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="PSFPQuestionnaire"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Questionnaire PSFPQuestionnaire</b></p><a name="PSFPQuestionnaire"> </a><a name="hcPSFPQuestionnaire"> </a><a name="PSFPQuestionnaire-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"/> PSFPQuestionnaire</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Patient Specific Functional Scale Questionnaire</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/PSFPQuestionnaire#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.activity1" 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"/> activity1</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-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.activity1">11 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.activity2" 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"/> activity2</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">null</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.activity2">11 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.activity3" 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"/> activity3</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-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.activity3">11 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.supplement1" 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"/> supplement1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">null</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.supplement1">11 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.supplement1" 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-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> supplement1</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-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.supplement1">11 options</a></td></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.activity1"> </a><p><b>Answer options for activity1 </b></p><ul><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#0 ("0 Unable to perform activity")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#1 ("1")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#2 ("2")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#3 ("3")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#4 ("4")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#5 ("5")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#6 ("6")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#7 ("7")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#8 ("8")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#9 ("9")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#10 ("10 Able to perform activity at same level as before your (injury or problem)")</li></ul><a name="opt-item.activity2"> </a><p><b>Answer options for activity2 </b></p><ul><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#0 ("0 Unable to perform activity")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#1 ("1")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#2 ("2")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#3 ("3")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#4 ("4")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#5 ("5")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#6 ("6")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#7 ("7")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#8 ("8")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#9 ("9")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#10 ("10 Able to perform activity at same level as before your (injury or problem)")</li></ul><a name="opt-item.activity3"> </a><p><b>Answer options for activity3 </b></p><ul><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#0 ("0 Unable to perform activity")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#1 ("1")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#2 ("2")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#3 ("3")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#4 ("4")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#5 ("5")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#6 ("6")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#7 ("7")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#8 ("8")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#9 ("9")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#10 ("10 Able to perform activity at same level as before your (injury or problem)")</li></ul><a name="opt-item.supplement1"> </a><p><b>Answer options for supplement1 </b></p><ul><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#0 ("0 Unable to perform activity")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#1 ("1")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#2 ("2")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#3 ("3")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#4 ("4")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#5 ("5")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#6 ("6")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#7 ("7")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#8 ("8")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#9 ("9")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#10 ("10 Able to perform activity at same level as before your (injury or problem)")</li></ul><a name="opt-item.supplement1"> </a><p><b>Answer options for supplement1 </b></p><ul><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#0 ("0 Unable to perform activity")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#1 ("1")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#2 ("2")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#3 ("3")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#4 ("4")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#5 ("5")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#6 ("6")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#7 ("7")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#8 ("8")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#9 ("9")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/PSFPActivity#10 ("10 Able to perform activity at same level as before your (injury or problem)")</li></ul></div>
</text>
<url value="https://smart-bear.eu/fhir/Questionnaire/PSFPQuestionnaire"/>
<version value="3.4.1"/>
<name value="PSFPQuestionnaire"/>
<title value="Patient Specific Functional Scale Questionnaire"/>
<status value="draft"/>
<date value="2024-09-17T08:57:54+02:00"/>
<description value="Patient Specific Functional Scale Questionnaire"/>
<item>
<linkId value="activity1"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/PSFPActivity"/>
<code value="0"/>
<display value="0 Unable to perform activity"/>
</valueCoding>
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<answerOption>
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<answerOption>
<valueCoding>
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<answerOption>
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<code value="4"/>
<display value="4"/>
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<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/PSFPActivity"/>
<code value="5"/>
<display value="5"/>
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<answerOption>
<valueCoding>
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</valueCoding>
</answerOption>
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</valueCoding>
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value="10 Able to perform activity at same level as before your (injury or problem)"/>
</valueCoding>
</answerOption>
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</valueCoding>
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<answerOption>
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<code value="10"/>
<display
value="10 Able to perform activity at same level as before your (injury or problem)"/>
</valueCoding>
</answerOption>
</item>
</Questionnaire>