FHIR IG analytics| Package | hl7.fhir.be.patient-monitoring |
| Resource Type | Questionnaire |
| Id | Questionnaire-homehosp-q-opat-definitions.json |
| FHIR Version | R4 |
| Source | https://build.fhir.org/ig/hl7-be/patient-monitoring/Questionnaire-homehosp-q-opat-definitions.html |
| URL | http://hl7belgium.org/fhir/patient-monitoring/Questionnaire/homehosp-q-opat-definitions |
| Version | 0.1.0 |
| Status | active |
| Date | 2026-05-27T09:31:20+00:00 |
| Realm | be |
| Authority | hl7 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: Questionnaire homehosp-q-opat-definitions
Structure| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
![]() | Questionnaire | http://hl7belgium.org/fhir/patient-monitoring/Questionnaire/homehosp-q-opat-definitions#0.1.0 | ||
![]() ![]() | Nursing Assessment | 0..1 | group | |
![]() ![]() ![]() | Medication Storage | 0..1 | group | |
![]() ![]() ![]() ![]() | Are there any comments or concerns regarding the (correct) home storage of the medication? | 1..1 | choice | Definition: Observation.valueCodeableConcept Options: 2 options |
![]() ![]() ![]() ![]() | > If there are comments or concerns: specify | 0..1 | string | Definition: Observation.note.text Enable When: A1_MedicationStorage = Improper storage of medication (SNOMED CT#424363005) |
![]() ![]() ![]() | Medication Preparation | 0..1 | group | |
![]() ![]() ![]() ![]() | The medication was fully dissolved into a clear solution without visible particles | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: Yes / No Value Set |
![]() ![]() ![]() ![]() | > If no: please contact the care team at the hospital | 0..1 | display | Enable When: B1_MedicationFullyDissolved = No (qualifier value) (SNOMED CT#373067005) |
![]() ![]() ![]() ![]() | Weight of full Infusor just before new administration | 1..1 | decimal | Definition: Observation.valueQuantity.value |
![]() ![]() ![]() ![]() | Weight when disconnecting empty infusor | 1..1 | decimal | Definition: Observation.valueQuantity.value |
![]() ![]() ![]() ![]() | Additional observation: (if applicable) | 0..1 | string | Definition: Observation.note.text |
![]() ![]() ![]() | Medication Administration | 0..1 | group | |
![]() ![]() ![]() ![]() | Could the medication be administered exactly according to the procedure (there were no deviations)? | 1..1 | choice | Definition: Observation.valueCodeableConcept Value Set: Yes / No Value Set |
![]() ![]() ![]() ![]() | > If no: specify | 0..1 | string | Definition: Observation.note.text Enable When: C1_AdministrationCorrect = No (qualifier value) (SNOMED CT#373067005) |
![]() ![]() ![]() | Vital Parameters | 0..1 | group | |
![]() ![]() ![]() ![]() | Body temperature: | 1..1 | decimal | Definition: Observation.valueQuantity.value |
![]() ![]() ![]() ![]() | Heart rate: | 0..1 | decimal | Definition: Observation.valueQuantity.value |
![]() ![]() ![]() ![]() | Blood pressure - systolic | 0..1 | decimal | Definition: Observation.valueQuantity.value |
![]() ![]() ![]() ![]() | Blood pressure - diastolic | 0..1 | decimal | Definition: Observation.valueQuantity.value |
![]() ![]() ![]() | Dressing observation at insertion site | 0..1 | group | |
![]() ![]() ![]() ![]() | Dressing observation at insertion site | 1..1 | choice | Definition: Observation.valueCodeableConcept Value Set: Normal / Abnormal Finding |
![]() ![]() ![]() ![]() | > If 'abnormal': specify | 0..1 | display | Enable When: E1_DressingObservation = Abnormal (qualifier value) (SNOMED CT#263654008) |
![]() ![]() ![]() ![]() | Bloody | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: Yes / No Value Set |
![]() ![]() ![]() ![]() | Purulent | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: Yes / No Value Set |
![]() ![]() ![]() ![]() | Loose | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: Yes / No Value Set |
![]() ![]() ![]() ![]() | Serous | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: Yes / No Value Set |
![]() ![]() ![]() ![]() | Moist | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: Yes / No Value Set |
![]() ![]() ![]() ![]() | Other: (if applicable) | 0..1 | string | Definition: Observation.note.text |
![]() ![]() ![]() | Insertion site observation | 0..1 | group | |
![]() ![]() ![]() ![]() | Insertion site observation | 1..1 | choice | Definition: Observation.valueCodeableConcept Value Set: Normal / Abnormal Finding |
![]() ![]() ![]() ![]() | > If 'abnormal': specify | 0..1 | display | Enable When: F1_InsertionSiteObservation = Abnormal (qualifier value) (SNOMED CT#263654008) |
![]() ![]() ![]() ![]() | Blistering | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: Yes / No Value Set |
![]() ![]() ![]() ![]() | Redness | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: Yes / No Value Set |
![]() ![]() ![]() ![]() | Hematoma | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: Yes / No Value Set |
![]() ![]() ![]() ![]() | Pus | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: Yes / No Value Set |
