Implementation Guide for fælles faglige instrumenter (FFInst)
1.0.0 - release Denmark flag

This page is part of the KLFFinst (v1.0.0: Release) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: EQ-5D questionnaire - XML Representation

Draft as of 2023-08-27

Raw xml | Download



<Questionnaire xmlns="http://hl7.org/fhir">
  <id value="KLToolsCareEQ5D"/>
  <meta>
    <profile
             value="http://fhir.kl.dk/ffinst/StructureDefinition/KLToolsQuestionnaire"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">Placeholder</div>
  </text>
  <url value="http://fhir.kl.dk/ffinst/Questionnaire/KLToolsCareEQ5D"/>
  <version value="1.0.0"/>
  <name value="KLToolsCareEQ5D"/>
  <title value="EQ-5D questionnaire"/>
  <status value="draft"/>
  <date value="2023-08-27T10:22:55+02:00"/>
  <publisher value="Kommunernes landsforening"/>
  <contact>
    <name value="Kommunernes landsforening"/>
    <telecom>
      <system value="url"/>
      <value value="http://kl.dk"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="kl@kl.dk"/>
    </telecom>
  </contact>
  <description
               value="Ikke-sygdomsspecifikt spørgeskema til at vurdere helbredsrelateret livskvalitet. Tidsrammen for borgers vurdering er borgers aktuelle tilstand (i dag)."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="DNK"/>
      <display value="Denmark"/>
    </coding>
  </jurisdiction>
  <code>
    <system value="http://snomed.info/sct"/>
    <code value="1144655003"/>
  </code>
  <item>
    <linkId value="mobility"/>
    <code>
      <system value="http://snomed.info/sct"/>
      <code value="301438001"/>
    </code>
    <text value="Bevægelighed"/>
    <type value="choice"/>
    <repeats value="false"/>
    <answerValueSet value="http://fhir.kl.dk/ffinst/ValueSet/EQ5Dmobility"/>
  </item>
  <item>
    <linkId value="hygiene"/>
    <code>
      <system value="http://snomed.info/sct"/>
      <code value="284773001"/>
    </code>
    <text value="Personlig pleje"/>
    <type value="choice"/>
    <repeats value="false"/>
    <answerValueSet value="http://fhir.kl.dk/ffinst/ValueSet/EQ5Dhygiene"/>
  </item>
  <item>
    <linkId value="activity"/>
    <code>
      <system value="http://snomed.info/sct"/>
      <code value="284545001"/>
    </code>
    <text
          value="Sædvanlige aktiviteter (fx arbejde, studie, husarbejde, familie- eller fritidsaktiviteter)"/>
    <type value="choice"/>
    <repeats value="false"/>
    <answerValueSet value="http://fhir.kl.dk/ffinst/ValueSet/EQ5Dactivity"/>
  </item>
  <item>
    <linkId value="pain"/>
    <code>
      <system value="http://snomed.info/sct"/>
      <code value="364624006"/>
    </code>
    <text value="Smerter/ubehag"/>
    <type value="choice"/>
    <repeats value="false"/>
    <answerValueSet value="http://fhir.kl.dk/ffinst/ValueSet/EQ5Dpain"/>
  </item>
  <item>
    <linkId value="anxiety"/>
    <code>
      <system value="http://snomed.info/sct"/>
      <code value="285854004"/>
    </code>
    <text value="Angst/Depression"/>
    <type value="choice"/>
    <repeats value="false"/>
    <answerValueSet value="http://fhir.kl.dk/ffinst/ValueSet/EQ5Danxiety"/>
  </item>
  <item>
    <extension url="http://hl7.org/fhir/StructureDefinition/maxValue">
      <valueInteger value="100"/>
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/minValue">
      <valueInteger value="0"/>
    </extension>
    <linkId value="vas"/>
    <code>
      <system value="http://snomed.info/sct"/>
      <code value="736535009"/>
    </code>
    <text value="EQ-VAS-score"/>
    <type value="integer"/>
    <repeats value="false"/>
  </item>
  <item>
    <linkId value="eq5dcomment"/>
    <text value="Kommentar til EQ-5D"/>
    <type value="text"/>
    <repeats value="false"/>
  </item>
</Questionnaire>