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
| Draft as of 2024-09-17 |
<Questionnaire xmlns="http://hl7.org/fhir">
<id value="FESQuestionnaire"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Questionnaire FESQuestionnaire</b></p><a name="FESQuestionnaire"> </a><a name="hcFESQuestionnaire"> </a><a name="FESQuestionnaire-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 & 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"/> FESQuestionnaire</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Falls Efficacy Scale International</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/FESQuestionnaire#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.0" 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"/> 0</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Cleaning the house (e.g. sweep, vacuum or dust)</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.0">4 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.1" 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"/> 1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Getting dressed or undressed</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.1">4 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.2" 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"/> 2</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Preparing simple meals</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.2">4 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.3" 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"/> 3</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Taking a bath or shower</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.3">4 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.4" 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"/> 4</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Going to the shop</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.4">4 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.5" 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"/> 5</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Getting in or out of a chair</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.5">4 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.6" 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"/> 6</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Going up or down stairs</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.6">4 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.7" 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"/> 7</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Walking around in the neighbourhood</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.7">4 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.8" 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"/> 8</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Reaching for something above your head or on the ground</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.8">4 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.9" 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"/> 9</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Going to answer the telephone before it stops ringing</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.9">4 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.10" 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"/> 10</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Walking on a slippery surface (e.g. wet or icy)</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.10">4 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.11" 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"/> 11</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Visiting a friend or relative</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.11">4 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.12" 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"/> 12</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Walking in a place with crowds</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.12">4 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.13" 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"/> 13</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Walking on an uneven surface (e.g. rocky ground, poorly maintained pavement)</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.13">4 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.14" 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"/> 14</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Walking up or down a slope</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.14">4 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.15" 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"/> 15</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Going out to a social event(e.g. religious service, family gathering or club meeting)</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.15">4 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_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: #F7F7F7; background-color: inherit" title="integer" class="hierarchy"/> score</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">null</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-integer">integer</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; 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.0"> </a><p><b>Answer options for 0 </b></p><ul><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#1 ("Not at all concerned")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#2 ("Somewhat concerned")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#3 ("Fairly concerned")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#4 ("Very concerned")</li></ul><a name="opt-item.1"> </a><p><b>Answer options for 1 </b></p><ul><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#1 ("Not at all concerned")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#2 ("Somewhat concerned")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#3 ("Fairly concerned")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#4 ("Very concerned")</li></ul><a name="opt-item.2"> </a><p><b>Answer options for 2 </b></p><ul><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#1 ("Not at all concerned")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#2 ("Somewhat concerned")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#3 ("Fairly concerned")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#4 ("Very concerned")</li></ul><a name="opt-item.3"> </a><p><b>Answer options for 3 </b></p><ul><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#1 ("Not at all concerned")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#2 ("Somewhat concerned")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#3 ("Fairly concerned")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#4 ("Very concerned")</li></ul><a name="opt-item.4"> </a><p><b>Answer options for 4 </b></p><ul><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#1 ("Not at all concerned")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#2 ("Somewhat concerned")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#3 ("Fairly concerned")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#4 ("Very concerned")</li></ul><a name="opt-item.5"> </a><p><b>Answer options for 5 </b></p><ul><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#1 ("Not at all concerned")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#2 ("Somewhat concerned")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#3 ("Fairly concerned")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#4 ("Very concerned")</li></ul><a name="opt-item.6"> </a><p><b>Answer options for 6 </b></p><ul><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#1 ("Not at all concerned")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#2 ("Somewhat concerned")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#3 ("Fairly concerned")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#4 ("Very concerned")</li></ul><a name="opt-item.7"> </a><p><b>Answer options for 7 </b></p><ul><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#1 ("Not at all concerned")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#2 ("Somewhat concerned")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#3 ("Fairly concerned")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#4 ("Very concerned")</li></ul><a name="opt-item.8"> </a><p><b>Answer options for 8 </b></p><ul><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#1 ("Not at all concerned")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#2 ("Somewhat concerned")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#3 ("Fairly concerned")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#4 ("Very concerned")</li></ul><a name="opt-item.9"> </a><p><b>Answer options for 9 </b></p><ul><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#1 ("Not at all concerned")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#2 ("Somewhat concerned")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#3 ("Fairly concerned")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#4 ("Very concerned")</li></ul><a name="opt-item.10"> </a><p><b>Answer options for 10 </b></p><ul><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#1 ("Not at all concerned")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#2 ("Somewhat concerned")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#3 ("Fairly concerned")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#4 ("Very concerned")</li></ul><a name="opt-item.11"> </a><p><b>Answer options for 11 </b></p><ul><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#1 ("Not at all concerned")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#2 ("Somewhat concerned")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#3 ("Fairly