![]() ![]() ![]() ![]() | Crusting | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: Yes / No Value Set |
![]() ![]() ![]() ![]() | Swelling | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: Yes / No Value Set |
![]() ![]() ![]() ![]() | Extravasation/infiltration | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: Yes / No Value Set |
![]() ![]() ![]() ![]() | Other: (if applicable) | 0..1 | string | Definition: Observation.note.text |
![]() ![]() ![]() | Catheter observation | 0..1 | group | |
![]() ![]() ![]() ![]() | Catheter observation | 1..1 | choice | Definition: Observation.valueCodeableConcept Value Set: Normal / Abnormal Finding |
![]() ![]() ![]() ![]() | > If 'abnormal': specify | 0..1 | display | Enable When: G1_CatheterObservation = Abnormal (qualifier value) (SNOMED CT#263654008) |
![]() ![]() ![]() ![]() | Select catheter type | 0..1 | choice | Definition: DeviceUseStatement.device Options: 9 options |
![]() ![]() ![]() ![]() | Per-lumen observation | 0..* | group | |
![]() ![]() ![]() ![]() ![]() | Lumen color | 0..1 | choice | Options: 4 options |
![]() ![]() ![]() ![]() ![]() | Blood aspiration | 0..1 | choice | Value Set: Catheter Patency Scale |
![]() ![]() ![]() ![]() ![]() | Infusion | 0..1 | choice | Value Set: Catheter Patency Scale |
![]() ![]() ![]() ![]() | Damaged catheter | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: Yes / No Value Set |
![]() ![]() ![]() ![]() | Other: (if applicable) | 0..1 | string | Definition: Observation.note.text |
![]() ![]() ![]() | Side Effects | 0..1 | group | |
![]() ![]() ![]() ![]() | Skin rash | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: Home Hospitalization Side Effect Severity Scale |
![]() ![]() ![]() ![]() | Itching | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: Home Hospitalization Side Effect Severity Scale |
![]() ![]() ![]() ![]() | Blisters/skin peeling | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: Home Hospitalization Side Effect Severity Scale |
![]() ![]() ![]() ![]() | Nausea | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: Home Hospitalization Side Effect Severity Scale |
![]() ![]() ![]() ![]() | Vomiting | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: Home Hospitalization Side Effect Severity Scale |
![]() ![]() ![]() ![]() | Diarrhea | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: Home Hospitalization Side Effect Severity Scale |
![]() ![]() ![]() ![]() | Constipation | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: Home Hospitalization Side Effect Severity Scale |
![]() ![]() ![]() ![]() | Decreased appetite | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: Home Hospitalization Side Effect Severity Scale |
![]() ![]() ![]() ![]() | Pain during administration | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: Home Hospitalization Side Effect Severity Scale |
![]() ![]() ![]() ![]() | Pain (general) | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: Home Hospitalization Side Effect Severity Scale |
![]() ![]() ![]() ![]() | Fatigue | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: Home Hospitalization Side Effect Severity Scale |
![]() ![]() ![]() ![]() | Chills | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: Home Hospitalization Side Effect Severity Scale |
![]() ![]() ![]() ![]() | Candidiasis (fungal infection) | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: Home Hospitalization Side Effect Severity Scale |
![]() ![]() ![]() ![]() | Joint pain | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: Home Hospitalization Side Effect Severity Scale |
![]() ![]() ![]() ![]() | Respiratory problems | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: Home Hospitalization Side Effect Severity Scale |
![]() ![]() ![]() ![]() | Facial/tongue swelling | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: Home Hospitalization Side Effect Severity Scale |
![]() ![]() ![]() ![]() | Are there other symptoms or other relevant clinical and/or psychosocial observations? (please contact the care team at the hospital if there are clinical concerns) | 0..1 | string | Definition: Observation.note.text |
![]() ![]() | Quality Monitoring | 0..1 | group | |
![]() ![]() ![]() | Are there any comments or concerns regarding the registration of this patient, the data sharing from the hospital, the communication and contact with the hospital, the availability of medication and materials, or other aspects of the transmurale collaboration regarding home hospitalization OPAT, we would appreciate if you share them with us. Thank you in advance. | 0..1 | string | Definition: DiagnosticReport.conclusion |
Options Sets
Answer options for A1_MedicationStorage
Answer options for G2b_CatheterType
Answer options for G_LumenColor
Patient #patient-placeholder
Profile: BePatient
Tag: subsetted (Details: v3 Code System ObservationValue code SUBSETTED = 'subsetted')
Patient Unknown (no stated gender), DoB Unknown ( http://terminology.hl7.org/CodeSystem/v2-0203#UNKNOWN)
{
"resourceType": "Questionnaire",
