="3"|Questionnaire response
|style="background-color: yellow;"|U moe voelen of gebrek aan energie hebben.
|style="background-color: white;"|Zie de questionnaire_response met id: '[[#Questionnaire%20response%20-%20%20met%20id:%20'QR33'|QR33]]'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|}
|colspan="3"|Required
=== Zorgverlener - met id: 'FRANSLIJSTER' ===
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
{| class="wikitable" width="85%"
|colspan="3"|Option
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Zorgverlener - met id: 'FRANSLIJSTER'
|style="background-color: white;"|Helemaal niet (code = 'HEN')
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5" width="25%"| Gegevenselement
|colspan="3"|Option
|| Waarde
|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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Option
|colspan="5"|Zorgverlener identificatienummer
|style="background-color: white;"|Bijna elke dag (code = 'BED')
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Item met linkid: '5' en type:'choice'
|colspan="6"|Naamgegevens
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
|rowspan="7"|
|-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;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Text
|colspan="5"|Naamgegevens
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="5"|
|-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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Code
|colspan="3"|Roepnaam
|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="background-color: white;"|Frans
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Text
|colspan="4"|Geslachtsnaam
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Value
|colspan="2"|Achternaam
|style="background-color: yellow;"|Problemen om u te concentreren, bijvoorbeeld om de krant te lezen of om tv te kijken.
|style="background-color: white;"|Lijster
|-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;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Item met linkid: '8' en type:'choice'
|colspan="6"|Zorgaanbieder
|-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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Value
|colspan="4"|Zorgaanbieder
|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: white;"|Zie de zorgaanbieder met id: '[[#Zorgaanbieder%20-%20%20met%20id:%20'GEZONDHEIDSCENTRUMQUAESTIONARIO'|GEZONDHEIDSCENTRUMQUAESTIONARIO]]'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|}
|colspan="3"|Required
=== Zorgaanbieder -  met id: 'GEZONDHEIDSCENTRUMQUAESTIONARIO' ===
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
{| class="wikitable" width="85%"
|colspan="3"|Option
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="3" | Zorgaanbieder -  met id: 'GEZONDHEIDSCENTRUMQUAESTIONARIO'
|style="background-color: white;"|Helemaal niet (code = 'HEN')
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2" width="25%"| Gegevenselement
|colspan="3"|Option
|| Waarde
|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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Option
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|Enigszins moeilijk (code = 'ENM')
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Option
|colspan="2"|Organisatie naam
|style="background-color: white;"|Erg moeilijk (code = 'ERM')
|style="background-color: white;"|Gezondheidscentrum Quaestionario
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Option
|style="background-color: white;"|Extreem moeilijk (code = 'EXM')
|}
|}
[[Categorie:Kwalificatie]]
==Scenario VL - Scenario 3.1 ==