concerned")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#4 ("Very concerned")</li></ul><a name="opt-item.12"> </a><p><b>Answer options for 12 </b></p><ul><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#1 ("Not at all concerned")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#2 ("Somewhat concerned")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#3 ("Fairly concerned")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#4 ("Very concerned")</li></ul><a name="opt-item.13"> </a><p><b>Answer options for 13 </b></p><ul><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#1 ("Not at all concerned")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#2 ("Somewhat concerned")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#3 ("Fairly concerned")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#4 ("Very concerned")</li></ul><a name="opt-item.14"> </a><p><b>Answer options for 14 </b></p><ul><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#1 ("Not at all concerned")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#2 ("Somewhat concerned")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#3 ("Fairly concerned")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#4 ("Very concerned")</li></ul><a name="opt-item.15"> </a><p><b>Answer options for 15 </b></p><ul><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#1 ("Not at all concerned")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#2 ("Somewhat concerned")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#3 ("Fairly concerned")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/FESResponse#4 ("Very concerned")</li></ul></div>
</text>
<url value="https://smart-bear.eu/fhir/Questionnaire/FESQuestionnaire"/>
<version value="3.4.1"/>
<name value="FESQuestionnaire"/>
<title value="Falls Efficacy Scale International"/>
<status value="draft"/>
<date value="2024-09-17T08:57:54+02:00"/>
<description value="Falls Efficacy Scale International"/>
<item>
<linkId value="0"/>
<text value="Cleaning the house (e.g. sweep, vacuum or dust)"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="1"/>
<display value="Not at all concerned"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="2"/>
<display value="Somewhat concerned"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="3"/>
<display value="Fairly concerned"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="4"/>
<display value="Very concerned"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="1"/>
<text value="Getting dressed or undressed"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="1"/>
<display value="Not at all concerned"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="2"/>
<display value="Somewhat concerned"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="3"/>
<display value="Fairly concerned"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="4"/>
<display value="Very concerned"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="2"/>
<text value="Preparing simple meals"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="1"/>
<display value="Not at all concerned"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="2"/>
<display value="Somewhat concerned"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="3"/>
<display value="Fairly concerned"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="4"/>
<display value="Very concerned"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="3"/>
<text value="Taking a bath or shower"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="1"/>
<display value="Not at all concerned"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="2"/>
<display value="Somewhat concerned"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="3"/>
<display value="Fairly concerned"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="4"/>
<display value="Very concerned"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="4"/>
<text value="Going to the shop"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="1"/>
<display value="Not at all concerned"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="2"/>
<display value="Somewhat concerned"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="3"/>
<display value="Fairly concerned"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="4"/>
<display value="Very concerned"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="5"/>
<text value="Getting in or out of a chair"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="1"/>
<display value="Not at all concerned"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="2"/>
<display value="Somewhat concerned"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="3"/>
<display value="Fairly concerned"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="4"/>
<display value="Very concerned"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="6"/>
<text value="Going up or down stairs"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="1"/>
<display value="Not at all concerned"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="2"/>
<display value="Somewhat concerned"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="3"/>
<display value="Fairly concerned"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="4"/>
<display value="Very concerned"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="7"/>
<text value="Walking around in the neighbourhood"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="1"/>
<display value="Not at all concerned"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="2"/>
<display value="Somewhat concerned"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="3"/>
<display value="Fairly concerned"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="4"/>
<display value="Very concerned"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="8"/>
<text value="Reaching for something above your head or on the ground"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="1"/>
<display value="Not at all concerned"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="2"/>
<display value="Somewhat concerned"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="3"/>
<display value="Fairly concerned"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="4"/>
<display value="Very concerned"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="9"/>
<text value="Going to answer the telephone before it stops ringing"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="1"/>
<display value="Not at all concerned"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="2"/>
<display value="Somewhat concerned"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="3"/>
<display value="Fairly concerned"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="4"/>
<display value="Very concerned"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="10"/>
<text value="Walking on a slippery surface (e.g. wet or icy)"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="1"/>
<display value="Not at all concerned"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="2"/>
<display value="Somewhat concerned"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="3"/>
<display value="Fairly concerned"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="4"/>
<display value="Very concerned"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="11"/>
<text value="Visiting a friend or relative"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="1"/>
<display value="Not at all concerned"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="2"/>
<display value="Somewhat concerned"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="3"/>
<display value="Fairly concerned"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="4"/>
<display value="Very concerned"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="12"/>
<text value="Walking in a place with crowds"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="1"/>
<display value="Not at all concerned"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="2"/>
<display value="Somewhat concerned"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="3"/>
<display value="Fairly concerned"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="4"/>
<display value="Very concerned"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="13"/>
<text
value="Walking on an uneven surface (e.g. rocky ground, poorly maintained pavement)"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="1"/>
<display value="Not at all concerned"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="2"/>
<display value="Somewhat concerned"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="3"/>
<display value="Fairly concerned"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="4"/>
<display value="Very concerned"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="14"/>
<text value="Walking up or down a slope"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="1"/>
<display value="Not at all concerned"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="2"/>
<display value="Somewhat concerned"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="3"/>
<display value="Fairly concerned"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="4"/>
<display value="Very concerned"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="15"/>
<text
value="Going out to a social event(e.g. religious service, family gathering or club meeting)"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="1"/>
<display value="Not at all concerned"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="2"/>
<display value="Somewhat concerned"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="3"/>
<display value="Fairly concerned"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/FESResponse"/>
<code value="4"/>
<display value="Very concerned"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="score"/>
<type value="integer"/>
<required value="true"/>
</item>
</Questionnaire>