Smart Bear Implementation Guide
3.4.1 - ci-build

Smart Bear Implementation Guide - Local Development build (v3.4.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: 5-level EQ-5D - XML Representation

Draft as of 2024-09-17

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<Questionnaire xmlns="http://hl7.org/fhir">
  <id value="EQ5D5LQuestionnaire"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Questionnaire EQ5D5LQuestionnaire</b></p><a name="EQ5D5LQuestionnaire"> </a><a name="hcEQ5D5LQuestionnaire"> </a><a name="EQ5D5LQuestionnaire-en-US"> </a><b>Structure</b><table border="1" cellpadding="0" cellspacing="0" style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="The linkID for the item">LinkID</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Text for the item">Text</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Minimum and Maximum # of times the item can appear in the instance">Cardinality</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="The type of the item">Type</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Additional information about the item">Description &amp; Constraints</a><span style="float: right"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_q_root.gif" alt="." style="background-color: white; background-color: inherit" title="QuestionnaireRoot" class="hierarchy"/> EQ5D5LQuestionnaire</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">5-level EQ-5D</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Questionnaire</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">https://smart-bear.eu/fhir/Questionnaire/EQ5D5LQuestionnaire#3.4.1</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.mobility" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> mobility</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">MOBILITY</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.mobility">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.selfcare" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> selfcare</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">SELF-CARE</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.selfcare">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.usualActivities" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> usualActivities</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">USUAL ACTIVITIES (e.g. work, study, housework, family or leisure activities)</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.usualActivities">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.pain" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> pain</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">PAIN/DISCOMFORT</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.pain">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.anxiety" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> anxiety</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">ANXIETY/DEPRESSION</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.anxiety">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" id="item.score" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-integer.png" alt="." style="background-color: white; background-color: inherit" title="integer" class="hierarchy"/> score</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">The best health you can imagine</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-integer">integer</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="http://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table><hr/><p><b>Options Sets</b></p><a name="opt-item.mobility"> </a><p><b>Answer options for mobility </b></p><ul><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EQ5D5LMobility#1 (&quot;I have no problems in walking about&quot;)</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EQ5D5LMobility#2 (&quot;I have slight problems in walking about&quot;)</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EQ5D5LMobility#3 (&quot;I have moderate problems in walking about&quot;)</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EQ5D5LMobility#4 (&quot;I have severe problems in walking about&quot;)</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EQ5D5LMobility#5 (&quot;I am unable to walk about&quot;)</li></ul><a name="opt-item.selfcare"> </a><p><b>Answer options for selfcare </b></p><ul><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EQ5D5LSelfCare#1 (&quot;I have no problems washing or dressing myself&quot;)</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EQ5D5LSelfCare#2 (&quot;I have slight problems washing or dressing myself&quot;)</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EQ5D5LSelfCare#3 (&quot;I have moderate problems washing or dressing myself&quot;)</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EQ5D5LSelfCare#4 (&quot;I have severe problems washing or dressing myself&quot;)</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EQ5D5LSelfCare#5 (&quot;I am unable to wash or dress myself&quot;)</li></ul><a name="opt-item.usualActivities"> </a><p><b>Answer options for usualActivities </b></p><ul><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EQ5D5LUsualActivities#1 (&quot;I have no problems doing my usual activities&quot;)</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EQ5D5LUsualActivities#2 (&quot;I have slight problems doing my usual activities&quot;)</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EQ5D5LUsualActivities#3 (&quot;I have moderate problems doing my usual activities&quot;)</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EQ5D5LUsualActivities#4 (&quot;I have severe problems doing my usual activities&quot;)</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EQ5D5LUsualActivities#5 (&quot;I am unable to do my usual activities&quot;)</li></ul><a name="opt-item.pain"> </a><p><b>Answer options for pain </b></p><ul><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EQ5D5LPainDiscomfort#1 (&quot;I have no pain or discomfort&quot;)</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EQ5D5LPainDiscomfort#2 (&quot;I have slight pain or discomfort&quot;)</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EQ5D5LPainDiscomfort#3 (&quot;I have moderate pain or discomfort&quot;)</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EQ5D5LPainDiscomfort#4 (&quot;I have severe pain or discomfort&quot;)</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EQ5D5LPainDiscomfort#5 (&quot;I have extreme pain or discomfort&quot;)</li></ul><a name="opt-item.anxiety"> </a><p><b>Answer options for anxiety </b></p><ul><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EQ5D5LAnxietyDepression#1 (&quot;I have no pain or discomfort&quot;)</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EQ5D5LAnxietyDepression#2 (&quot;I have slight pain or discomfort&quot;)</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EQ5D5LAnxietyDepression#3 (&quot;I have moderate pain or discomfort&quot;)</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EQ5D5LAnxietyDepression#4 (&quot;I have severe pain or discomfort&quot;)</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EQ5D5LAnxietyDepression#5 (&quot;I have extreme pain or discomfort&quot;)</li></ul></div>