==Scenario VL - PHQ9 - Questionnaire==
=== Patient - met id: 'BIEVERKEULEN' ===


{| class="wikitable" width="85%"
{| 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; font-weight: bold; text-align:center;"  colspan="6" | Patient -  met id: 'BIEVERKEULEN'
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="5" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| 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;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Title
|colspan="6"|Naamgegevens
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="11"|
|-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;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Item met linkid: 'phq-9' en type:'group'
|colspan="5"|Naamgegevens
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="114"|
|rowspan="9"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Text
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|colspan="3"|Voornamen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|style="background-color: white;"|Marie
|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;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Item met linkid: '1' en type:'choice'
|colspan="4"|Geslachtsnaam
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Code
|colspan="2"|Voorvoegsels
|style="background-color: white;"|Little interest or pleasure in doing things in last 2 weeks [Reported.PHQ] (code = '44250-9' in codeSystem 'LOINC')
|style="background-color: white;"|de
|-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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Value
|colspan="2"|Achternaam
|style="background-color: yellow;"|Weinig interesse of plezier in activiteiten.
|style="background-color: white;"|Bie
|-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;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Item met linkid: '2' en type:'choice'
|colspan="4"|Geslachtsnaam partner
|-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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Value
|colspan="2"|Achternaam partner
|style="background-color: yellow;"|U neerslachtig, depressief of wanhopig voelen.
|style="background-color: white;"|Verkeulen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Required
|colspan="5"|Geboortedatum
|style="background-color: white;"|Ja
|style="background-color: white;"|3 maa 1977
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Option
|colspan="5"|Geslacht
|style="background-color: white;"|Helemaal niet (code = 'HEN')
|style="background-color: white;"|Man (code = 'V' in codeSystem 'HL7 AdministrativeGender')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Option
|colspan="5"|Meerling indicator
|style="background-color: white;"|Meerdere dagen (code = 'MED')
|style="background-color: white;"|
|}
=== Questionnaire provisioning task ===
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Questionnaire provisioning task
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="4" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Option
|colspan="4"|Status
|style="background-color: white;"|Meer dan de helft van de dagen (code = 'MHD')
|style="background-color: white;"|(code = 'completed' in codeSystem 'TaskStatus')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Option
|colspan="4"|Description
|style="background-color: white;"|Bijna elke dag (code = 'BED')
|style="background-color: white;"|De vragenlijst 'Patient Health Questionnaire (PHQ-9)' is beschikbaar om in te vullen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Item met linkid: '3' en type:'choice'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
|colspan="4"|Authored on
|style="background-color: white;"|T - 4 dagen om 13:00:00 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Code
|colspan="4"|Last modified
|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="background-color: white;"|T - 4 dagen om 19:30:00 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Text
|colspan="5"|Requester
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Value
|colspan="3"|Zorgverlener
|style="background-color: yellow;"|Moeilijk inslapen, moeilijk doorslapen of te veel slapen.
|style="background-color: white;"|Zie de zorgverlener met id: '[[#Zorgverlener%20-%20%20met%20id:%20'FRANSLIJSTER'|FRANSLIJSTER]]'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Required
|colspan="3"|Zorgaanbieder
|style="background-color: white;"|Ja