"id": "homehosp-q-opat-definitions",
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"contained": [
{
"resourceType": "Patient",
"id": "patient-placeholder",
"meta": {
"profile": [
"https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient"
],
"tag": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationValue",
"code": "SUBSETTED",
"display": "subsetted"
}
]
},
"identifier": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"value": "UNKNOWN"
}
],
"name": [
{
"family": "Unknown",
"given": [
"Patient"
]
}
]
}
],
"url": "http://hl7belgium.org/fhir/patient-monitoring/Questionnaire/homehosp-q-opat-definitions",
"identifier": [
{
"system": "urn:ietf:rfc:3986",
"value": "urn:oid:2.16.840.1.113883.4.642.40.54.35.9"
}
],
"version": "0.1.0",
"status": "active",
"date": "2026-05-27T09:31:20+00:00",
"publisher": "HL7 Belgium",
"contact": [
{
"name": "HL7 Belgium",
"telecom": [
{
"system": "url",
"value": "http://example.com/committees"
},
{
"system": "email",
"value": "my-group@example.com"
}
]
},
{
"name": "Bob Smith",
"telecom": [
{
"system": "email",
"value": "bobsmith@example.com",
"use": "work"
}
]
}
],
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "BE",
"display": "Belgium"
}
]
}
],
"item": [
{
"linkId": "NursingAssessment",
"text": "Nursing Assessment",
"type": "group",
"item": [
{
"extension": [
{
"extension": [
{
"url": "definition",
"valueCanonical": "https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-observation"
}
],
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-definitionExtract"
},
{
"extension": [
{
"url": "definition",
"valueUri": "https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-observation#Observation.status"
},
{
"url": "fixed-value",
"valueCode": "final"
}
],
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-definitionExtractValue"
},
{
"extension": [
{
"url": "definition",
"valueUri": "https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-observation#Observation.category"
},
{
"url": "fixed-value",
"valueCodeableConcept": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
}
]
}
}
],
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-definitionExtractValue"
},
{
"extension": [
{
"url": "definition",
"valueUri": "https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-observation#Observation.subject"
},
{
"url": "fixed-value",
"valueReference": {
"reference": "#patient-placeholder"
}
}
],
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-definitionExtractValue"
}
],
"linkId": "MedicationStorage",
"text": "Medication Storage",
"type": "group",
"item": [
{
"linkId": "A1_MedicationStorage",
"definition": "https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-observation#Observation.valueCodeableConcept",
"code": [
{
"system": "http://snomed.info/sct",
"code": "422413002",
"display": "Ability to store medications (observable entity)"
}
],
"text": "Are there any comments or concerns regarding the (correct) home storage of the medication?",
"type": "choice",
"required": true,
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "710977001",
"display": "Safe storage and management of medication"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "424363005",
"display": "Improper storage of medication"
}
}
]
},
{
"linkId": "A2_MedicationStorageSpecify",
"definition": "https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-observation#Observation.note.text",
"text": "> If there are comments or concerns: specify",
"type": "string",
"enableWhen": [
{
"question": "A1_MedicationStorage",
"operator": "=",
"answerCoding": {
"system": "http://snomed.info/sct",
"code": "424363005",
"display": "Improper storage of medication"
}
}
]
}
]
},
{
"extension": [
{
"extension": [
{
"url": "definition",
"valueCanonical": "https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-observation"
}
],
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-definitionExtract"
},
{
"extension": [
{
"url": "definition",
"valueUri": "https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-observation#Observation.status"
},
{
"url": "fixed-value",
"valueCode": "final"
}
],
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-definitionExtractValue"
},
{
"extension": [
{
"url": "definition",
"valueUri": "https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-observation#Observation.category"
},
{
"url": "fixed-value",
"valueCodeableConcept": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
}
]
}
}
],
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-definitionExtractValue"
},
{
"extension": [
{
"url": "definition",
"valueUri": "https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-observation#Observation.subject"
},
{
"url": "fixed-value",
"valueReference": {
"reference": "#patient-placeholder"
}
}
],
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-definitionExtractValue"
}
],
"linkId": "MedicationPreparation",
"text": "Medication Preparation",
"type": "group",
"item": [
{
"linkId": "B1_MedicationFullyDissolved",