  </text>
  <url value="https://smart-bear.eu/fhir/Questionnaire/EQ5D5LQuestionnaire"/>
  <version value="3.4.1"/>
  <name value="EQ5D5LQuestionnaire"/>
  <title value="5-level EQ-5D"/>
  <status value="draft"/>
  <date value="2024-09-17T08:57:54+02:00"/>
  <description value="5-level EQ-5D"/>
  <item>
    <linkId value="mobility"/>
    <text value="MOBILITY"/>
    <type value="choice"/>
    <required value="true"/>
    <answerOption>
      <valueCoding>
        <system value="https://smart-bear.eu/fhir/CodeSystem/EQ5D5LMobility"/>
        <code value="1"/>
        <display value="I have no problems in walking about"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system value="https://smart-bear.eu/fhir/CodeSystem/EQ5D5LMobility"/>
        <code value="2"/>
        <display value="I have slight problems in walking about"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system value="https://smart-bear.eu/fhir/CodeSystem/EQ5D5LMobility"/>
        <code value="3"/>
        <display value="I have moderate problems in walking about"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system value="https://smart-bear.eu/fhir/CodeSystem/EQ5D5LMobility"/>
        <code value="4"/>
        <display value="I have severe problems in walking about"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system value="https://smart-bear.eu/fhir/CodeSystem/EQ5D5LMobility"/>
        <code value="5"/>
        <display value="I am unable to walk about"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <linkId value="selfcare"/>
    <text value="SELF-CARE"/>
    <type value="choice"/>
    <required value="true"/>
    <answerOption>
      <valueCoding>
        <system value="https://smart-bear.eu/fhir/CodeSystem/EQ5D5LSelfCare"/>
        <code value="1"/>
        <display value="I have no problems washing or dressing myself"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system value="https://smart-bear.eu/fhir/CodeSystem/EQ5D5LSelfCare"/>
        <code value="2"/>
        <display value="I have slight problems washing or dressing myself"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system value="https://smart-bear.eu/fhir/CodeSystem/EQ5D5LSelfCare"/>
        <code value="3"/>
        <display value="I have moderate problems washing or dressing myself"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system value="https://smart-bear.eu/fhir/CodeSystem/EQ5D5LSelfCare"/>
        <code value="4"/>
        <display value="I have severe problems washing or dressing myself"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system value="https://smart-bear.eu/fhir/CodeSystem/EQ5D5LSelfCare"/>
        <code value="5"/>
        <display value="I am unable to wash or dress myself"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <linkId value="usualActivities"/>
    <text
          value="USUAL ACTIVITIES (e.g. work, study, housework, family or leisure activities)"/>
    <type value="choice"/>
    <required value="true"/>
    <answerOption>
      <valueCoding>
        <system
                value="https://smart-bear.eu/fhir/CodeSystem/EQ5D5LUsualActivities"/>
        <code value="1"/>
        <display value="I have no problems doing my usual activities"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system
                value="https://smart-bear.eu/fhir/CodeSystem/EQ5D5LUsualActivities"/>
        <code value="2"/>
        <display value="I have slight problems doing my usual activities"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system
                value="https://smart-bear.eu/fhir/CodeSystem/EQ5D5LUsualActivities"/>
        <code value="3"/>
        <display value="I have moderate problems doing my usual activities"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system
                value="https://smart-bear.eu/fhir/CodeSystem/EQ5D5LUsualActivities"/>
        <code value="4"/>
        <display value="I have severe problems doing my usual activities"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system
                value="https://smart-bear.eu/fhir/CodeSystem/EQ5D5LUsualActivities"/>
        <code value="5"/>
        <display value="I am unable to do my usual activities"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <linkId value="pain"/>
    <text value="PAIN/DISCOMFORT"/>
    <type value="choice"/>
    <required value="true"/>
    <answerOption>
      <valueCoding>
        <system
                value="https://smart-bear.eu/fhir/CodeSystem/EQ5D5LPainDiscomfort"/>
        <code value="1"/>
        <display value="I have no pain or discomfort"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system
                value="https://smart-bear.eu/fhir/CodeSystem/EQ5D5LPainDiscomfort"/>
        <code value="2"/>
        <display value="I have slight pain or discomfort"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system
                value="https://smart-bear.eu/fhir/CodeSystem/EQ5D5LPainDiscomfort"/>
        <code value="3"/>
        <display value="I have moderate pain or discomfort"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system
                value="https://smart-bear.eu/fhir/CodeSystem/EQ5D5LPainDiscomfort"/>
        <code value="4"/>
        <display value="I have severe pain or discomfort"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system
                value="https://smart-bear.eu/fhir/CodeSystem/EQ5D5LPainDiscomfort"/>
        <code value="5"/>
        <display value="I have extreme pain or discomfort"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <linkId value="anxiety"/>
    <text value="ANXIETY/DEPRESSION"/>
    <type value="choice"/>
    <required value="true"/>
    <answerOption>
      <valueCoding>
        <system
                value="https://smart-bear.eu/fhir/CodeSystem/EQ5D5LAnxietyDepression"/>
        <code value="1"/>
        <display value="I have no pain or discomfort"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system
                value="https://smart-bear.eu/fhir/CodeSystem/EQ5D5LAnxietyDepression"/>
        <code value="2"/>
        <display value="I have slight pain or discomfort"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system
                value="https://smart-bear.eu/fhir/CodeSystem/EQ5D5LAnxietyDepression"/>
        <code value="3"/>
        <display value="I have moderate pain or discomfort"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system
                value="https://smart-bear.eu/fhir/CodeSystem/EQ5D5LAnxietyDepression"/>
        <code value="4"/>
        <display value="I have severe pain or discomfort"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system
                value="https://smart-bear.eu/fhir/CodeSystem/EQ5D5LAnxietyDepression"/>
        <code value="5"/>
        <display value="I have extreme pain or discomfort"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <linkId value="score"/>
    <text value="The best health you can imagine"/>
    <type value="integer"/>
    <required value="true"/>
  </item>
</Questionnaire>