|style="background-color: white;"|Zie de zorgaanbieder met id: '[[#Zorgaanbieder%20-%20%20met%20id:%20'GEZONDHEIDSCENTRUMQUAESTIONARIO'|GEZONDHEIDSCENTRUMQUAESTIONARIO]]'
|-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;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Text
|colspan="5"|Owner
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Value
|colspan="3"|Patient
|style="background-color: yellow;"|U moe voelen of gebrek aan energie hebben.
|style="background-color: white;"|Zie de patient met id: '[[#Patient%20-%20%20met%20id:%20'BIEVERKEULEN'|BIEVERKEULEN]]'
|-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;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Item met linkid: '5' en type:'choice'
|colspan="5"|Input
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
|rowspan="7"|
|-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;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Text
|colspan="4"|Subject
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Value
|colspan="2"|Patient
|style="background-color: yellow;"|Weinig eetlust of overmatig eten.
|style="background-color: white;"|Zie de patient met id: '[[#Patient%20-%20%20met%20id:%20'BIEVERKEULEN'|BIEVERKEULEN]]'
|-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;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Item met linkid: '6' en type:'choice'
|colspan="4"|Questionnaire
|-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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Value
|colspan="2"|Url
|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: white;"|http://examplerepository.nl/phq-9--20200327
|}
=== Zorgverlener -  met id: 'FRANSLIJSTER' ===
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Zorgverlener -  met id: 'FRANSLIJSTER'
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="5" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Required
|colspan="5"|Zorgverlener identificatienummer
|style="background-color: white;"|Ja
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-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;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Item met linkid: '7' en type:'choice'
|colspan="6"|Naamgegevens
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
|rowspan="7"|
|-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;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Text
|colspan="5"|Naamgegevens
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Value
|colspan="3"|Roepnaam
|style="background-color: yellow;"|Problemen om u te concentreren, bijvoorbeeld om de krant te lezen of om tv te kijken.
|style="background-color: white;"|Frans
|-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;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Item met linkid: '8' en type:'choice'
|colspan="4"|Geslachtsnaam
|-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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Value
|colspan="2"|Achternaam
|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: white;"|Lijster
|-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;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Item met linkid: '9' en type:'choice'
|colspan="6"|Zorgaanbieder
|-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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Value
|colspan="4"|Zorgaanbieder
|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: white;"|Zie de zorgaanbieder met id: '[[#Zorgaanbieder%20-%20%20met%20id:%20'GEZONDHEIDSCENTRUMQUAESTIONARIO'|GEZONDHEIDSCENTRUMQUAESTIONARIO]]'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|}
|colspan="3"|Required
=== Zorgaanbieder -  met id: 'GEZONDHEIDSCENTRUMQUAESTIONARIO' ===
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
{| class="wikitable" width="85%"
|colspan="3"|Option
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="3" | Zorgaanbieder - met id: 'GEZONDHEIDSCENTRUMQUAESTIONARIO'
|style="background-color: white;"|Helemaal niet (code = 'HEN')
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2" width="25%"| Gegevenselement
|colspan="3"|Option
|| Waarde
|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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Option
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|Erg moeilijk (code = 'ERM')
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Option
|colspan="2"|Organisatie naam
|style="background-color: white;"|Extreem moeilijk (code = 'EXM')
|style="background-color: white;"|Gezondheidscentrum Quaestionario
|}
|}
[[Categorie:Kwalificatie]]
[[Categorie:Kwalificatie]]