"definition": "https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-observation#Observation.valueCodeableConcept",
"code": [
{
"system": "http://snomed.info/sct",
"code": "396076000",
"display": "Medication prefill preparation assessment (procedure)"
}
],
"text": "The medication was fully dissolved into a clear solution without visible particles",
"type": "choice",
"answerValueSet": "http://hl7belgium.org/fhir/patient-monitoring/ValueSet/YesNoVS"
},
{
"linkId": "B2_IfNoContact",
"text": "> If no: please contact the care team at the hospital",
"type": "display",
"enableWhen": [
{
"question": "B1_MedicationFullyDissolved",
"operator": "=",
"answerCoding": {
"system": "http://snomed.info/sct",
"code": "373067005",
"display": "No (qualifier value)"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
"valueCoding": {
"system": "http://unitsofmeasure.org",
"code": "g",
"display": "g"
}
},
{
"url": "http://fhir.wgk.com/StructureDefinition/wgk-ext-helptext",
"valueString": "Only to be filled in for continuous infusion"
},
{
"extension": [
{
"url": "definition",
"valueUri": "https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-observation#Observation.valueQuantity.system"
},
{
"url": "fixed-value",
"valueUri": "http://unitsofmeasure.org"
}
],
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-definitionExtractValue"
},
{
"extension": [
{
"url": "definition",
"valueUri": "https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-observation#Observation.valueQuantity.code"
},
{
"url": "fixed-value",
"valueCode": "g"
}
],
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-definitionExtractValue"
},
{
"extension": [
{
"url": "definition",
"valueUri": "https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-observation#Observation.valueQuantity.unit"
},
{
"url": "fixed-value",
"valueString": "g"
}
],
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-definitionExtractValue"
}
],
"linkId": "B3_WeightFullInfusor",
"definition": "https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-observation#Observation.valueQuantity.value",
"code": [
{
"system": "http://snomed.info/sct",
"code": "1381257004",
"display": "Measured weight of elastomeric continuous infusion pump with medication before infusion (observable entity)"
}
],
"text": "Weight of full Infusor just before new administration",
"type": "decimal",
"required": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
"valueCoding": {
"system": "http://unitsofmeasure.org",
"code": "g",
"display": "g"
}
},
{
"url": "http://fhir.wgk.com/StructureDefinition/wgk-ext-helptext",
"valueString": "Only to be filled in for continuous infusion"
},
{
"extension": [
{
"url": "definition",
"valueUri": "https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-observation#Observation.valueQuantity.system"
},
{
"url": "fixed-value",
"valueUri": "http://unitsofmeasure.org"
}
],
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-definitionExtractValue"
},
{
"extension": [
{
"url": "definition",
"valueUri": "https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-observation#Observation.valueQuantity.code"
},
{
"url": "fixed-value",
"valueCode": "g"
}
],
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-definitionExtractValue"
},
{
"extension": [
{
"url": "definition",
"valueUri": "https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-observation#Observation.valueQuantity.unit"
},
{
"url": "fixed-value",
"valueString": "g"
}
],
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-definitionExtractValue"
}
],
"linkId": "B4_WeightEmptyInfusor",
"definition": "https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-observation#Observation.valueQuantity.value",
"code": [
{
"system": "http://snomed.info/sct",
"code": "1381260006",
"display": "Measured weight of elastomeric continuous infusion pump after infusion (observable entity)"
}
],
"text": "Weight when disconnecting empty infusor",
"type": "decimal",
"required": true
},
{
"linkId": "B5_AdditionalObservation",
"definition": "https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-observation#Observation.note.text",
"code": [
{
"system": "http://snomed.info/sct",
"code": "396078004",
"display": "Medication prefill preparation management (procedure)"
}
],
"text": "Additional observation: (if applicable)",
"type": "string"
}
]
},
{
"extension": [
{
"extension": [
{
"url": "definition",
"valueCanonical": "https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-observation"
}
],
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-definitionExtract"
},
{
"extension": [
{
"url": "definition",
"valueUri": "https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-observation#Observation.status"
},
{
"url": "fixed-value",
"valueCode": "final"
}
],
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-definitionExtractValue"
},
{
"extension": [
{
"url": "definition",
"valueUri": "https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-observation#Observation.category"
},
{
"url": "fixed-value",
"valueCodeableConcept": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
}
]
}
}
],
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-definitionExtractValue"
},
{
"extension": [
{
"url": "definition",
"valueUri": "https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-observation#Observation.subject"
},
{
"url": "fixed-value",
"valueReference": {
"reference": "#patient-placeholder"
}
}
],
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-definitionExtractValue"
}
],
"linkId": "MedicationAdministration",
"text": "Medication Administration",
"type": "group",
"item": [
{
"linkId": "C1_AdministrationCorrect",
"definition": "https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-observation#Observation.valueCodeableConcept",
"code": [
{
"system": "http://snomed.info/sct",
"code": "373149000",
"display": "Medication administered following procedure (situation)"
}
],
"text": "Could the medication be administered exactly according to the procedure (there were no deviations)?",
"type": "choice",
"required": true,
"answerValueSet": "http://hl7belgium.org/fhir/patient-monitoring/ValueSet/YesNoVS"
},
{
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}
],
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],
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{
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{
"linkId": "G2_IfAbnormalSpecify",
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{
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{
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"system": "http://snomed.info/sct",
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],
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{
"valueCoding": {
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{
"valueCoding": {
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},
{
"linkId": "G_Lumen",
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{
"linkId": "G_LumenColor",
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{
"system": "http://snomed.info/sct",
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],
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"valueCoding": {
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{
"valueCoding": {
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"valueCoding": {
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{
"linkId": "G3_BloodAspiration",
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{
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],
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{
"linkId": "G4_Infusion",
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]
},
{
"linkId": "G5_DamagedCatheter",
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"code": "1156074004",
"display": "Device failure (finding)"
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],
"text": "Damaged catheter",
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},
{
"linkId": "G6_Other",
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"text": "Other: (if applicable)",
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]
},
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],
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},
{
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{
"url": "fixed-value",
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{
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{
"url": "fixed-value",
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{
"extension": [
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{
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}
],
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-definitionExtractValue"
}
],
"linkId": "SideEffects",
"text": "Side Effects",
"type": "group",
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{
"linkId": "H1_SkinRash",
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"code": "271807003",
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}
],
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},
{
"linkId": "H2_Itching",
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}
],
"text": "Itching",
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},
{
"linkId": "H3_BlistersOrSkinPeeling",
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"display": "Peeling of skin (finding)"
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],
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"answerValueSet": "http://hl7belgium.org/fhir/patient-monitoring/ValueSet/homehosp-side-effect-severity"
},
{
"linkId": "H4_Nausea",
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"code": "422587007",
"display": "Nausea (finding)"
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],
"text": "Nausea",
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"answerValueSet": "http://hl7belgium.org/fhir/patient-monitoring/ValueSet/homehosp-side-effect-severity"
},
{
"linkId": "H5_Vomiting",
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"code": "249497008",
"display": "Vomiting symptom (finding)"
}
],
"text": "Vomiting",
"type": "choice",