Versie van 2 jun 2020 13:11

{{#customtitle:Vragenlijsten - inhoud kwalificatie}} __NUMBEREDHEADINGS__

Addenda voor inhoudelijke gegevens Vragenlijsten

Scenario VL - Scenario 3.1

Patient - met id: 'VERKEULEN'

Patient - met id: 'VERKEULEN'
Gegevenselement Waarde
Naamgegevens
Naamgegevens
Voornamen Jan
Geslachtsnaam
Achternaam Verkeulen
Geboortedatum 25 nov 1975
Geslacht Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
Meerling indicator NullFlavor: UNK

Questionnaire response - met id: 'QR31'

Questionnaire response - met id: 'QR31'
Gegevenselement Waarde
Questionnaire
Questionnaire
Url http://examplerepository.nl/intake-nieuwe-patient--20200327
Status (code = 'completed' in codeSystem 'QuestionnaireResponseStatus')
Subject
Patient Zie de patient met id: 'VERKEULEN'
Authored T - 1 dag om 11:30:00 uur
Author
Patient Zie de patient met id: 'VERKEULEN'
Item met linkid: 'algemeen'
question Algemene vragen
Item met linkid: 'gewicht'
question Wat is uw gewicht in kg?
answer (value_decimal) 89.5
Item met linkid: 'lengte'
question Wat is uw lengte in cm?
answer (value_integer) 183
Item met linkid: 'roken'
question Rookt u?
answer (value_boolean) Nee
Item met linkid: 'ooitgerookt'
question U rookt niet meer, maar heeft u ooit gerookt?
answer (value_boolean) Ja
Item met linkid: 'jarensindsroken'
question Hoe lang is het geleden dat u heeft gerookt (in jaren)?
answer (value_decimal) 10
Item met linkid: 'drinken'
question Drinkt u alcohol?
answer (value_boolean) Ja
Item met linkid: 'hoevaakdrinken'
question Hoe vaak per week drinkt u alcohol?
answer (value_coding) Af en toe (code = 'AFT')
Item met linkid: 'lichamelijkegezondheid'
question Hoe omschrijft u uw algemene lichamelijke gezondheid?
answer (value_string) De laatste jaren krijg ik wat kwaaltjes
Item met linkid: 'opstaan'
question Hoe laat staat u meestal op?
answer (value_time) 06:30:00
Item met linkid: 'sport'
question Beoefent u een sport?
answer (value_boolean) Ja
Item met linkid: 'welkesport'
question Welke sport(en) beoefent u?
answer (value_coding) Anders, namelijk (code = 'AND')
Item met linkid: 'welkeanderesport'
question Anders, namelijk
answer (value_string) Schaken
Item met linkid: 'voorgeschiedenis'
question Voorgeschiedenis
Item met linkid: 'onderbehandeling'
question Bent u op dit moment onder behandeling van een specialist?
answer (value_boolean) Ja
Item met linkid: 'datumlaatstebehandeling'
question Wanneer was uw laatste contact met een specialist?
answer (value_date) T - 30 dagen
Item met linkid: 'geneesmiddelen'
question Gebruikt u geneesmiddelen?
answer (value_boolean) Ja
Item met linkid: 'socialemedia'
question Sociale media
Item met linkid: 'facebook'
question Facebook
answer (value_boolean) Nee
Item met linkid: 'instagram'
question Instagram
answer (value_boolean) Nee
Item met linkid: 'linkedin'
question LinkedIn
answer (value_boolean) Nee
Item met linkid: 'anderplatform'
question Van een ander platform dat hier niet is genoemd?
answer (value_boolean) Nee
Item met linkid: 'contactgegevens'
question Contactgegevens
Item met linkid: 'mobiel'
question Wat is uw mobiele telefoonnummer?
answer (value_string) 06-12121212
Item met linkid: 'mail'
question Wat is uw e-mailadres?
answer (value_string) jverkeu@durftevragen.nl
Item met linkid: 'belafspraak'
question
Item met linkid: 'toestemmingbelafspraak'
question Mogen we u telefonisch benaderen?
answer (value_boolean) Ja
Item met linkid: 'datumtijdbelafspraak'
question Als u voorkeur heeft voor een datum/tijd, dan kunt u deze hier opgeven.
answer (value_date_time) T + 5 dagen om 14:00:00 uur

Questionnaire provisioning task

Questionnaire provisioning task
Gegevenselement Waarde
Status (code = 'completed' in codeSystem 'TaskStatus')
Description De vragenlijst 'Intake nieuwe patiënt' is beschikbaar om in te vullen
Authored on T - 4 dagen om 13:00:00 uur
Last modified T - 4 dagen om 19:30:00 uur
Requester
Zorgverlener Zie de zorgverlener met id: 'FRANSLIJSTER'
Zorgaanbieder Zie de zorgaanbieder met id: 'GEZONDHEIDSCENTRUMQUAESTIONARIO'
Owner
Patient Zie de patient met id: 'VERKEULEN'
Input
Subject
Patient Zie de patient met id: 'VERKEULEN'
Questionnaire
Url http://examplerepository.nl/intake-nieuwe-patient--20200327
Output
Questionnaire response Zie de questionnaire_response met id: 'QR31'

Zorgverlener - met id: 'FRANSLIJSTER'

Zorgverlener - met id: 'FRANSLIJSTER'
Gegevenselement Waarde
Zorgverlener identificatienummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens
Naamgegevens
Roepnaam Frans
Geslachtsnaam
Achternaam Lijster
Zorgaanbieder
Zorgaanbieder Zie de zorgaanbieder met id: 'GEZONDHEIDSCENTRUMQUAESTIONARIO'

Zorgaanbieder - met id: 'GEZONDHEIDSCENTRUMQUAESTIONARIO'

Zorgaanbieder - met id: 'GEZONDHEIDSCENTRUMQUAESTIONARIO'
Gegevenselement Waarde
Zorgaanbieder identificatienummer 00001111 (in identificerend systeem: URA)
Organisatie naam Gezondheidscentrum Quaestionario

Scenario VL - Scenario 3.1

Patient - met id: 'VERKEULEN'

Patient - met id: 'VERKEULEN'
Gegevenselement Waarde
Naamgegevens
Naamgegevens
Voornamen Jan
Geslachtsnaam
Voorvoegsels
Achternaam Verkeulen
Geboortedatum 25 nov 1975
Geslacht Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
Meerling indicator NullFlavor: UNK

Questionnaire response - met id: 'QR32'

Questionnaire response - met id: 'QR32'
Gegevenselement Waarde
Questionnaire
Questionnaire
Url http://examplerepository.nl/phq-9--20200327
Status (code = 'completed' in codeSystem 'QuestionnaireResponseStatus')
Subject
Patient Zie de patient met id: 'VERKEULEN'
Authored T - 2 dagen om 11:40:00 uur
Author
Patient Zie de patient met id: 'VERKEULEN'
Item met linkid: 'phq-9'
question Hoe vaak hebt u in de afgelopen 2 weken last gehad van één of meer van de volgende problemen?
Item met linkid: '1'
question Weinig interesse of plezier in activiteiten.
answer (value_coding) Meerdere dagen (code = 'MED')
Item met linkid: '2'
question U neerslachtig, depressief of wanhopig voelen.
answer (value_coding) Helemaal niet (code = 'HEN')
Item met linkid: '3'
question Moeilijk inslapen, moeilijk doorslapen of te veel slapen.
answer (value_coding) Helemaal niet (code = 'HEN')
Item met linkid: '4'
question U moe voelen of gebrek aan energie hebben.
answer (value_coding) Meerdere dagen (code = 'MED')
Item met linkid: '5'
question Weinig eetlust of overmatig eten.
answer (value_coding) Meerdere dagen (code = 'MED')
Item met linkid: '6'
question Een slecht gevoel hebben over uzelf, het gevoel hebben dat u een mislukkeling bent of dat u zichzelf of uw familie teleurgesteld hebt.
answer (value_coding) Meer dan de helft van de dagen (code = 'MHD')
Item met linkid: '7'
question Problemen om u te concentreren, bijvoorbeeld om de krant te lezen of om tv te kijken.
answer (value_coding) Helemaal niet (code = 'HEN')
Item met linkid: '4'
question U moe voelen of gebrek aan energie hebben.
answer (value_coding) Meerdere dagen (code = 'MED')
Item met linkid: '9'
question De gedachte dat u beter dood zou kunnen zijn of de gedachte uzelf op een bepaalde manier pijn te doen.
answer (value_coding) Helemaal niet (code = 'HEN')
Item met linkid: '10'
question 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?
answer (value_coding) Helemaal niet moeilijk (code = 'HNM')

Questionnaire provisioning task

Questionnaire provisioning task
Gegevenselement Waarde
Status (code = 'completed' in codeSystem 'TaskStatus')
Description De vragenlijst 'Patient Health Questionnaire (PHQ-9)' is beschikbaar om in te vullen
Authored on T - 2 dagen om 10:00:00 uur
Last modified T - 2 dagen om 11:40:00 uur
Requester
Zorgverlener Zie de zorgverlener met id: 'FRANSLIJSTER'
Zorgaanbieder Zie de zorgaanbieder met id: 'GEZONDHEIDSCENTRUMQUAESTIONARIO'
Owner
Patient Zie de patient met id: 'VERKEULEN'
Input
Subject
Patient Zie de patient met id: 'VERKEULEN'
Questionnaire
Url http://examplerepository.nl/phq-9--20200327
Output
Questionnaire response Zie de questionnaire_response met id: 'QR32'

Zorgverlener - met id: 'FRANSLIJSTER'

Zorgverlener - met id: 'FRANSLIJSTER'
Gegevenselement Waarde
Zorgverlener identificatienummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens
Naamgegevens
Roepnaam Frans
Geslachtsnaam
Achternaam Lijster
Zorgaanbieder
Zorgaanbieder Zie de zorgaanbieder met id: 'GEZONDHEIDSCENTRUMQUAESTIONARIO'

Zorgaanbieder - met id: 'GEZONDHEIDSCENTRUMQUAESTIONARIO'