"answerValueSet": "http://hl7belgium.org/fhir/patient-monitoring/ValueSet/homehosp-side-effect-severity"
},
{
"linkId": "H6_Diarrhea",
"definition": "https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-observation#Observation.valueCodeableConcept",
"code": [
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"system": "http://snomed.info/sct",
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"display": "Diarrhea (finding)"
}
],
"text": "Diarrhea",
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"answerValueSet": "http://hl7belgium.org/fhir/patient-monitoring/ValueSet/homehosp-side-effect-severity"
},
{
"linkId": "H7_Constipation",
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"code": [
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"code": "14760008",
"display": "Constipation (finding)"
}
],
"text": "Constipation",
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"answerValueSet": "http://hl7belgium.org/fhir/patient-monitoring/ValueSet/homehosp-side-effect-severity"
},
{
"linkId": "H8_DecreasedAppetite",
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"code": "64379006",
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}
],
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},
{
"linkId": "H9_PainDuringAdministration",
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}
],
"text": "Pain during administration",
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},
{
"linkId": "H10_GeneralPain",
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"display": "Localized pain (finding)"
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],
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"answerValueSet": "http://hl7belgium.org/fhir/patient-monitoring/ValueSet/homehosp-side-effect-severity"
},
{
"linkId": "H11_Fatigue",
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"code": "224960004",
"display": "Tired (finding)"
}
],
"text": "Fatigue",
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"answerValueSet": "http://hl7belgium.org/fhir/patient-monitoring/ValueSet/homehosp-side-effect-severity"
},
{
"linkId": "H12_Chills",
"definition": "https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-observation#Observation.valueCodeableConcept",
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"system": "http://snomed.info/sct",
"code": "43724002",
"display": "Chill (finding)"
}
],
"text": "Chills",
"type": "choice",
"answerValueSet": "http://hl7belgium.org/fhir/patient-monitoring/ValueSet/homehosp-side-effect-severity"
},
{
"linkId": "H13_Candidiasis",
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"code": "78048006",
"display": "Candidiasis (disorder)"
}
],
"text": "Candidiasis (fungal infection)",
"type": "choice",
"answerValueSet": "http://hl7belgium.org/fhir/patient-monitoring/ValueSet/homehosp-side-effect-severity"
},
{
"linkId": "H14_JointPain",
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"code": "57676002",
"display": "Pain of joint (finding)"
}
],
"text": "Joint pain",
"type": "choice",
"answerValueSet": "http://hl7belgium.org/fhir/patient-monitoring/ValueSet/homehosp-side-effect-severity"
},
{
"linkId": "H15_RespiratoryProblems",
"definition": "https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-observation#Observation.valueCodeableConcept",
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"code": "267036007",
"display": "Dyspnea (finding)"
}
],
"text": "Respiratory problems",
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"answerValueSet": "http://hl7belgium.org/fhir/patient-monitoring/ValueSet/homehosp-side-effect-severity"
},
{
"linkId": "H16_FacialTongueSwell",
"definition": "https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-observation#Observation.valueCodeableConcept",
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"display": "Facial swelling (finding)"
}
],
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"answerValueSet": "http://hl7belgium.org/fhir/patient-monitoring/ValueSet/homehosp-side-effect-severity"
},
{
"linkId": "H17_OtherObservations",
"definition": "https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-observation#Observation.note.text",
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"code": "365275006",
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}
],
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}
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},
{
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],
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],
"linkId": "QualityMonitoring",
"text": "Quality Monitoring",
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}
],
"text": "Are there any comments or concerns regarding the registration of this patient, the data sharing from the hospital, the communication and contact with the hospital, the availability of medication and materials, or other aspects of the transmurale collaboration regarding home hospitalization OPAT, we would appreciate if you share them with us. Thank you in advance.",
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}