Zorgaanbieder - met id: 'GEZONDHEIDSCENTRUMQUAESTIONARIO'
Gegevenselement Waarde
Zorgaanbieder identificatienummer 00001111 (in identificerend systeem: URA)
Organisatie naam Gezondheidscentrum Quaestionario

Scenario VL - Scenario 3.1

Patient - met id: 'BIEVERKEULEN'

Patient - met id: 'BIEVERKEULEN'
Gegevenselement Waarde
Naamgegevens
Naamgegevens
Voornamen Marie
Geslachtsnaam
Voorvoegsels de
Achternaam Bie
Geslachtsnaam partner
Achternaam partner Verkeulen
Geboortedatum 3 maa 1977
Geslacht Man (code = 'V' in codeSystem 'HL7 AdministrativeGender')
Meerling indicator

Questionnaire response - met id: 'QR33'

Questionnaire response - met id: 'QR33'
Gegevenselement Waarde
Questionnaire
Questionnaire
Url http://examplerepository.nl/intake-nieuwe-patient--20200327
Status (code = 'completed' in codeSystem 'QuestionnaireResponseStatus')
Subject
Patient Zie de patient met id: 'BIEVERKEULEN'
Authored T - 4 dagen om 19:30:00 uur
Author
Patient Zie de patient met id: 'BIEVERKEULEN'
Item met linkid: 'algemeen'
question Algemene vragen
Item met linkid: 'gewicht'
question Wat is uw gewicht in kg?
answer (value_decimal) 67.1
Item met linkid: 'lengte'
question Wat is uw lengte in cm?
answer (value_integer) 168
Item met linkid: 'roken'
question Rookt u?
answer (value_boolean) Nee
Item met linkid: 'ooitgerookt'
question U rookt niet meer, maar heeft u ooit gerookt?
answer (value_boolean) Nee
Item met linkid: 'drinken'
question Drinkt u alcohol?
answer (value_boolean) Nee
Item met linkid: 'lichamelijkegezondheid'
question Hoe omschrijft u uw algemene lichamelijke gezondheid?
answer (value_string) Ik voel me fit en gezond
Item met linkid: 'opstaan'
question Hoe laat staat u meestal op?
answer (value_time) 07:00:00
Item met linkid: 'sport'
question Beoefent u een sport?
answer (value_boolean) Ja
Item met linkid: 'welkesport'
question Welke sport(en) beoefent u?
answer (value_coding) Yoga (code = 'YOG')
Item met linkid: 'voorgeschiedenis'
question Voorgeschiedenis
Item met linkid: 'onderbehandeling'
question Bent u op dit moment onder behandeling van een specialist?
answer (value_boolean) Nee
Item met linkid: 'geneesmiddelen'
question Gebruikt u geneesmiddelen?
answer (value_boolean) Nee
Item met linkid: 'socialemedia'
question Sociale media
Item met linkid: 'facebook'
question Facebook
answer (value_boolean) Ja
Item met linkid: 'instagram'
question Instagram
answer (value_boolean) Nee
Item met linkid: 'linkedin'
question LinkedIn
answer (value_boolean) Nee
Item met linkid: 'anderplatform'
question Van een ander platform dat hier niet is genoemd?
answer (value_boolean) Ja
Item met linkid: 'hoeveelandere'
question Hoeveel andere platforms zijn dit dan? (maximaal 5)
answer (value_integer) 1
Item met linkid: 'welkplatform'
question Welk of welke platforms zijn dit dan?
answer (value_string) Pinterest
Item met linkid: 'contactgegevens'
question Contactgegevens
Item met linkid: 'mobiel'
question Wat is uw mobiele telefoonnummer?
answer (value_string) 0621212121
Item met linkid: 'mail'
question Wat is uw e-mailadres?
answer (value_string) mariedebie@vraagje.nl
Item met linkid: 'belafspraak'
question
Item met linkid: 'toestemmingbelafspraak'
question Mogen we u telefonisch benaderen?
answer (value_boolean) Ja

Questionnaire provisioning task

Questionnaire provisioning task
Gegevenselement Waarde
Status (code = 'completed' in codeSystem 'TaskStatus')
Description De vragenlijst 'Intake nieuwe patiënt' is beschikbaar om in te vullen
Authored on T - 4 dagen om 13:00:00 uur
Last modified T - 4 dagen om 19:30:00 uur
Requester
Zorgverlener Zie de zorgverlener met id: 'FRANSLIJSTER'
Zorgaanbieder Zie de zorgaanbieder met id: 'GEZONDHEIDSCENTRUMQUAESTIONARIO'
Owner
Patient Zie de patient met id: 'BIEVERKEULEN'
Input
Subject
Patient Zie de patient met id: 'BIEVERKEULEN'
Questionnaire
Url http://examplerepository.nl/intake-nieuwe-patient--20200327
Output
Questionnaire response Zie de questionnaire_response met id: 'QR33'

Zorgverlener - met id: 'FRANSLIJSTER'

Zorgverlener - met id: 'FRANSLIJSTER'
Gegevenselement Waarde
Zorgverlener identificatienummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens
Naamgegevens
Roepnaam Frans
Geslachtsnaam
Achternaam Lijster
Zorgaanbieder
Zorgaanbieder Zie de zorgaanbieder met id: 'GEZONDHEIDSCENTRUMQUAESTIONARIO'

Zorgaanbieder - met id: 'GEZONDHEIDSCENTRUMQUAESTIONARIO'

Zorgaanbieder - met id: 'GEZONDHEIDSCENTRUMQUAESTIONARIO'
Gegevenselement Waarde
Zorgaanbieder identificatienummer 00001111 (in identificerend systeem: URA)
Organisatie naam Gezondheidscentrum Quaestionario

Scenario VL - Scenario 3.1

Patient - met id: 'BIEVERKEULEN'

Patient - met id: 'BIEVERKEULEN'
Gegevenselement Waarde
Naamgegevens
Naamgegevens
Voornamen Marie
Geslachtsnaam
Voorvoegsels de
Achternaam Bie
Geslachtsnaam partner
Achternaam partner Verkeulen
Geboortedatum 3 maa 1977
Geslacht Man (code = 'V' in codeSystem 'HL7 AdministrativeGender')
Meerling indicator

Questionnaire provisioning task

Questionnaire provisioning task
Gegevenselement Waarde
Status (code = 'completed' in codeSystem 'TaskStatus')
Description De vragenlijst 'Patient Health Questionnaire (PHQ-9)' is beschikbaar om in te vullen
Authored on T - 4 dagen om 13:00:00 uur
Last modified T - 4 dagen om 19:30:00 uur
Requester
Zorgverlener Zie de zorgverlener met id: 'FRANSLIJSTER'
Zorgaanbieder Zie de zorgaanbieder met id: 'GEZONDHEIDSCENTRUMQUAESTIONARIO'
Owner
Patient Zie de patient met id: 'BIEVERKEULEN'
Input
Subject
Patient Zie de patient met id: 'BIEVERKEULEN'
Questionnaire
Url http://examplerepository.nl/phq-9--20200327

Zorgverlener - met id: 'FRANSLIJSTER'

Zorgverlener - met id: 'FRANSLIJSTER'
Gegevenselement Waarde
Zorgverlener identificatienummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens
Naamgegevens
Roepnaam Frans
Geslachtsnaam
Achternaam Lijster
Zorgaanbieder
Zorgaanbieder Zie de zorgaanbieder met id: 'GEZONDHEIDSCENTRUMQUAESTIONARIO'

Zorgaanbieder - met id: 'GEZONDHEIDSCENTRUMQUAESTIONARIO'

Zorgaanbieder - met id: 'GEZONDHEIDSCENTRUMQUAESTIONARIO'
Gegevenselement Waarde
Zorgaanbieder identificatienummer 00001111 (in identificerend systeem: URA)
Organisatie naam Gezondheidscentrum Quaestionario